Bella receives occupational therapy which has helped her be able to scribble with crayons, feed herself, open food containers and snack packages, etc. While she does not speak, she is able to make her needs and wants known through gestures facial expressions, vocalizations, and also through picture cards. She knows a few signs as well such as “thank you.” Due to Bella’s multiple diagnoses, she requires assistance with her daily living activities though she is able to take part in her care.
Bella was born exposed to and addicted to drugs. Following her birth, she was diagnosed with cerebral palsy characterized by dyskinesia and spastic quadriplegia, microcephaly, strabismus, global developmental delay, and severe intellectual disability. In 2017, she was also diagnosed with Autism Spectrum Disorder (ASD).
It is clear that Bella has established a bond with her caregivers and she enjoys their presence. She greets her teachers and plays clapping games with them. She is able to pay attention during lessons and has demonstrated the ability to learn. While she will always need a caregiver, it is believed that being in a loving family will help Bella continue to develop and grow in her abilities. She enjoys playing on a sit-n-spin, swinging or playing on a see-saw. She is drawn to mirrors and toys with lights and/or music.






