Children, My Life

Dean’s ABA Week

Let me just tell you that it has been a difficult week and I’m on vacation no less. I am actually writing this on the day that it is going up, because I have been too emotionally drained to prewrite my posts. I have a lot of personal shit going on right now, which basically involves me moving out on my own with Dean with little to no assistance from my dad. He keeps going back and forth on whether or not he will help watch Dean until the school year next Fall. I think that I’ll be moving sometime in the Spring/Early Summer. I’ll have my move out money ready by the end of this year/early next year. My dad will need his move out money too though and in the mean time I will be paying more than my fair share of the rent (about $225 more than I would out on my own). So, it easy to say that I am pretty pissed about that. The sooner I leave, the better for everyone. I just want to be happy again. But that’s enough depressing shit. Dean’s the light of my world and I love him so much. But I have to take care of myself to take better care of him and being in such a negative, mommy bashing environment can’t be good for him.

10/29/18 – Ann

Did well on programs, seeking prompts with clapping, dinosaurs, links. List behaviors observed: lick, mouth, flop. Started new pictures during snack. Picked up on strawberry picture right away, needed prompts for new chips picture. Licking items instead of mouthing.

10/29/18 – Joyce

Discussed moving to non identical matching, child can handle a field of 6 for identical matching. BCBA reminded grandparent today is her last day. Performed direct service with client (D-BCBA session only) ran gmi, potato head, did bubbles, read Panda Bear Panda Bear, child out his hand in glitter goo, did Velcro birthday cake, pointing, squeezed clothespins, nested large cups. Grandparent commented child likely tired

10/30/18 – Ann

Very active, seeking tickles, calmed at end of session. List behaviors observed: flop, mouthing slinky. Dean very active, flopping while smiling and seeking my attention. Matching looks great. Did well once calmed second half of session.

10/30/18 – Deb

Dean did well today. He had some trouble with transitioning, but did well on programs. He enjoyed bubbles and singing. List behaviors observed: mouthing and flopping.

10/31/18 – Ann

Active, more prompts to engage with toys. List behaviors observed: mouth, flop. Shorter session due to family doctor appointment. Increased flopping at start of session. Did well with increased reinforcements.

11/1/18 – Ann

Attended well, introduced non identical matching pictures. List behaviors observed: flop, mouth. Dean had a good morning. More focused than he had been other days earlier this week. Ate a good snack. Did well with a variety of toy items.

11/1/18 – Deb

Dean did great today. We enjoyed playing and singing today. He did well with programs.

11/2/18 – Ann

A little fussy with a runny nose. List behaviors observed: flop, mouthing. Dean did well with matching non identical pictures. Attempting to put playdough in mouth. Sat well for most toys.

With Love,

Selena

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Children, Lifestyle

Dean’s EI Week

I am writing this on 11/10/18 while Dean is taking a rare nap in his room and I have a few spare moments to myself during my lunch until I have to punch in to work from home. Dean has come a long way with Early Intervention and it is getting close to the end. I have yet to receive a confirmation from his health insurance that he is being renewed next year. Else, I have to add him onto my work plan next year and it will be shittier insurance. Not to mention that adding him will add $110 on to my current plan. That means that every paycheck, I will be paying $235 for our health insurance. That is close to a third of my paycheck. That means that most of his SSI check would be going to his health insurance, leaving me again with nothing. Also, since I don’t get his SSI two months out of the year because I make too much money, that means that on those months that I will be getting $330 less out if my paycheck. That is like 40% of my paycheck. I am scraping it together as is. Hopefully, when I call on Monday, he will still have coverage next year and the crisis can be diverted.

10/22/18 – Speech

Dean continues with ABA services. Joyce is leaving and Jolene will take over. Dean sat and strung beads. He pointed to his choice. Therapist modeled “I want ___” and animal sound. With bubbles, we said “pop, pop”. Dean said “pop” 1x. Modeled “more” with sign and helped him with hand over hand.

  • Dean requires a lot of sensory input.

10/24/18 – OT

Dean had a busy am with ABA. Joyce will be leaving as supervisor. ABA workers will remain the same. Dean is scheduled for play based assessment. Dean did excellent today. Greeted me with good eye contact and big smiles and wanted a big hug. Dean sat and completed several manipulatives, puzzles, shape sorter, and bead stringing. He did excellent handing over pictures to request more shapes. Swinging in swing, he fell asleep.

  • Continue to use pictures for him to ask for things.
  • Can take pictures of tv shows to print pictures of so he can request

With Love,

Selena

Children, Lifestyle

Dean’s ABA Week

Joyce’s replacement Jolene is a good fit for us. On first impressions, I really like her and I think that her viewpoint might be better suited to us than Joyce. Joyce was very strict and Jolene is a bit more lenient. Jolene is also more focused on getting Dean to talk, because she thinks that all of those words are locked up inside of him. She thinks that with enough stimulation, he might actually start to speak. I am super excited about this. Instead of focusing on a lot of skill building, we will be focusing on speech and finger strengthening. We need to strengthen his hands and finger in order for him to hold a pencil, utensils, and be able to clap and stuff like that. It is another chapter in Dean’s life and this series will go on with a new supervisor. I am very proud of how far my little guy has come in such a short amount of time. Our year with ABA is coming up soon!

10/22/18 – Ann

Active, smiling, and playful. List behaviors observed: mouth, flop. Dean was playful, seeking tickles. Did several independent arms up. Needed prompts to flip to second page in PECS book. Used picture to request tickles.

10/22/18 – Joyce

Discussed next appropriate toys and programs child initiated handing off for tickles for more than one therapist, sat in chair on own, no direction given for water. Grandparent informed new BCBA taking case, will set up apt.

10/23/18 – Deb

Dean did great today on programs. He sat well for trials and for longer periods of time. Dean independently sat down with his water today. He did great handing mom the PECS pictures for a granola bar. List behaviors observed: flopping

10/23/18 – Joyce

Parent mentioned EI discussed waiver program, BCBA responded saying HMEA could have further discussion with parent. Parent showed good follow through, parent observed entire session, parent spoke to child ‘s increased interest in toy play/toys, parent discussed success of child’s new bed and bedroom environment. Therapist asks relevant questions for programming, therapist needs to increase pace of session and keep child going with less breaks in frequency and duration.

10/23/18 – Ann

Afternoon session, sat for briefer durations. List behaviors observed: licking, flop. Dean did great matching. Stacked 8 blocks. Sat for briefer durations than he does in the morning.

10/24/18 – Ann

Very active, licking a lot of things. List behaviors observed: lick, flop. Dean was active today, trying to complete toy items very quickly. Not interested in snack. Matching and pointing still looking great.

10/25/18 – Ann

Sat well for first hour, more active for second hour. List behaviors observed: lick, mouth, flop. Dean did well this morning. Very focused at start of session. Liked New puzzle and book. Giving me his hands when I present clap hands.

10/25/18 – Deb

Dean did great today, he had great eye contact. Dean did well with programs. Dean said “8” when completing my number puzzle. He was also imitating blowing and enjoyed bubbles and singing. List behaviors observed: mouthing and flopping.

10/25/18 – Joyce

Updated child’s bx plan and bxs. Generated ICONS (child should be using both icons and real photos at this time) for food items, olives, pickles, various specific fruit juices.
With Love,
Selena

 

Children, Lifestyle

Dean’s EI Week

It is currently November 8th and there is only a month and a half of EI left. I’ll have less Dean related stuff to talk about here on this blog on a regular basis. It will return to a weekly, possibly biweekly at times, update. I am happy that this chapter is coming to an end for Dean. While we are sad that his OT will be stopping, we didn’t care for his speech therapist, who really didn’t work that hard to get him to speak. She literally did nothing most of the time with Dean. She didn’t bring any toys. She talked about nonrelated crap. She was/is basically a terrible speech therapist and has the reputation as one as well. So, we are sad and happy at the same time. Like the session below, was her on the phone for the whole session….literally, an hour.

10/15/18 – Speech

Dean is pointing and using more and all done sign more independently. When he wants to swing, he points to what he wants. Dean was seen at home with Hannah. Family has scheduling concerns due to upcoming health concerns that need to be addressed. This therapist called school today and left a message requesting all meetings done by Thanksgiving. Requested pep be given to school.

10/17/18 – OT

Hannah reported Dean was tired for ABA this morning, but when they left, he was full of energy. Dean did well today. He signed more a few times spontaneously to get more puzzle pieces. He needed a lot of input today and did a lot of jumping on trampoline. He did excellent requesting of puzzle pieces via pictures. Continues to do well with puzzles and bead stringing.

  • Continue sensory play interspersed with adequate directed activity.
  • Continue pictures to request toys/food.

With Love,

Selena

Children, Lifestyle

Dean’s ABA Week

Another long week for his ABA sessions. I love it when he has a full week and I got to be home for this one. A week at my house is always super busy with people coming and going. Dean currently has a little cold and I bought him some Vicks to relieve his stuffy nose. It seems to be one thing after another for him and it makes me said. This is a boy who is hardly sick, so it is tough on me when it does happen. I just feel so helpless. I am currently suffering from an intestinal infection as well, so we are all just sick babies over here. lol. Dean is getting so big. He looks like a little boy now instead of a baby. He still has those adorable chubby cheeks and is always yelling “Mom!”. It is really cute. The other day, he put his hands in mine and told me that he loved me. It is moments like these that give me hope that he will have a bright future and finally, FINALLY, talk to us.

10/15/18 – Ann

Very low levels of behaviors, focused well on programs. List behaviors observed: mouth. Dean had a good morning. Liked slime, briefly played with kinetic sand. Did well on all programs.

10/15/18 – Joyce

Performed direct service with client (D-BCBA session only). Ran GMI with child, did new Potato Head (large) and new birthday puzzle, did new books, worked on PECS requesting songs. Assessment or Treatment Planning moved Pointing and AWO back into routines viewed Bx to Increase Graphs, RTN variable Wrote experimental Open Ended Play program

10/16/18 – Ann

Slow morning, tired. List behaviors observed: mouth, lick. Dean was tired, so moved slow through programs. Not interested in eating very much.

10/16/18 – Deb

Dean did great today. He Sat well during activities and transitioned well from the trampoline for trials. Dean had good joint eye contact and pointing.  Dean did not sleep well last night. He was up a lot according to mom.

10/17/18 – Ann

Tired. Dean not sleeping well at night. Dean was tired again this morning from staying up later at night. Discussed matching and next steps for non-identical matching.

10/17/18 – Joyce

Discussed new open ended toy play program, will add 5 block structure for expanded play, will begin non identical matching (2D), used BCBAs toysParent showed good follow through. Mom stayed in room for entire session.

10/17/18 – Deb

Dean did well today. He did well on programs, was independently matching pictures today. He enjoyed playing with the playdough and the magna doodles. Dean had good eye contact. We also played with new puzzles, he did well with the New puzzles. List behaviors observed: flopping.

10/18/18 – Ann

Tired, moved slow through programs. List behaviors observed: flop. Dean still having trouble getting to bed at night. Sleepy this morning. Going to doctor today for flu shot and rash on face. Dean was sleepy and moving slow through programs this morning. Zero instances of mouthing today. Great independent matching.

10/18/18 – Deb

Dean did great today. He sat well for programs. Dean had great joint eye contact. We started having Dean request snacks from mom and he did awesome and was requesting food independently. Went over programs with Joyce.

10/18/18 – Joyce

BCBA informed parent of BCBA transition. Parent showed good follow through parent did orcs for chip with child, child did 5/7 independent exchanges. Therapist prepared with excellent non identical matching cards, non identical matching to be added to child’s programs.

10/19/18 – Deb

Dean did great today on programs. He had great eye contact. He enjoyed jumping on the trampoline at the end of the session. He said “bye” while I was packing up my toys! Dean did great with PECS with mom independently handing the picture. Dean had a flu shot yesterday and also was diagnosed with MRSA. He slept great last night on the new mattress.

10/19/18 – Ann

Making noises from throat through most of session. List behaviors observed: flop. Had flu shot last night. Being treated for MRSA on face. Dean was making a lot of noises today. Tired and almost falling asleep during snack. Matching looks great.

With Love,

Selena
Children, Lifestyle

Dean’s EI Week

I’m writing this on 10/28 and it’ll go up later in the week, but gosh, what a week it has been. I was stressing, because of my history essay final. I wrote 6 pages worth and like a few lines on page 7. I really enjoyed my topic and I will be sharing it on here once everything is graded. I’m the nerd that if I really enjoyed my paper, if it wasn’t an A, I will fix it up with the teachers comments and save it. Yeah, I’m weird, but that is who I am. Anyway, I was also dealing with Dean transitioning into a toddler bed and fixing up his room. Plus, work was a bit stressful due to high volumes. Now, I’m stressed, because of this stupid Precal class. UGH! But I will survive it. I have confidence in myself.

10/10/18 – OT

Dean was happy to see me and gave a big smile. When I sat, he jumped into me. Family still has not heard from school. Dean ate 3/4 bowl of spaghetti using a fork yesterday. Dean did excellent today. He sat on move ‘n sit disc and did a variety of puzzles. Independently stringing smaller animal beads consistently by himself. Swinging, he was able to hand swing picture or singing picture. He was happy with brief periods of eye contact. Shared eye bolt and crisp with Hannah. Left instructions on how to set up and attach swing. Shout a text if can’t figure out how to tie swing.

With Love,

Selena

Children, Lifestyle

Dean’s ABA Week

It was a bit bitter sweet this weekend, because we found out that Joyce put in her two weeks notice. She will be working in her home state in the school system. I wish her the best of luck, but all of us will really miss her. We may have gotten on wrong footing to start with but she really grew on us. I don’t know who the replacement is going to be yet, but the staff is mostly women so I doubt it will be a man. I think they keep the men for the single dads to relate to. lol. Dean is FINALLY going to have his play assessment at the school during the month of November. I am really nervous about it, but I will have an entourage with me. I’m not alone. I just don’t really know what to expect and how we will be treated. I hope we will be out of this town next year, but it isn’t looking like it. I’d rather he go to a different school in a different town than the one we are in. The state had to take over, because of child trafficking and pornography. Don’t really want him to go there whether the state took over or not.

10/9/18 – Ann

Sat well with preferred activities, seeking attention. List behaviors observed: mouth, flop. Dean was seeking attention and tickles during work times. Started first then board with First play, then  tickles. Continued independence with links and hanging monkeys/dinosaurs. Needed prompts to exchange PECS with Joyce.

10/9/18 – Joyce

Child seeking attention, smiles, requiring redirection back to task, may be looking for more physical interaction with therapist, BCBA served as second person for me exchange generalization. Secured direct BCBA one hour session per week for future. Therapist is trying new trinkets and items as potential reinforcers. Assessment or Treatment Planning: generated new PECS organization book for client (plastic pages), generated dinner icons for home use, and generic icons for ABA Staff use.

10/9/18 – Deb

Dean did well today. He had great eye contact and pointing. Dean had a few instances of flopping  when Demands were placed but was said re directed. Dean did great on programs. List behaviors observed: mouthing and flopping.

10/10/18 – Ann

Dean sat well for all activities, good eye contact. Dean sat well for all activities. Good eye contact and pointing for requesting. Continued to show independence with matching. Very chatty, lots of sounds.

10/10/18 – Deb

Dean did well today. He did well on programs. Dean was independently signing all done after trials. Dean was shaking his head no at times. He sat right down to eat snacks, great requesting snacks. Dean started licking materials, his hands and shirt more than typically. Dean independently placed 4 potato head pieces in this afternoon. List behaviors observed: mouthing and flopping.

10/11/18 – Ann

Great session, very attentive. List behaviors observed: mouth, flop, escape. Dean did a great job this morning. Sat for longer than usual with toy activities. Following gesture prompt to match pictures.

10/11/18 – Deb

Dean did great today. He did well on programs. We tried a doodle board with Dean and drawing imitation. Dean did well sitting and completing tasks. Dean had great eye contact today. We discussed programs and New possible behavior. List behaviors observed: mouthing and flopping.

10/11/18 – Joyce

Provided feedback to therapist/family member/other personnel instructed therapist to redirect licking by providing chew tube, child may throw chew tube but providing still may serve as a redirection. Parent showed good follow through mom attended entire session, ABA gave parent newly organized book for housing PECS. Asked therapist to do Magna Doodle for sessions, Provided tactile materials for sessions (sand, play doh). Facilitated PECS with mom, child received new plastic pages in pecs book, child explored pages, worked on page turn with mom, asked mom to run food orcs one time per day, asked that icons be used in addition to real photos.

10/12/18 – Ann

Dean sat well at start of session. Dean here to observe. List behaviors observed: mouth, flop, escape. Dean tried New slime. Used Magnadoodle and held pen to scribble. Did well turning page of book to find PECS book.

10/12/18 – Deb

Dean did well today. He sat great for activities. Dean had good eye contact. He enjoyed a few different toys and books throughout the session. He became tired towards the end of the session . List behaviors observed: mouthing and flopping. Dean was up during the early Program hours today.

With Love,

Selena