Leelo’s Team Meeting
MINUTES: 10/4/04
Leelo began our meeting
by grabbing me and Therapist L by the hand and telling us to come downstairs-
he wanted us to see how his parents’ room (aka: Leelo’s room J) was rearranged.
Very exciting communication- and of course, the room looks fantastic.
A. Iron
Gate: Leelo continues to enjoy
preschool, and is using his skills more and more. Therapist F shared:
·
Leelo is
participating for increasing time during circle, and even stayed for the dance,
all songs, and part of the story when he sat with Squid.
·
Therapist F is using
a minischedule during circle to help him to know what comes next, and to
participate for longer.
·
Leelo is
appropriately requesting to be “all done” when he is finished with circle
(Therapist F and Squid encourage him to stay a bit more when Leelo seems able
to sit for longer)
·
Therapist F uses
massage to help Leelo to calm down, engage in activities, and also immediately
prior to circle time
·
Leelo is already
following simple routines with some independence (e.g. on arrival: getting name
tag, having teacher pin it on him, and greeting teacher)
·
As Leelo learns
routines, Therapist F will fade out prompts (reduce words, pair with physical
and then fade, etc) to further increase Leelo’s independence
·
Peers are
spontaneously playing and observing Leelo
(Tarren, Mayan, Spencen, Andren); Therapist F is collecting photos of
peers so Leelo can learn their names
·
Other parents are
working directly with Leelo, by greeting him and directing him.
·
Leelo is stepping on
other children’s block constructions; we will continue working with him on
“walk around” in discrete trial, and also in play group. Therapist F will try a simple social story
with photos and short phrases.
·
Leelo is eating and
drinking at snack time, and is getting the hang of putting his cup on the tray
and the napkin on the trash.
B. Data and
Instructional Procedures:
1.
Toileting:
·
Use most potent
reinforcers (donuts, cookie, new toys); offer choice or alternate frequently-
at least after 3 days; write reinforcer on data sheet
·
wet/dry instruction:
Leelo clearly knows wet and dry for towels, other materials; sense of wet and
dry underpants is emerging; it is not
clear if Leelo knows when he is peeing/pooing.
During dry checks, have Leelo look down, touch underpants, say “I am wet” or “I am dry”. Reinforce for labeling correctly
wet/dry. Also, practice wet and dry
with underpants on baby doll (reinforce for correct labeling).
·
Massage to relax
while sitting on potty
·
After Leelo pees,
reinforce w/ favorites, then prompt “pee more” to help him try to fully empty
his bladder. Encourage by showing reinforcers (e.g. “Pee more, then donuts”,
etc)
·
Try for 2 hours of
toilet training at a time
2.
Sensory:
Massage is helping Leelo to calm down; hard to capture on
paper. Stop sensory data collection- Supervisor M will take other observational
data before, during, and after sensory activities.
Trampoline impressions- Leelo loves trampoline, but does not
appear to calm/focus him or reduce vocalizations or other problem
behaviors. Use trampoline as
reinforcer, and for vigorous activity
Singing: begin singing to relax Leelo every hour. Favorite songs: Bingo, and 5 Little Ducks
Body sock: use with Leelo as he requests it.
C. Reinforcement: Leelo’s
interests continue to change within sessions; continue mini reinforcement
assessments (every hour or so) to check which toys, foods he is motivated
for. Use small pieces of the most
potent for toileting (donuts, other sweet treats)
·
Leelo continues to
enjoy observing the other children playing.
D. Play
Group: The dynamic with Iz and
Danielle is difficult; We discussed how they participate at the end of a long
school day, and are both probably hungry and tired of structure being imposed
on them; both girls like to “be in charge”; they do a wonderful job at NLP,
although they claim they don’t want to do it.
We will try:
·
Breaking in the
middle of group for a snack for everyone
·
Playing a game for
Leelo to practice following directions called “I’m the boss”.
E. Helping
Leelo to prepare for the baby: We
will begin our next team meeting with this topic.
F. Scheduling:
·
Next Meeting: Mon 10/18/04 at 12:30
·
Leelo has therapy
and school on Oct 11 (“Columbus day”)