3/7/08

Tyler was very chatty at today's session. He actually surprised us a lot as he played with many items he's never showed interest in before, however, he was not too intersted in eating this morning.

I recieved the session notes from yesterday's session. Here are the highlights:

Snack routine: Caregiver did a wonderful job of engaging both Tyler and Ben in snack. Throughout the routine the caregiver was able to successfully balance her attentio between btoh children while also repsonding to all of their requests. She was also able to add in a song routine during snack that seemed to engage both children in a balanced manner. WE discussed what appropach to use with Tyler dropping items on teh floor. We decided the most eficicent way to address the issue was to hae the interventionist sit on the other side of Tyler during sessiona dn catch anything he attempts to drop. Then she will model "no thanks" and put them out of reach on teh table. O ur hope is that the skills practiced during session will generalize to snack snacks and meals outside the sessions. Caregiver should focus on upping the ante by having Tyler walk his cup to the kitchen counter or sink after meal time. NOTE: The dropping items on the floor is tricky to do w/o the caregiver due to the diet that Tyler is on. Typically Mom is eating when Tyler eats and Mom has a Tyler hand and a mom food hand, which cannot cross or touch. So I don't always have a free hand to catch the items he's dropping on the other side of him and he's very aware of where mom is sitting and where he is sitting and where to drop something so mom can't reach. That's why we chose to practice when the interventionist is there since we have extra hands and I'm not eating during his snacks.


Bath time feedback was pretty much everything I talked about yesterday.