By Celine Lowe Pascual & Dr Rosemary Hodges How do you know if your child is making progress in speech therapy? At Word Stars, our therapy is guided by a therapy plan. In the therapy plan, we outline goal/s and how we will measure your child’s progress towards these goals. In this blog, we take a closer look at how we measure progress in our unique and popular service offering, our ‘School Holiday Speech Intensive’. What is our School Holiday Speech Intensive? Our School Holiday Speech Intensive involves an intensive block of 8-10 speech pathology sessions completed over a two week period. We work on one or two specific speech production goals using a tailored approach to therapy. Identifying the Goals Before starting the school holiday speech intensive, your child attends a planning session. In this session, we identify a specific goal or two. After the planning session, we start developing the resources to evaluate your child’s progress towards their goal as well as bespoke therapy materials. Here are two examples of specific goals from past speech intensive clients (pseudonyms have been used): Tracey will be able to say the /s/ sound across all word positions at sentence level with 80% accuracy. Mawan will be able to produce CVC words with the final consonant to 80% accuracy. Identifying the Therapy Approach It is important that the right approach to therapy is used to get the best outcomes for your child. After the planning session, the therapist will identify the most suitable therapy approach. Some things we consider when choosing the therapy approach include: These things are important to consider as improving your child’s speech accuracy takes a herculean effort! Our therapists often try to get between 60 to 100 productions of therapy words during each session! Measuring the ProgressAt the start of the intensive, we take the time to conduct a ‘probe’ of the therapy words plus other words that we hope will change as a result of our therapy (we call these generalisation words). To do this, we ask your child to look at some pictures and name them. While doing so, we record their responses, and then measure their % accuracy. We redo this ‘probe’ around the middle of intensive, and again at the end of the intensive. We graph this data so we can share it with you (and sometimes your child if they’re old enough!) to help you understand their progress. Check out the graphs below which show Mawan and Tracey’s exciting progress towards their speech intensive goals. Mawan will be able to produce CVC words with the final consonant to 80% accuracy Tracey will be able to say /s/ at all word positions at sentence level on 80% occasions. Are you interested better understanding your child’s progress in speech therapy? Would you like to see fast progress by engaging in one of our school holiday speech intensives? Get in touch to join our waitlist!
Why Therapy Plans Matter
“Do you think they’re improving?”In my 12-year career as a speech pathologist, I’ve heard this question from parents/carers countlesstimes. Given how resource-consuming speech therapy is, I don’t blame them for wanting to seetangible results, and yet in the past, I felt my ability to measure and convey outcomes was lacking.Over the years, I’ve tried different ways to measure therapy outcomes. I’ve created and sought outprobes, informal assessments, and surveys. I’ve even turned to the parent after they’ve asked methat question and said, “What do you think?” A therapy plan, if you’re not sure what it is, is a document written by the therapist at the start of atherapy block that explains: We could also forget to collaborate and explain our plan to parents/carers/clients, a crucial part ofbeing a family-centred therapist. A written therapy plan helps both therapists and families to feel asense of direction and clarity in the therapeutic journey they take together.And, if something isn’t working, the therapy plan, with sign-posted moments for collecting data, canhelp us make necessary clinical decisions such as changing strategies, intensity, goals, or evenceasing therapy. With reference to our therapy plan document, we can share our clinical thinking,and have these trickier conversations with families.If you’d like to start using therapy plans in your practice, you can: Written by Celine Lowe Pascual, Managing Director
DLD & Clinical Work
In July 2022, Celine and Rosie sat down with The Talking DLD Podcast to discuss therapy planning and how to build practice based evidence into your work. We invite you to listen to their podcast episode here!
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