The goal in today's session was to help Santino discriminate, identify, and produce suprasegmental elements of speech, including pitch, loudness, and duration (Florida State Standard SP.PK12.SA.1.1). We used musical instruments to vary the loudness, pitch, and duration of sounds produced, and Santino was afforded hand-over-hand guided instruction to reproduce the sounds following my lead. Next, I drew some long and short lines on paper with dots and dashes using crayons and markers and again assisted Santino in connecting and tracing the lines. He had limited attention on this task, so we moved to a movement exercise. Santino was to imitate me walking in a straight line pattern, heel to toe, on a chalk outline. He seemed to enjoy mimicking me and giggled and remained engaged on the task. We spent some time on the playground following these exercises. Santino requests my assistance climbing up a steep slide and I am trying to get him to verbally request my assistance by repeating the word 'hand' or 'help.' He has not as yet verbalized the request but does gesture or motion for my hand when he wants assistance. It is hoped that repeated practice demonstrating the association between my hand and the offer of assistance will facilitate the elicitation of desired speech in time. The session ended with a hand-washing exercise. Santino is getting better at at initiating the prerequisite steps to dispense soap, but he as yet requires assistance to obtain a towel and dry his hands. Santino did not gesture to eat any of the food options left out on the table, or request a drink; however, he drank from the faucet for a good amount of time and was well hydrated by the end of today's session.