Richard was greeted by the therapist in the waiting room. He was a pleasant boy during transition to his room. Today was the first session with Richard and SLP. Rapport was established by talking about common interests (games, animals, colors, etc). Richard demonstrated appropriate eye contact and joint attention. Conversational turn taking was age appropriate. When asked by SLP what he was currently working on in speech therapy, he could not recall. The Goldman Fristoe Test of Articulation - Third Edition (GFTA-3) was administered revealing a standard score of 76. The GFTA-3 average standard score being 100 with standard deviation of 15 (85-115). A standard score of 76 falls 2 standard deviations below the mean. He is in the 5th percentile for his age and test age equivalency is 4:0-4:1 years old. With that said, Richards intelligibility is judged to be good. His errors were consistent with the following substitutions:
"th" for "s" in all positions of the word
"th" for s blends in all positions of the word
voiced "th" for "Z" in all positions of the word
"f" for voiceless "th" in initial position of the word
"d" for voiced "th" in medial position of the word
"s" for voiceless "th" at final position of the word

Intelligibility was reduced when Richard became excited and spoke at a faster rate however improved with verbal prompting to slow down speech production.

Richard is a sweet boy and very compliant. I look forward to working with him and collaborating with other teachers regarding additional areas of weakness that may apply to my scope of practice.

I reviewed and graded Anna's first two labs. This took about 30 minutes/lab. Anna received 100% in both labs and showed clear understanding of population biology (survivorship and predator/prey relationship). Anna should be credited for 2 hours of lab work toward AP Bio. There are 7 total lab hours tied to this AP Bio unit in Ecology and Biodiversity.

Santino was greeted by the feeding therapist. The session was completed on the floor as he sat on his desired pillow. He made fleeting eye contact. Upon entrance, he was on his iPad. With moderate redirection, he interacted with therapist during a Play Doh activity to establish rapport with new clinician. He was observed to make different animal shapes using Play Doh Shapes. When a novel food was introduced (Shortbread cookies with letters), he immediately pushed it away. He then followed the clinician's model by placing the cookie in the "all done bowl" with his hand. He intermittently wiped his hand on his leg or wall indicating tactile aversion to the crumbs. With Cheez It Gripz, he immediately placed in the "all done" bowl 10x without model. With SLP model, he blew the cracker into the bowl 1/5x (allowing the food closer proximity to his face) and further refused more trials. With Cheeto Puffs, he was using his iPad and remained calm and content while SLP "tap tap tap" up his arm, cheeks, and lips and eventually placed in bowl. SLP placed crumbs to lip border, and Santino did not demonstrate aversion. He in fact licked the crumb off his lip once. He then refused more trials. With preferred yogurt, he opened for the spoon and would take small bites off the tip of the spoon. When placed in his hand, Santino fed himself the yogurt with ease. When Ingrid entered the session and offered him semi preferred fruit loops, he refused by pushing her hand away. SLP was unable to assess true oral motor and chewing skills as Santino refused the solids. Overall, the evaluation went very well. Santino shows so much potential with making food a positive experience again. I am confident he will make progress in the area of expanding his food repertoire and accepting foods in different environments from a variety of caregivers. The session was discussed with Ingrid. In therapy, we will target all sensory components of food visually, sense of smell, touch and working closer to his mouth, with hopes to eat the food. Once Santino is willing to put things (food or oral motor tools) in his mouth, a further assessment of chewing will be completed. Thank you, Amanda LaPlante, MS , CCC-SLP

Sebastian is seen in his room for an initial Occupational Therapy evaluation which is taking place over a few sessions to gather all information needed to make best recommendations. Sebastian interacted well with the new instructor and has been a pleasure to evaluate. Please refer to evaluation to come for details in regards to standardized test results and observations.

Jayne seen today for Occupational Therapy evaluation and secondary to an OT recommendation made by Shari Pearson, PhD who recommended an OT evaluation to assess Jayne's sensory processing abilities. Jayne was assessed using the Bruininks-Oseretsky Test of Motor Profiency - 2nd Edition (BOT-2), School Companion Sensory Profile 2 by Winnie Dunn PhD, and the Child Sensory Profile 2 by Winnie Dunn PhD was sent home. The D-Ref Delis Rating of Executive Function was also given to both Jayne's teachers and parents to fill out to further assess her executive functioning abilities. Lastly, the assessment involved clinical observations. Please see full write-up for results of testing and recommendations.