Assignment task: Cultural Considerations - Communication and Comprehension Help Elsa is seven years old. She is receiving services related to her challenging behaviors in school. Russian is the primary language used at home; however, both she and her parents are fully bilingual and report not having difficulty or preference regarding language. Mini Vignette 16/30 How would you rate Elsa on this question? Select your answer below then click the "submit" button. 0 - No evidence of communication and comprehension needs. 1 - Relevant history or suspicion of child/adolescent or family communication and comprehension needs where watchful waiting* is recommended. 2 - Child/adolescent or family has communication and comprehension needs and/or action is required. 3 - Child/adolescent or family has severe communication and comprehension needs and/or immediate action is required. Want Online Help?