SPEECH/LANGUAGE PATHOLOGY PROGRESS NOTE Form Template

Patient Name: *

Shawn "BJ" Johnson Brayan Guitierriez-Torres William Wiggins Jarrell Walker Brandon Olivares Curtis Hutchinson

Time out: *

Time in: *

Duration of Session: *

Treatment Date:

/ Month / Day Year

Type of Session: *

Dysphagia Treatment Cognitive Rehabilitation Aphasia Treatment AAC Training Motor Speech Treatment Oral-Motor Strengthening/ROM Language Treatment Articulation/Phonology Treatment

Treatment Diagnosis *

Primary Diagnosis *

Subjective:

Insight:

Judgement:

Treatment Activities/Modalities

Brayan's Goals & Objectives

	Previous Progress	Current Progress
Brayan will use eye gaze as a means of engaging with an adult in motivating activity at least 5 times per session ind.
Brayan will increase overall range of affect to express different emotions in play in 4/5 opportunities with minimal support
Brayan will engage in age appropriate positive interactions to get attention from adults in 4/5 opportunities
Brayan will sequence 2 step symbolic play ideas in 4/5 opportunities per session
Brayan will identify actions/functions of objects/ pictures by pointing with 80% accuracy
Brayan will imitate age appropriate phonemes in isolation/syllables and isolated words
/p/
/b/
/m/
/t/
Brayan will communicate basic information about self( with 100% accuracy):
name
age
gender

Curtis' Goals & Objectives *

	Previous Progress	Current Progress
Goal 1: Curtis will articulate age appropriate phonemes in isolation/syllables/all word positions with 80% accuracy for 3 consecutive sessions.
vowels: all
p/b
t/d
k/g
l/r
"hard g"/"ch"
"sh"
/s/
/w/

Goal 2: Given instruction, Curtis will increase comprehension of basic level language skills (describing concrete items, etc.) Given instruction, Curtis will utilize strategies to increase auditory processing skills (i.e. reauditorization, paraphrasing, requesting repetition / clarification, etc.) with increased independence and when provided with 1 - 3 therapist cues, in 7 out of 10 opportunities.

Goal 3: Curtis will develop auditory processing of verbal material and direction following skills such that in order to function adequately in the classroom with decreasing amounts of assistance.

Goal 4: Curtis will increase comprehension of "WH" questions (Who, What, When, Where, Why) within structured language activities, paragraphs, and short stories, with 1-3 therapist cues, in 7 out of 10 opportunities.

Goal 5: Curtis will retell verbally-presented material / directions, with 80% accuracy with limited assistance

Goal 6: Curtis will strengthen speech sound discrimination skills, with increasing background noise, in 8 out of 10 opportunities, with decreasing teacher/therapist cueing.

Goal 7: To decrease distraction and increase on-task behaviors, Curtis will accurately and timely follow a classroom schedule, given a visual with 80% accuracy

Brandon's Goals/Objectives: *

	Previous Progress	Current Progress
Goal 1: Brandon will utilize verbal approximation/sign language to indicate refusal and requests for items/activities desired (i.e. verbally approximate "yes" "no" or utilize sign for yes/no) in 9/10 opportunities for 3 consecutive sessions.

Goal 2: Brandon will label age appropriate basic concepts utilizing verbal approximations or sign language after having been exposed to appropriate sign/word corresponding to item/thing in 9/10 opportunities for 5 consecutive sessions.
a: animals
b: numbers
c: prepositions
d: personal information(age/name/gender)
e: clothing
f: household items
g: food
i: request/question words (who/what/when/where)

Goal 4: Brandon will model ST use of verbal expressions and/or signs 100% of opportunities for all sessions.

Goal 5: Brandon will reduce use of gestures/non sign hand motions to indicate desires, using less than 10 per session.

Goal 6: Brandon will demonstrate comprehension of previously learned sign concepts/labels utilizing Total Communication Strategy, and review at onset of each treatment 100% of the time.

Shawn "BJ"'s Goals/Objectives *

	Previous Progress	Current Progress	Modify Goal
Goal 1: BJ will increase his communication skills by requesting help and using pictures or words in order to have basic needs met 3 out of 5 opportunities

Goal 2: BJ will be introduced to a functional communication system and utilize it to show his basic wants in 3/5 opportunities with verbal/visual cues.

Goal 3: BJ will follow 1-step verbal directions with less than 2 ST prompts/cues.

Goal 4: BJ will utilize visual with participation in routines on schedule with less than 5 challenging behaviors per session for 3 consecutive sessions.

Goal 5: BJ will appropriately verbalize/indicate emotional state when frustrated, upset, etc. by using a break card or verbalizing

Treatment Code(s)

Plan:

Recommend f/u with PCP Add New Goals/Upgrade Current POC Continue with ST POC

Follow-up Scheduled on: *

Date

at

: Hour Minutes