Center for Children with Special Needs

Clinical Care + Services

Why choose the Center for Children with Special Needs?

When your child, student or patient is referred to the CCSN in downtown Boston for evaluation, you will be partnering with a respected and caring team of child development experts with a shared mission:  To make sense of a child’s developmental challenges, link the child and family to appropriate community resources, help parents and children themselves to understand their difficulties and support them to become confident advocates in their school and community settings.

Developmental-Behavioral Pediatrics Evaluation

The developmental-behavioral pediatrician will meet with the child and his or her parent(s) for two or three visits.

These sessions will include:

  • A thorough history of the child's problems, developmental challenges, and strengths
  • A physical and neurological examination
  • A developmental assessment
  • A follow-up meeting with the child's parent(s) to describe the results of the assessment and to make recommendations for further evaluations or treatments
  • A written report

Educational Evaluation

An educational evaluation will assess a child's current level of academic functioning. For younger children, this involves reading, math and writing readiness skills. For older children, more complex academic skills are assessed.

This includes:

  • Reading  - decoding, reading rate, comprehension
  • Written language - handwriting, spelling, sentence and paragraph writing
  • Math - computation and problem solving skills

The evaluation also includes record review, a parent and child interview and review of IEPs and/or school questionnaires. Additional services may include a classroom observation and school program evaluation.

Neuropsychological Evaluation

A neuropsychological evaluation is a comprehensive psychological assessment to obtain a complete portrait of the child’s strengths and weaknesses. It presents a complete "portrait" of the child's strengths and weaknesses. A neuropsychological evaluation tests the following aspects of a child's functioning:

  • Intelligence / IQ test
  • Thinking / reasoning
  • Memory / learning
  • Information / processing style
  • Attention / concentration + executive functions
  • Social / emotional functioning
  • Adaptive / self care / life skills

The neuropsychologists at the CCSN strive to make the neuropsychological evaluation useful to a child’s functioning in daily life and at school and include the following:

Projective Evaluation

Projective testing evaluates the child’s personality and social/emotional and behavioral functioning in depth. It is a separate evaluation.

Psycho-social/Emotional/Family Assessment

This is an evaluation by a clinical social worker or psychologist, which assesses the child’s emotional and social functioning, utilizing interviews of the child and parents/family. It is used to help diagnose mental health concerns and to formulate recommendations for the child to do his/her best emotionally and socially at home and school.

Speech-Language Evaluation

A speech-language evaluation helps assess a child's understanding and ability to use language (vocabulary, grammar and social skills) compared to same-age peers. Evaluation may also include assessing a child's speech production, voice or fluency skills.

Occupational Therapy Evaluation at Floating Hospital for Children (Rehabilitation Building)

An occupational therapy evaluation consists of a comprehensive assessment of an individual's overall independent functioning. Evaluations are done for any pediatric client age 0-21 years using assessment tools, caregiver questionnaires, and clinical observations.

Areas of focus are:

  • Fine motor skills
  • Visual motor and visual perception skills
  • Handwriting skills
  • Evaluation activities of daily living
  • Sensory integration / sensory processing skills

Visit Occupational Therapy at Floating Hospital for Children

Physical Therapy Evaluation at Floating Hospital for Children (Rehabilitation Building)

A physical therapy evaluation consists of a comprehensive assessment of a child’s gross motor skills. Evaluations are completed for any pediatric client aged 0-21 years using assessment tools, caregiver questionnaires, and clinical observations. Goals of the PT evaluation include identifying areas of concern, delay, or dysfunction in a child’s gross motor skills and physical abilities.

Areas of focus are:

  • Gross motor skills including range of motion and strength of larger muscle groups
  • Balance and coordination
  • Posture
  • Gait on all surfaces, including balance beam and stairs
Child on a mountain.

Attention Deficit Hyperactivity Disorder (ADHD)

Laurel Leslie, MD helps you find answers to common (and not-so-common) questions about your child’s ADHD.