The session commenced with brief social greet and conversational exchange about weekend activities. Strategies to increase the length of the exchange were facilitative. Subsequent presentation of casual games ( cards, uno, jenga etc. ) were utilized once more this session as a tool to engage interest while simultaneously encouraging further conversational expansion with a primary focus on the aspects of perspective taking and presupposition. Additional focus was once more placed on the dynamics of indirect and figurative language. Gentle encouragement and supports were provided as these tasks reflected increased linguistic demand. In addition, collaborative "team" activities vs. competitive tasks were presented and discussed.

Santino was seen for session 13 of 15 in Term 3 with this SLP and transitioned calmly between sessions. He greeted, "Hello Miss Sharon", verbally, when prompted. Santino appeared engaged and focused as the daily, visual schedule was referenced and reviewed. Santino verbalized "Miss Sharon", "Miss Christina" "Lunchbox", "Miss Ingrid", and "Mom" to complete "First, Next, Then, Last" phrase sequences. Water and food choices were presented but rejected...Goals for the session remained consistent and included the following...1. to engage in forming a relationship with Santino that includes regulation, and shared attention and interest 2. to enter into two-way, purposeful interactions with gestures and intentional communication 3. to determine highly motivating/favorable, cause and effect activities, so that Santino may develop a feeling of control and predict/anticipate what will happen next 4. to imitate predictable action sequences and communication patterns through cause and effect activities. 5. to develop single-word requesting via eye gaze, picture exchange and/or verbalization...Consideration has been given to expand upon stated goals to include additional areas of focus such as: to respond to and participate in My Turn/Your Turn-Activities, to respond to Yes/No-Questions, to respond to WH-Questions, and to communicate Agent + Action and Action + Object constructs via verbalization and/or photo/picture exchange...Santino sat in the blue chair upon verbal direction and was directed to 2 familiar activities. He verbalized, "I want Farm Match-Up", immediately. The activity sequence was modeled. Santino appeared engaged as he participated in the "My Turn/Your Turn" sequence x 10. Sunsequently, Santino selected "Who Lives in This House?" and participated in the modeled "My Turn/Your Turn sequence X 10. During the aforementioned activities, Santino responded verbally to "Yes/No"-Questions for 61 of 61 opportunities in the following manner: Given Initial Phonemic Cue and/or Picture Exchange: 7 of 7 opportunities...Spontaneous Response, Indepentent of Prompts or Cues: 54 of 54 opportunities...Santino assisted with clean-up upon verbal direction. The session came to a close in the usual manner with the "Good-Bye" Song (Santino verbalized "My Friend" during the song) and reference/review of the daily, visual schedule in preparation for the next session. Santino verbalized, "Good-bye Miss Sharon" then leaned forward as to offer a kiss...Continue as planned with focus on use of communication book/photos across sessions/instructors and settings to promote increased spontaneous verbalization...

Santino was seen for session 12 of 14 in Term 3 with this SLP and transitioned calmly between sessions. He greeted, "Hello Miss Sharon", verbally, when prompted. Santino appeared engaged and focused as the daily, visual schedule was referenced and reviewed. Santino verbalized "Miss Sharon", "Lunchbox", "Miss Ingrid", and "Mom" to complete "First, Next, Then, Last" phrase sequences. Water and food choices were presented but rejected...Goals for the session remained consistent and included the following...1. to engage in forming a relationship with Santino that includes regulation, and shared attention and interest 2. to enter into two-way, purposeful interactions with gestures and intentional communication 3. to determine highly motivating/favorable, cause and effect activities, so that Santino may develop a feeling of control and predict/anticipate what will happen next 4. to imitate predictable action sequences and communication patterns through cause and effect activities. 5. to develop single-word requesting via eye gaze, picture exchange and/or verbalization...Consideration has been given to expand upon stated goals to include additional areas of focus such as: to respond to and participate in My Turn/Your Turn-Activities, to respond to Yes/No-Questions, to respond to WH-Questions, and to communicate Agent + Action and Action + Object constructs via verbalization and/or photo/picture exchange...Santino sat in the brown chair upon verbal direction and was directed to 2 familiar activities. He verbalized, "I want Farm Match-Up", immediately. The activity sequence was modeled. Santino appeared engaged as he participated in the "My Turn/Your Turn" sequence x 10. Subsequently, Santino selected "Who Lives in This House?" and participated in the modeled "My Turn/Your Turn sequence X 10. During the aforementioned activities, Santino responded verbally to "Yes/No"-Questions for 39 of 39 opportunities in the following manner: Given Initial Phonemic Cue and/or Picture Exchange: 22 of 22 opportunities...Spontaneous Response, Indepentent of Prompts or Cues: 12 of 12 opportunities...Santino assisted with clean-up upon verbal direction. The session came to a close in the usual manner with the "Good-Bye" Song and reference/review of the daily, visual schedule in preparation for dismissal. Santino verbalized the following: "Good-bye Miss Sharon", "lunch box, Miss Ingrid and Mom" to complete the First, Next, Then phrase sequence. Santino verbalized, "Ingrid", upon her arrival and "Good-Bye Miss Sharon"...Continue as planned with focus on use of communication book/photos across sessions/instructors and settings...

Christopher initiated conversation by stating that he was "not feeling so well," and that he was tired. He was eager however, as he often is to share some new things about his nintendo switch game that he had with him. This was another excellent opportunity to expand into short narrative generation. Strong scaffolding supports again provided the basis for increased cohesive, sequential organizational sentence generation and narrative framework. Strong supports were once again provided to expand conversational reciprocity with a focus on use of natural contingent dialogue and a decrease in use of previously heard vocabulary and dialogue. Encouragement to participate in familiar and novel movement sequence patterns was provided. Additional familiar cues to support attention were also provided today.

Santino was seen for session 11 of 12 in Term 3 with this SLP and transitioned calmly between sessions. He greeted, "Hello Miss Sharon", verbally, when prompted. Santino appeared engaged and focused as the daily, visual schedule was referenced and reviewed. Santino verbalized "Miss Sharon", "Miss Ingrid", "Lunchbox, and "Mom" to complete First/Then phrase sequences. Water and food choices were presented but rejected...Goals for the session remained consistent and included the following...1. to engage in forming a relationship with Santino that includes regulation, and shared attention and interest 2. to enter into two-way, purposeful interactions with gestures and intentional communication 3. to determine highly motivating/favorable, cause and effect activities, so that Santino may develop a feeling of control and predict/anticipate what will happen next 4. to imitate predictable action sequences and communication patterns through cause and effect activities. 5. to develop single-word requesting via eye gaze, picture exchange and/or verbalization...Consideration has been given to expand upon stated goals to include additional areas of focus such as: to respond to and participate in My Turn/Your Turn-Activities, to respond to Yes/No-Questions, to respond to WH-Questions, and to communicate Agent + Action and Action + Object constructs via verbalization and/or photo/picture exchange...Santino sat in the brown chair upon verbal direction and was directed to 2 familiar activities. He verbalized, "I want Farm Match-Up", immediately. The activity sequence was modeled. Santino appeared engage as he participated in the "My Turn/Your Turn" sequence x 10. In addition, Santino responded to "Yes/No"-Questions given the initial phonemic cue and picture exchange for 18 of 18 opportunities. He whispered the final answer, "Yes", independent of prompts or cues...Santino assisted with clean-up upon verbal direction. The session came to a close in the usual manner with the "Good-Bye" Song and reference/review of the daily, visual schedule in preparation for dismissal. Santino verbalized the following: "Good-bye Miss Sharon", "lunch box, Miss Ingrid and Mom" to complete the First/Then phrase sequences.
Santino verbalized, "Ingrid", upon her arrival and "Good-Bye Miss Sharon"...Continue as planned with focus on use of communication book/photos across sessions/instructors and settings...

Student absent today.

Christopher happily announced "I'm here" as he re-entered his room upon teacher transition. Upon hearing that we had "some new, fun things to do today" Christopher requested some preferred familiar activities. This allowed for discussion into self reflection regarding "the thoughts we think and then how we feel when we think them." This afforded expansion into new vocabulary and concepts centered around this topic. Additional tasks focused on sequential linear sentence organization with emphasis on use of cohesive ties that support your communication partner's understanding and perspective. Familiar cue supports and scaffolding strategies were facilitative. Creative movement paired with narrative/story generation allowed for a strong active learning opportunity this session to enhance linguistic organization and attention.

Student absent today.

Santino was greeted by therapist as he finished with previous teacher. He assisted with choosing which new puree he would like to work with/explore in today's session. He was quite verbal upon initiation of session. He did not choose a puree therefore SLP chose pudding and a new yogurt (strawberry flavored). Santino appeared tired and was sneezing, coughing and had a runny nose throughout session. Santino assisted in opening the yogurt with help, placing the spoon without difficulty. When offered a bite, he refused and began to whine. With hand over hand assist, he minimally opened and reached in. The yogurt tapped to his lips and he immediately licked it off. We began to paint with paint dots as he was intermittently agitated. When offered an additional bite, Santino turned away and refused. He became upset and began to cry, SLP provided a hug and deep embracing squeezes to assist with regulation, which was quickly successful. He did drink water 4x/6 opportunities from a water bottle however sips were small. When SLP began to play/paint with yogurt on a plate, he became upset and crawled on SLP's lap. Yogurt task was discontinued in efforts to keep feeding therapy positive. Unfortunately, Santino appeared tired and with a cold so it is expected that food (non-preferred), is a challenge. With cheerios, he allowed SLP to tap to hand, arm, face and lips 10x before clean up. He walked the puree back to the fridge and was greeted by Ms. Ingrid. Demands were decreased today. I hope he is feeling better! Have a nice week.

Ben clearly indicated that he was not happy that it was Monday as the session commenced. Conversation was rapidly redirected to topics specifically chosen to support Ben's interests.
Casual card games such as UNO were utilized today as a tool to engage interest while simultaneously encouraging conversational expansion with a primary focus on the aspects of perspective taking, and presupposition. Once again, activities highlighting indirect language were presented. Supports were provided, however, were met with resistance, as many of his responses to various stimuli were highly literal and his frustration tolerance was variable today. Gentle encouragement, redirection and support were provided throughout the session.