Met with Amanda today, Libby's mother, to go over her progress in OT and to discuss Libby's learning style. Discussed how Libby was doing well and making steady progress in 1:1 learning environment versus her small group setting in her preschool classroom for retention and recall of information. Discussed monitoring her progress and revisiting if a neuropsychological testing may be beneficial in the future to hone in on her specific learning style.

Richard was seen in his room for a 45-minute treatment session. His session focused on improving his postural control, integration of retained reflexes, visual motor skills and integration, fine motor skills, dexterity, manipulation, ocular motor development and graphomotor development/keyboarding as an alternative means to written communication. Continued working today on writing in cursive for Mother's Day coupon book. Richard was able to write his name in script; however, relies on OT to talk him through (with auditory clues from Script Island) writing the letters. We continued working on refinement of cursive and Richard was taught high connectors today.

Richard was seen in his room for a 45-minute treatment session. His session focuses on improving his postural control, integration of retained reflexes, visual motor skills and integration, fine motor skills, dexterity, manipulation, ocular motor development and graphomotor development/keyboarding as an alternative means to written communication. Began today's session with cursive handwriting practice. Since Richard has learned every letter of the cursive alphabet he was asked to write words by connecting letters today to make his mom a Mother's Day coupon book. When provided with visual and verbal cues Richard was able to write in cursive slowly and methodically. This style of writing will take practice before it becomes functional but his end result was beautiful and he was proud of his writing. He continues to require specific cues to loop his letter like cursive "l and e" backwards but overall seems to grasp the movements involved in writing in script. Great session.

Libby was seen in an office for a 45-minute treatment session with focus of session on improving her fine motor skills especially in the area of grasp patterns, ocular motor skills (saccades), self care skills, handwriting, as well as improving her flexibility for wearing different clothing and wearing her hair different ways. Sat in small office to work today with excellent compliance and attention to tasks. Libby was able to identify the letters A,B,C,D and E today with 100% accuracy. We began to go over the letter formation and labeling of the letters "F,G,H,I and J" today. She was able to identify all the letters except for "F and H". Libby made sparkle index card letters for these five capitals. These sparkle letters can be used once they dry as tactile/kinesthetic input for Libby as she traces them with her finger. Her recall for the learned letters has shown steady progress. Great session.

Luke was seen in his room for a 45-minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. Upon arrival Luke was non-complaint with most presented tasks. We continue to discuss expected versus non-expected behaviors and labeled non-compliance with an unexpected school behavior. By the end of the session Luke did participate in some graphomotor and hand strengthening activities. Continue as of plan of care to work towards established goals.

Luke was seen in his room for a 45-minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. Upon arrival to Luke's room he tried to go outside with permission. As the school year nears the end task compliance is fair. Worked on the first step of shoe tying during today's session. Worked on writing with concentration on refinement but Luke's effort was minimal and attention was fair to poor today.

Luke was seen in his room for a 45-minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. Began testing Luke today using the Beery-Buktenica Test of Visual-Motor Integration. During today's session we also worked on graphomotor development with various Mother's Day activities. Luke wrote messages to his mother and coupons for her for the holiday. The coupons were for things he could do for her like taking out the garbage, giving her hugs, etc. OT will score test and results will follow.

Matthew was absent. The class time was used to prepare end of the year projects.

I asked Joshua if he wanted to continue working on FRQs, do SAT Prep, or start more into learning about Limits. He chose to work on SAT Prep. We pulled problems from a practice test I had. We discussed statistics, probability, and various geometry problems. He told me he scored a 13-- on his first attempt at the SAT and I am so impressed! Now he can only go up from here!

Addison used markers to practice ar and or words. She read Who Was Princess Diana? and discussed it.