Reference no: EM133877824
Assignment:
Directions: Carefully review the below vignette. While identifying information has been changed, this is based on a real patient. Upon reviewing the vignette, answer the below questions.
Vignette: Caleb is a 12-year-old male who presented to your office for an evaluation.
He has a medical history of chromosomal abnormality at birth, resulting in significant cognitive delays and deficits. Caleb's Child Study Team at school has recently classified Caleb as having Specific Learning Disability in Reading, as well as a Specific Learning Disability in Math, and he receives group special education tutoring services for one hour per day in school. Caleb does not receive any services at home or in the community. His parents requested that you evaluate him due to concerns that Caleb is misdiagnosed and/or is not receiving appropriate services.
Upon completing your evaluation, you determine that Caleb has an IQ of 58. He has significant delays in his ability to care for himself and needs substantial support in areas such as basic hygiene and self-care (e.g., requiring assistance with cleaning himself after using the bathroom, requiring oversight to use a microwave). You also find that Caleb is functioning at a first-grade level across all major academic
subjects, including reading and math, despite being in the seventh grade.
Please provide a detailed answer to the questions below:
1. What is Caleb's diagnosis based on the vignette above? Also, ensure that you address whether Caleb's diagnoses of Specific Learning Disability in Reading and Specific Learning Disorder in Math is appropriate for him based on what you know from our lecture and readings, as well as any other sources you believe are relevant. Justify your diagnostic opinion.
2. Based on what you know about Caleb, are the services he receives in school enough? Why or why not?
3. What other services might Caleb benefit from?
4. What potential barriers do you believe may interfere with Caleb's progress in treatment?