Santino was seen for session 15 of 17 in Term 3 with this SLP and appeared teary-eyed over possible confusion with regard to his schedule. Upon reference and review of his daily, visual schedule, Santino seemed to recover quickly and verbalized "Miss Sharon", "Lunchbox", "Miss Ingrid", "Ride Car", and "Mom" to complete "First, Next, Then, Last" carrier-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 at the table in the blue chair upon verbal direction. In an attempt to extend regulation, a novel activity, "Magnetic Matching Picture Game", was presented and modeled. Santino appeared engaged as he selected, "A Day on the Farm" ("I want Farm") from an array of 4 imaginative scenes that included the following: Backyard Playtime, Heading Off to School, and A Busy Day in Town. Santino selected colorful magnets that match the suggested picture and placed them on a larger background card to recreate the scene. Santino responded verbally to concrete, Yes/No-Questions pertaining to the activity. If a response was not noted after appropriate wait-time, reference to communication pictures and/or initial phonemic cue continued to elicit responses accurately...Santino appeared fatigued after completing the scene, but assisted with clean-up upon verbal direction. Given choices, all attempts to focus and extend engagement were rejected (with verbalization of "NO!" combined with reference to communication picture) as he relocated and snuggled into the soft blue chair. When asked, "Do you want to sleep?", Santino responded, "Yes!" and rested for a few minutes prior to dismissal. Santino stood as the "Good-Bye" Song was presented and the daily, visual schedule was referenced and reviewed in preparation for dismissal. Santino verbalized, "Good-bye Miss Sharon". Verbalization of "Ride Car" and "Mommy" was noted upon picture reference within the carrier-phrases, "Ingrid will take you for a... then home to see...". When sessions resume, continue as planned with focus on use of phonemic cues and carrier-phrases in combination with communication book/photos across sessions/instructors and settings to promote increased spontaneous verbalization...I will certainly miss Santino and look forward to seeing him soon!!!