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Residual Skills Benefits from support in situations requiring, specificity, clarity, or efficiency (cooking)
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Garrett & Beukelman Intervention Model
Meghan Neu, April LaCoursiere, & Jessica Cassellius
Specific-Need Communicator All classification
categories
Residual Skills Benefits from support in situations
requiring, specificity, clarity, or efficiency (cooking)
Intervention Goals/Skills Use phone, participate in community
leisure activities, participate, in family, and share responsibilities.
Suggested Activities for Partners Identify specific situations and
specific messages Assist in developing system
components Provide opportunities to use system
components
Skill To communicate specific information
via telephone Patient sub goals?
Example of Patient Sub-goals 1. Pick up the phone when it rings 2. To answer social questions 3. To communicate emergency
information via telephone 4. To communicate specific needs to
request via the phone “Please come to visit” or “I need help
paying the bills”
Communication Sample Hierarchy 1. Message selection based on
communication needs Patient edits
2. Symbol selection if using a technical support Patient edits
3. Drill practice in accessing messages
Continued Hierarchy 4. Practice is accessing messages
given situational questions “What would you say to your son if you
were sick”
5. Role playing practice in answering the phone and responding to social questions for a five-turn conversation
Continued Hierarchy 6. Role-playing practice in initiating a
request over the phone Dialing, making request, hanging up
7. Naturalistic situation in which patient receives call Preferable in own home
8. Naturalist situation in which patient makes a call, preferably in own home
Specific Needs Vocabulary OverlayHELLO I’m in
TroubleCome over
I need help
with…
YES
This is Jeff
Herzog
Call the doctor
NOW The bills $$$$$$
Shopping
How are
you?
I’m OK Stop by and visit!
The Yard NO
Specific Needs Vocabulary OverlayHELLO I’m in
TroubleCome over
I need help
with…
YES
This is Jeff
Herzog
Call the doctor
NOW The bills $$$$$$
Shopping
How are
you?
I’m OK Stop by and visit!
The Yard NO
Specific Needs Vocabulary OverlayHELLO I’m in
TroubleCome over
I need help
with…
YES
This is Jeff
Herzog
Call the doctor
NOW The bills $$$$$$
Shopping
How are
you?
I’m OK Stop by and visit!
The Yard NO
Specific Needs Vocabulary OverlayHELLO I’m in
TroubleCome over
I need help
with…
YES
This is Jeff
Herzog
Call the doctor
NOW The bills $$$$$$
Shopping
How are
you?
I’m OK Stop by and visit!
The Yard NO
Specific Needs Vocabulary OverlayHELLO I’m in
TroubleCome over
I need help
with…
YES
This is Jeff
Herzog
Call the doctor
NOW The bills $$$$$$
Shopping
How are
you?
I’m OK Stop by and visit!
The Yard NO
Specific Needs Vocabulary OverlayHELLO I’m in
TroubleCome over
I need help
with…
YES
This is Jeff
Herzog
Call the doctor
NOW The bills $$$$$$
Shopping
How are
you?
I’m OK Stop by and visit!
The Yard NO
Specific Needs Vocabulary OverlayHELLO I’m in
TroubleCome over
I need help
with…
YES
This is Jeff
Herzog
Call the doctor
NOW The bills $$$$$$
Shopping
How are
you?
I’m OK Stop by and visit!
The Yard NO
Specific Needs Vocabulary OverlayHELLO I’m in
TroubleCome over
I need help
with…
YES
This is Jeff
Herzog
Call the doctor
NOW The bills $$$$$$
Shopping
How are
you?
I’m OK Stop by and visit!
The Yard NO
Specific Needs Vocabulary OverlayHELLO I’m in
TroubleCome over
I need help
with…
YES
This is Jeff
Herzog
Call the doctor
NOW The bills $$$$$$
Shopping
How are
you?
I’m OK Stop by and visit!
The Yard NO
Specific Needs Vocabulary OverlayHELLO I’m in
TroubleCome over
I need help
with…
YES
This is Jeff
Herzog
Call the doctor
NOW The bills $$$$$$
Shopping
How are
you?
I’m OK Stop by and visit!
The Yard NO
Using the Model for all Skills This model can be used with
programmable devices Patient subgoals
To locate specific messages on device To communicate messages at
appropriate times Sample activity:
Saying “Bingo” with a tape recorder during a bingo game
More Examples Identify situations in which it would be
helpful for the patient to communicate more specifically
To assist in defining specific messages during development of a specific-need communication system