Speech and Language Therapy

Datebook/PDA Training:  Analyze the client’s needs regarding memory and organizational deficits.  This will involve the discussion of the pros & cons of using a datebook vs. a personal digital assistant (PDA), research and review various product options before deciding upon a specific item, obtaining the specific datebook or PDA, helping the client transfer data to the datebook/PDA, instruct client in the use of the datebook/PDA, and repeatedly practice techniques to help the client acclimate to carrying and using the compensation.  Such training is likely to involve multiple Team members so as to reinforce the idea that this compensation is a valuable tool, enhance the relevancy of the memory assignments, and increase the amount of practice available within the available time frame.  (average client requires 12 hours) [Neuropsychology, Occupational Therapy]

Pragmatics Training:  Assist the client with social aspects of communication, including but not limited to: disinhibition, hyperverbality, impulsivity, eye contact, confabulation, interviewing skills, body language, and non-verbal communication.  Strong pragmatic skills are important to acquiring and maintaining employment (supervisor and co-worker interactions), as well as improving participation in other important social activities.  Strategies are employed through role-playing, modeling, recording, and practice with the Speech Pathologist.  (average client requires 8 hours)

Cognitive Remediation:  Improving cognitive skills in the areas of multi-tasking, attention and concentration, problem solving, word-finding, basic academic skills, auditory comprehension, written expression, and memory.  Improving these skills is advantageous for returning to work as well as improving capabilities in the home environment.  Skills will be improved through re-teaching of concepts, paper and pencil tasks, and homework assignments.  (mildly impaired client may require 10-20 hours, while a moderately to severely impaired client may require 30-40 hours) [Neuropsychology, Occupational Therapy]

Expressive/Receptive Language Therapy:  Analyze the client’s need for improvement in expressive and/or receptive language skills, especially with regard to aphasia.  A strong emphasis is placed on improving these skills through language formulation and remediation exercises so that the client is able to maintain employment and participate in other social activities to avoid isolation.  (mildly impaired clients require 15-20 hours, while a moderately to severely impaired client may require 30-40 hours.  If necessary, this may be done concurrently with pragmatics training and cognitive remediation)