Clinical Observation Flashcards
Artistry
Therapeutic Interaction
highly responsive and fluid exchange between clinician and client during therapy
Task Analysis
tasks or skills that are broken down into component parts in order to help your client learn the parts separately and then put the parts back together again to demonstrate the target
Interpersonal Communication Skills
personal behaviors or interactions used to engage with others
Therapeutic Specific Skills
core professional skills needed for effective speech-language therapy/skills specific to the act of providing speech-language therapy in a manner that is conducive to effecting communicative improvement in clients
Therapeutic Mindset
mental disposition/attitude that determines the SLP’s responses to interpretations that occur in therapy sessions
Facilitation Skills
skills that promote student/client learning
Variables with Negative Impact on Client Behavior
Nonverbal Behaviors
eye contact, facial cues, proximity, and body language
Affective Behaviors
feelings, emotions, mood, and temperament associated with thought
Time on Task
the actual time that clients are attending to a learning task and attempting to learn
The Therapeutic Process
using broad-based professional procedures, activities, and interactions with clients designed for the intervention of communication disorders
Trust
must be earned and garnered through the SLPs efforts in providing the highest quality and best services possible to the clients that you are serving
Federal Laws
The Education for All Handicapped Children Act (EHA) (PL 94-142), 1975
EHA Amendment: Preschool and Infant/Toddler Programs (PL 99-457), 1986
Improving America’s Schools Act
IDEA Amendment: Individuals with Disabilities Education Act (PL 105-17), 1997
EHA Amendment: Individual with Disabilities Education Act (IDEA) (PL 101-476), 1990
Goals 2000: Educate America Act (PL 103-85), 1993
No Child Left Behind (NCLB) Act (PL 107-110), 2001
IDEA Amendment: Individuals with Disabilities Education Act (PL 108-446), 2004
State Laws
System Models
Objective: involves looking at the environment and the client’s performance in that environment (how do they function at home, in a classroom, out amongst different cultures, in a structured therapy session, etc.)
Characteristics of model: equal responsibility with the client’s behavior to be in the client and in the environment
Pros: in some cases, environmental issues are very important and can be resolved
Cons: not too many cons with the system model
Behavioral Models
Objective: allow for improved communication performance, emphasis on task performance, observe specific behaviors as they pertain to learning
Characteristics of the model: can collect baseline data, ask yourself how well they perform the behavior now w/ the purpose of designing interventions to either increase or decrease that behavior
Pros: allows us to go around a disease
Cons: the problem is not always simply just in a client’s behavior
Medical Models
Objective: a portion of the medical model involves the classification and explanation of behaviors and/or symptoms
Characteristics of the model: look @ symptoms to isolate the type of illness/disease
Looking for a cause
Pros: can collect a lot of data in a short amount of time
Cons: not all communication problems are disease based
Data Collection
the recording of client responses during the therapeutic session.
Interobserver Reliability
how well different judges/observers agree with each other.
Intraobserver Reliability
how well a judge/observer agrees with themselves in repeated viewings.
Test/retest Reliability
stability of measurement
Split Half Reliability
involves the internal consistency of the measurement
Recording Systems
Portable audio tape recording: increase reliability and validity, sometimes they cause behavioral changes in clients if they know that they’re being recorded (try to do it without the client knowing/as conspicuous as possible
Video recording: increase reliability and validity, but it can be distracting
On-line recording: most convenient but can reduce accuracy