Communication deficits associated with ASD including impaired pragmatic language, reduced joint attention, and difficulty with social reciprocity and narrative cohesion.
[Caregiver/Teacher] reports patient [demonstrated/struggled with] [social communication/pragmatic language/joint attention/conversational reciprocity] this week. Specific observations: [initiated interaction with peer/difficulty reading social cues/echolalia increased/decreased/stable]. Home communication strategies: [being used consistently/inconsistently]. Behavioral incidents related to communication breakdown: [number/description].
Standard subjective for autism-SLP session
Current communication system: [verbal/AAC device/PECS/combination]. New communication behaviors observed: [novel word combinations/spontaneous requests/eye contact changes]. Environmental changes affecting communication: [new classroom/staff change/routine disruption/new sibling]. Therapy attendance: [consistent/missed X sessions].
Use for context updates
Targeted [pragmatic language/joint attention/social reciprocity/narrative skills/conversational repair] during session. Spontaneous communicative acts: [X] in [X]-minute sample. Communication functions observed: [requesting/commenting/protesting/greeting/responding]. Turn-taking exchanges sustained: [X] turns. Topic maintenance: [X] exchanges before topic shift. Joint attention episodes: [X] initiated, [X] responded to. Prompting level: [independent/gestural/verbal/physical] for [target skill].
Communication data collection
During structured peer/clinician interaction: eye contact [fleeting/functional/absent], facial expression reading [X/Y] correct identifications, perspective-taking responses [X]% accuracy, figurative language interpretation [X]% accuracy. Repair strategies used when misunderstood: [repeated/reformulated/gestured/gave up]. Scripted vs. spontaneous language ratio: approximately [X:Y].
Use for social communication probes
Patient is making [excellent/good/slow/limited] progress toward social communication goals. [Pragmatic language/joint attention/conversational skills/AAC use] has [improved/remained stable/regressed]. Spontaneous communication [increasing/stable/decreasing] in frequency and complexity. Generalization across communication partners: [emerging/limited/established]. Current functional communication level supports [basic needs/simple social exchanges/complex social participation].
Standard assessment
Continue SLP services [X]x/week targeting [social communication/pragmatic language/AAC/conversational skills]. Next session: [specific activity/skill target]. Introduce [social story/video modeling/peer-mediated activity]. Coordinate with [BCBA/OT/teacher] regarding [communication supports across settings]. Parent training: [modeling strategies/communication temptations/wait time]. AAC programming update: [add vocabulary/modify layout/increase complexity].
Standard plan
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