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Understanding Your IEP


     PART   3: ASSESSMENTS




              Pictures and Content Copyright Matthew A. T. Lehman, BCBA
Why Do We Assess

• Required by law
  – ADA/504 and IDEA


• To Understand What Our Kids NEED
  – Guides Services


• Track Progress
  – Is the program working?
Difference Scores

• Personal Strength / Weakness
  – Significant discrepancy between areas
    of our child’s performance
    and abilities



• Normative Strength / Weakness
             »Significantly discrepancy
              between our child’s ability
              and that of the general
              population
HELP! WHAT DO ALL THESE MEAN?
Taking To The Next Level
• The meat of any report is the Subtests and Scaled
  Scores – don’t fall for the bottom line trap of an IQ score
• D-KEFS : 10 ± 3
   – What does this mean?
       • Scores of 8-12 are IDENTICAL
       • Differences MUST be 3 points or greater or
         they are NOT significant
• Hypothetical
   – Ability Score: 14           THIS is what
   – Performance: 11              to look for!

       • Answer: Testing shows a significant
         discrepancy between ability and performance
Practice (with Scaled Scores)

• Ability Score: 3    *Normative weakness
                      *NO discrepancy
                      *needs support, probably beyond
• Performance: 1      current biological capacity


                      *Average Ability
• Ability Score: 10   *Discrepancy
                      *needs support, look to why
• Performance: 7      unable to perform at capacity-
                      what is interfering??

                      *Normative strength
• Ability Score: 16   *Discrepancy
                      *needs support, look to why
• Performance: 10     unable to perform at capacity-
                      what is interfering??
What if they don’t have Scaled Scores?

• ASK for them!

• If they can’t provide / look them up, this
  may be sufficient to ask for an IEE as they
  are not demonstrating competency in
  assessment.
  – Remember doing this math in your head isn’t
    easy, give them a chance to actually do it on a
    computer
So Wait What Does That Score Mean?

• ASK!
    – They have to explain it till you get it
Side Note
• IQ = Ability to get needs met at the time of the test in the
  language and communication mode of the test


    – STOP & THINK
        • what does this mean
        • Have the expert explain this to parents, they
          probably need to hear it at least once to
          understand and accept their child’s needs
            – look for parents saying “but my child can do…” “but
              he does understand, even if he can’t tell me”
So Which Assessments To Use?

• Direct         • Report Based
    Assessment       Assessment
  – ADOS           – ABAS-2
  – D-KEFS         – BASC-2
  – K-ABC          – BRiEF
  – WISC-IV        – Conners3
  – WJ             – SSIS


 Which Column Should We Use?
Choosing Assessments (continued)
• Direct Assessments          • Report Based Assessments
   – Concern about adults       – “Fast” and easy
     ability to respond
                                – Doesn’t require extensive
   – Wide discrepancies           training
     between adult reports
                                – Bypasses child compliance
   – Difficult to assess by
     observation or no one      – Less disruptive
     qualified to make such
     observations
                                – Often just as reliable but
                                  subject to adults opinions
   – Time Consuming               (usually controlled for)

   – Requires child
     compliance
General or Specific? – and WHY
• Global Batteries             • Specific to child’s needs
  –   WISC / WAIS                  – ADOS-2
  –   K-ABC                        – D-KEFS
  –   ABAS-2                       – PDDBI
  –   WJ

  Global: Tests a wide array of ability and performance scales,
          generally not diagnosis specific



  Specific: Tests a specific type of need or for a specific area of need
            often diagnosis or need specific including for the purpose of
            making a diagnosis
Knowledge: How To Use It
• Ask the school psychologist WHY a
  specific test vs another?
  – Be specific on tests
  – Have Your OWN Expert Ask probing
    questions
     • Before & AT the meeting


  – If past reports have been
    invalid or inconclusive,
    try direct assessments
     • Non-compliance with tests
       IS important information
Examples
• Disclaimer: Consult an expert in clinical assessments
  before doing more then asking why one or the other.

• Attention problems
   – K-ABC results are less impacted then the WISC or WAIS by
      attention difficulties because the tools are more colorful and
      engaging.
• Adaptive Skills
   – PDD-BI and ABAS-2 have a lot of overlap, but the PDD-BI is
      specific for kids suspected of an autism spectrum diagnosis
• Test Weaknesses
   – ADOS doesn’t assess peer interpersonal deficits
• Adding A Test to Broaden Application to IEP planning
   – D-KEFS highlights performance vs ability differences
   – Conners, BASC, SRS look more at current levels
Understanding the Graphs




             Graph from NAC 2012 Report
Data Trends




      Graph from NAC 2012 Report
A-B-A-B Graphs: Proof of Causality


    Pre-IEP     supports in place    winter/spring/   supports back
                                    summer break       in place




-Stronger then a double blind randomized trial.
                                    Graph from NAC 2012 Report
Knowledge: How To Use It
• Graphing is proof of efficacy and if it isn’t working
    – Ask for it if parents are concerned about efficacy


• A-B-A-B graphing APPLIED
    – Use this to show that removing
      a support didn’t work or that its
      too soon to fade back that support


• For non emergency/ non safety
  issues
    – Let them know we are willing to try
      what they suggest but we have
      concerns
    – I may give the school 30 or 60 days to show if it works
    – I setup the request for the follow up meeting right at the
      current IEP
Putting it All Together
• Formulate and write notes about what you want
  to say and ask

• Remember the
  school might be
  right – reality test!

• Know your comfort
  zone and bring
  support

• Take Your Time!

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Understanding Your IEP Assessments [Online Version]

  • 1. Understanding Your IEP PART 3: ASSESSMENTS Pictures and Content Copyright Matthew A. T. Lehman, BCBA
  • 2. Why Do We Assess • Required by law – ADA/504 and IDEA • To Understand What Our Kids NEED – Guides Services • Track Progress – Is the program working?
  • 3. Difference Scores • Personal Strength / Weakness – Significant discrepancy between areas of our child’s performance and abilities • Normative Strength / Weakness »Significantly discrepancy between our child’s ability and that of the general population
  • 4. HELP! WHAT DO ALL THESE MEAN?
  • 5. Taking To The Next Level • The meat of any report is the Subtests and Scaled Scores – don’t fall for the bottom line trap of an IQ score • D-KEFS : 10 ± 3 – What does this mean? • Scores of 8-12 are IDENTICAL • Differences MUST be 3 points or greater or they are NOT significant • Hypothetical – Ability Score: 14 THIS is what – Performance: 11 to look for! • Answer: Testing shows a significant discrepancy between ability and performance
  • 6. Practice (with Scaled Scores) • Ability Score: 3 *Normative weakness *NO discrepancy *needs support, probably beyond • Performance: 1 current biological capacity *Average Ability • Ability Score: 10 *Discrepancy *needs support, look to why • Performance: 7 unable to perform at capacity- what is interfering?? *Normative strength • Ability Score: 16 *Discrepancy *needs support, look to why • Performance: 10 unable to perform at capacity- what is interfering??
  • 7. What if they don’t have Scaled Scores? • ASK for them! • If they can’t provide / look them up, this may be sufficient to ask for an IEE as they are not demonstrating competency in assessment. – Remember doing this math in your head isn’t easy, give them a chance to actually do it on a computer
  • 8. So Wait What Does That Score Mean? • ASK! – They have to explain it till you get it Side Note • IQ = Ability to get needs met at the time of the test in the language and communication mode of the test – STOP & THINK • what does this mean • Have the expert explain this to parents, they probably need to hear it at least once to understand and accept their child’s needs – look for parents saying “but my child can do…” “but he does understand, even if he can’t tell me”
  • 9. So Which Assessments To Use? • Direct • Report Based Assessment Assessment – ADOS – ABAS-2 – D-KEFS – BASC-2 – K-ABC – BRiEF – WISC-IV – Conners3 – WJ – SSIS Which Column Should We Use?
  • 10. Choosing Assessments (continued) • Direct Assessments • Report Based Assessments – Concern about adults – “Fast” and easy ability to respond – Doesn’t require extensive – Wide discrepancies training between adult reports – Bypasses child compliance – Difficult to assess by observation or no one – Less disruptive qualified to make such observations – Often just as reliable but subject to adults opinions – Time Consuming (usually controlled for) – Requires child compliance
  • 11. General or Specific? – and WHY • Global Batteries • Specific to child’s needs – WISC / WAIS – ADOS-2 – K-ABC – D-KEFS – ABAS-2 – PDDBI – WJ Global: Tests a wide array of ability and performance scales, generally not diagnosis specific Specific: Tests a specific type of need or for a specific area of need often diagnosis or need specific including for the purpose of making a diagnosis
  • 12. Knowledge: How To Use It • Ask the school psychologist WHY a specific test vs another? – Be specific on tests – Have Your OWN Expert Ask probing questions • Before & AT the meeting – If past reports have been invalid or inconclusive, try direct assessments • Non-compliance with tests IS important information
  • 13. Examples • Disclaimer: Consult an expert in clinical assessments before doing more then asking why one or the other. • Attention problems – K-ABC results are less impacted then the WISC or WAIS by attention difficulties because the tools are more colorful and engaging. • Adaptive Skills – PDD-BI and ABAS-2 have a lot of overlap, but the PDD-BI is specific for kids suspected of an autism spectrum diagnosis • Test Weaknesses – ADOS doesn’t assess peer interpersonal deficits • Adding A Test to Broaden Application to IEP planning – D-KEFS highlights performance vs ability differences – Conners, BASC, SRS look more at current levels
  • 14. Understanding the Graphs Graph from NAC 2012 Report
  • 15. Data Trends Graph from NAC 2012 Report
  • 16. A-B-A-B Graphs: Proof of Causality Pre-IEP supports in place winter/spring/ supports back summer break in place -Stronger then a double blind randomized trial. Graph from NAC 2012 Report
  • 17. Knowledge: How To Use It • Graphing is proof of efficacy and if it isn’t working – Ask for it if parents are concerned about efficacy • A-B-A-B graphing APPLIED – Use this to show that removing a support didn’t work or that its too soon to fade back that support • For non emergency/ non safety issues – Let them know we are willing to try what they suggest but we have concerns – I may give the school 30 or 60 days to show if it works – I setup the request for the follow up meeting right at the current IEP
  • 18. Putting it All Together • Formulate and write notes about what you want to say and ask • Remember the school might be right – reality test! • Know your comfort zone and bring support • Take Your Time!