Santino was seen for session 15 of 15 with this Speech-Language Pathologist (SLP). The photo exchange was completed on his daily, visual schedule via Miss Dorothy and arranged to display the remainder of his schedule sequence (i.e. Miss Christina, his backpack, Mom, and Ingrid) by this SLP. The schedule was reviewed with Santino. A brief visit by Miss Christina to reinforce the schedule followed...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. He seemed to need a sensory break outside of the classroom. His "pull-up" was checked and found to be very wet. Santino easily transitioned to the restroom, but attempts to enter were met with rejection. Santino began to cry and lay on the floor in the "East" classroom. Attempts to redirect were eventually successful and the sequence began (i.e "Pants Down",
"Pull-up off", "Sit on Toilet", "Count to 5", "Wipe",
"Flush Toilet", "Shoes Off", etc.) until complete. Santino assisted throughout, but remained teary-eyed. Subsequently, he seemed to want to remain in the "East" classroom. He followed the one-step verbal direction, "Get your backpack.", given repetition and appropriate "wait-time". Santino fussed as we passed the lobby door, possibly in anticipation of dismissal, but was redirected quickly back to the individual classroom...Once inside, Santino immediately selected the bag containing the 26 colored balls and requested via gesture to open it. During the remaining 25-minutes of the session, Santino appeared regulated and showed shared attention and interest as he engaged in the purposeful, predictable, two-way interaction with this SLP. He selected the color requested from a field of 2 (and sometimes 3) for 26 out of 26 opportunities, then tossed each into the large container. Santino verbalized "orange", "red", "green, and "yellow" appropriately when asked, "What color?", throughout the activity from time to time...Santino remained engaged and scanned the items prior to selection. Eye contact was noted consistently upon presentation of the balls...The session came to a close in the routine sequence with the "Good-Bye" song and successful photo exchange on his daily, visual schedule with both verbal and physical prompts from this SLP...Santino transitioned calmly into his next session...Continue as planned with continued focus on single-word requesting via eye-gaze, photo/picture exchange and/or verbalization. Santino is delightful!