Supplemental Evaluation Summary Outline

Supplemental Evaluation Guidelines

The report should be written in past tense except for two sections: client information and summary. Each section should describe the client’s strengths and interests that will enhance employment. When discussing deficits, describe the aspects of structure that will minimize the negative impact these deficits will have on successful employment. Use some examples to highlight important points.

The content of this report will change from client to client depending on the purpose of the evaluation. Some evaluations are occur at one specific site where as others are assessing more general information and take place in a variety of settings.

Remember the report should be written so that it could be read by the client, parent or professional. Supplemental Evaluation Summary Outline

Client’s Name: D.O.B.: ______Job Coach: SSN: ______Supervising TEACCH Staff: Date(s) of Evaluation:

Referral Information: Source of referral (TEACCH Center, VR, etc.) Purpose of evaluation Vocational placement prior to or during evaluation Last school attended. Diploma or Special education certificate.

Client Information: Age, diagnosis & functioning level Physical description (height, weight, distinguishing features) Current living situation Grooming habits Interests (vocational & recreational) Benefit information (SSI, SSDI, etc.)

Supplemental Evaluation: Site(s) of the evaluation. Vocational skills and behaviors assessed.

Vocational Skills: Divide this section into paragraphs that detail the different areas of vocational skills that were assessed such as clerical, domestic, food service, stocking or landscaping. Client’s strengths (passes) and emerging skills. Types of visual instructions, visual organization, visual clarity or support that were implemented which assisted the client with completing the tasks.

Vocational Behaviors (work habits): Divide this section into paragraphs that detail the vocational behaviors that were assessed that could be strengths for a client’s employment. Behaviors that could impede successful employment and the types of structure which were implemented to mediate these deficits. Client’s learning style

Communication: Expressive and receptive communication skills. What types of accommodations are necessary for the client to communicate with a job coach, co-worker or supervisor? How present information so that the client understands and follows through? Discrepancies between client’s ability to follow written versus verbal directions? Correlation between the client’s ability to communicate and the type of setting?

Interpersonal Skills: What interpersonal skills does the client demonstrate that will enhance or impede successful employment? Optimum environment for the client to interact and relate with others. Most effective teaching strategy to develop social skills? Client’s friends or support systems? Who initiates these contacts?

Mobility: How does the client access his community? Does the client rely on the assistance of other people? Are there any physical limitations that need to be considered for employment? How will the client get to work?

Independent Functioning: Format and presentation of daily schedules and visual systems that are implemented to assist the client develop independent skills. Short samples or diagrams are helpful. Describe the client’s ability to make decisions and give examples of strategies which are implemented to minimize the need for judgment. How does the client organize his time and prioritize responsibilities? What enhances or impairs his on task behavior? Indicate the client’s ability to take care of his personal hygiene and clothing. Coping skills and strategies.

Summary: Summarize the client’ strengths and weaknesses. State the optimum vocational placement(s), focusing on the client’s need for specific environments, job responsibilities, intensity of required support, and systems that they will need. Is funding necessary for long term support and has it been secured. State TEACCH’s potential role and responsibilities in the next phase of employment for this client.

Signatures: Job Coach Name and Title Supervising Staff Name and Title