Santino was seen for session 37 of 37 with this SLP in the individual classroom and appeared pleasant and calm upon transition between sessions. The daily, visual schedule was referenced and reviewed by Miss Dorothy and Santino verbalized, "Sharon" paired with social reference upon photo exchange...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 presented with 2 novel and 2 familiar activities, and 4 familiar book options. Santino chose "Boo! A Book of Spooky Surprises then seemed to change his mind as he picked-up "The Little Old Woman Who Was Not Afraid of Antyhing". Santino was redirected to the communication book and requested the aforementioned storybook via exchange. As in the two previous sessions, Santino appeared to take immediate interest in the text and illustrations. During a 40-minute period, Santino requested the book twice via exchange and engaged in two-way, purposeful interaction with gestures, shared interest, and intentional communication. He pointed to text as if decoding whole words (paired with reference to illustrations) and verbalized the following, expanding his utterances throughout, as an adapted version of the story with props was presented by this SLP: "Once Upon a Time, Old, Old Lady, Little Old Lady, Cottage, Walk, Seeds, Basket, Walked, Dark, Moon, Moon Shining, Stopped,
She Stopped, Shoes, Shoes Went CLOMP! CLOMP!, Two Big Shoes, Two Shoes CLOMP! CLOMP!, Get, Get Out, Pants, Pants WIGGLE! WIGGLE!, Bumped, Shirt, Shirt SHAKE! SHAKE!, White Gloves, Two White Gloves, White Gloves Go CLAP! CLAP!, Hat, Tall Black Hat, NOD! NOD!, Faster, Quite, Quite Fast, Orange, Scary, Scary Pumpkin Head, Boo! Boo!, Ran, Ran Fast, Stop, Didn't Stop, Door, Locked Door, Rocked, Quiet, Knock, Knock-Knock-Knock, Open, Open Door, Brave, Bravely, Happy, Good Night, Up, Garden...Santino was encouraged to use props to imitate the action sequences of the Shoes, Pants, etc. and did so with moderate to minimal verbal and/or physical assistance by this SLP. He tried on the white gloves and tall black hat twice..."All Done" was referenced by this SLP then selected and verbalized by Santino who assisted with clean-up afterward upon verbal direction...Santino reached for his green bottle from the table (filled during the previous session with Miss Dorothy) and lay on the pillows. The beverage leaked from the bottle and may have disrupted Santino's intention to drink as clean-up of the spill was necessary...Continue as planned with focus on intentional communication to request and initiate via social referencing paired with photo exchange and verbalization.