Leelo
Rosenberg’s Program Update (6/16/04) Dates:
5/19/04-6/15/04
Number of Items Mastered this
Period: 15 Last update: 5/20/04
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.
GREETINGS: Leelo spontaneously
greeted his grandpa saying when he
saw him, saying “Hi” and |
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 |
“Good Morning
Papere”. |
of “Hi Leelo”.
ONGOING. |
EYE CONTACT
|
Continue in DTT and
in context, with therapists |
|
family,
friends. Be sure to have an engaging |
|
reason for Leelo to
look up when you call him . This month we will
begin teaching him to respond “what?” when someone calls him. |
ONE- and TWO-
STEP DIRECTIONS
|
Stand up and pull
down pants (for toileting) |
Stand up and jump |
Get toy and sit on
potty |
|
Get Tinky Winky and
say “I love you |
|
Stand up and turn
around |
IMITATE ACTIONS
WITH OBJECTS (1 and 2 steps)
|
|
Build bridge w/ 3
blocks |
Variety of 3 block
structures (stairs, etc) |
Build house w/ 3 blocks |
Begin water table
actions- pour from 1 cup to another |
|
Begin doctor kit:
wear stethoscope, look in otoscope (ear exam thing) |
PRETEND PLAY |
Pretend
to Crawl |
Pretend
to lick pretend to whisper
|
Pretend
to Take giant steps |
Pretend
to blow
|
Pretend to laugh |
UNDRESSING/DRESSING |
pull up pants; pull
up underpants |
|
These are difficult
(fine motor requirements) |
|
|
1 and 2-STEP GROSS MOTOR IMITATION |
Turn around; stamp
feet; nod head yes |
Tap table, clap,
wave, arms up, shake head no |
Stamp and tap table |
Hands on shoulders;
|
touch tummy and
clap hands |
ASKING “WHERE IS ...?” |
Leelo does these
nicely in DTT settings. Now |
Toys under cup;
pieces missing from game; |
Emphasis is on his
spontaneous use of where |
People hiding
under/behind blanket |
Questions in more
realistic contexts |
TOILETING |
continue wet/dry in
context, as w/toileting |
|
Toilet training
ongoing- Leelo is mostly holding |
|
It in to pee while
on potty; typically pees 1 to 2 |
|
Times/session into
underpants while on potty. He did pee
once into potty without underpants. |
CIRCLE TIME |
Leelo practices
circle time activities w/ adults &/ |
|
Peers. Skills emphasized are greetings, |
|
Taking turns,
sitting independently, attending |
|
To adults and
peers, imitating, listening, and general use of skills in small group
setting. |
Play Sequences: Lately
Leelo has been enjoying pretending to eat and feed toys. One time he imitated a
two step play sequence w/ Tinky Winky, and then spontaneously added a third
step “hi Tinky Winky.” We will continue
working on these by building on one and two step actions w/ objects, and by
following Leelo’s lead when he shows an interest in using toys to play. Therapist F and Supervisor M have created
some videos for facilitating more complex pretending and playing, and we will
use these this month as well.
Play Group: Leelo’s play group composition and schedule
will be changing this summer due to various summer plans and schedules. Plan to
be announced.
General Note: This
past month, the emphasis has been on toileting. Leelo now says “pee in potty” while he sits on the potty to
pee. In 10 sessions, he has peed 14
times while on the potty (in underpants) and has had 4 accidents. In other words, 78 % of the time that he
peed- it was while on the potty. 22% of
the time he had an accident- peed while not on the potty. This suggests he is holding
it in to go pee while on the potty.
This past week, he also peed into the potty with his underpants off-
hooray.
Therapists are also collecting data on behaviors which are safety concerns, namely hitting head with hands, butting head into furniture/people, and hitting self with toys. The data will help us to determine how these behaviors function for Leelo, and then how to intervene effectively.