Guest guest Posted May 1, 2003 Report Share Posted May 1, 2003 As expected he has expressive and receptive delays with expressive being significantly more impacted. His receptive language has shown some nice gains lately which is a very nice thing to see. He continues to have oral motor issues. He has no tongue tip elevation and limited lateral movement with stimulation. His bite is reduced strength, but he has made progress with other oral motor skills. When we have the IEP I expect 1:1 speech will continue to address the apraxia and artic issues. The good news is that even though he does not have hardly any language to speak of, he is functionally communicating. YAY! The ground work is paying off and he is using the concepts of communication with various sounds and posturing so even though speech itself is very delayed we have covered alot of ground. His social skills are developing nicely with the class he is in and we are seeing generalization of some of those skills at home and at the church nursery. He is attending to story books more and not just looking at reference manuals, although he maintains a preference for certain themes. At least he is enjoying picture books to some degree now. Sensory issues, particularly vestibular are being addressed. The class has sensory-motor built into it which is working nicely for him and there are OTs present a good portion of the time, so while he will be receiving indirect services here with consultation this is still going to covered nicely. The recommendation for elegibility was developmental delay at this point to give us more options to work with. Sandy did not want to confine him to a school age category yet as she felt that could box them in and limit options at this time. Overall I continue to be very pleased with the services is receiving and the progress he is making. Now if we could just figure out what to do with Chris.... Quote Link to comment Share on other sites More sharing options...
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