I would ask for a vision consult to determine placement in the classroom and for your individual therapy. You need to know the distance at which to hold objects/pictures, the size of objects/pictures, if glare is a problem and if items need to be held center, left, right, up, down. Once you have this information, use photos to show him what you are going to do (toy, song, circle time, etc) to provide visual support and teach him that the photo represents the item or activity. Start to build a toy bag which contains items that represent sounds. For example, a boat could make the b-b-b-b sound. A firetruck makes the o-o-o-o-o sound. A cow makes the m-m-m-m sound. I tell parents that we will do this activity hundreds of times and sure enough, the child begins to pair the object with the sound and attempts an imitation.
You could try some babble play with a large mirror, introduce songs/fingerplays. Try pausing between verses to see if he orients to you or gives you a reaction to get you to continue the song. Encourage every adult to imitate his vocalizations. Try some switches (photo on the switch paired with voice output) in a group activity to give him a way to respond in the group
« Back to index