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 speech sound tasks utilized. O: Noah completed a spatial concepts activity where he reviewed spatial concepts (e.g. in, on, under, behind) and was asked to identify spatial concepts reviewed from a field of 2 visual answer choices. He completed the activity with 71% 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 60% accuracy. Noah also completed a quantitative concepts activity (e.g. one vs. some) where he identified the quantitative concepts provided given a field of 2 visual answer choices. He completed the activity with 60% 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 completed a speech sound activity in which he produced /r/ blend words provided a model as needed. He completed the activity with 75% accuracy. A: Noah continues to display stability/progress across POC goals. 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 and speech sound tasks utilized. It is noted that Noah had a BM during the session, but this did not appear to impact his session data (i.e. no limited data on goals targeted). O: Noah completed a spatial concepts activity where he reviewed spatial concepts (e.g. in, on, under, behind) and was asked to identify spatial concepts reviewed. He completed the activity with 60% accuracy. Noah also participated in a letter identification activity for the letters A-D. He was asked to identify letters, provided a model, in a field of 3 letters. He completed the activity with 60% accuracy. Noah also completed two speech sound activities in which he produced /l/ across positions of words and /l/ blend words provided a model as needed. He completed the activities with 100% accuracy and 75% respectively. A: Noah continues to display stability/progress across POC goals. 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 and speech sound tasks utilized. It is noted that Noah had a BM during the session, but this did not appear to impact his session data (i.e. no limited data on goals targeted). 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 reviewed. He completed the activity with 65% accuracy. Noah also participated in a letter identification activity for the letters A-C. He was asked to identify letters, provided a model, in a field of 3 letters. He completed the activity with 67% accuracy. Noah also completed a sight word identification activity (e.g. I, a, to, is) when provided initial modeling of the words. He identified the sight words in a field of 4 with 87% accuracy. Lastly, Noah completed a speech sound activity in which he produced /l/ blend words provided a model as needed. He completed the activity with 73% accuracy. A: Noah continues to display stability/progress across POC goals. Notable increases with sight word identification. 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 and speech sound tasks utilized. O: Noah completed a spatial concepts activity where he reviewed spatial concepts (e.g. in, on, under, behind) and was asked to identify spatial concepts reviewed from a field of 2 visual answer choices. He completed the activity with 50% accuracy. Noah also participated in a letter identification activity for the letters A-D. He was asked to identify letters, provided a model, in a field of 3 letters. He completed the activity with 60% accuracy. Noah also completed a quantitative concepts activity (e.g. more/less, big/small) where he identified a variety of quantitative concepts provided given a field of 2 visual answer choices. He completed the activity with 50% 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 73% of trials. Lastly, Noah completed a speech sound activity in which he produced /l/ blend words provided a model as needed. He completed the activity with 65% accuracy. A: Noah continues to display stability/progress across POC goals. Notable increases with letter identification (A-D), as well as /l/ blend word production. 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 and speech sound tasks utilized. O: Noah completed a spatial concepts activity where he reviewed spatial concepts (e.g. in, on, under, behind) and was asked to identify spatial concepts reviewed from a field of 3 visual answer choices. He completed the activity with 50% accuracy. Noah also participated in a letter identification activity for the letters A-F. He was asked to identify letters, provided a model, in a field of 3 letters. He completed the activity with 30% accuracy. Noah also completed a letter-sound correspondence activity with the letters A-D. He completed the activity with 30% 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 70% of trials. Lastly, Noah completed a speech sound activity in which he produced multisyllabic words provided a model as needed. He completed the activity with 50% accuracy, though limited data is noted. A: Noah continues to display stability/progress across POC goals. Limited data noted for speech sound activity; interpret data with caution. 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 and speech sound tasks utilized. O: Noah completed a spatial concepts activity where he reviewed spatial concepts (e.g. in, on, under, behind) and followed directions using the concepts. He completed the activity with 40% accuracy. Noah also participated in a basic concepts activity in which he recognized shapes/sizes of objects, as well as followed directions based on shape/size via use of magnet tiles. He completed the activity with 45% accuracy. Lastly, Noah completed a speech sound activity in which he produced /l/ blend words. He completed the activity with 55% accuracy when provided with some verbal/gestural cues for positioning. Noah’s play skills were informally assessed throughout session and appear to display stability with previous data collecting sessions. A: Noah continues to display stability/progress across POC goals. 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 majority of the session. Play-based, child led therapy, along with structured language tasks utilized. O: Noah completed a color identification activity where he labeled items by color. He completed the activity with 90% accuracy. Noah also participated in a sight word identification activity (e.g. I, a, to, is) when provided initial modeling of the words. He completed the activity with 25% accuracy. Noah also read a sight word book with SLP for “I.” He read, when provided with initial modeling, with 55% accuracy. Noah was then asked to follow 1-step directives with the inclusion of spatial concepts (e.g. in, on, under, behind). He completed the activity with 55% accuracy provided minimal to moderate support. 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 73% of trials. A: Noah continues to display stability/progress across POC goals. Slight decreases displayed on some activities due to some task refusal. P: Continue with current plan of care and discontinue color identification goal.

S: Noah was seen at the Batt School for treatment. He was eager to work with the SLP and compliant throughout the session. Play-based, child led therapy, along with structured language tasks utilized. O: Noah completed a color identification activity where he labeled items by color. He completed the activity with 80% accuracy. Noah also participated in a letter identification activity for letters A-Z, given letters in a field of 4 (i.e. A-D letter cards with picture displayed; “show me C”). He completed the activity with 40% accuracy. Noah was also asked to follow 1-step directives with the inclusion of spatial concepts (e.g. in, on, under, behind). He completed the activity with 60% accuracy provided minimal to moderate support. 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 73% of trials. A: Noah continues to display stability/progress across POC goals. P: Continue with current POC. Monitor color identification goal and discontinue at mastery.

S: Noah was seen at the Batt School for treatment. He was eager to work with the SLP and compliant throughout the session. It is noted that Noah had an accident during the session, but this did not appear to impact his session data. Play-based, child led therapy, along with structured language tasks utilized. O: Noah completed a color identification activity in which he labeled the color of various items. He completed the activity with 80% accuracy. Noah also took part in a sharing/turn-taking game. Noah shared with SLP and took turns provided a model as needed with 70% accuracy. Lastly, Noah completed a spatial concept activity (e.g. in, out, behind, etc.). He labeled the concepts provided a model with 30% accuracy. A: Noah displays stability/progress across POC goals. Some task refusal noted toward the end of play activity. Data did not appear to be impacted by incontinence in session. P: Continue with current POC. Monitor color identification goal and discontinue at mastery.

S: Noah was seen at the Batt School for treatment. He was initially hesitant to work with SLP but opened up quickly and was compliant for the duration of treatment. Play-based, child led therapy, along with structured language and speech-sound tasks utilized. O: Noah’s play skills were observed via a sharing/turn-taking game. Noah shared with SLP and took turns provided a model with 65% accuracy. He also completed a letter-sound correspondence activity with an alphabet puzzle. He completed the activity, given a model and maximal support, with 30% accuracy. Noah completed a speech-sound activity using multisyllabic words without a model with 80% accuracy at the word/phrase level. Lastly, Noah identified sight words (I, a, it) in a field of 2 with 70% accuracy. A: Noah displays stability/progress across POC goals. Some difficulty with sharing/turn-taking activity noted toward end of activity. P: Continue with current POC.