Week 2 Principles of Pediatric Intervention

Question 1

Did we answer these questions after evaluation is complete?

Answer 1

Is there a significant deficit in either or both modalities of language (comprehension, production)?

How severe is the deficit?

What is the baseline level of functioning?

What further information do we need?

Plan any continuing assessment procedures

Question 2

Clinical decisions factors?

Answer 2

Parents, teacher, and/or clinician concern ratings
Standardized speech and language assessment tasks
Connected speech and language production
Observation of learning

Question 3

After the evaluation?

Answer 3

1. Determine the severity.
2. Make a prognosis.
3. Make recommendations for the intervention program.

Question 4

A structural model of intervention

Answer 4

Intervention Goals
Basic— Intermediate— Specific

Procedures

Dosage
Intervention agents
Intervention contexts
Goal attack strategies
Service delivery models

Activities

Assessment of progress toward goals

Question 5

The purpose of intervention

Answer 5

1. Change or eliminate underlying problem.
2. Change the disorder by teaching specific behaviors.
3. Teach compensatory strategies.
   4? Change the environment. Will not be the only thing you do.

Question 6

SMART goals?

Answer 6

Specific
Measurable
Attainable
Relevant
Time based

Question 7

Setting priorities

Answer 7

Highest
Forms and functions clients use in 10% to 50% of required contexts

High Priority
Forms and functions used in 0% to 10% of required contexts but understood in receptive tasks

Lower Priority
Forms and functions used in 50% to 90% of required contexts.
Forms the client does not use at all and does not demonstrate understanding of in receptive task formats

Question 8

Evidence Based Practice and Treatment of Children with Language Disorders

Answer 8

Assess research critically
Recognize quality studies
Recognize the strengths and weaknesses of relying on research studies for decision-making

Question 9

Intervention practices across the three stages

Answer 9

Do you use contextualized language interventions?
What is a contextualized language intervention

Do you use decontextualized language intervention?
What is a decontextualized language intervention?

There is a continuum of language interventions from clinician centered to child centered
What is a child centered language intervention?
What is a clinician centered language intervention?
Is there a middle approach?
Which approaches work the best?

Question 10

Intervention approaches

Answer 10

Clinician directed
Child centered
Hybrid

Question 11

Caregiver training

Answer 11

Child-Centered approach
Examples: Hanen, routines-based intervention activities, coaching strategies.

Question 12

Procedures and activities

Answer 12

Clinician Directed
Drill
Drill play
Modeling
Child-Centered
Self-talk and parallel talk
Imitations
Expansions
Extensions
Buildups and breakdowns
Recasting
Hybrid
Focused stimulation
Vertical structuring
Milieu communication training

Question 13

The context of intervention

Answer 13

Choosing the nonlinguistic stimuli
Objects
Pictures
Books
Apps?

Timing of presentation

Question 14

Evaluating intervention outcomes

Answer 14

Termination criteria
Evaluating the effectiveness of the intervention
Determining responsiveness to intervention