A comprehensive evaluation for children and adults struggling with behavioral, attention, self-regulation, sensory, sleep or nutritional challenges
The S.A.N.E. Evaluation is a holistic multidisciplinary evaluation, incorporating assessment of gross motor skills, fine motor skills, sensory processing, social/behavioral function, sleep and nutrition. In children and adults with attention, sensory, motor or behavioral challenges, many of these areas overlap. Addressing and treating each of these areas can assist the individual in improving their daily function. During the evaluation, the therapist is not only looking at whether the individual 'can do' the task, but 'how' he does the task (i.e. 'how is he wired, and how is the nervous system handling the information and the task"?).
This is a 4 part evaluation in which the family/caregivers receive an extensive report with descriptions of function and recommendations for home and school as well as a 2 hour follow up meeting with the therapists to discuss the report. These reports can be used as a teaching tool and can assist in setting up programs both at home and school.
This evaluation can take place at our clinic or can be performed on site at schools, home or day program settings (for children or adults):
1. Before your first visit to us (or ours to you) we will mail you an extensive developmental history form which includes questions regarding your child/client's medical, nutritional, sleep, sensory and physical development. Please bring the completed form with you to the first visit along with any other reports/evaluations (from doctors, school, teachers, counselors, etc.) which are relevant to your child’s/client's care.
2. For children: The first visit is a comprehensive clinical evaluation with your child. The evaluation will be conducted in a playful manner, comfortable for your child. Areas that will be addressed will include assessment of alertness states and attention, reactivity to touch, sound, movement and visual sensations; muscle tone, reflexes, coordination, balance, communication, visual motor control, and hand skills. A standardized assessment tool may be used to measure your child’s performance against that of children of the same age. Additionally, you will be asked to give information about your child’s medical history, sleep patterns and diet. (Allow up to 1 ½ hours for this visit.)
2a. For Adults: The first visit is often at your location, either home, work or day program. During this visit, we will bring a variety of physical, and sensory items and activities to try with the individual, and will also spend time just 'observing' the good, the bad and the challenges. We will be observing the state of the nervous system, their sensory responses, vestibular function, arousal level and noting what types of sensations may be problematic. We will also spend time talking with support staff and taking detailed information on behaviors to complete the 'neurological puzzle"
3. Before your next visit the evaluating therapist will integrate the detailed information from the developmental summary, clinical observations, and /or other relevant documentation and develop a detailed report for you that includes a description of function, an understanding of the underlying challenges (sensory and/or motor) and detailed recommendations in all relevant domains for home/school or work environments (sleep, sensory, activities, nutrition, and environments).
4. Your follow up visit will be for ADULTS ONLY and will be an opportunity to review the report and recommendations with the therapist and to discuss your child/client at length. This visit can typically last up to 2 hours and is scheduled approximately 2 weeks after your child’s visit. Together we will develop an individualized treatment plan and/or discuss how to assist you in implementing the recommendations in your environment or at school.