Goal Setting in Auditory-Verbal Therapy

Goal Setting in AVTAssessing Current Functioning

If we’re to navigate the ship we need to know where we are, then plot a course of where to go…..

Goal Setting in AVTAssessing Current Functioning

A Core Document:

The Integrated Scales of DevelopmentNormal developmentA protocol, not a curriculumEasy enoughAccurate enough

The Integrated Scales of Development

LISTENINGA Couple of Thoughts about Listening

•This is what makes an AVT programme unique•There should always be goals for…. listening•Where do I start? …..listening•When you wonder what are my priorities for today, I’m not sure what to do next, think LISTENING and you can’t go wrong

The Integrated Scales of Development

LISTENING

0-12 months

•Listening and Receptive Language closely intertwined

Eg. ‘frequently localizes sound source with head or eye turn’

Eg. ‘responds with appropriate arm gestures to such words as up high, bye bye, etc.’

Tools to give further informationLISTENING:

REFERENCES, IDEAS!Everyone likes different things

Tools to give further informationLISTENING

• AUDITORY LEARNING GUIDE Splits listening skills into five areas Remember that this is an artificial

grouping in many ways = these overlap and impact on each other

Tools to give further informationLISTENING

• AUDITORY LEARNING GUIDE Sound Awareness Phoneme Level Discourse Level Sentence Level Word Level

Tools to give further informationLISTENING

• AV PLAN FOR FIRST TWELVE MONTHS, AV PLAN LONG TERM

Specific auditory tasks Gives examples

The Integrated Scales of Development

RECEPTIVE LANGUAGE

•Children understand a lot more than they can express•Check understanding is out of context and has generalised

Tools to give further information

RECEPTIVE LANGUAGE

REFERENCES, IDEAS!Everyone likes different things

The Integrated Scales of Development

EXPRESSIVE LANGUAGE

• Must be based on what a child says spontaneously

•How do we know what a child says spontaneously?

The Integrated Scales of Development

EXPRESSIVE LANGUAGE

LANGUAGE SAMPLE

Needs to be spontaneous language Parents can help-give them some tips

on how to do this• Write down everything child says for

a period of time, NOT JUST THE BEST BITS!

• In different settings if possible• Try not to mentally ‘fill in the gaps’

The Integrated Scales of Development

EXPRESSIVE LANGUAGE

LANGUAGE SAMPLE

Formal/informal 50 utterances for formal sample

Tools to give further information

EXPRESSIVE LANGUAGE

REFERENCES, IDEAS!Everyone likes different things

The Integrated Scales of Development

SPEECH

•Running Speech•Imitation if necessary (follow on from Ling Sounds)•Present with /a/•Boring task = interesting

Tools to give further information

SPEECH

The Integrated Scales of Development

COGNITION (AND PLAY!!!)

•PLAY PLAY PLAY

Tools to give further information

COGNITION AND PLAY

The Integrated Scales of Development

SOCIAL COMMUNICATION

•Saved the best til last!!•Left side, right side

OH YIKES!!!!WHERE TO START????

Look through ISD• Think – chronological age, listening age• If not sure, start 3 months before

chronological age (important to see success)

Sit with parent, look through ISD• Left side – audition• Right side – social communication

OH YIKES!!!!WHERE TO START????

Finish ISD

Spin offs•Parents know the most about their children•Parents learn to become diagnositic (in context? Listening alone?)•Honest conversations•The big picture of progress

OH YIKES!!!!WHERE TO START????

Look at the big picture•Where are the gaps?•Use other tools to get further information about the gaps

EXAMPLES (FAR FROM PERFECT EXAMPLES!!)

• Where’s the date????• Ticks all over the place• What does the circle mean?• What will we do next time?• If I’ve gone to the jungle and

can’t be reached??????

LETS COME TO AN AGREEMENT

• What’s achieved• Goals• DATE

We Need to Know Where we are!!!!

NEXT TIME!!

• Review use of tools discussed today

• Diagnostic teaching-finding out more about where we are

• Writing the information into a report