Assignment Task
Speech Pathology Management Plan
Student Name and Number: Date of Plan: Name of Supervising Clinician: Client Details
Client Name: Date of Birth and Age: Parent/caregiver/family names and contact details: Client’s Diagnosis: Prognosis: Date of first intervention session: Anticipated total intervention duration: (number of sessions, hours, time) Client Social, Personal and Medical History
- People Involved in Management
- Add or delete rows as appropriate.
- Name Agreed Role Contact Details
- Family Preferences for Intervention and Involvement
- Consider family preferences for service delivery models and their role in intervention
- Goals for Intervention
- Note: A client may have more or fewer long-term and short-term goals. Add or delete goals based on your assessment, analysis, individual client’s needs, and personal/family preferences.
- Depending on your client, you may choose to add session goals under each short-term goal.
- Long-Term Goal 1
- Long-Term Goal 1:
- Rationale:
- Short-Term Goal 1.1:
- Rationale:
- Short-Term Goal 1.2:
- Rationale:
- Short-Term Goal 1.3:
- Rationale:
- Long-Term Goal 2
- Long-Term Goal 2:
- Rationale:
- Short-Term Goal 2.1:
- Rationale:
- Short-Term Goal 2.2:
- Rationale:
- Short-Term Goal 2.3:
- Rationale:
- Goal Attack Strategy: Rationale:
- Intervention Approach(es)
- Intervention Approach(es) to be Used: Evidence-Based Rationale:
- Service Delivery
- Nature, Duration and Frequency of Speech Pathology Services: (include information on the intervention setting, intervention agent, intervention intensity, format of intervention, and continuity of intervention)
- Rationale:
- Evaluation Plan
- Category and type of data to be collecteda,b Who will collect the data? Where will the data be collected? How often will the data be collected?
- aData category: treatment, response generalisation, stimulus generalisation, control data
- bData type: qualitative and quantitative
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