1. Goal Setting in Auditory-Verbal Therapy

2. Goal Setting in AVT Assessing Current Functioning If we’re to navigate the ship we need to know where we are, then plot a course of where to go…..

3. Goal Setting in AVT Assessing Current Functioning A Core Document: The Integrated Scales of Development Normal development A protocol, not a curriculum Easy enough Accurate enough

4. The Integrated Scales of Development LISTENING A 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

5. 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.’

6. Tools to give further information LISTENING: Auditory Learning Guide Auditory Skills Checklist REFERENCES, IDEAS! Everyone likes different things

7. Tools to give further information LISTENING 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

8. Tools to give further information LISTENING AUDITORY LEARNING GUIDE  Sound Awareness  Phoneme Level  Discourse Level  Sentence Level  Word Level

9. Tools to give further information LISTENING AV PLAN FOR FIRST TWELVE MONTHS, AV PLAN LONG TERM  Specific auditory tasks  Gives examples

10. 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

11. Tools to give further information RECEPTIVE LANGUAGE Bracken Concepts Scale REFERENCES, IDEAS! Everyone likes different things

12. 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?

13. 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’

14. The Integrated Scales of Development EXPRESSIVE LANGUAGE LANGUAGE SAMPLE  Formal/informal  50 utterances for formal sample

15. Tools to give further information EXPRESSIVE LANGUAGE MLU Chart Bloom and Lahey Macarthur REFERENCES, IDEAS! Everyone likes different things

16. The Integrated Scales of Development SPEECH Running Speech Imitation if necessary (follow on from Ling Sounds) Present with /a/ Boring task = interesting

17. Tools to give further information SPEECH Articulation Attainment Chart-vowels Articulation Attainment Chart-consonants

18. The Integrated Scales of Development COGNITION (AND PLAY!!!) PLAY PLAY PLAY

19. Tools to give further information COGNITION AND PLAY Cognition and Language- a Partnership Play Sequence (within article)

20. The Integrated Scales of Development SOCIAL COMMUNICATION Saved the best til last!! Left side, right side

21. 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

22. 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

23. OH YIKES!!!! WHERE TO START????  Look at the big picture Where are the gaps? Use other tools to get further information about the gaps

24. 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??????

25. LETS COME TO AN AGREEMENT What’s achieved Goals DATE

26. We Need to Know Where we are!!!!

27. NEXT TIME!! Review use of tools discussed today Diagnostic teaching-finding out more about where we are Writing the information into a report