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Pediatric Neuropsychology Program

Name:	XXXXSpeedy Pendleton
Date of Birth:
Date(s) of Service:
Age at Testing:
Current Age:

To Whom It May Concern,

XXXX is a X-year-old boy, whom I saw for a psychological assessment in XXXX. At that time, XXXX presented with social communication weaknesses and repetitive patterns of behavior and interest. Based on these concerns, XXXX was diagnosed with an autism spectrum disorder and referred for special education services and intensive early intervention.

Due to his autism and associated sensory differences, XXXX struggles to wear a mask. For the coming school year, he will need accommodations around mask wearing, including, but not limited to, frequent mask breaks, support/reminders about wearing a mask, and opportunities to be mask-free when outside or when with vaccinated adults. If he continues to struggle, even with these accommodations, learning to tolerate wearing his mask should be included in his IEP goals, as this is a critical life skill. Mask wearing should be taught through ABA-based methods, including structuring demands for mask wearing using appropriate frequency and timing of valued reinforcers, gradually extending periods of mask wearing, and using distractions to lengthen the period XXXX can tolerate a mask. Direct support from occupational therapy may be required to address sensory regulation challenges.

Importantly, difficulties wearing a mask must be thought of as part of XXXX’s disability and, thus, should not be a barrier to accessing appropriate special education services and interventions. Instead, explicit specialized instruction is required. With effective reinforcement, XXXX is expected to adjust to mask wearing but this must not be a barrier to provision of services.

Please let me know if there are any questions or concerns.

Sincerely,

Neuropsychologist

Licensed Psychologist

Center for Autism Spectrum Disorders

Children's National Hospital

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