Santino demonstrated strong social referencing upon social greet. Some assistance to guide the transition to his room was provided, as his focus was inconsistent during the transition. He continues to assist with pushing key pad successfully in order to enter the main area. Provision of choices continue to be available upon entrance to his room. Gentle support to sequence the picture placement, finger point to word sequence/or exchange of the strip was provided on initial 6 trials. Subsequent requests were independent for the duration of the session.
Continued paired/simultaneous verbalization of intent with the point/exchange is noted across the majority of requests. Additional use of spontaneous verbalization to request desired items/activities continues to increase. Periods of strong visual distraction and delayed echolalia were noted throughout the session.