S: Noah was seen at the Batt School for treatment. Noah had some initial difficulty transitioning to work tasks, but he was eager to work with SLP for most of the session. Some distractibility noted and task avoidance noted. O: Noah was first asked to sort items provided into different categories provided (e.g. apple would be put under the fruit category). He completed the activity with 50% accuracy. He was then asked to identify which word rhymed with the word provided verbally, given a field of 3 verbal/visual answer choices. He completed the activity with 30% accuracy. Noah then completed a pronoun labeling activity with moderate support and verbal answer choices which he completed with 50% accuracy. After, Noah was probed with a variety of sight words then was asked to match the sight word provided given a field of 3 sight word answer choices. He completed the activity with 60% accuracy. Lastly, Noah was asked to follow directions with embedded spatial concepts. He completed the activity with 100% accuracy. A: Initial baselines taken on new goals. Some goals display decrease likely due to difficulty with transitioning and difficulty with focus during some tasks. Pronoun task displayed Noah’s difficulties with use of “he” pronoun. P: Continue POC. Continue to develop/probe literacy goals.

S: Noah was seen at the Batt School for treatment. He was eager to work with SLP for most of the session. Some task avoidance noted. O: Noah was first asked to sort items provided into different category spaces of where one would find them (e.g. school, park, grocery store, and clothing store are the places, items to be sorted could include a backpack, a swing, a steak, a jacket, etc.). He completed the activity with 64% accuracy. He was then asked to identify which item, given a field of 3 picture choices and two adjective descriptors, was being described. He completed the activity with 58% accuracy. Noah then completed a pronoun labeling activity with moderate support and verbal answer choices which he completed with 50% accuracy. After, Noah was asked to identify the superlative (e.g. big, bigger, biggest) in a field of 3 visual answer choices. He completed the activity with 60% accuracy. Noah then completed an alphabet identification activity where he found the uppercase letter provided verbally in a field of 3 letters. He completed the activity with 54% accuracy. Lastly, Noah was asked to match the sight word provided given a field of 3 sight word answer choices. He completed the activity with 100% accuracy given 5 trials. A: Increases/consistency displayed across most goals. Minor decreases displayed on some POC goals likely due to task avoidance. Probes for literacy goals started. Some basic sight word exposure incorporated within session. P: Continue POC. Continue to develop/probe literacy goals.

S: Noah was seen at the Batt School for treatment. He was eager to work with SLP for the duration of the session. SLP spoke with mom after session was completed. She requested adding literacy goals to POC. Goals will be probed and added in upcoming sessions. O: Noah was first asked to identify which item in a field of 4 belongs in the provided category (e.g. “food” is the category with visuals provided of a baseball, a cookie, a spoon, and a truck). He completed the activity with 85% accuracy. He was then asked to label categories when given 3 items within the category and a field of 3 category answer choices. He completed the activity with 75% accuracy. After, Noah asked mixed “wh” questions about a picture scene. He answered the questions posed with 80% accuracy. After, Noah was asked mixed “wh” (who, what, where) questions about a 1-sentence story when provided with 3 consistent visual answer choices (i.e. same answer choices for each question about the story). He completed the activity with 80% accuracy. He then completed a pronoun labeling activity with moderate support and verbal answer choices, which he completed with 60% accuracy. After, Noah was asked to identify the superlative (e.g. big, bigger, biggest) in a field of 3 visual answer choices. He completed the activity with 70% accuracy. Lastly, he was asked to identify which image displayed “more” and “less” in a field of 2 visual answer choices. He completed the activity with 80% accuracy. A: Increases/consistency displayed across most goals. P: Continue POC. Develop/probe literacy goals.

S: Noah was seen at the Batt School for treatment. He was eager to work with SLP for a majority the session. O: Noah was first asked to identify which item in a field of 4 belongs in the provided category (e.g. “food” is the category with visuals provided of a baseball, a cookie, a spoon, and a truck). He completed the activity with 70% accuracy. Noah then asked to answer basic “when” questions in a field of 2 visual answer choices. He completed the activity with 70% accuracy. After, Noah was asked “what” and “where” questions about a 1-sentence story when provided with 3 visual answer choices. He completed the activity with 30% accuracy. Lastly, he was asked mixed “wh” questions about a picture scene. He answered the questions posed with 83% accuracy. A: Increases/consistency displayed across most goals. Minor decrease displayed on “when” question goal likely due to increased distractibility. P: Continue POC.

S: Noah was seen at the Batt School for treatment. He was eager to work with SLP for all of the session. O: Noah was first asked to label categories when given 3 items within the category and a field of 3 category answer choices. He completed the activity with 50% accuracy. Noah then asked to answer basic “when” questions in a field of 2 visual answer choices. He completed the activity with 87% accuracy. After, Noah was asked to identify the superlative (e.g. big, bigger, biggest) in a field of 3 visual answer choices. He completed the activity with 70% accuracy. After, Noah was asked to identify which image displayed “more” and “less” in a field of 2 visual answer choices. He completed the activity with 70% accuracy. Lastly, he was asked mixed “wh” questions about a picture scene. He answered the questions posed with 75% accuracy. A: Increases displayed across goals. Difficulties with answering “when” questions about picture scenes provided. P: Continue POC.

S: Noah was seen at the Batt School for treatment. He was eager to work with SLP for all of the session. Probes for updated POC completed. O: Noah was first asked to label categories when given 3-4 items within the category. He completed the activity with 10% accuracy. Noah then asked to answer basic “when” questions in a field of 2 visual answer choices. He completed the activity with 37% accuracy. After, Noah was asked to identify the superlative (e.g. big, bigger, biggest) in a field of 3 visual answer choices. He completed the activity with 60% accuracy. After, Noah chose to complete an alphabet identification activity where he found the uppercase letter provided verbally in a field of 3 letters. He completed the activity with 50% accuracy. Then, Noah completed a pronoun labeling activity where he was provided picture scenes and asked to choose the correct pronoun in a field of 3. He completed the activity with 57% accuracy. Lastly, Noah was asked to identify which image displayed “more” in a field of 2 visual answer choices. He completed the activity with 60% accuracy. A: Probes for updated POC started. Initial baselines collected. Consistency with “more” identification displayed P: Continue collected updated POC baselines. Continue previous POC goals that have not yet been mastered.

S: Noah was seen at the Batt School for treatment. He was eager to work with SLP for most of the session. He became increasingly distracted as session progressed. O: Noah was first asked to follow a variety of 1-2-step related directions. He completed the activity with 80% accuracy. Noah then completed a quantitative concepts activity in which he discriminated many versus few and more versus less in a field of 2 visual answer choices. He completed the activities with 83% and 60% accuracy respectively. After, Noah was asked to label spatial concepts displayed in a picture scene shown. He completed the activity with 80% accuracy. Lastly, Noah answered mixed “wh” questions about a variety of picture scenes presented. He completed the activity with 72% accuracy. A: Increased redirection to task needed to complete spatial concept and mixed “wh” question activities. This is likely cause for decreases in data for these goals. Increases displayed across all other POC goals. P: Continue with current POC goals that have not yet been mastered. Probe additional goals to update POC.

S: Noah was seen at the Batt School for treatment. He was eager to work with SLP for a majority of the session. He benefitted from frequent redirection during some activities presented. It is noted that Noah was sniffling and had a runny nose throughout session. O: Noah was first asked to follow a variety of 2-step related directions. He completed the activity with 78% accuracy. Noah then completed a quantitative concepts activity in which he discriminated many versus few in a field of 2 visual answer choices. He completed the activity with 73% accuracy. After, Noah was asked to label spatial concepts displayed in a picture scene shown. He completed the activity with 83% accuracy. Lastly, Noah answered mixed “wh” questions about a variety of picture scenes presented. He completed the activity with 90% accuracy. A: Increased redirection to task needed to complete 2-step directions, which is likely the cause for slight decrease in data. Increases displayed across all other POC goals. P: Continue with current POC.

S: Noah was seen at the Batt School for treatment. He was eager to work with SLP throughout session. It is noted that Noah was sniffling and had a runny nose throughout session. O: Noah was first asked to follow a variety of 1-step directions. He completed the activity with 80% accuracy. Noah was then asked to follow a variety of 2-step related directions. He completed the activity with 80% accuracy. Noah then completed a quantitative concepts activity in which he discriminated full versus empty in a field of 2 visual answer choices. He completed the activity with 72% accuracy. After, Noah was asked to identify spatial concepts in a field of 3 answer choices. He completed the activity with 80% accuracy. Lastly, Noah requested to complete an uppercase letter identification activity (field of 3). He completed the activity with 57% accuracy. A: Increases displayed across all POC goals. P: Continue with current POC.

S: Noah was seen at the Batt School for treatment. He was eager to work with SLP at beginning of session. Some task avoidance/non-compliance noted as session progressed. O: Noah was first asked to follow a variety of 2-step related directions. He completed the activity with 80% accuracy. Noah then completed a quantitative concepts activity in which he discriminated full versus empty in a field of 2 visual answer choices. He completed the activity with 60% accuracy. Lastly, Noah was asked to identify spatial concepts in a field of 3 answer choices. He completed the activity with 71% accuracy. A: Some decreases displayed across POC goals. This is likely attributed to task avoidance/non-compliance. P: Continue with current POC. Monitor goals displaying decreases. Probe additional goals based on previous testing results.