Foundations for TX Road Map in Therapy
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Questions and Answers

Which of the following are listed as considerations in developing a treatment plan?

  • Strengths (correct)
  • Child's culture (correct)
  • Languages & dialects (correct)
  • Most impacted areas of disability (correct)
  • Priority on Goals (correct)
  • The "wait time" strategy is considered non-evocative.

    False

    The "up the ante" strategy involves eliciting a response from the child.

    True

    The [BLANK] of therapy is to help a communication partner communicate independently.

    <p>goal</p> Signup and view all the answers

    Typical milestones are helpful to use when working with linguistically and  culturally diverse students.

    <p>False</p> Signup and view all the answers

    Choose the approach that focuses on the goals that will have the most impact on a child's communication effectiveness experience of disability.

    <p>Communicative effectiveness approach</p> Signup and view all the answers

    Which of the following are not examples of "active engagement"?

    <p>Looking away from task/SLP</p> Signup and view all the answers

    Treatment intensity is one of the active ingredients in effective therapy.

    <p>True</p> Signup and view all the answers

    What are two main strategies for setting goals in therapy?

    <p>The two main strategies are developmental approach and communicative effectiveness.</p> Signup and view all the answers

    Which of the following is NOT a goal of infant treatment in the NICU?

    <p>Teach caregivers how to perform surgery on infants</p> Signup and view all the answers

    The "scaffolding strategy" used with infants involves using a structure to support the infant's attempts to communicate.

    <p>True</p> Signup and view all the answers

    When working on intentional communication, the SLP should primarily focus on the child's form of communication first.

    <p>False</p> Signup and view all the answers

    What is one thing that is NOT taught in therapy?

    <p>Thought processes.</p> Signup and view all the answers

    One of the challenges of using "metaphonology" is that the client is required to use the new skill correctly.

    <p>True</p> Signup and view all the answers

    Vocabulary development is an important part of therapy, and the client may need to hear a new word twice as many times as a typically developing peer.

    <p>True</p> Signup and view all the answers

    A treatment plan should aim to increase the quantity/richness of the client's vocabulary.

    <p>True</p> Signup and view all the answers

    Which of the following approaches aims to encourage children to naturally communicate and to explore their own ideas?

    <p>Child-centered approach</p> Signup and view all the answers

    The communicative effectiveness approach is the preferred approach to use when working with a child who is not likely to achieve typical language?

    <p>True</p> Signup and view all the answers

    It's the SLP's job to TEACH reading and writing to children with DLD.

    <p>False</p> Signup and view all the answers

    Literacy is not separate from language, it is a modality.

    <p>True</p> Signup and view all the answers

    Emergent literacy is the early stage of literacy development.

    <p>True</p> Signup and view all the answers

    Match the following stages of literacy development with their corresponding age ranges.

    <p>Emergent Literacy = 5 - 7 yo Early Literacy = Prek Conventional Literacy = 15 - Young Adult Construction &amp; Reconstruction = 15 - Young Adult</p> Signup and view all the answers

    What are the three primary domains of emergent literacy?

    <p>The three primary domains of emergent literacy are alphabet knowledge, print awareness, and phonological awareness.</p> Signup and view all the answers

    Study Notes

    Foundations for TX Road Map

    • Therapy definitions, considerations, and purpose
    • Treatment strategies
    • Aspects of a treatment plan
    • Current research

    Purposes of Treatment

    • Eliminating the root cause of language disorder:
      • Specific to established conditions like cleft palate (requiring surgery) and hard of hearing (requiring amplified sound)
      • Language disorders are often lifelong neurodivergent processes
    • Changing the disorder:
      • Modifying language experiences through AAC (augmentative and alternative communication), sign language, or other strategies
    • Teaching compensatory strategies:
      • Supporting existing communication skills
    • Changing the environment to adapt to the child:
      • The child's behaviors do not change, but the environment is adjusted to better support them

    Role of Therapy

    • Neurodivergence:
      • Therapists are communication partners alongside the client
      • The goal is for the child to be independent communicators
      • The role is coaching and empowering clients, not fixing them

    Error-Free Learning

    • Establish opportunities for communication:
      • Providing cues and modeling for the child
      • Using a pattern of wait-time for each trial strategy
      • Validating the child's communication efforts
      • Reinforcing the child's communicative behaviors

    Evocative vs. Non-Evocative Strategies

    • Non-evocative strategies do not require a response from the child
      • Self-talk
      • Parallel talk
      • Building up/breaking down
    • Evocative strategies aim to evoke responses from the child
      • Communication temptations
      • Behavior chain interruptions
      • Up the ante
      • Wait time
      • Preparatory sets
      • Cloze procedure
      • Choices
      • Cues (phonemic, visual, tactile)

    Therapy Strategies: Evocative

    • Strategies to elicit targeted speech/language response in patients
      • Communication temptations
      • Behavior chain interruption
      • Increase expectation of communication forms
      • Wait time
      • Preparatory sets
      • Cloze procedure
      • Phonemic cues
      • Visual cues
      • Tactile cues
      • Request for imitation
      • Leading statements
      • Questions

    Considerations in developing TX plan

    • Culture of the child's family of origin; recent trauma
    • Religious considerations; languages & dialects
    • Strengths or areas of the child's disability; environments important to the child
    • Setting goals: including caregiver, educators, clients

    Developmental Approach: Zone of Proximal Development

    • Identifying the child's current ability level with support
    • Determining how much support is needed to advance
    • Measuring current level of understanding and independence

    Setting Goals: Developmental Approach

    • Prioritizing language behaviors used 10-50% of the time first
    • Prioritizing behaviors understood in all receptive tasks
    • Determining lowest priority if any

    Setting Goals: Communicative Effectiveness

    • Prioritize goals that will positively impact communication effectiveness
    • Determine disability and clients’ communication development level
    • Examine school-age and language expectations for children with varied communication skills

    Treatment: Prelinguistic Stage

    • Public Policy: Laws regarding birth to preschool and school-aged children with IEPs
    • Focus on TX: Prevention: Primary, Secondary, and Tertiary

    Infant Treatment in NICU

    • Goals
      • Achieving stabilization
      • Preventing additional disorders
    • SLP role in NICU
      • Managing noise levels, over stimulation
      • Advocating for oral motor development
      • Teaching family about infant states of arousal

    Treatment: Emerging Language (18-36 Months)

    • Treatment plan to identify needs and strengths
      • Determine goals
      • Setting goals for context, intensity of treatment, and naturalism of treatment
      • Strategies to use to achieve goals.
    • Common problems to address include:
      • Play

    Developing Play Skills

    • Assuming joint attention is present
    • Identifying the stage of play the child is in
    • Following the child's preferences in play sequences
    • Explicitly guiding play sequences
    • Incorporate social story approaches
    • Use people games
    • Use sensory games and materials

    Increasing Lexicon

    • Choosing developmentally appropriate words
    • Choosing words that serve a range of functions
    • Selection of words matching the child's phonological inventory

    Developing Intentional Communication

    • Functions
    • Modality
    • Form (initiations and increasing complexity)
    • Receptive language (comprehension strategies)

    Treatment: Developing Language

    • Addressing common problems in language development
      • Phonology
      • Semantics
      • Syntax
      • Pragmatics
      • Comprehension
      • Play

    Therapy Not Teaching

    • Identifying thought processes needed for complete language skills
    • Understanding writing and print conventions
    • Parts of writing (question marks, exclamation marks, quotation marks)
    • How print can be used to determine different messages
    • Visual/physical parts of print to determine meaning or emotion
    • Relationships between letters, words, and sentences

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    Foundations for TX PDF

    Description

    Explore the essential foundations of therapy through this quiz, covering the definitions, strategies, and treatment plans involved. Learn about current research and the purposes of treatment for language disorders, including interventions for neurodivergent conditions. This quiz is ideal for those interested in therapeutic approaches and communication support.

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