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What is Psychoeducational Testing, and When is it Helpful?

  • Posted on July 1, 2009 at 9:05 pm

Psychoeducational testing is appropriate for individuals who want to have a more sophisticated understanding of their cognitive functioning (what is my “ability?”), their math, reading and/or writing skills, their memory skills, and whether emotional factors may be contributing to or affecting learning in school. While I assess individuals from six years old up to middle-aged adults, other psychologists specialize in developmental issues, and evaluate children between infancy and five years old. Some psychologists assess individuals in the later stages of middle-age including the geriatric population. This article will address assessment of school-aged children and college-aged young adults.

A typical referral question might be, “My second grade son is struggling with math, and despite extra help from the teacher, he continues to obtain poor grades in this subject. Is it possible that he has a learning disability?” Psychoeducational testing could help determine if the individual has a learning disability in math or any other area, and the psychologist will provide recommendations to the parents and the teacher as to how to improve the student’s ability to learn math. Another referral question might come from a college student who recently completed their freshman year, and despite feeling that they “studied hard,” they obtained poor grades. Perhaps this individual found it difficult to concentrate during class, and is wondering if she has Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type. Some high school students who have already been identified as having a reading disability may feel they will benefit from extended time on the SAT. A psychoeducational evaluation would be appropriate for this student in order to document the need for extended time.

While a “battery” of measures within a psychoeducational evaluation may differ from psychologist to psychologist, a typical battery will often consist of a measure to assess intellectual functioning and a measure to assess achievement levels (often math, reading, and spelling and/or writing). In addition, many psychologists also include a measure to assess visual-motor functioning and a measure to assess memory skills.

In order to ensure that the evaluation is addressing the referral question, the psychologist will typically gather a great deal of background information. This information could include, but would not be limited to, the following: when developmental milestones were met, medical history, school history, and whether there is any family history of mental health issues or learning difficulties. If the parents or student perceive there to be any emotional difficulties that could be affecting learning in school, additional measures may be included. For example, behavior rating scales to be completed by the parent, the student and sometimes the teachers are often included, and at times additional assessments may also be included to learn more about the individual’s emotional functioning. At times, the psychologist may also gather information from the examinee’s teachers, and will often wish to review recent report cards and any previous evaluations.

A typical assessment session takes between four and six hours, depending on the individual. While some students prefer to complete the evaluation in one sitting, other students, particularly young children, may benefit from completing the assessment over the course of two or even three sessions.

After the assessment is complete, the psychologist writes a report which includes the scores from each measure, as well as a description of the measure and what the scores mean. The report will also answer the referral question, and many recommendations are provided. The psychologist then reviews the results of the evaluation with the family, and can answer questions about the report, as well as how to proceed.

Lauren S. Lineback, M.H.A., Psy.D.
Delaware/Pennsylvania Licensed Psychologist
Pennsylvania Certified School Psychologist
Back to Basics Learning Dynamics, Inc.

Lauren S. Lineback, M.H.A. Psy.D. is on staff of Back to Basics
Learning Dynamics
, a full service educational facility providing tutoring and instruction for children and adults.
She is an educational consultant.

Article Source: What is Psychoeducational Testing, and When is it Helpful?

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The Relationship Between Sleep Habits and Symptoms in ADHD Children

  • Posted on July 1, 2009 at 9:04 pm

A new study on children, Attention Deficit Hyperactivity Disorder, and sleep, gives parents good reasons to make sure that their Attention Deficit Hyperactivity Disorder kids develop good bed-time habits and are in bed as early as possible.

The study reported the obvious: Attention Deficit Hyperactivity Disorder children need sleep, and lots of it.

The study was just published on March 1, 2009 in the journal SLEEP. It confirms what many parents already know about their Attention Deficit Hyperactivity Disorder children or teens, that they simply are not getting enough sleep at night, and that they often wake up tired and sluggish in the morning, which causes other problems all through the day.

The study was led by Dr. Reut Gruber, Ph.D., the director of the Attention, Behaviour, and Sleep Lab, which is a part of the Douglas Mental Health University Institute, in Montreal, Quebec. “The Douglas” is associated with McGill University and is also very involved in World Health Organization programs. Dr. Gruber has been studying the effects of a lack of sleep in children for years, including its effects on depression, Attention Deficit Hyperactivity Disorder, and school performance. She even has done a study on the impact of sleep (or lack of it) on continuous performance test (CPT) performance (tests such as the TOVA). She is a big advocate of teaching children good night-time habits to improve the quality and quantity of their sleep so that their performance through the day may improve.

While Dr. Gruber does not believe that a lack of sleep causes Attention Deficit Hyperactivity Disorder, she does believe that sleep problems make Attention Deficit Hyperactivity Disorder symptoms worse, which is easy enough to see when thinking about focused attention or impulse control. The study reports that as many as 50% of children and teens with Attention Deficit Hyperactivity Disorder have reported having sleep problems, which can impair daytime learning and performance.

Reports of this study show that children with Attention Deficit Hyperactivity Disorder have significantly shorter sleep times than the non- Attention Deficit Hyperactivity Disorder control group. The children with Attention Deficit Hyperactivity Disorder in the study got an average of 8 hours, 19 minutes of sleep per night, while the control group averaged 8 hours, 52 minutes of sleep. This missing half-hour of sleep each night adds up over the course of a week, a month, a year. The study also reported that the Attention Deficit Hyperactivity Disorder children had less REM sleep time each night than the control group.

So parents, this gives us good reasons to consider how our family spends its time from about 7:00 pm and later into the evening. Try to structure the evening so that your children can wind-down, relax, and get ready for a full night’s sleep. The results could be better performance at school the following day.

Dr. Douglas Cowan is the Clinical Editor of the ADD ADHD Information Library’s family of websites, including http://newideas.net and http://ADDinSchool.com for parents and teachers. Dr. Cowan has a Doctorate in Psychology, and a Masters in Marriage, Family, and Child Therapy, and has helped hundreds of ADHD children and families. See our free online screening tool for adhd.

Article Source: The Relationship Between Sleep Habits and Symptoms in ADHD Children

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