Checklist resources
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I'm a big fan of checklists. Here's my collection in various categories. Some links get corrupted with blank spaces, so if a link doesn't work try removing suspicious blank spaces. If it still doesn't work, let me know and I'll fix the broken link. Note: Diagnostic checklists do not replace a professional evaluation. Diagnostic checklists for children - autism/PDD-NOS http://www.childbrain.com/pddq6.shtml the ever popular childbrain quiz http://www.autismwebsite.com/ARI/about/e23.htm - Autism Research Institute's diagnostic checklist http://www.neurotransmitter.net/autismscales.html - links to various autism scales, including some of the ones listed above. Some of the autism scales are free, while others must be purchased. Diagnostic checklists for infants and toddlers: http://www.ipan-infant-autism.org/detecting_preautism.html - "Detecting Pre-Autistic Behaviors." Includes excerpts from the ESPASI (Early Signs of Pre-Autism Scale for Infants), ADS (Attachment During Stress Scale) and AOS (Acquarone Observation Scale). http://www.nas.org.uk/nas/jsp/polopoly.jsp?d=128&a=2226 - CHAT diagnostic screening for 18 month olds. http://www.helpautismnow.com/p/physhandbook.pdf - includes the CHAT (begins on page 4) and an illustrated list of potential behavioral symptoms, many of them sensory. Diagnostic checklists - Asperger http://www.udel.edu/bkirby/asperger/aspergerscaleAttwood.htm l - Australian Scale for Asperger Syndrome, for primary school children Diagnostic checklists from the book "Parenting Your Asperger Child": http://printables.familyeducation.com/forms-and-charts/skill -builder/51750.html - Part 1, Difficulty with Reciprocal Social Interactions http://printables.familyeducation.com/forms-and-charts/skill -builder/51751.html - Part 2, Impairments in Language Skills http://printables.familyeducation.com/forms-and-charts/skill -builder/51755.html - Part 3, Sensory Sensitivities http://printables.familyeducation.com/forms-and-charts/skill -builder/51752.html - Part 4, Narrow range of interests and insistence on set routines http://printables.familyeducation.com/forms-and-charts/skill -builder/51754.html - Part 5 - Cognitive Issues (including mind-blindness) Diagnostic checklists/tests - ADHD: http://www.childbrain.com/adhdq12.shtml - ADHD, from Childbrain http://www2.ncneuropsych.com/home/NCN_Patient_Forms/Common/A DHD_Checklist.pdf Diagnostic checklists/tests - anxiety, depression and OCD: http://www2.ncneuropsych.com/home/NCN_Patient_Forms/Child/Ch ildhood_Anxiety_Checklist.pdf - childhood anxiety checklist http://www2.ncneuropsych.com/home/NCN_Patient_Forms/Child/So cial_Anxiety_Scale_for_Children_and_Adolscents.pdf - social anxiety scale for children and adolescents http://www2.ncneuropsych.com/home/NCN_Patient_Forms/Child/Ch ildhood_Depression_Checklist.pdf - childhood depression checklist http://www2.ncneuropsych.com/home/NCN_Patient_Forms/Child/Ch ild_OCD_Inventory.pdf - child OCD inventory Diagnostic checklists/tests - vision related: http://www.readingandwriting.ab.ca/judypool/Irlen%20Self-Tes t.pdf - Irlen Syndrome (scotopic sensitivity syndrome, problems with bright light and glare). http://colorvisiontesting.com/color5.htm - color-blind test with shapes http://www.toledo-bend.com/colorblind/Ishihara.html - color-blind test with numbers. Other mental health checklists: http://healthnet.umassmed.edu/mhealth/YBOCSymptomChecklist.p df - Checklist of common OCD symptoms, based on the Yale Brown Obsessive Compulsive Scale. http://www.travisps.com/quizzes.asp - checklist for making observations about hair-pulling behavior (trichotillomania). Diagnostic checklists for adults: http://www.nas.org.uk/nas/jsp/polopoly.jsp?d=128&a=6730 - 11 question screening test for adults http://www.wired.com/wired/archive/9.12/aqtest.html - Simon Baron-Cohen's Autism-Spectrum Quotient quiz for adults http://www.rdos.net/eng/Aspie-quiz.php - a longer questionnaire. Developmental milestones: http://www.cdc.gov/ncbddd/autism/actearly/interactive/index. html - milestones for movement, hand and finger skills, language, cognitive, social and emotional development http://www.autismteachingtools.com/page/bbbbfg/bbbbtj - to identify which stage of play your child is in. Sensory-related checklists/charts: http://www.sensory-processing-disorder.com/sensory-processin g-disorder-checklist.html - for identifying sensory symptoms http://www.tsbvi.edu/Outreach/seehear/archive/mannerism.html #Chart - for identifying self-stimulating behaviors ("stims") under various sensory categories http://printables.familyeducation.com/forms-and-charts/skill -builder/51755.html - Part 3, Sensory Sensitivities http://www.sinetwork.org/aboutspd/prof-siobsguide.pdf - The Sensory Integration Observation Guide, Level 1 (0 to 12 months) http://www.sinetwork.org/aboutspd/questionnaire.html - Sensorimotor History Questionnaire for evaluating preschoolers
Speech and language-related checklists: http://dlserver.samford.edu/eportfolio/Portfolios/ElaineThag ard/adaptive_Problem_Solving/checklist_for_SocioPragmatic_La nguage_Behaviors.pdf - checklist for the pragmatic use of language. http://www.stutteringhelp.org/Default.aspx?tabid=99 - "checklist for referal" from the Stuttering Foundation, which tells you what to look for to determine if it's a normal developmental stutter, a mild stutter, or a severe stutter that should be referred as soon as possible. Reading level checklists: http://specialed.about.com/od/readingchecklists/Reading_Chec klists_Where_Should_Children_Be_at_Each_Age.htm - checklists for various age levels (up to age 9) to see if your child is reading at an age appropriate level or possibly has a reading disability/dyslexia. Social Skills checklists: http://depts.washington.edu/dataproj/SocialSkillsChecklist11 -04.pdf - Social skills checklist http://www.aspergersyndrome.info/Documents/Lectures/Empathy_ training_extended.pdf - the Balanced Emotional Empathy Scale (BEES), 30 questions but no scoring key. http://www.rfenc.org/NEWSITE/SLATE-Manual.doc - social skills checklists for monitoring progress is various goal areas, each with a manageable number of subgoals. See separate post for the list of goal areas. http://www.cccoe.net/social/rubric.htm - checklist for evaluating team work skills. Prognosis Checklists: No link available: See separate post further down for a checklist of core skills that are supposed to be predictive of good future progress. Checklists for evaluating classrooms/schools: http://www.bellaonline.com/articles/art44663.asp - a good one by an autism mom, with lots of comments. http://www.autism-pdd.net/forum/forum_posts.asp?TID=13687&am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;am p;PN=1 - from New Mexico Early Childhood Transition Initiative (also available at the following address: http://www.ped.state.nm.us/seo/preschool/90.day.transition.g uidance.doc http://www.paulakluth.com/articles/schoolinclusive.html - is the school really inclusive or full of hot air? http://www.speechteach.co.uk/p_resource/parent/whichschool.h tm - questions to ask to help you decide which school for my child? http://www.spedschools.com/Placementinfo/parentcheck.htm - from Massachusetts Checklists for evaluating therapists: http://specialchildren.about.com/od/therapies/a/checkup.htm - reviewing the therapist, the office, the therapy and the results. Checklists related to IEPs: http://www.php.com/include/resources/iep_prepare.html - Checklist for preparing for an IEP meeting and making sure everything got covered before the meeting was adjourned. Checklists related to starting kindergarten: http://www.polk-fl.net/prek/readiness.htm - kindergarten readiness checklist from Florida. Check to see if your state or school district has their own list. http://www.circleofinclusion.org/english/formsarticles/forms /12transition/3-k/transitionchecklist.pdf - Checklist for transition to an early childhood program to kindergarten (planning starting in January). Checklists used by schools: http://www.udel.edu/bkirby/asperger/IEP_Modif_Checklist.html - list of accommodations the school can put into the IEP of an autistic student. Based on "Technical Assistance Manual on Autism for Kentucky Schools." http://www.udel.edu/bkirby/asperger/IEP_Behav_Forms.html - list of student characteristics for the school to complete. Based on "Technical Assistance Manual on Autism for Kentucky Schools." http://home.san.rr.com/autismnet/preshadow.html - includes the PDD School Survey (a diagnostic checklist) by Y.S. Brobst, based on DSM-IV. http://www.ecsu.k12.mn.us/programsServices%5CspecialEducatio n/documents/AreYouReadyGroup_elem.pdf - list of school skills that frequently appear on autistic kids' IEPs. http://www.autismhelp.info/htm/printfiles_index.htm - Behavioral Profile Checklist Checklists for families http://www.stopthatbehavior.com/pdf/r_family_needs_sruvey.pd f - for identifying areas your family needs help in, in the categories of information, support, explaining to others, community services, financial needs and family functioning. Checklists for behavior management http://www.jambav.com/modules/specialneeds/specialneeds.php? id=8 - Temper Tantrum Report (ie meltdown analysis) http://www.pattan.net/files/Autism/Autism120905.pdf - 4 page reinforcer checklist. More to come, I'm sure... Norway Mom! As long as we have you on this board we do not need to google anythig, You are just amazing. Thank You, Tash I'll third that - you are awsome !! And thank you for sharing all your resources with us.I added a new checklist to my above list: http://www.php.com/include/resources/iep_prepare.html - Checklist for preparing for an IEP meeting and making sure everything got covered before the meeting was adjourned. http://www.circleofinclusion.org/english/formsarticles/forms /12transition/3-k/transitionchecklist.pdf - Checklist for transition to an early childhood program to kindergarten (planning starting in January). I wanted to add this checklist to my list of resources. It's from an article that was posted today by Daddy. Q: What are early signs that my child will become more social and communicative and act less in autistic ways? (Even if diagnosed autistic) Over 30 years of clinical research shows that young children, who show the following behaviors, tend to become more social and communicative and show less and less autistic features. Consequently, I strongly recommend you to ask whether your child shows some of these and that they become your first goals before you focus on language, academics (school) or compliance training. Note that many of these are the positive sides to the defining features of autism. (See DSM IV) Your big job is to help your child do more of what he can do and not focus on what he cannot now do easily. Score each as follows: 1=Never or rarely, 2= Occasionally, 3= Source: an article by James D. MacDonald. Read more by this author at www.jamesdmacdonald.org
I've added this link to my original list. It's a checklist for pragmatic use of language. Norway - you are a gem!Hit the jackpot today with a series of social skills checklists for monitoring progress in various areas. Each area has a manageable set of goals under them, and could therefore also be useful in IEP-planning. The checklists begin after page 60 (page numbers are in light gray at the bottom right corner of the page). Here are the subject areas: Body in relation to space (ie not getting to close to others) Play behavior (basics) Progressive play behavior (more advanced) Understanding basic emotions Body language Seeking assistance Flexibility Self-regulation Group participation Behavior conductive to teamwork Respect of adults and authority figures Self-regulation/controlling anger Self-regulation (disappointment, embarrassment) Polite interaction Conversational skills Maintaining conversation Here's the link: http://www.rfenc.org/NEWSITE/SLATE-Manual.doc P.S. They also have extensive notes for training assistants which look very useful. It's in Appendix E, beginning on page 100. http://www.brookespublishing.com/steps/ This website has downloadable checklists in the following areas:
Bumping this for anyone who might have missed this. Simply amazing. Mary I found some good stuff this morning. Not all of them are checklists and forms, but all of them are very useful: A. Task Analysis - an example of a functional skill (brushing teeth) broken down into steps and a chart for recording instruction sessionsB. Hierarchy of Prompts - a diagram explaining the range of prompts from least intrusive to most intrusiveC. Likes and Dislikes Chart - a form for recording student preferencesD. Reinforcer Assessment - a tool to assist the ISSP team in identifying various potential reinforcersE. Home-School Communication Book - an example of a communication log used for one student to keep parents and family informed of events affecting the studentF. Communication Dictionary - a sample dictionary and a form for developing an individualized dictionary for communication attempts used by a studentG. Behaviour Observation and Data Collection Chart - a form for recording information for a functional assessmentH. The Components of a Behaviour PlanI. “Tips for teaching high functioning people with Autism”,J. Checklist for TransitionK. Integrating Student’s ISSP Goals with Regular Class Activities - an example of a chart showing how to fit the goals for the student with ASD into the regular class plans, and a blank chart template.http://www.ed.gov.nl.ca/edu/k12/sss/autism/autism_aug03app.p df Wow! We need to keep this on the front page! Thanks NorwayMom! Mary Here's something I found at specialed.about.com:Check the Strength or Weakness for Each of the CategoriesThese observational checklists will help you determine where your child's/student's strengths and weaknesses are. Check the appropriate items and bring forward to your IEP meeting or for a parent/teacher meeting.
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