EXAM 2 - Ch. 6 Basic Structure within the Therapeutic Process

Question 1

What are three management concepts related to therapy structure?

Answer 1

1. Time frames for therapy
2. Individual versus group therapy
3. Heterogeneous versus homogenous groups

Question 2

What is “frequency of thearpy”?

Answer 2

How often a client is seen

Question 3

What is “duration of therapy”?

Answer 3

How much time per week a client is seen (typically in minutes)

Question 4

What does the frequency and duration for each client depend on? (AKA frequency and duration indicators)

Answer 4

a) Type and severity of client’s S-L disorder
b) Customary practices in the service facility
c) Client’s tolerance and stamina for tx.

Question 5

What three factors must you consider when scheduling frequency and duration? (frequency and duration factors)

Answer 5

1. Schedule sessions to optimize effectiveness of tx
2. Coordinate speech and language services with other services
3. Allow time for indirect services (paperwork, evals, conferences, & breaks)

Question 6

What four more additional factors for frequency and duration of therapy?

Answer 6

1. Client’s support system
2. Client’s financial resources
3. Time requirements needed for specific program or techniques.
4. Model of services

Question 7

What are the four model of services?

Answer 7

1. Pull-out
2. Collaborative
3. Consultative
4. Pul-in (push-in)
5. Special day class

Question 8

What are pull out services?

Answer 8

Take client out of typical setting (such as the classroom)

Question 9

What are collaborative services?

Answer 9

working with the teacher in the classroom

Question 10

what are consultative service?

Answer 10

talking to others, such as parents, teachers, and other professionals to address the needs of the client on a limited direct contact basis.

Question 11

what are pull-in services? (AKA push-in)

Answer 11

occurs in the classroom in which the SLP works individually or in a small group with the student.

Question 12

Besides individual tx, what are the other two types?

Answer 12

• group

- combination

Question 13

what are the two types of group therapies?

Answer 13

Homogenous and Heterogeneous groups

Question 14

What is homogeneous group tx?

Answer 14

therapy groups in which all clients are working on the same or similar objectives.

Question 15

What is heterogeneous group tx?

Answer 15

therapy in which all clients are working on different objectives, often from different disability categories (semantics, fluency, etc…)

Question 16

What are the three basic components of a therapy session?

Answer 16

a) intro
b) body
c) closing

Question 17

What components make up the intro of a session?

Answer 17

• Greeting and rapport
• Review of previous session
• Collection of or mentoring of homework

Question 18

How long should the intro be?

Answer 18

2-3 minutes!

Question 19

What components make up the body of a session? (where the actual work occurs)

Answer 19

• establishment phase
• eliciting and recording phase
• teaching phase

Question 20

About how long should the body of a 30 minute session be?

Answer 20

24-26 minutes

Question 21

What four things occur in the establishment phase of the body of a session?

Answer 21

1. state the objective
2. mini-demonstration
3. baseline of client’s skills
4. start work from baseline

Question 22

why are the establishment steps important?

Answer 22

so that you can catch regression-recoupment

Question 23

what is regression-recoupment and why does it occur?

Answer 23

a) the success that the client gains in therapy wears off between sessions.
b) occurs if the time between therapy sessions is too great.

Question 24

What does the SLP have to do if regression-recoupment occurs?

Answer 24

1. Must reteach skills. Use data to determine the level of treatment.
2. Must adjust treatment plants to accommodate regression-recoupment in some clients.

Question 25

What are the four guidelines for “establishment”?

Answer 25

1. Minutes-matter attitude; establish baseline as quickly as possible.
2. Objective: to determine the best beginning level of work for the session; there should be no teaching or correction in establishment.
3. Document how much the client seems to regress between sessions.
4. Establishment is the place to begin tx; i.e., baseline phase

Question 26

What are five “tools” for teaching?

Answer 26

• Provide corrective verbal feedback regarding errors
• Demonstrate, model, & practice the target at the established beginning level.
• Use others in the session for peer-modeling.
• Reinforce client’s responses on a predetermined schedule of reinforcement.

Question 27

What components make up the closing of a session?

Answer 27

• Review of the session’s objectives
• Summarize client’s performance
• Homework
• Rewards and dismissal

Question 28

How long should the closing part of the session last?

Answer 28

2-3 minutes.