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