Santino was seen for session 1 of 1 in Term 3 with this SLP. He appeared calm upon transition between sessions as he finished eating his yogurt with Miss Dorothy in the individual classroom. The daily, visual schedule was referenced and reviewed. His Pull-Up was checked and judged to be very wet. Santino transitioned calmly to the East restroom and participated in the procedure to change into a dry Pull-Up. During the walk back, Santino referenced a small plastic container of magnetic letters and shapes located on the top of the bookshelf in the hallway. He requested via spontaneous verbalization, "I want shapes". The container was retrieved by this SLP then carried to the individual classroom by Santino. He immediately sat on the floor and attempted to remove the lid. Santino referenced this SLP and requested help via spontaneous verbalization, "I want help!". Assistance was offered and the contents were examined by Santino for approximately 1 minute.
He appeared to lose interest quickly and assisted with clean-up upon verbal direction...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...Consideration has been given to expand upon Goal 5 to include modifier + object/action in the phrase "I want..." via picture exchange and/or verbalization...Santino was directed to an array of 3 planned activities. He immediately referenced the photos, selected one, then requested the novel activity via verbalization paired with photo exchange, "I want dino puzzle!". During the remaining 30-minutes of the session, Santino helped organize the 50-piece dino floor puzzle into white "frame" and colored "inside" pieces as each was removed from the box and labeled. He referenced the illustration on the box as a guide to create 3/4 of the frame with moderate assistance...As the session came to a close, Santino assisted with clean-up. The "Good-Bye Song" and reference to the daily, visual schedule were completed in preparation for the next session. Santino seemed distressed, perhaps in anticipation of dismissal, but appeared to recover quickly...Continue a plan with focus on use of communication book/photos across sessions/instructors and settings...