Brad

Psycho-educational

and adaptive
assessment requested by Calgary and
Area Child and Family Services Authority
Investigation of learning potential, academic
functioning and adaptive skills to assist with
program placement and funding eligibility.

Referral

22

year old male

Currently

lives alone in basement suite

(since Sept. 2015)

Youth

Transition to Adulthood (YTA)

worker support

Unemployed,

seeking additional funding

Background Information

 Lived with his parents during his first few years of

life and was placed in foster care due to neglect.

Placed

with his paternal grandparents from age of

Complex

child to raise, with both behavioral and

emotional difficulties; grandparents provided a
consistent and supportive environment.

History

of sibling abuse- verbal and physical

Background Information
Family

 Many

school changes

Graduated

from grade 12 in a special program

Brad

was unsure if he graduated and uncertain of the last

high school he attended

Weak
Able
Can

math skills

to read but comprehension is limited

write and type

Background Information
Education

Numerous

assessments (2001, 2004, 2008, 2010).

Previous

diagnosis include ADHD, Panic Disorder without

Agoraphobia and Generalized Anxiety Disorder with Somatization
and Severe Adaptive Delays; queries include Adjustment Disorder
and Depressed Mood.

Additional

considerations include sibling relational problems, peer

relational problems and academic difficulties.

An

assessment through MediGene Services, completed in 2010,

revealed that Brad meets diagnostic criteria for a formal diagnosis
of Fetal Alcohol Syndrome.

Background Information
Medical/Assessment

Previous

cognitive assessments :

Full Scale IQ in the Borderline range with significant

weaknesses in working memory and processing speed.

Severe mental health issues led professionals to

recommend long term medical and daily living
supports

General

adaptive functioning was found to be in

the Extremely Low range and weak executive
functioning

Background Information
Medical/Assessment

Currently

resides in basement suite; AISH funding

covers cost of rent

Susan

YTA worker

Since Fall 2013

Goals: emotion regulation and coping skills
Contracted 8 hours/week but far exceeds this via phone and
text; at the home twice a week
Susan

helps with budgeting, meal planning, grocery

shopping, household maintenance/chores, general
organization and reminders

Current Information
Daily Living

 Past employment: paper route, WalMart

Currently attends work experience program twice a week
Hull campus jobs for small wage (10 hours/week)
Expressed interest in maintaining work but unsure if he is
ready
Preferred work:
No socialization required
Landscaping

Current Information
Employment

 Money is tight
Shares bank account with Susan
Cannot budget independently
Spends quickly and impulsively without monitoring
from Susan
Small savings

Current Information
Finances

Self-reported

anxiety

Triggered by social situation, family (mother/brother)

Nervous stomach, panic attacks, frequent worry, cries, vomits
Knows worries are irrational but cant control
some episodes of aggression
Plan established with Susan for times of high anxiety
Ativan prescribed recently

Current Information
Social/Emotional

Social

Challenges

I dont like people in-person. I havent been treated

well in the past; I have been taken advantage of.
Generally guarded and avoids social situation
Has been bullied and threatened
Friends through X-Box gaming, including girlfriend of
2 years

Current Information
Social/Emotional

Currently

taking 3 medications

Ativan
Concerta
Rispiradone

Awareness of weight/body image

Current Information
Medical

 Not

closely connected with family

Father

resides in another province; own issues

Grandparents-

father

Bisexuality

Youre going to turn out like your

conflicts with familys Mormon

values/beliefs

Current Information
Family

 File

Review
Examinee Interview
YTA worker Interview
WAIS
WIAT-III
ABAS-2
Clinical Observations during testing

Current Assessment

Composite
Score

Percentile
Rank

95%
Confidence
Interval

Verbal
Comprehension
(VCI)
Perceptual
Reasoning (PRI)

85

16th

80-92

Low |Average

96

39th

89-103

Average

Working
Memory (WMI)

69

2nd

64-79

Extremely Low

Processing
Speed (PSI)

72

3rd

66-83

Borderline

Full Scale
(FSIQ)*

77

6th

73-83

Borderline

Scale

WAIS

Qualitative
Description

Subtest

Standard
Score

95% Confidence
Interval

Percentile

Word
Reading

99

92-106

47th

Average

104

93-115

61st

Average

Numerical
Operations

76

71-81

5th

Below Average

Math
Problem
Solving

81

74-88

10th

Below Average

Spelling

86

80-92

18th

Average

Reading
Comp

WIAT-III

Description

Returned

today

Overall,

Brads responses revealed much

less difficulty with adaptive functioning
than Susans responses.

Why

do you think this would be the case?

ABAS-2

 FSIQ-

77, Borderline

Verbal

skills-Low Average

Non-verbal
PS/WM

low

Academic

performance stronger than expected

Significant
FAS,

skills Average

support required in community and with daily living

Anxiety, Panic Disorder, ADHD

Trauma

history

Summary

What

is the impact of the previous FAS

diagnosis?

Does

he meet criteria to be identified as

an individual with a cognitive delay?

Interventions?

Next steps?

Discussion/Questions