Tristan decided to take a chance on the fun Halloween brew activity that other classmates have been participating in. He liked the stickers that represent the words and did not want to work on written language writing the recipe. With the list of ingredients that included many /s/ and some /v/ words, there were lots of opportunities to practice our speech and explore our creative side.
Spencer was interested in his brother's monopoly game but wanted to do something different. Sticking with the Halloween theme, we did a disgusting cooking show presenting the witch and wizard's brew using our best speech. With the idea of it being broadcasted to millions of viewers, Spencer put on his game show voice and really over articulated the target sounds. Excellent and entertaining session.
Follow up to Monday's session, Tristan wanted to continue Florida Monopoly. Using the real estate session from the Palm Beach Post, we described houses and tried to "sell them" to the other person while practicing our strong /s/. When Tristan slows down his pace of speech, he is able to control the air flow for a strong (not too noisy /s/).
Christopher was having a good day with his peers and although a little quiet during lunch and recess, he was part of the group in conversation and while playing tag. However, during our pow-wow, Chris discussed some things that were making him mad and upset inside and outside of school, so we reviewed "what is in our control and what we can not control." We also made a list of things that make him happy and help him regroup when he is feeling unhappy or frustrated.
Spencer was feeling a little tired before lunch. So he grabbed a slice of his pizza to get some energy. He thought it was funny to create a wizard's brew using gross disgusting stickers to illustrate on a laboratory drawing. He produced strong /r/ sounds in initial and final position while creating a silly and disgusting brew. We discussed making an edible one before Halloween. Spencer makes the extra effort in sessions when he is interested and motivated in the activity.
Richard was in a great mood and very excited about Halloween. Using that excitement, we created a "Wizard's/Witch's Brew" while practicing our multisyllabic words. He thought it was funny, but to motivate him to NOT leave off any sounds in the middle or end of words, we decided that we would add an additional bug to the Brew for every sound left off. Using stickers and a fun laboratory graphic we created the brew. We also used our sequencing, planning, and describing skills to plan an actual edible Brew to create the following week. He helped pick out the "disgusting" (challenging word for him to say) ingredients on Amazon. Great session!
Tristan had a lot of energy after recess. We took a minute to get some water and refocus on "work time." He insisted on playing monopoly but instead suggested talking Florida Monopoly. Using the real estate section of the newspaper, we practiced our /s/ sounds while negotiating different properties. Tristan makes that extra effort with our speech goals when he is motivated by the activity.
Santino was greeted in the pre-k classroom as he finished up with Anna the art teacher. We discussed some goals and skills to target in art based on fine motor skills. He would benefit from coloring, painting, tracing, writing, clay, etc. We discussed current goals in speech therapy and communication to carry over and collaborate skills throughout his day at school. As usual, we start with a language enrichment book activity to target many of Santinos language goals. This tends to center his attention which helps with the rest of the session. Santino's scripting from shows/videos was increased today requiring more frequent breaks and redirection. Santino named 7/17 versos today when asked "What is she doing" during a structured task. These cards were familiar to him however he continues to improve the understanding of the "wh" question as well as verbs. We also targeted "Wh" questions in terms of object function, requiring additional cues throughout that task. We went to the playground to target social interaction, verbs, requesting, and increasing utterance length. Verbal initiation continues to require max cues and modeling. Santino did request to go inside soon after going outside, however we did play soccer together and ran on the playground. Santino answered yes/no questions 0/5 trials independently requiring phonemic cueing. We will continue to target the many goals mentioned above.
Santino was greeted while completing an interactive computer education website. He transitioned well to his classroom area where we started with an auditory comprehension book activity also targeting: commenting, verbs, following directions, literacy skills, and answering simple questions. We have been using the same book for a few sessions to allow for multiple exposures. Santino's attention to this book today was great! He was visually scanning and interactive with this activity. Following the book, we targeted naming verbs with new material/cards. Santino required more assistance with this task since it was novel. We will continue to target a variety of verbs in different environments. Also, we targeted following directions with a art/drawing activity with shapes. Santino did well with following directives allowing for pause time to process. We did tracing shapes with different crayons and markers. This also targeted fine motor skills. I believe considering an occupational therapy evaluation to assist with fine motor skills, visual processing, and writing would be advised. Santino was asked his personal questions (i.e. name, address) - Santino did not answer, requiring more cues today. There were many opportunities this session for requesting for help, more, and protesting. Santino answered yes/no questions given verbal assistance with 60% accuracy. Lastly, increasing utterance length with combinations of nouns, verbs, and descriptors... Overall, Santino had a good session.
Richard arrived to school at 11:30 after a dentist apt. He was absent for half of the session. Although the lesson was limited, a lot of good material and goals were covered. Richard was in a good mood and happy to be at school. He stated he was hungry so he had a few French fries that he brought to hold him over until lunch in 30 mins. Richard reports he is usually "starving" later in the day - To start the session, we went over event/weekend recall while sequencing activities. Richard continues to improve with this, requiring less verbal cues and strategies. We went over the date/day of week on the October calendar. Richard's understanding of this orientation concept has significantly improved as well. Next, we did irregular and regular past tense in a structured task. Richard achieved 90% regular, and 60% irregular verb accuracy. We will continue to target these in structured tasks before moving to conversational level. In addition, possessives tend to be difficult as Richard will omit the -s at the end. Overall, it was a great session. I am proud of Richard's progress.
Assignment
Please provide preferred snacks, water, gentle verbal cues to correct /s/ production when lingual lisp occurs