Goal Setting in Auditory-Verbal
Therapy
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…..
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
The Integrated Scales of
Development
LISTENING
A Couple of Thoughts about Listening
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•
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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 
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.’
Tools to give further information
LISTENING:
Auditory Learning Guide
Auditory Skills Checklist
REFERENCES, IDEAS!
Everyone likes different things
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
Tools to give further information
LISTENING
•
AUDITORY LEARNING GUIDE
 Sound
Awareness
 Phoneme Level
 Discourse Level
 Sentence Level
 Word Level
Tools to give further information
LISTENING
•
AV PLAN FOR FIRST TWELVE MONTHS,
AV PLAN LONG TERM
 Specific
auditory tasks
 Gives examples
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
Tools to give further information
RECEPTIVE LANGUAGE
Bracken
Concepts Scale
REFERENCES, IDEAS!
Everyone likes different things
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?
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’
The Integrated Scales of
Development
EXPRESSIVE LANGUAGE
LANGUAGE SAMPLE


Formal/informal
50 utterances for formal sample
Tools to give further information
EXPRESSIVE LANGUAGE
MLU Chart
Bloom and Lahey
Macarthur
REFERENCES, IDEAS!
Everyone likes different things
The Integrated Scales of
Development
SPEECH
•
•
•
•
Running Speech
Imitation if necessary (follow on from
Ling Sounds)
Present with /a/
Boring task = interesting
Tools to give further information
SPEECH
Articulation Attainment
Chart-vowels
Articulation Attainment
Chart-consonants
The Integrated Scales of
Development
COGNITION (AND PLAY!!!)
•
PLAY PLAY PLAY
Tools to give further information
COGNITION AND PLAY
Cognition and Languagea Partnership
Play Sequence (within
article)
The Integrated Scales of
Development
SOCIAL COMMUNICATION
•
•
Saved the best til last!!
Left side, right side
OH YIKES!!!!
WHERE TO START????
 Look
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Think – chronological age, listening age
If not sure, start 3 months before
chronological age (important to see
success)
 Sit
•
•
through ISD
with parent, look through ISD
Left side – audition
Right side – social communication
OH YIKES!!!!
WHERE TO START????
 Finish
 Spin
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ISD
offs
Parents know the most about their
children
Parents learn to become diagnositic (in
context? Listening alone?)
Honest conversations
The big picture of progress
OH YIKES!!!!
WHERE TO START????
Look
•
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at the big picture
Where are the gaps?
Use other tools to get further
information about the gaps
EXAMPLES (FAR FROM PERFECT
EXAMPLES!!)
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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??????
LETS COME TO AN AGREEMENT
• What’s achieved
• Goals
• DATE
We Need to Know Where we
are!!!!
NEXT TIME!!
• Review use of tools discussed today
• Diagnostic teaching-finding out more
about where we are
• Writing the information into a report