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  • Selective Mutism School Evaluation Form 169 - Selectivemutismcenter

Get Selective Mutism School Evaluation Form 169 - Selectivemutismcenter

Dr. Elisa ShiponBlum President & Director Selective Mutism Anxiety Research & Treatment Center (Smart Center) Director Selective Mutism Research Institute (SMRI) Founder Selective Mutism Group.

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How to fill out the Selective Mutism School Evaluation Form 169 - Selectivemutismcenter online

Filling out the Selective Mutism School Evaluation Form 169 is an essential task for teachers and school professionals who aim to provide specific insights about a child's social communication skills. This guide offers a clear, step-by-step approach to assist you in completing the form effectively and accurately.

Follow the steps to complete the evaluation form online.

  1. To begin, find and click the ‘Get Form’ button to access the Selective Mutism School Evaluation Form 169.
  2. After obtaining the form, fill in the date, the child's name, grade, the number of children in the class, and the name of the school. Ensure that the information is accurate and current to facilitate the evaluation.
  3. Enter the educator's or professional's name and specify their role (e.g., classroom teacher, school psychologist) along with optional contact details, such as phone number and email, if desired.
  4. For section 1, describe the child's appearance and body language in the classroom, including their comfort level. This should encompass observations about their interactions and behavior in that environment.
  5. In section 2, provide insights into the child’s comfort level on the playground or school grounds, noting any relevant behavioral observations.
  6. Section 3 focuses on academics. Indicate whether the child is performing at grade level, below grade level, or above grade level and provide additional details regarding task completion and the child's academic performance.
  7. In section 4, assess the child's social communication skills. For each listed individual (teacher and peers), evaluate the child’s ability to respond and initiate communication both verbally and nonverbally. Be specific in your observations and rate their comfort level with teachers and classmates.
  8. For section 6, indicate whether the child receives any special services within the school setting, and if so, detail the type of services provided, along with their progress.
  9. Finally, in section 7, include any additional comments or concerns that may aid in the child's evaluation. This information is vital for understanding their needs better and supporting their development.
  10. Once all sections are filled out, review the information for accuracy. Save changes, and once satisfied, download, print, or share the completed form as required.

Complete the Selective Mutism School Evaluation Form online and make a positive impact on the child's educational experience.

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Types of Psychogenic Mutism Elective Mutism: A person chooses not to speak as a result of psychological issues. Selective Mutism: A person wants to speak, but in certain circumstances finds that they can't. Total Mutism: A person doesn't speak under any circumstance.

Testing for Selective Mutism Talking with you about your child's development and medical history. Having your child's hearing screened. Seeing how well your child's lips, jaw, and tongue move. Seeing how well your child understands what others say to them.

Selective mutism can present a variety of comorbidities including enuresis, encopresis, obsessive-compulsive disorder, depression, premorbid speech and language abnormalities, developmental delay, and Asperger's disorders.

Selective mutism is an anxiety disorder where a person is unable to speak in certain social situations, such as with classmates at school or to relatives they do not see very often. It usually starts during childhood and, if left untreated, can persist into adulthood.

Selective mutism is when a child can't speak in certain settings, but can speak fine in others. For example, a child may not be able to speak at school, but can speak with no problem at home. It is called selective mutism because the child is only mute in select situations.

The cause, or causes, are unknown. Most experts believe that children with the condition inherit a tendency to be anxious and inhibited. Most children with selective mutism have some form of extreme social fear (phobia). Parents often think that the child is choosing not to speak.

It's not a learning disability, although it may co-exist with one. Selective mutism is also not a speech or language disorder, or mental illness. It tends to run in families who have members with anxiety disorders, shyness, or even Selective mutism itself.

As with all special educational needs (SEN), early intervention is crucial. We have found that children with selective mutism can deteriorate quickly because the difficulty with speaking causes further anxiety which exacerbates the mutism.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232