presented by Barbara L. Davis
Financial— Barbara Davis receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
Barbara L. Davis, PhD, CCC-SLP
Dr. Barbara Davis is the Houston Harte Centennial Professor of Communication Emerita at The University of Texas at Austin. She has also worked as an SLP in public schools, private practice, and at the Texas Department of Health. Dr. Davis has published more than 100 articles and book chapters and two books. Her research and…Read full bio
1. Introduction: Goal and Target Selection for Developmental Speech Disorders: Pre-School Children
Pre-school children 3-5 years of age who are diagnosed with speech delay or disorder may show mild, moderate, or severe levels of unintelligibility to listeners relative to expectations for their chronological age. In assessing children relative to choosing goals and targets for intervention, overall goals relative to remediation, prevention, and compensation must first be considered. Relative to choosing goals and targets for direct remediation, client individual factors (e.g., 1) personal factors, 2) speech, language, and hearing factors, or 3) physical, organic, or structural factors must be considered. The status of prior or concurrent treatment must be included relative to choosing goals and targets as well.
2. Critical Components to Choosing Goals and Targets for Intervention
Numerous intervention approaches have been developed for children with developmental speech disorders. In choosing goals and targets for each child, the clinician must address a variety of questions related to the intervention approaches being considered. These include issues related to appropriate target populations and assessment methods. In addition, the theoretical basis of approaches, EBP level of research available and important components based on clinician judgement regarding the basis of the child’s delay or disorder. Finally practical requirements, key components, assessment, progress monitoring of goals and targets selected, as well as accommodations of cultural and linguistic diversity are relevant to choosing goals and targets.
3. Categories of Intervention Available for 3-5 Year Old Children With Developmental Speech Disorders
Types of intervention goals and targets are largely determined by the intervention approach chosen. Interventions fall into several general categories: direct speech interventions (usually directed at phonological knowledge), general interventions (usually directed at language more generally), and motor speech-based interventions (usually focused on phonetic or articulation aspects of the speech production apparatus). Exemplars of each of these intervention approaches will be evaluated relative to their approach to goal and target selection for pre-school children with developmental speech disorders.