Service Delivery Model

Question 1

Describe the cycles approach to therapy. What kind of therapy is it? Who should it be used for?

Answer 1

This is an example of horizontal therapy. The criterion used for “moving on” is time-based rather than performance-based (as in Van Riper therapy).
Used for children with severe-profound phonological disorder. Each of their error patterns is targeted once in a cycle. E.g. one week on gliding, next week on fronting etc.

Question 2

Why use the cycles approach?

Answer 2

Thought to generalise to a large number of areas

Question 3

Describe the elements of a cycles session

Answer 3

1. Explain approach to caregiver
2. Auditory stimulation (read aloud 10-15 words with the target sound)
3. Test stimulability for sound – child to name the prospective picture cards
4. Activity/game targeting/contrasting the sound
5. PA activity
6. Repeat listening activity (auditory bombardment)
7. Incorporate a home program – 2 mins a day

Question 4

What are the 4 elements of PACT therapy?

Answer 4

1. Family education
2. Metalinguistic tasks
3. Traditional phonetic placement production procedures
4. Multiple exemplar techniques

Question 5

Family education

Answer 5

Family members will observe and participate in all activities
SLP to provide direct instruction about therapy tasks and written information – increase parent confidence

Question 6

Metalinguistic tasks

Answer 6

Sound-picture associations
Sound-grapheme associations
Segmentation
Rhyme

Question 7

Traditional phonetic production procedures

Answer 7

Teaching a child sounds they are not stimulable for, or making modifications to those that are not 100% accurate.

Question 8

Multiple exemplar techniques

Answer 8

Using auditory bombardment – provide child with 10-15 words containing target
Minimal pairs activities

Question 9

What is core vocabulary? Who is it suitable for?

Answer 9

Core vocabulary targets the generation of accurate, CONSISTENT phonological plans. It is appropriate for children with inconsistent SSDs. Core vocabulary does NOT target surface error patterns, but on developing consistent motor programs for a set of 50 high frequency, functional word targets

Question 10

What does a week of core vocabulary look like?

Answer 10

1. Selection of this week’s targets (5-10)
2. SLP to explicitly teach each word (by syllables, sounds etc.)
3. Games are used to elicit a high number of repetitions – e.g. crocodile crossing the river