-
[MARY WAGNER] This is Savannah.
-
She's 35 months old,
otherwise known as two
-
years, eight months.
-
And today I'm going to
be doing the Hawaii Early
-
Learning Profile on her,
otherwise known as the HELP.
-
The assessment age is
birth to three years.
-
It's not standardized and
it is curriculum-based.
-
It's used for identifying the
needs, tracking growth and
-
development, and determining
the next step to take.
-
This assessment can be observed
in multiple settings and it's
-
very flexible when it comes
to the frequency of
-
its administration.
-
Some of the areas that it
assesses are regulatory
-
and sensory organization,
cognitive, language,
-
gross motor, fine motor,
social, and self-help.
-
Okay, Savannah,
I need you to bring
-
me the doll and the
yellow doll dress.
-
Thank you.
-
Okay, Savannah,
I'm going to give
-
you two markers and
you're going to tell
-
me which one is bigger.
-
Okay, go ahead.
-
Thank you.
-
Okay, what we're going
to do now is I'm going to
-
draw two lines on the board
and you're going to tell me
-
which one is the longer one.
-
Whenever you're ready.
-
Okay, thank
-
you.
-
So what we're going to do next
is we're going to practice
-
throwing balls and different
sized smaller objects into a
-
hamper and into the smaller bin.
-
I'll hand you every object
and tell you which one to
-
put it in as we go along.
-
First, I want you to stand
right here with your toes
-
at the edge of the red tile.
-
And then you can throw
this into into the hamper,
-
but we want to throw it
underhand, not overhand.
-
[SAVANNAH] With both hands?
-
[MARY WAGNER] If
you'd like to, yes.
-
Good job.
-
That was great.
-
We're going to go one more
time with a different ball.
-
This one weighs a little more,
so we'll see how it goes.
-
Good job.
-
Now we're going to move on
to throwing smaller objects.
-
So I have two pairs of
socks, a foam baseball,
-
and a toy pig for you
to practice with.
-
We'll start by having you
stay right where you're
-
at and throw the socks
into the taller hamper.
-
Good job.
-
Next, we'll have you throw the
socks into the smaller bin to
-
your left, the yellow one
-
And you can line yourself
up with it if you'd like.
-
Good job.
-
Next, we're gonna throw the pig,
but let me grab the socks out.
-
Good job.
-
Now, all we have left to
throw in is the baseball.
-
Good job.
-
That was a great job, Savannah.
-
We're going to try to make it
a little more challenging for
-
you and have you take about a
foot and a half to two feet
-
step back, which you already
have done, which is great.
-
So we're going to do the
same thing and throw that
-
ball on under hand into the
hamper whenever you're ready.
-
Good job.
-
We're going to try this one,
but let me grab the other out
-
of the hamper real quick.
-
Whenever you're ready.
-
Next we're going to do
the same thing again if
-
you want to line yourself
up with the smaller bin.
-
We'll start with the socks.
-
Okay, try the pig.
-
Good job.
-
And the baseball.
-
Good job.
-
You did a great job today.
-
[SAVANNAH] Thank you.
-
[MARY WAGNER] I heard you
really like the movie 'Cars,'
-
so I've got Tow Mater here
and we're going to pick him
-
up off the ground, okay?
-
All you have to do
is copy after me.
-
So there he is down there.
-
Okay, there you go.
-
Good job.
-
What we're going to do next
is we're going to try to
-
walk backwards for 10 feet.
-
We'll start right here
-
And then we'll go back
five squares until we
-
get to this doorway.
-
[SAVANNAH] Can you show me?
-
[MARY WAGNER] Yes.
-
You're going to
go right like this
-
and stop at the doorway there.
-
We don't want you to go too far.
-
Whenever you're ready.
-
There you go.
-
So, I heard you
really like flamingos.
-
Well, you know how they
always stand on one leg?
-
[SAVANNAH] Mm-hmm.
-
[MARY WAGNER] We're
going to try that today.
-
And we're going to count
together and see how long
-
you can stand up like that for.
-
[SAVANNAH] Okay.
-
[MARY WAGNER] Ready?
-
One, two, three.
-
[BOTH] One, two,
three, four, five, six.
-
[MARY WAGNER] All right,
so now we're going to switch
-
legs and we're going to see
if you can stand up like that
-
a little longer this time.
-
[SAVANNAH] Okay.
-
[MARY WAGNER] One, two, three.
-
[BOTH] One, two, three, four,
five, six, seven, eight.
-
[MARY WAGNER] Good job.
-
Okay, so what we're going to
do next is we're going to walk
-
down the stairs and pretend
that there's a big bucket of
-
your favorite toys down there.
-
We're going to just walk
down the steps, okay?
-
That was really good.
-
Next you go down the stairs,
I want you to start trying to
-
alternate your feet and go
left, right, left, right, every
-
time you go down,
that way it will make it
-
a little easier for you.
-
[SAVANNAH] Okay.
-
[MARY WAGNER] Now
is for the fun part.
-
I'm going to give you some pens
and you are going to be able to
-
draw anything that you like.
-
There you go.
-
What are you
thinking of drawing?
-
[SAVANNAH] A
-
(unintelligible)
-
.
-
[MARY WAGNER] That's beautiful.
-
That's very nice.
-
I'm sure your mom will love it.
-
We can give it to her at
the end of the session.
-
[SAVANNAH] Okay.
-
[MARY WAGNER] So what we're
going to do next is I'm going
-
to build a three block bridge.
-
It's going to look
like a pyramid, okay?
-
And then I'm going to give
you three blocks and you
-
can build the same thing.
-
Okay?
-
Here, now you
-
try.
-
Good job.
-
So, Savannah,
you did really
-
well today with
everything we
-
had you do.
-
And after reviewing everything,
I noticed a couple of things.
-
For when we were testing
to see if Savannah could
-
obey two-part command,
which is typically seen
-
around 18 to 24 months,
she was able to bring me a
-
doll in a dress rather than
the doll and the doll dress.
-
When it came to pointing
to larger or smaller of two
-
objects, which is typically
around 30-36 months,
-
instead of picking the
bigger highlighter,
-
Savannah picked
the longer one.
-
When she had to decide
which line was longer
-
on the dry erase board,
the same thing happened
-
and she was only able
to pick the shorter one
-
instead of the longer one.
-
She was unable to say
which one was longer.
-
That was for the
cognitive section.
-
As we moved on to testing
gross motor, when it came
-
to picking up the toy from
the floor without falling,
-
which is typically 16 to 23
months, Savannah was able to
-
keep her back straight and pick
up the toy with no problem.
-
From walking back 10 feet which
is typically 28 to 29.5 months,
-
Savannah had no issues and
was able to do it perfectly.
-
For standing on one foot from
for one to five seconds which
-
is typically around 30 to 36
months, Savannah had no issues
-
as we pretended to be flamingos
and you were able to stand on
-
your right leg for six seconds
and your left one for eight.
-
You did great job.
-
As we moved on to
walking downstairs
-
while alternating feet,
which is typically
-
around a little over
34 months and onward,
-
she wasn't able to alternate
and she used both hands on
-
the railing on the same side.
-
At the end of her showing me
how she goes down the stairs,
-
I showed her how I do it
and we're hoping to see
-
some improvement as we go
through our intervention.
-
When it came to throwing a
ball in the box, Savannah
-
showed great scale and she
was able to make it in for
-
every type and every size ball
that she was given and box.
-
She was able to throw the
bigger ball into the hamper
-
and the rolled up socks and
smaller toy into the bin
-
and the hamper as well.
-
When it came time to test
Savannah's fine motor,
-
I had her make first
designs or spontaneous forms,
-
which is typically around 24
or 35 months and she was able
-
to make this beautiful picture
that we're gonna give her mom
-
at at the end of the session,
and she was able to manipulate
-
the pens as she drew and make
small and controlled pictures.
-
For imitating three-block
bridge using cubes, or as I
-
described it, making a pyramid,
is typically 31 months and on.
-
For this, Savannah was able
to make the same block
-
shape as the example,
and she even was able
-
to match up the colors
with the same colors that
-
I used them in the same form.
-
And while I did notice
some difficulties,
-
Savannah did really well.
-
For her actual age of 34 months,
she showed that for cognitive
-
she was at an age of 23 months,
gross motor 32 months,
-
and fine motor 35 months.
-
You were doing really
well with your fine motor
-
and your gross motor too.
-
We have some interventions
planned that we're going
-
to discuss with Savannah's
mom at a later date.