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Initial Assessment ID/DD 
30-60 Day Initial Assessment for Adult individuals with various diagnoses and severity of disabilities. To assist Day Support program staff sufficiently assess the abilities of new clients.
Rubric Code: RX89X3C
Ready to use
Public Rubric
Subject: (General)  
Type: Assessment  
Grade Levels: K-5, 6-8, 9-12

Powered by iRubric 30-60 Day Assessment
To assist Day Support program staff sufficiently assess the abilities of new clients.
  Poor

failure to respond, no effort, Nonverbal, or Total Care

1 pts

Fair

minimal/incidental response, Preverbal, with multiple prompts

2 pts

Good

some effort, Emergent, with moderate prompts

3 pts

Excellent

Functional, with intermittent prompts

4 pts

Mastery

Concise, with minimal prompts

5 pts

Communication

v. to communicate- exchange information, convey emotion or idea,
n. communication-the act of communicating.

synonyms: talk, speak, tell, report, relate, correspond, dialogue, converse.

Poor

Turn head towards noises
Recognizes familiar voices
Vocal self-stimulations
Makes noises to get attention
Has different cries or different levels of pitch in vocals for wants and needs
Does not respond to name being called
Fair

Responds to name being called
Makes eye-to eye contact
Makes noise and points to want or need
Recognizes familiar objects and may point to items when asked
Starts to understand simple words "drink" "shoe"
Starts to engage in pretend play
Sits for stories and looks at pictures
Good

Sits to listen to stories, readings, and looks at pictures
Uses words recognizable to others
Put sentences together
Understands 'who' 'what' 'where'
Asks and answers simple questions
Interacts and shares with others
Uses simple numbers and colors
Excellent

Understand spoken instructions
Understands more complex language- 'first' 'next' 'might' 'may be'
Sequencing- 'first..then'
Uses well formed sentences
Use language skills to read, write and spell
Uses language for different purposes
Shares and discusses complex ideas
Uses language in a wide range of social situations
Mastery

Able to predict and draw conclusions
Uses long and complex sentences
Engages in conversation, giving and receiving shared ideas, state reasons, explain choices
Initiate conversations with others
Understands sarcasm, has sense of humor
Changes social interaction to the situation
Meeting Personal Needs-Self care

Self: n. a person's essential being that separates him/her from others.

Self-care/help: n. reliance on his/her own efforts and resources to achieve activities, tasks.

Skill: n. the ability to do something well, a particular ability.
-accomplishment, mastery, talent.

Poor

No understanding of 'Self'

Total care- different vocalizations to indicate wants and needs

Unable to meet personal needs: feeding, toileting, washing, without assistance
Fair

No understanding of 'Self"

Makes noises, points, gestures or uses simple words for wants or needs

Requires persistent repetition and multiple prompts and assistance to complete: feeding, toileting, tooth brushing and washing tasks.

May respond to pictorial representations
Good

Emerging understanding of 'Self'

Understands longer sets of instructions-able to follow instructions

May still use pictorial representations or make believe to accomplish tasks

Requires repetition and moderate prompts for task completion-feeding, toileting, washing hands or bodies, tooth brushing, etc
Excellent

Functional understanding of 'Self'

Understands complex constructs such as 'first' 'next' 'above' 'more' etc. to complete self-care tasks

Able to perform and complete: feeding, washing, toileting, and tooth brushing with intermittent prompts
Mastery

Aware of 'Self"

Able to use personal experience to care for self and meet personal needs

May require a periodic prompt
Creating Relationships-Social Skill

Social: adj. needing the company of other people, (of an activity) in which people meet each other for pleasure.
Socialize: v. mix socially with other people.
Synonyms: general, community, public.

Relationship: n. the way in which people or groups behave toward each other.
Synonyms: connection, relation, association, link, correspondence, affinity.

Skill: n. the ability to do something well, a particular ability, -accomplishment, mastery, talent.

Poor

No response to social environment
Fails to act or interact with others or acknowledge others outside familiar people

Limited social relationships

Requires physical assistance during social situations
Fair

Starts to enjoy simple pretend 'play' and initiates social acts with others

Requires the need to be introduced to a social situation and assisted in interactions with others with multiple prompts
Good

Emerging skills of socialization

Asking and answering questions
'Playing' and sharing with others
Able to plan social activities and make decisions
Able to describe events of pleasure or discomfort
Makes some effort to change status of relationships

Requires prompting in right and wrong situations
Excellent

Functional skills of socialization

Able to choose his/her own friends
Uses language efficiently in different social situations
Able to share and discuss complex ideas with others in different situations

May require intermittent prompting in right and wrong situations
Mastery

Creates own relationships

Making connections and associations with others and able to correspond via different methods
Making Decisions-Self Awareness

Self: n. a person's essential being that separates him/her from others.

Self-awareness: adj. knowledgeable of his/her own character, feelings, motives, and environment.

Skill: n. the ability to do something well, a particular ability, -accomplishment, mastery, talent.

Poor

No awareness of self
No or severely limited self- direction
Demonstrates no purposeful acts for him/herself

Major life decisions are made for him/her to ensure Health and safety
Fair

Demonstrates simple goal directed acts to achieve a want/need
Uses primary indicators: point, moves toward person or thing, gestures, reaches for, uses simple noises
May start to use simple words
Regularly states or indicates "No"

Requires persistent repetition and multiple prompts and assistance to practice goal-directed behaviors
Good

Demonstrating an understanding and using concepts of "Me" "You" and other nouns
Demonstrating an understanding and using simple action words - "what", "where", "why"
Able to describe events and actions using simple short sentences.

Requires moderate prompting to ensure he/she understands personal situations and making decisions
Excellent

Demonstrating an increased ability to use descriptive words, meanings, feelings, and emotions
Words, sounds, and sentences are well formed and sequential
Able to make decisions to effect immediate social situations

May require intermittent prompting in right and wrong situations
Mastery

Able to make his/her own decisions that impact personal, social, financial, and health situations
Promoting Well Being-Safe from Harm

Well being: the state of being comfortable, healthy, or happy.
adj. in good health, fine, fit, robust, vigorous.

Safe: adj. protected from danger or risk,
out of harm's way, cautious, careful.
Safety: n. the condition of being safe.

Harm: n. hurt or injury to a person, damage, mischief, detriment, wound, ill-treatment.

Skill: n. the ability to do something well, a particular ability, -accomplishment, mastery, talent.

Poor

No concept of self-care, well-being or health


Major medical decisions and precautions to ensure safety are made for him/her
Fair

Demonstrates and uses simple indicators to communicate sick, hurt, and discomfort to situations and others using gestures, noises, and simple words.

Requires persistent repetition and multiple prompts to identify and understand health and safety issues
Good

Demonstrates an understanding and uses key concepts of "hot" "stop" "wait" and "No"
Demonstrates an understanding and uses key constructs "what" "where" "how much"
Demonstrates an increased ability to listen and follow simple instructions

Requires moderate repetition and prompting to identify and understand health and safety issues
Excellent

Demonstrates an increased understanding of complicated language and constructs: "Danger" "Harm" "Fire" "Healthy" "safe" "caution" etc.
Recognizes road signs: "stop" "cross"

May require additional prompting on safety signs
Mastery

Able to make own decisions that impact his/her health and safety
Knowing My Community

Knowing: v. be aware of, familiar with, or acquainted with.

Community: n. a group of people living together or having the same religion, race, etc.

Poor

Requires assistance using community resources


Unable to utilize community resources without continuous assistance
Fair

May begin to recognize familiar places

Requires persistent repetition and multiple prompts to utilize community resource
Good

May have developed a list of favorite places to go.
A particular fast food place may be his/her favorite place to go to get ice cream

Requires moderate repetition and prompting to utilize community resource and engage with community members
Excellent

Demonstrates an increased knowledge of his/her community and where to go for needed food, clothes, and personal items.

May require intermittent prompting on the appropriate use of community resource and social interaction
Mastery

Able to make own decisions that impact his/her acquisition of needed supplies and personal needs
Work and Learning-ILS

Work: n. activity involving mental of physical effort done in order to achieve results.

Learn: v. gain knowledge through study or experience.

Independent: adj. free from control or influence of others.

Poor

No response to goal oriented activities
Fails to act or interact with assigned tasks

Requires physical assistance during goal oriented tasks
Fair

Recognizes familiar objects
Points to familiar object when asked
Sits for short periods of time
Enjoys pretend play with objects of interest
May demonstrate beginning counting skills

Requires persistent repetition and multiple prompts to complete a goal oriented task
Good

Demonstrates appropriate listening and comprehension skills for simple commands
Uses action words: "up' "down" "in" "out"
Uses plurals: "2 times" "4 times"
Increases counting skills

Requires moderate repetition and prompting to complete assigned task
Excellent

Demonstrates an increased understanding and knowledge of complicated language and constructs, increased listening skills, and comprehension
Understand verbs and prepositions
Has an increase in sentence formation
Has an increase in ability to share complex ideas
May have an increase of reading, writing, and counting skills

May require additional prompting on focus, task completion, and purpose
Mastery

Demonstrates the ability to complete goal oriented tasks independently
Know My Medications

Know: v. be aware, familiar with, and understand.

Understand purpose and need for medication

Poor

Requires assistance using medication
No response to identification or use of medication

Requires physical assistance during medical procedures or medication administration
Fair

Limited understanding or identification of medications
May cooperate with medication administration with liquid medication forms
(if available)

Requires persistent repetition and multiple prompts to identify and/or take medication as needed
Good

Able to understand and state 'sick 'not well' 'hurt'
Able to make connection between medication and feeling better

Requires moderate repetition and prompting to
understand and take appropriate medication as needed
Excellent

Demonstrates an increased understanding between medications and well-being

May require intermittent prompting on appropriate identification of, purpose of, and use of all medications
Mastery

Able to make own decisions that impact his/her health and safety including the administration of medications
My Money

Know: v. be aware, familiar with, and understand.

Understand purpose and need for money.

Poor

Requires assistance using money
No response to identification of or use of currency

Requires physical assistance during purchases
Fair

Limited understanding of money
May understand the simple purpose of 'give money get something' ideal

Requires persistent repetition and multiple prompts to identify and use appropriate amount for purchase
Good

Able to understand the simple concept of and use of money
Able to identify basic currency

Requires moderate repetition and prompting to count out appropriate amount to pay for items of interest
Excellent

Demonstrates an increased understanding and use of money and is able to make simple purchases

Requires intermittent prompting to count out appropriate amount to pay for items of interest
Mastery

Demonstrates an increased understanding and use of money and is able to make independent purchases
Exit during Fire Drills

Know: v. be aware, familiar with, and understand.

Understand Fire Safety

Poor

Requires assistance during fire emergencies
No response to or identification of fire or other emergency situations

Requires physical assistance during fire drills and or fire emergencies
Fair

Limited understanding of fire or other emergency situations
May respond to alarms going off

Requires persistent repetition and multiple prompts to learn about or exit a building during a fire or other emergency
Good

Able to understand the concept of 'danger'
Demonstrates and increased awareness of fire alarms

Requires moderate repetition and multiple prompts to learn about or exit a building during a fire or other emergency
Excellent

Able to understand the concept of 'danger' 'fire' and safety'
Demonstrates an increased awareness of fire alarms and need to leave building upon sound of alarm

Requires intermittent prompts to learn about or exit a building during a fire or other emergency
Mastery

Demonstrates an increased understanding of personal safety and dangerous situations



Keywords:
  • Assessment, Initial, ID/DD, Mental Retardation, Program Assessment

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