clinical processes pt.2 -Intervention Fall 2010 Jill Hunt-Thompson

identify communication status
(see: case hx, interview, dx reports, tx reports)
screen/assess: phonology, language, voice, fluency, audition, behavior, OPE

see to administrative responsibilities:

review file
meet with supervisor
schedule tx room
orientation group w. clinic director

pre-treatment interview:

review case hx, interview and assessment and think of questions that will:
get missing info
discuss new concerns
find out client/parent goals for tx
DO NOT ask about birth hx

tentative treatment focus

consider: Norms, Parent preference, Assessment data, Stimulability, Psycho-social impact, Impact upon communication, Frequency of occurrence, Consistency of error

pretest/baseline

must be valid/reliable and measurable/observable

L.U. in ___ position with ___ level of model (be specific) using ___ materials client was able to perform / / at ___ % accuracy in __ trials.

phoneme, syllable, word, phrase, sentence, monologue, conversation

to verify and confirm the treatment target
to identify the 1st step in tx process
to provide data for pretest/postest
to provide documentation of client status

Q.T.O.

Complete modeling -“say X”
Delayed modeling -“X, now you say it.”
Verbal prompting -provide detail= specific evidence: Instruction, Placement instruction (put tongue on the roof of mouth and blow…), Visual cues : pics, placement pics, mirror, toys, Tactile cues: touch cues w. prompt fading, /s/ prompt w. finger running down arm like a sssssssnake

Q.T.O.
e.g., The client will say /sh/ in isolation given verbal instructions and complete model with visual cues (e.g., mirror, clinician puts finger to her own lips and makes a “’shhhh’ quiet” demonstration) with 90% accuracy in 20 trials within one session