What personal factors (ICF) contribute towards a recommendation for therapy?
- Family history of speech sound disorder
- Level of language stimulability environment – can be determined by watching the parent-child interaction in waiting room
- Personality – is the child withdrawn because of their speech deficit?
What personal factors (ICF) contribute towards NOT recommending therapy?
- If the disorder isn’t causing the child concern
- Parental refusal
- If the child is delayed rather than disordered
- If the parents cannot afford therapy
- Language stimulability environment - if the parents are very active change agents, then therapy may be unnecessary
- If the child is missing important school work because they are attending therapy
- Parental expectations are too high – think that a disorder is present when the child is in fact developing normally
In a traditional approach, what sounds are selected as targets for therapy?
- Sounds that are stimulable
- Sounds that are early developing
- Sounds that are inconsistently produced
- Sounds that the child has knowledge of
What are some positives about traditional therapy?
- Quick progress is seen
2. Therapy is highly enjoyable for the child (as they are having success)
What are some negatives about traditional therapy?
- The evidence is limited
2. Change may have occurred without therapy (maturation effects)
In a nontraditional approach, what sounds are selected as targets for therapy?
- Sounds that are not stimulable
- Sounds that are later developing
- Sounds that are consistently produced in error
- Sounds that the child has little knowledge about
What are some positives about nontraditional therapy?
Huge long term gains in a wide range of areas
What are some negatives about nontraditional therapy?
- Very hard work at the beginning
- Little progress seen initially
- Not as much fun for the child