dynamic process - Answers clinician continuously assesses the patient's progress toward goals and
modifies as necessary
program designed with - Answers careful consideration to client's verbal and nonverbal cognitive
abilities
what is critical in making decisions about eligibility for treatment and select appropriate therapy
objectives - Answers knowledge of client's level of cognitive function
what is the ultimate goal - Answers to teach strategies for facilitating the communication process
rather than teaching isolated skills
teaching skills - Answers required to achieve specific outcomes in given situations
teaching strategies (general) - Answers enable the individual to know when and how to use their skills
in new and varied learning contexts
when possible teach in a () context to provide opportunities to engage in () communicative contexts -
Answers realistic
meaningful
() to client's deficits and () learning style - Answers specific
individual
ensure that the client experiences () throughout () stages of therapy - Answers success
all
therapy goals are () to promote a client's () one step beyond the () level - Answers tailored
knowledge
current
terminated once client achieved () or no longer demonstrates () - Answers goals
progress
based on () evidence - Answers scientific
() to client's cultural and linguistic background - Answers sensitive
programming - Answers selection, sequencing and generalization of therapy targets
behavior modification - Answers systematic use of specific stimulus-response-consequence
procedures
key teaching strategies - Answers use of basic training techniques to facilitate learning
session design - Answers organization and implementation of therapy sessions, including
interpersonal dynamics
data collection - Answers systematic measurement of client performance and treatment efficacy
programming - Answers selection of therapy targets
-establish goals
-pretreatment baselines
-developmental/normative strategy
-client-specific strategy
developmental/normative strategy - Answers -based on known normative strategies
-targets are taught in the same general order as they emerge developmentally
client-specific strategy - Answers -targets based on individual's specific needs
-frequency of communication behavior occurs in ADLs
-importance of communicative behavior
-potential for mastery of the communication skill
sequencing of therapy targets: stimulus type - Answers nature of input used to elicit target responses
1. direct physical manipulation
2. concrete symbols (objects, photographs, drawings)
3. abstract symbols (oral and written language)
sequencing of therapy targets: task mode - Answers type of clinician support/scaffolding to obtain
desired response
1. imitation
2. cue/prompt
3. spontaneous
sequencing of therapy targets: response level - Answers degree of difficulty of target response
1. increase length and complexity of desired response
2. decrease latency between stimulus presentation and client response
, branching - Answers technique used by clinician when client does not perform as predicted
-task may be too easy or too difficult
-clinician must recognize this situation when it occurs and immediately modify the task rather than
persisting with the original plan
-achieved by increasing or decreasing the difficulty level by one step according to the therapy
sequence hierarchies listed
generalization/carryover - Answers client's ability to transfer newly mastered behaviors to everyday
environment
the 3 factors that influence degree of success of generalization/carryover - Answers 1. variety of
stimuli
2. vary physical environment
3. vary the audience
termination of therapy guidelines - Answers 1. attainment of communication skills that are
commensurate with a client's chronological/developmental age or premorbid status
2. attainment of functional communication skills that permit a client to operate in the daily
environment without significant handicap
3. lack of progress
formulation of behavioral objectives aka short term goals/objectives - Answers -statement that
describes specific target behavior that is observable and measurable
what are the three components of goal writing - Answers 1. do (action) statement
2. condition ex: when given (stimulus type, task mode)
3. criterion- something that is measurable and can be counted
based on 3 principles of operant conditioning - Answers 1. stimulus (antecedent event)- an event that
precedes and elicits a response
2. response- behavior exhibited that results from the stimulus
3. consequence- an event that is contingent on and immediately follows the response
behavior modification consequent events - Answers 1. reinforcement- increase the probability that a
particular behavior will recur
2. punishment- decrees the frequency of a behavior
positive reinforcement - Answers primary
-susceptible to satiation
-difficult to generalize outside of therapy
-difficult to reinforce immediately after each occurrence
secondary=percieved as rewarding
-social= verbal praise, smiling, eye contact
-token- symbols or objects
-performance feedback= biofeedback, graphs, rating scales
negative reinforcement - Answers an unpleasant event.condition is removed contingent on the
performance of a desired behavior
punishment - Answers an event is presented contingent on the performance of an undesired
behavior, to decrease the likelihood that the behavior will recur
positive behavioral supports - Answers -proactive approach that uses interpersonal and
environmental strategies to minimize opportunities of problematic behavior and encourages socially
useful behaviors
-more preventative and positive in nature
-SLPS can prevent problematic behaviors if materials are creative, interesting and sessions are paced
well
schedules of reinforcement - Answers -continuous
-intermittent
-fixed ratio
-fixed interval
-variable ratio
-variable interval
teaching strategies - Answers -direct modeling
-indirect modeling
-shaping
-prompts