S: Noah was seen at the Batt School for treatment. Noah had some difficulty with transitioning into speech but is noted to have recovered quickly. Decreased compliance is also noted as the session progressed. O: Noah was asked to follow a variety of 1-2 step related directions. He completed the activity with 45% accuracy. He was then asked to identify spatial concepts in a field of 2 visual answer choices. He completed the activity with 42% accuracy. Lastly, Noah was asked mixed “wh” questions about a story read aloud to him given a field of 3 visual answer choices. He completed the activity with 20% accuracy. A: Decreases noted on some targeted POC goals, likely due to decreased compliance and high level of distractibility as session progressed. P: Continue with current POC; monitor goals that display decreases.