STACEY

RHODES MT-BC/DT
746 N Glenwood Pl. Aurora, IL 60506Phone (630)546-0380Email: srhodesmtbcdt@yahoo.com

Therapy History This therapist saw Sean since 2008 when Sean received developmental therapy through Early Intervention. Sean now attends preschool and has been getting weekly home therapy on average of 8 hr./week. Sean also receives weekly speech therapy and a monthly occupational therapy consult. The purpose of this report is to provide discharge summary and recommendations to family and new team of therapists/teachers. Sean will be moving with his family, and will no longer be seen by this therapist. Review of Goals These goals were implemented on 2/04/2011 when Sean began his home therapy program. This individualized program was designed to meet Seans needs and support his strengths and to encourage his growth and development. I. Social A. Goal: Sean will engage in game or play with therapist or parent 15-20 minutes per day in the focus room.

B. Progress toward Goal Seans therapy program was based on a child led, relationship based approach. The therapists and parents play with Sean, engaging in his ideas and interests to build relationships and to increase his desire and motivation for play. When Sean had therapy in a more traditional way (structured, therapist led goals/plan, behavior approach) he could participate in a shared activity/game for 3-5 minutes. Sean now plays with therapists and parents in his therapy room and participates in a game 10-15 minutes 4xs a session. C. Strategies 1. Focus Room - The use of a focus room for therapy/play increased Seans engagement and participation in therapy sessions. The room has reduced stimuli and was only used for therapy/play time. The focus room is geared to help Sean focus and regulate his body. It is also a place for the therapist/parent to focus on Sean and his ideas and play. Continue to work in a focus room on a daily basis, remembering to decrease visual and auditory distractions, and put focus on Seans ideas. 2. Student/Volunteer Sean was able to increase his home therapy hours by hiring a college student to provide therapy each day. I encourage you to look into local colleges/organization to find students or volunteers to provide play based therapy to Sean. 3. Family Time Sean has built great relationships with his family members. Try to do a once a week family night in the playroom where the focus is on every one playing together. Suggestions might be Dance Party, Read a Book

STACEY RHODES MT-BC/DT

746 N Glenwood Pl. Aurora, IL 60506Phone (630)546-0380Email: srhodesmtbcdt@yahoo.com

II. Gross Motor A. Goal: Pick at least one of the following goals to work on each session: Sean will jump off of the floor 5 times during a music activity or game with moderate physical prompts. Sean will engage in ball play and kick the ball 5 times during an activity. Sean will engage in ball play and throw a ball 5 times during an activity with no physical prompts. Sean will engage in ball play and catch a ball 5 times during an activity with moderate physical assist. Walk Upstairs B. Progress toward Goal Sean has improved his motor skills and can walk upstairs and throw and kick a ball. He continues to work on jumping. Sean has difficulty engaging in an activity for long periods of time when it involved kicking, throwing or jumping. C. Strategies 1. Continue to work on these goals with play based approach. Present balls and jumping activities to see how Sean will play. Join Sean in his ideas and increase affect, sensory input and repetition. 2. Consult with OT about motor planning and sensory strategies. 3. Sing songs or listen to recorded music that encourages movement. III. Fine Motor A. Goals: 1.Engage Sean in strengthening and bilateral hand use activities each session before working on a more focused fine motor task. Sean will engage in a Hand Strengthening activity for 3-5 minutes during each session. Sean will engage in a music activity or game that encourages Bilateral Hand Use with minimal physical prompting. 2.Pick one of the following Goals to work on each session. Sean will engage in a music activity or game that encourages Finger Isolation with minimal physical assist. Sean will work at a vertical surface for 3 min. with minimal physical prompts. Manipulative Sean will attend to a fine motor activity with manipulatives for 5 minutes with minimal physical prompts. B. Progress towards Goals: Sean enjoys doing hand strengthening activities such as play dough and putty and he engages in these activities for 5-7 minutes. He is isolating his finger to engage in a game on the IPAD and enjoys writing on his dry erase board (vertical on wall). He writes on the board for up to 30 seconds at a 10xs in a session. C. Strategies

Night, Building a new puzzle together, Pajama party (get stuffed animals, pillow fight, bedtime book).

STACEY RHODES MT-BC/DT

746 N Glenwood Pl. Aurora, IL 60506Phone (630)546-0380Email: srhodesmtbcdt@yahoo.com

1. Use Letters/Alphabet - Sean is very motivated by letters and will now perform fine motor tasks that he used to avoid because they involve letters. Continue to pair fine motor activities with letters. IV. Cognitive A. Goals Sean will imitate gross motor movements 4 out of 5 times during a song or preferred game. Sean will sort colored objects with 90% accuracy for 3 consecutive sessions. Sean will identify the letters in his name to 90% accuracy for 3 consecutive sessions. B. Progress Towards Goals Continue working towards imitation goals. Currently Sean imitates 1-3 movements during a song. Discontinue color sorting goals, as Sean does not show any interest at this time. Sean is very interested in letters and he can identify all letters and spell his name. He is starting to say the ABCs and vocalizes the correct sound for 50% of letters. C. Strategies 1. Letters/Jolly Phonics Continue to use letters and Jolly Phonics to teach reading and writing. Sean is very motivated by this and is learning concepts such as matching, spelling and writing through letter games. 2. DIR research DIR method of assessing cognitive skills and play levels V. Language A. Goals: Sean will point to pictures in a book with 90% accuracy. Sean will spontaneously request what he wants 10 or more times a session. Sean will engage in 20 or more circles of communication during one activity or game each session. B. Progress Towards Goals Sean will consistently point to pictures in a book. He requests what he wants through vocalizations and gestures and he spontaneously requests activities in the focus room 5 times a sessions. Sean can be engaged in various play schemes and participates in < 20 circles of communication during child directed game. C. Strategies 1. Continue with DIR approach to language development at home and through Speech Therapy. Summary Sean is a smart, fun boy who loves music, family, friends, dancing, and letters. It is has been such a great opportunity to provide developmental music therapy to Sean. He has made great gains in his language and development through our time together. Sean is a great candidate for music therapy. He is motivated by and responds to music activities. Sean learned his letters through the Jolly Phonics program, which teaches

STACEY RHODES MT-BC/DT

746 N Glenwood Pl. Aurora, IL 60506Phone (630)546-0380Email: srhodesmtbcdt@yahoo.com

letter names and sounds through song and movement. He learned how to spell him name during a song that was created during a music therapy session. If the opportunity is available, it is recommended to continues music therapy at school and/or privately. Sean has made significant progress during the last six months of therapy when a home therapy program was started. Therapy was provided daily by a team of therapists and parents. The team used a developmental, child-lead approach and Sean showed increases in engagement, expressive language, receptive language, fine motor and imitation skills. It is recommended to continue the home program model. It has been great to see first hand how the focus room, increase in therapy hours, and developmentally based approach has helped Sean to grow. Thank you so much for the opportunity to work with Sean. It has been really wonderful. Good luck and please contact me with any questions.

Stacey Rhodes MT-BC/DT

Music Therapist Board Certified/Developmental Therapist