Adult- Clinical Process

CP2 Goal setting and Planning Intervention

Summary:
What aspects of the individual profile are important to focus on? Have a look at the ASHA sheets in the resources part of the assessment BB
Individual factors (residual or emergent skills)
What are the strengths that can be drawn on?
What are the barriers that need to be addressed? Body Structures and Function Activities and Participation Environmental and Personal Factors
What impairments most affect function in this setting, based on clinician assessment and individual/family report? What activities are most important to the individual in the current setting?
It is important to think about the relevance to the immediate goal setting context here. What environmental/ personal characteristics help or hinder participation in activities or situations in the current setting?
Barriers and Enablers?

Determination of clinical risk/ Ethical considerations/ Safeguarding issues?
Think about what clinical risk means; implications of intervening vs not intervening
Prioritisation of needs: out of all the possible goals which ones are the most important/ significant for the client to address? Which need to be the focus of intervention first?
Collaborative decision-making and partnership working to establish goals.

Present level of functioning/ strengths
What can the client do?

Establish a rationale for this selected starting point
Clinical Goals:
Set two clinical goals for this client. These need to be aligned to the areas of concern you identified at the beginning of the template.
Goal 1:
Baseline
What can the client do in relation to this goal?
Emergent or residual skills
What are their current strengths? This relates to the baseline skills observed, which will act as the measure against which any progress will be described and evaluated.

What is the goal? going to do? On what basis has this goal been chosen? SLT Goal setting: SMART
How are you going to build on this baseline?
Who are the key communication partners? SMART Goal:

Delivery pattern Duration Frequency of contact
How are the ‘sessions’ going to be delivered?
Who needs to be involved in the therapy process?
How should this be managed?
What is the role of the SLT?
Individual/ Partnership/Environment
Direct? Individual/ Group?
Indirect? Collaborative and partnership working? Parent/ Carer/ Family support?
Consultative? Etc
Adaptations to the communication environment?
Clinical Reasoning: How is this going to happen and on what basis? Chosen Method/ Strategy/ Approach
How will the desired outcome be brought about?
Content decisions E.g. Lego Therapy/ Supported Conversation/ AAC/ PECS

Rationale including reference to EBP; journals etc current evidence base
What informs my selection of a particular approach to intervention?
What is the evidence base for this intervention?
Which client groups has it been used successfully with? Etc etc.
Activities/ materials
Devise activities or opportunities that support the shared intervention goals What will be needed to conduct the session?
Task hierarchies

Facilitation/ Therapeutic techniques
Which facilitation techniques should I build into the intervention programme? Select and adapt materials/ activities
Step-up/ step-down
What needs to be done to support the optimal outcome for the client?
Cueing hierarchies etc?
Generalisation of intervention goals How are you going to be able to enhance the functional impact of this intervention?
How will progress /effectiveness be measured Outcomes and how these are going to be measured Response to intervention can be monitored and measured in many different ways: TOMS etc.
What different perspectives could you take in determining this?
What type of change are you expecting?
How is this meaningful to the client?
How could you capture this?
What evaluation tool would be most appropriate for this client/context?

Goal 2:

Baseline
What can the client do in relation to this goal?
Emergent or residual skills
What are their current strengths? This relates to the baseline skills observed, which will act as the measure against which any progress will be described and evaluated.

SLT Goal setting: SMART

Delivery pattern Duration Frequency

Chosen Method/ Strategy/ Approach
How will the desired outcome be brought about?
Content decisions
Rationale including reference to EBP; journals etc current evidence base