5/19/2025 3:30PM-4:30PM
S: Noah was seen at The Batt School for treatment. Noah was eager to work with SLP throughout the session, though some distractibility was noted. A combination of structured and play-based activities were utilized to collect data throughout the session. O: First, Noah answered mixed “wh” questions given a field of 2-3 answer choices with 70% accuracy. Next, Noah completed speech sound activities to practice his production of voiceless /th/ sounds given a verbal/visual model. His data for these activities is as follows: /th/ initial phrases: 70% ; /th/ medial words: 60% ; /th/ final phrases: 45%. Last, Noah segmented and blended 3 phoneme words. All words provided had short vowels, and if he was unable to segment the sounds of the word to decode, the sounds were provided in order to blend them and read the word. His data is as follows: segmenting: 60% ; blending: 80%. A: Slight decreases seen on “wh” question goal likely due to distractibility. Other goals display increase. /th/ initial and final phrases were presented separately. They were each presented immediately following production of /th/ at the word level in their respective positions of words. P: Re-evaluate and assess skill level after summer break to develop appropriate POC based on progress/possible regression.

5/12/2025 3:30PM-4:30PM
S: Noah was seen at the Batt School for treatment. Noah was eager to work with SLP throughout the session, though some distractibility was noted. A combination of structured and play-based activities were utilized to collect data throughout the session. O: First, Noah receptively identified sight words provided verbally in a field of 4 visual answer choices. He completed the activity with 65% accuracy. Next, Noah answered mixed “wh” questions given a field of 2-3 answer choices with 78% accuracy. Last, Noah completed speech sound activities to practice his production of the voiced and voiceless /th/ sounds given a verbal/visual model. His data for these activities is as follows: /th/ initial phrases: 50% ; /th/ medial words: 75% ; /th/ final phrases: 35%. A: Increases noted across "wh" question and /th/ medial word production goals. Slight decreases in data seen with sight word identification due to distractibility and in /th/ initial and final phrases data due to overgeneralizing the position of the /th/ sound, therefore putting /th/ sound in the wrong word of the phrase. Baseline still established for /th/ initial and final phrases. P: Continue POC.

5/5/2025 3:30PM-4:30PM
S: Noah was seen at the Batt School for treatment. Noah was eager to work with SLP throughout the session. A combination of structured and play-based activities were utilized to collect data throughout the session. O: First, Noah receptively identified sight words provided verbally in a field of 4 answer choices. He completed the activity with 68% accuracy. Next, Noah answered mixed “wh” questions given a field of 2-3 answer choices with 70% accuracy. Then, Noah completed speech sound activities to practice his production of the voiced and voiceless /th/ sounds given a verbal/visual model. His data for these activities is as follows: /th/ initial phrases: 60% ; /th/ medial words: 70% ; /th/ final phrases: 40%. Last, Noah made a Mother’s Day card in which he sounded out and spelled “I love you, Mom” with moderate support. A: Stability/increases noted across most targeted goals. Noah was noted to be distracted during “wh” question activity and displayed a slight decrease in data collected. Speech sound /th/ was targeted at the phrase level in the initial and final positions for initial baseline data collection. P: Continue POC. Discontinue /th/ initial and final word goal and modify to phrase level. Continue to collect baseline data for /th/ initial and final at phrase level.

4/28/2025 3:30PM-4:30PM
S: Noah was seen at the Batt School for treatment. Noah was eager to work with SLP throughout the session. A combination of structured and play-based activities were utilized to collect data throughout the session. O: First, Noah answered mixed “wh” questions given a field of 2-3 answer choices about a story presented. He completed the activity with 75% accuracy. Next, Noah identified lowercase letters in a field of 2 answer choices. He completed the activity with 90% accuracy. After, Noah completed speech sound activities to practice his production of the voiced and voiceless /th/ sounds given a verbal/visual model. His data for these activities is as follows: /th/ initial: 100% ; /th/ medial: 40% ; /th/ final: 90%. Last, Noah completed a sight word identification activity in which he was given a pre-primer sight word and asked to identify it. He completed the activity with 40% accuracy. A: Stability/increases noted across targeted goals. Noah is at almost mastery for /th/ initial and final, but he still benefits from increased prompting with his production of /th/ in the medial position of words. P: Continue POC. Monitor /th/ initial/final production for mastery. Increase sight word identification activities.

4/7/2025 3:30PM-4:30PM
S: Noah was seen at the Batt School for treatment. Noah was eager to work with SLP throughout the session. O: First, Noah identified uppercase letters in a field of 3 answer choices. He completed the activity with 96% accuracy. Next, Noah identified lowercase letters in a field of 3 answer choices. He completed the activity with 92% accuracy. After, he completed a lowercase to uppercase letter match given a field of 2 uppercase letters to choose from. He completed the activity with 92% accuracy. Then, Noah completed a sound blending activity, blending the sounds in words when the sounds were provided to him in segmented pieces. He completed the activity with 90% accuracy. Once completed, Noah was asked to segment words into their sounds, given a verbal and written model of the word, as well as a picture representation of the word. He completed the activity with 30% accuracy. Next, Noah answered mixed “wh” questions about a story presented with 75% accuracy. Last, Noah completed a speech sound activity to practice his production of the voiced /th/ sound given a verbal/visual model. His data for this activity is as follows: /th/ initial: 90% ; /th/ medial: 30%. A: Stability/increases noted across targeted goals. It is noted that Noah responded well to exaggerated modeling of target speech sounds assessed and began to self-correct as the activity progressed. Noah displays mastery of letter identification. Goals associated will be informally monitored. P: Continue POC. Discontinue letter identification goals and informally monitor.

3/31/2025 3:30PM-4:30PM
S: Noah was seen at the Batt School for treatment. Noah was eager to work with SLP throughout the session. O: First, Noah identified uppercase letters in a field of 3 answer choices. He completed the activity with 96% accuracy, only displaying difficulties with identifying the letter “J.” Next, Noah completed a letter-sound correspondence activity in which Noah was provided with a letter sound and asked to identify which letter made the sound provided from a field of 3 answer choices. He completed the activity with 73% accuracy. After, Noah completed a sound blending activity, blending the sounds in words when the sounds were provided to him in segmented pieces. He completed the activity with 90% accuracy. Then, Noah was asked to segment words into their sounds, given a verbal and written model of the word, as well as a picture representation of the word. He completed the activity with 30% accuracy. After that, Noah completed a sight word matching activity in which he was provided a sight word and a field of 3 sight word answer choices. He completed the activity with 90% accuracy. In correspondence with that, Noah was asked to identify the sight words provided within the activity. He did so with 40% accuracy. Last, Noah completed a speech sound activity to practice his production of the voiceless /th/ sound given a verbal/visual model. His data for this activity is as follows: /th/ isolation: 100% ; /th/ initial: 80% ; /th/ medial: 60% ; /th/ final: 90%. A: Baseline data has been completed on POC goals. Stability/increases noted across targeted goals. It is noted that Noah responded well to exaggerated modeling of target speech sounds assessed and began to self-correct as the activity progressed. P: Continue POC.

3:30PM-4:30PM
S: Noah was seen at the Batt School for a second rapport building session, as well as for assessment to develop an updated plan of care. He was eager to talk to and work with the SLP throughout the session. Play-based therapy techniques, language screening assessment and structured language tasks were utilized to assist in developing an appropriate plan of care for Noah. O: Through language screening assessment and play-based therapy, some language difficulties were displayed. They include: expressive identification of prepositions (i.e. when provided a picture and a prompt to identify the location of a noun shown), expressive categorization (i.e. given a category, listing items within the category provided; e.g. name 3 items on a playground), expressive identification of attributes (e.g. what is the same/different between two objects), and initiating of questions/comments when given a picture scene. Noah was then given speech sound probes at the word level with an initial model. The speech sounds, position, and percentages are as follows: /sh/ initial: 90% ; /sh/ medial: 95% ; /sh/ final: 95% ; /ch/ initial: 85% ; /ch/ medial: 90% ; /ch/ final: 80% ; /j/ initial: 70% ; /j/ medial: 60% ; /j/ final: 60% A: Noah presents with both speech sound and language difficulties. Speech sounds should be targeted at the phrase level and higher with fading cues. Language difficulties include: expressive identification of prepositions, expressive categorization, expressive identification of attributes, and initiating of questions/comments when given a picture scene. P: Develop a plan of care. Assess to establish baselines.

3/17/2025 3:30PM-4:30PM
S: Noah was seen at the Batt School for treatment. Noah was eager to work with SLP throughout the session. It is noted that Noah had a BM during session, therefore some session data is limited. O: First, Noah completed speech sound activities targeting the /th/ sound across all positions of words. He was provided with an initial model for each target. His data is as follows: /th/ initial: 80% ; /th/ medial: 40% ; /th/ final: 80%. Next, he was asked to label parts of an object given visual supports (e.g. parts of a bird: wing, beak, feet). He completed the activity with 50% accuracy. Last, Noah answered mixed “wh” questions given a field of 2-3 answer choices for each question. His data is as follows: what ?s: 71% ; where ?s: 60% ; when ?s: 60%. A: Limited data is noted due to Noah’s BM during the session. Session data is consistent with previous sessions. Some baselines were established. Noah displays increases with his self-correction of the /th/ sound in the initial and final positions of words. Difficulties with self-correction in the medial position noted. P: Continue POC. Finish establishing baselines.

3/10/2025 3:30PM-4:30PM
S: Noah was seen at the Batt School for treatment. Noah was eager to work with SLP throughout the session and discussed his upcoming trip to Colorado with his family. O: First, Noah answered mixed “wh” questions about two Pete the Cat stories read aloud to him. He was provided with a field of 3 answer choices for each question. His data is as follows: who ?s: 71% ; what ?s: 92% ; where ?s: 67% ; why ?s: 50%. Next, Noah completed speech sound activities targeting the /th/ sound in isolation and across positions of words. He was provided with an initial model for each target. His data is as follows: /th/ isolation: 30% ; /th/ initial: 30% ; /th/ medial: 20% ; /th/ final: 20%. After, Noah completed an expressive spatial concepts activity in which he was asked to identify the spatial concept provided given a visual/picture (e.g. a picture of a cow behind a barn with the prompt, “Where is the cow?”). He completed the activity with 50% accuracy. Last, Noah was asked to label parts of an object given visual supports (e.g. parts of a bird: wing, beak, feet). He completed the activity with 40% accuracy. A: Baseline data is currently being collected on POC goals. It is noted that Noah responded well to modeling of target speech sounds assessed and began to self-correct as the activity progressed. P: Continue POC and establish baselines.

2/10/2025 3:30PM-4:30PM
S: Noah was seen at the Batt School for a rapport building session, as well as for assessment to develop an updated plan of care. He was eager to talk to and work with the SLP throughout the session, telling the SLP about school, friends, family, etc. Play-based therapy techniques, speech sound screening assessment and structured language tasks were utilized to assist in developing an appropriate plan of care for Noah. O: Through speech sound screening assessment and play-based therapy, some speech sound difficulties were displayed. Errors patterns included deaffrication (e.g. a “stop” sound (/p/, /b/, /t/, /d/, /k/, /g/) replaces an affricate (/ch/, /j/) and incorrect production of /th/. Language probes were also provided. First, Noah was asked to spell his first name and completed the task with 100% accuracy. He then was asked to spell his last name given verbal cues (i.e. isolated letter sounds). He was able to spell his last name with 43% accuracy. Lastly, Noah completed a letter-sound correspondence activity where he was asked to identify the letter when provided with its sound and a field of 3 letter choices. He completed the activity with 54% accuracy A: Noah presents with both speech sound and language difficulties. Speech sound difficulties include production of affricates and production of /th/ across positions of words. Language difficulties include phonological processing skills such as letter-sound correspondence. P: Continue assessment and develop a plan of care.