Search
  • Swank Early Skills Development

Milestones: Meet Carter, Our 6-Year Old Client Who’s Communicating in Phrases for the First Time



PLEASE NOTE: Names in this article have been changed to protect the identity of the client and his mother.


At two and a half years old, Carter’s speech was limited to one-word sounds and responses. At the time, his pediatrician wasn’t overly concerned and told his mom, Diane, to watch his speech until he was three. When he turned three and his speech had still not progressed, she knew something wasn’t right.

Before ABA Treatment

Up until he turned three, Carter’s language didn’t progress beyond one-word responses. He wasn’t able to communicate in phrases or ask for the things he wanted and needed. Realizing that his biggest struggle was speech and communication, Diane tried traditional speech therapy.

While hopeful, Diane quickly saw that Carter had no interest in speech therapy and wasn’t able to attend to what the therapist was saying or doing. He wasn’t interested in other cognitive tasks like matching. He also couldn’t point to an object and name it the way a developing toddler would point to a crayon and say the word ‘crayon’.

Communication challenges often lead to behavior challenges in most children with developmental delays, which is what occurred in Carter’s case.

“I could see the frustration building up inside him when he couldn’t ask us for something he wanted or needed,” Diane said.

After trying different therapies without any luck, she trusted her instinct. Diane looked for a doctor who would give her insight into why her son was facing these communication challenges and how to best help him. She had Carter observed by the Capital Area Intermediate Unit, an educational resource in Central PA. With their support, she found a doctor who diagnosed Carter with autism, which didn’t come as a surprise.

Carter Began Progressing Towards Milestones Quickly After Beginning ABA Treatment

With Carter’s newfound diagnosis, Diane was able to get him better support to treat his specific needs. The doctor who provided the diagnosis gave her a list of recommended autism support resources, and Swank Early Skills Development was at the top of the list.

Carter began working with us three afternoons per week for four hours each session. He was supported with intense Applied Behavioral Analysis, or ABA, interventions to build his communication skills and motivate him to learn and expand his speech capabilities. In Carter’s case, we used positive reinforcement and rewards during each intervention.

The Swank behavior therapist designed each therapy session as a mix of reading, playtime and structured activities, all of which worked to build Carter’s communication and developmental skills. Activities he enjoyed, like reading, followed the more structured activities to keep Carter engaged and motivated. He had tantrums when the sessions first started, but over time they lessened and his behavior issues subsided.

“He definitely worked towards receiving the fun reward,” Diane said. “Sometimes it was playtime and other times it was a snack. He adjusted to the sessions faster than I thought he would. At first, he wanted to escape and would try to come find me. But then he adapted to the routine. Eventually, he was excited to see his behavior therapist each day.”

Thanks to His ABA Interventions, Carter is Speaking in Phrases and Ready for School

After two years of intense ABA interventions, Carter is up to speaking phrases rather than single words. As his communication skills have improved, so too have his behavior issues.

“His sessions have reduced some of his frustration and we’ve noticed his behavior issues subside a bit,” Diane said. “Now he can tell us what he wants, for the most part. He also became interested in playing. He’ll throw a ball with his sister in the backyard – something that would not have happened before ABA and his work at Swank.”

Carter is now school-ready, as well. He’s enrolled in an autism classroom with a few teachers who help him continue working towards new milestones while maintaining the progress he’s made.

“Swank prepared him for Kindergarten,” Diane said. “I’m very happy with his progress.”

Carter is just one of our many clients who have experienced the incredible benefits of ABA. We welcome you to explore the benefits that a center-based ABA intervention approach can bring to your child’s development. Contact us today.

29 views

Swank Early Skills Development

1630 Manheim Pike

Ste 2, Box 16  

Lancaster, PA 17601             

Lancaster Office and Center:

8am to 5pm - Monday through Friday*

717-945-6491

Home and Community Service Hours:

8am to 5pm - Monday through Friday**

Follow Us:

  • Facebook - Black Circle
  • Black Instagram Icon

* Due to the current pandemic and the need to keep Employees and Clients safe, please call for an appointment before coming to our offices so we can be prepared and use precautions.

** Where the client’s home or place of service is located within a county that the PA Health Department has classified as in the “Green” Phase, we are currently providing one on one client intervention services using Health Precautions, including that it is mandatory for all household members to be in good health and free of any symptoms of Covid-19 or any other contagious illness such as the flu, stomach flu, etc.

© 2020 by Swank Early Skills Development, LLC. 

Privacy Statement: Images do not depict actual patients.