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VB-MAPP Language Milestones and Barriers Assessment.pdf

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This document presents an assessment of Jacob, a 3-year-old boy with autism, focusing on his language, learning, and behavioral barriers using the VB-MAPP assessment tool. ​ General Information Jacob is a 3-year-old diagnosed with autism, living with his parents and sister. ​ He had a vocabulary of about 10 words until age 2, after which he became nonverbal. ​ Jacob exhibits negative behaviors such as tantrums and aggression, alongside stereotypic behaviors like finger flicking and spinning. ​ The assessment aims to identify Jacob's strengths and weaknesses in language and social skills, as well as behavioral barriers affecting his learning. ​ VB-MAPP Milestones Assessment Results Jacob scored 31 out of 170 on the VB-MAPP Milestones Assessment, indicating language abilities at a developmental level of 12-16 months. ​ Strengths include visual perceptual skills, motor imitation, echoic skills, and play skills, while weaknesses are noted in manding, tacting, and listener skills. ​ Specific performance in key areas includes: Manding: Unable to ask for items without echoic prompts, scoring 1. Tacting: Unable to identify items verbally, scoring 0. ​ Listener Skills: Responded to his name but not to requests, scoring 2. Visual Perceptual Skills: Matched colored blocks and pictures, scoring 6. Play Skills: Demonstrated advanced play skills, scoring 8.5. Social Skills: Limited interest in peers, scoring 2.5. ​ Motor Imitation: Imitated over 20 actions, scoring 4.5. ​ Echoic Skills: Could echo sounds and words, scoring 4.5. Spontaneous Vocal Behavior: Rarely vocalized during activities, scoring 2. ​ Intervention Priorities and Recommendations ​ The immediate focus is on establishing a prompt-free mand repertoire, utilizing Jacob's echoic skills and motivation. ​ Following mand training, the program should incorporate tacting and listener skills, emphasizing a vocabulary of nouns and motivating verbs. ​ Consideration for sign language or picture systems may be beneficial if speech progress is slow. ​ VB-MAPP Barriers Assessment ​ Jacob scored 26 on the Barriers Assessment, indicating several barriers to learning, including: Impaired Manding: Echoically prompt-bound mands lead to negative behaviors when he cannot communicate wants. ​ Behavior Problems: Engages in escalating negative behaviors when demands are placed or reinforcers are denied. ​ Instructional Control Problems: Noncompliance with adult requests, often leading to negative behaviors. ​ Prompt Dependency: Reliance on prompts for communication and daily activities. ​ Impaired Tact and Listener Skills: Echoically prompt-bound, limiting effective communication and compliance. ​ Demand Weakens Motivators: High response requirements reduce motivation to engage. Impaired Social Skills: Limited interest in peers and aggressive behaviors when interacting. Self-Stimulation: Engages in self-stimulatory behaviors that compete with learning opportunities. ​ Overall Summary Jacob's assessment reveals significant language, learning, and behavioral deficits requiring an intensive intervention program based on Applied Behavior Analysis principles. ​ Immediate priorities include establishing functional manding, improving compliance, and reducing negative behaviors. ​ A qualified professional should design and monitor the intervention program, focusing on mand training and addressing identified barriers. ​ Long-term goals should include developing tacting, listener skills, and social skills, with specific IEP objectives outlined for measurable progress. ​ Suggested IEP Objectives ​ Jacob will mand for 20 different preferred items without echoic prompts and achieve at least 100 mands daily. ​ He will imitate 50 different motor actions, tact 50 new objects, and identify 50 new items as a listener. ​ Jacob will demonstrate a decrease in aggressive behavior by 75% and participate in group activities without negative behavior. ​ This summary encapsulates Jacob's assessment findings, intervention priorities, and suggested IEP objectives, providing a clear framework for his developmental support.

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VB-MAPP Language Milestones and Barriers Assessment

Name: Jacob __________
Date of Birth: 1/8/2009
Age: 3-years-old
Assessment Date: 1/12/2012, 1/17/2012
Report Date: January 20, 2012
Assessor: Mark L. Sundberg, Ph.D., BCBA-D

General information

Jacob is a generally happy and active 3-year-old boy with a diagnosis of autism who lives
at home with his parents Dennis and Carol, and his 5-year-old sister, Emma. Jacob had a
speaking vocabulary of approximately 10 words up until around the age of 2 when he stopped
talking. He was diagnosed with autism at 30 months old by the staff from California’s Regional
Center System. He was provided with an in-home treatment program along with a twice-weekly
preschool program designed for children with special needs. Jacob was identified as a nonverbal
child who often exhibited negative behaviors such as tantruming, screaming, throwing himself to
the floor, and hitting others. He also engaged in a variety of stereotypic behaviors such finger
flicking in front of his eyes, spinning in circles, and pushing things back and forth on the floor in
a repeated pattern.

The current report presents the results of an assessment of Jacob’s language, learning,
and social skills, as well as behavioral barriers that are interfering with his ability to learn more
advanced skills. The assessment tool used was the Verbal Behavior Milestones Assessment and
Placement Program (VB-MAPP) (Sundberg, 2008). This assessment program is based upon
Applied Behavior Analysis with a focus on Skinner's (1957) analysis of verbal behavior. The
VB-MAPP can help identify a student's strengths and weaknesses across a variety of critical
skills. The assessment also makes it easy to compare and contrast the child’s skills with those of
typically developing children. Jacob’s performance in each of the domains tested will be
presented, followed by an analysis of barriers that are affecting Jacob’s ability to learn. The
report will (1) present the results of the VB-MAPP Milestones Assessment, (2) present the
results of the VB-MAPP Barriers Assessment, (3) suggest intervention priorities and a program
designed to teach Jacob more effective language, learning, and social skills, (4) suggest direction
for an intervention program designed to ameliorate or remove his barriers to learning, and (5)
suggest specific IEP goals.

The VB-MAPP breaks language and related skills down into 16 different skill areas (or
domains). In addition to looking at the phonemes, words, phrases, and sentences that Jacob uses,
the assessment also identifies the conditions under which he emits those words. For example,
Jacob could almost perfectly echo the word “cow” after I said “cow,” but when asked to name
the cow when shown the cow and asked, “What is this?” he could not say “cow.” When he
wanted the cow to place it on a felt board he was unable to ask for the cow, and emitted negative
behavior instead. The value of using an assessment tool based on a functional analysis of
language (Skinner, 1957) is that we often find that a child has words in his vocabulary in one
domain, but not another (e.g., can echo but cannot ask). By assessing the occurrence of language

, under these various circumstances (functions) a more effective and individualized intervention
program that directly targets a child’s primary language needs can be developed. The following
language skills and instructional issues were relevant for Jacob and will be addressed in this
report (more advanced domains such as intraverbal, reading, writing, and math were not assessed
given Jacob’s performances on the beginning level of the VB-MAPP).

 Manding (asking to receive reinforcers, or to remove undesirable items or events)
 Tacting (naming things and actions in the physical environment)
 Listener skills (receptive language)
 Visual perceptual skills and matching-to-sample
 Motor imitation (copying the actions of others)
 Echoic (repeating the phonemes, words, and phrases of others)
 Play skills
 Social skills
 Vocal output
 Group learning skills
 Learning barriers (e.g., behavior problems, compliance, prompt dependency)

Results from the VB-MAPP Milestones Assessment

Jacob’s overall score on the VB-MAPP Milestones Assessment fell in the Level 1 range
as indicated by a score of 31 out of a possible score of 170 (see his attached VB-MAPP Master
Scoring Form). This places his language abilities around the developmental age of approximately
12-16 months. His scores were out of developmental balance showing some skills much stronger
than others. His general strengths were in the areas of visual perceptual and matching-to-sample
skills, motor imitation, echoic, and play skills; his weaknesses were in the areas of mand, tact,
and listener skills (which constitute the primary domains of early language development). A
specific analysis of his performance in each domain will be presented, followed by suggestions
for an intervention plan and IEP goals.

Manding (asking or protesting)

Despite the fact that Jacob could echo several phonemes and some whole words, he was
unable to use these words to ask for his desired reinforcers. The only way he could ask for
desired items was if he was given an echoic prompt. Without this type of prompt Jacob was
unable to independently ask for any reinforcers (his manding was “prompt bound”). Thus, he
received a score of 1 on the Level 1 mand assessment (see the attached VB-MAPP “Master
Form.”). He did have ways to indicate that he wanted specific items such as reaching for them,
holding up an item that required adult assistance (e.g., a cup when he wanted juice, a remote
control for a toy car), or standing by a specific location or item (e.g., the refrigerator, TV, door).
He would frequently and quickly engage in negative behaviors such as screaming, crying, and
hitting as a way to communicate his wants and needs for specific items or actions (see the
barriers section for more detail on these behaviors and their relation to manding). Jacob clearly
demonstrates motivation when there is something he wants, making mand training an excellent
place to begin his program. Establishing skills in this domain should be considered an
immediate priority for his intervention program.

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