The brain's ability to learn and apply knowledge various aspects of cognition may be

• Verbal cognitive ability
• Non-verbal cognitive ability
• Executive functions

Theory of mind

Ability to ask for help

Ability to plan and organize

Plan a hiking schedule to get in shape

Organize proper clothing to match weather conditions

Ability to be "flexible" with diet, daily routine, interactions with others

Ability to cope with unexpected outcomes (e.g., quick change in weather)

Ability to dress according to weather conditions

Ability to maintain motivation throughout the hike

The individual's ability to communicate with others

• Pragmatic Language/Social Communication
• Receptive vs. Expressive
• Verbal vs. Non-verbal

Language Idiosyncrasies/Atypias

To relate/shared individual interests and experiences with peers

To participate in small group discussions and activities

To increase appropriate exchanges between peers and climbing team

Ability to convey wants and needs within novel environments

Sensory Domain: Individuals ability to sense and process environmental stimuli (7)

• Sensory Seeking vs. Sensory Aversion
• Hypersensitive vs. Hyposensitive vs. Idiosyncratic

Motor Domain

• Gross Motor: Functional Mobility, Locomotion, balance (large muscle function)

Fine Motor: Manual dexterity, Proprioception (small muscle function)

Proper daily warm-up and cool-down routine

Proper descent technique using poles

Follow a hiking/exercise schedule to be physically prepared for hike

Managing basic fasteners, opening/closing containers, zippers

Basic skill areas

• Oral expression
• Listening comprehension
• Writing expression
• Basic reading skills
• Reading comprehension
• Math calculation
• Motor skills

Follow directions for variety of daily routines in preparation for the hike (e.g., how to get in/out of a tent; how to brush your teeth without a sink)

Basic safety skills (e.g., drinking fluid, taking medications)

Personal photo, written journal of preparation and hike

Ability to research area and hike

Maladaptive Behaviors Definition

• Developmentally inappropriate
• Educationally interfering
• Socially penalizing

Maladaptive Behaviors include

• Aggression: property destruction, self injurious behaviors
• Noncompliance: Refusal, Oppositional, Shutting down,
• Tantrums, Bolting
• Inappropriate verbalization: Noises, Swearing, Yelling, Inappropriate Comments
• Inattention: Impulsivity, Hyperactivity,
• Other: toileting issues, eye contact, lying

Clear expectations and rules of the hike

Ability to increase or maintain behavior to ensure safety of individual and group

To minimalize interfering behaviors that may be maladaptive coping strategies

Positive Emotions vs. Negative Emotions

Negative/impairing Emotions

• Anxiety/fear
• Sadness, Depression
• Anger

Emotional Control

Ability to express fears, pain, basic emotions

A plan to deal with emotions (e.g., how will you communicate with your family)

Ability to cope with emotions; self regulate

Ability to cope with emotions and behavior of others

Ability to interact with others

• Communication
• Play
• Friendship, Peer interaction

Reciprocity (Joint Attention, Theory of mind)

Ability to work in a group during hikes, training, "downtime," meal time

Developing relationships with the group

Communicating with the group socially during the hike, down time, mealtime

Past and current environmental factors involved in development

• Protective factors

Negative factors (adversity)

Any pertinent information of past environmental factions (e.g., tendency to bolt in stressful situation)

Ability to adapt to current environment (e.g., the climate, weather conditions, space)

Hearing, Vision

Comorbid conditions, hearing, vision

Underlying medical cause of presenting profile

• Genetic, infectious, toxic, metabolic
• Prenatal, Perinatal, Postnatal
• Prognosis
• Re-occurrence Risk

Management /Treatment Strategies

Prepared with specific medical needs/supplies

Prepared for high altitude conditions

Definition: Day to day skills/behaviors that are necessary for individuals to:

• Get along with others
• Function independently

Adaptive Behaviors are variable due to

• Age expectation
• Cultural expectations

Adaptive Behaviors: defined by Typical Performance not Ability

Adaptive Behaviors include

• Communication Skills: Receptive, Expressive and written
• Daily Living Skills: Personal, Home, School, Community, Job
• Socialization Skills: Interpersonal relationships, play and leisure, coping skills)
• Motor Skills: Fine and Gross

Ability to occupy yourself during "down time" (independent leisure)

Ability to get dressed (i.e. put on hiking boots, jackets, etc.)

Ability to perform hygiene routine outdoors

Ability to be responsible for backpack and minimal supplies

Ability to navigate in an airport, fly by oneself

Ability to sleep outside in a tent, in a sleeping bad, with a group of people

Ability to sleep, perform hygiene in hotel in Africa (e.g., no air conditioning, mosquito netting surrounding bed)