Santino responded "Good Morning" in response to social greet as he once again confidently and knowingly initiated the transition into the office. He responded "Bye Ingrid" in response to the carrier phrase +phonemic cue "Ingrid's leaving"..... + lip closure for B paired with slight inhalation. Picture cues continue to be presented as communicative starter support. Santino continues to actively scan the room for desired items. He consistently points to an object clearly out of reach that he desires. Provision of phonemic cue to initiate verbal request within increased sentence structure of "I want + object/attribute +object is successful with noted responses 18/20 opportunities. Regulation of action has increased these last visits with noted use of action form following carrier phrases which support specific action 12/14 opportunities. Response to yes/no question forms continue to be supported as "yes " responses typically follow a model.
Santino continues to respond to varied natural directives within the context of play and natural conversation with a single presentation of the directive with 85-90% accuracy.
Strong session once again. Validation of his intent supports verbal responses with cues when needed. 432 Hz music continues to be utilized throughout the session.