It's Andrea Riggins, CTRS with the Special needs program with the City of Denver.  I just wanted to share a few resources with you in regards to completing a general assessment on new or returning participants.  I use this assessment on a regular basis in our TRAC program.  This general assessment was developed to assist in the development of a treatment plan.  I have found this assessment to be user friendly and easily interpreted.  The assessment clearly state's the particpant's physical, social, cognitive abilities and leisure interests/barriers. 

When to complete the assessment:  7-10 days after initial contact

Time to administer:  30-60 minutes

Methods required to administer:  Largely by observation and interview techniques

Measurement:  Scale ranging from Functional to Dependent

Below I have attached a sample of this general assessment.  Please feel free to try out at your respective facilities.  If you do, I welcome responses in regards to what you thought about it.  Also, if you currently have an assessment in use and would like to share please do.

                                               TRAC Assessment

Name:                                                                                                             Age:                 DOB:                          
 Diagnosis:                                                                                                        Sex:  Male/Female                              
 

Parent/Guardian:                                                                                             Phone #:                                             

 

Key:                                                                                                                                                    F= Functional     90+%                Max. = maximum assist          25-49%         

Min. = minimal assist  75-90%       Dependent=            less than 25%          
Mod. = moderate assist  50-74%   NA= not assessed       

                                                                                   

                                   

Physical:                                                                                                                                  

Mobility                      W/C                Ambulatory                 Adaptive equipment_________________
Maneuverability                         F          Min.     Mod.   Max.    D         NA

Endurance                                F          Min.     Mod.   Max.    D         NA

Gross Motor Function            

            Right                            F          Min.     Mod.   Max.    D         NA

            Left                              F          Min.     Mod.   Max.    D         NA

Fine Motor Function  

            Right                            F          Min.     Mod.   Max.    D         NA

            Left                              F          Min.     Mod.   Max.    D         NA

Vision                                       F          Corrective        Blind

Hearing                                    F          HOH               Deaf

Speech                                      F          Verbal              Non-Verbal

 Comments:                                                                                                                                                                
                                                                                                                                                                                   
                                                                                                                                                                                   
                                                                                                                                                                                   
  Social:                                                                                                                                              

Type of setting            (please circle one)                   Individual        Group 

Communication                       F          Min.     Mod.   Max.    D    NA          Appropriateness                       F          Min.     Mod.   Max.    D     NA     
Joins in readily                         F          Min.     Mod.   Max.    D     NA

Cooperation                            F          Min.     Mod.   Max.    D      NA

Handles Competition                F          Min.     Mod.   Max.    D         NA

Attitude                                  F          Min.     Mod.   Max.    D         NA

Self-esteem                              F          Min.     Mod.   Max.    D         NA

Initiative                                 F          Min.     Mod.   Max.    D         NA

 

Comments:                                                                                                                                                                
                                                                                                                                                                                   
                                                                                                                                                                                   
                                                                                                                                                                                   
  

Cognitive:                                                                                                                               

Comprehension                                 
Memory                                 F          Min.     Mod.   Max.    D         NA

Attention span                         F          Min.     Mod.   Max.    D         NA

Direction following                  F          Min.     Mod.   Max.    D         NA

Problem solving                       F          Min.     Mod.   Max.    D         NA

Safety awareness                       F          Min.     Mod.   Max.    D         NA

           

Orientation    

            Place                            yes       no                    NA

            Person                          yes       no                    NA

            Time                            yes       no                    NA

 

Comments:                                                                                                                                                                
                                                                                                                                                                                   
                                                                                                                                                                                   
                                                                                                                                                                                   

 

 

Leisure Interests & or Barriers:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                

           

           

Recommendations from the CTRS:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
  

Staff/Therapist

Signature:                                                                                                                    Date:                                      

               _______________________________________________________________         _____________________