Vineland-II Parent/Caregiver Rating Form

Information obtained from Vineland-II Survey Forms Manual p. 43-44 I. Preparing for Administration

A. Complete front cover of record booklet B. Determine a starting point

1. Determine chronological age 2. Mark starting point for each subdomain

3. Cross out subdomains, the motor domain, or maladaptive behavior domain if you are not administering it.

II. Administrating the Parent/Caregiver Rating Form A. Establish Rapport with Parents

B. Review the form with parent so he/she understands how to complete it Explain Instructions

1. “Please read the directions and mark a rating for every item in each section after the start point circled or highlighted.”

2. “The items on this form cover a wide range. (Child’s name) is not expected to have all the skills described by all the items”

3. “Mark the rating that best describes how often the individual performs the behavior when it is needed, NOT whether the individual can perform the behavior.” 4. Mark 2 if ind. usually performs the behavior w/out help or reminders; mark 1 if ind. sometimes performs the behavior w/out help or reminders or performs part of the behavior w/out help; mark 0 if the ind. never or rarely performs the behavior or never performs it w/out help or reminders

5. Mark 2 if the ind. doesn’t perform a behavior b/c he/she has outgrown it.

6. “If you have a questions about an item, mark a 2, 1, or 0, but then circle the question mark to right of the item scores. Afterwards, we can talk about the question”. They can also write comments at the end of each section by referring back to the item number with the question mark. 7. Please let me know if you have any questions or need help while you complete the form. C. Ask parent to read directions on pgs. 3-4 in the record booklet.

D. Review the completed rating form 1. Correct starting points

2. Establish a basal (parent marks a score of 2 on four consecutive items)

3. All items above basal completed 4. Establish a ceiling ( four consecutive items scored 0)

5. Follow up with parent on items marked with DON”T KNOW . III. Scoring-See Manual

IV. Interpretation of Results 1. Describe general adaptive functioning

2. Describe performance in the adaptive behavior domains 3. Describe performance in the subdomains

4. Interpret the pattern of domain and/or subdomain standard scores to identify strengths and weaknesses

5. Describe Maladaptive Behaviors 6. Conclusions (put this in the summary sections of the assessment)