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CONTENTS
Sr. no. Particulars Page no 1. Abstract 1 2. The Larger Problem 2 3. Literature Review of Creative Arts
Therapies 5
4. Hypothesis 10 5. Eligibility criteria for clients 11 6. Logistics 12 7. Data Sources and Data Collection Protocol 13 8. Methods Used 14 9. Results Summary 17 10. Background and Creation for Children at-
risk 32
11. Background and Creation for Children with special needs
37
12. Results 45 13. Limitations 49 14. Learnings 50 15. Future 52 16 Appendix A-I Demographics
A-II SRS Summary 53 54
17. Appendix B-I Parents Feedback B-II Teachers Feedback B-III Rating Scale and Standardized Test
61 66 77
18. Appendix C-I Bibliography C-II Consent Letter C-III Video Recording
117 120 121
19. Acknowledgement 122
Page 1
ABSTRACT
‘Learning can be fun’ is a title of this project. It is authored by Mrs. Shamim Anil Deshmukh. This study was conducted with the children of ‘Little Learners Academy’,a kindergarten in Dahisar (east) Mumbai -400068.
The clients were added to the research with the help of teacher’s feedback. The performance of these children did not appear age appropriate. It was a mix population of children at-risk and children with special needs. For Demographics See Appendix ‘A’. There were 5 children in this study. The therapeutic goals surfaced as speech and narrative capabilities, attention/mindfulness, perception, recall memory: cognitive domain, body domain: fine finger co-ordination, motor co-ordination, group interactive domain. The author narrowed down on three therapeutic goals: attention/mindfulness,speech and narrative capability and memory: cognition. These goals were preferred as attention and speech are pre-requites for learning and expressing.
Analysis of both qualitative and quantitative data highlighted that teachers, parents and the author perceived positive changes in the areas of attention, speech and memory.
Page 2
THE LARGER PROBLEM
The author had chosen to work on eight children when the project design was made. Four children were withdrawn from school due to domestic reasons.In the place of the children withdrawn from school another child was introduced to the group and the checklist was run with him.
The therapeutic goals of this child were same as the group goals that is:
1. Speech 2. Attention 3. Cognition: Memory
Now there were two children from the at-risk category and three children with special needs. The author chose ABT to achieve the above mentioned therapeutic goals. There is evidence which suggest that use of specific art forms would help stimulate various parts of the brain. Arts Based Therapy has various art forms like visual arts, rhythm, voice, drama and games and exercises. This brings variety and value to the sessions to move ahead constructively. Children at risk :
1. Ananya Singh 2. AkshatSharan
Children with special needs
1. Yash Joshi 2. YashChavan 3. YashDubey
Children at risk: Ananya: Ananya had issues with number and alphabet recognition when she was in Junior Kg. The complaints were in problem perception in P 9, b d. The parent got an IQ done where she scored 94 which comes in
Page 3
average category. Speech was delayed, whatever she spoke was incomprehensible. AkshatSharan: Akshat had delayed milestones. His speech was unclear; he also spoke in words only. Attention was an issue. On administering a standardized test Akshat scored 100 that is average IQ. When the author did the pilot study YashChavan andYash Joshi were studied on the at-risk category but the standardized report showed mild mentally challenged and dull normal IQ. The author had to use the rating scale of children with special needs as now it was relevant to the therapeutic goals and the standardized reports. Children with special needs: YashDubey: The child with special needs has Cerebral Palsy, the spastic type. There is difficulty in locomotion. He can walk but needs support when climbing steps. Hand functions are also impaired. Fine finger co-ordination is under developed. Speech is not there; he just vocalizes and communicates with gestures YashChavan: YashChavan had issues with recognition and mainly attention. He could not follow instructions promptly and speech was slurred and unclear with a lot of repetitions and irrelevant talk. On administering standardized IQ test he showed a score of 60 which brought him in a Mildly Mentally Challenged category. Yash Joshi: Yash Joshi had problems with attention and speech. His speech was very unclear and he spoke in words. On administering standardized IQ test he showed a score of 82 which is dull normal category. Speech came up as a therapeutic goal applicable for all the children. YashDubey was physically challenged; Yash Joshi, YashChavanwere mentally challenged and Ananya Singh and AkshatSharan were delayed in the speech milestone. While planning activities for mixed group of children with special need and children at
Page 4
risk, at times it would be a challenge.YashDubey was physically challenged particularly when it came to visual arts; the author had to help him in the beginning. Later he refused to take help. In games and exercises also YashDubey was treated as any other child and he tried activities which he had never tried earlier. This worked for him as there were improvements seen in his body domain. The others were made responsible for YashDubey due to his physical disability. This helped them to become responsible. So it was a win-win situation for both- special children and children at-risk.
Page 5
LITERATURE REVIEW OF CREATIVE ARTS
THERAPIES
Arts based therapy (ABT) is the application of visual arts, rhythm, voice and drama, within a therapeutic relationship to support, maintain and improve the physical, cognitive, social, emotional and spiritual health of individuals of all ages. The ABT practitioner uses specific art based approaches with children, adults, groups and families to support, maintain, and improve overall heath. He/ She facilitates, guides, witnesses and responds to their client’s art process and art expression based on ethical practices and current emerging researches.
Visual Art:
Visual art therapy is defined as a human service profession that uses art media, images, the creative processes and the client responses to the created products. What the client creates is a reflection of an individual’s development, abilities, personality, interests, concerns and conflicts. Visual Art therapy is called for when the client is experiencing emotional and/or behavioral difficulties that are impairing his/her ability to function to his/ her fullest potential. Sometimes people suffer severe emotional distress and are afraid or unwilling to reveal themselves, in which case the art therapy would focus on creating a safe environment where the individual begins to trust the space and therapists enough to begin expressing him or herself.
The focus of art therapy begins with helping the client enter into creative space. This can only be done through the process of making art. The healing power of art therapy lies within the act of making art. The art product is not the focus of work, it is important as a final concrete expression of the self. It is useful to go through various art mediums if your client has not had a lot of art making experience. The therapists remain open to how the client wants to use the material, even if it isn’t in the fashion in which it is meant to be used. Maintaining a safe space includes acceptance of any or all creations. As the client feels more and more comfortable the therapeutic alliance deepens and the creative possibility would be endless.
Art therapy is helpful for variety of problems including brain injuries, Down syndrome, autism and cerebral palsy. Visual Art therapy is
Page 6
an effective treatment for developmental, medically, educationally, socially and psychologically impaired. It is practiced in mental health rehabilitation, medical, educational and forensic institutionas.
Rhythm:
“Drum therapy is an ancient approach that uses rhythm to promote healing and self-expression.”
Recent research reviews indicate that drumming accelerates physical healing, boost the immune system and produces feeling of well-being, a release of emotional trauma and reintegration of self by PhylameanaLiaDesy. Playing within the context of a drum circle is truly an example of team work at its highest level. As the rhythms come together and grow one releases the need for trust and dependence amongst our fellow drummers. Many of the lessons one learns in the drum circle can be directly applied in one’s home, school, workplace and life.
One learns to relax
One learns to let go
One learns to lead when necessary and follow when needed.
One learns to focus intensely at times.
Drumming induces deep relaxation, lowers blood pressure and reduces stress. A recent study found that the program of group drumming help reduce stress.
Research has demonstrated that physical transmission of rhythms to the brain synchronizes the two cerebral hemispheres. When the logical left hemisphere and the intuitive right hemisphere begin to pulsate in harmony the inner guidance of intuitive knowing can then flow unimpeded into conscious awareness. The ability to access unconscious information through symbols and imagery facilitates psychological integration and a re-integration of self.
Drumming also synchronizes the frontal and lower areas of the brain integrating non-verbal information from lower brain structures into the frontal cortex, producing “feelings of insight, understanding, integration, certainty, conviction and truth.”
Page 7
Rhythm is a powerful tool because it permeates the entire brain. Vision for example is one part of the brain, speech another, but drumming accesses the whole brain. The sound of drumming generates dynamic neuronal connections in all parts of the brain even where there is significant damage or impairment such as Attention Deficit Disorder (ADD).
“Drumming emphasizes self-expression, teaches how to rebuilt emotional health and addresses issues of violence and conflict through expression and integration of emotion”, says Music Educator Ed Mikenas.
Voice:
Music making (playing an instrument or singing) is a multi-modal activity that involves integration of auditory sensory motor processes. The ability to sing in humans is evident from infancy and does not depend upon formal vocal training, though it can be enhanced by training.
Singing or the act of producing musical sounds with the voice has the potential to treat speech abnormalities because it directly stimulates the musculature associated with respiration, phonation, articulation and resonance. Singing requires breathing to be regulated in order to sustain notes. It also results in higher vocal intensity (Tonkinson, 1994) and vocal control (NetkeDonath and Kalveram, 2003) than thus speaking. Moreover it has been suggested that singing increases respiratory muscle strength.
Studies on the benefits of Music include singing and its capability to significantly improve psychological health and well-being through the engagement of neurochemical system responsible for reward, motivation, pleasure, stress/ arousal, immunity and social affiliation.
Listening to preferred music stimulates the release of dopamine (the brain neurochemical responsible for pleasure and reward) and reducing the use of opiate drugs in post operation pain.
Singing increases levels of oxytocin promoting social affiliation. It can increase levels of Immunoglobian A and decreases the level of stress. Music is shown to modify and regulate automatic system such as heart rate, respiration rate, perspiration and other automatic systems.
Singing or intoning spoken words have shown to improve expressive language in patients with speech deficit conditions. Repeated engagement of singing can influence centers in the brain responsible for emotional regulation.
Page 8
Motor deficits associated with neurological disorders can be treated by singing.
Stuttering is a largely developmental condition that affects fluency of speech. It is characterized by repetition of words or parts of words, as well as prolongation of speech sounds resulting in disruptions in the normal flow of speech.
Autism is characterized by impairments in expressive language and communication with some affected individual completely lacking functional skills. Individuals with autism have superior auditory abilities and often exhibit strong interest in learning and making music.
An intervention that is specifically designed to help children with autism to develop expressive language is currently being tested. It is known as Auditory Motor Mapping Training (AMMT). This intervention involves three main components-singing, motor activity and imitation.
To date only two case studies have described the positive effects of singing on development if speech in children with autism.
Drama Therapy:
Drama therapy is the intentional use of drama and/or theatre processes to achieve therapeutic goals.
Drama therapy is active and experiential. This approach can provide the context for participants to tell their stories, set goals and solve problems, express feelings, or achieve catharsis. Through drama, the depth and breadth of inner experience can be actively explored and interpersonal relationship skills can be enhanced. Participants can expand their repertoire of dramatic roles to find that their own roles have been strengthened. This process operates at various levels.
1. Individual level 2. Social/ collective level 3. Spiritual Philosophical level
The goal of drama therapy is to facilitate a safe and secure experience for the client that allows for the full expression of their emotional voice through dramatic motions.
Page 9
“The role method” allows not only to explore roles that are significant in everyday lives but also the system of sub roles that shapes, guides and defines daily conduct creating a functional role system.
The processes and techniques drama therapy employs are improvisation, theatre games, story-telling and enactment. Many drama therapists use text, performance or ritual to enhance the therapy.
Using puppet and dolls, drama therapy with children and adolescents taps into the appeal that play has for young people-assisting them to overcome feeling of isolation and gain mastery over conflicts and anxiety.
When drama therapy is done in groups essentially these are “Group experiences that emphasize creativity and release, humour and playfulness, imagination and joy.”
Drama therapy in education can be highly effective for a variety of students. It offers the opportunity for the exploration, recognition and expression of emotion with a structured setting. It is often used within both-mainstream and specialized school for a wide range of children and young people of all ages. The drama therapists in education setting can work in clients, groups or individually depending on the needs of the client. The work can focus on developing social skills, dealing with loss, easing transitions, building self-esteem.
The sessions are private and confidential, structured with the aim to give the client consistency and promote trust in order for them to be able to experiment with different ways of being an alternative behaviour. This provides a space for the client which is a time especially for them and enables them if necessary to express things that might be difficult in other contexts. The drama therapists maintain contacts with other members of the staff and parents and carers in order to monitor student and best understand and meet their need.
Page 10
HYPOTHESIS
ABT can significantly improve speech, attention and memory in mixed
population of children with special needs and children at risk.
Page 11
ELIGIBILITY CRITERIA FOR CLIENTS
Eight participants were identified from Little Learner’s
Academy in the age group of 4 to 8 years. Out of which three children had
special needs and five children were at risk. There were three girls and
five boys. They were all part of the author’s pilot study. These children
had become a part of the further study as they needed ABT to achieve
their goals. Besides their parents had given consents for the therapy.
They had also shown willingness to observe children in their respective
homes and report to the teacher.
In the Action Research Project out of eight children four
dropped out due to domestic reasons. The author had to introduce a new
client who was not a part of the pilot study.
This child had to be studied in the children at risk group based on the feedback of the teacher of Little Learners Academy. Now there were two children who were at risk and three children with special needs.
Page 12
LOGISTICS The sessions began from 23rd June 2014 instead of 1st June
as proposed in the project design. The reason being, children had gone
for their summer holidays and were not back on time. The timing had to
be changed from 3:00 pm to 4:00 pm to 11:30am to 12:30 pm as
children felt drowsy in the afternoon.
The ABT sessions were conducted in one of the classrooms of
‘Little Learners Academy’ at Dahisar Mumbai.
It was a group session comprising of five children out of
which two children were at risk and three with special needs. There were
four boys and one girl. Refer Appendix ‘A’. The classroom was well
ventilated with proper seating arrangement for children. There was
enough space to keep the materials like djembes, colours, papers, etc.
The space was sufficient for children to move around for games and
exercises.
Page 13
DATA SOURCES AND DATA COLLECTION
PROTOCOL
Tools used are:
1. The standardized test
a. Seguin Form Board Test (SFBT)
b. Vineland Social Maturity Scale (VSMS)
c. Informal Assessment
2. Session Record Sheets (SRS)
3. Rating Scale by author and teachers pre and post.
4. Feedback from teachers pre and post.
5. Feedback from parents post session.
6. Feedback from Clinical Psychologist pre and post.
7. Video Recording.
The standardized tests were administered pre and post
session. On 24th June 2014 the pre session test were administered
and post were administered on 27th August 2014. They were not
mentioned in the project design but were later added to the study for
better understanding. Video recording was done on various occasions
by professionals.
Page 14
METHODS USED
Arts based therapy methods were used. They include:
Rhythm
Voice
Drama
Visual Arts
The therapeutic goals in the group emerged as
1. Speech
2. Attention
3. Cognition – Memory
Rhythm:
The djembes were used every other day in the group as the
group loved them. They even enjoyed using shakers.
Voice:
Oral Motor exercises were done. Various sounds were done
on regular basis. The book, ‘Music Therapy in Neurorehabilitation’ A
Clinician’s Manual by Felicity Baker and Jeanette Tamplin was of great
help. Sounds of vowels and consonants were done with actions.
Drama:
Drama was used almost every day. Children enacted to be
animals, birds, vehicles, etc. and improvisation of how they moved, ate,
drank, etc. They dramatized stories done in therapy sessions. They
Page 15
enacted various emotions. Children were sometimes their Daddies and
sometimes Mummies. They were given props like puppets, duppatas,
even their own water bag; the duster became their mobile phone.
Visual Arts:
Materials like crayons, water colours, colour pencils, brushes,
plasticine, etc. were used. They enjoyed using their own hands, feet
making impression on paper collectively. They used finger instead of
brush sometimes. Instead of body maps, they traced their hands and feet
and coloured them.
Methods Used:
Speech and narrative Capability:
• Oral Motor Exercises • Sounds of vowels & consonants with actions • Singing ‘sa, re, ga, ma’ with ‘aakar’. • Telephonic conversation game: making imaginary phone calls to the
absent child. • Narrating stories. • Sounds of Animals • Playing ‘aa’ ‘ee’ on the djembe. • Singing songs
Attention and Mindfulness:
• Playing the djembe • Games like dum – ditty – dum: Children moved on sound stopped
on a command and did the action that was commanded. This was for auditory alertness.
• Video game: On the command of ‘play’ children moved, ‘pause’ they paused ‘rewind’ was backward walk ‘forwards’ for forward walk.
• Walking through the jungle. • Use of Visual arts – tracing their hand and feet and colouring them,
use of plasticine, clay.
Page 16
Memory:
• Doing recap post class and even in the beginning of sessions. • Recap of stories. • Dramatization of stories. • Sequencing of stories. • Singing • Flash card games of animals • Find your partner flash card • Treasure hunt • Finding their own waterbag • Closing your eyes and writing in air.
Page 17
RESULT SUMMARY
Graphic representation of Attention Domain Pre
and Post for Children at-risk by the author:
This graph has been computed on the score of the rating
scale of the children at-risk. (Refer Appendix ‘B-III’). Akshat showed 20%
on the Attention domain in the pretest. Post-test it increased to 60%.
Akshat improved by 40% on the Attention domain.
Ananya showed 72% on the Attention domain in the pretest.
Post-test it increased to 96%. Ananya improved by 24% on the Attention
domain.
Ananya shows more improvement compared to Akshat as
Ananya was there in the pilot study andAkshat joined late. Besides, out of
35 hours, Akshat was present for 27 hours whereas Ananya was present
for 34 hours now and 15 hours in the pilot study. The pre-test was
conducted after 10 hours of study.
0%
20%
40%
60%
80%
100%
120%
Pretest Posttest
Akshat
Ananya
Page 18
Graphic representation of Speech Domain Pre and
Post for Children at-risk by the author:
This graph has been computed on the score of the rating
scale of the children at-risk. (Refer Appendix ‘B-III’). Akshat showed 20%
on the Speech domain in the pre-test. Post-test it increased to 67%.
Akshat improved by 47% on the Speech domain.
Ananya showed 60% on the Speech domain in the pre-test.
Post-test it increased to 100%. Ananya improved by 40% on the Speech
domain.
Ananya shows more improvement compared to Akshat as
Ananya was there in the pilot study andAkshat joined in late. Besides, out
of 35 hours, Akshat was present for 27 hours whereasAnanya was present
for 34 hours now and 15 hours in the pilot study. The pre-test were
conducted after 10 hours of study.
0%
20%
40%
60%
80%
100%
120%
Pretest Posttest
Akshat
Ananya
Page 19
Graphic representation of Memory Domain Pre and Post
for Children at-risk (by the author):
This graph has been computed on the score of the rating
scale of the children at-risk. (Refer Appendix ‘B-III’). Akshat showed 20%
on the Memory domain in the pre-test. Post-test it increased to 56%.
Akshat improved by 36% on the Memory domain.
Ananya showed 65% on the Memory domain in the pre-test.
Post-test it increased to 87%. Ananya improved by 22% on the Memory
domain.
Ananya shows more improvement compared to Akshat as
Ananya was there in the pilot study andAkshat joined in late. Besides, out
of 35 hours, Akshat was present for 27 hours whereasAnanya was present
for 34 hours now and 15 hours in the pilot study. The pre-test were
conducted after 10 hours of study.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Pretest Posttest
Akshat
Ananya
Page 20
Graphic representation of Attention Domain Pre
and Post for Children with special needs by the
author:
This graph has been computed on the score of the rating
scale of the children with special needs. (Refer Appendix ‘B-III’).
YashChavan showed 60% on the Attention domain in the pre-test. Post-
test it increased to 92%. YashChavan improved by 32% on the Attention
domain.
Yash Joshi showed 52% on the Attention domain in the pre-
test. Post-test it increased to 65%. Yash Joshi improved by 13% on the
Attention domain.
YashDubey showed 100% on the Attention domain in the pre
and post-test. YashDubey had no issues with attention. Thus he scored
full in pre and post-test. YashChavan shows improvement as compared to
Yash Joshi as YashChavan was present for 34 hours whereas Yash Joshi
was present for 13 hours. Environmental conditions at home were more
conducive for YashChavan.
0%
20%
40%
60%
80%
100%
120%
Yash Chavan Yash Joshi Yash Dubey
Pretest
Posttest
Page 21
Graphic representation of Speech Domain Pre and
Post for Children with special needs by the
author:
This graph has been computed on the score of the rating
scale of the children with special needs. (Refer Appendix ‘B-III’).
YashChavan showed 53% on the Speech domain in the pre-test. Post-test
it increased to 100%. YashChavan improved by 47% on the Speech
domain.
Yash Joshi showed 27% on the Speech domain in the pre-
test. Post-test it increased to 60%. Yash Joshi improved by 47% on the
Speech domain.
YashDubey showed 33% on the Speech domain in the
pretest. Post-test it increased to 40%. YashDubey improved by 47% on
the Speech domain.
YashChavan shows improvement as compared to Yash Joshi
and YashDubey.YashChavan was present for 34 hours; Yash Joshi was
present for 13 hours while YashDubey was present for 22 hours.
YashDubey has health issue and Yash Joshi reported late and had
0%
20%
40%
60%
80%
100%
120%
Yash Chavan Yash Joshi Yash Dubey
Pretest
Posttest
Page 22
domestic problems. All the three were present in the pilot study for all 15
hours.
Graphic representation of Memory Domain
Pre and Post for Children with special needs
by the author:
This graph has been computed on the score of the rating
scale of the children with special needs. (Refer Appendix ‘B-III’).
YashChavan showed 55% on the Memory domain in the pre-test. Post-
test it increased to 85%. YashChavan improved by 30% on the Memory
domain.
Yash Joshi showed 45% on the Memory domain in the pre-
test. Post-test it increased to 60%. Yash Joshi improved by 15% on the
Memory domain.
YashDubey showed 69% on the Memory domain in the pre-
test. Post-test it increased to 80%. YashDubey improved by 11% on the
Memory domain.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Yash Chavan Yash Joshi Yash Dubey
Pretest
Posttest
Page 23
Graphic representation of Attention Domain
Pre and Post for Children at-risk by the
teacher:
According to teachers, Akshat showed 12% on the Attention
domain in the pre-test. Post-test it increased to 68%. Akshat improved by
56% on the Attention domain.
Ananya showed 65% on the Attention domain in the pre-
test. Post-test it increased to 90%. Ananya improved by 25% on the
Attention domain.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Pretest Posttest
Akshat
Ananya
Page 24
Graphic representation of Speech Domain Pre
and Post for Children at-risk by the teacher:
According to teachers, Akshat showed 13% on the Speech
domain in the pre-test. Post-test it increased to 70%. Akshat improved by
56% on the Speech domain.
Ananya showed 60% on the Speech domain in the pre-test.
Post-test it increased to 95%. Ananya improved by 35% on the Speech
domain.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Pretest Posttest
Akshat
Ananya
Page 25
Graphic representation of Memory Domain
Pre and Post for Children at-risk by the
teacher:
According to teachers, Akshat showed 15% on the Memory
domain in the pre-test. Post-test it increased to 55%. Akshat improved by
40% on the Memory domain.
Ananya showed 60% on the Memory domain in the pre-test.
Post-test it increased to 90%. Ananya improved by 30% on the Memory
domain.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Pretest Posttest
Akshat
Ananya
Page 26
Graphic representation of Attention Domain
Pre and Post for Children with special needs
by the teacher:
This graph has been computed on the score of the rating
scale of the children with special needs. (Refer Appendix ‘B-III’).
YashChavan showed 53% on the Attention domain in the pre-test. Post-
test it increased to 85%. YashChavan improved by 32% on the Attention
domain.
Yash Joshi showed 45% on the Attention domain in the
pretest. Post-test it increased to 60%. Yash Joshi improved by 15% on
the Attention domain.
YashDubey showed 100% on the Attention domain in the
pre-test. Post-test it increased to 100%.
0%
20%
40%
60%
80%
100%
120%
Yash Chavan Yash Joshi Yash Dubey
Pretest
Posttest
Page 27
Graphic representation of Speech Domain Pre
and Post for Children with special needs by
the teacher:
This graph has been computed on the score of the rating
scale of the children with special needs. (Refer Appendix ‘B-III’).
YashChavan showed 45% on the Speech domain in the pre-test. Post-test
it increased to 90%. YashChavan improved by 45% on the Speech
domain.
Yash Joshi showed 20% on the Speech domain in the pre-
test. Post-test it increased to 55%. Yash Joshi improved by 35% on the
Speech domain.
YashDubey showed 25% on the Speech domain in the pre-
test. Post-test it increased to 35%. YashDubey improved by 10% on the
Speech domain.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Yash Chavan Yash Joshi Yash Dubey
Pretest
Posttest
Page 28
Graphic representation of Memory Domain
Pre and Post for Children with special needs
by the teacher:
This graph has been computed on the score of the rating
scale of the children with special needs. (Refer Appendix ‘B-III’).
YashChavan showed 50% on the Memory domain in the pre-test. Post-
test it increased to 80%. YashChavan improved by 30% on the Memory
domain.
Yash Joshi showed 40% on the Memory domain in the pre-
test. Post-test it increased to 62%. Yash Joshi improved by 22% on the
Memory domain.
YashDubey showed 60% on the Attention domain in the pre-
test. Post-test it increased to 80%. YashDubey improved by 20% on the
Memory domain.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Yash Chavan Yash Joshi Yash Dubey
Pretest
Posttest
Page 29
Graphic Representation of the Standardized IQ test administered:
The standardized report of IQ i.e. Intelligent Quotient score for Akshat in pre-test was 100 and in post-test it was 120 which is improvement of 20 points. This brings Akshat from Average category to an Above Average Category. The test administered on Akshat was Vineland Social Maturity Scale.
The standardized report of IQ i.e. Intelligent Quotient score for Ananya in pre-test was 91and in post-test it was 100 which is improvement of 9 points. The test administered on Ananya was Seguin Form Board Test.
The standardized report of IQ i.e. Intelligent Quotient score for YashChavan in pre-test was 60 and in post-test it was 110 which is improvement of 50 points. The test administered on YashChavan was Seguin Form Board Test.
The standardized report of IQ i.e. Intelligent Quotient score for Yash Joshi in pre-test was 82 and in post-test it was 93 which is improvement of 11 points. The test administered on Yash Joshi was Seguin Form Board Test.
The standardized report of IQ i.e. Intelligent Quotient score for YashDubey in pre-test was 49 and in post-test it was 44 which is regression of 5 points. The test administered on Yash Joshi was Vineland Social Maturity Scale.
0
20
40
60
80
100
120
140
Akshat Ananya Yash Chavan Yash Joshi Yash Dubey
Pretest
Posttest
Page 30
There is a regression in Yash D, scores as the pre-test was of Vineland Social Maturity Scale where the mother reported to the clinical psychologists, as he could not perform on the post-test YashDubey was able to perform on the Seguin Form Board Test by himself within the stipulated time scoring 44 points which is by itself an achievement.
Page 31
Graphic Representation of the Progress in the Therapeutic Goals by the author and the
teachers:
To show the group progress this graph was computed on the percentage obtained by teachers and the author,which are derived from the Rating Scales of children at risk/ children with special needs. There is a maximum improvement in the Speech and Narrative Capability Domain which is 36%. Memory Cognitive domain shows an improvement of 23% according to the author and 28% according to the teachers. Attention/ mindfulness domain shows an improvement of 21% according to the author and 25% according to the teachers. It is seen that the teachers could see greater improvement than the author which could mean that the learning is generalized in the respective domains in real life situation.
0%
5%
10%
15%
20%
25%
30%
35%
40%
Attention Speech Memory
Author
Teacher
Page 32
BACKGROUND AND CREATIONFOR CHILDREN AT-
RISK:
1. Ananya Singh
2. AkshatSharan
1. Ananya Singh
Family Background:
Ananya Singh is five years old. She has been studying in
‘Little Learners Academy’ for the past two years. She has been brought up
by both her parents. She lives in a joint family. Ananya’s mother has
issues with her in laws and thus does not allow Ananya to mix with
anybody at home. She is disturbed by her father’s behavior at times when
he throws and breaks her toys in anger.
Medical Background:
There was no medical background available.
Academic and Teacher’s input:
When the pilot project was done Ananya was in Jr. kg., now
she is in Sr. kg. During the ABT sessions in the pilot project, she enjoyed
dancing and singing loudly, though her speech was unclear and slurred.
She could colour within given area very well. She could name all primary
and tertiary colours. She could recognize some of the alphabets capital
and small. She could write numbers 1 to 10 but could not recognize a
single number randomly.
Creation:
Ananya’s main area of need was in the domain of speech and
narrative capability, recall memory/cognition and group interaction
Page 33
domain. Initial focus was to enhance vocalization, basic vocabulary, along
with cognition (recall memory). Further develop her group interaction
skills and build her confidence through artistic media. Ananya showed a
lot of improvement in the pilot study in speech, which were reported by
her mother. Ananya came up as a meticulous and quiet child in the
beginning. Slowly inhibitions left her and she started enjoying the
sessions. She started making an effort to speak even if she was incorrect.
She enjoyed all games, she was helpful and co-operative, infact she
inspired the group to help the author with clearing the room. She even
helped her peers when needed. After the pilot project, when she was
administered with Seguin Form Board Test (SFBT), she scored 91 which
ranges in the average category. Refer Appendix B-III. Ananya loved to
dramatize. She even improvised during games with the author. She loved
painting with colours and crayons. She has a good aesthetic sense. In one
of the sessions the group was instructed to fill up all the space of a large
paper with water colours. They all decided to make hand impressions on
the paper. Ananya said, she enjoyed doing it but it looked untidy. In the
same activity she was the one who initiated cleaning the therapy room.
She got a mop from the ancillary staff and inspired the entire group.
Ananya played djembe with the mallet in the beginning but
later she used her hands. She could follow the rules and instructions in
the first go. She loved to narrate stories in the therapy session at home.
She is a visual learner and could do sequencing and jigsaw very well. She
could understand emotions like happy, sad, and angry. Ananya is good
with details in her drawing. She started singing though many sounds were
unclear. She could not hum the tune of the song she sang.
After 30 sessions her mother reported better concentration
and comprehension, improved memory and speech. She gained weight
and looked happy. Her confidence had increased. According to Ananya’s
mother Ananya showed a change in her attitude i.e. from impossible she
transformed into “I M Possible”. Refer Appendix B-I.
Page 34
After 30 sessions even the teachers reported increased
confidence in her. She appeared happy and not only participated but also
initiated in activities. Most of the sounds she said are clear except for
some. She had started initiating conversations with adults and peers.
Refer Appendix B-I.
The SFBT administered on the 34th session showed a score of
100 in her IQ with a raise of 9 points compared to her pre-session test.
Refer Appendix B-III.
On the last session her mother shared that at first Ananya’s
father did not believe in any therapy but now he has started appreciating
Ananya’s progress.
Page 35
2. AkshatSharan
Family Background:
Akshat is a 3 years and 9 months child studying in ‘Little
Learners Academy’. He has repeated the Nursery class this year as he
could not attend school most of the time due to his ill health. Akshat has
been brought up by both of his parents. He lives in a nuclear family and is
the youngest among two siblings.
Medical Background:
There was no medical history except delayed milestones and asthama.
Academic and Teacher’s input:
Akshat was not present in the pilot study. The inputs were
available from the teacher. Akshat cried while coming to school. He did
not give eye contact and would not respond to his name. He did not speak
to anyone and looked uncomfortable in the class. He was very irregular to
school due to ill health and the parents decided to repeat him in Nursery
again.
Creation:
Akshat’s main area of need is in the domain of Speech and
Narrative capability, attention, mindfulness and group interaction domain.
Initial focus is to enhance vocalization and basic vocabulary, build up his
attention span. Further develop his group interaction skills and build his
confidence through artistic media. He joined late and missed first three
sessions and some sessions in between because of ill health.
Page 36
When he joined on the fourth session he was quiet and
appeared to be shy. Slowly he started participating in all activities though
hesitant. He could follow instructions at times but attention was flickering.
After about 10 sessions he spoke couple of words. He
enjoyed drama but beats on the djembe were random. Akshat enjoyed
games like treasure hunt. After 5 more sessions he sang his favorite
rhyme he got a few words, some words were missing, some were his own
words. His song was not comprehensible but he had started. Now he
started taking interest in drumming, he was even getting better with
following instructions. He could still not do story sequencing. He started
enjoying colouring activity but could not colour in the given area. He
repeated sounds of vowels and consonants well except ‘v’ and ‘w’. Refer
Appendix A-II.
After 30 sessions the parents reported improvement in
speech, his sociability increased like he greeted new people when he met
them. His vocabulary increased and he also started speaking in phrases
instead of words. Refer Appendix B-I.
After 30 sessions the teachers reported Akshat as a well-
adjusted child, his social anxiety had almost gone. He appeared to be
happy when he came to school. He had become active in the class. He
tried to sing and mirrored the teacher; he gave eye contact and followed
all instructions carefully. Akshat did not respond to his name earlier which
he had started doing it now. He mingled with everybody in class and
looked comfortable all the time. Refer Appendix B-II.
The standardized reports that were administered on Akshat
were Vineland Social Maturity Scale (VSMS) as he could not perform on
the Seguin Form Board test (SFBT) within the stipulated time frame. His
Social Quotient on VSMS was 100 in the pre session study. When the
same test was repeated on the 34th session his SQ came up to 120 which
brought him in the above average category. Refer Appendix B-III.
Page 37
BACKGROUND AND CREATIONFOR CHILDREN
WITH SPECIAL NEED:
1. YashChavan
2. Yash Joshi
3. YashDubey
1. YASH CHAVAN
Family background:
Yash is 5 years old. He hails from a nuclear family being
youngest of the twins. Yash has been brought up by both his parents and
they live in a housing society. His father works abroad and is here twice a
year for a fortnight or a month every 5 to 6 months.
Academic and Teacher’s input:
Yash was studying in Jr.kg in ‘Little Learners Academy’ when
the pilot project was submitted. Now he is in Sr.kg. Yash only spoke to
some of his teachers and his twin sister. His speech was unclear and
slurred. There was a lot of irrelevant talk in his communication. He was
low on confidence probably because his twin sister can speak clearly.
There is a possibility that he gets compared to her by relatives and
families. He did not show much interest in reading and writing but
completed task under firm loving instruction. He was not a friendly child
with his peers. Yash gave up easily and cried easily. Refer Appendix B-I.
Page 38
Medical background:
There was no medical history.
Creation:
Yash’s main area of need is in the domain of speech and
narrative capability, attention/ mindfulness, confidence, group interaction
domain, comprehension and memory in cognitive domain. Initial focus
was to develop attention and do a lot of Oral motor exercises and sounds.
Further focus was to work on language skills i.e., Narrative Capability,
develop his group interaction skills and build his confidence through
artistic media. The therapeutic goals of speech, attention and Memory
were chosen as they are pre-requisite for learning. On administering the standardized Seguin Form Board Test
(SFBT),Yash came up as a Mildly Mentally Challenged child. His attention
was also flickering which affected his short term memory. His fine finger
co-ordination was under developed. This test was administered in the 2nd
session. Refer appendix____.
Yash loved to come in the ABT class. He enjoyed playing
djembe. Infact he was the only one who could play the djembe with both
his hands. He has a good sense of timing. He is an auditory learner and
followed all instructions well*. Yash enjoyed dramatizing stories in class.
He was good with jig-saw puzzle. He loved to do Zen painting. Yash was
not able to initiate a conversation on his own.Refer Appendix A-II.
After about 17 sessions, the teachers and parents
complained about Yash being naughty in class as well as at home. This
meant he was gaining confidence to express himself the way he wanted.
Lots of love and compassion themes were introduced in the group to calm
Yash, which help to a certain extent.
Page 39
Now, Yash had started enjoying colouring activities. His grip
on the crayon was better. He completed the colouring activity happily
without being coaxed or pushed. His imagination was improving, once he
made small little dabs on the paper when asked he said they were his
teeth. He had now started initiating communication with the author in
terms of choice of games to be played.
After 30 sessions, parents reported he had started asking
relevant questions, reporting what had happened in school/ ABT class.
Irrelevant talk had reduced. Refer Appendix B-I.
The teachers reported better eye hand co-ordination. He
exhibited autonomy, improvement in comprehension. He was now ready
to experiment new ideas and suggestions. He does not get bullied and
appears cheerful. His attention has improved and he has started taking
initiative in class. Speech is still unclear but is comprehensible.
The standardized post-test reports were surprising. His
attention span cameupto 4 minutes and 32 seconds from 3 minutes and
02 seconds. Memory increased. The intelligence scores were now 110 as
compared to 60 in the pre-test. This brought him to the Average category
from Mildly Mentally Challenged category. Refer Appendix B-III.
Page 40
2. YASH JOSHI
Family Background:
Yash is 4 years old. He is youngest of the two siblings. He is
brought up by both his parents. They live in the joint family in a housing
colony.
Academic and Teacher’s input:
Yash was in Nursery when the pilot project was submitted
now he is in Jr.Kg studying in ‘Little Learners Academy’. He needed to be
guided and instructed at least twice for the desired input from him. Yash
could point out alphabets and numbers from four choices, but could not
recognize them. He could count bottle tops upto 10 and show the
corresponding flash cards. His fine finger grip was not age appropriate.
His speech was unclear and could speak only a few words. He was low on
confidence and needed to be coaxed for participation. Refer Appendix B-
II.
Medical Background:
There was no medical background available.
Creation:
Primary concern was attention/ mindfulness, recall memory/
cognitiondomain,group interaction domain and speech and narrative
capability.The speech and narrative capability were chosen as they are
pre-requisite for learning. Initial focus was to enhance vocalization, basic
vocabulary and mindfulness. Further focus was to develop Group
interaction skills and build his confidence through artistic media.Yash
reported very late for the ABT session. He missed the first three sessions
in the beginning. And last five sessions due to domestic reasons.
Page 41
In the pilot study, Yash was hesitant in the beginning for a
couple of sessions but later he started enjoying. He started repeating
sounds loudly. After about five sessions he started taking initiative. He did
not like the djembe, but liked playing the shakers. Though he could
arrange the story sequentially but still had inhibitions dramatizing it. He
loved enacting animals, birds, vehicles, etc in the group. He liked
colouring with crayons.
After 30 sessions, his parents reported increase in
vocabulary and a little clarity in speech. His teachers reported improved
eye hand co-ordination, increased confidence. He has started expressing
himself like his pleasures and displeasures. His speech has improved. He
has become independent. Attention has increased with better conceptual
understanding. He has started initiating in activities. His fine finger has
improved and can colour well with crayons. He appears chirpy and
cheerful all the time.
When the standardized tests were administered in the pre
session he scored 85 on Seguin Form Board Test. This put him in the dull
normal category. The same test when administered towards the end, the
scores were 93 which brought him to the Average category. His attention
in the pre session was measured as 1 minute and 53 seconds whereas in
the post session it measured 4 minutes and 37 seconds.
Page 42
3. YASH DUBEY
Family Background:
Yash is 8 year old. He has been diagnosed as Cerebral Palsy,
spastic type. Yash is brought up by both his parents in a nuclear family.
He is the youngest among two siblings. He lives in simple condition in a
housing colony.
Academic and Rehab Teacher’s input
Yash has been in ‘Little Learners Academy’ for the past two
years. He was in Junior Kg when the pilot project was submitted, now he
is Senior Kg. Yash is cheerful, enthusiastic and affectionate child. He loves
to take initiative in learning new things. There is no distinct speech and
he lacks precise fine finger co-ordination. He follows instructions promptly
and can relate well to his teachers. He did not interact much with his
peers. During oral singing session in school he vocalized loudly.
Medical background:
Beside Cerebral Palsy (CP) there is no medical history. Every
month there are incidences when he suffers from severe cold and cough.
Creation:
Yash’s main area of need is in the domain of Body and narrative
capability.Initial focus was to enhance vocalisation, basic vocabulary and
motor coordination especially fine motor skills. Further, focus wasto
develop his group interaction skills and build his confidence by expression
through arts.
Page 43
In the pilot project, Yash came up as a co-operative child willing to
participate in all activities. He not only inspired the author in the session
but the children in the group who were hesitant and shy. Due to CP his
hands are affected, but it was amazing to see him trying to use his hands
in the game.
After the pilot project, Yash showed a lot of improvement.
Because of his ‘Never say die attitude’, he could beat on the djembe with
lot of efforts, but he made sure he tried hard. He could do 4/ 6 pieces jig-
saw puzzles. He understood the rules of the games at times. His
vocalization was now sounding like words. He said words like ‘mama’,
‘pani’ which made him feel very happy. After the 12th session, Yash fell
sick and could not come for 10 sessions. The whole group missed him.
Infact the author could turn it into a conversation opportunity by making
imaginary phone calls to him. It was also an opportunity to build empathy
and compassion in the group by wishing for Yash’s speedy recovery. Yash
came back on the 23rd session looking physically weak but as usual in
high spirit. He started saying more words like ‘billi’, ‘bhai’, ‘didi’. The
happiest moment in the session for him was when he could do frog jumps
(ofcourse not like others) and when he could express his feelings through
appropriate gestures. This could happen as everyday there was drama in
the session in someway or the other. Yash is high on empathy, when
someone else was absent he would express in gestures and the group
would guess that the person had fever and that he had gone to the
doctor. After 30 sessions his teachers reported increased eye-hand co-
ordination in Yash. He had now started taking initiative with peers. He
could express himself better in gestures. Earlier Yash vocalized during
singing sessions in his school. Now he mirrors the teacher and does all
the action in his capacity.
The standardized reports that were administered pre
period were Seguin Form Board Test (SFBT), Vineland Social Maturity
Scale (VSMS) and Informal Assessment. The VSMS was administered as
he could not complete the SFBT in the stipulated time and so could not be
Page 44
scored. His social age came up as 2 years and 6 months. The informal
assessment showed he could identify colours and shapes. When the post-
test was administered on the 34th session VSMS was not required as he
could do the SFBT and scored 44 which indicated moderate mentally
challenged. His mental age was increased to 3 years and 6 months. He
was able to draw circle and square and was able to print his name without
any support.
Yash’s parents could not perceive the change in him as the
teachers and the author felt. His father does not have time and mother is
unable to accept the mental capacity of her child.
Page 45
RESULTS
The therapeutic goals were:
1. Speech
2. Attention
3. Cognition : Memory
The tools used on the above mentioned domain were:
Rhythm (Djembe)
Voice
Drama
Visual Arts
Using Rhythm and Visual arts help building attention. The
spill over was seen on memory. For example: when rhythms was done
with sounds the pulse sound was called ‘Aa’ and the tone sound was
called ‘ee’, the children remembered the beats as ‘Aa’ ‘ee’ even in the
next session. New pattern of ‘AaAa’ ‘eeee’ was made later which was also
memorized easily. This shows a clear relationship between attention and
memory. Even the standardized reports show increase short term
memory due to increase in attention span as clearly seen in the case of
Yash Joshi and YashChavan. Refer Appendix B-III.
Visual Arts was initially used for self-expression which turned
into an attention enhancing tool. The children now began to concentrate
and colourwithin the given area for a longer time as compared to the
earlier session. Voice, was done to stimulate speech and language. The
group did sounds of consonants and vowels with actions, which was voice
and drama. This also helped them to attend effectively and retain the
sounds with action. The actions to the sounds helped them to retain the
sounds. Sometimes, the actions were cues for the children to recall the
sounds. Stories and sequencing the stories helps stimulating the cognitive
domain of memory. This gave the children an opportunity to converse, if
Page 46
not converse indicate with gestures whatever they wanted to express. It
was seen that regularity was equally important, as children who came
regularly for most of the session showed more improvement than those
who were irregular and joined in the sessions late, refer Appendix B-II.
Thus, working on attention enhanced memory and speech
and working on speech enhanced memory and attention directly or
indirectly.
YashDubey improved on body domain that is motor
development as there were lots of gamesevery day. He tried walking on
the rope and jumping like a frog stretching and eating apples like a giraffe
and so on…. He could express himself well, because of the drama activity
every day.
Almost all the children improved in body domain, cognitive
domain, comprehension and group interaction domain which were not the
therapeutic goals the author had chosen to work on.
Page 47
The evaluation tools used were:
1. Rating scale (WCCLF) by author and teachers.
2. Session Record Sheets (SRS) (WCCLF)
3. Teacher’s feedback pre and post session
4. Parent’s feedback post session
5. Clinical Psychologist’s feedback
6. Standardized test
a. Vineland Social Maturity Scale (VSMS)
b. Seguin Form Board Test (SFBT)
c. Informal Assessment
7. Video recording
The author has chosen two types of tools to analyze the
study they are:
a. Quantitative analysis
b. Qualitative analysis
The standardized test and the Rating scales by the author
and the teachers are quantitative analysis, whereas teacher’s feedback,
parent’s feedback, SRS, video recording are the qualitative evaluations.
The teacher’s feedback in the pilot project session co-related
with the rating scale to derive the therapeutic goals. Later, the
standardized test co-related with the rating scale as well as the teacher’s
feedback.
After working with children for 35 hours, the parent’s
feedback co-related with the teacher’s feedback in the case of
YashChavan, when he started asserting himself. There were other
parameters of other children which also co-related with the teacher’s and
parent’s feedback. Common parameters emerged were increased self-
confidence and social skills, alertness, chirpy and cheerful behavior at
home and in class in all the children. The teacher’s feedback and the
Page 48
parent’s feedback co-related with the SRS and the video recording. Refer
Appendix A-I and C-III.
Finally in the 34th session when the standardized test
wasrepeated the readings of YashChavan co-related with all the
evaluation tools. In the case of YashDubey, the readings co-related with
the entire evaluation tool except the parent’sfeedback as they probably do
not accept disability of their child. Ananya Singh’s qualitative feedback is
richer than the standardized test report. The parents and the teachers
find a lot of qualitative transformation in Ananya which does not show up
in quantitative evaluation. The qualitative feedback given by Yash Joshi’s
parent did not co-relate with the qualitative feedbacks of teacher’s, SRS,
rating scale and standardized test. AkshatSharan’s parent’s feedback co-
related with all the evaluation tools.
Page 49
LIMITATIONS
Arts based therapy (ABT) bridges the gap between conscious
and unconscious mind enabling self-expression. It can bring light to the
areas of therapy that are blocked, inhibited and stuck. It allows the client
to discover new insight and meaning that might not be achieved by
traditional talk therapy. It enhances a person’s emotional spiritual,
cognitive and physical well-being. It is an alternative mean of
experiencing thoughts, feelings and conflicts for those who find verbal
expression difficult. It is helpful when victims have been threatened not to
talk about a traumatic incident.
On the other hand, it has limitations too! Material cost could
be expensive and have to be managed. It requires an appropriate setting
and place enough for fluid media. It may interfere with the beliefs of
some population for example, as in the case of YashDubey. It requires a
lot of planning as compared to talk therapy. In Academics, the spillover of
this therapy may be direct or indirect, for example, dealing with a child
with learning difficulties would help him enhance his self-confidence,
attention, memory, conceptual understandings, etc, but it would still need
a support of a special educator to enhance reading and writing skills. This
therapy along with Special Education for children with special need would
help the child holistically and the progress would be ten folds.
ABT is a good tool for self-expression but to take it to the
next level other therapies like talk therapy may be needed.
Page 50
LEARNINGS
The research hypothesis states:ABT can significantly
improve speech, attention and memory in mixed population of
children with special needs and children at risk.
In a small sample size of 5 children refer Appendix A-I. And a time
frame of 35 hours, the study was conducted in ‘Little Learners
Academy’. The author has tested the hypothesis with the evaluation
tools. It shows qualitatively and quantitatively that there is a
significant improvement in the domains of speech, attention and
memory, refer Appendix B-I, II and III. It was also seen that while
working on these domains there was an improvement even in the body
domain, the cognitive domain of conceptual
understanding,comprehension and group interaction domain.
The biggest learning for the author is ‘Learning can be fun’.
This is why the author chose this caption to be the title for this study.
Most children are threatened by the thought of going for extra classes/
therapy. This group enjoyed coming for the ABT session every single
day. All absenteeism in the group was due to health issues.
Self-expression can be healing and that is when the learning takes
place. The author could see some inhibitions go away with the colours,
some with the games they played, some with drama opportunities and
some with drumming and singing sessions all bundled and mixed with
fun!
There was some structure in the authors mind but the children did
not feel bounded by the structure. This encouraged them to be
themselves. Infact, for some, they were able to discover themselves!
The similarities which the author can find can relate to her
experience in the literature review on page no 7 line 15 it says:
Page 51
Singing or the act of producing musical sounds with the voice has the
potential to treat speech abnormalities because it directly stimulates
the musculature associated with respiration, phonation, articulation
and resonance. Singing requires breathing to be regulated in order to
sustain notes. It also results in higher vocal intensity (Tonkinson,
1994) and vocal control (NetkeDonath and Kalveram, 2003) than thus
speaking. The author can relate this to all the children as the group
progress on speech domain is the highest that is, 36%. Refer Appendix
B-I, II and III.
An another similarity which the author can relate to from the
literature review is on page no 6 line no 7 which says:
Recent research reviews indicate that drumming accelerates physical
healing, boost the immune system and produces feeling of well-being,
a release of emotional trauma and reintegration of self by
PhylameanaLiaDesy. This can be related to all the children in the
group. Refer Appendix B-I, II and III.
Page 52
FUTURE After completion of the 35 sessions, the author had a
meeting with the parent and explained the standardized reports to them.
The sessions still continues as the author feels that the children still need
support and they would lapse if support is withdrawn. There are other
therapeutic goals in this group which also need attention which could be
addressed in these sessions. Right now, the sessions continue thrice a
week. The author proposes to slowly discontinue by taking two sessions a
week, gradually decreasing it to one session a week and finally stop them.
Then the author proposes to have a meeting with parents and help them
to help their children at home. The author also proposes to make a
support of group these parents where they could share their issues or
short comings with each other. Further, the author would meet the
parents once in a month to speak to them, help them if necessary and
motivate them if need be for the next 6 months.
After this group is terminated the author proposes to work
on the next group of children in ‘Little Learners Academy’. The author also
proposes to work voluntarily for a tribal school in National Park, Borivali
(East).
APPENDIX ‘A-I’
DEMOGRAPHAICS
Age 3 years to 8 years
Gender 4 are males and 1 female
Background All are from middle class
Other Relevant
Info
2 are from joint family and 3 are from nuclear family
Page 53
Page 61
APPENDIX ‘B-I’
PARENT’S FEEDBACK FOR AKSHAT SHARAN
Dear Madam,
We are able to see improvements in Akshat in the following aspects:
1. He has improved in talking skills (Speech). He has started using
two/ three words statements.
2. He recites poems but the pronunciation in unclear. He learns the
tune and rhythm of the poem but is not confident with word
pronunciation.
3. He imitates the activities taken up at school, at home.
4. He greets new people/ peers.
5. He greets us “good morning” after waking up in the morning.
We request you to guide us for further guidance to make him learn
more new words.
Regards,
ArtiSharan
Page 62
PARENT’S FEEDBACK FOR ANANYA SINGH
Dear Madam,
We are able to see improvements in Ananya in the following
aspects:
1. Her self-confidence has boosted.
2. She has improved health-wise.
3. She has started speaking nicely.
4. She tries to attempt certain things which we feel she can’t do.
5. She tells us what the teacher and her school friends tell her at
school and how she behaves with them.
6. She pays attention towards studies.
7. She stays happy these days.
8. She helps us in our daily activities at home.
9. She has started remembering things. (memory has improved)
We thank you for all these improvements in her.
Regards,
Sonal Singh
Page 63
PARENT’S FEEDBACK FOR YASH CHAVAN
Dear Madam,
We are able to see improvements in Yash (YashChavan) in the
following aspects:
1. Yash’s primary problem was that he didn’t speak properly, but
now he speaks a lot. 70- 80 % of improvement we have seen
because of ABT classes conducted by Little Learner’s Academy.
2. Earlier he never asked curiosity based questions like why, when,
how, what, etc. but now he asks, speaks and shares his feelings
with me and specially his sister.
3. He never used to discuss things at school, but now he tells me
what teacher has taught him at school.
4. His memory level and understanding has improved a lot.
5. He is more confident now and also finds interest in other skills.
Thanks to Little Learners for taking interest to develop our child
in a proper direction.
Thanks,
Shubhangi Sanjay Chavan.
Page 64
PARENT’S FEEDBACK FOR YASH JOSHI Dear Madam, I am very grateful to you for conducting extra classes for my son. Yash has opened up. He plays with his brother and sister and tries to converse with them. His confidence level has increased. He talks about activities done at school. He readily goes to ABT class.
Thanks, Regards,
Mr. SantoshJoshi.
Page 65
PARENT’S FEEDBACK FOR YASH DUBEY
Dear Madam, Yash has shown improvement in his writing and doing his homework. He has started saying few words.
Thanks, Regards,
NituDubey.
Page 66
APPENDIX ‘B-II’
TEACHER’S FEEDBACK FOR AKSHAT SHARAN
(PRE-SESSION)
Dear Ma’am,
This is regarding AkshatSharan studying in Nursery ‘D’ in our
school. Akshat cries every day when he comes to class. He does not give
eye contact. He only sits in one place, does not mingle with his peers. His
speech is not developed. Lastly, he is not regular to class.
Please help me to help this child.
Thanks,
Regards,
SnehaMahale
Page 67
TEACHER’S FEEDBACK FOR AKSHAT SHARAN
(POST-SESSION)
Dear Ma’am,
This is regarding AkshatSharan studying in Nursery ‘E’ in our
school.This year the changes in Akshat are quite remarkable. Akshat
comes happily to school. He is quite active and tries to sing poetries with
action. He mingles with everybody. He started giving eye-contact now
and responds to his name immediately. He listensand follows all
instructions carefully.
Thanks,
Regards,
SnehaMahale
Page 68
TEACHER’S FEEDBACK FOR ANANYA SINGH
(PRE-SESSION)
Dear Ma’am,
This is regarding Ananya Singh studying in Junior Kg in our
school.Ananya is a loving child. She has to be persuaded to take part in
class activities. She takes time to understand instructions and follow
them. She showed fear and apprehension when new concepts are
introduced. She believes all activities are difficult and she will always do
it wrong. She needs teacher’s approval for trivial things. She lacks
confidence. Her speech is unclear which is difficult to understand.
Please help me to help this child.
Thanks,
Regards,
Kavita Rajput
Page 69
TEACHER’S FEEDBACK FOR ANANYA SINGH
(POST-SESSION)
Dear Ma’am,
This is regarding Ananya Singh studying in Senior Kg in our
school.Ananya has shown lot of changes after attending ABT class. She
enthusiastically comes to school. She is happy in class. She is more
confident and is ready to participate in all class activities. She has put on
weight. She has started saying most of the sounds clearly. She waits for
an opportunity to talk to the teacher.
Thanks,
Regards,
Kavita Rajput
Page 70
TEACHER’S FEEDBACK FOR YASH CHAVAN
(PRE-SESSION)
Dear Ma’am,
This is regarding YashChavan studying in Junior Kg in our
school.Yashis a quiet boy. He hardly mingles and speaks to his peers and
teachers. When asked something he has difficulty in saying full
sentences. He repeats same words frequently and answers in phrases.
He looks listless, unenergetic and does not like to participate in class
activities. He has to be called several times to make him listen to us. He
falls short of his own ideas and hardly takes initiative in class. He does
not like to read and write. He easily gets bullied by his peers.
Please help me to help this child.
Thanks,
Regards,
SayliDudwadkar
Page 71
TEACHER’S FEEDBACK FOR YASH CHAVAN
(POST-SESSION)
Dear Ma’am,
This is regarding YashChavan studying in Senior Kg in our
school.After the ABT sessions Yash, appears to be a happy and
enthusiastic child. He looks forward to come to school. He can cope with
his classwork. He has become independent. Example: organizing his
belongings in his bag, wearing his shoes/ floaters. He shows interest in
class and has become more attentive. He follows all instructions
promptly. He tries to experiment new ideas though with his own sister
while playing. His emotional outburst is more free and spontaneous.
Repetition of words in his vocabulary has been reduced to a large extent.
He has started speaking in sentences which we can understand. He does
not get bullied anymore and looks comfortable in class.
Thanks,
Regards,
SayliDudwadkar
Page 72
TEACHER’S FEEDBACK FOR YASH JOSHI
(PRE-SESSION)
Dear Ma’am,
This is regarding Yash Joshi studying in Nursery ‘B’ in our
school.Yash cannot sing his poems fully;he only says the last words. He
does not mingle with anybody in class and finds it difficult to relate to
adults also. He shows low confidence. He can recognize some alphabets
and numbers. He cannot colour properly with a crayon in a given area.
Please help me to help this child.
Thanks,
Regards,
SapnaTanna
Page 73
TEACHER’S FEEDBACK FOR YASH JOSHI
(POST-SESSION)
Dear Ma’am,
This is regarding Yash Joshi studying in Junior Kg in our school. Due
to ABT, Yash has become little confident and has started expressing
himself freely in class. His speech has improved. His conceptual
understanding has improved. He has become independent and takes
part in all activities.
Thanks,
Regards,
SayliDudwadkar.
Page 74
TEACHER’S FEEDBACK FOR YASH DUBEY
(PRE-SESSION)
Dear Ma’am,
This is regarding YashDubey studying in Junior Kg in our
school.Yash is an enthusiastic boy. He enjoys the singing session but he
can vocalize (without speech because speech is yet to develop.). He does
not interact much with his peers. He can follow one step instructions. He
has to be persuaded for writing.
Please help me to help this child.
Thanks,
Regards,
MeenaSambhare.
Page 75
TEACHER’S FEEDBACK FOR YASH DUBEY
(POST-SESSION)
Dear Ma’am,
This is regarding YashDubey studying in Senior Kg in our
school.After the ABT, Yash has started trying to copy from the board. He
still vocalizes during the singing session but now he tries to imitate the
teacher’s actions. He tries to express himself through understandable
gestures. He has started speaking some words. His health issues and
absenteeism is a hindrance in his performance.
Thanks,
Regards,
Kavita Rajput.
Page 76
YASMIN SIDDHIQUI
Counselling Psychologist
Umrao Hospital
Mira Road
To whomsoever it may concern
The IQ evaluation of children, in the pre-test and the post-test
indicated a vast difference. In one of the child the IQ increased by 50
points. It can be attributed to the ABT training classes. Lot of difference
was observed in children. In one of the child, where the child was unable
to do the test in the pre-test was able to do perform in the post-test.
Attention span has increased by 2 to 3 minutes. Memory has
increased. Fine motor co-ordination is improving. The ABT classes have
definitely attributed to significant increase of minimum 10 points and
maximum 50 points in IQ. On comparison with children who are unable to
complete the course those children were found to be at the same level or
have increased minimal. ABT has made positive changes in children who
are regular and completed all the sessions.
Thanks,
Regards,
Mrs YasminSalimSiddqui.
(Clinical Psychologist)
Page 77
APPENDIX ‘B-III’
Rating Scale – Children with special needs by WCCLF
These were the parameters chosen by the author to rate children with
special needs. They are relevant to the feedback given by teachers before
beginning the pilot project.
The parameters for Speech are:
1. Can discriminate between similar sounding speech sounds (fear/
hear).
2. Can repeat sound patterns which s/ he hears.
3. Can repeat short phrases.
The parameters for Memory are:
1. Can describe how to go from one place to another (age
appropriate).
2. Is able to locate objects within surroundings.
3. Can draw a floor plan of the therapy room.
4. Understands the rules of age appropriate games.
5. Can read
6. Can Spell
7. Can remember information or instructions, and talk about it.
8. Can learn movements taught, and repeat them with eyes closed,
9. Can discern shapes of objects, with his/ her eyes closed using
touch.
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10. Can describe how to go from one place to another (age
appropriate).
The parameters for attention are:
1. Barely manages to focus on task/activity, hardly any eye-contact.
2. Sustains attention on task/ activity at hand for some time.
3. Concentrates for long time on set task/ activity even when there are
distractions.
4. Can alternate and divide attention between two simultaneous tasks/
activities.
5. Almost always shows a stable attention span accompanied with
being present in the moment.
The parameters for Narrative Capability are:
1. Vocalizes vowels and consonants.
2. Is able to utilize words with meaning.
3. Is able to create short simple sentences.
4. Gives meaningful and personal answers to open-ended questions.
5. Can narrate a story in correct sequence.
Page 79
Rating Scale for Children at-risk by WCCLF
These were the parameters chosen by the author to rate children at-risk.
They are relevant to the feedback given by teachers before beginning the
pilot project.
The parameters for Speech domain are:
1. Speaks in a normal volume and pleasant tone during normal
conversation.
2. Can discriminate between similar sounding speech sounds
(fear/hear)
3. Can repeat sound patterns which s/ he hears.
The parameters for Memory domain are as follows:
1. Can learn movements taught, and repeat them with eyes closed.
2. Can discern shapes of objects, with his/ her eyes closed, using
touch.
3. Can read appropriate to age and language familiarity.
4. Can spell appropriate to age and language familiarity.
5. Can remember information or instructions, and talk about it.
6. Is able to understand age appropriate number concepts.
7. Can describe how to go from one place to another (age appropriate)
8. Can draw a floor plan of the therapy room.
9. Understands the rules of age appropriate games.
10. Is able to solve simple problems by weighing options =,
considering alternatives, comparing and choosing.
11. Can pick up the moods/ feelings of other person by observing
facial expression, body language and tone.
The parameters for attention domain are as follows:
1. Is able to regulate actions when told to do so.
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2. Has the ability to regulate speech when told to do so.
3. Focuses/ sustains attention on tasks at hand in the midst of
distraction.
4. Completes given tasks on time.
5. Able to concentrate on a process until goal is achieved.
The parameters for Narrative Capability are:
1. Vocalizes vowels and consonants.
2. Is able to utilize words with meaning.
3. Is able to create short simple sentences.
4. Gives meaningful and personal answers to open-ended questions.
5. Can narrate a story in correct sequence.
Page 81
PSYCHOLOGICAL EVALUATION REPORT
NAME : AkshatSharan
AGE : 3 years 9 months
SEX : Male
INFORMANT : Mother
DATE OF REPORTING : July 2014
Akshat was referred for psycho educational evaluation. The reason for
referral was to evaluate him for his age appropriate developmental
milestones, & for his intellectual functioning.
BACKGROUND INFORMATION & REASON FOR REFERRAL
The clinical history indicates that he is a full term normal delivery with
diagnosis of Child Asthma at the age of 4 months. The developmental
history is suggestive of delayed developmental & speech milestones.
Family history is non-significant.
On observation he had no difficulty comprehending simple test
instructions. Sensory ability i.e. Vision and Audition was normal. Motor
abilities i.e. gross motor was adequate but fine motor was slightly
underdeveloped.
MENTAL STATUS EXAMINATION
TEST ADMINISTERED
• Vineland Social Maturity Scale (VSMS)
• Seguin Form Board Test (SFB)
• Informal Assessment
Page 82
TEST TAKING BEHAVIOUR
Child was co-operative for assessment. He was restless and easily
distractable.
TEST RESULTS
Vineland Social Maturity Scale (VSMS):
VSMS is a standardized record form designed to assess a child’s
developmental level in looking after his practical needs & taking
responsibilities in daily living.
This test focuses on what the child usually & habitually does, not on
what he can do.
The test was administered to determine the differential social
capacities & is considered to be equivalent of an IQ. The correlation
between the two is high i.ebetween .85 to .96.
The social quotient of “100” indicates “ Average” level of social
functioning.
The following areas were assessed
Visual Recognition
This area was assessed through tasks such as identifying parts of
the body, objects with their functions, picture vocabulary, pictorial
identification, discriminating between colours& geometrical shapes.
He was able to perform well in this area.
Page 83
Visual – Motor Co - Ordination
This area was evaluated through tasks such as drawing a circle,
square or a line etc.
He exhibits a minor problem in the area of fine motor manipulation as he
can scribble but speed & dexterity in writing still requires to be developed.
Memory
This sphere was evaluated through tasks such as delayed memory
tasks, naming objects from memory or repeating numbers.
His short-term-memory was affected by the attention shifts; he was
experiencing & hence found it difficult to perform these tasks.
Abstraction
This sphere was assessed through tasks in which one would have to
decipher the difference or similarities in properties between two
objects
This ability requires to be worked on.
Seguin Form Board Test (SFB)
In this test the child is required to insert 10 Variously shaped blocks
into the corresponding recesses as quickly as possible. It is a valid
“G” test to assess the IQ of the child. It is also a test of manual
dexterity.
The child was unable to complete the test within the time limit and thus could not be scored.
Page 84
IMPRESSION He exhibits the ability to grasp academic concepts, though his
intellect could have been affected by the lack of proper
environmental stimulation. Speech is not completely developed, and
thus this area also needs to be worked on. The child was at times
restless with difficulty engaging in leisure activities.
The Psycho-educational test indicates that the child is having
“Average”level of social functioning.
RECOMMENDATION
Parental Counselling.
Learning could be enhanced by the use of
teaching aids & demonstrative teaching
methods.
Re screening after a year.
Speech & language training is recommended.
Training in self-help skills & cognitive skills.
MrsShamimDeshmukh MrsYasminSalimSiddqui
(Counseling Psychologist) (Clinical Psychologist)
Page 85
PSYCHOLOGICAL EVALUATION REPORT
NAME : AkshatSharan
AGE : 3 years 9 months
SEX : Male
INFORMANT : Mother
DATE OF EVALUATION : 27th August 2014
BACKGROUND INFORMATION & REASON FOR REFERRAL
Akshat was referred for psycho educational evaluation. The reason for
referral was to evaluate him for his age appropriate developmental
milestones, & for his intellectual functioning.
The clinical history indicates that he is a full term normal delivery with
diagnosis of Child Asthma at the age of 4 months. The developmental
history is suggestive of delayed developmental & speech milestones.
Family history is non-significant.
MENTAL STATUS EXAMINATION
On observation he had no difficulty comprehending simple test
instructions. Sensory ability i.e. Vision and Audition was normal. Motor
abilities i.e. gross motor was adequate but fine motor was slightly
underdeveloped.
Page 86
TEST ADMINISTERED
• Vineland Social Maturity Scale (VSMS)
• Seguin Form Board Test (SFB)
• Informal Assessment
TEST TAKING BEHAVIOUR
Child was co-operative for assessment. He was restless and easily
distractable.
Vineland Social Maturity Scale (VSMS):
VSMS is a standardized record form designed to assess a child’s
developmental level in looking after his practical needs & taking
responsibilities in daily living.
This test focuses on what the child usually & habitually does, not on
what he can do.
The test was administered to determine the differential social
capacities & is considered to be equivalent of an IQ. The correlation
between the two is high i.ebetween .85 to .96.
The social quotient of “120” indicates “Above Average” level of
social functioning.
TEST RESULTS
The following areas were assessed
Page 87
Visual Recognition
This area was assessed through tasks such as identifying parts of
the body, objects with their functions, picture vocabulary, pictorial
identification, discriminating between colours& geometrical shapes.
He was able to perform well in this area as he could identify animals and objects. .
Visual – Motor Co - Ordination
This area was evaluated through tasks such as drawing a circle,
square or a line etc. He exhibits a minor problem in the area of fine
motor manipulation as he can draw but speed & dexterity in writing still
requires to be developed.
Memory
This sphere was evaluated through tasks such as delayed memory
tasks, naming objects from memory or repeating numbers. He could
recite numbers 1 to 10. His short-term-memory was affected by the
attention shifts; he was experiencing & hence found it difficult to
perform these tasks.
Abstraction
This sphere was assessed through tasks in which one would have to
decipher the difference or similarities in properties between two
objects
This ability requires to be worked on.
Seguin Form Board Test (SFB)
In this test the child is required to insert 10 Variously shaped blocks
into the corresponding recesses as quickly as possible. It is a valid
Page 88
“G” test to assess the IQ of the child. It is also a test of manual
dexterity.
The child was unable to complete the test within the time limit and thus could not be scored. IMPRESSION He exhibits the ability to grasp academic concepts, though his
performance test could not be scored. The observations suggest
that his intellect can be worked on by supportive and stimulating
environment. Speech is not comprehendible, and thus this area also
needs to be worked on.
RECOMMENDATION
Parental Counselling.
Learning could be enhanced by the use of
teaching aids & demonstrative teaching
methods.
Fine motor skills needs to be worked on.
Speech & language training is recommended.
Training in self-help skills & cognitive skills.
MrsShamimDeshmukh MrsYasminSalimSiddqui
(Counseling Psychologist) (Clinical Psychologist)
Page 89
PSYCHOLOGICAL EVALUATION REPORT
NAME : Ananya Singh
AGE : 4 years
SEX : Female
DATE OF EVALUATION : 19TH February 2014
INFORMANT : Mother
BACKGROUND INFORMATION & REASON FOR REFERRAL
Ananya was referred for psychological evaluation. The chief complaints
were difficulty in grasping academic concepts and to see her current
situation in school. The clinical history is indicative that she is a full term
gestation born child, to non consanguineous parents. Her developmental
milestones as reported by her mother are meeting at appropriate age
except for her speech milestones.
TEST ADMINISTERED
• Vineland Social Maturity Scale (VSMS)
• Seguin Form Board Test (SFB)
• Informal Assessment
TEST TAKING BEHAVIOUR
Ananyawas co-operative for assessment. Rapport was established
and sustained. She could comprehend test instructions. Eye contact
was established and sustained.
Page 90
TEST RESULTS
Vineland Social Maturity Scale (VSMS):
VSMS is a standardized record form designed to assess a child’s
developmental level in looking after his practical needs & taking
responsibilities in daily living. The information was provided by her
parents.
This test focuses on what the child usually & habitually does, not on
what she can do.
The test was administered to determine the differential social
capacities & is considered to be equivalent of an IQ. The correlation
between the two is high i.ebetween .85 to .96.
The social quotient of “94” indicates “Average” level of social
functioning.
Self – Help General
Ananya holds up head voluntarily (unassisted) with trunk erect for
indefinite period Picks up or takes objects within arm’s length. Sits
unsupported, balance may be unsteady, but body does not fall from
erect spinal posture.
Self – Help Eating
Chews solid or semi-solid foods. She is able to discriminate between
ordinary substances suitable or unsuitable for eating. She drinks
from cup or glass without assistance & can also unwrap candy.
Page 91
Communication
She uses articulate speech which reveals apparent imitative or
expressive attempts at words as something more than merely
pleasureable vocalization. She is able to follow simple instructions
and is able to use names of several familiar objects. There is also
ability to use short sentences or phrases or subject- object
combinations with vocabulary of about 25 words or more.
Locomotion
She is able to walk about room unattended, she goes about house,
and walks upstairs and downstairs unassisted. However going to
school or neighborhood requires frequent admonition or watching.
Occupation
There is an ability to play with simple objects, or engage in other
simple activities for quarter hour or longer without need of
attention. She is able to amuse self with crayon or pencil for brief
periods. She is able to perform useful errands on request, such as
taking or bringing named objects to or from nearby places.
Socialization
She reaches for familiar persons & demands personal attention. She
plays with other children, and there is an inability to participate in
coordinated group activity.
Page 92
Seguin Form Board Test (SFB)
In this test the child is required to insert 10 Variously shaped
blocks into the corresponding recesses as quickly as possible. It is a
valid “G” test to assess the IQ of the child. It is also a test of
manual dexterity.
The child obtained PQ of “91”, which falls in “Average” category.
INFORMAL ASSESSMENT
The following areas were assessed
Visual Recognition
This area was assessed through tasks such as identifying parts of
the body, objects with their functions, picture vocabulary, pictorial
identification, discriminating between colours& geometrical shapes.
She was able to identify colours& perform the task on pictorial
similarities & differences.
Visual – Motor Co - Ordination
This area was evaluated through tasks such as drawing a circle,
square or a line etc.
She exhibits fluency in the area of fine motor manipulation as she can
scribble and speed & dexterity in writing is well developed.
Abstraction
This sphere was assessed through tasks in which one would
have to decipher the difference or similarities in properties between
two objects
This ability requires to be worked on.
Page 93
IMPRESSION Ananya exhibits an ability to grasp academic concepts, as her
S.Q. falls in the “Average” level of social functioning, though her
intellect could have been affected by the lack of proper
environmental stimulation. Speech is not completely developed,
and thus this area also needs to be worked on. Since her IQ
falls in the Average category proper stimulation to encourage
her mathematical concepts will be beneficial.
RECOMMENDATION
Parental Counselling.
Learning could be enhanced by the use of teaching aids &
demonstrative teaching methods. Remedial training for
maths would be beneficial.
Speech & language training is recommended.
Re screening after a year of intensive Speech and
Remedial therapy
MrsShamimDeshmukh MrsYasminSalimSiddqui
(Counseling Psychologist) (Clinical Psychologist)
Page 94
PSYCHOLOGICAL EVALUATION REPORT
NAME : Ananya Singh
AGE : 4 years 6 months
SEX : Female
DATE OF EVALUATION : 27th August 2014
BACKGROUND INFORMATION & REASON FOR REFERRAL
Ananya was referred for psychological evaluation. The chief complaints
were difficulty in grasping academic concepts and to see her current
situation in school. The clinical history is indicative that she is a full term
gestation born child, to non-consanguineous parents. Her developmental
milestones as reported by her mother are meeting at appropriate age
except for her speech milestones.
TEST ADMINISTERED
• Seguin Form Board Test (SFB)
• Informal Assessment
TEST TAKING BEHAVIOUR
Ananyawas co-operative for assessment. Rapport was established
and sustained. She could comprehend test instructions. Eye contact
was established and sustained.
Page 95
TEST RESULTS
Seguin Form Board Test (SFB)
In this test the child is required to insert 10 Variously shaped blocks
into the corresponding recesses as quickly as possible. It is a valid
“G” test to assess the IQ of the child. It is also a test of manual
dexterity.
The child obtained PQ of “100”, which falls in “Average” category.
INFORMAL ASSESSMENT
The following areas were assessed
Visual Recognition
This area was assessed through tasks such as identifying parts of
the body, objects with their functions, picture vocabulary, pictorial
identification, discriminating between colours& geometrical shapes.
She was able to identify colours& perform the task on pictorial
similarities & differences.
Visual – Motor Co - Ordination
This area was evaluated through tasks such as drawing a circle,
square or a line etc.
She exhibits fluency in the area of fine motor manipulation as she can
scribble and speed & dexterity in writing is well developed.
Page 96
Abstraction
This sphere was assessed through tasks in which one would have to
decipher the difference or similarities in properties between two
objects
This ability requires to be worked on.
IMPRESSION
Ananya exhibits an ability to grasp academic concepts, as her P.Q.
falls in the “Average” level of social functioning. Speech is not
comprehendible. She has good memory. Since her IQ falls in the
Average category proper stimulation to encourage her mathematical
concepts will be beneficial. She confuses alphabets (capital, cursive
and lower case) when asked randomly.
RECOMMENDATION
Parental Counselling.
Learning could be enhanced by the use of teaching aids &
demonstrative teaching methods. Remedial training
would be beneficial.
Speech & language training is recommended.
Screening at the age of 8 to rule out LD.
MrsShamimDeshmukh MrsYasminSalimSiddqui
(Counseling Psychologist) (Clinical Psychologist)
Page 97
PSYCHO-EDUCATIONAL EVALUATION REPORT
NAME : YashChavan
AGE : 5 Years
SEX : Male
DATE OF REPORTING : 15th July 2014
BACKGROUND INFORMATION & REASON FOR REFERRAL
Yash was referred for psycho educational evaluation. The reason for
referral was to evaluate him for his age appropriate developmental
milestones, & for his intellectual functioning.
MENTAL STATUS EXAMINATION
On observation he had no difficulty comprehending simple test
instructions. Sensory ability i.e. Vision and Audition was normal. Motor
abilities i.e. gross motor and fine motor was underdeveloped.
TEST ADMINISTERED
• Seguin Form Board Test (SFB)
• Informal Assessment
TEST TAKING BEHAVIOUR
Child was co-operative for assessment.
Page 98
TEST RESULTS
The following areas were assessed
Visual Recognition
This area was assessed through tasks such as identifying parts of the
body, objects with their functions, picture vocabulary, pictorial
identification, discriminating between colours& geometrical shapes.
Visual – Motor Co - Ordination
This area was evaluated through tasks such as drawing a circle, square or
a line etc.
He exhibits a minor problem in the area of fine motor manipulation as he
can scribble but speed & dexterity in writing still requires to be developed.
Memory
This sphere was evaluated through tasks such as delayed memory tasks,
naming objects from memory or repeating numbers.
His short-term-memory was affected by the attention shifts; he was
experiencing & hence found it difficult to perform these tasks. His
attention span is 3 minutes and 2 seconds.
Abstraction
This sphere was assessed through tasks in which one would have to
decipher the difference or similarities in properties between two objects
This ability requires to be worked on.
Page 99
Seguin Form Board Test (SFB)
In this test the child is required to insert 10 Variously shaped blocks into
the corresponding recesses as quickly as possible. It is a valid “G” test to
assess the IQ of the child. It is also a test of manual dexterity.
The child scored “60”which falls in “Mild Mentally Challenged” category. IMPRESSION
Yash will have difficulty to grasp academic concepts, though his intellect
could have been affected by the lack of proper environmental stimulation.
Speech is not completely developed, and thus this area also needs to be
worked on. The child was at times restless with difficulty engaging in
leisure activities.
The Psycho-educational test indicates that the child is having “Mild
Mentally challenged” level of intelligence.
RECOMMENDATION
Parental Counseling.
Learning could be enhanced by the use of teaching
aids & demonstrative teaching methods.
Re screening after a year.
Speech & language training is recommended.
Training in self-help skills & cognitive skills.
MrsShamimDeshmukh MrsYasminSalimSiddqui
(Counseling Psychologist) (Clinical Psychologist)
Page 100
PSYCHO-EDUCATIONAL EVALUATION REPORT
NAME : YashChavan
AGE : 5 Years
SEX : Male
DATE OF EVALUATION : 27TH August 2014
BACKGROUND INFORMATION & REASON FOR REFERRAL
Yash was referred for psycho educational evaluation. The reason for
referral was to evaluate him for his age appropriate developmental
milestones, & for his intellectual functioning.
MENTAL STATUS EXAMINATION
On observation he had no difficulty comprehending simple test
instructions. Sensory ability i.e. Vision and Audition was normal. Motor
abilities i.e. gross motor and fine motor was found be be slightly
underdeveloped.
TEST ADMINISTERED
• Seguin Form Board Test (SFB)
• Informal Assessment
TEST TAKING BEHAVIOUR
Child was co-operative for assessment.
Page 101
TEST RESULTS
Seguin Form Board Test (SFB)
In this test the child is required to insert 10 Variously shaped blocks into
the corresponding recesses as quickly as possible. It is a valid “G” test to
assess the IQ of the child. It is also a test of manual dexterity.
The child scored “110”which falls in “Average” category. He obtained the mental age of 5 years 6 months. The following areas were assessed
Visual Recognition
This area was assessed through tasks such as identifying parts of the
body, objects with their functions, picture vocabulary, pictorial
identification, discriminating between colours& geometrical shapes. He
could name animals and objects
Visual – Motor Co - Ordination
This area was evaluated through tasks such as drawing a circle, square or
a line etc.
He exhibits a minor problem in the area of fine motor manipulation as he
can scribble but speed & dexterity in writing still requires to be developed.
He could write the alphabets, and also numbers, though it was asked in a
random manner.
Memory
This sphere was evaluated through tasks such as delayed memory tasks,
naming objects from memory or repeating numbers. He attention span
was 4 minutes 32 seconds.
Page 102
Abstraction
This sphere was assessed through tasks in which one would have to
decipher the difference or similarities in properties between two objects
This ability requires to be worked on.
IMPRESSION
Yash has the ability to grasp academic concepts, though his intellect could
have been affected by the lack of proper environmental stimulation.
Speech is not completely developed, and thus this area also needs to be
worked on.
The Psycho-educational test indicates that the child is having
“Average”level of intelligence.
RECOMMENDATION
Learning could be enhanced by the use of teaching
aids & demonstrative teaching methods.
Speech & language training is recommended.
Training in self-help skills & cognitive skills.
MrsShamimDeshmukh MrsYasminSalimSiddqui
(Counseling Psychologist) (Clinical Psychologist)
Page 103
PSYCHOLOGICAL EVALUATION REPORT
NAME : YashDubey
AGE : 8 Years
SEX : Male
INFORMANT : Mother
DATE OF REPORTING : July 2014
BACKGROUND INFORMATION & REASON FOR REFERRAL
Yash was referred for psycho educational evaluation. The chief complaints
were inability to speak (except few monosyllabic words) inability to
maintain eye to eye contact. The clinical history is indicative that he is a
known case of Cerebral Palsy.
MENTAL STATUS EXAMINATION
On observation Yash had difficulty comprehending simple test
instructions. Sensory ability i.e. Vision and Audition was normal. Motor
abilities i.e. gross motor and fine motor both are underdeveloped.
TEST ADMINISTERED
• Vineland Social Maturity Scale (VSMS)
• Seguin Form Board Test (SFB)
• Informal Assessment
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TEST TAKING BEHAVIOUR
Child was co-operative for assessment.
TEST RESULTS
Vineland Social Maturity Scale (VSMS):
VSMS is a standardized record form designed to assess a child’s
developmental level in looking after his practical needs & taking
responsibilities in daily living.
This test focuses on what the child usually & habitually does, not on
what he can do.
The test was administered to determine the differential social
capacities & is considered to be equivalent of an IQ. The correlation
between the two is high i.ebetween .85 to .96.
The social quotient of “49” indicates “Moderate Mental
Retardation ” level of social functioning. Thus also suggestive of
“Moderate Social Dysfunction”.
The following areas were assessed
Visual Recognition
This area was assessed through tasks such as identifying parts of
the body, objects with their functions, picture vocabulary, pictorial
identification, discriminating between colours& geometrical shapes.
He was unable to identify colours.
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Visual – Motor Co - Ordination
This area was evaluated through tasks such as drawing a circle,
square or a line etc.
He exhibits a minor problem in the area of fine motor manipulation as he
can scribble but speed & dexterity in writing still requires to be developed.
Memory
This sphere was evaluated through tasks such as delayed memory
tasks, naming objects from memory or repeating numbers.
His short-term-memory was affected by the attention shifts; he was
experiencing & hence found it difficult to perform these tasks.
Abstraction
This sphere was assessed through tasks in which one would have to
decipher the difference or similarities in properties between two
objects
This ability requires to be worked on.
Seguin Form Board Test (SFB)
In this test the child is required to insert 10 Variously shaped blocks
into the corresponding recesses as quickly as possible. It is a valid
“G” test to assess the IQ of the child. It is also a test of manual
dexterity.
The child was unable to complete the test within the time limit and thus could not be scored.
Page 106
IMPRESSION He will exhibits difficulty to grasp academic concepts, though his
intellect could have been affected due to the medical condition.
Speech is not completely developed, and thus this area also needs
to be worked on. The child was at times restless with difficulty
engaging in leisure activities.
The Psycho-educational test indicates that the child is having
“Moderate” level of social functioning. His social age is around 2
year 6 months.
RECOMMENDATION
Learning could be enhanced by the use of teaching aids &
demonstrative teaching methods.
Intensive support in educational aspects.
Re screening after a year.
Speech & language training is recommended.
Training in self help skills & cognitive skills.
MrsShamimDeshmukh MrsYasminSalimSiddqui
(Counseling Psychologist) (Clinical Psychologist)
Page 107
PSYCHOLOGICAL EVALUATION REPORT
NAME : YashDubey
AGE : 8 Years
SEX : Male
INFORMANT : Mother
DATE OF EVALUATION : 27TH August 2014
BACKGROUND INFORMATION & REASON FOR REFERRAL
Yash was referred for post ABT evaluation. Yash was able to speak (few
monosyllabic words) though his speech was unclear but he made efforts
to speak and imitate sound. The clinical history is indicative that he is a
known case of Cerebral Palsy.
MENTAL STATUS EXAMINATION
On observation Yash had difficulty comprehending simple test
instructions. Sensory ability i.e. Vision and Audition was normal. Motor
abilities i.e. gross motor and fine motor both are underdeveloped.
TEST ADMINISTERED
• Seguin Form Board Test (SFB)
• Informal Assessment
TEST TAKING BEHAVIOUR
Child was co-operative for assessment.
Page 108
TEST RESULTS
Seguin Form Board Test (SFB)
In this test the child is required to insert 10 Variously shaped blocks
into the corresponding recesses as quickly as possible. It is a valid
“G” test to assess the IQ of the child. It is also a test of manual
dexterity.
The child obtained the I.Q of “44” which indicates “Moderate Mentally Challenged”. The child obtained the mental age of 3 year 6 month. The following areas were assessed
Visual Recognition
This area was assessed through tasks such as identifying parts of
the body, objects with their functions, picture vocabulary, pictorial
identification, discriminating between colours& geometrical shapes.
He drew shapes of circle and square. He was able to print his name without any support.
Visual – Motor Co - Ordination
This area was evaluated through tasks such as drawing a circle,
square or a line etc. He exhibits problem in the area of fine motor
manipulation as he can print but speed & dexterity in writing still requires
to be developed.
Memory
This sphere was evaluated through tasks such as delayed memory
tasks, naming objects from memory or repeating numbers.
Page 109
His short-term-memory was affected by the attention shifts; he was
experiencing & hence found it difficult to perform these tasks.
Abstraction
This sphere was assessed through tasks in which one would have to
decipher the difference or similarities in properties between two
objects
This ability requires to be worked on.
IMPRESSION Speech is not completely developed, and this area also needs to be
worked on.
The Psycho-educational test indicates that the child is having
“Moderate”level of Mental functioning. His mental age is around 3
year 6 months.
Page 110
RECOMMENDATION
Re screening after a year.
Learning could be enhanced by the use of teaching aids &
demonstrative teaching methods.
Intensive support in educational aspects.
Speech & language training is recommended.
Training in self-help skills & cognitive skills.
MrsShamimDeshmukh MrsYasminSalimSiddqui
(Counseling Psychologist) (Clinical Psychologist)
Page 111
PSYCHO-EDUCATIONAL EVALUATION REPORT
NAME : Yash Joshi
AGE : 3 Years 8 months
SEX : Male
DATE OF REPORTING : 18th July 2014
BACKGROUND INFORMATION & REASON FOR REFERRAL
Yash was referred for psycho educational evaluation. The reason for
referral was to evaluate him for his age appropriate developmental
milestones, & for his intellectual functioning.
MENTAL STATUS EXAMINATION
On observation he had no difficulty comprehending simple test
instructions. Sensory ability i.e. Vision and Audition was normal. Motor
abilities i.e. gross motor and fine motor was underdeveloped. Speech is
not completely developed.
TEST ADMINISTERED
• Seguin Form Board Test (SFB)
• Informal Assessment
TEST TAKING BEHAVIOUR
Child was co-operative for assessment.
Page 112
TEST RESULTS
The following areas were assessed
Visual Recognition
This area was assessed through tasks such as identifying parts of the
body, objects with their functions, picture vocabulary, pictorial
identification, discriminating between colors & geometrical shapes.
Though he can discriminate between geometrical shapes , he need
assistance for objects with their functions.
Visual – Motor Co - Ordination
This area was evaluated through tasks such as drawing a circle, square
or a line etc.
He exhibits a minor problem in the area of fine motor manipulation as he
can scribble but speed & dexterity in writing still requires to be developed.
Memory
This sphere was evaluated through tasks such as delayed memory tasks,
naming objects from memory or repeating numbers.
His short-term-memory was affected by the attention shifts; he was
experiencing & hence found it difficult to perform these tasks. His
attention span is 1 minute and 53 seconds.
Abstraction
This sphere was assessed through tasks in which one would have to
decipher the difference or similarities in properties between two objects
This ability requires to be worked on.
Page 113
Seguin Form Board Test (SFB)
In this test the child is required to insert 10 Variously shaped blocks into
the corresponding recesses as quickly as possible. It is a valid “G” test to
assess the IQ of the child. It is also a test of manual dexterity.
The child scored “ 82”which falls in “Dull Normal” category. IMPRESSION
Yash may have difficulty to grasp academic concepts, though his intellect
could have been affected by the lack of proper environmental stimulation.
Speech is not completely developed, and thus this area also needs to be
worked on. The child was at times restless with difficulty engaging in
leisure activities.
The Psycho-educational test indicates that the child is having “Dull
Normal”level of intelligence.
RECOMMENDATION
Parental Counselling.
Learning could be enhanced by the use of teaching
aids & demonstrative teaching methods.
Re screening after a year.
Speech & language training is recommended.
Training in self-help skills & cognitive skills.
MrsShamimDeshmukh MrsYasminSalimSiddqui
(Counseling Psychologist) (Clinical Psychologist)
Page 114
PSYCHO-EDUCATIONAL EVALUATION REPORT
NAME : Yash Joshi
AGE : 3 Years 8 months
SEX : Male
DATE OF REPORTING : 18th July 2014
BACKGROUND INFORMATION & REASON FOR REFERRAL
Yash was referred for psycho educational evaluation. The reason for
referral was to evaluate him for his age appropriate developmental
milestones, & for his intellectual functioning.
MENTAL STATUS EXAMINATION
On observation he had no difficulty comprehending simple test
instructions. Sensory ability i.e. Vision and Audition was normal. Motor
abilities i.e. gross motor and fine motor was underdeveloped. Speech is
not completely developed.
TEST ADMINISTERED
• Seguin Form Board Test (SFB)
• Informal Assessment
TEST TAKING BEHAVIOUR
Child was co-operative for assessment.
TEST RESULTS
The following areas were assessed
Page 115
Visual Recognition
This area was assessed through tasks such as identifying parts of the
body, objects with their functions, picture vocabulary, pictorial
identification, discriminating between colors & geometrical shapes.
Though he can discriminate between geometrical shapes , he need
assistance for objects with their functions.
Visual – Motor Co - Ordination
This area was evaluated through tasks such as drawing a circle, square
or a line etc.
He exhibits a minor problem in the area of fine motor manipulation as he
can scribble but speed & dexterity in writing still requires to be developed.
Memory
This sphere was evaluated through tasks such as delayed memory tasks,
naming objects from memory or repeating numbers.
His short-term-memory was affected by the attention shifts; he was
experiencing & hence found it difficult to perform these tasks. His
attention span is 1 minute and 53 seconds.
Abstraction
This sphere was assessed through tasks in which one would have to
decipher the difference or similarities in properties between two objects
This ability requires to be worked on.
Page 116
Seguin Form Board Test (SFB)
In this test the child is required to insert 10 Variously shaped blocks into
the corresponding recesses as quickly as possible. It is a valid “G” test to
assess the IQ of the child. It is also a test of manual dexterity.
The child scored “ 82”which falls in “Dull Normal” category. IMPRESSION
Yash may have difficulty to grasp academic concepts, though his intellect
could have been affected by the lack of proper environmental stimulation.
Speech is not completely developed, and thus this area also needs to be
worked on. The child was at times restless with difficulty engaging in
leisure activities.
The Psycho-educational test indicates that the child is having “Dull
Normal”level of intelligence.
RECOMMENDATION
Parental Counselling.
Learning could be enhanced by the use of teaching
aids & demonstrative teaching methods.
Re screening after a year.
Speech & language training is recommended.
Training in self-help skills & cognitive skills.
MrsShamimDeshmukh MrsYasminSalimSiddqui
(Counseling Psychologist) (Clinical Psychologist)
Page 117
APPENDIX ‘C -I’
BIBLIOGRAPHY
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Guilford Publications
2. Malchiodi, C. (2006). The Art therapy source book. New York:
McGraw-Hill.
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4. http://www.artbeyondsight.org/handbook/az-art-
therapyprogram.shtml
5. http://news.bbc.co.uk/one/hi/business/3507109.stm
6. http://www.humdrumstrum.co.uk
7. http://www.humdrumstrum.co.uk/health.html
8. Bittman MD, Barry, Carlt. Bruhn, Christine Stevens, MSW, MTBC,
James Westengard Paul O, Umbach, MA “Recreational Music
Making-a cost-effective Group Interdisciplinary Strategy for
Reducing Burn Out and Improving Mood States in long term
careworkers”. Advances in Mind-Body Medicine, Fall/Winter 2003
Volume 19 No. ¾
9. Winkelman, Michael, Shamanism: The Neural Ecology of
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10. Bittman MD., Barry, “Composite Effects of Group
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Reno, NV: White Cliffs; 2000.
12. MIckenas Edward, “Drums not Drugs”, Percussive notes April
1999: PP 62-63 7.Diamond, John, The Way of Pulse Drumming with
Spirit. Enhancement books, blooming dale, IL. 1999
Page 118
13. Clinical research on the benefits of singing posted on 11th July
2013. The Neurochemistry of Music ( A meta study), Mona Lisa
Chanda, Daniel J Levitin, Department of Psychology, Mc Gill
University, Montreal, Quebec, Canada. Trends in Cognitive science
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Catherine Y Wan, TheodarRuber, AnjaHohmann, Gottfried Sehlaug
(2010) Journal: Music Perception Volume 27, No. 4, PP 287/295
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19. M.I Posner and M.K Rothvart “Research on attention networks
as model for the integration of psychological science” Annual review
of psychology 58 (2007) PP 1-23.
20. F.H. Rauscher, G.L. Shaw and C.N. Ky “Music and Spatial Task
Performance”. Nature 365 (1993) 611.
21. E.G. Schellenberg “Music lessons enhance IQ” Psychological
Science 15 (2004) 511-514.
22. K.L. Hyde, J. Learch, A. Norton, M. Forgeard, E. Winner, A. C.
Evans and G. Schlaug “Musical Training Shapes Structural Brain
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23. M.R. Rueda, M.I Posner and M.K Rothvart “ Attentional
Control and Self regulations” In handbook of Self regulations:
Research Theory and Applications, Ed. R.F.Bawmeister, and K.D.
Vohs 283-300 (New York Gillford Press 2004)
24. P. Chea, R. Rodriguez – Bailon and M.R. Rueda “Neuro
cognitive and Temperamental Systems of Early Self Regulations and
Early Adolescents Social and Academic outcomes.” Mind Brain and
Education 2 (2008) 177-187.
25. M.R. Rueda, M.K Rothvart, M.I Posner, P.D. McCandliess, L.
Saccomanno“ Training Maturation and Genetic Influences on the
Page 119
Development of Executive Attention.” Proceedings of National
Academy of Sciences 102 (2005) 4931 – 4936.
26. B. Wondell, R. Dorugherty, M. Ben – Sachar, D. Deutsch, J.
Tesang “ Training in Arts Reading and Brain Imaging Learning Arts
and the Brain” The Dana Consortuim Report 51-59.
27. E. S. Pelke “Effects of Music Instruction on Developing
Cognitive Systems at Foundations of Maths and Science.” Learning
Arts and the Brain: The Dana Consortuim Report 17-49.
28. http://www.dana.org
Page 120
APPENDIX ‘C-II’
CONSENT LETTER
To,
The Principal
Little Learners Academy
Subject: Consent for revealing the identity of my child ____________ in your study.
Dear Madam,
We have no objections in revealing the identity of my child____________________in your study in text as well as in the video.
Thank you,
Regards.
Page 122
ACKNOWLEGEMENT
The author would like to thank all one and all at WCCLF. To begin with AshaBalsara, ZubinBalsara, Anand and Deborah.
She would also like to express my heartfelt thanks to her local guide Ms. BhavishaSandhya
The author is thankful to all the staff of ‘Little Learners Academy’ particularly the Vice Principal Mrs. Kavita Rajput who mentored the author.
Last but not the least, thanks to the author’s family for encouragement and support.