Next Steps: Multidisciplinary Evaluation Team

As noted in your text, “As a result of the IDEA 2004 regulations, schools are moving toward a more global approach for the identification of students with suspected disabilities through the development of a district-based   team. This team may be referred to as the multidisciplinary team (MDT or MET) . . . This team usually comes into operation when the local school-based team (child study team) has conducted a screening and suspects a disability. Once that is determined, then the MDT or MET takes over. This team is mandated by IDEA 2004 so that the child and parents are guaranteed tha

Referral to Multidisciplinary Evaluation Team (MET) Case Study

 

Student: Scott

Grade: 1st

Age: 6

 

Background Information

· Very small for his age, constantly in motion.

· Usually looks very serious. When he is unhappy with something, he will scowl and make a high-pitched and long-lasting shriek; this happens 8-10 times every hour.

· Asks many questions, such as “Why?” “Where did that come from?” “What does this mean?”

· When engaged in something in which he has an interest, he becomes lively and animated and asks relevant questions as he is trying to figure out what is happening (lasts up to 7 minutes at a time).

· Enjoys trains and collecting coins; likes to build things with Legos or Lincoln Logs.

· Knows everything about local public buildings (city hall, library, schools) – number of windows and doors, when built, building materials, number of bricks each contains.

· Developed very particular likes and dislikes with food, e.g., he will only eat white or light colored foods, and nothing can be mixed together; he refuses to eat meat and many vegetables and fruits.

· Behavior problems surfaced about 15 months ago – easily frustrated, which resulted in throwing things, hitting, kicking, biting, and disrespect shown to parents, especially his mother.

· Mother has used timeout chair – can take from 5 minutes to 2 hours for him to regain control.

· Parents report that they do not take him out into the community, e.g., grocery store because of behavior. One parent stays home while the other goes out to do errands.

· Scott is extremely active. He stopped taking naps at the age of about 2½ and he cannot fall asleep until three or four hours after he is put to bed. He spends the time looking at books and playing with the toys in his room. As long as he stays in his room and is quiet, his parents leave a dim light on.

· Scott lives with his parents and older sister. The family goes on recreational outings together, including summer camping trips and weekend trips to visit family in another area of Wisconsin.

· Scott’s parents describe Scott as “interesting.” They have worked through many issues with their daughter (diagnosed with ADHD and bipolar disorder, she is not in special education) and feel that Scott will develop appropriate behaviors as time goes by.

· Defiance is an issue – incidents 10-15 times per day of yelling, stomping his feet, throwing things if he does not get his way.

· Scott will wander away from the yard – has gone up to six blocks away, crossing busy streets. This happens 3-4 times per month.

 

 

 

School History

· Mother requested district screening when Scott turned 3 years old because he refused to follow rules, and would tantrum when he could not get his way. Scott also showed a lack of interest in activities like coloring or drawing with markers or crayons, cutting paper, and repeating nursery rhymes. He would refuse to do these activities.

· Parents did not want to consider district early childhood programming and enrolled him at a structured preschool at age 4. His day was subsequently shortened to 2 hours and his parents had to pick him up early 1-3 times per week because of behavior (yelling, screaming, and refusing to follow directions; would not participate in any activities that involved drawing, coloring, or writing).

· Community summer programs were tried, but he was asked to leave because of behavior (ran out of the room, yelled, screamed, threw things).

· During the summer before he started kindergarten, his parents did not enroll him in summer school. They planned many family activities, but Scott was not in any kind of a structured program. They report that the number of tantrums decreased to 1-2 per day. However, the tantrums were more severe with longer recovery time.

· Placed in a blended kindergarten (5 special education and 11 regular education students with Kindergarten. and special education teacher team)

 

Concerns/Reasons for Referral

· Aggressive and disruptive behavior. Scott kicks and hits staff along with outright refusal to follow directives with yelling and screaming and throwing himself on the floor. Scott throws books and chairs and narrowly missed hitting a peer with a chair. These behaviors occur 4-6 times daily within a two-hour period.

· Unwillingness to follow directions for social or play activities. Scott says, “No,” or “I won’t” or refuses to speak and sits with arms crossed and head down with no movement toward doing what was asked, or runs and hides under a table.

· Refuses to do any activities involving scissors, paper, pencil, crayons, or markers.

· Isolates self in a corner or under a table.

 

Written Permission acquired for the use of:

Wisconsin Department of Public Instruction (2002).  DOING IT RIGHT:  IEP goals and objectives to address behavior.  https://sped.dpi.wi.gov/sped_sbiep

t any comprehensive evaluation be conducted by different professionals to decrease the possibility of subjective and discriminatory assessment.”

Review the “Referral to the Multidisciplinary Evaluation Team (MET) Case Study” to inform the assignment that follows.

After reviewing the case study, reflect upon the following in a 500-750 word essay

  • Who would be a participant in the MET?
    What role does each team player hold?
  • What background information does the case
    study illustrate that might be significant to the MET?
  • What objectives or concerns should the MET
    recommend for evaluation?
  • What assessment recommendations would you
    make? Include names of two specific formal and two specific informal
    assessments. Be sure to identify and describe at least one example that uses
    technology.
  • Rationalize your choices citing the case
    study provided.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located on the Student Success Center. An abstract is not required.

 

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