Richard had a great session. Today he worked on putting age-appropriate vocabulary in alphabetical order. This was challenging but he did so with moderate cueing. Richard also worked on finding the definitions of multiple meaning words with 75% accuracy. He needed cues for reading but was able to do the rest on his own.
Initial R- 60% with moderate cues
Medial R- 60% with moderate cues
Final R- 40% with max cues- difficulties with ER at the end of the word. OR, AR, EAR sound much better when he moves his articulators.
Words to practice
barrel
camera
pliers
hurricane
syrup
fairy
(in medial position, sounds better when he says words at normal rate vs slowing down)
Luke had a great session today. We worked on L in conversation today. Needed minimal cues. He then worked on a few main idea comprehension paragraphs. He was about 90% accurate on these.
Chris was motivated and participatory this morning, however, increased attentional shifting was noted for the duration of the session. Chris was observably tired, and familiar scaffolding supports were provided as the session commenced. Chris continues to demonstrate increased self awareness and promptly shared that he was "thinking a lot this morning." He expanded upon his "internal distraction" and this afforded an excellent opportunity to review familiar strategies to support self regulation and focus. He laughed as he shared that we "haven't needed to talk about this stuff in a long time since my brain doesn't jump away anymore really when we are together." Strategies were utilized, and Chris was able to respond to comment and question with decreased requests for repetition of the stimulus. Self repetition was noted frequently, and was effective.
Jack had a great session today. He worked on initial vocalic R and medial vocalic R. He did an excellent job with AR and OR in the initial position. He worked hard with IRE and EAR. Medial and Final vocalic R was more challenging.
In conversational speech he still requires cues in order to use his good R.
The session commenced this morning with Chris unexpectedly initiating the session from home a few minutes ahead of schedule.
He was commended once more for his timeliness and sense of responsibility. He was clearly tired, and he did share that he had attended a local Halloween event Sunday night, and returned home quite late. He briefly shared details regarding the event, and rapidly segued into a preferred topic. He was eager to share and discuss the current status of his "plush" collection. The huge collection was carefully organized into "sections" in preparation for his upcoming move. Scaffolding supports provided a baseline to assist Chris with linear presentation of details regarding the characters, their associations and relatedness. Varied question stimuli provided provided a foundation for increased topic expansion. Conversational reciprocity was characterized by expanded cycles of exchange, however, instances of overlap were notably high. Supports to reduce instances of overlap were successful and Chris continues to demonstrate stronger awareness of conversational breakdown and subsequent use of repair strategies.
Luke had a hard time focusing during our session today. He required many breaks and was silly. He started out the session looking at a school picture page and him working on L sounds in all word positions and in blends. After he was asked to put all of the words into simple sentences.
Problem solving scenarios- some difficulty being able to perspective take but with cues was able to come up with the problem and a solution.
S: Noah was seen at the Batt School for treatment. Noah 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 30% accuracy. He was then asked to identify spatial concepts in a field of 2 visual answer choices. He completed the activity with 40% accuracy. Noah was then given a picture scene and asked mixed “wh” questions about the picture. He answered the questions with 45% accuracy. He was also asked mixed “wh” questions about short passages read aloud to him given a field of 3 visual answer choices. He completed the activity with 63% accuracy. Lastly, Noah completed quantitative concepts activity in which he had to identify most/least in a field of 3 visual answer choices given initial model and fading cues as needed. He completed the activity with 35% accuracy. A: Noah displays increases across POC goals. P: Continue with current POC.
Chris was eagerly waiting for the session to commence this morning. His enthusiasm was strong as he initiated the session, excitedly sharing that he had brought his new "plushies" from home. He shared that he had packed them up the night before in anticipation of our session this morning. Brief discussion to support organizational presentation was facilitative. Chris provided a comprehensive and detailed "presentation" of the new additions to his collection. Allowance for reciprocal exchange of comments was strong today. Supports to reduce instances of speaker-speaker overlap allowed for stronger cycles of contingent exchange. Attention and linguistic organization were strong this session. Chris demonstrated the ability to make inferences across 6 novel scenarios this session with minmal cues. Strong session today.
Luke had an awesome session today. He remained sitting in his seat with one very small controlled body break for 40 minutes. He sat and did 3 sequencing worksheets 100% accuracy and then he did two reading comprehension passages. He read 1 of the passages independently and then answered 2/2 questions. He listened to one comprehension passage and answered 5/5 questions correctly about the details of the story. Excellent focus and attention today.
