I subbed for Richard in speech today, we used the time to read and discuss a Christmas story about a little penguin who wanted wings that worked for Christmas.
Chris was observably tired this morning, and engulfed in thought as the session commenced. However, he initiated conversation rapidly as he often does. He was wanting to "discuss" a variety of "things in his head." Scaffolding supports were initially provided to best facilitate temporal and linguistic organization as well as topic transition. Chris provided strong detail across numerous topics, however, allowance for reciprocity was highly variable. Review of familiar aspects of self awareness, presupposition and perspective taking were provided and a subsequent increase in allowance for cycles of exchange subsequently increased for the duration of the session. Additionally, review of the "Zones of Regulation" was provided to support Chris and his arousal state was observed to fluctuate rapidly as he shared thoughts and concerns that he was clearly ruminating on during the session. The session closed with Chris sharing that his "brain felt better."
Luke had a good session today. He had good attention and participated. Luke used his L sound correctly in conversation with the clinician and a peer. He needed minimal reminders when using L in Blends (blue, fly). Luke did a story retell of his Thanksgiving vacation using appropriate transition words.
Chris was eager to meet this morning, as he rapidly initiated conversation by sharing "Ms. Lynne, you're not going to believe how much I have to tell you!" He then added, "I haven't seen you in a whole week! Topics of choice had a wide range this session, allowing for strong review and provision of topic transition strategies. Self awareness became increasingly more evident throughout the session as Chris identified rapid topic shifts and subsequently commented "Oh Wow Ms. Lynne, sorry, I switched topics on you really fast." Supports for expanded conversational reciprocity were facilitative, as cycles of exchange increased from 2-3 exchanges to 5-7 exchanges as the session progressed. Vocabulary variation notably increased as well. Strong session.
S: Noah was seen at the Batt School for treatment. He was eager to work with the SLP throughout the session. Cooking activity (making turkey cookies) assisted in taking naturalistic data for following directions as well as answering “wh” questions. O: Noah was asked to follow a variety of 1-2 step related directions. He completed the activity with 68% accuracy. Noah was then asked mixed “wh” questions about an activity completed given a field of 3 visual answer choices. He completed the activity with 86% accuracy. He was then asked to identify spatial concepts given verbal cues as needed. He completed the activity with 78% accuracy. Lastly, Noah sequenced pictures of common tasks/activities with 35% accuracy given verbal cueing. A: Increases displayed across POC goals. Sequencing probe continued with decrease displayed. P: Continue with current POC. Continue to probe sequencing for an additional session to establish baseline.
S: Noah was seen at the Batt School for treatment. He was eager to work with the SLP throughout the session. O: Noah was asked to follow a variety of 1-2 step related directions. He completed the activity with 66% accuracy. He was then asked to identify temporal concepts (i.e. before/after) in a field of 3 visual answer choices. He completed the activity with 68% accuracy. He was then asked to identify spatial concepts given verbal cues as needed. He completed the activity with 77% accuracy. After, Noah sequenced pictures of common tasks/activities with 40% accuracy given verbal cueing. Lastly, Noah was asked mixed “wh” questions about a story read aloud to him given a field of 2 visual answer choices and immediate visual/verbal information. He completed the activity with 85% accuracy. A: Increases displayed across POC goals. Sequencing goal probed. P: Continue with current POC. Continue to probe sequencing.
Chris enthusiastically initiated conversation with a strong focus this morning, as he was eager to share his "Christmas list," as well as wanting to "talk about important stuff." He demonstrated strong awareness of non verbal cues and presupposition today, as he subsequently revised and expanded his utterances as needed for increased clarity. Speaker-listener reciprocity was characterized by periods of increased overlap. Awareness of overlap, and attempts to repair breakdown were noted 8 times within the session. Chris was attentive as more novel topics were introduced today, allowing for expanded reciprocal conversation and a stronger need for increased paralinguistic decoding. Strong session today.
The session commenced with Chris wanting to share details about his "cool Sunday night." His motivation and eagerness to initiate conversation once again afforded an excellent opportunity to focus on vocabulary variation, use of cohesive ties, temporal links, and linguistic organization. Subsequent topic transition was characterized by use of transition phrases following provision of subtle cues. Speaker -listener reciprocity was characterized by cycles of exchange ranging from 3-7 conversational turns. Speaker -speaker overlap was notably frequent this session, however, self awareness continues to increase, and attempts to repair overlap were noted 70% of the time. Strong session once again.
Luke worked on some reading comprehension stories. He was a little distracted today but with some redirections was able to attend and focus during the stories.
Luke was 90% accurate with answering questions from these stories that included complex details. L sound in conversation 95%
