random information k.o Communication Treatment Planning: Targets, Objectives, and Behavior Change

communication treatment procedures are

behavioral

Target

skills to be taught can change across different disorders

Procedures

Method of establishing the treatment targets. Can't change

5 ways to effectively change speakers and their communication partners

Rearrangement of target communication skills, stimulus patterns, interactions, decrease undesirable behaviros, rearrangement of interactions between client and others.

types of treatment

intervention

teaching

habilitation

rehabilitation

Changing behavior-what to collect

collect data on frequency, duration, latency, and magnitude

Neurobehavioral issues

often considered to be the most problematic consequence of brain injury by family members, employers, friends ,and others

Common neurobehavioral changes

aggression, agitation, poor initiation, denial of deficits, disinhibition, eating disturbances, poor judgment

4 facors influencing behavior

1. Site and severity of damage

2. Pre-injury characteristics of the personality

3. Intelligence and learning style

4. The current environment

7 stages of grief

shock, denial, anger, bargaining, depression, testing, acceptance

Why are treatment plans needed?

To validate self and parents. To keep therapy consistent during the course of treatment and to give clients a clear picture of what you believe they can accomplish in therapy, all agencies require one.

Objective importance

Client can't fully cooperate if the clinician has not informed the client of the nature of the task and it's goal

Verbs to avoid when writing performance

communicate, demonstrate, learn- too vague and hard to measure

when observing

look at strengths and needs

Objective

who, will do what, under what condition, how well, and by when?

How to collect baselines

play-based activities, top of interest with adults or teens, client interview

The starting point for selecting target behaviors depends on

If the client has been assessed or treated at your clinic, and if the client has received treatment at another facility

Multiple targets should be

sequenced, cycle approach

2 approaches to target behavior selection

normative and client-specific

Guidelines on selecting target behaviors

make an immediate difference, expand communication skills, linguistically and culturally appropriate, complex or difficult behaviors for initial teaching

Speech sound disorders target

individual sounds and sound patterns

Language disorders target

basic vocab, phrases, morphologic and syntactic elements, functional units and social communication, and literacy skills

Voice disorders target

behaviors in aphonia, dysphonia, loudness and pitch, resonance

Fluency disorder targets

fluency shaping, direct stuttering reduction, fluency reinforcement, and cluttering

Target behaviors in aphasia is based on

type, individual's predominant problems, communicative needs, chances of immediate success at communication

How to strengthen and sustain target behaviors

continuous schedule, intermittent schedule, fixed-ratio schedule, variable-ratio schedule, differential reinforcement of other behavior