Post on 11-Jan-2016
Clinical Use and New Developments
Sally BoaResearch Speech and Language Therapist
University of Stirling Forth Valley NHS
Talking Matsvisual scale
topic options
Talking Mats
Developed in 1998
University of Stirling
Used both in applied and research contexts
Used locally, nationally and internationally
Prerequisites
Physical vision pointing method
Cognitive Symbolic understanding Understand 2 key words in 1 sentence reliable confirmation
Examples of Client Groups
Children with language disorders - expressing their viewsPeople with intellectual disability - life planning Frail older people Adults with acquired communication disability - goal planningYoung offenders - communication difficultiesMaking decisions about non-oral eating and drinking
Adults with acquired communication disability
Goal setting
World Health Organisation (2001) ICF: International Classification of Functioning, Disability and Health, Geneva: WHO
Goal Setting
WHO domains (Activities & Participation)
Learning & applying Knowledge General tasks and demandsCommunicationMobilitySelf-careDomestic lifeInterpersonal interactions and relationshipsMajor life areas (e.g. work, education)Community, social and civic life
Talking Mats -Topics
Applying knowledge Emotional well being Communication Mobility /Transport Self care Domestic life Relationships Work and education Leisure Environment Health
Sub categories
Washing Having a bath Showering Getting dressed Fastenings Washing hair Eating Drinking Cutting up food
Goal setting - general topics
Sub mat - Communication
Tracking changes
Quotes
“So this kind of explains what the rehab team do and what rehabilitation is practically. I didn’t know, for example, that it [the service] was so wide. I didn’t know that A would be taking me out, for example, and getting me used to the train the shops and people………”
“I suppose it is like anything that you are asked to write or any question you asked is like a blank sheet of paper and for me with speech difficulties it is easier to work with ideas than come up with your own.”
Non-oral eating and drinking
Meetings
Why Talking Mats works
Structured format to interaction Open questions Avoids direct confrontation Time
Small chunks helps people process concepts reduces memory demands
Multiple channelsOwnership Gives people control
Reduces physical demandsHelps people to say “no”
New developments
Training - general or targeted
Talking Mats manual
Symbol sets
Further research
www.talkingmats.com
References
Murphy J (2004) Enabling Frail Older People with a Communication Difficulty to Express their Views: the use of Talking Mats™ as an interview tool Health and Social Care in the Community 13 (2) 95-107 Cameron L, Watson J and Murphy (2004) Talking Mats: A focus group tool for people with learning disability. Communication Matters 18 (1) 33-35Boa S and MacFadyen L (2003) Goal Setting for People with Communication Difficulites. Communication Matters 17 (3) 31-33Boa, S and Murphy, J (2003) Talking Mats™- An overview of current developments. Communicating with pictures and symbols - Augmentative Communication in Practice Study Day 2003 43-45Murphy, J , McCallan S and Aitken J (2003) Helping People make decisions about PEG Feeding Bulletin of Royal College of Speech and Language Therapists No. 618Cameron, L and Murphy, J (2002) Enabling young people with a learning disability to make choices at a time of transition, British Journal of Learning Disabilities, 30:105-112.World Health Organisation (2001) ICF: International Classification of Functioning, Disability and Health, Geneva: WHO