SWAT Team Needs Assessments
The Checklists that follow help to report the SWAT Teams
present observations and recommendations. While they are
designed to provide a way of determining appropriate solutions
and listing findings, a narrative should accompany the Checklists.
The narrative should contain information gathered during
the assessment stage regarding more personal knowledge about
the learner. Translating a Teams observations and
checklists responses into a few sentences for each category
results in the framework for a comprehensive narrative report.
Other Considerations:
Were any relevant formal tests or inventories administered?
If so, where and when? By Whom? What were the results? What
interventions were designed by the SWAT Team? Describe the
results. Discuss any additional information that might be
needed. Discuss recommendations for products: adaptive hardware
or specialty software. Discuss desired solution features
and reasons why they match the learners needs. Describe
intervention suggestions, follow-up services and/or support
plan recommended by the SWAT Team, timelines for procedures
recommended and why. List prices and contact information
for manufacturers.It is not anticipated that the SWAT Team
will need to use every Checklist for every child being evaluated.
Here is a Menu of Checklists to consider:
Communication
Vision
Hearing
Seating, Positioning, Mobility
Computer or Device Access
Writing
Reading
Communication
Consult with a Speech/Language Pathologist
(modified with permission from Wisconsin Assistive Technology
Initiative)
Present methods of communication: (check all that apply)
o breathing changes o body position change o eye gaze or
move
o facial expressions o gestures o points
o sign language: o single signs o combination signs
o vocalizations o single words o reliable yes/no
o word combinations: o 2 or 3 words o more
o Communication board? o objects o pictures o words o both
o somewhat intelligible: estimate % of time understood _________________
o Voice Output Device: name of device ____________________
o Intelligible speech o writing
o Other ______________________________________________________
Who understands the learners efforts: (check all that
apply)
o parents o Special Education Teachers o siblings
o peers o General Education Teachers o Paraprofessionals
o strangers How reliably? _____________________________
Receptive language level
Approximate age equivalent __________________
Reason for functioning estimate _________________________________________
Expressive language level
Approximate age equivalent __________________
Reason for functioning estimate _________________________________________
Interaction skills:
o Desires to communicate: o yes o no
Method of indicating YES or NO o none
o shakes head o signs o vocalizes o gestures
o eye gaze o points o word approximations o words
YES NO SOMETIMES
turns toward sound or person o o o
peer interactions o o o
aware of attention paid by others o o o
requires prompts o o o
initiates communication/questions o o o
Reading skills as related to communication: (check all that
apply)
o yes o no recognizes objects or pictures
o yes o no recognizes symbols
o yes o no can discriminate sounds - auditory
o yes o no can discriminate words - auditory
o yes o no recognizes initial letter of a word
o yes o no can recognize site words
o yes o no follows simple directions
o yes o no puts symbols or words together for expression
Vision skills as related to communication: (check all that
apply)
o can fix on stationary object o looks right and left without
moving head
o scans line of symbols left to right o scans matrix of
symbols on a grid
o recognizes people visually o recognizes common objects
o recognizes people o recognizes symbols or pictures
o needs space around symbol o can recognize line drawings
What specific type of symbols or pictures are preferred?
__________________________________________________________________
What size of symbols or pictures are preferred?
__________________________________________________________________
Does the learner seem to do best with a specific color,
combination of colors, black on white or white on black?
__________________________________________________________________
Anything else important to note about the learners
communication or device needs?
o learner walks o travels with wheelchair o drops or throws
things
o needs large number of words o needs digitized or human
speech
o other: __________________________________________________________
Vision
Consult with a vision specialist
(modified with permission from Wisconsin Assistive Technology
Initiative)
Date of most recent vision evaluation report: __________________
Summary of findings, including functional vision, condition,
limitations, suggestions:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Vision characteristics: (check all that apply)
o Reads standard textbook print size
o Special lighting information if needed ___________________________________
o Special positioning information if needed ________________________________
o Reads enlarged textbook (______________ inches)
o Text enlargement device _____________________________________________
o Computer screen enlargement device ___________________________________
o Computer screen enlargement software _________________________________
o Font type and size for computer screen __________________________________
o Fatigue issues - how long is an effective work period?
_______________________
o Figure Ground Issues: o Black on White o White on Black
o _____ on _____
o Use of one eye o Right o Left
o Head tilt o Right o Left
o tape recorder/tapes o text-to-speech/talking or reading
software o
BrailleAlternative computer voice output: (check all that
apply)
Indicate those recommended in a different color or with
a special mark
o Screen Reading software ___________________________________________
o Speech synthesizer or sound card ____________________________________
Alternative computer Braille output or low tech device:
(check all that apply)
Indicate those recommended in a different color or with
a special mark
o Non computer Brailler _____________________________________________
o Braille Communication Device _______________________________________
o Braille note taker _________________________________________________
o Computer generated Braille _________________________________________
Degree of competence: (check all that apply)
Solution being addressed ______________________________________________
o Verbal cues - on occasion o Verbal cues - continual
o Physical cues or prompting
o Independent use o Able to troubleshoot device or software
Related handwriting: (check all that apply)
o Within allotted spaces
o Aligned as appropriate
o Size of written characters appropriate proportion
o Legible to self and others
o Reads others printed handwriting o Reads others cursive
handwriting
o Copies exactly without missing targets
o Bold or tactile lined paper
o Prefers colored writing tools for visual acuity
o Modify writing tool: o soft lead pencil o felt tip - thin
o felt tip - thick
Summary of vision related concerns and/or solutions:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Hearing
Consult with an auditory specialist
(modified with permission from Wisconsin Assistive Technology
Initiative)
Date of most recent hearing evaluation report: __________________
Summary of findings, including functional hearing, condition,
limitations, suggestions:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
(check all that apply)
Hearing loss: Right ear o mild o moderate o severe o profound
Left ear o mild o moderate o severe o profound
Unassisted hearing characteristics: (check all that apply)
o Attends to sounds: o High pitch o Low pitch o Voices o
Background
o Discriminates environmental vs. non environmental sounds
o Turns toward sounds
o Eye contact/communication: o Consistent o Limited o Intermittent
o Rare
o Understands synthesized speech
o Can hear most speech sounds
Assisted hearing characteristics: (check all that apply)
o Attends to sounds: o High pitch o Low pitch o Voices o
Background
o Discriminates environmental vs. non environmental sounds
o Turns toward sounds
o Eye contact/communication: o Consistent o Limited o Intermittent
o Rare
o Understands synthesized speech
o Can hear most speech sounds
Current equipment and/or services: (check all that apply)
Indicate those recommended in a different color or with
a special mark
o Hearing aids
o Vibrating or tactile devices
o Cochlear Implant
o Amplification system
o Close Caption
o Computer speakers or headphones
o TTY/TTD/TT
o Note taker
o Interpreter
o Real time transcription
Hearing/communication conditions: (check all that apply)
Describe communication strategy typically used by others
with the learner in each of the following conditions - check
any that are observed.
Indicate those recommended in a different color or with
a special mark:
School Home Community
Gesture o o o
Body language o o o
Non speech vocalization o o o
Speech with cues o o o
Pictures or symbols o o o
Writing o o o
Lip reading o o o
Signs and speech together o o o
Signed English o o o
Personal Signs o o o
American Sign Language (ASL) o o oDegree of competence:
School Home Community
Single words o o o
Word combinations o o o
General communication o o oLearner initiated communication:
(check all that apply)
Indicate those recommended in a different color or with
a special mark
o Gesture o Body Language o Speech
o ASL o Speech with ASL o Written
o Symbols or pictures o Lip reading o Signed English
o Personal signs o Cued or supported o Other ______________
o Degree of competence: o Single words o Word combinations
Summary of hearing related concerns and/or solutions:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Seating, Positioning and Mobility
Consult with an Orthopedic Specialist (Occupational or Physical
Therapist )
(modified with permission from Wisconsin Assistive Technology
Initiative)
Seating and positioning characteristics: (check all that
apply)
o Regular chair with feet on the floor
o Regular chair with foot rest or positioning aid ____________________________
o Uses an adapted chair o Needs an adapted chair
o Uses wheelchair for part of day o Comfortable o Needs
adapted fit
o Part of the day out of wheelchair due to: o Discomfort
o Prescribed
o Repositions appropriate to related activity
o Rarely repositions
o Uses regular desk o Uses adjustable desk or furniture
o Uses tray on wheelchair for desk
Seating characteristics: (check all that apply)
o Trunk is stable with current seating
o Trunk is not stable - need to evaluate seating
o Feet touch the floor or the foot rest
o There are no concerns at this time
o Learner expresses discomfort in most positions
o Learner has difficulty using desk or table
o Learner maintains head control in what position ______________________
o Learner exhibits inconsistent head control
o Learner sits at a 90 degree angle to the table or tray
o Distance learner sits from the computer monitor ______________________
Summary of seating and positioning related concerns and/or
solutions:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Mobility characteristics: (check all that apply)
o Walks independently
o Walks with difficulty but independently
o Walks up stairs o Walks down stairs
o Walks with assistance o Requires additional time
o Walks with specific tool ______________________________________________
o Uses elevator or lift with assistance o Uses elevator
or lift independently
o Can crawl or roll independently
o Pushed in manual wheelchair o Uses manual wheelchair independently
o Uses power wheelchair o Learning to o Independent
o Transfers with assistance o Transfers independently
o Uses wheelchair for what distances only _________________________________
Degree of competence: (check all that apply)
o Learner fatigues after walking o Recovery time needed
_____________________
o Stamina increasing o Stamina decreasing
o Learner reports pain or discomfort
o School placement requires consideration of mobility needs
Summary of mobility related concerns and/or solutions:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Access
Consult with an Orthopedic Specialist (Occupational or Physical
Therapist )
(modified with permission from Wisconsin Assistive Technology
Initiative)
Fine motor characteristics: (check all that apply)
Spend time observing the learner using a range of manipulative
controls and devices. Make note of movements as well as
conditions of observation. Indicate learners voluntary,
controlled, reliable and isolated movements:
o Left hand o Right hand o Eyes
o Left arm o Right arm o Head
o Left leg o Right leg o Mouth
o Left foot o Right foot o Tongue
o Fingers o Eyebrows o Other _________________
Observation conditions and comments: _______________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Range of motion:
Does the learner have limitations in the range of reach?
o Not limited o Limited
Describe: _________________________________________________________
__________________________________________________________________
__________________________________________________________________
Reflexes and muscles:
Does the learner have normal reflexes and muscle tone? o
Yes o No
Is there a low or high muscle tone which interferes with
voluntary motor control?
o Yes o No
Describe: _________________________________________________________
__________________________________________________________________
__________________________________________________________________
Fatigue:
Does the learner fatigue easily? o Yes o No
Describe fatigue pattern and rest required: ___________________________
__________________________________________________________________
__________________________________________________________________
Accuracy of targeting or pointing:
Can the learner accurately point to or touch a computer
keyboard key?
o Yes o No
Describe consistency of fine motor tasks: ____________________________
__________________________________________________________________
__________________________________________________________________
Direct selection with assistance: (check all that apply)
What type of assistance has been attempted? Results?
o Keyguard o Hand grip or pointer o Head/mouth pointer or
stick
o Light beam o Wrist rest o Keyboard positioning device
Describe results, solutions and why: ________________________________
__________________________________________________________________
__________________________________________________________________
Size of grid or target (perhaps for alternative keyboard):
What is the smallest target size accurately selected?
o 1ö o 2ö o 3ö o 4ö Optimal size for
grid and/or target arrangement:
Size of square/target ______________________________________________
Number of squares/targets across ________________________________________
Number of squares/targets down _________________________________________
Scanning:
If the learner does not direct select, does the learner
need scanning?
o No o Yes - type: o Automatic o Step o Inverse
o Other scan type __________________________________________________
Control site for switch _________________________________________________
Alternate control sites_________________________________________________
Switch: Indicate which switch types work best: (check all
that apply)
o Touch o Light touch o Wobble o Rocker o Lever o Head
o Arm slot o Mercury/tilt o Joystick o Tongue o Tread o
Eyebrow
o Sip/puff o Other ________________________________________________
Summary of access related concerns and/or solutions:
__________________________________________________________________
__________________________________________________________________
Writing
Consult with appropriate General and/or Special Education
Teacher
(modified with permission from Wisconsin Assistive Technology
Initiative)
Writing characteristics: The learner can: (check all that
apply)
o Hold a regular pen or pencil o Copy simple figures or
shapes from paper
o Hold a pencil adapted by _______ o Copy simple words from
paper
o Hold a pencil but does not write o Copy from board
o Print name o Write on 1ö lined paper
o Print words o Write on narrow lined paper
o Write cursive o Use spacing properly
o Write but effected by fatigue o Size writing to fit varied
spaces
o Write but slow and arduous o Write independently and legibly
Assistive Technology being used or proposed: (check all
that apply)
Indicate those recommended in a different color or with
a special mark
o Heavy lined paper o Raised lined paper o Pencil grip
o Special pencil/tool o Pencil holder/splint o Typewriter
o Computer o Other _____________________________________
Keyboarding now or proposed: (check all that apply)
Indicate those recommended in a different color or with
a special mark
o Does not type o Activates specified key
o Types with one finger o Types with more than one finger
o Hits accidental keys o Types with 10 fingers
o Requires arm or wrist support o Uses head or mouth stick
to access
o Uses mini keyboard o Uses switch to access computer
o Uses TouchWindow as mouse o Uses alternative keyboard
o Uses access software _________ o Uses Morse code
o Uses communication device as access device
o Other __________________________________________________________
Computer use: (check all that apply)
Indicate those recommended in a different color or with
a special mark
o Never has used o Uses at school o Uses at home
o Uses for games o Uses word processor o Uses spell check
o Uses for other purpose(s) ___________________________________________
o Not used because ________________________________________________
__________________________________________________________________
Computer availability: (check all that apply)
The learner has access to these computer(s) in these settings:
o Macintosh o DOS o Windows o Apple II
o In classroom o In school lab o Lab schedule _____________________
Frequency of computer use:
o Rarely o Frequently o Daily on schedule _______________________
o All day, every daySoftware used and/or solutions: (check
all that apply)
Indicate those recommended in a different color or with
a special mark
o Writing with symbols o Writing with symbols and words
o Word processor o Talking word processor
o Spell check o Talking spell check
o Hand held spell check o Word prediction
o Other _________________________________________________________
__________________________________________________________________
Summary of writing related concerns and/or solutions:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Reading
Consult with appropriate General and/or Special Education
Teacher
(modified with permission from Wisconsin Assistive Technology
Initiative)
Learner is placed in Grade ____________________
Learner reads at Grade _______________________
Formal Tests and Results:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Cognitive functioning in general:
o Above average o Average o Below average
o Significant delay o Comment _________________________________
Learning facilitated by: (check all that apply)
Indicate those recommended in a different color or with
a special mark
o Reduced amount of text on page o Enlarged print
o Lowered reading level o Pictures for key ideas
o Bold, colored or highlighted text o Reduced length of
assignment
o Hearing and seeing text o Other ___________________________
Strategies or modifications used:
Describe any non technology based accommodations that have
been used with effectively for the learner. ______________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Assistive Technology being used or proposed: (check all
that apply)
Indicate those recommended in a different color or with
a special mark
o Highlighter, marker, template or other self-help aid
o Tape recorder, taped text, talking books to follow along
o Talking hand held electronic dictionary to hear words
o Computer with word processing and spell check
o Talking computer software
Computer availability: (check all that apply)
The learner has access to these computer(s) in these settings:
o Macintosh o DOS o Windows o Apple II
o In classroom o In school lab o Lab schedule _____________________
Frequency of computer use:
o Rarely o Frequently o Daily on schedule _______________________
o All day, every daySoftware used and/or solutions: (check
all that apply)
Indicate those recommended in a different color or with
a special mark
o Word processor o Talking word processor
o Spell check o Talking spell check
o Hand held spell check o Phonics practice
o Word attach practice o Comprehension practice
o Other _________________________________________________________
__________________________________________________________________
Summary of reading related concerns and/or solutions:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
*********************
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Jackson, B., Hadley, A., Loupe, C. and Frederick, D. School-based
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Lynch, K. J. and Reed, P. Assistive Technology Checklist.
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Pugliese, M. and Davey, B. Take Control! at Abilities Expo.
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