Providing Professional Services

SLPs that work in educational settings follow _____

FERPA

SLPs that work in medical settings follow _____

HIPPA

What are the types of intervention

Primary: prevent a disorder or delay (advocate)

Secondary: address a disorder or delay to prevent additional problems (direct contact)

Tertiary: reduce the severity of the disorder (not to ‘fix’, but to reduce severity)

What is the point of the different types of intervention

some skills just won’t improve, so we can just improve their quality of life.

What are the different approaches to intervention?

Developmental approach: work to build developmental skills that have not yet emerged (young clients)

Rehabilitative approach: work to return to prior levels of functioning (acquired disorders)

Compensatory approach: return to a typical or previous function is unlikely, work to circumvent the problem

Functional communication approach: work to address areas of need with the aim of obtaining the highest possible level of functioning (complex communication needs)

Quality of life approach: work to implement strategies that allow the client to connect and communicate with the world (not teaching skills)

What is an example of developmental approach?

three-year-old speaks in one word utterances, we work on two word utterances.

What is an example of the rehabilitative approach?

a client had a stroke and can only have puréed food, the goal is to swallow normal foods like before the stroke.

What is an example of the compensatory approach?

a client has to turn their head to protect their airway while swallowing since their mouth muscles won't strengthen

What is an example of functional communication approach?

Can we give clients an adaptive way to communicate with others?

What is an example of quality of life approach?

work with family to put visuals in the home so they feel safe/know where to go

What is interprofessional practice? (IPP)

Knowing how to collaborate with other professionals

EX: aria is a seven year-old girl with low vision (blurred vision, lack of acuity) secondary to a brain injury. She is learning how to use braille and use of a cane. In sessions, she is working on retelling a story that she has heard and answering WH questions. Consider IPP when working with aria.

1. Talk to her neurologist and ask about the brain injury

2. Talk to her OT and ask about her ability to move in space

3. Talk to her vision specialist. She can see, she just has low vision

When would an SLP use Rehabilitative approaches in their work?

Loss of language due to stroke or TBI

Is it possible for an SLP to use rehabilitative approach with someone who has complex communication needs?

No because complex communication needs is most likely an issue from birth and there is no getting back to something before