I have also posted this in Chat, but not getting much response there so I thought I'd try here 
I've just had the report back from 3.4 year old DS2's speech therapy review. Overall it is positive & he has made loads of progress on the expressive language side, but one of his 'next steps' is to be able to follow instructions more & to identify items on pictures.
At home, I find that he will follow instructions such as putting shoes on, going on potty for a wee, take plate into kitchen etc. When out & about he will stop when asked (sometimes more than once) & will get off his scooter to cross the road etc. This is great but they are all 'regular' instructions, so I wonder if it's the context he understands more (certainly it helps him out).
I think he seems to be good with 'functional' instructions but not so much at instructions to do an activity which is not one he wants to do.
At the SALT review, the therapist had an animal wooden peg puzzle & was asking DS to find different animals. He didn't find the ones she wanted, but did pick out others that interested him & named them. She also had some animal figures & again asked him to pick out certain animals & put them back in the bag. Again, he didn't do this but chose ones he liked. He was distracted a little by other toys that he saw, such as some bubbles, so I don't think this helped. She said this could be a cause for concern when he goes to school next year, as if he won't follow instructions & join in class activities he will not learn & progress.
I have some ideas such as repeating these activities with him at home, but I wonder if anybody else has more ideas please? He has just (yesterday) started preschool every afternoon, which I think will help hugely as he will get into a good routine, plus there are only 11 DC for 4 adults, so he will have a lot of attention from his keyworker.
For information, autism has been mentioned & he is seeing a paediatrician in November, plus has had all relevant hearing tests so it's not really the cause I'm after advice on, just any ways we can help him at home/preschool.
TIA smile