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