general: No change was observed during the past period. General motor skills, lags behind the age norm. Underdevelopment in the motor sphere is expressed in uncoordinated and inaccuracy of movements, non-rhythmicity, incorrect doing of more complex movements with the hands, difficulty in synchronizing actions between hands and feet. He can feed himself. The child moves unaided with good coordination and wide gait, no need of support. It is stable when squatting, standing up, jumping, getting on and off a chair, bench. Passes obstacles of different heights, being able to maintain balance when he stumbles; climbs and descends stairs independently without support. He manages to get around obstacles. Rolls a big ball. Catches a ball with two hands. Steps on different surfaces.
Fine motor development: No change was observed during the past period. Poorly developed fine motor skills. When eating, he grabs and holds a biscuit, waffle, sticks. There is no built-in tweezer grip, it is difficult to grasp and hold a crayon, pencil, small objects. With guidance from an adult, he can transfer with spoon chestnuts from bowl to bowl, plays with certain materials and toys, pinches and pinches with a pin, looks for and find an object hidden in sand. He holds a pencil and leaves marks on a sheet of paper. He can feed himself with a spoon. Keeps mouth open but no salivation. He likes to paint with a brush and paints – he observes and accurately repeats the actions in a sequence. Takes the touch of foam, plasticine, bird feather with palms. He enjoys playing with sand as well as ropes.
No change was observed during the past period. The child lags behind significantly in all indicators of neuropsychological development. Adaptive skills are greatly reduced. Learning and understanding skills are also greatly reduced. Social skills are underdeveloped. The child demonstrates behavior corresponding to moderate mental retardation – IQ – 35. He is psycho-motorically calm with stereotyped body movements and disorders of the sensory profile of development, he has hypersensitivity to noises, increased interest in smelling and touching objects. When in pain, Dennis becomes restless and sometimes reacts by shouting. The interest in joint activities with the psychologist is low, it shows attachment to the foster parent. Diagnosis: 71.1 Severe mental delay with significant behavioral disturbance requiring care.
Perceptions and concepts:
Poor, fragmented and undifferentiated. Shows interest and manipulates objects, but does not use them correct according to their functionality.
Vision orienting reactions: Denis makes eye contact mainly when greeting. The child enjoys familiar faces and smiles at their appearance. Mimics observed actions.
Hearing orienting reactions: The child does not understand and does not follow verbal commands. Sometimes reacts when called by name or to a loud noise.
Severe attention deficit. Low capacity for concentration and poor resistance to active attention. Limited volume and workability. Increased response time. Active attention is difficult to attract and it depends on the type of activity for how long he will remain focused. a purposeful activity may be performed mainly using the hand-over-hand technique for about 10-15 minutes, and switching activities.
Memory: Severe violation of memory processes. Memory is unhelpful, emotional and situational.
Thinking: Thinking is visual-active. Poor understanding of concepts of a daily household situations. Understands some basic commands and perform them selectively. During a game, as well as in certain situations, his reactions indicate the presence of an intention and thinking. There is a strong interest in certain toys: spirals, cords, tombal. During a walk, he carefully observes the people around him, looks in the windows. The process of perceiving information is difficult.