Leelo’s Team Meeting Minutes: 3/29/04
1
Data and Instructional
Procedures:
·
Play: Everyone agreed that Leelo’s
spontaneous play is “taking off”. Squid
shared that Leelo appropriately rolls trains on tracks at other children’s
homes, toy stores, and has also been playing nicely with Mr Potato Head, and
blocks; Therapist T saw Leelo do 2
spontaneous steps with birthday party theme toys; Therapist L saw Leelo doing 2
steps with doll and another object.
This is WONDERFUL!!! We will
continue practicing component play skills in DTT setting, as well as sequenced
skills in more natural contexts and play group. Also, Squid will encourage family and friends to play with Leelo
with these toys (trains, blocks, Mr. Potato Head, doll, birthday party stuff),
to provide lots of opportunities for Leelo’s generalized use of his skills.
·
Greetings: Leelo ocassionally continues
to echo “Hi Leelo”. Keep on practicing
both “hi” and “Hi Leelo” in DTT and in context. Try using puppets/dolls (he seems focused and will self-correct
with these). When Leelo echos, try to
interrupt him- prompt the correct “Hi Therapist L”. If Leelo echoing frequently that session, drop the “Hi Leelo” and
just do “hi” for that day. (he seems to echo more on some days, such as when he
has a cold...) In play group, play games including Hello songs, photo games,
etc to provide opportunities to greet by name. (Supervisor M will share hello
songs with Therapist L)
·
Where: Going fine; continue as
indicated in binder
·
NLP/Spontaneous Language: NLP 4 words- Leelo has
really moved quickly in NLP and is doing nicely with 4 words. Therapist T and
Therapist L gave examples of Leelo’s spontaneous use of 2 sentences strung
together!!. (“Open door. I want to go outside”).
·
Pre-toileting: We have begun to teach the
concepts Wet and Dry. Toileting will begin at the end
of April/beginning of May. We will
start by taking a baseline of how often Leelo urinates. Then we will increase fluids, and spend lots
of time practicing using the toilet, with careful scheduling sot that Leelo
will be at the right place at the right time!
(and of course, there will be lots of rewards and celebrations.) Squid
has the big boy underpants ready.
·
Maintenance: Therapist T raised the
importance of moving trials to the floor and other more naturalistic
settings; Supervisor M will add ideas
to the maintenance data sheet for practicing mastered tasks in a variety of
more naturalistic ways. Also, Squid
will share ideas with friends and family for generalized practice on a few
tasks. Skills to start with: Body parts
(tickle sessions with grandparents, while reading stories/playing with dolls,
etc) and pretending with toys (trains,
birthday party, etc). And- as always, spontaneous requests, other language as
the context demands.
2
Reinforcement and Breaks: The room is generally
cleared now, and this seems to be helping Leelo and his playmates to focus
better on what they are doing. Leelo is
confused by having to chose his toys before break. Therapist L has success having him chose toys from the
basket. Try putting up to 6 choices in
the basket before your session, and having Leelo chose prior to break.
3
Play group update: Therapist L shared her play
group structures for both groups.
·
The playmates are having success with a visual
schedule/checklist, using words and pictures.
We will increase the size, visuals, other features to make the schedule
more accessible to Leelo, and will start to teach him about using a visual
schedule/checklist in a one to one setting.
·
Therapist L will be introducing language games
that help Leelo to take a turn in a group, and to listen to other
children. To get him ready, lets
practice, in NLP, having Leelo make statements about what he is holding e.g. “I
have a book”, “I have a sticker”, etc.
·
We all agreed on the need to keep the
reinforcements fresh. Right now sticker
books are in. In the future, we will
have the girls (and Leelo, as much as possible) assist in making the schedule,
chosing the games to play; other ideas include Tshirts, buttons, naming the
club, etc.
4
Scheduling: Leelo is away on Spring
break April 5 to 9. Supervisor M away
week of April 19-23. Andil will visit
on Monday April 19.
Thanks everyone for such a
focused, informative meeting.