2/13/2025 12:36PM-1:25PM
S: Alexandra was seen at the Batt School for therapeutic intervention for both a language and speech-sound disorder. She ate a snack prior to beginning the session. Alexandra was eager to work with the SLP throughout the session. Play-based therapy techniques and structured language tasks were utilized throughout the session. O: Alexandra was first probed for stimulability to produce the /sh/ sound in isolation with limited success due to task refusal. She was then asked to produce the /sh/ sound at the word level given a visual production prompt and verbal model. Her percentages at each position in words (i.e. initial, medial, final) are as follows: initial /sh/: 20% ; medial /sh/: 40% ; final /sh/: 0%. Lastly, Alexandra was asked to follow directions given spatial concepts (e.g. put the candles “on” the cake). She completed the activity with 60% accuracy. A: Alexandra is setting baselines for her current POC. Goals will continue to be targeted to develop a baseline and assess progress. Production of /sh/ sound in isolation was met with task refusal, therefore accurate data could not be taken. P: Continue POC and develop baselines. Hold /sh/ sound practice until Alexandra becomes more comfortable is more stimulable in the production of the sound.