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 MLU expansion activity within session. He completed the activity with 75% accuracy. Noah also participated in a letter-sound correspondence activity for the letters A-C. He completed the activity with a model with 15% accuracy. Noah also completed a speech-sound activity with mixed speech sounds with 75% accuracy. Lastly, Noah identified sight words (I, a, it) in a field of 3 with 45% accuracy. A: Noah displays stability/progress across POC goals. Some task refusal noted with letter-sound correspondence task. P: Continue with current POC.

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. Speech sounds and play skills (e.g. turn-taking; sharing, waiting) informally assessed throughout the session. O: Noah’s play skills continue to be informally assessed with progress noted. Noah completed a MLU expansion activity within session. He completed the activity with 70% accuracy. Noah also participated in a letter-sound correspondence activity for the letters A-C. He completed the activity with a model with 15% accuracy. Lastly, Noah completed a color identification activity in which he was asked to label object colors. He completed the activity with 70% accuracy. A: Noah displays stability/progress across POC goals. Play skills to be assessed more formally. P: Continue with current POC with addition of play skills goal.

S: Noah was seen at the Batt School for treatment. He was noted to be waking up from a nap immediately prior to entering session. Some initial crying and task refusal noted, though Noah was quickly redirected and compliant for the duration of the session. Play-based, child led therapy, along with structured language tasks utilized. Play skills (e.g. turn-taking; sharing, waiting) informally assessed throughout the session. O: Noah’s play skills continue to be informally assessed with progress noted. Noah completed a MLU expansion activity within session. He completed the activity with 68% accuracy. Noah also participated in two letter identification activities (“A” and “B”). He identified the letter “A” (both uppercase and lowercase) in an increased field when provided a model with 70% accuracy. He identified the letter “B” (both uppercase and lowercase) in an increased field when provided a model with 40% accuracy. A: Noah displays stability/progress across additional POC goals. P: Continue with current POC.

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. Speech sounds and play skills (e.g. turn-taking; sharing, waiting) informally assessed throughout the session. O: Noah’s speech intelligibility continues to remain consistent at 75% across a variety of context. Play skills informally assessed with continued progress from previous sessions noted. Noah participated in a color identification task where he was asked to identify a color in a field of 3. He completed the task with 70% accuracy. Noah also completed a MLU expansion activity. He completed the activity with 65% accuracy. Lastly, Noah participated in two letter identification activities (“A” and “B”). He identified the letter “A” (both uppercase and lowercase) in an increased field when provided a model with 69% accuracy. He identified the letter “B” (both uppercase and lowercase) in an increased field when provided a model with 40% accuracy. A: Intelligibility shows stability with use of intelligibility strategies (e.g. say it slow; overexaggerated speech, etc.). Noah also displays stability/progress across additional POC goals. P: Continue with current POC.

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. It is noted that there was an increase in structured language tasks that were completed throughout the session. Speech sounds and play skills (e.g. turn-taking; sharing, waiting) informally assessed throughout the session. O: Noah’s speech intelligibility throughout session is noted to be at 70% to 75% intelligibility based on context. Play skills informally assessed with continued progress from previous sessions noted. Noah participated in a color identification task where he was asked to identify a color in a field of 3. He completed the task with 70% accuracy. Noah also completed a following directions with spatial concepts (e.g. put the socks on the dresser). He completed the activity with 58% accuracy. Lastly, Noah participated in a sight word activity. He was able to read the sight word “to” with an initial model and fading cues with 65% accuracy. He also identified the sight word “to” in a field of 4 with a model with 50% accuracy. A: Intelligibility shows stability with use of intelligibility strategies (e.g. say it slow; overexaggerated speech, etc.). Noah also displays stability/progress across additional POC goals. Difficulties with spatial concepts (e.g. in vs. on, above/below) noted. P: Continue with current POC. Introduce directions with spatial and temporal concepts.

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 needed to have a BM during session, so some data is more limited. Play-based, child led therapy, along with structured language tasks utilized. Informal assessment of speech sounds and play skills (e.g. turn-taking; sharing, waiting) noted throughout the session. O: Noah’s speech intelligibility throughout session is noted to be at 70% to 75% intelligibility based on context. Play skills informally assessed with progress from previous sessions noted. Noah participated in a color identification task where he was asked to identify a color in a field of 3. He completed the task with 60% accuracy. Noah also completed a following directions with 2-key words activity (e.g. give the bowl to the bear). He completed the activity with 64% accuracy. Lastly, Noah participated in a sight word activity. He was able to read the sight word “to” with a model with 90% accuracy A: Intelligibility shows stability with using intelligibility strategies (e.g. say it slow; overexaggerated speech, etc.). Noah also displays stability/progress across additional POC goals. P: Continue with current POC.

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. Informal assessment of speech sounds noted. O: Noah’s speech intelligibility throughout session is noted to be at 70% to 75% intelligibility based on context. Noah participated in a color identification task where he was asked to identify a color in a field of 3. He completed the task with 60% accuracy. Noah also completed a following directions with 2-key words activity (e.g. pack the blue sweater and the small shoes). He completed the activity with 63% accuracy. Lastly, Noah participated in a sight word activity. He was able to read the sight word “I” with a model with 75% accuracy, as well as identify “I” in a field of 4 sight words (when provided a model) with 50% accuracy. A: Intelligibility continues to display increase across contexts using intelligibility strategies (e.g. say it slow; overexaggerated speech, etc.). Noah also displays stability/progress across additional POC goals. P: Continue with current POC.

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. Use of timers as well as verbal reminders for transition out of treatment utilized and successful. O: Noah completed a yes/no color identification activity (i.e. color yellow displayed; “Is this yellow? Yes or no?”). He completed the activity after provided initial modeling of the colors with 75% accuracy. Noah also read a story with SLP and answered mixed “wh” questions throughout. He completed the activity with 67% accuracy. Lastly, Noah completed a sight word activity for the sight word “I”. He completed the activity with 45% accuracy given moderate to maximal support A: Noah displays consistent progress across updated POC goals. Increases displayed with color identification. P: Continue with current POC.

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. Use of timers as well as verbal reminders for transition out of treatment utilized and successful. O: Noah completed a yes/no color identification activity (i.e. color yellow displayed; “Is this yellow? Yes or no?”). He completed the activity after provided initial modeling of the colors with 70% accuracy. Noah also completed two uppercase letter identification activities. He was provided a field of 3 letters for the letter sets A-E and F-J. He completed the activities with 20% and 30% accuracy, respectively. Lastly, Noah completed a speech sound activity for /l/ in the initial position of words when provided an initial model. He completed the activity with 80% accuracy. A: Noah displays consistent progress across updated POC goals. It is noted that for letter identification of the letter set F-J, Noah most consistently identified the letter “F.” P: Continue with current POC.

S: Noah was seen at the Batt School for treatment. It is noted that he was sleeping upon entry to session. Babysitter, Michael, noted that Noah did not nap on Tuesday, Wednesday, or Thursday. When woken up, Noah began to cry and cling to Michael. Michael assisted with transition to speech room. Noah was noted to cry and attempt to hit at self and SLP at initial portion of session. Calm down strategies such as taking a walk, deep breaths, and rocking were utilized throughout treatment. Once in a calm state, Noah was eager to work with the SLP and worked until the end of the session via play-based, child led therapy. Noah was able to successfully transition out of session with verbal reminders and advanced warning. O: Modeling of calm down strategies as well as increased utterance length utilized throughout session. Color identification briefly worked on. Task completed with 20% accuracy. A: Minimal formal targeting of goals noted due to heightened state throughout session. Color identification appears to be at baseline, though minimal data noted. P: Continue updated POC.