EW

Pediatrician

Toileting

Speech

Cornerstone's Speech Language Service April 2021

language delay

significant speech disorder

Referred to MOE language service and CDC

Communicates non verbally with friends

can follow basic instructions and copy others, but not most instructions around organisation and learning

Behaviour

Can become fixated and obsessive on things

refuses to do what is asked

screams and becomes disruptive

flight risk

Was with MOE Caryn Gardiner briefly

Strategies tried

First then - not working

name on place mat - does not always work

Tokens - some success

positive communication with mum

1-1 with teacher, repetitive activities, peer support

Classroom door remains closed

simplified timetable

NEED - to manage disruptive, obsessive, stubborn behaviour

Observations

Non Compliant
Does what she wants, leaves the room
Ignores instructions has avoidance strategies
needs constant supervision
Enages when TV is on and likes to have a toy to play with


Jazz is supportive and has developed a good relationship with Ella

Ella is more compliant at times and engages in hands on activities, and interactive lessons on monitor

Ella likes responsibilities and her cutting skills have improved

Ella is striving to be more independent - often refusing help when offered

Ella has a seating position and is rewarded for using it
To start using the first, then chart - rewarding only when task is done

Strategies to try

mat music, clean up music, music to entice her to join the class activity

needs firm boundaries, expectations and routines

Responds to positive reinforcement - verbal praise, star chart

Like responsibilities e.g. feeding the dog, helping with the dishwasher

Forewarning of upcoming changes

Redirection

Talking to her to teach her

Sticker chart

Consequences