Mental Illness

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By William M Klykylo; Jerald Kay

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Our schools tend to be highly verbally and language oriented. Not all careers require such a strong emphasis in this area; some use performance abilities, for example. It is often difficult for the classroom teacher to realize the ability areas of children who exhibit low verbal and language abilities but stronger performance abilities. The Leiter International Performance Scale-Revised has the strong advantage of being a nonverbal test of intelligence [16]. 4 Comparison chart. Leiter-R WISC-IV WPPSI-III SB-4 WJ-R Completely nonverbal Yes No No No No Domains measured Visualization Reasoning Memory Attention Yes Yes Yes Yes Yes1 Yes1 Yes1 No Yes1 Yes1 No No Yes Yes Yes No Yes1 Yes1 Yes Yes1,4 ‘Growth’ scores Yes No No No Yes6 Age range 2–21 6–16 3–7 2–90 2–90 Appropriate for Cognitive delay ESL Limited English Learning disabilities ADHD Deafness TBI Communication disorders Diverse cultures Motor impaired Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes3 No No Yes Yes No5 No5 Yes5 No5 Yes2,5 Yes3 No No Yes No No5 No No No5 Yes2,5 Yes3 No No Yes Yes No5 Yes4,5 No5 No5 Yes2,5 Yes No No Yes Yes No5 Yes4,5 No5 No5 Yes2,5 Fast screening Yes No No No No 1.

Given the aversiveness of anxious reaction, this approach is often used immediately in treating an anxious child. There are refined behavioral techniques for assessing obsessive–compulsive disorder (OCD) in childhood [50]. The Leyton Obsessional Inventory-Child Version and the 20-item Leyton Obsessional Inventory are extremely helpful in assessment and treatment planning [50]. In addition, the Yale–Brown Obsessive– Compulsive Scale has specific instructions for children [50]. There is also a National Institute of Mental Health (NIMH) Teacher Rating of OCD [50].

The scale measures six dimensions of adaptive attitudes toward academic competition, responsibility, control, achievement, communication, and respect—as well as a total score that reflects a child’s overall potential for success in school. Second, Light’s Retention Scale can assist in objectifying the issues involved in retaining a child below his or her grade level [23]. This can be a difficult, emotional process of decision making, so it helps to have a systematic method of weighing the facts.

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