Leelo’s Team Meeting Minutes: 11/1/04

 

1. Family Observations: Squid shared 3 pieces of cool and exciting news, and Leelo’s Grandma shared another:

ü     Leelo has taught himself how to pop bubbles by clapping them between his hands (a rather cool eye-hand coordination, attention span/focus challenge); 

ü     When Leelo was snuggled up in a cozy early daylight savings time morning moment, Squid asked him “what’s daddy doing?” and Leelo spontaneously answered “Daddy’s sleeping”!!!

ü     Leelo is now an extra bit clingy with Squid around strangers- very appropriate and typical. 

ü     Leelo’s Grandma said this weekend at the Halloween gathering, when another child was standing in his way Leelo told him “Move” and the other child did! 

 

2. New tasks:

ü      block imitation: use the following sequence: colored wooden 3- blocks, then duplos 3 blocks, then other blocks (water blocks?); then start 4 block imitation with colored wooden blocks;

ü      washing hands: Leelo doing well at going to sink, turning water on and off, putting hands under water; fade prompts on these parts of sequence; continue direct instruction on get soap and dry hands (try having him clap hands on towel); incorporate wet/dry discrimination when drying hands (e.g. have Leelo look at hands and say whether they are wet/dry.  If wet, use towel more- thank you Leelo’s Grandma).

ü       Making requests: Continue placing things out of reach; Therapists and Family all agree- requests MUST be comprehensible to a stranger !!!

ü      Play with baby doll: to reduce prompt dependence, use more general directions e.g. “Play with baby” “give the baby some” “the baby is hungry.  Help her/him”, etc.  Record Leelo’s spontaneous appropriate play actions on sheet.  Also, if prompting directly, use 2 step actions (e.g. feed the baby and kiss the baby).

ü      Putting on pyjamas: Squid will provide pyjamas for therapists to practice: once a day have Leelo take off all clothes and put on pyjamas.  Later, have him take off pyjamas and put on clothes.  Goal is to increase independence, so limit prompting to only what is necessary. 

 

3. Toileting: If Leelo strips down to go poo before bed, Squid will sit him on the potty for a while 15 min to ½ hour).  This will work best if Leelo typically has to go (pee or poo) at this time.  Keep us posted.  Team agrees that it is too early to start Leelo using potty at Iron Gate.  We will raise this again in a month or two.  Toileting data looks consistent: mostly peeing in potty with occasional accidents each week.  Continue with food reinforcers as i

 

4. “yes yes yes”: Leelo is not saying this as much; however, he is repeating other types of language, such as greetings, and also overgeneralizing some phrases (“Let me go”).  Whenever possible, when you know what Leelo is trying to say, cut him off before he uses the inappropriate/repeated phrases, and model the correct phrase.  (Very tricky, as he speaks quickly…

 

5. NLP: Therapists agreed that on many days Leelo will only imitate phrases in NLP and not use novel spontaneous language;  the team brainstormed activities and materials in which Leelo tends to use a lot of spontaneous language, and decided to try NLP on these activities, including: Parachute, Trampoline; tire swing; tunnel; bubbles; rice; “guys”

 

6. Iron Gate:  Leelo is having beginning social interactive play with peers, including responding to their directions, taking turns making silly noises, and playing together and watching them on the tire swing.  He is consistently sitting during the entire circle time. 

 

7. Play Group: Going very nicely this past month; Leelo has begun watching/observing Iz and Danielle, and is following their directions in the context of a game;  Leelo has also participated in entire 25 minute play group with only 1 break- which all of the children enjoy together. 

 

8. Fall/winter holiday schedules, other changes: Iron Gate closed Thursday and Friday November 25 and 26; and for 2 weeks during Winter Vacation.  Leelo is around and available for therapy throughout Winter holiday.  Keep the Rosenbergs posted on work and vacation plans.

 

9. Other: Supervisor Andil had a baby girl a week ago.  Chip Older from Rainbow Center will be covering for Quality Assurance.   

 

10. Next meeting scheduled for: Monday November 15 at  12:30