Initial Assessment: Conduct a thorough evaluation of the child's baseline abilities and needs. Goal Setting: Collaborate with the child, family, and multi-disciplinary team to set specific, measurable, attainable, relevant, and time-bound (SMART goals). Scaling: Define a scale for each goal, typically ranging from -2 to +2, where 0 represents the expected level of achievement, -2 indicates much less than expected, and +2 indicates much more than expected. Monitoring and Review: Regularly review and adjust goals as necessary, based on the child's progress and changing needs.