Neuropsychological Processing Concerns Checklist
(NPCC) Adapted Neuropsychological Processing Concerns Checklist for School-Aged Children & Youth - Third Edition (NPCC-3) Daniel C. Miller, Ph.D., ABPP, ABSNP
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Neuropsychological Processing Concerns Checklist
For each behavior listed below, put a check mark in the appropriate column.
Never/Very Rarely = not been observed in the past 6 months
Occasionally: Observed within the past 3 - 6 months
Frequently: within the last 2 weeks - 1 month.
Always: Within the past 7 - 10 days
DK = Don't Know
1. Sensorimotor Difficulties
1.1 Basic Sensory
*
Rows
Never
Occassionally
Frequently
Always
DK
a. Difficulty with pitch discrimination (Tone Deaf)
b. Difficulty with simple sound discrimination
c. Known or suspected hearing acuity problems
d. Difficulty differentiating between basic colors
e. Difficulty smelling or tasting food differences
f. Less sensitive to pain and changes in temperature than others
g. Complains of loss of sensation (e.g., numbness)
1.2 Motor Functioning
Rows
Never
Occassionally
Frequently
Always
DK
a. Muscle Weakness or Paralysis
b.
Muscle Tightness or Spacticity
c.
Clumsy or awkward body movements
d.
Walking or posture difficulties
e. Hands get sore after writing very little.
f. Leans on one arm (holding themselves up) while writing with the other.
g. Movements seem too purposeful or concentrated.
1.3. Neurologically Related Sensorimotor Difficulties
*
Rows
Never
Occassionally
Frequently
Always
DK
a. Odd movements (Hand flapping, toe walking)
b. Involuntary or repetitive movements (Tics, Compulsions,rocking, nailbiting)
c. Ignores one side of the page while reading, drawing or writing
d. Difficulty with dressing (buttoning or zipping)
1.4. Sensory Sensitivity
Rows
Never
Occassionally
Frequently
Always
DK
a. Does not like loud noises
b. Overly sensitive to touch, light or noise (mouthfeel, clothing, smells)
c. Specific about their sensory preferences.
1.1 Basic Sensory/ 21
1.2 Motor Functioning/ 21
1.3 Neuro Sensorimotor/ 12
1.4 Sensory Sensitivity/ 9
Share some e.g. of SENSORIMOTOR DIFFICULTIES observed or noticed
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2. Visual Spatial
2.1 Visual Motor Planning
Rows
Never
Occassionally
Frequently
Always
DK
a. Confusion with directions, easily feels lost
b. Left and Right Confusion
c. Difficulties putting age appropriate puzzles together
d. Difficulty staying within the blue lines in the school workbook when writing.
e. Difficulty and/or frustration when drawing as it doesn't look like they wanted it to look.
2.2 Visual Motor Coordination
Rows
Never
Occassionally
Frequently
Always
DK
a.
Difficulties with drawing or copying from the board.
b.
Difficulties with fine motor skills (e.g., using a pencil), untidy handwriting.
c. Eye Tracking difficulties, loses place when reading.
2.1 Visual Mot Planning/ 15
2.2 Vis Mot Coordination/ 9
Examples of visuospatial processing concerns observed
3. Auditory Processes
3.1 Phonological or Auditory
Rows
Never
Occassionally
Frequently
Always
DK
a. Difficulty discriminating Sounds from one another, or recognising similar sounds; for eg. struggles to hear one sound above background noise.
b. Difficulty Blending Sounds to form new words
c. Difficulty with Rhyming
d. Omits sounds when reading or speaking
e. Swops sounds when reading or speaking
f. Difficulty remembering things they have been told, rather than written instructions.
g. Difficulty hearing lyrics of a song
Examples of auditory processing concerns observed
3.1 Phonological/ 21
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4. Learning and Memory
4.1 & 4.2 General Learning & Long Term Memory
Rows
Never
Occassionally
Frequently
Always
DK
4.1.a. Difficulty learning new Verbal Information
b. Difficulty learning new Visual Information (Signs, symbols)
c. Difficulty Integrating Verbal and Visual
4.2 a. Loses things, forgets where they placed them
b. Forgets to bring things from school that are needed.
c. Forgets what happened a while back; days or weeks ago.
d. Can remember things from today but struggles to remember details about today in a week's time.
e. Struggles to remember basic trivial facts like names, dates etc.
Examples of Learning and Memory Difficulties
4.1 Gen. Learning/ 9
4.2 Long Term Memory/ 15
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5. Executive Function
Flexibility in thinking; Planning Difficulties, Organisation of thoughts, Behavioural and emotional regulation difficulties.
5.1 Flexibility in Thinking
*
Rows
Never
Occassionally
Frequently
Always
DK
a. Gets stuck on one activity (e.g. gaming, arts, lego, TV)
b. Does not seem to hear anything else while watching T.V.
c. Difficulty swapping activities , or changing things up without preparation.
5.2 Planning Difficulties
*
Rows
Never
Occassionally
Frequently
Always
DK
a. Difficulty with making plans for things;
b. Becomes frustrated easily and gives up.
c. Doesn't seem to know where to start
d. Difficulty following complex instructions.
5.3 Problem Solving/ Organisational thinking
*
Rows
Never
Occassionally
Frequently
Always
DK
a. Difficulty solving age appropriate problems.
b. Difficulty learning new things.
c. Makes the same types of mistakes over and over, even after correction.
d. Loses things; reply slips, workbooks, clothing, stationary.
5.4 Behavioural/Emotional Regulation
*
Rows
Never
Occassionally
Frequently
Always
DK
a. Seems on the go, hyperactive, always moving.
b. Is impulsive, doesnt think before acting
c. Difficulty following rules, home and school.
d. Often seems irritable, easily irked.
e. Lacks common sense
f. Struggles to understand the feelings of others, or consequences of their actions.
5.1 Flexibility/ 9
5.2 Planning/ 12
5.3 Problem Solving/ 12
5.4 Behav and emotional/ 18
Examples of executive functioning concerns observed
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6. Attention and Working Memory
Selective or sustained attentional difficulties; Working Memory
6.1 Selective or Sustained Attention Difficulties
*
Rows
Never
Occassionally
Frequently
Always
DK
a. Seems overwhelmed by acomplex of difficult tasks
b. Difficulty sustaining attention for a long period of time, particularly if there is little interest in the topic. May seem super focussed when interested.
c. Seems to lose their place while completing something
d. Mind appears to go blank or loses train of thought while telling a story , for e.g.
e. Makes careless mistakes or doesn't seem to notice details.
6.2 Working Memory Difficulties
*
Rows
Never
Occassionally
Frequently
Always
DK
a. Asks for repetition of instructions or explanations.
b. Trouble with following multiple step instructions
c. Loses track of steps of a task
d. Loses train of thought while solving a challenge or a math problem
e. Loses train of thought while telling or writing a story
f. Trouble summarising a narrative or text material
g. Trouble remembering facts or procedures
Examples or additional info?
6.1 Attentional/ 15
6.2 Working memory/ 21
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7. Cognition
Processing Speed and Fluency and Accuracy, Reading Fluency, Writing Fluency, Mathematics Fluency
*
Rows
Never
Occassionally
Frequently
Always
DK
7.1.a. Takes longer than his/her peers to complete tasks/activities
b. Home-Learning takes longer than peers to complete
c. Needs more time
d. Responds slowly to questions or prompts
7.2.a. Struggles with accuracy when rushed
b. Struggles to remember facts accurately when rushed
7.3.a. Has a limited Reading Vocabularly
b. Reads Slowly, comprehending little
c. Reads accurately and fast, understanding the text.
d. Slow Reader
e. Difficulty using appropriate phrasing and tone when reading
7.4.a. Writes slowly, slower than peers
b. Writing is sequenced and easy to follow
c. Wanders off topic in their story
7.5.a. Solves Math problems at a slower rate than their classmates or peers
b. Struggles with basic facts recall.
Please share as much detail as you can.
7.1 Processing speed/ 12
7.2 /6
7.3 /15
7.4 /9
7.5 /6
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8. Acquired Knowledge: Oral Language
Expressive and Receptive Language
8.1 and 8.2
*
Rows
Never
Occassionally
Frequently
Always
DK
8.1.a. Slow , laboured speech
b. Quiet, doesnt speek much
c. Pronunciation difficulties
d. Speech impediment (Stuttering or slurring words)
e. Difficulty saying the word they are thinking about
8.2.a. Trouble understanding what others are saying
b. Trouble following complex verbal instructions
c. Loses track of oral information shared
d. Asks for repetition of told information
8.1 /15
8.2 /12
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9. Acquired Knowledge: Reading
DK is Don't Know
9.1 Decoding. 9.2 Comprehension. 9.3 Attitude
*
Rows
Never
Occassionally
Frequently
Always
DK
9.1.a Sounds out most words when reading
b. Remembers what words look like, rather than working out the sound patterns
c. Replaces words that they don't know with words that look the same, instead of reading the sound.
d. Replaces words with a word that means the same but doesnt look the same. CAR for TRUCK
9.2.a. Difficulty understanding what they have read
b. Difficulty retelling a story they have read or summarising points.
c. Appears distracted while reading
d. Misses important detail while reading
9.3.a. Avoids reading
b. Appears nervous while reading
c. Enjoys reading for personal interest, either fiction of non-fiction.
9.1 /12
9.2 /12
9.3 /9
Please Elaborate
10. Acquired Knowledge: Writing
10.1 -Spatial Production. 10.2. -Language Functions. 10.3. -Orthographic. 10.4. -Attitude
*
Rows
Never
Occassionally
Frequently
Always
DK
10.1.a. Uneven spaces between words or letters
b. Difficulty staying within the lines
c. Handwriting is difficult to read
d. Starts letter from top to bottom and bottom to top; difficulty forming the letters or numbers.
e. Writes over-sized letters
10.2.a. Uses or chooses easy to spell words.
b. Difficulty putting ideas into words
c. Uses mostly simple sentences, writing style lacks variety.
d. Forgets the spelling rules when writing; even though they have learnt the word.
e. Poor Grammar and Punctuation
10.3.a. Poor or awkward pencil grip
b. Presses too lightly or softly with the pencil
c. Writes overly small letters and words
d. Presses too hard with the pen or pencil
e. Prefers PRINT more so than CURSIVE/LINK letters
10.4.a. Avoids writing
b. Appears nervous, uptight while writing
c. Disinterested in writing activities
Please Elaborate
Calc.10.1 #15
Calc.10.2 #15
Calc.10.3 #15
Calc.10.4 #9
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11. Acquired Knowledge: Mathematics
11.1 Computational. 11.2. Visual Spatial. 11.3 Verbal. 11.4. Attitude
*
Rows
Never
Occassionally
Frequently
Always
DK
11.1.a. Forgets what steps to take when solving a maths problem
b. Makes Calculation/Computational errors while solving maths problems
c. Slow to solve Math Problems
d. Makes Careless Mistakes
e. Doesn't pay attention to detail, confusing operations such as DIVIDE and/or MINUS
11.2.a Difficulty with lining numbers up in columns
b. Difficulty understanding place value, differentiating between the value of numbers in the 1000's column and the 10's column.
c. Difficulty recognising a difference in size of a group if the group had images, not numbers. e.g. Visually recognising a group of ten sheep.
11.3.a Struggles to recall Basic Facts whch are age appropriate.
b. Difficulty making sense of story or word problems
c. Struggles to count with ease, in different numbers (3's; 4's, 5's)
d. Slow to identify numbers
11.4.a. Seems nervous when doing Mathematics
b. Avoids Maths
c. Shows no interest in Maths.
11.1 /15
11.2 /6
11.3 /12
11.4 /9
Please Elaborate
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