S: Noah was seen at the Batt School for treatment. Noah was eager to work with the SLP throughout the session. O: Noah was asked to follow a variety of 1-2 step related directions. He completed the activity with 20% accuracy. He was then given a picture scene and asked mixed “wh” questions about the picture. He answered the questions with 30% accuracy. After, Noah was asked a variety of “wh” questions about a short passage read to him, given a field of 3 visual answer choices. He completed the activity with 25% accuracy. Noah was then asked to identify spatial concepts in a field of 3 visual answer choices. He completed the activities with 30% accuracy. Lastly, Noah was asked to identify where an object was using spatial prepositions (behind, in front of, next to, under) given an initial model. He completed the activity with 10% accuracy. A: Noah benefitted from increased prompting throughout tasks. Baselines obtained for majority of POC goals. P: Complete baseline data collection on updated POC goals. Continue POC based on baselines obtained.

S: Noah was seen at the Batt School for treatment. Noah had some difficulty with transitioning to session, but he was eager to work with the SLP for the duration of the session. Evaluation results and updated plan of care was given to Michael, Noah’s babysitter, as well as put on file at the Batt School. O: New plan of care goals were probed and initial baseline data taken. Noah was asked to follow a variety of 1-2 step related directions. He completed the activity with 20% accuracy. He was then given a picture scene and asked mixed “wh” questions about the picture. He answered the questions with 25% accuracy. After, Noah was asked a variety of “wh” questions about a short passage read to him, given a field of 3 visual answer choices. He completed the activity with 15% accuracy. Lastly, Noah asked to identify quantitative and spatial concepts, in fields of 3 visual answer choices and 2 visual answer choices respectively. He completed the activities with 25% accuracy and 20% accuracy respectively. A: Noah benefitted from increased prompting throughout tasks. Initial baseline data collected. P: Continue collecting baseline data on updated POC goals.

S: Noah was seen at the Batt School for a re-evaluation of language to assist with a plan of care update. Noah was eager to work with the SLP. Compliance noted to decrease as session progressed. Frequent breaks utilized to gain/maintain attention while administering the Preschool Language Scales, 5th Edition (PLS-5). Preliminary results of evaluation discussed with Noah's dad at end of session. O: Noah completed the expressive communication section of the PLS-5. A: Noah benefitted from multiple verbal prompts/repetitions throughout evaluation. P: No further testing is noted to be required. Evaluation report based on results of PLS-5 and GFTA-3 will be written up. Report will be provided and explained to parents. Plan of care will also be updated based on results.

S: Noah was seen at the Batt School for a re-evaluation of language to assist with a plan of care update. Noah was eager to work with the SLP and compliant for a majority of his session. Frequent breaks utilized to gain/maintain attention while administering the Preschool Language Scales, 5th Edition (PLS-5). O: Noah completed the auditory comprehension portion of the PLS-5. After completing the auditory comprehension portion, the expressive communication section was started but not completed. A: Noah benefitted from multiple verbal prompts/repetitions throughout evaluation. Expressive communication section will be completed during next session. P: Continue evaluation process with completion of administration of the Preschool Language Scales, Fifth Edition. Upon completion, full evaluation results will be provided and explained to parents. Plan of care will also be updated based on results.

S: Noah was seen at the Batt School for a re-evaluation of speech sounds to assist with a plan of care update. Noah was eager to work with the SLP and compliant for the duration of his session. Frequent breaks utilized to gain/maintain attention while administering the Goldman Fristoe Test of Articulation, Third Edition (GFTA-3). O: Noah completed the GFTA-3 (both sounds-in-words and sound-in sentences portions). After completing test administration, Noah completed a spatial concepts activity in which he identified the spatial concept in a field of 3 pictures with 50% accuracy. A: Noah benefitted from multiple verbal prompts/repetitions during sounds-in-sentences portion of GFTA-3. Results of this section should be interpreted with caution due to difficulty following directives for the section. Limited data noted on spatial concepts activity. P: Continue evaluation process with administration of the Preschool Language Scales, Fifth Edition. Upon completion, full evaluation results will be provided and explained to parents. Plan of care will also be updated based on results.

S: Noah was seen at the Batt School for treatment. He was eager to work with the SLP and compliant for the duration of his treatment session. Play-based, child led therapy, along with structured language tasks utilized. Re-evaluation needs discussed with Noah’s dad at end of session. O: Noah completed an alphabet identification activity in which he had to identify the letter provided verbally given initial verbal/visual model in a field of 3. He completed the activity with 60% accuracy. Noah then completed a following directions activity where he was asked to follow various 2-step directions. He completed the activity with 25% accuracy. Noah also followed directions utilizing a variety of spatial concepts (e.g. on, under, next to). He completed the activity with 60% accuracy. Then, Noah completed a spatial concept identification activity where he identified the spatial concept word provided in a field of 3 pictures. He completed the activity with 60% accuracy. Lastly, Noah completed a speech sound activity with /l/ and /r/ blends at increasing levels (i.e. word, phrase, sentence). He completed the task with 68% accuracy when given an initial model. A: Noah displays some increase with letter identification. Difficulty with completing both steps provided in 2-step directions noted, often completing the first step only. Continued difficulties with /l/ blends noted. P: Continue with current plan of care. Begin assessment process during next session.

S: Noah was seen at the Batt School for treatment. He was eager to work with the SLP and compliant for the duration of his treatment session. Play-based, child led therapy, along with structured language tasks utilized. O: Noah completed an alphabet identification activity in which he had to match the letter provided to the correct letter given initial verbal/visual model in a field of 3. He completed the activity with 50% accuracy. Noah then completed a following directions activity where he was asked to follow various 1-2 step directions. He completed the activity with 55% accuracy. Noah also answered mixed “wh” questions immediately following visual/verbal info given a field of 3 answer choices with visuals. He completed the activity with 60% accuracy. Then, Noah completed a speech sound activity with /l/ and /r/ blends at increasing levels (i.e. word, phrase, sentence). He completed the task with 65% accuracy when given initial model. Lastly, Noah’s play skills were observed with data collected during a variety of play activities. He displayed the ability to turn-take/share in 70% of trials. A: Noah displays some increase with letter identification. Increased level of distractibility noted during “wh” question task. Continued difficulties with /l/ blends noted. P: Continue with current plan of care.

S: Noah was seen at the Batt School for treatment. He was eager to work with the SLP and compliant for the duration of his treatment session. Play-based, child led therapy, along with structured language tasks utilized. O: Noah completed an alphabet identification activity in which he had to match the letter provided to the correct letter in a field of 3. He completed the activity with 40% accuracy. Noah then completed a spatial concepts activity where he reviewed spatial concepts (e.g. in, on, under, behind) and was asked to follow directions using the spatial concepts. He completed the activity with 65% accuracy. Noah completed a sight word matching activity in which he was asked to match the sight word provided to the correct sight word in a field of 3 answer choices. He completed the activity with 20% accuracy. Lastly, Noah’s play skills were observed with data collected during a variety of play activities. He displayed the ability to turn-take/share in 70% of trials. A: Noah displays consistency across most POC goals. Decrease displayed on sight word goal likely due to distractibility during task. P: Continue with current plan of care.

S: Noah was seen at the Batt School for treatment. He was eager to work with the SLP and compliant for the duration of his treatment session. Play-based, child led therapy, along with structured language tasks utilized. O: Noah completed an alphabet identification task where the letter was provided verbally, and he had to select the correct letter from a field of 3 letters. He completed this activity with 10% accuracy. Noah was then trialed with an alphabet identification activity in which he had to match the letter provided to the correct letter in a field of 3. He completed the activity with 40% accuracy. Noah then completed a spatial concepts activity where he reviewed spatial concepts (e.g. in, on, under, behind) and was asked to follow directions using the spatial concepts. He completed the activity with 60% accuracy. Noah completed a sight word matching activity in which he was asked to match the sight word provided to the correct sight word in a field of 3 answer choices. He completed the activity with 40% accuracy. Lastly, Noah’s play skills were observed with data collected during a variety of play activities. He displayed the ability to turn-take/share in 60% of trials. A: Noah displays some decreases across POC goals, which may be attributed to a lapse in services over the summer. Goals will continue to be monitored. Additional language testing to be considered. P: Continue with current plan of care. Discuss options for additional language testing to establish new skills baseline.

S: Noah was seen at the Batt School for treatment. He was eager to work with the SLP and compliant for the duration of his treatment session. Play-based, child led therapy, along with structured language and informal speech sound tasks utilized. It is noted that within the session, there was a tornado warning issued. This impacted some of the session data (i.e. more limited data collection), as the session was moved to a different location on the school’s campus. This is also noted to be Noah's last session prior to summer break. Goal maintenance activities were sent home with Noah at the end of his session for continued practice during session lapse. O: Noah completed a spatial concepts activity where he reviewed spatial concepts (e.g. in, on, under, behind) and was asked to follow directions using the spatial concepts. He completed the activity with 65% accuracy. Noah also completed a sight word identification activity (e.g. I, a, to, is, it, you, go) when provided initial modeling of the words. He identified the sight words in a field of 3 with 67% accuracy. Noah then completed a letter identification activity for mixed letters from A-Z. He was asked to identify letters in a field of 3 and completed the activity with 63% accuracy. Noah’s play skills were observed with data collected during a variety of play activities. He displayed the ability to turn-take/share in 78% of trials. Lastly, Noah’s speech sounds were informally assessed. He continues to maintain intelligibility between 70-80% in connected speech dependent on context. A: Noah continues to display stability/progress across POC goals. P: Continue with current plan of care.