Santino was seen for session 11 of 12 in Term 3 with this SLP and transitioned calmly between sessions. He greeted, "Hello Miss Sharon", verbally, when prompted. Santino appeared engaged and focused as the daily, visual schedule was referenced and reviewed. Santino verbalized "Miss Sharon", "Miss Ingrid", "Lunchbox, and "Mom" to complete First/Then phrase sequences. Water and food choices were presented but rejected...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 stated goals to include additional areas of focus such as: to respond to and participate in My Turn/Your Turn-Activities, to respond to Yes/No-Questions, to respond to WH-Questions, and to communicate Agent + Action and Action + Object constructs via verbalization and/or photo/picture exchange...Santino sat in the brown chair upon verbal direction and was directed to 2 familiar activities. He verbalized, "I want Farm Match-Up", immediately. The activity sequence was modeled. Santino appeared engage as he participated in the "My Turn/Your Turn" sequence x 10. In addition, Santino responded to "Yes/No"-Questions given the initial phonemic cue and picture exchange for 18 of 18 opportunities. He whispered the final answer, "Yes", independent of prompts or cues...Santino assisted with clean-up upon verbal direction. The session came to a close in the usual manner with the "Good-Bye" Song and reference/review of the daily, visual schedule in preparation for dismissal. Santino verbalized the following: "Good-bye Miss Sharon", "lunch box, Miss Ingrid and Mom" to complete the First/Then phrase sequences.
Santino verbalized, "Ingrid", upon her arrival and "Good-Bye Miss Sharon"...Continue as planned with focus on use of communication book/photos across sessions/instructors and settings...