They laughed at him, mimicked his speech and called him names. One day during outdoor play, Riccardo tried to talk to friends because he wanted to play a game of chase with them; one boy pushed him out of the way and when he began to fall another child pushed him the other way, Riccardo was taken to the ER, a bone in his arm was cracked and dislocated due to the impact he received from being pushed by the two boys. Riccardo had screws and stitches put in later returned to school with his injuries as he learned how to use one arm until the other arm got better.
Present Level of Academic Achievement and Functional Performance: Matilda is very happy with the outcomes, and said that the hardest part was the paperwork. His therapist communicated with mom about what was normal and what she was working on with Riccardo, the role of the mouth and the tongue and what activities and skills he needed to practice. The Speech therapist was very accommodating in working with the child at school in his learning environment and collaborated with teaching staff in meeting Riccardo’s goals. Matilda saw the importance of making sure no sessions were