Santino was seen for session 27 of 27 with this SLP in the individual classroom and appeared pleasant yet focused on an activity from the previous session...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...Upon removal of the stimulus, Santino immediately requested "Where is Santino's Pumpkin?" from a field of 4 planned activities. He requested the book 5 times via photo exchange and verbalized the following during this 15-minute segment: pumpkin, Halloween, cat, window, ghost, open door, apples, 2 apples, candy apples, 1-2-3-4-candy apples, Mommy's bowls, behind Mommy's bowls, hat, pointy hat, pointy witch's hat, outside door, Trick-or Treat...Both the book and associated photo were removed from the choices much to Santino's protest. He stood independent of direction and searched for the desired items. Upon redirection, Santino chose "Boo!...A Book of Spooky Surprises" and verbalized the following: Boo, Cat, Black Cat, Wizard, Ghost....Santino requested "Build and Play" Police Car via photo exchange from the array of 7 planned activities. He proceeded to request via photo exchange from a field of 9, the necessary items (i.e.Tires, Screws, Screwdriver) required to attach, remove, then reattach the front and back tires of the vehicle for 8 out of 8 opportunities. He placed each item upon receipt in the correct location and independently manipulated the screwdriver correctly to tighten and remove the screws. It is important to note that Santino appeared less focused overall than in previous sessions with this SLP in the individual classroom. He appeared to rush through the activity as he reached for items and required moderate verbal and physical prompts to request via photo exchange to complete the activity. At one point, Santino abandoned his chosen activity and lay on the pillows. Attempts to redirect and assist with clean-up were met with rejection...The session came to a close in the usual manner with the "Good-Bye" Song. Santino verbalized the following during planned pause-time within the song: "Santino", "Good-Bye, "So-Long". Successful photo exchange was noted on his daily, visual schedule given both verbal and minimal physical prompts from this SLP...Continue as planned with a focus on Santino's use of
"All Done/Finished" via photo exchange to indicate his intention to end an activity.