Santino was seen for session 14 of 16 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", "Lunchbox", "Miss Ingrid", and "Mom" to complete "First, Next, Then, Last" 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 blue 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 engaged as he participated in the "My Turn/Your Turn" sequence x 10. Sunsequently, Santino selected "Who Lives in This House?" and participated in the modeled "My Turn/Your Turn sequence X 10. During the aforementioned activities, Santino responded verbally to "Yes/No"-Questions for 54 of 54 opportunities in the following manner: Given Initial Phonemic Cue and/or Picture Exchange: 7 of 7 opportunities correctly...Spontaneous Response, Indepentent of Prompts or Cues: 44 of 47 opportunities correctly...It is important to note that increased reflux was observed during the session...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, "Good-bye Miss Sharon" and "Ingrid", upon her arrival. Verbalization of "Ride Car" and "Mommy" was noted upon picture reference during the carrier phrase, "Ingrid will take you for a... then home to see...". Continue as planned with focus on use of communication book/photos across sessions/instructors and settings to promote increased spontaneous verbalization...