PdfGeneratorPage - Communication Matrix

1 SIGN IN / REGISTERMENUR eport ID: 32901 Report Date: 6/17/2016 Client Name: Georgia PaganoEvaluation Date: 6/17/2016 Clinic: Lake Side SchoolsThe Communication Matrix is a Communication skills assessment designed for the parent andprofessional to evaluate Communication in individuals with disabilities. The Communication Matrixis unique in measuring all possible communicative behaviors in non speaking individuals andaccommodates any type of communicative behavior, including augmentative and alternative formsof Communication , pre-symbolic Communication and typical forms of Communication such asspeech and writing. The measure covers seven levels of Communication occurring during theearliest stages of Communication seen in typically developing individuals. Completed profiles allowparents and professionals to directly compare the information they have across settings to providea comprehensive portrait of an individual s Communication skills.

2 The Communication Matrix isavailable in print and as an online service. Complete information about this assessment is availableat : 6; 5 Sex FPrimary Diagnosis: CHARGE SyndromeGrade: 1 Custom ReportReport InformationAbout the Communication MatrixPersonal InformationPage1 of 8 Previous Date: 7/5/2010 Previous Communication Assessments MatrixPrevious Communications Matrix ProfileMatrixID: 15304 Level 1 Pre-IntentionalBehaviorA1 ExpressesDiscomfortA2 Expresses Comfort A3 Expresses Interest inOther PeopleLevel 2 IntentionalBehaviourB1 ProtestsB2 Continues an ActionB3 Obtains More of Something B4 Attracts AttentionLevel 3 UnconventionalCommunicationC1 Refuses orRejectsSomethingC2 RequestsMore of anActionC3 Requests aNewActionC4 RequestsMore of anObjectC5 MakesChoicesC6 Requests aNewObject C8 RequestsObjectsthat areAbsentC9 RequestsAttentionLevel 4 ConventionalCommunicationC1 Refuses orRejectsSomethingC2 RequestsMore of anActionC3 Requests aNewActionC4 RequestsMore of anObjectC5 MakesChoicesC6 Requests aNewObject C8 RequestsAttentionC9 ShowsAffectionC10 GreetsPeopleC11 OffersThings orSharesC12 DirectYourAttentiontoSomethingC13 Uses PoliteSocialFormsC14 Answers"Yes" and"No"QuestionsC15 AsksQuestionsLevel 5 ConcreteSymbolsC1 Refuses orRejectsSomethingC2 RequestsMore of anActionC3 Requests aNewActionC4 RequestsMore of

3 AnObjectC5 MakesChoicesC6 Requests aNewObjectC7 RequestsObjectsthat areAbsentC8 RequestsAttentionC9 ShowsAffectionC10 GreetsPeopleC11 OffersThings orSharesC12 DirectYourAttentiontoSomethingC13 Uses PoliteSocialFormsC14 Answers"Yes" and"No"QuestionsC15 AsksQuestionsC16 NamesThings orPeopleC17 MakesCommentsLevel 6 AbstractSymbolsC1 Refuses orRejectsSomethingC2 RequestsMore of anActionC3 Requests aNewActionC4 RequestsMore of anObjectC5 MakesChoicesC6 Requests aNewObjectC7 RequestsObjectsthat areAbsentC8 RequestsAttentionC9 ShowsAffectionC10 GreetsPeopleC11 OffersThings orSharesC12 DirectYourAttentiontoSomethingC13 Uses PoliteSocialFormsC14 Answers"Yes" and"No"QuestionsC15 AsksQuestionsC16 NamesThings orPeopleC17 MakesCommentsLevel 7 LanguageC1 Refuses orRejectsSomethingC2 RequestsMore of anActionC3 Requests aNewActionC4 RequestsMore of anObjectC5 MakesChoicesC6 Requests aNewObjectC7 RequestsObjectsthat areAbsentC8 RequestsAttentionC9 ShowsAffectionC10 GreetsPeopleC11 OffersThings orSharesC12 DirectYourAttentiontoSomethingC13 Uses PoliteSocialFormsC14 Answers"Yes" and"No"QuestionsC15 AsksQuestionsC16 NamesThings orPeopleC17 MakesComments RefuseObtainSocialInformationNot UsedEmergingMasteredSurpassedPage2 of 8=Mastered=EmergingCurrent Communications Matrix ProfileMatrixID: 15305 Current Skills ListC1 REFUSES OR REJECTS SOMETHING:LEVEL 3 SKILLBEHAVIORMASTERYBody Movementsleg movements (kick, stamp feet)Simple Gesturespushes away object or personC2 REQUESTS MORE OF AN ACTION.

4 LEVEL 3 SKILLBEHAVIORMASTERYL evel 1 Pre-IntentionalBehaviorA1 ExpressesDiscomfortA2 Expresses Comfort A3 Expresses Interest inOther PeopleLevel 2 IntentionalBehaviourB1 ProtestsB2 Continues an ActionB3 Obtains More of Something B4 Attracts AttentionLevel 3 UnconventionalCommunicationC1 Refuses orRejectsSomethingC2 RequestsMore of anActionC3 Requests aNewActionC4 RequestsMore of anObjectC5 MakesChoicesC6 Requests aNewObject C8 RequestsObjectsthat areAbsentC9 RequestsAttentionLevel 4 ConventionalCommunicationC1 Refuses orRejectsSomethingC2 RequestsMore of anActionC3 Requests aNewActionC4 RequestsMore of anObjectC5 MakesChoicesC6 Requests aNewObject C8 RequestsAttentionC9 ShowsAffectionC10 GreetsPeopleC11 OffersThings orSharesC12 DirectYourAttentiontoSomethingC13 Uses PoliteSocialFormsC14 Answers"Yes" and"No"QuestionsC15 AsksQuestionsLevel 5 ConcreteSymbolsC1 Refuses orRejectsSomethingC2 RequestsMore of anActionC3 Requests aNewActionC4 RequestsMore of anObjectC5 MakesChoicesC6 Requests aNewObjectC7 RequestsObjectsthat areAbsentC8 RequestsAttentionC9 ShowsAffectionC10 GreetsPeopleC11 OffersThings orSharesC12 DirectYourAttentiontoSomethingC13 Uses PoliteSocialFormsC14 Answers"Yes" and"No"QuestionsC15 AsksQuestionsC16 NamesThings orPeopleC17 MakesCommentsLevel 6 AbstractSymbolsC1 Refuses orRejectsSomethingC2 RequestsMore of anActionC3 Requests aNewActionC4 RequestsMore of anObjectC5 MakesChoicesC6 Requests aNewObjectC7 RequestsObjectsthat areAbsentC8 RequestsAttentionC9 ShowsAffectionC10 GreetsPeopleC11 OffersThings orSharesC12 DirectYourAttentiontoSomethingC13 Uses PoliteSocialFormsC14 Answers"Yes" and"No"QuestionsC15 AsksQuestionsC16 NamesThings orPeopleC17 MakesCommentsLevel 7 LanguageC1 Refuses orRejectsSomethingC2 RequestsMore of anActionC3 Requests aNewActionC4 RequestsMore of anObjectC5 MakesChoicesC6 Requests aNewObjectC7 RequestsObjectsthat

5 AreAbsentC8 RequestsAttentionC9 ShowsAffectionC10 GreetsPeopleC11 OffersThings orSharesC12 DirectYourAttentiontoSomethingC13 Uses PoliteSocialFormsC14 Answers"Yes" and"No"QuestionsC15 AsksQuestionsC16 NamesThings orPeopleC17 MakesComments RefuseObtainSocialInformationNot UsedEmergingMasteredSurpassedPage3 of 8 Body Movementsleg movements (kick)Early Soundscoo, squeal, laughSimple Gesturestakes your handC2 REQUESTS MORE OF AN ACTION:LEVEL 4 SKILLBEHAVIORMASTERYC onventional Gestures & Vocalsnods headSee this occasionally at home, but not at REQUESTS A NEW ACTION: LEVEL 3 SKILLBEHAVIORMASTERYS imple Gesturestakes your handC3 REQUESTS A NEW ACTION: LEVEL 4 SKILLBEHAVIORMASTERYC onventional Gestures & Vocalsholds hands up or out to you (for "up")C4 REQUESTS MORE OF AN OBJECT:LEVEL 3 SKILLBEHAVIORMASTERYV isuallooks at desired objectSimple Gesturesguides your hand to or pulls you over todesired itemSimple Gesturestouches desired object (without taking it)C5 MAKES CHOICES: LEVEL 3 SKILLBEHAVIORMASTERYPage4 of 8 Visuallooks at objectSimple Gesturesreaches toward, touches or taps desireditem (without taking it)C5 MAKES CHOICES: LEVEL 4 SKILLBEHAVIORMASTERYC onventional Gestures & Vocalspoints to desired itemNot sure if trying to point or not, but could be shaped into a REQUESTS A NEW OBJECT: LEVEL 3 SKILLBEHAVIORMASTERYS imple Gesturesguides your hand to or pulls you over todesired itemC8 REQUESTS ATTENTION: LEVEL 3 SKILLBEHAVIORMASTERYF acial ExpressionssmileVisuallooks at youSimple Gesturestouches youC9 SHOWS AFFECTION: LEVEL 3 SKILLBEHAVIORMASTERYF acial ExpressionssmileSimple Gesturestouches youC9 SHOWS AFFECTION: LEVEL 4 SKILLBEHAVIORMASTERYPage5 of 8 Level 3.

6 Unconventional CommunicationUnconventional pre-symbolic behaviors are used intentionally to communicate. Communicativebehaviors are "pre-symbolic" because they do not involve any sort of symbol; they are"unconventional" because they are not socially acceptable for us to use as we grow behaviours include body movements, vocalizations, facial expressions and simplegestures (such as tugging on people).Level 4. Conventional CommunicationConventional pre-symbolic behaviors are used intentionally to communicate. Communicativebehaviors are pre-symbolic because they do not involve any sort of symbol; they are conventional" because they are socially acceptable and we continue to use them to accompanyour language as we mature. The meanings of some gestures may be unique to the culture in whichthey are used. Communicative behaviors include pointing, nodding or shaking the head, waving,hugging, and looking from a person to a desired object.

7 Note that many of these gestures (andespecially pointing) require good visual skills and may not be useful for individuals with severevision impairment. Some vocal intonations may also be used at this 1: Surpassed;Level 2: Surpassed;Level 3: 4: 5: 6: 7: evaluation shows that the client: Is operating on the same level as s/he was previously, but hasgained some new skills at a higher levelNew messages either emerging or mastered since last assessment:C6. Request a New ObjectNew types of communicative behavior:Conventional Gestures & Vocalshugs, kisses, pats youPrimary Level at which Client is OperatingOTHER (HIGHER) LEVEL AT WHICH CLIENT IS OPERATINGP ercentage of Messages Expressed at Each LevelCategories of behaviors used to communicateBody MovementsEarly SoundsFacial ExpressionsVisualSimple GesturesConventional Gestures & VocalsOther impressions or observations, or additonal info on articulation, feeding, not addressed by the MatrixGeorgie has engaged in much more social behavior with her classmates this of Progress Since Last AssessmentPage6 of 8 Concrete SymbolsQuantitative estimate of change: # points client has gained (max 160) since last assessment: 9 Level 1 Level 2 Level 3 Level 4 Description of Level 4At Level IV, conventional pre-symbolic behaviors are used intentionally to behaviors are pre-symbolic because they do not involve any sort ofsymbol.

8 And they are conventional" because they are socially acceptable, so wecontinue to use them to accompany our language as we mature. The meanings of somegestures may be unique to the culture in which they are used. Communicative behaviorsinclude pointing, nodding or shaking the head, waving, hugging, and looking from aperson to a desired object. Note that many of these gestures (and especially pointing)require good visual skills and may not be useful for individuals with severe visionimpairment. Some vocal intonations may also be used at this PeopleCreate opportunities for Georgie to greet people during social interaction or playroutines using the targeted conventional gesture or vocalization. Greether and wait forher to reciprocate. Be sure to give plenty of time for Georgie to respond to your wave orverbal routines can include modeling of greetings; for instance, you could make a doll wave to Level 4 behaviors to targetWaving hello/goodbyeDirects Your Attention to SomethingWhen there is something really interesting or strange happening close by, pretend not tonotice it and wait for Georgie to try to direct your attention to it.

9 Make a practice ofusing the targeted behavior (such as pointing or vocalizing) yourself to draw herattention to interesting things as they happen a highly motivating object where Georgie can t get to it. Pretend you don t knowit s there, and wait for her to direct your attention to it using the targeted conventionalbehavior. You can model the skill by pointing to different places and pretending to lookfor can target conventional gestures for directing attention during hide and seek gamesor games where you hide favorite things and make a game of searching for Level 4 behaviors to targetPointingLevel 5 Description of Level 5 Symbols represent, or stand for, something else. At Level V, individuals use concrete"symbols that physically resemble what they represent. They look like, feel like, move likeor sound like whatever they represent. Concrete symbols include pictures, objects (suchRecommendationsPage7 of 8as a shoelace to represent "shoe"), "iconic" gestures (such as patting a chair to say "sitdown") and sounds (such as making a buzzing sound to mean bee ).

10 Most individualsskip this stage and go directly to Level VI. But for some individuals, concrete symbols maybe the only type of symbol that makes sense to them; for others they may serve as abridge to using abstract symbols. Typically developing children use concrete symbols inconjunction with gestures and words, but not as a separate Goals: LevelDetermine what type of concrete symbol is appropriate, depending on the vision,hearing, motor and intellectual capacities need to understand and use various types a New ActionMake sure Georgie has experience with many different pleasurable activities thatrequire your help or that need two people to play. For instance she might like song-and-movement games, chasing games, tickle, peek-a-boo, swinging, ball play, rolling carsdown a paper tube, listening to music, playing electronic games. Before beginning a newgame, offer Georgie the opportunity to request it by pausing expectantly or asking What shall we do?