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The VPA™: Assessment & Clinical Reasoning — participation guide

4 contact hours · 0.4 AOTA CEUs · Module 2 — follow along, take notes, and complete the reflection prompts.

Module 2

VPA™ Architecture

Follow along

What this module covers

  • Why 12 skills across 5 domains
  • When to reach for a standardized tool

Key ideas

Capture these as you listen

  • Two tools, two jobs: the Classroom Screen decides whether to look; the Full VPA™ measures. Nothing sits between them.
  • Classroom Screen: 30 observed behaviors, six per level, 3–5 minutes. Green 0–4, yellow 5–10, red 11+; automatic-trigger items escalate regardless of total; 3+ visual-motor items raise a handwriting flag.
  • A screen result is referral history, never an assessment finding, and it produces no levels.
  • Full VPA™: 12 skills across 5 domains, about 30 minutes, age-band entry with about three items per skill; acuity, contrast, saccades, and pursuits run from printed calibrated cards.
  • The domain says what is measured, the level says how hard the item is. The output is a profile, not a global score.

Notes

My notes for this module

Reference figures

Keep these for practice

Full VPA™ administration view
Full VPA™ administration view. Say/Do script, level ladder, and the scoring worksheet in one clinician view.

Diagram — 12 skills mapped to 5 domains

L1 · Access
Near acuity
Contrast sensitivity
L2 · Efficiency
Fixation & pursuits
Saccades
Convergence & near focus
L3 · Processing
Discrimination & form constancy
Figure-ground
Visual closure
Spatial relations
Visual memory
L4 · Visual-motor integration
Copying & visual-spatial planning
L5 · Functional integration
Reading & writing endurance

Task rubric 0–3 → reported as VPL 1–5

0

Unable

1

Emerging, max support

2

Functional but inefficient

3

Accurate & efficient

Five domains, twelve skills, about 30 minutes — one domain per framework level. Every task is rubric-scored 0–3; the highest task level scored 2 or better is the skill’s achieved level, reported as VPL 1–5 against the age-band expectation.

Screenshot — Full VPA™ skill menu

Visual Performance Assessment™ · Select skills

Visual access

  • Near acuity
  • Contrast sensitivity

Visual efficiency

  • Fixation & pursuits
  • Saccades
  • Convergence & near focus

Visual processing

  • Discrimination & form constancy
  • Figure-ground
  • Visual closure
  • Spatial relations
  • Visual memory

Visual-motor integration

  • Copying & visual-spatial planning

Functional integration

  • Reading & writing endurance
The Full VPA™ skill menu. Clinicians select the skills the referral question actually requires; the ladder and scoring rules stay identical across every skill selected.

Apply it

Case prompt

Two teachers complete the Classroom Screen for the same 10-year-old. One scores him at 6 (yellow), the other at 12 (red), and only the second checked "complains that words move on the page." What do you do next, and how would you describe the two screens in your report?

Practice

Mini exercise

In one sentence each, state the job of the Classroom Screen and the job of the Full VPA™. Then write the one sentence about a screen result that is allowed to appear in an evaluation report.

Take it to work

Action step this week

Without looking, list the twelve Full VPA™ skills under their five domains. Then check yourself against the skill menu. The skills you forgot are the ones you are least likely to observe carefully.