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What follows are best-practice guidelines for writing psychoeducational evaluation reports.
The Role of the Psychologist Expert
School districts and parents need objective evaluations based upon reliable and valid test measures, administered and interpreted by expert psychologists and educators. School psychologists and privately employed psychologists should be trained to conduct systematic, behavioral observations in the classroom and other environments.
The American Psychological Association and the National Association of School Psychologists have published standards for school certified and private practice psychologists which govern the use and interpretation of psychological and educational tests.
Reasons for Referral, History and Observations
This section of the report describes why the child was referred for testing, the problems the child is having, and the purposes of the evaluation. The next portion of the report will include the child's history and background information.
A psychoeducational evaluation is essentially a "snapshot in time" in that it represents an appraisal of the child's current functioning against the backdrop of the child's past. Therefore, the psychologist needs to obtain a thorough history of the child and include all relevant historical information within the report.
Research shows that various adverse prenatal and perinatal factors may predispose children to subsequent learning problems. The evaluation report should include:
pre- and perinatal factors that may have a bearing on subsequent child development;
the child's acquisition of developmental milestones in accordance with a developmental timeframe;
the child's history of infection, illness and injury; and
anecdotal observations regarding the child's health and preschool development.
Historical information should also include data regarding the development of fine and gross motor skills; demonstration of facility in speech and language functions; ability to interact, play and socialize with peers; and the timeline for accomplishment of developmental milestones.
The historical section should also include a complete review of the child's educational history, beginning with preschool educational experiences and concluding with the child's present educational placement. It is critical that the psychologist obtain a complete educational record for the child, including all report cards, anecdotal records, standardized test results, teacher and parent observations, and the results of prior evaluations. Whenever possible, psychologists should seek to obtain actual test scores, not just written summaries from previously completed evaluations.
The historical section of the report should take the reader from the beginning of the child's life and leave the reader right at the point where the evaluation begins. The report should include observational data from teachers, parents and other professionals who have had opportunities to interact with the child over time.
For the child with prior evaluations, the psychologist should pay particular attention to previous test data. It is not unusual for children who receive appropriate educational programs to demonstrate growth on standardized academic achievement tests and on measures of cognitive functioning. In contrast, it is not unusual for children who have received inappropriate educational programs to demonstrate classic "Matthew effects" in their learning (i.e. The rich get richer and the poor get poorer.)
Initially, the term "Matthew Effect" was coined to describe the phenomenon of general decline on tests that measure accumulated verbal learning in children with unremediated reading disabilities. Children who cannot read to learn new information suffer from a lack of exposure to content and their verbal IQ test scores often fall over time. Children with limited reading skills are often placed in low groups in regular education classes, which leads to further educational deprivation. In many cases, the Verbal IQ scores of these children go down over time, rather than remaining stable, as is typically found in the general population.
Observational Data Collection: Teacher and Parent Input
An important component of the psychoeducational evaluation is observational data regarding the child's functioning in the classroom, in structured and unstructured social situations and at home.
"Observer effects" not only alter teacher behavior, but also student behavior. Using checklists and narratives, teachers can provide a wealth of information regarding the child's day-to-day functioning in the classroom setting. Other professionals who work with the child can also provide important information about the child's behavior and functioning in various settings. Counselors, psychotherapists, occupational therapists, physical therapists, speech and language therapists, playground aides, cafeteria workers and school bus drivers can often provide important data regarding the child's functioning across a variety of settings.
The psychoeducational evaluation should include observational data from the child's parents. Parents have observed the child's behavior from birth to the present time. Parents are "in the trenches" with the child from one school year to the next, and observe the child's strengths and weaknesses in different settings. Parents can provide information about how the child progressed through the grades and how the child interacted with different teachers. Parents also directly observe the child's ability to complete homework in an independent setting.
Many children with learning disabilities hold themselves together during the school day, expending a tremendous amount of effort to meet the academic demands of school. When these children come home from school, they are often exhausted, frustrated, upset and anxious. Observational data from the parents is essential to understanding how the child performs on a day-to-day basis and how the child returns home after the school day.