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:

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

�     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�!!!

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

�     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:

�      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;

�      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).

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

�      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).

�      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 � 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