Outcome:

Why is this important? (so that...)

How will you know you have met your outcome?

Routine:

Skills Needed to Work on This Outcome
What's already working?

What skills does child need to work on this outcome?

What environmental supports/adaptations would enhance this outcome?

What skills/support does the family need to work on this outcome?

Possible Learning Opportunities/Activities
What possible opportunities exist within the routine or environment for meeting this outcome?