Session Date
Lesson Topic
Speech Language Therapy
Lesson Outline
Santino arrived 15 minutes late for the session as mom had phoned to share that they were running late as Santino was eating breakfast. Upon arrivaL, he initiated brief eye gaze in response to social greeting, and glanced at the visual schedule as it was presented. He happily transitioned to the familiar room and placed his backpack on the "cow pillow' with gestural and hand over hand support. As he rapidly reached for the closed bag of materials adjacent to the table, a strip of 4 pictured choices was immediately presented, he quickly scanned and removed the picture of the toy of choice and reached to place it in my hand. Continued use of affirmation and validation of the request using declarative statements was provided. The 4 choices were continually presented, each time reordering the pictures on the velcro strip, as the task came to a close. He subsequently initiated requests via picture exchange 12 times throughout the session. Overall social referencing within the exchange was highly inconsistent, as periods of delayed echolalia were strong this session. Strong focus lies in the area of increasing Santino's overall awareness of verbal regulation, supporting the shift from verbal reactivity, to verbal initiation. Increased use of immediate echolalia was noted this session. Use of sabotage and absurdity continue to be a facilitative tool to increase responses to personal choice yes/no questions within a repeated play framework. Session closure was again indicated by a familiar "clean up song," removal of my picture from the schedule, hand over hand placement of the picture in the pocket and referencing the next teacher. Santino subsequently looked to the window anticipating Dorothy's arrival.
Session Minutes
60
Minutes Student Attended
60
Lesson Comments
Dorothy and I had an opportunity to briefly discuss his success in the small room (Danny's room).
Session Hours
1.00
Hours Attended
1.00
Entry Status
Review Status
Student Name(s)
Subject