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Choosing targets for intervention.... Which way to turn?

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by

Alison Brown

on 17 October 2016

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Transcript of Choosing targets for intervention.... Which way to turn?

Determining appropriate intervention.... Which way to turn?
Phonemic Approach
Focuses on speech sound patterns
Should you intervene?
Standardized Test Data
Age
Effects on occupational or educational performance
Self-concept or parental concerns
Phonetic Approach
Focuses on the mechanics of producing individual speech sound targets.
Consider the nature of the beast
Causes
Severity and intelligibility
Stimulability
Error type
General guidelines:
By 24 months, a child’s speech should be 26%-50% intelligible

By 36 months a child’s speech should be more than 70% intelligible to unfamiliar adults

By 4 years of age, a child’s speech should be 100% intelligible to adults, even if differences are present

Traditional Approach
(Van Riper)
Auditory discrimination is important
Begin where the client's skills are
Goals are: awareness of phoneme characteristics, recognizing misarticulations, production, and stabilization
Shaping Sounds
Progressive approximation
: Series of sounds that progressively approximate the target
Auditory stimulation
: Clinician gives models
Phonetic placement
: Client is shown how to move articulators
Modification of other sounds
: Gradually moving articulators while client produces a sound
Key word
: Generalizing from a word in which the sound is correct
Cycles Approach
Communicative Approach
Target Selection
Modes of Intervention
Drill
Drill-Play
Structured Play
Play
Phonetic Approach
Types of errors
Impact on intelligibility/Frequently Occurring Sounds
Stimulability
Developmental Norms
Phonemes Client Desires to Change
Visual Phoneme
Phonemic Approach
Developmental norms
Features or patterns that are stimulable
Features or patterns that most affect intelligibility
Consistency of the features or patterns
Take advantage of sounds that are correct in other patterns
Full transcript