5 Joey Case Study.txt — Kentucky Autism Training Center

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Scenario: Donovan Family

Donovan Family: Mike, Pat and their two-year-old son Joey have recently moved to a
farm just outside a rural community to be closer to their extended family members.
Step 1: Gathering Information

Using the Interest-Based Everyday Activity Checklist (Swanson, Raab, Roper, &
Dunst, 2006), the early intervention team learned that Joey loves to play in and with
water, so much so that the family has been required to lock toilet lids and decrease
the temperature of the hot water tank in their home because of Joey's interest in
turning on/off the faucets. The family also shared that Joey likes to be outside.
Using the Asset-Based Context (ABC) Matrix (Wilson & Mott, 2006), the team
learned more information about the activity settings and routines important to Joey
and his family. They learned that Joey's mom and dad are farmers and the family
enjoys growing all of their own food. The Donovans have a large extended family.
Joey has 10 cousins close to his age who live within 30 minutes from his new home.
The Donovans attend church every Sunday with their extended family members and
then share Sunday dinner together. Mike and Pat also stated that Joey is not fond of
napping and does not sleep through the night.

Mike and Pat shared their priorities of learning more about Joey's diagnosis of autism
and how to help their family understand Joey better. Mike and Pat are anxious that
Joey will not sit down at the dinner table for family meals, which they find
particularly troublesome when the entire extended family share meals together on the
weekend. Joey's parents also worry that his lack of sleep contributes to some of his
agitation.

Step 2: Observe Families and Children
Once the above information was gathered, a member of the early intervention team
observed a family mealtime with Mike, Pat and Joey. During the mealtime, Joey was
agitated and would not join his parents at the table. Mike and Pat demonstrated
strategies they had tried in the past and the practitioner had a few ideas that they
implemented during the observation. Overall, everyone felt they had better ideas of
how to get started on improving the family's mealtimes.

Step 3: Document IFSP Outcome Statements
During the IFSP meeting, the service coordinator reviewed and summarized the
information that the Donovan family had shared as well as discussed the observations
made by the early intervention team members. Together, the family and team decided
upon the following outcomes.

1. Joey will join the family for meals at the dinner table on the weekends
2. Mike and Pat will know how to put Joey to bed for naps and at bedtime
3. Joey will help his parents water the garden and houseplants
Step 4. Mike and Pat will feel comfortable discussing Joey's diagnosis of autism
with family and friends.

M'Lisa Shelden & Dathan Rush �Family, Infant and Preschool Program �
2010

Middle Preschool Interest-Based Everyday Activity Checklist

-
Jennifer Swanson, Melinda Raab, Nicole Roper, and Carl J. Dunst

lifientij�:Jng'lrffprmation

Child'sName Jo DoYIOVO.Y\ DateofBirth 10-\-07
Age (Months) c::2'-\MOn+
h:S Today'sDate 10-\l-QC)
Person Completing the Checklist(YI'tke..-+ -Pee+Relationship
to Child foten�s
onoVOY\

This checklist includes a list of everyday activities that are sources of learning opportunities for children
functioning between 15 and 36 months of age. The activities are a mix of things that children
get to be involved in as part of everyday family and community life, things parents and children do
together, things children become involved in because of adult interests and activities, and things that
simply happen day-in and day-out as part of everyday living. The checklist is used to identifY activities
that are interest-based and would provide your child opportunities to learn and practice many
different kinds of skills and behaviors. Simply follow the steps described below to make your child's
learning full of wonderful possibilities.

Using the Checklists
Step 1. Identifying a Child's Interest. Start by making a list of all the things, people, places, and activities
that interest your child. "What does your child enjoy doing?" "What gets your child excited?"
"What does your child prefer or like to do?'' "What makes your child laugh or smile?" "What does
your child choose to do most often?" "Who does your child prefer to be with?" List your child's interests
in the space provided on the next two pages.

Step 2. Completing the Checklist. Keep in mind your answers to the Step I questions. Go through
the lists of activities on the next two pages, and check the activities that provide or could provide
your child opportunities to use or express his or her interests. Add activities that are not included
on the checklists that are important to your family or happen because of where you live and which
are or would be interesting to your child. Don't overlook tag along activities that would include
opportunities for interest-expression.

Step 3. Selecting Interest-Based Learning Activities. Go back through the list of activities you
checked, and circle those activities that do or could happen often for your child and which best match
your child's interests. The best activities are ones that provide lots of opportunities for a child to do
things (s)he is interested in doing as well as learn new things.

Step 4. Develop an Action Plan.The last page of the checklist includes one way you can be sure you
and your child can take advantage of all the learning possibilities that are part of your everyday family
and community life. Simply complete each section and you will have a useful plan for providing your
child interest-based everyday learning opportunities.

My Child's Interest
Keep in mind your child's interests (things he
or she likes to do, enjoys doing, that get him or
her excited, and so forth), and check all activities
that you think would be ones that would
give your child opportunities to use or express
those interests.

'----,

The following is a list of activities many
children experience as part of everyday living.
Please check those activities that best match
your child's interests. Don't forget about tag
along activities.
0 Attending a playgroup
0Attending church/synagogue
0Attending movement/music class
0 Attending neighborhood gatherings
0Attending Sunday school/kid's church
0 Being read to
0Brushing teeth
0Choosing books at the library
0 Collecting leaves or rocks
0 Creating an art project/craft
0 Cuddling with parent/caregiver
0 Cutting/tearing pictures

(e.g., magazines, catalogs)
0Dancing
0Diaper changing
0Doing errands with mom or dad
0Doing laundry with mom or dad
0Dressing/undressing
0Eating meals or snacks
0 Eating out

0Feeding ducks at the pond

0Finger painting

i23:lGardening/planting flowers (1Zl. a tUDt'\Q)

0 Getting out of bed/waking up...-:.1 J

0 Getting ready for bedinaptime

0 Going on a camping trip

0 Going on a play date

0 Going fishing with mom or dad

0 Going on a bike ride

0 Going on a stroller ride

0 Going on a hike

0 Going on a neighborhood walk

0 Going on nature walks

0 Going to a movie

0 Going to a nature center

0Going to siblings' ball games/sports events

0 Having cookouts/barbecues

0 Having friends over to play

0 Having picnics

0 Helping with household chores

0 Listening to bedtime stories

0 Listening to music

0 Listening to storytellers/story times

0Listening to/saying nursery rhymes

0 Looking at and talking about photographs

0 Looking at/reading cereal boxes/labels

0 Participating in family talks

0 Picking up siblings from schoollchildcare

0Picking up toys

0 Playing at an indoor playland

0 Playing chase/running

0 Playing dress-up

0 Playing finger games

0 Playing hide-n-seek

0 Playing house

0 Playing in a stream/creek/river

0 Playing in a sprinkler

0 Playing in a wading pool

My Childs Interest
0 Playing in dirt/mud/sand
0 Playing musical instruments
0 Playing on park/playground equipment
0 Playing on the computer/typewriter
Playing with a garden hose k *k
0 Playing with balls/balloons
0 Playing with bubbles
0Playing with busy boxes/busy centers
0 Playing with magnetic letters/shapes
0 Playing with other children/siblings
0 Playing with pets
0 Playing with playhouse toys
0 Playing with puppets, dolls, etc.
0 Playing with shape sorters/puzzles
0 Playing with toys that play music, talk, etc.
0Playing with trucks/cars/boats

Playing with water toys
0 Playing in a sandbox/sand table
0Praying/saying Grace
0 Preparing meals or snacks
0 Renting/returning videos
0 Riding in a boat
0 Riding in wagon/riding toys
0 Rough housing/playing tickle games
0 Saying hellos/good-byes
0 Shopping at the mall/department stores
0 Shopping for groceries
0 Singing
0Swimming/floating at the pool
Taking a bath
0 Taking a car, bus, train ride, etc.
0 Taking care of pets (e.g., feeding)
0Toileting/going to bathroom
0 Using crayons, markers, paints, etc.
0 Using play dough, silly putty, etc.
0Visiting animals (e.g., pet store/zoo)
0Visiting neighbors, friends, relatives

Washing hands/face (p\II'll\ iV\SIV\.k)

0 Watching mom or dad write noYes/lists
0 Watching TV/videos
0 Watering plants/grass(flowers

I f:
Vi n

-'.TlMf.J .u..tJ"+-;L.fLUL.!-.>--l.& -""J {)

0---------------

Many families bave special events, celebrations

and traditions that are important to them. Please

list those special family activitiesthat you know

}!';;f}thj (

-------o

Activities Where You Live
Many families have special experiences and
learning opportunities because of where they
live. Please list those activities that your child
gets to be a part of because of where you live
that would be interesting to your child.

-'+'--'---------
o

. �
1JJxppnaing Your @nilas I.Jearning Opportunities

Now that you have selected the best activities for everyday child learning, the next step is to use this
infonnation to provide your child lots of opportunities to use his or her interests to do things (s)he is
able to do and to learn new things. The following is a helpful way for providing your child interestbased
learning opportunities.

Asset-Based Context Matrix Assessment�

Identifying Information

Purpose of this assessment:
Gathering information for joint planning with family

Additional comments about identifying information or administrative conditions:
Others present: N/ A

Child's Name: Joey Donovan Gender: Female Male .._X_
Year Month Day
Date Completed _JQ 17
Date of birth 07 10 01
Age 02 _illL 16

Assessment setting _,_F.,a!!.m'-"il"-y-"''s'-'h_,_,o,_,_m'-"e"-----------------Respondent:

Name Mike & Pat Donovan Relationship to child -'--'
Pa:::.r.::e,_,n.:.:ts,__ _
Administrator:
Name Christina Title O T'---------

Working Version

May be reproduced with the permission of the Family, Infant and Preschool Program, Westem Carolina Center,
300 BOola Road, Morganton, NC 28655

The Asset Based Context Matrix@

Contexts

Family Life Commun_i!y_ Life Early Childhood Programs
Activity Settings Bath time/every night Sunday School PreschoolMeals-
walks around and eats won't stay there/can't leave him
(everyday experiences,
opportunities or events)
Being outside as much as possible
Church every Sunday
Family Sunday dinner/get together
Child and Family Joey:
Interests -Playing with garden hose
-Being outside
(child and family's likes,
-Playing in toilet water
-Turning off/on faucets
preferences,and favorites) -Playing during bath time
Mike & Pat:
-Being outside
-Gardening/Farming
Child and Family Assets Joey is happy and content when
outside or playing with water
(abilities,strengths,skills,
accomplishments, and
Joey eats veggies and fruit
Mike and Pat are outdoorsy people
and are with Joey 24/7
capabilities) The family enjoys being outdoors
together
The Donovans have a strong
support system of extended family
and friends all within 30 minutes
of their farm

Working Version

May be reproduced with the permission of the Family, Infant and Preschool Program, Western Carolina Center,
300 Enola Road, Morganton, NC 28655

Family Life Life Community Life Early Childhood Proqrams
Functional/
Meaningful Interactions
(purposeful interactions;
ways interests and assets
are used in everyday life)
Joey smiles, flaps his hands, and
squeals when he is happy or excited
Joey will take Mike or Pat by the
arm what he wants and will bang the
door/window when he wants to go
outside
Mike and Pat use water play as a
reward for Joey
Current Opportunities Mike and Pat are vigilant about Joey only leaves the farm for Mike & Pat have tried leaving Joey
(quantity and quality of reading Joey's cues Sunday Church outings. at Sunday School, but he becomes
experiences occurring in Mike and Pat are outside with Joey Pat takes a special prize bag along, extremely upset
activity settings)
many hours every day even during
bad weather
filled with Joey's favorite treats and
toys to entertain him during church.
Current Participation Joey does not take naps and sleeps At church, Joey sits between his
(ways in which a child takes about 6 hours each night, waking parents occupied with his prize bag
part in everyday activity) intermittently
Joey eats well, but will not join the
for about 30 minutes. After that,
the parents take turns in being
family at the dinner table...walks outside with Joey on the front lawn.
around while eating
During Sunday family dinners with
cousins present, Joey wanders
around snacking on foods and
looking for water puddles.
Possibilities
(new learning opportunities,
ways of participating in
everyday experiences, and
increased opportunity)
-Mike
and Pat want Joey to join the
family for meals at the dinner table
on the weekends and feel
comfortable talking about Joey's
autism with family and friends
Mike and Pat want to know how to
put Joey to bed for naps and at
bedtime
Mike and Pat would love to have
family outings and do errands
together...but don't feel ready to do
this right now
Parents would like for Joey to happily
sit through Church with them
Joey can help his parents water the
garden and houseplants
At some point, Parents would
like Joey to go to Sunday School
Preschool

Workitig Version

Copyright� 2002 family, Infant and Preschool Program
May be reproduced with the permission of the Family, Infant and Preschool Program, Western Carolina Center,
300 Enola Road, Morganton, NC 28655

My Calendar�

An Assessment of Daily Routines, Activities,
and Schedules for Young Children and Their
Families

Protocol and Instructions

Family, Infant and Preschool Program
J. Iverson Riddle Developmental Center
300 Enola Road
Morganton, NC 28655

My Calendar� Instructions

The My Calendar� is an assessment tool for parents and practitioners in early childhood
programs to document existing family routines and activities. The process is designed to
assist family members to identify and prioritize specific routines and activities as potential
areas of focus for support and intervention. The My Calendar� should be completed by one
or more of the child's parents/primary caregivers with participation of an early childhood
practitioner. The My Calendar� focuses on specifically identifying existing family schedules
for each individual family member for each 24 hour period of each day of the week.
Information is gathered through conversations with parents/primary care providers, as well
as through interactions with and observations of the child in natural environments and
settings. Once the schedules of all family members are documented, parents and other
primary caregivers are asked to indicate how well each specific time period is going and if
support or focus is desired to improve the routine or activity that happens during that time
period. Once the entire calendar is reviewed, then parents/primary caregivers are asked to
prioritize the specific time periods where they would like to place focus and attention.

Using My Calendar�

Step 1. Completing the My Calendar@ Start by filling out routines and activities for each

family member important to your child. Be as specific as needed for each time slot for each

24 hour period for each day of a typical week.

Step 2. Determining the need for support Once the schedules are completed for each
family member, have the parent(s)/caregiver(s) indicate if he or she feels that time of the
day or night is going smoothly or needs attention. Indicate with an OK or Not OK by placing a
checkmark in the appropriate column.

Step 3.Prioritizing routines and activities where support is desired Go back through the
list of activities or routines that were checked to be "Not OK." Ask the parent/caregiver to
circle the top priorities that were "Not OK." If more than three to five areas are checked
"Not OK," ask the parent/caregiver to prioritize the top three routines to indicate where to
begin focus or attention.

Step 4. Developing IFSP outcomes The last page of My Calendar� is a page for writing
down possible Individualized Family Service Plan (IFSP) outcomes that may emerge as a
result of the conversation. These outcomes can be further discussed and included on the
child's IFSP document.

Background Information

Identifying Information
Child's Name: Joey Donovan Gender: Female Male ./
Year Month Day
Date Completed 2009. _jQ_ 20
Date of Birth 2007 10 01
Child's Age 2 0 19

Assessment Administration Information
Respondent's Name Pat Donovan Relationship to Child -'
M"-""ot_,_,h_,_,e"'-r
Respondent's Name Mike Donovan Relationship to Child F'-'a,_,t_,_,hc:::er,__
Administrator's Name -'='
C!!h,_,ri"'-st'-'
i!!na, ,G'"'ni_,_,t-"'e"-r Title _,0'-'T'--------

Assessment Purpose
Purpose of this assessment:
To identify priority routines and activities to support Joey's participation in family life.

Additional comments about identifying information or administrative conditions:
None

My Calendar� Assessment Questions
Routines and Activities Routines and Activities
Possible IFSP Outcome Statements
IFSP Outcome #1
Joey will join the family for meals at the dinner table on the weekends
IFSP Outcome #2
Mike and Pat will know how to put Joey to bed for naps and at bedtime
IFSP Outcome #3
Joey will help his pare11ts water the garden and houseplants
IFSP Outcome #4
Mike and Pat will feel comfortable discussing Joey's diagnosis of autism with
family and friends
�
What is typically doing during this time of day/night?
�
What are the special events in which your child and family participate that we
should consider while completing your calendar?
OK or Not OK?
Pril:lrity for support?
�
What activities or routine are your priorities?
�
Where should we start?
�
How smoothly do you feel this specific routine or activity is currently going?
�
How would you like this routine or activity to look?
�
What things have you already tried to change the current situation?
Copyright� 2010 �Family, Infant and Preschool Program

NOTES AND COMMENTS NOTES AND COMMENTS
Copyright� 2010 �Family, Infant and Preschool Program

My CalendaCalendar
Name: Joey Donovan Date: --'1 0 -1 9 -0 9:,._ _
Day of Week: MONDAY-TUESDAY-THURSDAY-FRIDAY

DayTime Name: Mike Name: Pat Name: Joey
OK
Not
OK
Priority
6:00am Checks on Joey; feeds
animals; milks cows;
gathers eggs
Feeds dogs and cats;
Showers; Gets dressed
Sleeping ./
7:00am Time to have a cup of coffee
Prepares breakfast Waked up by Pat ./
8:00am Eats breakfast with Pat Eats breakfast with Mike Runs around house eating
Pop Tart pieces/apple slices
./ ./
Reads the newspaper Cleans up kitchen
9:00am Chores close to the house
first then out to the fields
Gets Joey dressed for the day Does not help with getting
dressed
./
I Pays bills; household
budgeting; phone calls
Plays in kitchen sink; dog
bowl; wanders; wants to go
outside...starts getting
anxious and excited when
sees Mike coming in from
fields
./
10:00 am Household chores
11:00 am Prepares and serves lunch-
outside if nice
Cleans up for lunch Cleaned up for lunch by Mike ./
12:00 pm Eats lunch with Pat outside
if nice
Eats lunch with Mike outside
if nice
Eats lunch walking around ./ ./
1:00pm Watches Joey while Pat
cleans up from lunch
Cleans up from lunch; Back
outside to work in garden
Outside playing in water
spigot/tries to go to creek;
Happy when at creek, but
unhappy when asked to stay
in yard area. Mostly plays
with water hose
./ ./
2:00pm Back out to fields; tractor-
sometimes takes Joey with
him for tractor rides
Works in garden; tries to keep
Joey out of the creek; spends
time at creek
3:00pm
4:00pm Outside with family Outside with family Outside with family ./
5:00pm Evening chores Helps with chores; waters
garden and porch plants
Outside with parents-goes
wild when Pat waters plants
./ ./

My Calendar
Name: Joey Donovan Date: 10-19-09
Dayof Week: MONDAY-TUESDAY-THURSDAY-FRIDAY

Night
Time
6:00pm
7:00pm
8:00pm
9:00pm
10:00 pm
Name: Mike
Finishing evening chores
Cleans up for dinner
Light supper with Pat
Checks on barn
Helps Pat with Joey's bath
Helps get Joey out of bath
tub and ready for bed
Showers and gets ready for
bed; watches TV in room
Name: Pat
Cleans 11p Joey for supper
Prepares light supper
Light supper with Mike
Cleans up kitchen
Gives Joey a bath
Gets Joey out of bath tub;
into pjs and teeth brushed.
Tries to get Joey to
bed...sings; hums, plays
James Taylor CD; reads
stories about the ocean
Sleeping in Joey's room
L_
Name: Joey
Cleaned up by Pat for supper
Plays in kitchen sink/fuucet
Eats supper running around
Plays in kitchen sink/faucet
Bath time
Does not want to get out of
tub or brush teeth
Wanders around room; does
not want to be in bed; rocks
and opens/closes dresser
drawers; Finally passes out
Sleeping (Wakes up 2-3 times
each night. Pat sings to Joey
to help him fall back to sleep)
OK
./
./
./
./
Not
OK
./
./
./
./
Priority
./
./
./
./
11:00 pm Slee
-
ing
---
p
12:00 am
1:00am
2:00am
3:00am
4:00am
5:00am
-

My CalendaCalendar
Name: . Joey Donovan Date: -10:!...-19L-09 _
Day of Week: WEDNESDAY

DayTime Name: Mike Name: Pat Name: Joey
OK
Not
OK
Priority
6:00am Checks on Joey; feeds
animals; milks cows;
gathers eggs
Feeds dogs and cats;
Showers; Gets dressed
Sleeping ./
I7:00am Time to have a cup of coffee
Prepares breakfast and an
easy lunch for Mike to heat
up later
Waked up by Pat ./
I
I
8:00am Eats breakfast with Pat Eats breakfast with Mike Runs around house eating ./ ./ I
IReads the newspaper Cleans up kitchen
9:00am Gets Joey dressed for the
day
Goes to town to run errands
(e.g., grocery shopping; gas
for truck); Usually meets
sister for lunch
Does not help with getting
dressed
./ !
Outside with Joey Outside with Mike; Playing
in water spigot; Walks to
creek.
./ '
10:00 am
11:00 am Heats up/serves lunch-
outside if nice
Cleaned up for lunch by
Mike; Plays in kitchen sink
./
Cleans up for lunch
!2:00pm Eats lunch-outside if nice Home by 1:00 pm Eats lunch walking around ./ ./
1:00pm Watches Joey while Pat
unloads groceries/cleans up
Unloads groceries; Cleans up
from lunch
./
2:00pm Out to fields; tractor -talces
Joey with him for tractor
rides; Time in barn
Cleans house Tractor ride with Mike; Barn
with Mike -plays in water
trollgh
./
3:00pm
4:00pm
Chores -outside Outside with Joey goes
to
creek
Outside with Pat-goes to
creek
./
5:00pm Evening chores Helps with chores; waters
garden and porch plants
Outside with parents-goes
wild when Pat waters plants
./ ./

My Calendar
Name:
Calendar
Name: Joey Donovan Date: -10 -19 -0CL9 _
Day of Week: WEDNESDAY

I
Night
Time
Name: Mike Name: Pat Name: Joey
OK
Not
OK
Priority
'
6:00pm Finishing evening chores Cleans up Joey for dirmer Cleaned up by Pat for dirmer ./
Cleans up for dirmer Prepares dirmer Plays in kitchen sink/faucet ./
7:00pm Dirmer with Pat Dirmer with Mike Eats dirmer rurming around ./ ./
Checks on barn Cleans up kitchen Plays in kitchen sink/faucet ./
8:00pm Helps Pat with Joey's bath Gives Joey a bath Bath time ./
9:00pm Helps get Joey out of bath
tub and ready for bed
Gets Joey out of bath tub;
into pjs and teeth brushed.
Does not want to get out of
tub or brush teeth
./ ./
IO:OOpm Showers and gets ready for
bed; watches TV in room
Tries to get Joey to
bed...sings; hums, plays
James Taylor CD; reads
stories about the ocean
Wanders around room; does
not want to be in bed; rocks
and opens/closes dresser
drawers; Finally passes out
./ ./
11:00 pm Sleeping
12:00 am Sleeping in Joey's room Sleeping (Wakes up 2-3 time
each night. Pat sings to Joey
to help him fall back to sleep)
-----
s
./ ./
1:00am
2:00am
3:00am
4:00am
5:00am

My CalendaCalendar
Name:. Joey Donovan Date: -10=<--...,19 -_,0""9 _
Day of Week: SATURDAY

DayTime
6:00am
Name: Mike
Checks on Joey; feeds
animals; milks cows;
gathers eggs
Name: Pat
Feeds dogs and cats; Prepares
food for Sunday dinner
Name: Joey
Sleeping
Wakes up on own
Eats breakfast walking
around
Cleaned up by Pat
Frustrated; roams; stands at
door to go outside; sometimes
seems to like music
Eats lunch outside walking
around
Outside playing in water
spigot/tries to go to creek
Outside playing in water
spigot/tries to go to creek
Outside with Mike playing in
water; hanging out
Rides with Mike
Outside with parents-goes
wild when Pat waters p]ants
OK
"
"
"
"
"
Not
OK
"
"
"
"
"
Priority
"
"
"
7:00am Time to have a cup of coffee
Prepares breakfast
8:00am Eats breakfast with Pat
Gets dressed to go to town
Drives to
town/neighbors/brothers'
house; Eats lunch while out
and about
Returns home around this
time
Outside with family
Outside with Joey
Eats breakfast with Mike
Feeds Joey breakfast
Cleans up kitchen
Tries to play with Joey in the
house w/cars, books, listening
to music
Prepares lunch-outside to
eat
Outside with Joey; tries to do
some chores; Mostly keeping
Joey safe
Outside with family
Household chores
Helps with chores; waters
garden and porch plants
9:00am
10:00 am
11:00 am
12:00 pm
1:00pm
2:00pm
3:30pm
4:00pm
5:00pm
Chores checks
on cows
Evening chores

My Calendar Calendar

Name: Joey Donovan Date: 10-19-09
Day of Week: SATURDAY

Night
Time
Name: Mike Name: Pat Name: Joey
OK
Not
OK
Priority
6:00pm Cleans up Joey for supper Prepares dinner sets
up
outside if nice
Cleaned up by Mike for
dinner
-'>/
Cleans up for dinner Plays in kitchen sink/faucet '-1
7:00pm Dinner with Pat Dinner with Mike Eats supper nmning around '-1 '-1
Checks on barn Cleans up kitchen Plays in kitchen sink/faucet -'>/
8:00pm Helps Pat with Joey's bath Gives Joey a bath Bath time -'>/
9:00pm Helps get Joey out of bath
tub and ready for bed
Gets Joey out of bath tub;
into pjs and teeth brushed.
Does not want to get out of
tub or brush teeth
'-1 '-1
10:00 p m Showers and gets ready for
bed; watches TV in room
Tries to get Joey to
bed...sings; hums, plays
James Taylor CD; reads
stories about the ocean
Wanders around room; does
not want to be in bed; rocks
and opens/closes dresser
drawers; Finally passes out
-'>/ -'>/
ll:OOpm Sleeping
12:00 am Sleeping in Joey's room Sleeping (Wakes up 2-3 times
each night. Pat sings to Joey
to help him fall back to sleep)
-'>/ -'>/
1:00am
2:00am
3:00am
4:00am
5:00am

My Calendar Calendar

Name: Joey Donovan Date: _1 0::...-19::...-..:::09 _
Day of Week: SUNDAY

DayTime Name: Mike Name: Pat Name: Joey
OK
Not
OK
Priority
6:00am Checks on Joey; feeds
animals; milks cows;
gathers eggs
Feeds dogs and cats; Prepares
food for Sunday dinner
Sleeping
--1
7:00am Time to have a cup of coffee
Prepares breakfast Waked up by Pat i
8:00am Eats breakfast with Pat Eats breakfast with Mike Runs around house eating
Pop Tart pieces/apple slices
...; ...;
Gets ready for Church Cleans up kitchen
9:00am Gets Joey ready for Church Does not help with getting
ready for Church
-y
Takes Joey outside Gets ready for Church Outside with Mike -y
10:00 am Drives family to Church Car ride to Church Enjoys car ride to Church
!1:00am Church Service (alternate
weeks going outside with
Joey)
Church Service (alternate
weeks going outside with
Joey)
Church service-longest is 30
minutes then parents alternate
being outside with Joey
--1
12:00 pm Drives home from Church Car ride home Enjoys car ride home -y
1:00pm Outside with Joey greeting
arriving family members
Preparing food/table outside
in nice weather
Outside playing in water
spigot/tries to go to creek
-y
2:00pm Sunday dinner with
extended family
Sunday dinner with extended
family
Eats while running around
outside; tries to go to creek --1 --1
3:30pm Outside with Joey Cleaning up after Sunday
dinner
Outside with Mike; playing in
water; hanging out
...;
4:00pm Outside with family Outside with family Outside with family -y
5:00pm Evening chores Helps with chores; waters
garden and porch plants
Outside with parents-goes
wild when Pat waters plants
-y -y

My Calendar Calendar

Name: Joey Donovan Date: 10-19-09
Day of Week: SUNDAY

Night
Time
Name: Mike Name: Pat Name: Joey
OK
Not
OK
Priority
6:00pm Finishing evening chores Cleans up Joey for supper Cleaned up by Pat for supper '-1
Cleans up for dinner Prepares light supper Plays in kitchen sink/faucet '-1
7:00pm Light supper with Pat Light supper with Mike Eats supper running around '-1 '-1
Checks on barn Cleans up kitchen Plays in kitchen sink/faucet '-1
8:00pm Helps Pat with Joey's bath Gives Joey a bath Bath time '-1
9:00pm Helps get Joey out of bath
tub and ready for bed
Gets Joey out of bath tub;
into 0s and teeth brushed.
Does not want to get out of
tub or brush teeth
'-1 '-1
10:00 pm Showers and gets ready for
bed; watches TV in room
Tries to get Joey to
bed...sings; hums, plays
James Taylor CD; reads
stories about the ocean
Wanders around room; does
not want to be in bed; rocks
and opens/closes dresser
drawers; Finally passes out
y y
11:00 pm Sleeping
12:00 am Sleeping in Joey's room Sleeping (Wakes up 2-3 times
each night. Pat sings to Joey
to help him fall back to sleep)
--
'-1
--'-
1
---1:
00am
2:00am
3:00am
4:00am
5:00am

Name of Child: of Child: Joe Donovan

Summary of Child's Present levels of Functioning:

Joey is a two year old little boy who lives on a farm with his mom and dad. His favorite thing in the universe is water. He enjoys being
outside as much as possible. He lets his parents know what he wants by taking them to it or squealing. When he is happy or excited he
smiles and flaps his hands. He bangs on the door or window to let them know he wants to go outside. Joey does not take naps and
sleeps intermittently during the night for approximately six hours. Joey eats well, including fruits and vegetables, but walks around
while eating and will not join the family at the dinner table. Joey can run fast, jump, and climb trees. He loves riding in the family
tractor and on the riding lawn mower. He hums during riding. His parents describe the humming as an expression of happiness and
contentment

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B. What is happening now:
Joey will not sit at the table. He walks to the table, takes food from his plate, and then eats it with his hands/fmgers while wallcing
around. The family likes to dine outside for Sunday dinners. If outside, Joey tries to run down to the creek and will not eat as well as he
does when inside.

C. Progress statement-How will we know we're making progress toward A; what will be different?
Joey will sit at the dinner table when the fumily dines inside.

Name of Child: Joe Donovan

Summary of Child's Present levels of Functioning:

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B. What is happening now:
Mike and Pat try to put Joey down for naps during the day, but have recently given up. At bedtime, if he goes down by midnight it is a
good night.

C. Progress statement-How will we know we're making progress toward A; what will be different?
Mike and Pat will establish a bedtime routine and get Joey to bed by 10:00 p.m. Mike and Pat will explore strategies for putting Joey
down for naps and choose an approach that they can both agree upon.

Name of Child: of Child: Joe Donovan

Summary of Child's Present levels of Functioning:

Joey is a two year old little boy who lives on a farm with his mom and dad. His favorite thing in the universe is water. He enjoys being
outside as much as possible. He lets his parents know what he wants by taking them to it or squealing. When he is happy or excited he
smiles and flaps his hands. He bangs on the door or window to let them know he wants to go outside. Joey does not take naps and
sleeps intermittently during the night for approximately six hours. Joey eats welincluding fruits and vegetables, but walks around while
eating and will not join the family at the dinner table. Joey can run fast, jump, and climb trees. He loves riding in the family tractor and
on the riding lawn mower. He hums during riding. His parents describe the humming as an expression of happiness and contentment

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�.���JA lll'l\ If�w . i w[itel:.th !iiti4 .a b� se f,apts.�
�

':-, i;�' '! -:;�'

B. What is happening now:
Joey goes wild around water. He splashes, spills, and sprays the water. With the garden hose, Joey will spray it everywhere and chase

after his parents or cousins once he gets the water turned on. Joey also will fixate on the faucets turning them o:ffi'on for up to 45

minutes, until Mike and Pat have to physically pry him away.

C. Progress statement-How will we know we're making progress toward A; what will be different?
Joey will play in the water with more control as not to damage the house or garden area and will stop chasing people with water. Joey
will learn how to transition from a water play time to doing other things without tantrums.

Name of Child: Joe Donovan

Summary of Child's Present levels of Functioning:

Joey is a two year old little boy who lives on a furm with his mom and dad. His favorite thing in the universe is water. He enjoys being
outside as much as possible. He lets his parents know what he wants by taking them to it or squealing. When he is happy or excited he
smiles and flaps his hands. He bangs on the door or window to let them lmow he wants to go outside. Joey does not take naps and
sleeps intermittently during the night for approximately six hours. Joey eats well, including fruits and vegetables, but walks around
while eating and will not join the family at the dumer table. Joey can run fast, jump, and climb trees. He loves riding in the family
tractor and on the riding lawn mower. He hums during riding. His parents describe the humming as an expression of happiness and
contentment

B. What is happening now:
Mike and Pat have tried to explain Joey's autism with theu� family members and friends, especially Joey's grandparents. Mike and Pat

feel that they think Joey just has behavior problems and the parents don't make him do anything he doesn't want to do.

C. Progress statement-How will we lrnow we're making progress toward A; what will be different?
Mike and Pat will have accessed resources and supports to be able to bring up this topic with Joey's grandparents (both sets) and share
with them their feelings about how the grandparents have responded to the information they've shared in the past.

EI Service
Code
Service
Provider
Related to
Outcome#s
Frequency/Intensity Start Date EndDate I
OT CG 1-4 26, 1 hour visits 10/20/09 1/20/10
ECSE KC 2 2, 1 hour visits 10/20/09 1120/10 I
SLP
--
SR
--
1,3
--
3, 1 hour visits
------c
10/20/09 1/20/10
-�--I