Allen's Cognitive Levels

Terms	Definitions
Level 1	reflexive; difficulty focusing on external stimuli
Level 1	may or may not be able to eat or drink, individual is conscious
Level 1	requires 24 hour care; can attend for a few seconds
Level 1	response to external environment is minimal
Level 2	movement; postural actions
Level 2	attend 5-10 minutes; proprioceptive cues
Level 2	unable to imitate running stitch
Level 2	individual may assist caregiver with simple tasks
Level 3	Manual actions; tactile cues
Level 3	can attend for up to 30-40 minutes
Level 3	able to imitate all 3 running stitches
Level 3	repetitive actions; can repeat actions of others; cause and effect
Level 3	cannot follow written directions
Level 3	able to help with self care
Level 4	goal directed
Level 4	independent with self care; can live alone
Level 4	attends for 45 minutes
Level 4	relies heavily on visual cues
Level 4	can imitate the whip stitch
Level 4	can follow written directions
Level 5	exploratory; related cues
Level 5	can carry over for several days
Level 5	can imitate single cordovan stitch
Level 5	overt (physical) trial and error; problem solving
Level 5	can complete simple craft without written instructions
Level 5	anticipates safety; able to drive; social bonding occurs
Level 6	planned actions- symbolic cues
Level 6	can imitate cordovan stitches
Level 6	unlimited actions; premeditated activities
Level 6	individual can think of hypothetical situations and complete mental trial and error problem solving

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