Lecture 1 Flashcards
What is the purpose of intervention
To change the behaviour of the client
To change the environment
Explain changing behaviour with regards to intervention
- establish new behaviours
- increase frequency of wanted behaviours
- strengthen and sustain behaviours (maintance and generalization)
- reduce frequency of inappropriate behaviours
- teach compensatory strategies
Explain a change of environment with regards to intervention
- change behaviour of caregiver
- physical adaptations (tennis balls under the chairs)
What are the five essential clinical skills
Programming Behaviour modification Key teaching strategies Session design Data collection
Programming
Who establishes the goal or therapy targets?
The SLP
Programming
How is the target or goal selected
Decision is based on assessment AND Developmental norms Client specific info --frequency of target --importance of target --stimulability
Programming
Components of therapeutic intervention
Stimulus (objects, toys) Task modes (Modeling, prompting, independent) Response (range of difficulty level: isolation, word, latency)
Programming
What is the behavioural objective and what must it consist of
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
Programming
How do you sequence your therapy
From easiest to hardest
Modeled/Prompted/Spontaneous
Prompt hierarch is from most to least or least to most
Programming
What is the mastery level
80-90%
Programming
What happens if the client is struggling or excelling at the target
“Branching”
aka
Superstep or substep
Programming
What is generalization/carryover
Its the transfer of information from clinical setting to a natural setting
Programming
How can you assist in generalization?
Use a variety of stimuli
Vary physical environment
Vary communication partner
Programming
Who terminates therapy and why
The SLP
Information from CDA
Reassessment info
Mandate of program
Parent decision
Behavioural Modification
What is it?
Increasing or decreasing a targeted behaviour
Behaviour Modification
How can you do it?
Use ABA principles
ABC: antecedent- behaviour (response) - consequence
Reinforcement
Positive behavioural support
Key Teaching Strategies
What are the 5 strategies
Direct modeling Indirect modeling Shaping Language Negative practice
Key Teaching Strategies
What is direct modeling
Clincian demonstrates target communicative behaviour
Key Teaching Strategies
What is indirect modeling
clinician demonstrates target communicative behaviour frequently to expose client to many examples of target behaviour
Key Teaching Strategies
What are forms of shaping
Prompting, fading, feedback
Key Teaching Strategies
What is used for language
Expansions and extensions
Session Design
What order do you present tasks
Easiest to hardest
Session Design
What are some dynamics of therapy
Relationship with client/caregiver -self awareness -keen observation -warm but professional -know professional limits Efficiency of sessions -max response -behaviour momentum Materials Proximics
What are the 5 general principles of intervention?
- Its a dynamic process
- You want to engage client in meaningful communicative interactions
- Consider the clients learning style, preferences
- Ensure success
- Work just one step above current level (Zone of Proximal Development)
