Name: Mildred Test
Intervention Sept Jan
Communication No one in school understands my communication One adult in my class understands my communication All the adults and some children in my class understand my communication Everyone in my class understands my communication Everyone in my class and at least 2 others in school understand my communication Everyone I have contact with in school understands my communication Everyone I come in to contact with understands my communication
1 2 3 4 5 6 7
Empowerment I have no choice about what activities I do during my leisure periods I have a limited choice of activities at lunchtimes or after school I have a varied choice of activities at lunchtimes or after school I have a varied choice of activities at lunchtime and limited after school I have a varied choice of activites at lunchtime and after school I have a varied choice of activities at lunchtime and after school I have a varied choice of activities for all my leisure periods
1 2 3 4 5 6 7
Physical - Sensory Integration- Move No one understands my physical needs One adult in my class understands my physical needs All the adults in my class understand my physical needs Everyone in my class understands my physical needs Everyone in my class and at least 2 others in school understand my physical needs Everyone I have contact with in school understands my physical needs Everyone I come in to contact with understands my physical needs
1 2 3 4 5 6 7
2
4
6
Behaviours For Learning No one in school understands my behaviour One adult in my class understands my behaviour All the adults and some children in my class understand my behaviour Everyone in my class understands my behaviour Everyone in my class and at least 2 others in school understand my behaviour Everyone I have contact with in school understands my behaviour Everyone I come in to contact with understands my behaviour
1 2 3 4 5 6 7
2
3
4
Outcome
Sensory Assessment Sensory Training Sensory Support
2
4
Further Actions
May
Define consistent effective communication method Review assessment Training - Revision of sensory integration Structured, planned implementation of strategies - understood by all
5
Outdoor equipment (sensory perception area)
2
3
3
Sensory Assessment Sensory Training Sensory Support
Review assessment Training - Revision of sensory integration Structured, planned implementation of strategies - understood by all