V. L. LA Case Summary

V.L. is a 2-year, 4-month-old female who was brought to the clinic for evaluation by her parents. At the time of the evaluation, V.L. was using one-word utterances, pointing, and gestures for communication. Her utterances were often unintelligible, and at the time of the evaluation, her receptive language skills were unknown. While it was noted that V.L. had multiple ear infections between 6 and 11 months of age, her hearing was within normal limits. It was also reported that V.L. often became frustrated when she could not be understood. At the conclusion of V.L.’s evaluation, she was diagnosed with an expressive language delay.
For this therapy session, the clinician had three behavioral objectives; for V.L. to use two-word semantic relations, …show more content…
The clinician worked very well with V.L., it is obvious that through the course of the semester, the clinician has built a strong rapport with her client. A strength of this session was the way that the clinician constantly provided V.L. with positive reinforcement and encouraged her to work hard even when she was getting tired. When V.L. avoided using words, the clinician encouraged her by asking V.L. to use her “big girl words.” The clinician strived to use natural reinforcement and verbal praise in her session but there was one instance where the clinician asked V.L. to give her a high-five as a praise for using her words and that didn’t align with the natural reinforcement that was outlined in the session plan. Another area of strength for the clinician in this session was providing support and knowing when to pull that support away. The clinician had a wide range of games to play with V.L. and they all tied back nicely to the session plan. An improvement that the clinician made from the previous observation to this observation was instead of having all the games out and sporadically going from one activity to the next, the clinician kept all the games put away except for the one they were playing at the time. Conversely, an aspect of the session that could use improvement was the clinician used the same stimulus to elicit a request from V.L. on many occasions. This action was to take away the

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