Santino was seen for session 32 of 32 with this SLP and appeared pleasant and calm as he was met in the "East" classroom and transitioned to the individual classroom. Students and teachers were decorating the lobby for Halloween. Santino referenced and verbalized "Ghost" from several decorations displayed on the table...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...The daily, visual schedule was referenced and reviewed...Upon entering the room, Santino immediately sat on the pillows. Upon direction, he stood and sat in a chair at the table and referenced the communication book. He selected "Where's the Witch?" from a field of 4 planned options. The predictable pattern was read aloud by this SLP as Santino lifted the felt flaps at appropriate points. Verbalization was not noted..."All Done" was referenced by this SLP then selected by Santino. In an attempt to engage Santino further, this SLP presented 2 novel and 3 familiar activities. He requested Play-Doh via photo exchange then immediately requested the Gingerbread Man and all items in the appropriate sequence via photo exchange to complete the activity once. Santino appeared focused and engaged with shared attention and interest during this two-way, purposeful interaction with gestures and intentional communication. Santino requested the following: red, Play-Doh, Gingerbread Man cookie cutter, rolling pin, eyes, mouth, and buttons via photo exchange and requested "More" + Color + "Play-Doh", "More" + Eyes, and
"More" + Buttons when necessary...Santino verbalized the following: "Cookie, Cookie Cutter, Gingerbread Man, Gingerbread Man Cookie Cutter, I Want, More, Want More, Eyes, Buttons"..."All Done" was referenced by this SLP and selected by Santino who requested "Build-and-Play Police Car" as his next activity...The vehicle had been disassembled previously and the chassis, only, was presented to Santino. All other components were presented via photo exchange. Santino requested the following to complete the vehicle assembly: car frame, siren, spoiler, front bumper, back bumper, 4 tires, 8 screws, and the screw driver. He maintained focus throughout the 30-minute activity and verbalized the following: tire, screw, screw driver..."All Done" was referenced by this SLP and selected by Santino. He assisted with clean-up upon verbal direction. The session came to a close in the usual manner with the "Good-Bye" Song during which he verbalized "Good-Bye" once during pause-time... Successful photo exchange was completed on his daily, visual schedule given both verbal and minimal physical prompts from this SLP..Continue as planned with focus on intentional communication to request and initiate via social referencing paired with photo exchange and verbalization.