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2nd NBCOT Topics to Focus On (2nd 200) Flashcards | StudBud
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2nd NBCOT Topics to Focus On (2nd 200)
2nd NBCOT Topics to Focus On (2nd 200)
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1
Emotional reg (neurophys modulation phase): b/t birth & ___ mo (learn to regulate arousal, routine sleep-wake cycle).
2-8
2-3
2-12
3-4
2
_____
: 3rd phase lit learning, b/t
36-48
mos - understanding words r groups of letters w meaning, inventive spell, echo
Preliteracy Development
Reading Readiness
Emergent Literacy Development
Early Literacy Development
3
Assessment for fine & gross motor, norm-referenced, results provide percentile rank, standard score, age-ref:
Bruninks-Oseretsky Test of Motor Proficiency (BOT)
Test of Gross Motor Development (TGMD-3)
Movement Assessment Battery for Children (MABC-2)
Peabody Developmental Motor Scale
4
• sensory impairment R side • language impairment (expressive and/or receptive aphasia) • bilateral motor apraxia
R Hemisphere
L Hemisphere
5
Annual review not required, Prohibits discrimination of disability, Services set in Rehabilitation Act, extracurriculars
IEP
IFSP
section 504 plan
6
Mandated assessment for medicare/medicaid nursing home residents (functional abilities, indiv care plan, resource use):
Outcome and Assessment Information Set (OASIS)
Minimum Data Set (MDS)
Health Risk Assessments (HRAs)
Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI)
7
Scores on similar test items are related (similar scores on questions covering similar topics):
Consistency
Internal consistency
Chronbach's alpha
Intra-rater reliability
8
_______ Memory
: declarative LT memory associated w retrieval of personal information (food eaten for lunch, clothing)
Procedural
Episodic
Prospective
Implicit
9
IDs client barriers in physical, social, political environments in last yr, 10 mins, 25 items, quantifies barriers:
Kohlman Evaluation of Living Skills
Katz Index of Independence in Activities of Daily Living
Craig Hospital Inventory of Environmental Factors
Environmental Barriers Assessment
10
Learn transferable cog coping skills, guide pt to predict errors/problem-solve, improve self-assessment, dynamic interac
Occupational Adaptation Model (OA)
Rehabilitative FOR
Multi-Context Approach
Person-Environment-Occupation-Performance (PEOP) Model
11
Dietary development: palmar grasp, large crackers, begins raking motion, anticipate spoon, starts solid foods, sippy cup
24-26 mos
9-12 mos
12-14 mos
6-9 mos
12
Radial palmar grasp; age ___; object held in RADIAL side of palm. Thumb will oppose object into radial side of palm.
5 mos
2 years
2 mos
6 mos
13
Process of auditing health records to check for: necessity of services, cost-effectiveness, efficiency, & compliance
Utilization review
Follow-up Audit
Corrective Actions
Audit Sequence
14
Rates performance of 10 activities (ADL & mobility); Self-report or caregiver interview
Katz Index of Independence in Activities of Daily Living
Assessment of Motor and Process Skills
ADL Profile
Barthel Index of ADL
15
Press thumb over carpal tunnel and hold for 30 seconds. Onset of pain/paresthesia within 30 secs = +
Doorway Test
Tinels Sign
Phalen's Test
Durkan's Test
16
• visual field cut on left side• visuospatial problems• attention deficits• decreased insight into deficits
L Hemisphere Obstruction
R Hemisphere Obstruction
17
Equilibrium Rxn: reflex @ _______. Reflexive rxn to maintain/recover balance (shifting body to reorient to midline)
10-12 mos
4 mos-4yrs
6 mo-life
3-6mos
18
Optional private health insurance plans approved by Medicare:
Part B
Part A (corporations)
Part C
Part D
19
Tier of RTI w: intense 1:1 interventions, may include further evaluation
Tier 4
Tier 2
Tier 3
Tier 1
20
Retrieval
: Stage of memory where the brain
searches for and recalls relevant information
. Associated w: _____ lobe?
frontal
motor
temporal
parietal
21
Outlines activities conducted FEDERALLY to enhance educational experience/outcomes for children with disabilities:
IDEA Part D
IDEA Part A
IDEA Part C
IDEA Part B
22
Rancho- Mod A problem solve, attend 30 mins, max A 4 memory tactics, recognize staff/family, follow 1 step instructions:
Level V
Level VII
Level VIII
Level VI
23
Staff treating a patient with measles, chickenpox/varicella, or tuberculosis should use ______ precautions?
universal
airbourne
standard
contact
24
Observation + performance-based peds assessment - impact of motor abilities on social participation @ home & school:
Hawaii Early Learning Profile
Sensory Integration and Praxis Test
Miller Function and Participation Scales
Pediatric Evaluation of Disability Inventory
25
Observation-based rating of development; performance tasks & questionnaire for caregiver - (cog, lang, motor):
Movement ABC
Bayley Scales of Infant & Toddler Development
Hawaii Early Learning Profile
Assessment of Motor and Process Skills
26
Pts asked to reflect on difficult interactions, address adaptive regression w crafts, explores unconscious conflicts
sensorimotor
psychodynamic
developmental
27
Emphasizes changing env vs person, general systems theory, addresses physical, social, temporal, cultural env elements:
occupational adaptation
biomechanical for
ecological models
model of human occupation
28
____________: inability to correctly use an everyday tool for its purpose (using a comb to brush teeth)
Tool agnosia
Volitional apraxia
Ideation motor skills
Ideational apraxia
29
systematic evaluation of cog, psychological, physical, & social aspects of job demands to: help return to work, etc
Interest Checklist
COPM
functional capacity evaluation
job analysis
30
Clinic & home versions, criterion-referenced; examiner rates indep, safety, & adequacy (cleaning, money, phone, etc)
Assessment of Motor and Process Skills
Barthel Index of ADL
Katz Index of Independence in Activities of Daily Living
Performance Assessment of Self Care Skills
31
Interest in family meal routines, rotary chew begins, pronate spoon grasp, spills, hold/drink from open cup, chew more:
12-14 mos
16-24 mos
24-36 mos
9-10 mos
32
Mandates SPED & related services for children w disabilities from 3-21 years of age:
IDEA Part D
IDEA Part B
IDEA Part A
IDEA Part C (school is borning)
33
*** Objective eval to determine
functional & physical abilities
related to essential job tasks:
Interest Checklist
Wrinkle Test
COPM
Functional Capacity Evaluation
34
External resource a client may rely on when learning new tech (auditory instructions,
product manual
, tech support):
hard tech
high tech
soft tech
low tech
35
Nervous system changes w age: lower nerve speed, homeostasis, decline in cognitive processing: mem, rxn time, & _____?
learning difficulties and perceptual difficulties
processing speed & problem solving
sensory processing deficits, executive dysfunction
clumsiness and poor coordination
36
Hypertonicity, botox an intervention, most common form of CP, quick stretch increases ROM resistance, may see clonus:
spastic
mixed
athetoid
ataxic
37
UE pattern usu flexion, Ashworth scale to rate (4), Tardieu scale, Quick passive stretch = sudden resistance->release
hypertonicity
rigidity
extensors & flexors tight
spasticity
38
Administer interest checklist
, ID emergency plan if relapse, role exploration, problem-solve triggers, enhance network:
Maintenance
Action
Preparation
Contemplation
39
Encoding
: memory stage where brain
______
of info to be remembered: lang. areas, frontal lobe, visual system
processes details
info is transferred for later retrieval
memory w remembering to perform an action
the brain searches for relevant info
40
Peds questionnaire to determine sensory response patterns in daily life (infant-14), 3 formats
Sensory Processing Measure
Sensory Integration and Praxis Test
Sensory Interpretation measure
Sensory Profile
41
Performance-based assessment tests exec functions & # cues: (preparing oatmeal, manage medications, bills, phone)
Bay Area Functional Performance Evaluation
Executive Function Performance Test
Miller Function and Participation Scales
Contextual Memory Test
42
______:
1st phase of lit learning, b/t birth- 15 mos (joint attention, social reciprocity, pointing, eye contact)
Preliteracy development
Emergent Literacy Development
birth-42 mos
Early Literacy development
43
Positive response: extension of arm on the side the head is turned (flexion opp)
, integrates EC, establishes hand-eye:
asymmetrical tonic neck reflex
moro reflex
stepping reflex
symmetrical tonic neck reflex
44
ID indoor safety hazards, caregiver (dementia) interviewed/receives recommendation, clutter, useful for ADA updates:
Cougar Home Safety Assessmenr
Safe at Home Checklist (SAHC)
Functional Home Assessment Profile (FHAP)
Home Environment Assessment Protocol (HEAP)
45
To ID and address child's developmental levels in cog, motor, SE, lang (no age-equivalent scores or norm-referenced)
Hawaii Early Learning Profile
Peabody Developmental Motor Scales
Bayley Scales of Infant and Toddler Development
Pediatric Evaluation of Disability Inventory
46
innervates
sternocleidomastoid and trapezius muscles
for motor movements of the shoulder and neck:
VIII Vestibulocochlear (8)
VI Abducens Nerve
XI Spinal Accessory Nerve (11)
IV Trochlear N
47
Protective extension: postural response seen @ _____; reflexive straightening of UEs in response to loss of balance
6 mos-life
10mos-3 years
6 mos-5 years
12 mos-2 years
48
Circular rotary chew, use spoon ind, food preferences, varied textures, adult-like drinking pattern, stabs w fork:
36-42 mos
24-30 mos
20-24 mos
30-32 mos
49
________: LT memory, receptive language (L side - wernicke’s aphasia), processing sensory information
Temporal lobe
Parietal lobe
Frontal Lobe
Attention deficits
50
Righting reaction: Postural reflex from approx ____ mos that orients the body due to visual & vestibular input-
3-6
15-16
10-12
8-9
51
Developmental dyspraxia (ND disorder): clumsiness, poor coordination, motor planning deficits, learning difficulties, &
social dysfunction
perceptual deficits
low muscle tone
developmental delay
52
Staff treating a pt with pneumonia, Hep B, Hep C, HIV (or used with all patients) should use ________ precautions?
contact precautions
standard precautions
universal precautions
droplet precautions
53
Questionnaire to evaluate performance in functional tasks that support social & academic performance at school:
Model of Human Occupation Screening Tool (MoHOST)
School Function Assessment
Craig Handicap Assessment and Reporting Technique (CHART)
School Function Assessment
54
Interventions for managing symptoms may include: prism correction, full occlusion eye-patching, partial visual occlusion
Unilateral spatial neglect
Motor apraxia
Occulomotor Dysfunction
Diplopia
55
The object is held between the opposed thumb and the pads of the
radial
(index and middle) fingers @ 8 mos:
Palmar Grasp
Crude Palmar Grasp
Radial Digital Grasp
Radial Palmar Grasp
56
Problem-solving tools (not cog) 4 all tasks, guided discovery, based on Motor Learning, performance-based, Goal-Plan-Do:
Behavioral Frame of Reference (BFOR)
Cognitive Orientation to Daily Occupational Performance (CO-OP)
Acquisitioned Frame of Reference (AFOR)
Cognitive-Behavioral Frame of Reference (CBFOR)
57
Depression and abduction of the eye “tropes are depressing”
Cranial Nerve IX: Glossopharyngeal
XI Spinal Accessory Nerve
V Trigeminal Nerve
IV Trochlear N
58
Standardized peds test (acute & chronic health conditions) to assess health-related QOL (ages 2-18 years)
Craig Handicap Assessment and Reporting Technique (CHART)
School Function Assessment
Pediatric Quality of Life Inventory (PedsQL)
Standardized pediatric measure
59
Type of memory associated w remembering to perform an action planned for a future date (medical appointment, take meds)
Prospective memory
Semantic memory
Procedural memory
60
Self Regulation Phase: ______ (adapt to unexpected change, self-awareness, capacity to evaluate own behavior)
32 mo+/3yrs
30 mo+/3y
28mo+/2.8yrs
36 mo+/3yrs
61
• bradycardia (slower than normal) = less than __ bpm. Tachycardia (faster than normal) = greater than ___ bpm:
40, 105
50, 120
60, 100
70, 110
62
Methods to decrease long-term effects of a disease or disability: • social support • rehabilitation services
Primary prevention strategy
Social determinants of health
Secondary prevention strategy
Tertiary prevention strategy
63
Palmar Grasp: age = ___. Object in center of palm, all fingers flexing as a unit, object held tightly w thumb
6 mos
5 mos
4 mos
3 mos
64
characterized by inability to correctly use an everyday tool for its purpose (using a comb to brush teeth):
commodity useage
ideational apraxia
motor apraxia
intent motor planning
65
Resistance that's not velocity dependent thru full ROM, associated w decrebrate & decorticate posturing, Parkinson's:
rigidity
high tone
flacidity
spasticity
66
Glasgow Coma Scale (severity of TBI), measures motor, verbal & eye opening responses; score of 13-15 =
Moderate
Initial
Severe
Mild
67
Score 0-100 (dep-ind), assess 10 ADL activities, not consider assistance needed or AE use, comm service recommendations:
Reintegration to Normal Living Index
Klein-Bell ADL Scale
Barthel Index
Functional Independence Measure
68
70-110mmHg. Avg pressure in arteries during a cardiac cycle, representing the driving force for blood flow to the organs
Heart Rate
Hypotension
Respiratory rate
Mean arterial Pressure
69
Stage of motor learning = Perceptual learning stage: ___ mos (more accurate reach, consistent movement patterns, orderly
1-2
9-10
3-6
4-8
70
*** Section of Medicare that covers: some physicians' services, outpatient care, medical supplies, preventative care:
Part B
Part D
Part C
Part A
71
Standardized, semi-structured interview w ordinal scale, client rates satisfaction/importance of occ. performance (1-10)
AMPS
COPM
Barthel Index
PDMS
72
Peds observation-based rating of sensory processing (norm-referenced; 3 forms: home, classroom, & school)
Sensory Integration and Praxis Test
Sensory Profile
answered by teacher
Sensory Processing Measure
73
Assesses safe performance (cook, phone, bills, med), observe IADL, initiation & conclusion, top-down, 0-5 scoring system
Executive Function Performance Test
Montreal Cognitive Assessment
Stroop Performance Test
Delis-Kaplan Executive Function System
74
Obs & interview assessment of home modifications needed: caregivers fill (dementia pts), scored on hazards, adaptations
Home Environment Assessment Protocol (HEAP)
Useful for accessible housing construction
Miller Function and Participation Scales
Bay Area Functional Performance Evaluation
75
• ulnar digits flexed & ulnar side of hand controlling the object • radial digits less flexed while manipulating object
power grasp
lumbrical grasp
hook grasp
spherical grasp
76
Activities should include repetition to enhance learning
, energize or calm, physical & cog components, noncompet. games:
developmental groups
psychodynamic groups
sensorimotor groups
77
Outlines mandated SERVICES children w disabilities are entitled to as part of a FAPE:
(IDEA) Part C
(IDEA) Part B
(IDEA) Part A
(IDEA) Part A
78
Curriculum-based peds assessment to screen development & help form intervention (non-standardized, criterion-referenced)
Sensory Processing Measure
Hawaii Early Learning Profile
Beery-Buktenica Developmental Test of Visual-Motor Integratio
School Function Assessment
79
Damage to dermis, epidermis, & N endings, pale, less sensation, high risk contractures/hypertrophic scars, needs surgery
bone/muscle burn
full thickness burn
hypodermis burn
superficial partial thickness burn
80
Review avail treatments
, Discuss/problem-solve barriers to implementing change, goal
to increase client's self-efficacy
Precontemplation
Action
Contemplation
Preparation
81
Responsible for interpreting spatial info, beh control, interpreting emotions, face recognition, visual imagery:
right hemisphere
left hemisphere
82
Part of Medicare that covers hospital stays, nursing facilities, hospice, & home health:
Part B
Part D
Part A
Part C
83
Admin time 60 mins, predicts accessibility problems, client interview and obs, evaluates person & env, outdoor + indoor:
Safe at Home Checklist (SAHC)
Housing Enabler
Functional Home Assessment Profile (FHAP)
Home Environment Assessment Protocol (HEAP)
84
Created by medicare/caid, assesses fall risk, caregiver ability, cog, behavioral, psy symptoms, ADL & IADL, 4 comparison
Functional Mobility Assessment (FMA)
Outcome and Assessment Information Set (OASIS)
Katz Index of Independence in Activities of Daily Living (ADL)
IADL Checklist
85
Who uses OASIS score to determine prospective reimbursement under Medicare for home health agencies
Home Health Resource Group (HHRG)
Part B (Medical Insurance)
Part C (Medicare Advantage)
Part A (Hospital Insurance)
86
Obj measure of sympathetic responses to test peripheral nerve function by immersing hand in warm water 5-15 mins
Finger Test
VAS
Numeric Rating Scale
Wrinkle Test
87
Chewing, biting, rotary jaw motions - Sensory: Skin, mucous membranes, & sinuses “chew trident gum”
IV trochlear N
Facial N
VI (6) Abducens Nerve
Trigemenal Nerve (V)
88
Must be "homebound" under Medicare Part __
, Quality measure = OASIS, reassessment every 30 days, modify env/demands:
A
D
C
B
89
ID potential barriers to change
,
edu handouts on substances
,
Encourage client to reflect on life experiences -
Precontemplation
Contemplation
Action
Preparation
90
Rancho - Max A self care, combative, mood changes, unable to comply, ST mem absent, not oriented, attention a few secs:
Level VI
Level IV
Level V
Level III
91
Self Control Phase- b/t ____ mo: emerging sense identity, demos knowledge of social rules, min flexibility
36-48
24-48
56-75
12-24
92
Services outlined in part B of IDEA, Includes academic and functional goals, Plan must be reviewed annually:
ARD
Section 504 Plan
Individualized Education Program Plan
Rehabilitation Act
93
Standardized assessment of affective, cognitive, & performance ability (task performance & social interaction skills):
Mini-Mental State Examination
Bruninks-Oseretsky Test of Motor Proficiency
Bay Area Functional Performance Evaluation
Addenbrooke's Cognitive Examination
94
Integration of senses, number awareness, visuospatial processing, praxis (motor planning), manipulation of objects:
Temporal lobe
Parietal lobe
Occipital lobe
Frontal lobe
95
Questionnaire to determine the extent a client’s disability impacts level of participation in everyday life activities:
Craig Handicap Assessment and Reporting Technique (CHART)
Model of Human Occupation Screening Tool (MoHOST)
Pediatric Quality of Life Inventory (PedsQL)
School Function Assessment
96
Discriminates MCI from Alzheimers, 26+ = normal score, requires certification, 8 cog subtests, 10 mins, 30 pnts possible
Mini-Mental State Examination
Montreal Cognitive Assessment
Saint Louis University Mental Status
Cognitive Performance Test
97
Services outlined in Part C of IDEA, goals address functional skills, plan must be reviewed every 6 months:
Individualized Education Program Plan
Individual Family Service Plan
Section 504 Plan
98
_____: The ability to see 3-dimensional objects and perceive depth:
Stereopsis
Strabismus
Stereognosis
Visual Scanning
99
140-159 mmHg systolic, 90-99 mmHg diastolic =
Prehypertension
Hypotension
Hypertension: Stage 2
Hypertension: Stage 1
100
Eyelid elevation (prevents ptosis). Elevation, depression, & adduction of eye. Constriction of the pupil:
II Optic Nerve
VI (6) Abducens Nerve
III Oculomotor Nerve
IV Trochlear N
101
Standardized peds test of functional health & QOL (0 – 100 rating, 19 & younger)
School Function Assessment
Craig Handicap Assessment and Reporting Technique (CHART)
Pediatric Outcomes Data Collection Instrument (PODCI)
Pediatric Quality of Life Inventory (PedsQL)
102
_________:
2nd phase of lit learn, b/t
12-42 mos
: 1st spoken words (requesting attention), und lang w auditory & visual
Emergent Literacy Development
Preliteracy Development
Reading readiness
Early Literacy Development
103
Direct/lengthy exposure to heat, epidermis-most of dermis destroyed, red, large blisters, high risk hypertrophic scars
Superficial burn
Deep partial thickness burn
Superficial partial thickness burn
Full thickness burn
104
Hypoglossal nerve XII (12):
face and posterior 1/3 of tongue
trapezius muscles
motor movement of the tongue
chewing, biting, rotary movements
105
Dystrophic CRPS, stage 6-9 mo: extreme pain, hypersensitivity, BRAWNY edema, RED, WARM, atrophy, contractures
Stage III
Stage II
Stage I
Stage IV
106
Performance-based assessment of handwriting legibility & speed, criterion-referenced, versions for cursive & print:
Evaluation Tool of Children’s Handwriting (ETCH)
Test of Handwriting Skills, Revised (THS-R)
ETCH (Evaluating the Components of Handwriting)
Handwriting Assessment Screening Tool
107
Results from a single randomized controlled trial w proper research design/sample size:
Level II
Level IV
Level III
Level I
108
Rancho- Consistently oriented, integrate cog strategies, self-monitor, over/underestimate IADL ability, attend 60 mins:
Level IX
Level VII
Level X
Level VIII
109
***Standardized test where client rates own performance (w specific testing instructions); Results compared over time:
Criterion-referenced test
Self-report test
COPM
Ipsative Assessment
110
Regulation of taste anterior 1/3 of tongue, pharyngeal & laryngeal muscles
VI Abducens Nerve
VII Facial Nerve
Cranial Nerve IX: Glossopharyngeal nerve
IV Trochlear N
111
Crude (ulnar) Palmar Grasp: Object held
ulnar
(pinkie) side of palm- No active thumb involvement, age: ____
12 mos
4 mos
6 mos
1 mo
112
Control phase - emo regulation devel, b/t ____ mos. emerging awareness social demands, varying levels inhib/compliance
10-20
12-18
36+
24-48
113
Optional section of Medicare w coverage for prescription medications:
Part C
Part D
Part A (drugs)
Part B
114
Book stand, mouth stick, walker, cane, word picture comm boards, reacher, sock aide, foot rest, plate guard:
low tech
high tech
soft tech
115
Exploratory stage- b/t ____ mos: infant learns about self & env w primitive movements (swipe, initiate reach, etc)
5-6
2-4
1-3
9-10
116
Results from a non-randomized research study w control/intervention groups:
Level III
Level II
Level I
Level IV
117
Screen self-awareness & use of cognitive compensatory strategies; based on dynamic model:
Bay Area Functional Performance Evaluation
Miller Function and Participation Scales
Contextual memory test
Peabody Developmental Motor Scale
118
Adjunct to treatment to enhance wound healing
,
Contraindicated over metal pins or hardware
/w demand-type pacemaker
FES
NMES
TENS
PED
119
Mandates early intervention services for children with disabilities from birth-2 years and 11 months of age:
IDEA Part C
IDEA Part B
IDEA Part D
IDEA Part A (chickies)
120
No eye opening, no sounds or words emitted, extension or abnormal reflex reactions (score of 3-8 on Glascow) =
Severe
Absent
Moderate
Mild
121
Ability to remember info given auditorily for a lil time. Child should recall info long enough to process, use, store
Phonological memory
Reading Readiness
Phonological awareness
Print knowledge
122
gag reflex, regulation of blood pressure, parasymp nervous system:
Abducens N VI
IV Trochlear N
Olfactory N (1)
Cranial nerve X: Vagus
123
Perceptual Learning stage:
b/t _____; uses perceptual skills dev w exploration (+accurate reach, consistent movements)
9-12
1-3
3-6 mos
6-9
124
Glasgow coma scale (severity of TBI) score of 9-12 =
Moderate
Mild
Severe
Orientated
125
Prevention method includes early mobilization post-op & compression stockings
,
Risk factor = prolonged bedrest
.
orthostatic hypotension
angina
pulmonary embolism
hypoglycemia
126
Client-centered test (4 job pursuits) - current level participation in leisure & level they desire to perform leisure
Job analysis
Interest Checklist
Rancho Los Amigos
Wrinkle Test
127
The ability of a test to yield similar results when given to the same client by the same therapist (repeated testing):
Ipsative reliability
Intra-rater reliability
Inter-rater reliability
Intra-client reliability
128
Abduction of eye and accommodation for far vision:
VII (7) Facial Nerve
V Trigeminal Nerve
VI (6) Abducens Nerve
IV Trochlear N
129
Muscles being tested include the latissimus dorsi, teres major, and posterior deltoid
:
shoulder IR
shoulder ER
shoulder extension
shoulder flexion
130
Addresses how disability influences life stages
, life review is an effective intervention,
Erikson and Piaget's theories
sensorimotor groups
psychodynamic groups
developmental groups