Our evaluation process
Changing
the brain:
Neurodevelopment
Approach
Our evaluation process starts by reviewing the
comprehensive developmental, medical, educational and social/behavior history
you provide. You may
print it from the website or request a hard copy be sent to you. Please
fill it out as completely as possible then mail to our office at CAN LEARN PO
Box 9233 Spokane, WA 99209. We do offer a 30-minute FREE phone
consultation. Please notify us that you’d like to take advantage of this FREE
consultation when submitting the history form. We will contact you to set an
appointment after 3 PM our time. We are requesting audiograms (hearing test)
with the applications.
Video evaluation
process: Follow the instructions above. After reviewing the
application/history form we will contact you with specific information on what
is needed in the video. After completing the video mail it to the office. We
will review the video design an individual in-home therapeutic program make a
video of the activities and how they should be done. E-mail and telephone
conferences are required every 2-3 weeks.
God designed us as an
integrated whole; each system the foundation for the next. The metabolic system
is vital to a child’s health. Problems in this area may include food or
chemical intolerance’s, low Thyroid or blood sugar (both are common problems),
parasites or Candida (yeast build-up) or other digestion problems, heavy metals
in the system, deficient in essential fatty acids and/or simple dehydration by
not drinking enough water. A combination of any of these conditions can make it
hard for the child to learn despite being provided remediation and the best
therapy. When a child’s general health and wellness are compromised, the
brain/body is not able to take advantage of learning opportunities.
I recommend consulting a
qualified clinical nutritionist to determine if the child is dealing with any of
these issues or if modification of the family diet can help your child.
One tool
for the neurodevelopment specialist is a developmental profile
where we can evaluate the central nervous system (CNS) present level of function
of an individual (adult or child) as compared to “normal” development. The
profile we use shows twelve levels of neurological function, four sensory and
four motor areas. The four sensory channels receive then process information
from the tactile, auditory, visual and emotional communication systems. The
motor channels, allows us to store and utilize the information received by the
senses-- in the same manner received, are the observable fine and gross motor
skills, speech and language, memory, academics, social/behavior, cognitive
levels, and muscle structure. Function (development) is a direct reflection of
how well the brain receives, process, stores and utilizes information from its
environment. If the information wasn’t received or processed efficiently the
motor area will show as poor function or development.
A second
tool is the brain’s (plasticity) ability to assume the function for a hurt or non-functioning area and to modify
or reorganize its structure and performance in response to its environment.
The brain can make new dendrites (branching)
to ‘detour’ completely around a hurt or non-functioning area, even crossing
hemispheres. Stimulation increases the number of connections within the
brain; and, as they increase so does efficiency and organization improving
function and development. The brain doesn’t stop developing new neurons as once
believed.
At CanLearn,
We believe all children
have unlimited potential when given the opportunity and specific stimulation.
We realize the severity of injury some children experience.
CanLearn can
not offer miracles and there are no silver bullets; but, we have also seen
miraculous improvement in children who previously not offered any hope or a
future.
A lack of function is not a
reflection of potential but rather lack of appropriate stimulation.
The evaluation process
starts by assessing function of the receptive (sensory) area.
Tactile system:
is the foundation and integrates into all other senses. We determine if
the child can move in many directions-waving the hands from one side of the body
to the other (cross midline)? Use muscle groups independently of others. Does
the child have ‘normal’ internal sensation (do he know when he’s hungry, in
pain, bladder control, muscle tone and motor planning)? Is he oversensitive to
surface sensation (tactile defensive)? Does he have a sense of ‘space’? Does
he have good coordination and balance? Can he use his limbs together and
separately? Does he have a ‘pincer grasp’? Can he use each side of the brain
separately or together? Has the body integrated into the other senses? Just
because a child is born with muscles and organs in the baggie called the skin,
doesn’t mean the brain knows they’re there. If the brain doesn’t know it ‘has’
a certain muscle or group of muscles it can’t use it/them. Stimulation
(exercise) will teach that area of the brain and it will cry out “there you
are!” and gain function! Many children struggle from the brain’s unawareness of
what it has and where it is.
Auditory and visual perception:
Can he make sense of
what he hears, discriminate between sounds, and locate sounds. Can the child
look and understand what he sees, rather than just being able to
see? There is a difference between sight and vision. Can the child make mental
pictures? Visualization is needed to learn.
Our program is unique in
that we evaluate emotional communication: Does the child
understand social cues? Can he calm herself? Has he formed relationships or
bond/attach to the caregiver? Can he participate in two-way conversation or
give single word answers? Does he understand body language or gestures? We
move on to the expressive channels.
Now that we have
determined how well your child’s CNS receives and processes information from its
environment lets look at the how efficient it is stored and utilized.
Fine and gross motor
skills: Can the child use their
hands in a controlled meaningful manner. Can he button, ties, write, feed self,
use hands together or independently? Can the child belly crawl, crawl on hands
and knees, walk, run, kick, climb, hop (one foot and both), skip, jump with
controlled movement, muscle strength and structure?
Language:
What level of listening (receptive) is
the child capable of? How can the child communicate (expressive)? What is the
quality of the child’s sounds (articulation)? Does the child have good tongue
and jaw movement or adequate oral sensation (oral motor)? Does the child
breathe through the mouth or nose? Does the child produce enough ‘air flow’ for
speech? Does the brain know it has all the muscle necessary for speech? Does
the child have an inner voice (can he hear himself think inside his head or does
he need to say everything out loud and talk himself through everything)? You
know the child they never shuts up, they can’t.
Processing skills
(short term memory): Vital for
learning. The brain must be able to hold together individual pieces of
information from its environment in order to understand, interrupt, or
categorize and do something with that information. If processing skills are
low, children often struggle to learn, are unable to learn phonics, don’t
understand consequences or actions, have poor cause-and-effect, make poor
decision, are impulsive and seem socially immature.
Cognitive (thinking)
ability and social/behavior: A
child with poor processing skills struggles to think, learn and understand the
world around them. They must live in the ‘here and now’ since for them there is
no yesterday or tomorrow just now. They are unable to understand consequences,
their own or other actions, are unable to ‘read’ body language or gestures,
don’t understand abstract thinking/logic or reasoning ability (time and money
among others). They are generally impulsive jumping from one job to the next or
relationships. Generally, school is a nightmare for the child and family as
they struggle to learn reading, writing and arithmetic skills; by high school
many drop-out. Suicide rate is tremendously high for this population of
children.
There is
hope…
in most cases a child’s struggles are only in
the brainstem area of the CNS. As these areas become organized the Cortex can
relax and do its job… learn and think! To watch the Cortex take over and learn
we administer the K-TEA achievement test. It isn’t unusual for reading, math
and spelling scores to jump 2-3 grade levels (sometimes more) in a year. The
struggling child’s face beams with joy when he/s sees how truly smart he/s
really is and the sky becomes the limits! I consider it a privilege to be part
of it all!
How do we put
it all together?
As mentioned earlier the CNS will
only change with specific stimulation in a consistent frequency, intensity and
duration three to five days per week. Less time doesn’t provide the necessary
amount of specific stimulation and is counterproductive.
Frequency
refers to how many times a day the child participates in an activity.
Intensity
refers to the strength of the input during the activity. I feel this is the
most important of the three but also the most difficult to maintain. If the
child loses interest or we feel we must push to ‘finish’ we lose productivity or
positive results. We may be able ‘to lead the horse to water but not make him
drink’. We might be able to make her sit for extended periods of time while we
go over and over the material; but, ultimately she has control over the
intensity (interest) of the input. If she is ‘turned on’ she’ll learn the
information quickly; if ‘turned off’ learning may never occur. Our staff spend
a great deal of time evaluating high interest, age appropriate activities for
all ages.
Duration
is how many minutes the child spends doing the activity. We try to keep the
times of input short so the child remains interested and positive.
Activities of long duration are counterproductive.
We believe parents are the
most effective teachers and are the true experts on their children, so YOU are
an integral part of any evaluation. YOUR observations and insight are
invaluable in determining the best remediation program for the child and
family. We provide the training, expertise and on-going support allowing you to
assume primary responsibility for your child’s development and learning.
Can Learn cannot offer miracles. There
are no silver bullets.
Our results are
not perfect but they are substantial, observable, and better than other more
restrictive methods.
To
schedule an appointment please call our
Academy
(509) 624-3109