I apologize for this follow up message. I was informed that one client case is not clear. Please review the following change. The recommendation and plan should suggest trial instead of stating iPad should be purchased because if no progress, it will get back to me why it does not work or why I recommended.

 
Current Status: The goal of this AT the consultation request is to explore whether or not a touchscreen device will increase DIR ability to learn and study. is DIR is working on eye-gaze or Speech Generating Device (SGD) to select an object of choice and demonstrate appropriate answers. Her instructor, Ms. Penic, stated that DIR is showing some correct responses when she works with apps on an iPad or a cause-and-effect activity on an iMac system. However, Ms. Penic stated that she does not have educational software is available on the iMac system. DIR has many days of absences, and this has impacted her progress. The school speech language pathologist, Dr. Br. showed the evaluator a video of how  DIR can involve in activities on an iPad. From the video, it was observed that was able to focus on the screen of the iPad and engaged in the activities on an iPad.
 
Recommendations: On the day of the evaluation, an a touchscreen tablet (iPad), a touchscreen laptop, a mounting system, and a stand for the touchscreen tablet (iPad) were introduced. DIR  came late and seemed to be tired and hungry. She was asked to work on an activity with prompts and with hand-over-hand assistance from her instructor. In spite of her health condition on that day, she was able to sit in her activity chair for a long period of time to work on the activities (ReacTickles - Interactive Software Designed with Children on the Autism Spectrum Disorder and Multiple Disabilities). She occasionally touched the screen with her left hand independently. Based on the observation, the touchscreen tablet (iPad) provided her with better accessibility to work on activities than the touchscreen laptop, and the apps on a touchscreen tablet (iPad) helped DIR engage in activities. In addition,  DIR can benefit from using a stand or a mounting system to place the touchscreen tablet (iPad) in a secure position and an accessible position from her activity chair. 
Plan: The school team members will evaluate the use of a touchscreen tablet (iPad) with appropriate educational apps will increase DIR's performance in Social Skills, Life Skills, and Communication Skills, and observe how the touch screen device can help DIR access the curriculum in a general education classroom, and determine if the device will be beneficial for school team members to develop Individual Learning Plans (ILPs) for DIR.