4/4- Basic structure within the therapeutic process Flashcards
What are the three management concepts?
time frames for tx.
individual vs. group tx.
heterogeneous vs. homogeneous groups
In terms of time frames for therapy, what is frequency of therapy?
How often seen…
- weekly–once, twice
- monthly–once, twice
- consultation…
In terms of time rams for therapy, what is duration of therapy?
how much time per session
15, 20, 30, 45, 60 minutes…
What are the frequency and duration indicators?
- type and severity of the client’s s/l disorder
- customary practices in the service facility (i.e.: 5d/wk vs. 2x/wk)
- client’s tolerance and stamina for frequency and duration of tx.
What are frequency and duration factors?
- schedule sessions to optimize effectiveness of therapy
- coordinate S/L services with other services
- allow time for indirect services (paperwork, evals, conferences, and breaks)
- Client’s support system to help with tx. needs
- client’s financial resources for paying for S/L services
- Time requirements of the specific programs or techniques needed to accomplish the client’s goals
- model of services
What are the different models of services?
pull out: taken out of typical setting
collaborative: working with the teacher in the classroom, teaching class
consultatie: talking to others (parents, teachers, professionals)
pull-n (push-in): in the classroom w/ just the client
special classroom: SDC
What are the different types of tx. that can be done? (e.g alone, w/ others)
individual
group
combo
What does homogeneous and heterogeneous mean?
homogeneous: same
heterogeneous: different
give an example of homogeneous group therapy
e.g., all kids w/ social pragmatic disorder, stuttering group, language group, etc…
Give an example of heterogeneous group therapy.
Putting a child w/ language disorders w/ a child who has a distorted /s/
What are the components of a therapy session?
intro
body
closing
What does the intro do?
sets the stage
describe the intro
- takes no more than 2-3 minutes
- greeting and rapport
- review of previous session
- collection of homework
- 2-3 minutes goes quick!!
Describe the body
where actual work occurs
24-26 minutes of a 30 minute session
establishment phase
teaching phase
In the body, what occurs during the establishment phase
- state the intended objective for each client
- mini demonstration of what you want to happen
- get a baseline of their skills
- start work from baseline
** you want to do these steps b/c you want to be able to catch regression/recoupment
When does regression/recoupment occur?
if time between sessions is to great
client loses ground on success gained @ end of session
If regression/recoupment occur what does the SLP do?
must reteach skills–use data to determine level of tx.
SLPs must adjust tx plans to accommodate R-R in some clients
What are the body guidelines for establishment?
- maintain a “minutes matter” attitude–establish baseline levels as quickly as possible
- objective is to determine the best baseline level-never any correction of client responses or teaching
- document how much the client regresses between sessions (learning)
- establishment is the place to begin therapy… BASELINE!!!
In the body-teaching phase.What are the tools used to teach?
-corrective verbal feedback regarding error response
demonstrate, model, and practice skill at lower levels
use others in session to add peer modeling
use successive approximations or shaping techniques
reinforcement
What occurs in the closing phase?
2-3 minutes
review the sessions objectives
summarize the client’s performance
homework
rewards & dismissal
