Lecture 1

Question 1

What is the purpose of intervention

Answer 1

To change the behaviour of the client

To change the environment

Question 2

Explain changing behaviour with regards to intervention

Answer 2

• establish new behaviours
• increase frequency of wanted behaviours
• strengthen and sustain behaviours (maintance and generalization)
• reduce frequency of inappropriate behaviours
• teach compensatory strategies

Question 3

Explain a change of environment with regards to intervention

Answer 3

• change behaviour of caregiver

- physical adaptations (tennis balls under the chairs)

Question 4

What are the five essential clinical skills

Answer 4

Programming
Behaviour modification
Key teaching strategies 
Session design
Data collection

Question 5

Programming

Who establishes the goal or therapy targets?

Answer 5

The SLP

Question 6

Programming

How is the target or goal selected

Answer 6

Decision is based on assessment 
AND
Developmental norms
Client specific info 
--frequency of target
--importance of target
--stimulability

Question 7

Programming

Components of therapeutic intervention

Answer 7

Stimulus (objects, toys) 
Task modes (Modeling, prompting, independent)
Response (range of difficulty level: isolation, word, latency)

Question 8

Programming

What is the behavioural objective and what must it consist of

Answer 8

It is the target behaviour described in observable and measurable terms

• Action: what the client needs to do
• Condition: under what situation
• Criterion: how well

Question 9

Programming

How do you sequence your therapy

Answer 9

From easiest to hardest
Modeled/Prompted/Spontaneous

Prompt hierarch is from most to least or least to most

Question 10

Programming

What is the mastery level

Answer 10

80-90%

Question 11

Programming

What happens if the client is struggling or excelling at the target

Answer 11

“Branching”
aka
Superstep or substep

Question 12

Programming

What is generalization/carryover

Answer 12

Its the transfer of information from clinical setting to a natural setting

Question 13

Programming

How can you assist in generalization?

Answer 13

Use a variety of stimuli
Vary physical environment
Vary communication partner

Question 14

Programming

Who terminates therapy and why

Answer 14

The SLP

Information from CDA
Reassessment info
Mandate of program
Parent decision

Question 15

Behavioural Modification

What is it?

Answer 15

Increasing or decreasing a targeted behaviour

Question 16

Behaviour Modification

How can you do it?

Answer 16

Use ABA principles
ABC: antecedent- behaviour (response) - consequence
Reinforcement
Positive behavioural support

Question 17

Key Teaching Strategies

What are the 5 strategies

Answer 17

Direct modeling
Indirect modeling
Shaping
Language
Negative practice

Question 18

Key Teaching Strategies

What is direct modeling

Answer 18

Clincian demonstrates target communicative behaviour

Question 19

Key Teaching Strategies

What is indirect modeling

Answer 19

clinician demonstrates target communicative behaviour frequently to expose client to many examples of target behaviour

Question 20

Key Teaching Strategies

What are forms of shaping

Answer 20

Prompting, fading, feedback

Question 21

Key Teaching Strategies

What is used for language

Answer 21

Expansions and extensions

Question 22

Session Design

What order do you present tasks

Answer 22

Easiest to hardest

Question 23

Session Design

What are some dynamics of therapy

Answer 23

Relationship with client/caregiver
-self awareness
-keen observation
-warm but professional
-know professional limits
Efficiency of sessions
-max response
-behaviour momentum 
Materials
Proximics

Question 24

What are the 5 general principles of intervention?

Answer 24

1. Its a dynamic process
2. You want to engage client in meaningful communicative interactions
3. Consider the clients learning style, preferences
4. Ensure success
5. Work just one step above current level (Zone of Proximal Development)