14 point followup monitoring protocol for weekly update of autism kids follow up

Format for giving information or follow up of your kid across whatsapp to Dr Kondekar

copy paste the following with answers

Name of child

Date of birth

City

Payment date and time and mode

See weekly symptom monitoring diary at http://bit.ly/monitoringautism

************


List changes as per--

Comparing now with two week back.. and send me pl

1. Eye to eye connection--

2.Concentration-

3-Obeying commands-

4.Response to sounds -

5. Unnecessary Jumping or running -

6.Biting mouthing throwing hitting hurting :

7.Sleep-

8.Constipation-

9.pointing, gripping, imitation, Writing -

10.Sounds from mouth-

11.Speech-

12. Pretend play, role play, Comprehension and Stories listening skills, sequential

13. Other (sensory issues/ school issues/behaviours)-

14. Mixing with peers in sitting games, group work

**********

List as gains and goals, rather than writing positives or negatives


List any medicine doses changed recently.


List any medicine couldn't be taken with number of days couldn't be taken. Read more at www.autismmumbai.com






for all post links click https://speechandsenses.blogspot.com/p/httpsspeechandsenses.html










A useful rule is to score the child's actual functioning during the week, not the best performance seen once.

Weekly 0–5 grading scale

ScoreMeaning
0Not demonstrated / severe difficulty
1Rarely demonstrated; requires continuous adult help
2Emerging; demonstrated occasionally with substantial prompting
3Demonstrated inconsistently; moderate prompting needed
4Usually demonstrated; minimal prompting
5Consistent, spontaneous, functional performance

For behaviors such as hyperactivity or aggression, reverse the scoring so that 5 = well regulated and 0 = severe/persistent problem.

Weekly Autism–ADHD Development & Behavior Follow-up Checklist

Child: ____________________
Age: _______
Week: __________ to __________
Diagnosis/clinical profile: ____________________
Reviewer: ____________________

A. BODY STEADINESS AND LEARNING READINESS

Domain0–5
1. Can remain seated appropriately___
2. Can remain seated without constant physical prompting___
3. Unnecessary motor activity is reduced___
4. Can maintain an appropriate posture during learning___
5. Can remain physically steady during conversation/story___
6. Can transition from movement to sitting___
7. Can remain in the learning area___
8. Body appears calm and organized enough to learn___

Weekly goal: __________________________________

B. NOTICING AND SOCIAL ORIENTATION

Domain0–5
9. Notices when an adult approaches___
10. Notices when someone calls or speaks to the child___
11. Notices relevant objects/events around them___
12. Orients toward the communication partner___
13. Looks toward the person speaking___
14. Maintains meaningful eye-to-eye connection___
15. Shares attention toward an object/activity___
16. Shows increased awareness of people around them___

Weekly goal: __________________________________

C. LISTENING AND AUDITORY ATTENTION

This section should be particularly important because the proposed model places listening before expressive language.

Domain0–5
17. Responds to spoken language___
18. Listens without immediately leaving the activity___
19. Listens without excessive visual distraction___
20. Listens to a short instruction___
21. Listens to two-step instructions___
22. Maintains attention during conversation___
23. Can listen to a story___
24. Listening duration has increased from last week___
25. Can listen without requiring constant repetition___
26. Demonstrates evidence of retaining what was heard___

Current sustained listening duration: ______ minutes

Target for next week: ______ minutes

D. RECEPTIVE LANGUAGE / UNDERSTANDING

Domain0–5
27. Understands familiar words___
28. Understands names of familiar objects___
29. Understands action words___
30. Understands simple phrases___
31. Follows familiar instructions___
32. Follows new instructions___
33. Understands questions___
34. Understands concepts such as size, location, quantity or sequence___
35. Understands language in everyday situations___
36. Demonstrates better understanding than the previous week___

Important weekly observation:
What does the child understand now that was not understood previously?


E. EXPRESSIVE LANGUAGE AND COMMUNICATION

Domain0–5
37. Uses meaningful sounds/words___
38. Uses words spontaneously___
39. Requests appropriately___
40. Names familiar objects/actions___
41. Combines words into phrases___
42. Uses sentences meaningfully___
43. Answers simple questions___
44. Communicates needs without behavior___
45. Initiates communication___
46. Uses language socially rather than only repetitively___

New words this week: ______
New phrases: ______
New sentences: ______

A key principle is to record understanding and communication separately. A child may understand substantially more than they can express.

F. COGNITIVE AND INTELLECTUAL LEARNING

Domain0–5
47. Learns a new concept___
48. Remembers previously learned information___
49. Matches/categorizes appropriately___
50. Understands simple sequences___
51. Solves simple problems___
52. Learns from verbal explanation___
53. Transfers learning to a new situation___
54. Demonstrates curiosity appropriately___
55. Can shift from one idea/activity to another___
56. Shows improved reasoning compared with previous weeks___

New cognitive skill acquired: ______________________

G. ATTENTION AND ADHD/HYPERACTIVITY

For this section:

5 = well regulated / minimal interference
0 = severe interference

Domain0–5
57. Can remain with one activity___
58. Reduced excessive movement___
59. Reduced impulsive leaving/running away___
60. Reduced grabbing/touching without purpose___
61. Waits briefly when asked___
62. Can shift attention when called___
63. Can complete a short task___
64. Can return to task after distraction___
65. Reduced distractibility___
66. Improved learning time during the day___

Estimated useful learning time/day: ______ minutes

H. EMOTIONAL REGULATION

Domain0–5
67. Recovers from frustration___
68. Tolerates “no” or delayed access___
69. Tolerates changes in routine___
70. Accepts adult guidance___
71. Can transition between activities___
72. Uses communication instead of distress behavior___
73. Recovers quickly after becoming upset___
74. Shows reduced anxiety during learning___

Longest episode of dysregulation: ______ minutes

Major trigger observed: __________________________

I. AGGRESSION / VIOLENCE / SELF-INJURY

For these items, use the reverse scale:

5 = absent or well controlled
0 = frequent/severe

Domain0–5
75. Hitting reduced___
76. Biting reduced___
77. Kicking reduced___
78. Throwing objects reduced___
79. Screaming reduced___
80. Self-injury reduced___
81. Aggression during demands reduced___
82. Aggression during denied access reduced___
83. Can recover without prolonged physical intervention___
84. Can communicate distress instead of becoming aggressive___

Number of significant episodes this week: ______

Previous week: ______

Main antecedent/trigger: __________________________

Successful response: ______________________________

For significant aggression, self-injury, or sudden behavioral change, this checklist should complement—not replace—a clinical assessment of medical, psychiatric, environmental, sleep, communication, medication, and safety factors.

J. FLEXIBILITY, CURIOSITY AND CONTROL OF ENVIRONMENT

This is particularly useful when a child becomes more knowledgeable and begins using that knowledge to control surroundings.

Domain0–5
85. Accepts another person's suggestion___
86. Accepts changes to preferred activities___
87. Tolerates waiting___
88. Accepts alternative choices___
89. Moves away from rigid routines___
90. Uses curiosity constructively___
91. Negotiates through communication rather than behavior___
92. Can return to learning after getting what was wanted___

K. SCHOOL READINESS

Domain0–5
93. Sits in a learning setting___
94. Looks toward the teacher___
95. Listens to teacher instructions___
96. Follows classroom routines___
97. Completes a short structured activity___
98. Listens to a story___
99. Understands the story___
100. Responds appropriately to questions___
101. Waits for a turn___
102. Participates without continuous one-to-one prompting___

Current story-listening duration: ______ minutes

Current independent learning duration: ______ minutes


Weekly Goal Sheet

Rather than trying to improve all 102 items simultaneously, select 3–5 priority goals each week.

Goal 1

Current score: ___ / 5
Target score: ___ / 5
Specific target: __________________________________

Goal 2

Current score: ___ / 5
Target score: ___ / 5
Specific target: __________________________________

Goal 3

Current score: ___ / 5
Target score: ___ / 5
Specific target: __________________________________

Goal 4

Current score: ___ / 5
Target score: ___ / 5
Specific target: __________________________________

Goal 5

Current score: ___ / 5
Target score: ___ / 5
Specific target: __________________________________

Weekly Progress Summary

What improved?


What newly emerged?


What remains the major barrier to learning?


What triggered deterioration?


What intervention appeared helpful?


What should be reduced or avoided?


What is the single most important goal for next week?


Suggested Developmental Dashboard

For quick clinical review, calculate a weekly average for six major domains:

DomainWeek 1Week 2Week 3Week 4
Body steadiness
Attention
Listening
Understanding
Communication
Regulation/behavior

This makes the trajectory visible.

The most important principle is that the goal is not simply to increase scores. The clinician should identify the developmental bottleneck. For example:

Poor sitting → work on regulation/steadiness.

Good sitting but poor noticing → work on orientation and engagement.

Good noticing but poor listening → work on auditory attention.

Good listening but poor understanding → focus on receptive language.

Good understanding but poor expression → focus on expressive communication.

Good language but poor flexibility → focus on cognition, social communication and behavioral flexibility.

This creates a dynamic weekly intervention cycle:

Assess → Identify bottleneck → Set small goal → Intervene → Reassess after one week → Move to the next developmental step.

The ultimate objective is not a child who merely sits quietly. It is a child who becomes progressively steady enough to notice, connected enough to attend, receptive enough to listen, capable enough to understand, and cognitively organized enough to think, communicate and learn.

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