S: Noah was seen at the Batt School for treatment. Noah was eager to work with SLP for majority of the session. Some distractibility noted. O: Noah was first asked to sort items provided into different category spaces of where one would find them (e.g. household items; where in the house they would be found). He completed the activity with 70% accuracy. He was then asked to blend 3 letter words when given the 3 sounds verbally. He completed the task correctly in 4 out of 5 opportunities. Noah was then asked to identify the superlative (e.g. big, bigger, biggest) in a field of 3 visual answer choices. He completed the activity with 70% accuracy. After, Noah was probed with 3 sight words (“a,” “to,” “the”). Lastly, Noah was asked to find the letters “A” and “B” on sheets with mixed letters and a model at the top. He completed the activity with verbal prompts to refer to the model with 70% and 40% accuracy respectively. A: Noah displays progress across goals. P: Continue POC.
Lively had a great session today. She transitioned easily from her classroom. Lively worked on s-blends and L sounds today.
She produced L correctly in different word positions multiple times today without any cues. She did the same for a variety of s-blends.
Luke had a challenging session today. He had difficulties focusing on his work and was distracted by an interaction with a peer from earlier in the week. We discussed the zones and how he felt from his peer interaction but he had difficulties being able to move on during our session.
Chris continues to inquire about the topics that have been a focal point of recent sessions. Chris initiated the session today with a multitude of specific questions, and presented with a rather "concerned" affect. This afforded the opportunity to once again segue into key aspects of perspective taking, presupposition, mindfulness, "filtering," and the nuances of intentionality.
Predicting outcomes, and identifying correlations between actions and consequences were also explored in greater detail this session. Speaker -listener reciprocity was characterized by increased instances of speaker- speaker overlap. Self awareness was noted, allowing for repair of the overlap approximately 60 % of the time today. Attentional shifting and topic shifting were noted with increased frequency today, and were supported with familiar cue supports and strategies. Additional supports, including familiar techniques adapted from the "Social Thinking" literature as well as utilization of the "zones of regulation" were provided and were extremely facilitative today.
Chris was eager to continue to expand upon the topics of conversation that have been at the forefront of his mind in recent weeks. Navigating the dynamics of peer relationships utilizing key strategies for successful communication continues to be the focus each session. Expanded discussion into the area of perspective taking, presupposition, problem solving, positive mindset, the value of mindfulness and the importance of "filters" was highlighted once again today. Theory of mind concepts are the foundation for navigating social situations successfully. Chris continues to be so motivated, and demonstrates increased self awareness regarding attentional shifting within
sessions. Strong session today as Chris demonstrated strong inferencing skills across 12 hypothetical scenarios.
Lively had a great session today. She transitioned easily today. She worked on L and S words today.
She needed minimal cues with L today,'tongue up'. 80% accuracy
Needed minimal to moderate cues for S and S blends. She is receptive to using arm for blends. SP are most challenging.
Sent home 4 L senteneces, 5 s sentences and 4 SP and 4 SK blends.
Luke had a challenging session today. He remained in the room but did not participate in all tasks today. He got through one comprehension story today with 3/6 accuracy on comprehension questions.
Richard had a great session today. He worked on how questions and sequencing them out using first, next, then, last sequencing words.
Richard also worked on th/s sound production during conversation/ sequencing stories.
S: Noah was seen at the Batt School for treatment. Noah had some initial difficulty transitioning to work tasks, but he was eager to work with SLP for most of the session. Some distractibility noted and task avoidance noted. O: Noah was first asked to sort items provided into different categories provided (e.g. apple would be put under the fruit category). He completed the activity with 50% accuracy. He was then asked to identify which word rhymed with the word provided verbally, given a field of 3 verbal/visual answer choices. He completed the activity with 30% accuracy. Noah then completed a pronoun labeling activity with moderate support and verbal answer choices which he completed with 50% accuracy. After, Noah was probed with a variety of sight words then was asked to match the sight word provided given a field of 3 sight word answer choices. He completed the activity with 60% accuracy. Lastly, Noah was asked to follow directions with embedded spatial concepts. He completed the activity with 100% accuracy. A: Initial baselines taken on new goals. Some goals display decrease likely due to difficulty with transitioning and difficulty with focus during some tasks. Pronoun task displayed Noah’s difficulties with use of “he” pronoun. P: Continue POC. Continue to develop/probe literacy goals.
