|        A Resource for Teachers, Clinicians, Parents, and Students by the Brain Injury Association of New York State.|
Step 1: Organize observations relevant to the problematic behavior/issue
In many cases, there are several contributors to the student’s identified problem. These contributors may interact with each other, therefore, it may be necessary to combine tests from different categories of possibilities. The existence of several interacting contributors may become obvious as you proceed through individual intervention experiments.
Initiation impairment: Some students may respond and work slowly as a result of initiation impairment (frontal lobe injury). (See Tutorial on Initiation).
Relevant observations: The student may work at a reasonable rate when prompted or when focus on the task is a collaborative process, but not without such supports. This difficulty does not appear to be a result of any of the other medical, cognitive, behavioral, or emotional possibilities listed. In some students with TBI, frontal lobe injury can produce initiation impairment that is independent of all other problems.
Useful experiments for assessment and intervention:
Possible referrals: School psychologist for initiation assessment; instructional support specialist for instructional strategies; behavior specialist for behavior management strategies
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