Sunday, November 16, 2008

When the light gets brighter and the costs gets bigger...

January 2006
Our trusted pediatrician suggested Danial enrol a kindergarten; a kindergarten for typical kids(kids with no developmental delay). According to Dr Amdan, many kids with autism or any developmental delay would adapt to the surrounding of the typical kids and would successfully show tremendous improvement. And that was exactly what happened to Danial..
April 2006 (4 months after starting kindergarten...a year after speech therapy)
THE SPEECH AND LANGUAGE REPORT
General information.
Ahmad Danial is an active boy. During the first appointment, he showed poor global skills which include preverbal skills, receptive skills, expressive skills and play skills. After intensive training is given (specific supplement prescribed by pediatrician, weekly speech therapy and entering Montessori kindergarten and other alternative therapy) he improves gradually. He plays more appropriately and in a variety way. He has more spontaneous verbalize expression
.
PERFORMANCE
a) The preverbal skill
He is able to pay attention to each task given for full 15 minutes. He is able to sit down appropriately to each task given. He has spontaneous eye contact to object given and able to maintain the eye contact. He has spontaneous eye contact to name calling. He is able to request appropriately by palm raising and by expressing 'nak'. His imitation skills has grown appropriately.
b) receptive skills
He can recognize familiar items around him either in picture or real object. More than that, mother reports that he can point to the correct item asked such as family members and body parts. His skills develop through consistent task done weekly and exercise at home. He is able to perform simple basic instruction given spontaneously (eg close the door, keep the box)

c)the expressive skill
Most of the time he will use the appropriate sound with event.
Recommendation
It is recommended that Ahmad Danial to continue the existing program. A visit to an Occupational Therapist is highly suggested to assess him and to receive more opinion in order to improve his ability.
Siti Zurul Ain Abd Jabar
Speech and Language Therapist
DANIAL'S PROGRAMS
between January 2006 - May 2006
Montessori Kindergarten - 15 hours per week
Gymnastics - 1 hour per week ( to increase attention span and improve concentration)
Speech Therapy - 1 hour per week
Alternative therapy - 2x a month
Total cost = RM1000 per month
between June 2006 - December 2006
Montessori Kindergarten - 15 hours per week
Gymnastics - 1 hour per week
Speech Therapy - 1 hour per week
Alternative Therapy - 1x per month
Occupational Therapy - 1 hour per week
Total cost = RM1120 per month

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