4/4- Basic structure within the therapeutic process

Question 1

What are the three management concepts?

Answer 1

time frames for tx.

individual vs. group tx.

heterogeneous vs. homogeneous groups

Question 2

In terms of time frames for therapy, what is frequency of therapy?

Answer 2

How often seen…

• weekly–once, twice
• monthly–once, twice
• consultation…

Question 3

In terms of time rams for therapy, what is duration of therapy?

Answer 3

how much time per session

15, 20, 30, 45, 60 minutes…

Question 4

What are the frequency and duration indicators?

Answer 4

• 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.

Question 5

What are frequency and duration factors?

Answer 5

• 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

Question 6

What are the different models of services?

Answer 6

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

Question 7

What are the different types of tx. that can be done? (e.g alone, w/ others)

Answer 7

individual

group

combo

Question 8

What does homogeneous and heterogeneous mean?

Answer 8

homogeneous: same
heterogeneous: different

Question 9

give an example of homogeneous group therapy

Answer 9

e.g., all kids w/ social pragmatic disorder, stuttering group, language group, etc…

Question 10

Give an example of heterogeneous group therapy.

Answer 10

Putting a child w/ language disorders w/ a child who has a distorted /s/

Question 11

What are the components of a therapy session?

Answer 11

intro

body

closing

Question 12

What does the intro do?

Answer 12

sets the stage

Question 13

describe the intro

Answer 13

• takes no more than 2-3 minutes
• greeting and rapport
• review of previous session
• collection of homework
• 2-3 minutes goes quick!!

Question 14

Describe the body

Answer 14

where actual work occurs

24-26 minutes of a 30 minute session

establishment phase

teaching phase

Question 15

In the body, what occurs during the establishment phase

Answer 15

1. state the intended objective for each client
2. mini demonstration of what you want to happen
3. get a baseline of their skills
4. start work from baseline

** you want to do these steps b/c you want to be able to catch regression/recoupment

Question 16

When does regression/recoupment occur?

Answer 16

if time between sessions is to great

client loses ground on success gained @ end of session

Question 17

If regression/recoupment occur what does the SLP do?

Answer 17

must reteach skills–use data to determine level of tx.

SLPs must adjust tx plans to accommodate R-R in some clients

Question 18

What are the body guidelines for establishment?

Answer 18

1. maintain a “minutes matter” attitude–establish baseline levels as quickly as possible
2. objective is to determine the best baseline level-never any correction of client responses or teaching
3. document how much the client regresses between sessions (learning)
4. establishment is the place to begin therapy… BASELINE!!!

Question 19

In the body-teaching phase.What are the tools used to teach?

Answer 19

-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

Question 20

What occurs in the closing phase?

Answer 20

2-3 minutes

review the sessions objectives

summarize the client’s performance

homework

rewards & dismissal