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BaTPAO SPPCasus in het kader van Integratieve benadering van SPP
casuïstiek
Femke Dietens
Stageplaats: CAR Sint-Lievenspoort
2023-2024
,1 Inhoud
2 Inleiding............................................................................................................ 4
3 Handelingsgerichte diagnostiek .......................................................................... 5
3.1 Intakefase .................................................................................................. 5
3.1.1 Identificatiegegevens ........................................................................... 5
3.1.2 Reden van aanmelding ......................................................................... 5
3.1.3 Familieanamnese ................................................................................ 8
3.1.4 Ontwikkelingsanamnese ...................................................................... 8
3.1.5 Informatie verkregen van school ......................................................... 11
3.1.6 Informatie verkregen van privélogopedie ............................................. 12
3.2 Strategiefase ............................................................................................ 16
3.2.1 Sterktes en moeilijkheden .................................................................. 16
3.2.2 Criteria van Rutter.............................................................................. 18
3.2.3 Kenmerken onderwijsleersituatie ........................................................ 20
3.2.4 Kenmerken opvoedingssituatie ........................................................... 21
3.2.5 Hypothesen ...................................................................................... 21
3.2.6 Onderzoeksvragen ............................................................................. 23
3.2.7 Diagnostisch traject ........................................................................... 24
3.3 Onderzoeksfase ....................................................................................... 27
3.3.1 Vragenlijsten ..................................................................................... 30
3.3.2 Intelligentie-onderzoek ...................................................................... 35
3.3.3 Aandachtsonderzoek: Tea-Ch ............................................................. 38
3.3.4 Kritische blik testafnames .................................................................. 41
3.3.5 Spelobservatie en kinderpsychiatrisch onderzoek ................................ 41
3.3.6 Schoolobservatie .............................................................................. 44
3.4 Integratie- en indiceringsfase..................................................................... 48
3.4.1 Vormen van een integratief beeld ........................................................ 48
3.4.2 Is er sprake van een taalstoornis? ....................................................... 48
3.4.3 Is er sprake van een leerstoornis? ....................................................... 49
3.4.4 Is er sprake van een sociaal-emotionele stoornis? ............................... 51
3.4.5 Is er sprake van diepgewortelde faalangst? .......................................... 52
3.4.6 Is er sprake van een concentratieprobleem? ........................................ 52
1
, 3.4.7 Is er sprake van problemen met de executieve functies? ....................... 53
3.4.8 Is er sprake van een algemene
ontwikkelingsachterstand/ontwikkelingsvertraging? ........................................... 54
3.4.9 Is er nood aan multidisciplinaire revalidatie? ....................................... 55
3.4.10 Welke ondersteuning heeft P.M. nodig om zijn emoties te leren reguleren?
55
3.4.11 Welke ondersteuning heeft P.M. nodig om leerinhouden beter te kunnen
verankeren? .................................................................................................... 55
3.4.12 Welke ondersteuning heeft P.M. nodig om transfer te kunnen maken van
hetgeen hij heeft geleerd? ................................................................................ 56
3.4.13 Welke ondersteuning heeft P.M. nodig om te leren reflecteren over zijn
gedrag? 56
3.4.14 Welke ondersteuning heeft P.M. nodig om zijn aandacht te leren richten?
59
3.4.15 Welke aanpassingen/ondersteuning zijn noodzakelijk op school? ......... 59
3.4.16 Welke aanpassingen/ondersteuning zijn noodzakelijk in de thuiscontext?
62
3.5 Adviesfase ............................................................................................... 63
3.5.1 Besluit en advies ............................................................................... 65
4 Handelingsplan ............................................................................................... 73
5 Begeleiding ..................................................................................................... 76
5.1 Begeleiding: Bijlage 1 ................................................................................ 78
5.2 Begeleiding: Bijlage 2 ................................................................................ 82
6 Reflectie ......................................................................................................... 84
7 Psychologisch dossier ..................................................................................... 87
7.1 Neerslag intakegesprek ............................................................................. 87
7.2 Neerslag spelobservatie ........................................................................... 89
7.3 CBCL ....................................................................................................... 93
7.4 TRF .......................................................................................................... 95
7.5 VVGK – ouders .......................................................................................... 98
7.6 VVGK – leerkracht ..................................................................................... 99
7.7 Tea-CH ...................................................................................................100
7.8 WISC-V-NL ..............................................................................................104
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, 8 Bibliografie.....................................................................................................109
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