The session commenced with Chris sharing that he was very tired, and that he "was up really late, the AC was hot." Subsequent probing for more details regarding the AC were moderately successful, as Chris rapidly shifted topics. He was eager to share details regarding the "status" of the various "You Tube" video series that he has been working on. Conversation today was an expansion on a previous sessions' discussion. Support and familiar scaffolding strategies were provided to assist Chris with increased organization and sequential presentation of ideas, story lines, and characters. He was observably tired, and topic shifts were frequent. Supports to enhance the use of familiar topic shift phrases, while encouraging the aspects of self reflection, as well as the acknowledgement of communication partner non verbal cues and gestures were facilitative in shaping a more successful conversational exchange.
Chris once again appeared somewhat melancholy as the session commenced. He quickly resumed his usual and familiar demeanor that he exhibits during the session. Supports were provided as conversational exchange commenced in order to best support the sequential presentation of the "list " of his newest "YouTube" ideas that he was intending to share. Additional supports were provided to assist with the use of cohesive ties and topic "linking phrases" as he expanded upon the details of each of the "YouTube" story line ideas. Attentional shifting was strong this session, and the use of familiar scaffolding techniques, and the provision of cues for use of transition phrases was facilitative.
Tristan was in a good mood and wanted to continue playing a computer game. He was flexible and able to switch to an interactive bingo game on the iPad practicing /s/ words. He was very determined to get a perfect score of 100 on the practice and was on target throughout the session. The orthodontic appliance/braces has helped him keep his tongue in his mouth and produce clearer, stronger speech.
Spencer was not up for the follow up book and any structured activity. SO we discussed sports cars and looked at pictures of "super cars." There was some excellent practice with "Porsche, Ferrari, Lamborghini, Rolls Royce, McClaren..." He was happy and appreciative of the opportunity to practice with fun cars.
Christopher was having a hard day. We discussed some ways we could change the vibe of the day. We got some fresh air and left the lunchroom to regroup. He then was able to return to a table and even though he stayed quiet, he was able to still "be part of the group." We discussed the different ways we can be "part of group." In the end, he felt good that he was able to shift the mood of the day.
Tristan had an open mind to try a new activity if we were able to finish with basketball. With a new book called "The Good Egg," he felt confident sharing the reading and taking the lead. There were a lot of opportunities for strong "s" practice. It was also a great social-emotional story about getting along with others and not being bossy or judgmental. He enjoyed it and looks forward to reading "The Bad Seed."
Spencer had an open mind to try a new activity. With a new book called "The Good Egg," he felt confident sharing the reading and taking the lead. There were a lot of opportunities for strong "R" practice. It was also a great social-emotional story about getting along with others and not being bossy or judgmental. He enjoyed it and looks forward to reading "The Bad Seed."
Richard was in good spirits -still talking about his birthday festivities. He agreed to tackle the hard activities first so we could go outside and practice our speech while on a nature scavenger hunt. We read a book about an astronaut who swallowed the moon and it included new vocabulary. Richard asked good questions and remembered facts from the book when we summarized it at the end. Richard's language and communication skills have improved and he shows more confidence as a communicator.
Chris appeared rather melancholy this morning, but quickly resumed his familiar, happy affect once the session was underway. Chris was then eager to share his "review" of the Dr. Strange movie that he had seen last week. Provision of strong scaffolding supports allowed for increased linear story line progression as rapid transitions were noted. In addition, direct question stimuli were provided to assist with detail organization and use of cohesive ties to support clarity. Increased frequency of topic shifting was subsequently noted this session. Subtle reminders were provided to support Chris with the use of familiar transition phrases.
Santino was seen for ST for 60 minute session. He reportedly was up very early this morning however he did not appear tired for my session. Santino greeted with moderate prompting "Ms. Amanda, hi". When we saw other peers and teachers that greeted him, we worked on appropriate responses as well. We're continuing to target requesting in full sentences or at least longer utterances. Santino requested to go outside on the playground. He has been exploring with more of the playground equipment, becoming more brave and requesting new things to do outside. It's been fun to watch his development. In addition, we targeted "wh" questions - differentiating between what and where. As well as differentiating between verb and noun. We did a new verb task that was a "match it puzzle" game that had an illustration to a verb word. Santino did well with this for being the first time exposed to these pictures. In addition, lately when I have been asking his name - he has not been responding at all or saying my name. I will continue to wrk on this consistently during our sessions for safety and pragmatic purposes. Lastly, we worked on ADL's (activities of daily living). He changed his diaper (shoes off, shorts off, diaper in garbage, new diaper on, shorts on, shoes on, wash hands, use soap, dry hands). He requires the most support with knowing what direction the shorts go on "tag goes in the back" and which foot the shoes go on. Besides that, he is doing well with it at a much faster pace. It was a good session over all.