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Transdisciplinary Transdisciplinary Assessment: Making it Assessment: Making it Possible! Possible! Adrienne Frank Adrienne Frank MS, OTR MS, OTR Barbara Hanft Barbara Hanft MA, OTR, FAOTA MA, OTR, FAOTA Toni Linder Toni Linder EdD EdD

Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

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Page 1: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Transdisciplinary Assessment: Transdisciplinary Assessment: Making it Possible!Making it Possible!

Transdisciplinary Assessment: Transdisciplinary Assessment: Making it Possible!Making it Possible!

Adrienne Frank Adrienne Frank MS, OTRMS, OTR

Barbara Hanft Barbara Hanft MA, OTR, FAOTAMA, OTR, FAOTA

Toni Linder Toni Linder EdDEdD

Page 2: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Rationale: Rationale: Why do a transdisciplinary Why do a transdisciplinary

assessment?assessment?

Rationale: Rationale: Why do a transdisciplinary Why do a transdisciplinary

assessment?assessment?

Page 3: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

TD assessment is….

•Sensitive to child/family life• Dynamic•Functional

•Flexible•Collaborative

Page 4: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Rationale…. Sensitive to child/family

• TD assessment is an ecological approach- looks at a child within the context of his/her family.

• Parents are active members of the team, involved before, during, & after their child’s assessment

Page 5: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Rationale…. Sensitive to child/family

TD assessment uses strategies

during the assessment process that lead to developing effective

intervention strategies.

Page 6: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Rationale…. Dynamic

TD assessment fosters a holistic review of a child’s strengths and needs in all areas– rather than a piecemeal

approach with each discipline independently assessing a separate area of development

Page 7: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Rationale… Functional

•Play-based, transdisciplinary assessment examines how a child functions in a “typical” situation, rather than a contrived test situation, leading to more valid results.

Page 8: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Rationale… Functional

•Recommendations are functional and lead to daily intervention plans that build on the child’s strengths and learning style.

Page 9: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Rationale…Flexible

Transdisciplinary assessment can support cultural, linguistic, and experiential preferences for children and families.

Page 10: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Rationale… Collaborative

Knowledge/expertise of all team members, including families, is integrated to best understand a child’s:– Skill level– Learning style– Interaction patterns– Contexts for development– Intervention objectives/strategies

Page 11: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

What does a TD What does a TD assessment look like?assessment look like?

What does a TD What does a TD assessment look like?assessment look like?

Page 12: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Observations of child: Natural or Naturalistic Settings

• At home

• In the community

• At a center

Page 13: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Observations of child: interactions

• With caregivers

• With siblings

• With peers

• With adults

Page 14: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Observations of child: Observations of child: EngagementEngagement

• Toys, materials:-sensory materials-manipulatives-construction toys-fine and gross motor-art materials-dramatic play-books

• Routines

Page 15: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Characteristics of a Characteristics of a quality Transdisciplinary quality Transdisciplinary

AssessmentAssessment

Characteristics of a Characteristics of a quality Transdisciplinary quality Transdisciplinary

AssessmentAssessment

Page 16: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

TD Assessment Process• Pre-assessment home visit• Pre-assessment planning meeting• Assessment• Post-assessment meeting• Identification of family concerns,

resources & priorities• Plan development • Report writing• Post-assessment debriefing

Page 17: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

How an assessment is completed defines whether or not it is transdisciplinary-

TeamingPlanningFormat

StrategiesInterpretation

Page 18: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Teaming• Team members represent

varied expertise (family and min 2 disciplines).

• Families are equal partners who make decisions about their assessment role and format.

Page 19: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Teaming

All team members engage in teaching and learning, continuously sharing expertise across disciplinary boundaries.

– this role exchange provides in-service training for one team member to begin implementing an IFSP/IEP in consultation with other members.

Page 20: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Teaming

• Extension = Self-directed study

• Enrichment = Understanding basic terminology

• Expansion = Making program judgments

• Exchange = Demonstrating techniques under supervision

• Release = implementing under supervision

• Support = backup or therapies

Page 21: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Teaming

• Plan for and set up learning

• Outline steps• Explain why• Emphasize

important aspects• Show in real-life

situations

• Provide practice with hands on

• Give feedback on critical points

• Offer support and back up

• Ask for questions• Follow-up

Page 22: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Preassessment Planning

Planning with families helps ensure that:

• A family’s questions are answered, • Family members understand their

role,• Decisions are made about how, when,

and where the assessment takes place.

Page 23: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Preassessment PlanningFamilies may choose to:• Decide how they would like to prepare• Select assessment procedures• Provide familiar toys or activities• Observe their child in varied situations• Share information about their child’s

behavior• Identify child’s strengths/abilities and

family’s concerns related to development

Page 24: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Preassessment Planning

• Identify what they want (outcomes)• Answer questions about their child & family• Ask questions about assessment process• Observe child’s behavior during assessment• Show typical interactions with their child• Try out intervention strategies• Identify discrepancies • Provide feedback about the assessment

Page 25: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Preassessment Planning

Planning with providers-

helps orient or prepare team members to the assessment process and their roles.

Page 26: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Assessment Format

Assessment includes observation of the child: – in his/her familiar environment– interacting with familiar people,

toys, and objects – in daily life contexts (e.g., home

and/or preschool classroom).

Page 27: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Assessment Format

• Team members simultaneously observe child, gathering a similar base of information.

• Discussion afterward helps the team develop reliability among assessors.

Page 28: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Assessment Format• During a play-based observation,

one team member (or one member at a time) follows the child’s lead.

• Often a parent demonstrates typical child behaviors and interactions.

Page 29: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Strategies

Open-ended questions are used to gather information about child and family:– preferences and – daily routines.

Page 30: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Strategies

Assessment strategies include interactions :

– to elicit higher levels of development and

– to try out possible interventions.

Page 31: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Interpretation

Assessment results are discussed with the family as soon as possible after the assessment, –using a strengths-based approach focusing on what the child does well and the next steps in development.

Page 32: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

InterpretationDescriptive data, related to a child

and family’s typical settings and desired outcomes, [rather than domain specific skills

that lead to discrete services by various disciplines]

is used by the team to set priorities and develop IFSP/IEP

Page 33: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Interpretation

All team members communicate their observations & conclusions,

to make decisions about functional outcomes and EI supports and services

in one integrated report.

Page 34: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Interpretation Examples of functional outcomes:

• He is currently doing…. And therefore he is ready to …..

• OR he is ready for more….• In order to develop….she will benefit

from…..• Activities to encourage….include……• Adaptation of …will allow her to…..

Page 35: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Challenges and Challenges and strategiesstrategies

Challenges and Challenges and strategiesstrategies

Page 36: Transdisciplinary Assessment: Making it Possible! Adrienne Frank MS, OTR Adrienne Frank MS, OTR Barbara Hanft MA, OTR, FAOTA Toni Linder EdD Toni Linder

Recommended Recommended ReadingReading

Recommended Recommended ReadingReading