Data Collection Form # 7 Submitted by: Alyssa Crockett Date: 12/4/17
Child’s Name: JulieAnn Rushforth
Response % Correct
Goal/Objective Prompts and Responses
/Prompt based on
Ratio IEP
Criteria
JulieAnn will play Prompt S VI V M V S 5 83%
independently for 3 or more min Response + >+ + + + + 6
Prompt
Response
JulieAnn will use request her Prompt I V IV S V I V I 5 62%
needs through sign or words Response + + >+ + 0 + 0 + 8
Prompt
Response
Take off her Jacket by herself Prompt
Response
Prompt
Response
Prompt
Response
Prompt
Response
Prompt
Response
Prompt
Response
Prompting Key: G= Gesture M= Model I= Visual VI= Verbal Indirect V= Verbal p = Partial Physical P= Full Physical
Response Key: 0 =No Response IN = Incorrect > = Approximation +/> = Close Approximation + = Target Observed S = Spontaneous
Notes: She chose the pom poms first again. Put lid on the bottle. Chose to clean up and do a puzzle. Was cleaning up puzzle and asked for help spontaneously. She put
three puzzle pieces together without help. Spontaneously cleans up and took the bottle to her mom. Ran out of time to go outside. Asked parents if they have dress up
clothes to practice putting on and off and they said they took all dress ups away.
Impression: This week I was again impressed with her use of signs. She doesn’t respond to each prompt but when she really is ready to need
something she will ask for it.
Objective Description of Data and Observations: We started this week with laying out the activities again. She again chose the pom poms first.
She played with them for almost five minutes before starting to put them away. When Michaela asked her what she wanted next she got the
puzzles. She worked on those getting three pieces of the foam puzzle together on her own. We prompted her to continue to play when she started
to get up and walk away. She went back and sat down. She played for another couple minutes. She picked up the puzzle and started dumping them
from the bag. She will do this until we prompt her to put them away and choose a new activity.
When she will push something at us to open we will wait and ask her what she needs. She used sign to say please when we prompted her with
verbal prompts When we were going to go outside she pulled out the pom poms again and played for the remainder of our time.
Assessment and Evaluation: Based on the data of her independent play, she will play almost completely by herself without too much prompting.
When she would start to get up we would not have to use very invasive prompts in order for her to reconnect with the activity. She was willing to
either keep playing or put it away and get something new to play with. With a little organization, I believe that her parents can have independent
play buckets that she can use when they need to get things done with little to no prompting until she can do it all on her own.
When she asks for help she has gotten pretty good at always saying please. Since this has been going for a while and with little prompting, I would
move on to specific needs to be met (food, or water) so that her parents can start to understand her even more. The prompting was not too intrusive
because we could use one of the less intrusive prompts and get a positive response. I believe that she would need more repetition to retain the
signs and words, but adding in more words as well to keep her challenged.
Unfortunately we didn’t get to go outside because she chose to stay in. But based on past interventions she can accomplish taking off her jacket on
her own. To go to the next step I would work more fully on getting her to be able to put it on alone. She is almost able to do that alone as well.
As a team, Micheala and I are still in a very good rhythm of sharing our ideas if we have something new we want to try and waiting on the other to
finish a prompt that was tried.
Plan: For the next intervention session we will again we will be working on her independent play of three minutes, requesting her needs, and
putting on and off her jacket in our next session. We will introduce a new activity to keep her attention as well of the other games we have taught
her to choose from using an indirect prompt.
When she needs to request we will use the least intrusive prompt of a gesture in order to see if she can do them on her own. If she can I would
suggest moving on to new words as well and using “help” to retain it.
