I have 4 1/2 year old girl with multiple challenges. She was born very prematurely and has the deficits that go along with that. She takes all nutrition via GT. She has some trunk control but no leg control and very little arm control. She has no verbal language but communicates some with vocal sounds or actions (clearing the desk top). One of her goals (diligently written by an SLP who has since moved on!) is to use a switch to communicate in 4-5 activities per day! Other than rote responses to stories ("I think I can") or songs ("all through the town"), I am stumped. I need ideas. The new SLP has just passed this on to the associates to document these uses but did not give us us any specifics. The girl's use of switches is very random. I think she gets it sometimes because the associates puts it rightin front of her face. Any ideas? I might add that this child's to a private clinic for OT, PT, SLP, VI also. They have a very nice new facility with all the latest equipment. And this child works on these skills in isolation. The mom expects the school to duplicate these services. We can't but it seems like I am left to communicate that to mom instead of the OT, PT VI or SLP. I guess this is realy enough for 2 posts. THanks.