Santino was seen for session 14 of 14 with this Speech-Language Pathologist (SLP). The photo exchange was completed on his daily, visual schedule via Miss Janis...Santino sat on his pillows in the individual classroom on the "North" side of the campus. He seemed tired, though pleasent and calm as he rubbed his eyes and transitioned between teachers...Goals for the session remained consistent and included the following... 1. to engage in forming a relationship with Santino that includes regulation, and shared attention and interest 2. to enter into two-way, purposeful interactions with gestures and intentional communication 3. to determine highly motivating/favorable, cause and effect activities, so that Santino may develop a feeling of control and predict/anticipate what will happen next 4. to imitate predictable action sequences and communication patterns through cause and effect activities 5. to develop single-word requesting via eye-gaze, picture exchange and/or verbalization...Santino was greeted with the "Hello" Song. Eye contact was fleeting. Food choices were presented while asking, "Do you want to eat?". Santino seemed uninterested. Beverage choices were presented while asking, "Do you want a drink?". Santino tapped the Organic Vanilla Shake...A two-way, purposeful interaction ensued as Santino engaged in eye contact, turned the caps and poured the beverage into the green container successfully given both verbal cues and physical assistance from this SLP. He giggled at the "glug-glug-glug" of the shake as it was poured into the container. Santino lay on the pillows and drank 3/4 of the beverage while this SLP sang a variety of melodies regarding his chosen activity...Subsequently, Santino followed a one-step verbal direction successfully to sit in the chair at the table where he focused and engaged for 20-minutes on a planned, sequenced, predictable activity. Santino was successful for 8 out of 10 opportunities to "pick one" in a field of 2 "haystacks" to find the matching top and bottom pieces of 10 farm animals. (The top and bottom "snap" together to form a whole farm animal.) He verbalized "chick" twice throughout the activity. Santino helped to clean-up by selecting the animal requested successfully from a field of 2 for 10 out of 10 opportunities. He followed through to place each one into the box. Subsequently, Santino participated successfully in a "My turn/Your turn" exchange to place each of 20 haystacks back into a box. He showed patience and restraint as he selected one haystack, only, from a field of 2, thus leaving another for "My turn". Santino followed a one-step verbal direction independently to help close the flaps on the box...During the final 20-minute segment, Santino stood from the chair independent of direction and selected the mesh bag of 26 plastic, colored balls. The clasp came loose and all fell to the floor leading to another two-way purposeful interaction with intentional communication to select then toss the balls into a large basket...Santino positioned himself on the pillows. Two balls of different colors were presented. Santino followed the one-step verbal direction to "pick one" from a field of 2 successfully for 25 of 26 trials and tossed/threw each into the basket for 26 of 28 opportunities. Santino verbalized "orange" and "red" when asked, "What color did you pick?", for 3 out of 3 and 2 out of 3 opportunities, respectively. Eye contact and concentration were noted throughout as he appeared to participate happily in the activity...The session came to a close in the routine manner with the "Good-Bye" Song. Santino was directed to the daily, visual schedule for review. Santino removed the backpack photo independently upon request and immediately secured his backpack given direction to do so. Once at the door to the front lobby, Santino was asked, "Who is that?" He replied, "Ingrid!" then removed her photo from the daily, visual schedule and proceeded to help open the door and greet her...Excellent interaction, focus, concentration, and verbalization today...Continue as planned...