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.

 

MASTERED����������������������������������������� ��������������WORKING ON

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.�

�

NLP and Spontaneous Language: Leelo is spontaneously asking where questions throughout his therapy.� On one day he asked 11 where questions! (4 of which were �where�s the veggie booty?�).�� He still occasionally overgeneralizes and substitutes where questions for �I want��� He is using pronouns in his imitated and spontaneous speech (see below).� In addition, therapists are modeling language to help Leelo control his hyperactive behavior (running around).�

 

S: There you go�������������������� S: Hi duck (while hugging it)

S: I on swing������������������������ S: Mommy, where is mommy?

P: I�m blowing����������������������� S: Pee in potty

P: I�m swinging��������������������� S: I�m waiting

S: I want to go to mommy������ S: I want to go on swing

S: I on horsy������������������������� S: Wendy down the slide

P: I run around����������� S: I want water.� Where�s the water?

 

 

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.�