Week 8: Early Intervention Flashcards
what does it mean to use family-centered practices?
include all family members, not just the individual receiving therapy
The family is involved in goal making and intervention decisions. the clinician provides family counseling as well
what are the 3 A’s of the hanen approach?
allow, adapt, and add
what does it mean to OWL?
observe, wait, and listen
what is EMT?
naturalistic, conversation-based strategy for clinicians, parents, caregivers, etc.
Who is EMT suitable for?
Children in the early stages of language development or various populations with language delays
what is the prerequisite for EMT?
least 10 productive words and MLU needs to be between 1-3.5. In other words verbal imitation is a
prerequisite
what are the main goals of EMT?
Increase frequency of communication
Enhance diversity of utterances
Strengthen the complexity of speech
Improve independent and generalized use across contexts
what are the main components of EMT?
environmental arrangement
responsive interaction
target level language
expansions
time delay
milieu teaching
describe basic milieu teaching prompting procedures
model
mand-model procedure
incidential teaching
give an example of a mand model
the child says “car” and the clinician responds with “great job! that is a car. here you go”
Describe the main components of the teach-model-coach-review procedures for parental education?
The clinician teaches the skill to the parents, they then model it for them, then coach on how to use it,
and then reviews the skill with the parents/caregivers
hat skills would a clinician need to develop to implement EMT and parental coaching with fidelity?
good communication skills to implement and coach this approach effectively
empathetic to their client and their family as well
hat adaptations can be made to PMT and EMT approaches for specific populations of children?
any cultural considerations when implementing any treatment approach
consider if the child is using non-verbal language such as an AAC device
who is focused stimulation for?
toddler and early elementary aged children
what are the linguistic targets for FS?
vocab and grammar, but can also be used for pragmatic forms
who can do FS?
the clinicians or the parents/caregivers
what theories provide support for FS?
social learning constructivism, statistical learning, information processing, and limited capability models
what are the main components of FS?
-empathetic stress
-multiple repetitions
-manipulation of preselected linguistic targets to increase the saliency of input
how is FS conducted?
manipulation of preselected linguistic targets to increase the saliency of input
what is the rationale for Hanen
family-centered
naturalistic
social interactionist theory
define social interactionist theory in terms of the hanen approach
simplification of the adult’s language facilitates children’s communication development
responsive language input is easily processed
using language in the child’s proximal zone of development or slightly above facilitates language learning
what are the components of the Hanen approach
parent= primary intervention agent
child centered
promotes interaction: adapt to share moment, match turns, imitate, etc.
modeling: add language, interpret message, label words, etc.
what are the goals for the Hanen approach?
increasing adult behaviors that facilitate child’s joint attention, reciprocal interaction, intentional communication, vocab, and early word combos
how are RE-PMT and Hanen Similar
involve parental education
educate on modeling language mapping and enable context
naturalistic and child-centered
social interactionist theory
how are hanen and RE-PMT different?
R: pre symbolic language
H: symbolic language
R: SLP intervention
H: Parent
R: increase frequency and complexity of intentional nonverbal communication
H: increasing adult behaviors that facilitate child’s language
does focus stimulation require child initiation or child response?
no neither are required
how can recasting be used within a focused stimulation approach?
recast child’s spontaneous productions of linguistic targets to encourage the development of more complex language
what is the rationale for EMT?
behavior theory
development theory
social interactionism
what are the prerequisites for focused stimulation?
child needs to display minimal level of social engagement and some degree of sustained attention