The Case of Tommy – High Level Autistic Disorder

Final Project InstructionsFor the Unit 9 Final Project, you will evaluate a case study. Review each case provided on the Unit 9 Final Project content page and choose one to write about. In a well-presented paper, complete the following about the case:Introduce Case Study, describing the disorder including symptoms, manifestations, etc. Identifies the current DSM classification. Describes any genetic and environmental contributions to the disorder.Discusses the use of brain scans such as PET, fMRI, SPECT, etc., or other non-invasive brain monitoring techniques.Discuss the legal, ethical, and forensic issues which arise following a diagnosis of autistic disorder. (Hint: Discuss applicable mental health laws versus noncompliance due to challenges in meeting required standards of care due to funding limitations in the current managed care environment.)1. In a Background section, summarize the current DSM criteria (use the following website if you do not have a copy of the current DSM: http://behavenet.com/apa-diagnosticclassification-dsm-iv-tr) and description for the selected case study, making sure to include the following:a. What genetic and environmental contributions may influence this disorder?b. What brain abnormalities may be indicated for this disorder and what information might be revealed by use of brains scans such as PET, fMRI, SPECT, etc.c. What legal, ethical, and forensic issues arise following a diagnosis of dementia, stroke, or autistic disorder? (Hint: Discuss applicable mental health laws versus noncompliance due to challenges in meeting required standards of care due to funding limitations in the current managed care environment.)2. What interviews, tests, and assessment would you use to diagnose this disorder and what results do you expect from these tests and assessment? Describe the use of the following tests and assessments to describe the psychological disorder: 5 Assessments need to be used within this paper which are below A through E What type of data would you gain from each of the tools listed below?A. Use Differential Ability Scales subtests for Autistic Disorder.B. Assessment of Social Cognition (For the autistic disorder case study, use Autism Diagnostic Observation Scale — ADOS level 1 or 2. Do NOT use WAIS Picture Arrangement as it is too complex for children.)C. Assessment of Intellectual Ability and Achievement use Differential Ability Scales for autistic disorder with children (unless the child is very high functioning, in which case you can use WISC-IV).D. Use assessment of daily functioning Vineland for autism.E. Assessment of Executive Function use NEPSY battery for high functioning autistic disorder children.3. What recommendations for accommodations or rehabilitation do you suggest? 4. What prognosis do you make for your client? (Recommendations for rehabilitation and expected course of recovery)Your Final Project should:• Use 5-7 pieces of empirical literature in support of your observations and discussion. Each citation must be presented in appropriate APA format. All work should be in your own words with quotes used very sparingly.• Be presented in the form of a well-written university-level document.• Be approximately 7-10 pages, double-spaced, and created in 12 point font.• Use correct APA formatting per the APA Publication Manual (6th ed).• Demonstrate college-level communication through the composition of original materials in Standard American English.• Be written in Standard American English and be clear, specific, and error-free.Unit 9 Final Project Case StudyThe Case of Tommy – High Level Autistic DisorderTommy R. is a 6-year-old Caucasian male kindergarten student in a K-8 combined elementary and junior high school in the San Jose greater metropolitan area. He has a sister ahead of him in the third grade who is enjoying school with numerous friends. The school principal has requested a meeting with you (an elementary school counselor), the district psychologist, and the parents to discuss Tommy’s classroom behavior as well as his level of academic school performance. The principal has received numerous complaints from Tommy’s kindergarten teacher over the past 2 months about Tommy’s inability to comply with basic classroom rules and expectations as well as his difficulty in performing expected academic tasks. An IEP (Individualized Education Plan) process has been initiated.During the IEP interview with the parents, his father presents as a very shy, soft-spoken man who often works from home as a computer software engineer; his mother works in an office as an administrative support specialist, and in contrast, appears bright and vivacious. At the meeting the principal asks the parents what they have experienced while raising Tommy. The parents state that “Tommy has always been a little different, but he is a good boy.” They also say that he did not start talking until he was about 2 years old, but Tommy’s father interrupts and says, “I didn’t start talking until I was almost 2 years old and I turned out ok!” The mother states that Tommy has trouble on “play-dates” with other children. She says that when at a neighborhood park with Tommy, when he is playing in the sandbox with other children, he doesn’t share toys, sometimes hits other children when he is angry, and also cries in a shrill, loud voice when he doesn’t get his way.Tommy’s mother also says that he doesn’t have any “real” friends and that she has stopped taking him on play dates because he is too difficult to manage. She also reports that he doesn’t always respond to her voice when she calls. She has to touch his shoulder and directly look him in the eyes before he responds. She also says that he needs a lot of coaching and supervision to get dressed in the morning. His hand also has to be held tightly when crossing the street because he sometimes darts out into the street.Tommy’s kindergarten teacher reports that there are major problems with Tommy’s behavior in her classroom. She states that during circle time she has to have Tommy sit right next to her. She says it is necessary for her to put her hand on his shoulder and speak to him firmly and loudly in order to keep him in the circle. She says that his attention often wanders, he doesn’t follow directions like other children, and he sometimes appears either not to understand her directions or does not seem to care about what she says. She reports that he has hit other children who casually bumped into him on the playground or tried to get him “to share” toys. She also states that when he has to change activities he cries and rocks back and forth for 10 to 20 minutes before he can go on to the next activity.

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