Other Other Functional support/counseling Domain: _________________ Environmental modification: Other: _________________ Attention DAT w/strategies Steps performed Tracking filled Academic: Reading accurately during out by client: Writing Orientation Metacognitive probe using _________________ Note-taking strategy systematic Attending to lecture Memory instruction: instruction Tracking sheet filled Homework _________________ out by caregiver: completion Other_________________ Executive Time to complete _________________ Function SRSD for writing task Communication: Self-rating scale: Participating in Problem Other academic conversations Solving strategy instruction Accuracy at Increasing social involvement Direct Observation: Social cognition Self-Awareness _________________ _________________ Texting/emailing prompting for Recalling details of Social writing Number of correct conversations Communication information units Other_________________ External aid recalled _________________ training:/Assistive Psychosocial/Personal Technology for Self-rating scale: Care Cognition Managing symptoms _________________ Other: Behavioral health
Other Other Functional Domain: _________________ support/counseling Environmental modification: Other: _________________ Attention Orientation Memory Executive Function Problem Solving Self-Awareness Social Communication Academic: Reading Writing Note-taking Attending to lecture Homework completion Other_________________ Communication: Participating in conversations Increasing social involvement Social cognition Texting/emailing Recalling details of conversations Other_________________ Psychosocial/Personal Care Managing symptoms Behavioral health DAT w/strategies Metacognitive strategy instruction: _________________ SRSD for writing Other academic strategy instruction prompting for writing External aid training:/Assistive Technology for Cognition Steps performed accurately during probe using systematic instruction Time to complete task Accuracy at _________________ Number of correct information units recalled Self-rating scale: _________________ Tracking filled out by client: _________________ Tracking sheet filled out by caregiver: _________________ Self-rating scale: Direct Observation: _________________ _________________ Other:
BrICC_Rounds_Portfolio_6.29.17.docx