Speech Therapy
Session Date
Lesson Topic
Speech therapy
Lesson Outline
Richard was greeted in the hallway. He was in a great mood for today's session. He made a lot of great communication social interactions today as he was very engaged. We are continuing to work on conversational turn taking with teachers/adults and peers. We quickly covered the date/day of the week. Richard independently named both. Following that task, we targeted auditory comprehension, answering questions appropriately, vocabulary enrichment, and sequencing. We read the book "Cloudy with a chance of meatballs". He LOVED this book. Richard's imagination was so fun to visit. We even created his own imaginary town called "Richard's Sweet Sky" - he wrote the title and drew an illustration of what his town would look like. This also targeted /s/ in conversation since there are two /s/ blends in the title of his town. This was a less demanding task because he was interested in the topic. His attention was fantastic today, requiring minimal redirection. This was a fun filled productive session with Richard today.
Session Minutes
60
Minutes Student Attended
60
Session Date
Lesson Topic
Speech/language therapy
Lesson Outline
Richard was greeted in the lobby, he transitioned well back to his room. He appeared happy today! Richard participated in all tasks with compliance. We reviewed the date/day of the week. Richard independently answered both questions accurately - he was very proud of himself. To complete a recall activity, he explained to me what he was doing in other therapies including ST yesterday. He said that him and his other SLP trialed his milkshakes. We discussed sequencing, naming ingredients, and explaining his favorites and why. Richard's attention to task and clarity of explanation was improved today. In addition, we covered /s/ in semi structured task (making up Pokemon scenarios with the /s/ word provided). Richard slowed his speech and over articulated with given a verbal cue to do so. /s/ was 80% in conversation today. We played the word finding activity (charardes pictures) but instead of acting it out, he had to explain what the object was using function and discriptors. He did much better with this today. We continue to work on vocabulary enrichment which will help with word finding and his difficulty when trying to explain novel things to listeners. He was a great participant today in therapy.
Session Minutes
60
Minutes Student Attended
60
Session Date
Lesson Topic
Speech and Language Therapy
Lesson Outline
Chris once again participated in the session virtually. His motivation to continue to share and "discuss" details related to the topic of Rock music continues to be a springboard for expanded conversational exchange. Scaffolding to support the allowance of reciprocity, use of cohesive tiles, contingent comment and question indicating acknowledgment of partner's role within the exchange continue to be facilitative. Additionally, Chris was eager to share details of the events occurring involving his "movie production." Supports and strategies to assist in navigating the social dynamics of the peers involved within the movie making was shared with Chris. Aspects of perspective taking, paired with strategies adapted from "Social Thinking" were reviewed.
The session closed at the 50 minute mark as attentional shift was strong upon concern regarding his phone, as he had dropped it and it appeared that there was a crack in the front glass panel.
Session Minutes
60
Minutes Student Attended
50
Session Date
Lesson Topic
Speech & Language Therapy
Lesson Outline
Richard was greeted in the lobby at 8:40. Progress was being discussed with Ms. Debbie regarding phonemic and phonological awareness. She expressed concern about "th" however because Richard makes this articulation error, this may be difficult for him. We have not targeted "th" in therapy because it would be contradicting the tongue placement of /s/ therefore we have not targeted that sound yet. Richard was told that because of testing, the cafe grand opening that him and MS. Andrea were going to do tomorrow would be have to hold off until next week. It took a while and many explanations to grasp this concept. He appeared frustrated. We went over emotion cards to assist with verbalizing his feelings. When shown pictures, he was able to express his emotions and that he was feeling tired today. Richard did the date/day of the week independently today for the first time which was fantastic. He is starting to really understand this concept which is important. We did an activity called "heads up" which is a game where he has to explain the object that is shown without using the words. For example, for a grill - Richard explained to SLP that it was something to cook on and it can open and close. This targets word finding and vocabulary. This was challenging for him but still fun. We will continue to work on that language goal while continuing to target /s/ in conversational speech and rate of speech. Overall, Richard did well in today's session. It should be noted his attention is limited and requires frequent redirection to task and breaks to assist with this.
Session Minutes
60
Minutes Student Attended
50
Session Date
Lesson Topic
Speech and Language Therapy
Lesson Outline
Chris participated in the session virtually once more. The session commenced with Chris excitedly sharing "logos" and snippets of the movie episodes that he has created under the main title of "Stuart". Story sequence was highlighted as well as character trait descriptions. Additional conversational expansion ensued following Dad's entry Into Chris' room after he delivered a framed poster of Chris assuming a "rock star" pose while performing. Conversational expansion continued to be successful as motivation and attention were strong regarding the "rock music " topic.
Comment and fact sharing continues to be a strength for Chris. Expansion into more novel, reciprocal exchanges, with acknowledgement and expansion of utterances that are more strongly
contingent and cohesively linked continues to be a strong focus. Additionally, discussion regarding the familiar aspects of perspective taking, as well as alignment of facial expression, intonation and intention, and language were also highlighted.
Session Minutes
60
Minutes Student Attended
60
Session Date
Lesson Topic
Speech/language therapy
Lesson Outline
Richard was greeted in the cafeteria on time. He and SLP cleaned his work space in his classroom and discussed the benefits of having an organized and clean work space. Richard appeared more tired and irritable today. He was more defensive than usual. He required more verbal assistance overall during today's session. Richard became frustrated when verbal prompting for date/time activity was faded. Richard has demonstrated his competence in this subject has improved, requiring less cues. I strive to work in the area of "zone of proximal development" for my students. In addition, Richard required more frequent verbal and visual cues to accurately produce /s/ in all positions of the word during a semi structured task. He enjoys the topic of Pokemon therefore, this was utilized to make the topic less structured however he tends to speed up his rate of speech making his intelligibility decrease. When given the cues, Richard will temporarily over articulate his speech. Richard did well with possessives ('s). When attempting to do sequencing and word finding/vocab tasks, Richard became irritable. Conversational turn taking was targeted to conclude the session.
Session Minutes
60
Minutes Student Attended
60
Session Date
Lesson Topic
Speech/language therapy
Lesson Outline
Richard was greeted in the lobby. He transitioned well to his classroom. Richard made a "mailbox" for outside of his classroom. Our first task was to write Ms. Elise back what he wants for lunch. He said he didn't want to go over the restaurant menu, so he chose a cheese quesadilla and yogurt. Following that task, he quickly went over the date/day of week. He did well with this task. Richard continues to demonstrate the need for minimal cues to determine month/day of week. To target /s/ and rate of speech in a structured task, we did the structured /s/ while relating it to a desired topic (Pokemon). Ricahrd's self monitoring/correcting was significantly better today during this task. He was over articulating his /s/ sounds. He reported, "It's hard to say my /s/ sounds good because I have a loose tooth". He stated he will be getting braces in the future. He produced /s/ with ~80% accuracy during this task. We worked on rate of speech and /s/ in conversation while talking about the fair. He enjoyed this activity. We did sequencing, word finding and vocabulary enhancement as well. We continue to target social skills and interactions with peers and teachers as much as possible as this would be beneficial for Richard. I know they are also targeting this with his other SLP (Andrea).
Session Minutes
60
Minutes Student Attended
60
Session Date
Lesson Topic
speech and Language Therapy
Lesson Outline
Chris participated in a virtual session from school once more. The session commenced with Chris sharing his bass guitar and his mic and mic stand. He demonstrated some of his moves and shared that he feels that he is more of lead singer than a bass player. This new found interest has now afforded the opportunity to highlight conversational expansion in a novel way, as he is repeatedly and happily surprised at the knowledge that I am able to provide regarding this topic. This shared knowledge base has facilitated stronger motivation and extended periods of strong sustained attention. The focus within expansion continues to be on supporting contingent reciprocal exchanges. Comment/ fact sharing is a strength for Chris, and goals continue to focus on expansion of cycles of reciprocity, supporting topic maintenance. In addition, Chris also wanted to share many of his videos that he is creating. Scaffolding strategies to support aspects of narration were successful. The session closed just shy of the time allotted as Chris received a message and asked to please "finish and do more on Monday" as he "needed to go see Dutch." He hurriedly and anxiously was wanting to leave. We closed the session. Stronger session today.
Session Minutes
60
Minutes Student Attended
50
Session Date
Lesson Topic
Speech/language therapy
Lesson Outline
Richard was greeted in the cafeteria on time by SLP. He was happy upon transition. We started the session quickly reviewing date/days of week. He continues to get stronger with this skill. We recalled events from the weekend while using sequencing, executive functioning, and word finding skills. In efforts to target rate of speech and /s/ in conversation, we did a semi structured task. We did an articulation task (structured) and applied the word to Pokemon to make it more interesting to Richard. He LOVED this activity and it targeted exactly the goals needed. Richard's /s/ sounded better requiring less cues than last week. Articulatory contact was considered reduced however improved with prompting. Rate of speech continues to be an area for growth for Richard as he demonstrates difficulty carrying over the slower rate of speech when discussing a topic of interest. We're continuing to expand skills in unstructured tasks however self monitoring is not there at this point. Overall, today was a good session and Richard was focused and compliant.
Session Minutes
60
Minutes Student Attended
60
Session Date
Lesson Topic
Articulation/Language/Social-Emotional lesson
Lesson Outline
Richard was in a great mood and excited to try some of the new games we discussed at recess with the group. With some help of an older friend, he presented his idea to the group. It was met with mixed reviews but Richard felt proud of the job he did presenting a new idea, explaining/describing it, defending it and fielding questions from the group without backing down. He is finding his voice in a positive way and it's ok to express yourself and stick up for yourself in a kind way. After sweating it out in recess, we targeted our blend sounds with ninja cards and Pokemon, creating our own game. Using many creative forms of story telling and language, it was a great and engaging activity that kept Richard challenged, yet motivated.
Session Minutes
60
Minutes Student Attended
60