Expanded Core Curriculum Screening

Family/Caregiver Interview

0-3 Years

This quick screening inventory is administered to the student’s family with appropriate marks being made in black.

Compensatory/Access Skills:

  Has no functional vision (if “yes,” proceed to next area).

  Does not orient toward light.

  Does not look toward family members, pets, etc.

  Does not look toward objects (e. g. food on a plate, toys, etc.).

  Refuses to touch a variety of objects and surfaces.

  Refuses to hold toys and simple household objects (e. g. spoon, toothbrush, etc.) without complaint.

  Does not orient toward sound (e. g. family member’s voice).

  Does not react to music.

  Does not appear to notice nor react appropriately to smell (e. g. food)

  Does not tolerate a variety of foods appropriate to his/her age.

  Is not willing to taste new foods.

  Food preferences are extremely limited and options do not expand with age.

If more than four (4) items are checked, this may be an instructional area and further assessment using an extensive, comprehensive commercial instrument should be used.

NOTES:


Social Interaction Skills:

  Does not orient toward family member’s faces or voices.

  Does not smile at appropriate times.

  Is unwilling to interact appropriately with unfamiliar people.

  Does not coo, babble, or talk to people within the environment.

  Is unwilling to tolerate other small children within the environment.

  Does not engage in parallel play (i. e. plays by him or herself while the other children in an environment are playing).

If more than two (2) items are checked, this may be an instructional area and further assessment using an extensive, comprehensive commercial instrument should be used.

NOTES:


Independent Living Skills:

  Does not make adequate progress toward being toilet trained at the appropriate rate.

  Resists (or struggles against) having clothing removed or replaced.

  Does not eats/feeds him or herself at the appropriate level.

  Does not hold bottle independently.

  Does not eat well when fed cereal, etc.

  Does not feed oneself finger foods.

  Does not use a spoon.

  Does not use a fork.

  Resists being bathed.

  Resists having teeth brushed or brushing teeth.

If more than two (2) items are checked, this may be an instructional area and further assessment using an extensive, comprehensive commercial instrument should be used.

NOTES:


Recreation and Leisure Skills:

  Does not interact appropriately with others in simple play routines such as “Peek A Boo.”

  Makes no effort to extend play (e.g. coos, babbles, smiles, etc..

  Does not hold or play with toys.

  Does not engage in parallel play.

  Has not begun to develop interests in the environment and “life topics.”

If more than two (2) items are checked, this may be an instructional area and further assessment using an extensive, comprehensive commercial instrument should be used.

NOTES:


Career Education:

  Has very little experience with being taken into a wide variety of shops and businesses.

  Does not interact with the employees in familiar shops and businesses.

  Does not have a rudimentary understanding that specified commodities come from specified businesses (e. g. wants to go to McDonalds for a hamburger).

  Does not understand when family members are “at work.”

  Does not understand what the concept of “work.”

  Does not understand that a job is necessary forgetting money.

If more than two (2) items are checked, this may be an instructional area and further assessment using an extensive, comprehensive commercial instrument should be used.

NOTES:


Sensory Efficiency: (0-22 years)

  Is able to use available senses efficiently, given the student’s age.

o  Sight ______

o  Hearing ______

o  Smell ______

o  Touch ______

o  Taste ______

If the student scores beyond acceptable limits in any of the above categories, begin a formal assessment process with an appropriately identified, disability specific assessment instrument in that area.

Orientation and Mobility Skills:

This assessment is typically done by a Certified Orientation and Mobility Specialist.

Assistive Technology:

Essentially, this area should be assessed by someone who has detailed knowledge of disability specific hardware and software.

Mercer ECC Screening 0-3 Page 6