Treatment Planning Process

Question 1

Questions to Ask

Answer 1

Whom to treat?
What domains to treat?
Purpose of intervention?

Question 2

Whom to treat?

Answer 2

Individual with the disorder?
Spouse, caregiver, parent?

AAC modeling/programming
Fluency treatment
Facilitative behaviors
Lifestyle modifications
Degenerative preparation

Question 3

What domains to treat?

Answer 3

Language
Motor Speech
Voice
Fluency
Hearing
Dysphasia
Literacy
Cognitive Status
Social/Emotional
AAC

Question 4

Purpose of intervention?

Answer 4

Restorative
-restores normal functioning by reducing, preventing, or eliminating impairment

Compensatory
-restores lost functioning by facilitating communication in the presence of a disorder

Question 5

What targets are we treating?

Answer 5

Client/caregiver goals
What is most impacting their life
What they’re stimulable for

Question 6

Strategies

Answer 6

Normative
-Targets selected based on what is expected/appropriate in typical population
-Assumes that appropriate norms exist, that there is a fixed sequence, and that they’re relevant
-WNL?
More for pediatric, developmental, and mild acquired

Client-Specific

• Based on needs, preferences, culture, etc. of client and and family
• Potential for generalization and maintenance
• More for adult acquired

Question 7

Principles VS Procedures

Answer 7

Treatment Principles
-empirical rules based on experimental research

Treatment Procedures

• technical operations
• what we see in videos

Question 8

Kernels

Fundamental, active ingredients

Answer 8

-Antecedents-
Modeling
Error-Less Learning

-General Consequences-
Diff Reinforcement
Self-Monitoring

-Correct Conseq-
Verbal Praise
Reward/Graphing

-Incorrect Conseq-
Extinction
Response Cost
Time Out

-Context of Intervention-
Choice

Question 9

ABC Pradigm

Answer 9

Antecedents: events that occur before responses

Behavior: observable responses by an individual; expected in trials/opportunities

Consequence: events occurring immediately after client’s response

Question 10

Behavior

Answer 10

Who/what we’re trying to change
The focus of treatment for the client/parent/spouse

Target behavior: “agent + action”
Target response: “the girl runs”
Response modality: speech, pointing, gestures, writing
Response level: verbal context