This case report summarizes the mental health assessment of a 10-year-old male child, Q.Q., who was born with intellectual disabilities and impaired speech. He has a history of epilepsy and underwent surgery as an infant for hydrocephalus. Formal assessment shows Q.Q. has developmental delays across multiple domains, with skills ranging from 1-6 years old. He was diagnosed with moderate to severe mental retardation complicated by his history of hydrocephalus. The recommended treatment plan involves verbal behavior therapy, picture communication techniques, family education, and operant conditioning.
This case report summarizes the mental health assessment of a 10-year-old male child, Q.Q., who was born with intellectual disabilities and impaired speech. He has a history of epilepsy and underwent surgery as an infant for hydrocephalus. Formal assessment shows Q.Q. has developmental delays across multiple domains, with skills ranging from 1-6 years old. He was diagnosed with moderate to severe mental retardation complicated by his history of hydrocephalus. The recommended treatment plan involves verbal behavior therapy, picture communication techniques, family education, and operant conditioning.
This case report summarizes the mental health assessment of a 10-year-old male child, Q.Q., who was born with intellectual disabilities and impaired speech. He has a history of epilepsy and underwent surgery as an infant for hydrocephalus. Formal assessment shows Q.Q. has developmental delays across multiple domains, with skills ranging from 1-6 years old. He was diagnosed with moderate to severe mental retardation complicated by his history of hydrocephalus. The recommended treatment plan involves verbal behavior therapy, picture communication techniques, family education, and operant conditioning.
• Age: 10 years old • Gender: Male • Birth Order: 2nd • Number Of Siblings: 5 siblings • Source Of Information: Family and school teacher Presenting complaints • From 3months • Intellectual disability • Impaired speech • sometimes cannot follow the commands. • Hyper, epilepsy history. • Low IQ scores and • limitations in adaptive skills History of presenting complaints • In 2008, the main issue raised when the baby was three months old and he got sick. • A disease called epilepsy which is a chronic disorder of abnormal, recurring, excessive and self-terminating electrical discharge from neurons. • Due to that reason, the client had to go for the surgery and thus causing hydrocephalus, and to remove it the doctors had to go for the shunt surgery, a catheter (tube) that carries cerebrospinal fluid from a ventricle in the brain to another area of the body. Interview • Ethics: Informed consent was taken to inform the child’s mother about the research purpose, duration, procedure and the involved costs and benefits. She was also informed about the right to decline and withdraw at any time. Rapport building questions were considered at first for comfortable environment. Confidentiality and anonymity of the child’s family was considered the top priority. The recording of the audio tape was only be kept by the researcher and was destroyed after the research was reported. Observing any nervous responses was lead to dismissal of the questions. OBSERVATION: • Resistant • Shy • Constant Nail biting • Neat and clean • Couldn’t speak but understood my wordings and responded accordingly • Constant Sweating in his hands • Keen observer • Constant smile Formal assessment Scales Chronological age Developmental age
SOCIAL TRAINING 10YEARS 5-6 YEASR
PERSONAL CARE 10 YEARS 4-5 YEARS VOCALIZATION 10 YEARS 1-2 YEARS
MENTAL 10 YEARS 2-3 YEARS
QUALITIES BODY 10 YEARS 3-4 YEARS
MOVEMENTS DEVELOPMETNAL MILESTONES CHILD AGE OF ACHIEVEMENT NORMAL AGE OF ACHIEVEMNT
Grasping reflex 3 Month 2 Months
Neck holding 6 Month 4 Months
Sitting with support 9 Month 5-6 Months
Crawling 1 year 7-9 Months
Walking 2 year 1-1/2 years
Vocalization 10 Month 4 Months
Babbling - 6 Months
Toilet training 7 years 2 years
DIAGNOSIS • Mental retardation with hydrocephalus. • Severity-Moderate to severe • Not only IQ based criteria, but • Adaptive behavior • Severity based on three domains: • Conceptual. • Social • Practical Management plan • Verbal behavior therapy • Picture exchange communication technique • Family education • Operant conditioning