Santino was seen for session 18 of 18 with this Speech-Language Pathologist (SLP) in the individual classsroom. He appeared pleasant in demeanor and seemed to transition easily between sessions with successful photo exchange via Miss Janis. The daily, visual schedule was reviewed with Santino by this SLP...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...Classical Music for Attention and Focus was played in the background...Given a choice of 2 planned activities, Santino chose, "Mat", from the Bob Books series and sat on his pillows. He visually inspected and turned the pages of the book independently. Santino was guided via minimal hand-over-hand assistance to physically track the brief sentences with his "pointer" finger as the short story was read aloud by this SLP. Visual tracking of the text was noted throughout. Connections were highlighted and referenced between the story and the simple illustrations of the characters, their actions and feelings. Santino seemed engaged, interested, and focused as the book was read aloud 3 times consecutively in the aforementioned manner...Santino stood independent of direction, sat at the table and selected the 'Farm Match Up" activity from a field of 2 planned activities displayed on the table. The game proceeded in the predictable sequence with success at each level for 5 out of 5 opportunities each. Santino appeared to lose interest in the activity (given attempts to redirect) and was directed to assist with clean-up. He selected then placed the animal requested into the box successfully for 10 out of 10 opportunities. Santino closed the flaps independently. Attempts to elicit the animal names upon selection were unsuccessful. Delayed echolalia was noted at times throughout the activity...Santino was presented with a foam, "train" number puzzle. He selected colored pegs from a field of 2 via gesture and eye gaze for 15 out of 15 opportunities. Attempts to elicit verbal requests for each colored peg were unsuccessful. Delayed echolalia of color names was noted, however. Santino was successful with one to one correspondence as he inserted the pegs into numbered cars for 5 out of 5 opportunities. Santino assisted with clean-up by removing and placing all pegs into the container...The session came to a close in the routine manner with the "Good-Bye" Song and successful photo removal on his daily, visual schedule given verbal prompts and minimal physical cues and assistance from this SLP. Santino verbalized, "Here we go!" spontaneously as we exited the classroom....He seemed happy to greet Ingrid!..Continue as planned.