Treatment of Articulation and Phonology Disorders

1
Treatment of Articulation and Phonology Disorders

• A comprehensive and evidence-based system

2
Selection of Target Behaviors

• Goals
• Long term, general statement of desired outcome
• Improve phonology
• Improve articulation
• Improve intelligibility
• Objectives
• short term, specific statements of desired
  outcomes
• Produce initial /k/ in words when given a model
  to 90 accuracy.

3
Which behaviors to target?

• Select target behaviors that will have impact on
  the clients life
• Select target behaviors that can be easily
  generalized
• Select target behaviors that expand communication
  skills
• Select target behaviors that are language and
  culturally appropriate to the client

4
Normative or Client-specific approach?

• Normative approach
• Look at the norms, teach what is next in
  typically-developing children
• Consider nothing else
• Client-specific approach
• Error sounds that occur frequently
• Error features that affect numerous sounds
• Sounds that are likely to be used by the child

5
How many sounds or patterns to teach?

• Depends on client
• Depends on clinician
• Approaches to intervention for either 1-2
  sounds/patterns or for numerous errors

6
Baselines

• Once potential target behaviors are identified,
  then baselines are derived
• Baselines provide quantitative pre-treatment data
• Gives true targets
• Used to measure progress
• If no progress, treatment is modified

7
Procedures to get baselines

• Use measurable terms and specific behaviors
• Produce initial /s/ in words
• Prepare stimulus items
• Be careful in stimulus selection!
• Prepare a record form
• Administer trials

8
Writing measurable objectives

• Articulation
• You are trying to get correct production of a
• sound
• Phonology
• You are trying to get production of a feature or
  rule

9
Components of objective

• Who?
• Will do what?
• Under what condition?
• To what level of accuracy?

10
Examples of objectives

• Pages 465-467 in textbook