Team approaches to AR
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Team approaches
Objectives: Identify appropriate team members for a
specific client case.Develop strategies for working within a
team.
Possible team members
Parent / Caregiver Speech-Language Pathologist Audiologist Educational Specialist Developmental Psychologist Social Worker Physician Physical Therapist Occupational Therapist
Parent / Caregiver
Most important member Has legal custody of the child Strongest influence on the child
Without buy-in, poor prognosis
Speech-Language Pathologist
Expert on language development, articulation, communication
Contributions Create reasonable, realizable goals for
language development Develop treatment plans
to realize goals
Audiologist
Expert on hearing loss, acoustics, audiological intervention
Contributions Share realistic expectations for child’s
communication abilities given their hearing status
Recommend ways to increase accessibility
Educational Specialist
Expert on learning environments, learning styles, and appropriate academic progress
Contributions Share realistic expectations for child’s
educational participation given their status Create appropriate academic goals Recommend appropriate educational
placement
Developmental Psychologist
Expert on normal cognitive development
Contributions Discuss child’s cognitive limitations Develop strategies for interaction with
peers, adults
Social Worker
Expert on complicated family situations
Contributions Advise on family’s ability to implement
plan realistically Share information on resources available
to support child’s attainment of goal
Physician
Expert on child’s medical condition
Contributions Inform team on child’s medical conditions
Diagnosis Prognosis Treatment plan
May work with school nurse
Pediatrician, ENT, Ophthalmologist, etc.
Physical Therapist
Expert on physical rehabilitation
Contributions Discuss child’s physical limitations Make recommendations regarding
physical accessibility options
Occupational Therapist
Expert on developing processes for daily living Contributions
Create strategies to enhance child’s participation in play, chores, self-care, schoolwork, etc.
Evaluate child’s sensory integration abilities
Child
ParentDevelopmental
Psychologist
Educational Specialist
Social Worker
AudiologistPhysical Therapist
Occupational Therapist
Speech-Language Pathologist
Physician
Child
ParentDevelopmental
Psychologist
Educational Specialist
Social Worker
AudiologistPhysical Therapist
Occupational Therapist
Speech-Language Pathologist
Physician
Team Leader
Sets the tone of the meeting
Prepares agenda
Facilitates group participation
Concludes and summarizes meeting
Team Playing
Team leader should create clear expectations “What should be accomplished by when?”
Team members should be able to identify the reason for their presence on the team “What will my contribution be?”
All members should be committed to the goal Remind yourself of the common goal, mission,
objective Everything you do as a clinician is to fulfill a
goal
Team Building
Identify team values Respect, communication, participation
Bring it back to the mission Adhere to the values and goals
Celebrate accomplishments There’s no reason why
you shouldn’t!
Icebreakers?
Can feel super lame.
Wakes people up.
Once everyone has spoken, everyone feels more comfortable contributing.
Management plans
Objectives: Develop appropriate goals for a given
child.Create a detailed plan to reach goal.
Parental management assisting parents in developing the skills to
accept, teach, and advocate for their child Audiologic management
hearing testing, hearing aids and retesting, responsibility for cochlear implants, hearing conservation
Auditory management establishing a program for development of
auditory learning Cognitive/linguistic management
developing a world schema with a symbolic system to represent the schema
Speech management developing the auditory, motor, acoustic, phonetic,
and phonologic aspects of spoken language Educational management
developing the learning contexts to facilitate learning across the curriculum
Social and emotional management developing a perspective that enables active
participation in the social environment with a healthy lifestyle
Characteristics of management plan SMART Goal
Specific Wh- questions
Measurable Concrete criteria
Attainable Within the client’s
developmental grasp Auditory skills
hierarchy
Realistic Are environments and
personalities conducive to goal attainment?
Timely Set deadlines/ timeline
for reevaluation You may have a long-
term goal and a series of short-term goals to get you there.
Characteristics of management plan
Intervention Strategy Team-member specific
Collaborate
Goal
Team Member
Responsibility
Responsibility
Team Member
Responsibility
ExampleStudent will score
above 75% on three consecutive
spelling tests
Parent
Practice spelling words with student
at home
Audiologist
Verify FM system working
appropriately
Analytic auditory training
Speech-Language Pathologist
Work on phonological-orthographic relationships
Educator
Use FM system
Give student visual/facial cues
Characteristics of management plan
Considerations for reevaluation When will child be reassessed
What are plans if goal is reached What are plans if goal is not reached
Example: Melissa 8;2, 3rd grade Mild-moderate SNHL, recently fit with HA Word recognition: 92%, SRT: 15 dB, aSII: 91 Language age: 7;2 Syntactic errors Poor articulation of /s/, /ʃ/, /θ/ Teacher describes her as “shy daydreamer” She does not like to wear the hearing aid and often
comes to school without it. School work is at 2nd grade level. Parental Audiologic Auditory Cognitive/Linguistic
Speech Educational Socioemotional