Episode 85: Don't Just Sit There, Do Something! Targeting Participation in Speech Therapy with Sarah Baar, MA, CCC-SLP
Impacting life participation is an ideal goal for speech therapy, yet our therapy practices across clinical settings don’t always reflect a participation-focused approach. Join Sarah and Leigh Ann as they describe why we care about targeting participation, what participation can look like in the therapeutic process, and how goals will be impacted and used when therapy is participation-focused with the adult neurogenic population. Real-life examples included!
topics covered:
What do patients want in therapy?
Applying the complexity approach
Participation takes practice!
Look at the component pieces of an activity
Home programs are extensions of participation in bite-size chunks
How does a participation approach affect treatment outcomes?
Measuring participation in goals: looking at short-term and long-term goals.
Resources mentioned in the episode:
Honeycomb Speech Therapy Activity Studio: www.honeycombspeechtherapy.com/activity-studio
Annual Activity Studio subscription discount for SUP listeners for 2020: SUPActivityStudio
what does the Literature say?
Bogner, J., Dijkers, M., Hade, E, et al. (2019) Contextualized treatment in traumatic brain injury inpatient rehabilitation: effects on outcomes during the first year after discharge. Physical Medicine Rehabilitation, 100(10), 1810-1817. https://pubmed.ncbi.nlm.nih.gov/30716280/
Kiran, S., & Thompson, C. (2019). Neuroplasticity of language networks in aphasia: advances, updates, and future challenges. Frontiers in Neurology, 2. Retrieved online from: https://www.frontiersin.org/articles/10.3389/fneur.2019.00295/full
Treatment Principle 6: Complexity!
LPAA Project Group (in alphabetical order: Chapey, R., Duchan, J. F., Elman, R. J., Garcia, L. J., Kagan, A., Lyon, J. and Simmons-Mackie, N.), (2000). Life participation approach to aphasia: A statement of values for the future. ASHA Leader,5(3). 4-6. https://leader.pubs.asha.org/doi/10.1044/leader.ftr.05032000.4 Reprinted in R. Chapey (2001) (Ed.). Language intervention strategies in aphasia and related neurogenic communication disorders. (4th ed.). Baltimore: Lippincott, Williams & Wilkins.
Stahl, B., Mohr, B., Dreyer, F., Lucchese, G., & Pulvermuller, F. (2016). Using language for social interaction: communication mechanisms promote recovery from chronic, non-fluent aphasia. Cortex, 85(Dec), 90-99. https://www.ncbi.nlm.nih.gov/pubmed/27842269/
Sarah Baar is a practicing SLP in the state of Michigan and the creator of Honeycomb Speech Therapy. Sarah has worked for 12+ years with adults, specializing in person-centered functional approaches for neurogenic disorders. She has worked across the continuum of care, treating patients with stroke, brain injury, and dementia in acute care, inpatient rehab, outpatient therapy, and home / community settings. Sarah started Honeycomb Speech Therapy in 2016 as a starting step for her goal to bring real-life, meaningful tasks into therapy, along with evidence-based ideas, in a way that was efficient and didn’t require extensive planning outside of therapy. The name of Sarah’s project is inspired by the proverb “Gracious words are a honeycomb, sweet to the soul and healing to the bones.” Sarah believes the therapy we do as SLPs can impact those we work with, both body and soul.
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