Anticipated Chris' participation on line this morning. Mom messaged just prior to session that due to the entire family being sick, it was difficult for Chris to attend the session this morning. Spoke with Elise and Emily this morning during Chris' session time and
Batt School protocol will be followed prior to returning to "in person" sessions.

Richard was greeted on time in the lobby. He was in a good mood and happy upon transition to his class. We started the session with date/day of week. He is getting very excited for his upcoming birthday! We targeted /s/ and rate of speech while discussing birthday party plans with family. Of course, this was a topic of high interest therefore he required increased cues to reduce rate of speech and interdental lisp. We targeted possessives throughout the session, Richard continues to demonstrate difficulty independently however will correct with minimal cues. We read a book of his choice to work on /s/ and answering questions based on auditory comprehension which he did well with. We targeted topic initiation, maintenance & conclusion. Overall, Richard did well today. We will continue to target speech and language goals.

Richard was greeted on time in his classroom. He was in a happy mood. We started the session with a less structured day of the week/date task. Richard did well with this task which involves writing as well. Following the orientation task, possessive nouns was targeted in both structured and unstructured settings. He completed 3/6 accurately. The topic of conversation while targeting rate of speech, /s/ in conversation, sequencing/executive function, and word recall was baking. We did research online to find a recipe for rice crispy treats. Richard shows much interest in baking therefore it was a great opportunity to target many of his speech and language goals. Richard continues to make progress in the area of speech. His rate of speech and /s/ in conversational speech requires mild to moderate cues. Language and pragmatic skills are also being targeted in the context of therapy. He has been compliant and applying feedback when needed. A book was read aloud to conclude the session.

Richard was greeted in his classroom. He arrived at 8:37 with his aunt. We started the session recalling events from the holiday weekend. He demonstrated mild word finding and sequencing difficulties. With prompting, he did generate a story about his Easter weekend with his cousins and grandparents - he told me about the Easter egg hunt. Speech intelligibility was considered fair today. He had intermittent instances of interdental lisp and increased rate of speech, especially with topics of interest. He did well with the date/day of week task today. We targeted possessives and plurals in unstructured tasks, which he did well with today. We read a book together - "Cliffords Manners". We applied the manners in the book to situations that may happen in our lives. He enjoyed this task and it was a good activity for social skills and conversational turn taking. Over all, Richard did well this session.

Anticipated Santino's arrival as per usual. Mom messaged just shy of arrival time to share that Santino has a bit of a cold and would not be in today.

Anticipated Chris' arrival this morning as per plan to resume in person visits following quarantine.
Mom messaged just shy of his appointment time to share that he wasn't feeling well and was still sleeping. She also reported that his Dad tested positive on Friday and her intent was to have the children get tested.

Richard was greeted in the lobby area on time by SLP. He was in a good mood and appeared well rested and focused. He was excited to talk about his Easter plans this weekend with his cousins/grandparents. This was a good opportunity to target rate of speech and articulation in conversation since this was a topic of interest. Richard continues to require moderate support in this area. We followed the conversational task with date/days of week. Richard was excited about it being a new month and he answered all questions about date/days of week independently. Following that task, Richard requested to read a book. He was able to recall information, while working on vocabulary and auditory comprehension. He continues to demonstrate difficulty with possessives in unstructured tasks. However with minimal cues, he will correct himself. Although Richard is demonstrating some difficulty with executive functioning tasks, he is making progress in the area of speech. We will continue to work on social interactions in addition to speech, language, and overall executive functioning.

Santino continues to arrive smiling, and will now often initiate social greet, and consistently respond to all salutations. Social referencing continues to increase within all contexts. Santino entered the office with strong intent, and as he verbally requested a familiar item not within his visual field, he was distracted by a new activity clearly displayed for his observation. He requested by labeling the colors he saw, as the noun label was unfamiliar. This clearly presented the opportunity to increase use of "What? " question forms. He encoded " What is this ?" following model, although clarity was inconsistent as the ambiguous nature of "this" within the sentence structure was noted. This was noted 7/8 times following phonemic cues. Santino was able to call attention and request assistance "Lynne, Help me +action (phrase)." 8/12 opportunities with initial inhalation cue and x4 with initial phonemic cue. He continues to encode "where (is) single object?" within contextual sabotage tasks, and with increased noun phrase use x3 opportunities this session. Santino continues to regulate action within familiar parallel chaining tasks with use of increased form "Action + object + locative (form)." Frequency of natural social referencing continues to increase. Strong session once again.

Chris was "logged on" and "waiting " in the virtual waiting room by 7:15 this morning. The connection subsequently commenced at 7:30, easier than scheduled. Chris was not within the screen view as the link connected. He appeared a few moments later and presented with an extremely melancholy affect. He shared that he was very sad, but that he didn't even know how he was feeling today. He did express "worry" regarding his Dad and his health. Conversation was minimal today as he shared only small insights into what he was thinking. Multiple strategies
(familiar social thinking techniques, familiar scaffolding and self reflection strategies as well as encouragement to engage in varied movement based sequences) were employed to assist
Chris this session. Throughout the session, he would remove himself from direct view and respond to comments and questions with minimal verbalizations. The session closed as Chris asked for quiet time approximately 50 minutes into the session . This was respected today.

Jonathan was excited to show off how he can produce his sounds even with another missing tooth. He has mastered control of the airflow for a strong solid /S/ without the extra noise and air escaping from his missing teeth. He does need to focus and is able to produce initial /s/ in words with 80% accuracy. He needs to focus to have a solid production. Jonathan is very bright and likes to multitask but this is skill that requires his full attention to get it right.