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Which theoretical foundation do you prefer? is the literature valid? EBP? • behavior: ABC, hierarchy (easier to harder), shaping • social: Zone of Proximal Development (ZPD), scaffolding • cognitive: mapping, perception, discrimination, executive functions 2. Is approach compatible with clinical aims? • For example, if the oral mech test shows WNL, therefore you would never need to use a oral motor approach. “dont fix something that isn't broken” • For example, if the approach says, “this is used to teach discrimination skills” you should ask yourself “does the child have discrimination issues?” NEVER assume. 3. Are you (the SLP) qualified to use the approach? • In artic and phonology, there is a vast amount of materials that novice SLPs can use. • on the other hand, some apraxia treatments, the SLP needs certain training • in voice, some Tx, you need certification (for example, Lee Silverman Voice Tx [LSVT]) 4. Do you have the resources needed? • commitment from parents. are they willing to be trained? • does the client have transportation to and from sessions? • do you have the materials available in the clinic/at work? are they up to date? • can the parents afford material that will be needed at home? $$$$
. however the child does not posses the cognitive ability to understand why they are getting rewarded or not. Is the approach you choose a fad or just frequently used because its popular? • for example. can the parents afford material that will be needed at home? • Sometimes the parents will want to use a fad Tx and you will have to talk them out of it by showing them the literature and saying “at least give an alternative (EBP Tx) a chance and we can see if there is improvement” 8. using ipad applications that dont have evidence to back them up. therefore the child would not be successful 6. this may confuse the child and cause his to not progress. 7. and may even digress. however the preschool teachers may also be working on this skill but in a different way. Is this approach consistent with the approaches of other clinical services? • for example. if the SLP is working on preliteracy skills. Does the client posses qualities that will allow them to be successful with this approach? • for example. if you pick to use behavior method (intensive drills). Is this approach compatible with client values? • for example.5.