Leelo
Rosenberg’s Program Update (7/20/04) Dates: 6/16/04-7/20/04
Number of Items Mastered this
Period: 15 Last update: 6/16/04
Mastery is 80%
correct on 3/5 days, in interspersed trials in Discrete Trial setting, with 2
therapists, unless otherwise noted. Interspersed trials present a few different
items with alternating presentation.
All previously mastered tasks are now reviewed weekly as maintenance
tasks, or practiced in more relevant contexts.
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GREETINGS: |
Hi and Bye in DTT
and in context, with therapists and toys; in play group; with family and
friends. For echo, try saying “Hi”
instead |
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of “Hi Leelo”.
ONGOING. |
EYE CONTACT
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When called, Leelo
should respond with “yes?” |
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Instructional
approaches include video model, |
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Discrete trials,
practice in generalized settings |
ONE- and TWO-
STEP DIRECTIONS
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Stand up and pull
down pants (for toileting) |
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Get toy and sit on
potty |
Give paper to mommy
and say “here Mommy” |
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Stand up and turn
around |
Get toy and put on
chest |
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Get toy and say “I
love you” Pick up cup and put
in sink Get cup and put on
table |
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IMITATE ACTIONS
WITH OBJECTS (1 and 2 steps)
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Continue practicing
with blocks, trains, food, |
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Variety of 3 block
structures (house, slide, |
Birthday party toys
in less structured settings |
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Fence, stairs,
bridge, tower) |
Continue water
table actions- pour from 1 cup to another.
Use video model |
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Stethoscope,
Otoscope |
Continue w/Doctor
kit (shot, bandaids, medicine, blood pressure cuff, etc) |
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PRETEND PLAY |
Leelo
has mastered over 20 pretends. We
will |
Crawl,
giant steps, laugh
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Continue
to work on these to make them more |
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Recognizable and
functional, and to expand/sequence them into more complex play. Use video models. |
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UNDRESSING/DRESSING |
Continue pull up
pants; pull up underpants |
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These are difficult
(fine motor requirements) |
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1 and 2-STEP GROSS MOTOR IMITATION |
Clap and shake head
No |
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Touch tummy and
clap; |
Touch toes; Twist
at waist; jump; touch knees |
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Turn around; Stamp
feet; Nod head yes |
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ASKING “WHERE IS ...?” |
Leelo does these
nicely in DTT settings. Now |
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Emphasis is on his
spontaneous use of where |
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Questions in more
realistic contexts |
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TOILETING |
Leelo is
consistently taking off his underpants and peeing into potty. He also pooed once in |
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The potty. We will continue toileting full time |
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Throughout aba
sessions. |
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CIRCLE TIME |
Leelo practices
circle time activities w/ adults &/ |
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Peers. Skills emphasized are greetings, |
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Taking turns,
sitting independently, attending |
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To adults and
peers, imitating, listening, and general use of skills in small group
setting. |
Play Sequences: We
are concentrating on expanding Leelo’s pretending and toy play, so it becomes
more functional and complex. For this
purpose, Therapist F and I have made some videos of pretend play, including
cat, lion, airplane, car, water play, doctor, and tea party. We show these to
Leelo prior to practicing the play skills with him. So far, the video has helped him to pretend to be a cat and a
lion while crawling around and making animal sounds.
Play Group: In June, Leelo participated in play group
with Isobel and Mei. He consistently participated in NLP activities with both
girls, and also did circle time songs, games, and stories.
General Note: Leelo’s therapy and progress has remained relatively consistent, despite the normal summer vacations and schedule changes. He has continued steady mastery of tasks, and his 2-step directions, actions, and motor imitation seems to have taken a big step forward recently. Therapists are now working on toileting full-time, as Leelo is consistently peeing in the toilet and appears to be starting to poo as well. Summer program changes and additions include assessment of Leelo’s skills using the ABLLS (Assessment of Basic Language and Learning Skills), evaluation of a variety of sensory strategies, and preschool preparation (meeting with teachers, planning for Leelo’s participation and therapist support strategies, etc).