Thought you would enjoy hearing Madeline's progress report for her 18-month review. This was written over a month ago, so even since then we've seen progress!
"Madeline continued to demonstrate tremendous progress with her communication skills over the past couple of months. She was observed to imitate some basic signs seen in play (i.e. more, ball, bunny, monkey, cow, elephant, apple, dog, fish, car, baby, etc), and she was observed to use gestures/signs independently in response to verbalizations (i.e. Give me a five, Give baby a kiss; So big, dog, fish, Good girl, Mommy, Hi, Daddy, etc.). Madeline held her hands up high while therapist sang "Twinkle, Twinkle, Little Star," and she was observed to participate in movements/gestures of some other familiar songs/finger plays (i.e. "One little fishy swimming in the water" and "Pat-a-cake") Madeline has been observed to spontaneously sign ball and monkey. She tolerated hand-over-hand assistance to sign labels to familiar objects, and she was noted to intently watch the speaker's mouth during communication exchanges. Madeline also attended to picture books as therapist labeled pictures and talked about actions in pictures."
Today's speech therapy report says that she imitated these signs while looking at a book: train, horse, thank you, car. She also "was observed to blow raspberries to obtain therapist's attention in play." She signed "star" in response to verbalization of the word. "She also appeared to say 'thank you.'"