Client’s Initials and Age: E.
18 months Time allotted for session: 45 min
Diagnosis and any Precautions: (1) Autism spectrum disorder
Goal/s being addressed: (1) Edric will demonstrate improved joint attention as evidenced by responding to joint attention bids from therapist in
3/5 opportunities, over 2 consecutive sessions, for increased participation in play
Prep Activity
Creating schedule and
hunting for toys (15 minutes):
1. Therapist will first create a
visual schedule with E.
using a white board while
telling him about the
session’s activities. E. can
choose where he would
like to play with prompts
from therapist.
2. For the first activity,
therapist will “hide” small
toys or animals around the
room and turn on some
calming music in the
background.
3. Therapist will encourage E.
Intervention Activities
to find the toys. If he needs
(2 per column)
help, therapist can
demonstrate and use toy to
get E.’s attention.
4. Therapist will provide
reinforcement each time E.
finds a toy.
5. Therapist will carry a
bucket/basket alongside E.
and encourage him to
place the toys/animals in
their ‘home’ after he finds
them.
Describe the activity; be specific
and detailed giving 5-10 steps.
Give estimated time per activity.
Skill-based activity
Toy exploration (15 minutes):
1. Therapist will bring a variety of
small toys into treatment room
for E. to explore. If appropriate,
a water table and toys can be
used.
2. Therapist will set out a few toys
and allow E. to guide the
exploration.
3. Therapist will join in E.’s play by
copying what he does.
4. Therapist will gradually attempt
to engage E. in shared
exploration (i.e. handing him a
new toy, giving him a toy that
requires help and prompting
him to ask appropriately for it)
5. Therapist will continue to share
in E.’s play using imitation,
verbal narration of the activities, 4. When he gets bored or stops
and positive reinforcement
when he attends to therapist.
6. Therapist can bring out new
toys and expect E. to ask or
gesture appropriately to play
with it
Occupation-based activity
Playing a game (15 minutes):
1. Therapist will allow E. to
choose a simple game from
2-3 options (e.g. racing toy
cars, building a tower, ball
play, shape sorting or puzzle,
bubbles).
2. Therapist will demonstrate the
activity by taking the first turn
and then passing it on, saying
“your turn”
3. E. will practice playing the
simple game with therapist
narration and prompting (i.e.
“now we race the cars on the
track… good job your car
won!”)
attending to the activity, E.=-
can choose a new simple
game to play with therapist
5. Repeat steps 2-3 with new
activity(s).
 Specific Objectives for this
activity
(2 per column)
Activity Demands (setting,
materials, and equipment)
(2 per column)
Clinical Reasoning (2 per
column)
S/OT name: Haley Oliver
Total: 26 points
List 2-3 specific objectives per
activity that you plan to measure
during client performance.
List the materials that you will
need and how you will set up the
environment and activity.
State 2 ways to grade/adapt the
activity or environment.
Why did you choose this
activity? (what approach are you
using and/or frame of reference;
how does this activity match the
child’s needs?)