Tuesday, August 15, 2006

DAY 1&2 of Pivotal Response Treatment(PRT)

2.00 yesterday began the journal for Elijah and us. The four woman showed up(I've attached little names to them instead of giving their full name).

~The IWK trainer will be named: curly
~The Occupational Therapist will be named: Gungho
~Elijah's primary prt worker will be named: friendly
~The behavior specialist will be called: Dr. Flirt (just cause she's worked arly over into loving her so keenly)
~Eliajh will be called: Buggie
~my husband will be called: DaddaHub

I was given a 21 pg. stappled together computer paper type book and Curly went over about 10 pages. Which was plenty. Basically all she said in those ten pages is: if Buggie gets interested in a toy you let him play with it awhile to determine that he is really interested in it. Let him know what it is. So for example: If he's playing with blocks you simple use the one word "block." as opposed to "You have a block"(too many words will confuse him). then you take the block gently from him(that's shared control), and you use the one word prompt in sort of a question, "Block?"(but that's only when he makes an attempt to get the block, or makes eye contact with you.

So we did this for about an hour until they said let's wrap it up and leave him while he's happy. Of course all of us interacting with him was recorded.

So this morning, after analizing the cd lastnight, Curly had a change she wanted to make. Because Elijah does a lot of babbling and humming, she said if we except that as a verbal behavior then he's gonna think we are rewarding the humming etc. Not only that but because Elijah's motivation is so short she thought maybe if we let him have a choice of activities. so we had to regroup and all be sure we understood. Gungho took the first shot, first she'd gone up and gotten peek-a-block toy, and she tried to get him interested. he wasn't so i ran upstairs and brought down adonut stacker type toy, a squeck toy he likes, some blocks, and a popcorn popper thing he likes.

Gungho took them and gave him the option to choose, once he reached foreward and chose the donut stacker, all the other toys had to be taken from his sight so he wouldn't do the basketball approach(which is sort of tricky you into thinking he wanted that so he could spring around and grab the one he really wanted(which he did a lot of yesterday))

But today was a bit tricky, he just wasn't interested or motivated or whatever. then DaddaHub (having got a few minutes off from work) came in. It didn't take Buggie long to spot him and he began tugging him to the trampoline. Gungho stepped aside and DaddaHub took over. He got in lots of "bounce' Prompts and then "bubbles", and then Buggy had had enough and he just cried non-stop.

We tried lots of things to get him motivated again, but it was 11 and he was hungry. While DaddaHub got him some frenchfries and water he cried and they wouldn't let me sooth him at all, until they were sure that abtecedent/prompt was lost. When he'd went upset DaddaHub had prompted for "bubbles" and they didn't want to interfer with that until they were sure he'd forgotten about it. Finally she said, "Now it's ok to sooth him a bit", and I hugged him, massaged him and did joint compressions. the joint compressions worked for a bitm but he was hungry.

Finally his food was ready.

First when he sat down at the food he was still quite stressed, but he eventually picked up the sippy cup and swished it around in his mouth. Curly told me that that Buggie understood what he needed to calm his arousal(which is basically his stress) and the water did that for him, cause he swished the one bouthful around on his toungue and teeth for about five minutes and slowly calmed himself. then he swallowed it and gave us all a huge grin.

All in all it ended out a good session cause when they left, he was happy, and that's important, so that when they arrive tomorrow he can remember that he was happy.

Well, it'll be a challenge for me as well as him, and I'm hoping to have a talking child when it's through.

~R

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