Chapter 7 Peripheral Speech-Language Therapy Management Issues Flashcards
How do I get a caseload?
SLPs at a school usually “inherit” a caseload and then dismiss and add clients with time.
SLP at a hospital may “inherit” some ongoing clients and take on daily tasks (i.e. swallow evals that are new)
CFY may start out with no clients in a clinic and then
- add new clients as they are referred
2. Add clients as you complete assessments and the client qualifies.
What do I use for materials management?
Standard Materials- should be provided by your employer.
Paper/pens Tongue depressors Pen light Tissues Mirror Alcohol/hand sanitizer Gloves
What are basic therapy materials?
Books for all ages Toys for various ages and developmental stages Magazines Newspaper Hobby books, cook books etc. Reinforcers/rewards
How do I get stuff to use in schools?
Schools: You will also “inherit” materials. However, you will bring some of your own and you will add as you need materials for specific clients. 1. photocopies in file folders. 2. Outdated 3. The last SLP bought them herself! 4. tests Basic Tx kit: Figure 7-2.
How do I get stuff to use in hospitals?
Hospitals- depends on what your case load is…
- bedside swallow evals
- Modified barium swallow evals
- Rehab clinic
- Out patient client
How do I get stuff to use in clinic?
Clinic- will most likely have a closet of materials, either individually or collectively. You will most likely also bring your own materials.
Use of games in Tx
Be sure game is designed to address the goal/objective.
Help client remain focused on the communication event being addressed rather than concepts of game.
Choose games that have no specific rules to best serve goals.
Make game functional in group sessions and remove competition.
Learn to adapt game any ways possible to (a) increase the numbers of opportunities for clients to respond, (b) eliminate the element of competition, and (c) decrease wasted time.
What are 3 suggested changes for games?
- eliminate secondary references for actions to be taken in the game
- use on game board, one die or spinner, and only one game piece
- Further remove the competition by allowing all clients to perform during everyone’s turn
Schedule- Who goes where and when
When scheduling consider- Nap time, school hours, doctor appointments, your lunch, your bathroom breaks, how many clients and what type back-to-back, library/recess/lunch time, and how much time do they have?
How much time do they get?
30-minutes 45-minute or 60-minute blocks.
California public schools use the Communication Severity Scale (CSS) – a system that helps determine what two things?
1) presence of an impairment.
2) amount of time for treatment.
Client files and Documentation. What are they and how do you maintain privacy
Client Files: folder or file for each client.
Keep files under lock and key – includes
assessment and informed consent data.
Follow procedure of the work environment.
How can you create the therapeutic environment ?
Physical and psychological climate designed for client’s
maximal involvement.
Develop the context for Tx.
- Seating arrangement.
- Room size.
- Furniture type.
- Temperature.
- Lighting.
- Noise level.
Think of certain clients who may be susceptible to
certain colors, lighting, and sounds.
Treatment plane are based around what?
Style may vary but plans are based around goals/objectives.
Schools = IEP.
Clinic = SOAP notes/Lesson Plans.
Working file or daily chart should include?
Service date for Tx. Attendance. Goals/objectives. Client performance data. Recommendations for next session. Conversation with caregivers.
