Psychological testing
is often the single most useful tool to help determine the presence
of a learning disability or attentional disorder that may be affecting
school performance in children or adolescents. Children as young as
three or four can be evaluated. However, because the reliability of
assessments tend to be limited when children are very young, psychologists
generally prefer to wait until they reach school age before testing.
There is no upper age limit for testing, and many individuals are
tested when they are in university.
Often, teachers and parents both tend to notice problems in academic
functioning. Depending on the difficulty the child is experiencing,
different symptoms may be reported. For example, if a disorder such
as Attention Deficit Hyperactivity Disorder (ADHD) is suspected,
teachers may report that the child cannot sit still, is easily distracted,
has a high energy level, and is impulsive. On the other hand, if
an attentional disorder without hyperactivity is suspected, adults
may find that the child has difficulty concentrating, cannot complete
his or her homework in a timely manner, forgets assignments, and
may be generally disorganized. With a learning disability, the child
often exhibits some of the above symptoms as well, as he or she
becomes increasingly frustrated with schoolwork. With all of these
problems, a childs self esteem is greatly impacted, and a
decline in emotional functioning may also contribute to their academic
struggles.
The first step in a psychological evaluation often comes when a
teacher alerts the parent that there is a problem in school, although
many teachers will say that they are unable to put their finger
on the exact problem. This tends to leave the parents and the child
frustrated, and with no clear idea about what to do about the problem.
Sometimes the children are branded as lazy, not trying hard enough,
willful, or disobedient. With Attention Deficit Disorder (ADD) or
a learning disability, none of these are actually the case. The
child often reports feeling frustrated that additional effort in
school yields no discernible result.
The goal of a comprehensive psycho-educational evaluation is to
identify the source of the school difficulty (whether it is a learning
disability or other disorder), and to provide recommendations to
the child, family, and school to rectify the problem. A proper psychological
assessment often involves several hours of face-to-face contact
with the child during testing, a comprehensive report detailing
findings, and a feedback session during which the results are explained
to the child and family. This feedback session is often the most
important part of the evaluation for the child, as it provides an
opportunity for him or her to understand for the first time what
is causing the frustration and inability to keep up in school. Concrete
recommendations are also provided in the report regarding strategies
from which the child may benefit or services that can be sought
to help the family.
There are several components to a full psycho-educational evaluation.
An intelligence test is usually administered so that a measure of
the childs level of intellectual functioning can be obtained.
This is followed by an achievement test, which measures the childs
performance in a variety of academic areas. The results of these
two tests can be compared to see where the child is functioning
academically versus where he should be functioning academically,
given his level of intelligence (that is, is he or she performing
at a level that is to be expected given how intelligent they are).
Another component of academic testing is called cognitive testing.
This allows us to look at the childs strengths and weaknesses,
and to clarify in what cognitive areas the problems are manifesting
themselves. For example, these tests will let us know whether there
is an auditory processing problem, an attentional problem, or some
other factor. It will permit us to better pinpoint the problem area
so that we can more effectively provide intervention.
When ADD or ADHD is an issue, measures are also given to teachers
and parents to provide additional information about this area of
functioning. In addition, a psychological test designed to assess
current emotional functioning is often given to rule out the impact
of depression or any other issue. Information gathering is an important
part of the psychological evaluation. Therefore, records are often
reviewed, and attempts are made to contact the childs teachers
with parental permission.
One area that is often overlooked is the qualifications of the
individual performing the evaluation. Only psychologists with a
Ph.D. in Developmental, Educational, or Child-track Clinical Psychology
are fully trained to administer and interpret a comprehensive psychoeducational
evaluation. While these services do tend to be offered by a wide
range of people not adequately trained in assessment, the results
generated by these individuals tend to be problematic. Many parents
find that they paid for an expensive evaluation that does not answer
the questions at hand or that provides erroneous conclusions and
impractical recommendations. Parents are then forced to seek an
additional evaluation. It is essential that parents seeking assessments
for their children obtain information regarding the qualifications
of the professional and the tests that will be administered before
agreeing to services. Clearly, every evaluation should result in
a written report that should be provided to the parents and available
to school personnel at the parents' request.
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