Tony completed his activities but with a lot of redirection, reinforcement, and breaktimes. He wanted to move a lot from one toy to the next and had to be prompted to stay on task. But, on a positive note, when Tony did sit and work he accomplished well what was asked of him. For instance, the matching activity went really well today. Tony matched his lizards three consecutive times and later in the session when prompted to “put with same” and only verbal prompt was used. Tony also did this with his squishy balls (which were also a great reinforcer and sensory toy for him) and his large plastic dinosaurs. Later I used 2 boxes (one with a squishy ball and the other with a lizard) and hand Tony an object and said “put with same”. He matched incorrectly the first time so I said flatly “no” then did it again. He got it correct so I praised, clapped, and tickled him. Then we did it again (mixing up the boxes) and he matched correctly two more times.
I started off the session by trying to get Tony to “roll ball” using modeling, verbal, gestural, physical but he just did not want to roll his ball (I tried not using the bowling set today). I tried throughout the session, moving onto something else and coming back to it. Eventually I was able to get Tony roll the ball (once with just a verbal prompt). I praised him then put him on his exercise ball and rolled him while saying “roll” and pulling him back and forth over it. He also bounced on his bouncy ball with handles.
Tony peeled stickers but it was more of a redirection activity to get him back on task. Tony peeled with verbal “put here” or “put sticker here” and gestural, pointing to the designated square. Tony did this correctly and hand-over was only used once when Tony was putting the sticker on a different square.
I tried to get Tony to stack his different sized blocks but Tony continuously knocked them down and told me “all done”. By the way, Tony has this sign mastered bc throughout the session when Tony had enough he said/signed “all done” to me. So we moved to another activity and then came back to them. I had Tony watch me clean up by putting the blocks in the box. I also pointed and said “in bucket” or “blocks in bucket” and grabbed Tony’s hand and did it. I kept putting blocks up and Tony started doing it. He put one block in the box at a time until he was done w/modeling and verbal. Tony did the same activity with his dish set (plates, pots, silverware) putting everything back in the box.
Tony swinged outside and jumped on his trampoline, holding onto the handles. He made the “jump” sound. Tony jumped a lot on the ground (I used this for sensory/redirection) when Tony was getting off task or getting upset (he was really trying to hold his mom’s hand/have her attention while we were working but she did a good job of sending him back to me). We also walked without mom on the sidewalk and to the park. Tony sat on the ground and actually picked up leaves! So I picked up ten and counted them with him. Then Tony got up and was ready to walk inside.
While playing with the big plastic dinosaurs I walked them up his arms and made growling sounds. I said, “Tony, dinosaur sounds”. Tony imitated the sounds several times and played with the dinosaurs. Tony also imitated the sound “meow” with the OT when he saw a puppet cat and the OT made the sounds. The OT swinged Tony on the hammock outside (pulling it like a coccoon around him) to calm him bc he was tired/whiney). Tony loved this and started to fall asleep in the hammock so she walked him around some more. The OT also had Tony roll a toy helicopter around on the floor and he imitated the sound the toy made but he only played with it for a short while. Tony, until last night, had not been sleeping well and he was extremely tired so OT was difficult today. Tony cried at first but the redirection with swing put him in a better mood (and later with hammock). The OT got Tony to clap his hands by modeling while watching a STOMP show (people clapping, stomping, banging objects) and Tony was very receptive to this. But afterwards Tony started to cry again so he took a nap. He rubbed his eyes, yawned a lot, and almost fell asleep during the session so he was extremely tired. He fell asleep in his crib hugging his teddy bear. Tony was a little difficult/tired today but we were still able to redirect and get a lot accomplished (all of his activities except for pouring–I forgot it). So despite Tony’s reluctance (he once pushed my leg and tried closing the front door on me), we got quite a bit done.