The Occupational Therapist informed me that Jake is at or beyond his age in this department, using his right hand 95%+ of the time, using forks and spoons, doing well with his signs, and using a 4-finger pincher grasp when coloring. He is drawing, but his goal is to make the plus sign and a complete circle on his own - things that a normal 4 year-old would be attempting to do. She says he does pretty well with the scissors, and LOVES to cut things (so hide the scissors at home!), but he can't quite do a straight line all by himself yet. She said another goal was getting him to button and un-button things.
The Physical Therapist reported that Jake is quite the runner (bahahahahaha! - ya think?? ) and has escaped from the playground area a few times. But they're working on getting him to actually listen to instructions and follow them. She said that he's stopped a couple of times when they called to him, which in my estimation is a HUGE improvement over the last 12 months. She said that he's only used the toiled 1 time, so there is lots of improvement there. I explained that Jake does quite well when he's buck nekkid, but the minute you put clothes on him, the reverts. So, that will be another thing we will continue to work on.
Speech Therapy was actually better than expected. He's enunciating several of his vowels, signs several words, and is making slow progress. I asked if they thought there were issues with his ears, and the ladies all agreed that he listens to instruction. We decided that his issues are primarily due to stubbornness (go figure!)
Jake is now learning his colors in sign language, follows simple instructions, and they are working on giving him 2 sequential instructions to follow, which he does occasionally.
He's extremely cognisant of the feelings of others, and will hug anyone who is sad, and try to care for anyone having fits or crying.
All in all, I'm thrilled with his results. He's at, or above age in everything except for speech, and even in that area progress is occurring. Yay, Jacob!!