Garrett

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Garrett Beukelman Intervention Model

• Meghan Neu, April LaCoursiere, Jessica
  Cassellius

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Specific-Need Communicator

• All classification categories

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Residual Skills

• Benefits from support in situations requiring,
  specificity, clarity, or efficiency (cooking)

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Intervention Goals/Skills

• Use phone, participate in community leisure
  activities, participate, in family, and share
  responsibilities.

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Suggested Activities for Partners

• Identify specific situations and specific
  messages
• Assist in developing system components
• Provide opportunities to use system components

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Skill

• To communicate specific information via telephone
• Patient sub goals?

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Example of Patient Sub-goals

• 1. Pick up the phone when it rings
• 2. To answer social questions
• 3. To communicate emergency information via
  telephone
• 4. To communicate specific needs to request
  via the phone
• Please come to visit or I need help paying the
  bills

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Communication Sample Hierarchy

• 1. Message selection based on communication needs
  
• Patient edits
• 2. Symbol selection if using a technical support
• Patient edits
• 3. Drill practice in accessing messages

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Continued Hierarchy

• 4. Practice is accessing messages given
  situational questions
• What would you say to your son if you were sick
• 5. Role playing practice in answering the phone
  and responding to social questions for a
  five-turn conversation

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Continued Hierarchy

• 6. Role-playing practice in initiating a request
  over the phone
• Dialing, making request, hanging up
• 7. Naturalistic situation in which patient
  receives call
• Preferable in own home
• 8. Naturalist situation in which patient makes a
  call, preferably in own home

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Specific Needs Vocabulary Overlay
HELLO Im in Trouble Come over I need help with YES
This is Jeff Herzog Call the doctor NOW The bills Shopping
How are you? Im OK Stop by and visit! The Yard NO
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Specific Needs Vocabulary Overlay
HELLO Im in Trouble Come over I need help with YES
This is Jeff Herzog Call the doctor NOW The bills Shopping
How are you? Im OK Stop by and visit! The Yard NO
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Specific Needs Vocabulary Overlay
HELLO Im in Trouble Come over I need help with YES
This is Jeff Herzog Call the doctor NOW The bills Shopping
How are you? Im OK Stop by and visit! The Yard NO
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Specific Needs Vocabulary Overlay
HELLO Im in Trouble Come over I need help with YES
This is Jeff Herzog Call the doctor NOW The bills Shopping
How are you? Im OK Stop by and visit! The Yard NO
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Specific Needs Vocabulary Overlay
HELLO Im in Trouble Come over I need help with YES
This is Jeff Herzog Call the doctor NOW The bills Shopping
How are you? Im OK Stop by and visit! The Yard NO
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Specific Needs Vocabulary Overlay
HELLO Im in Trouble Come over I need help with YES
This is Jeff Herzog Call the doctor NOW The bills Shopping
How are you? Im OK Stop by and visit! The Yard NO
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Specific Needs Vocabulary Overlay
HELLO Im in Trouble Come over I need help with YES
This is Jeff Herzog Call the doctor NOW The bills Shopping
How are you? Im OK Stop by and visit! The Yard NO
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Specific Needs Vocabulary Overlay
HELLO Im in Trouble Come over I need help with YES
This is Jeff Herzog Call the doctor NOW The bills Shopping
How are you? Im OK Stop by and visit! The Yard NO
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Specific Needs Vocabulary Overlay
HELLO Im in Trouble Come over I need help with YES
This is Jeff Herzog Call the doctor NOW The bills Shopping
How are you? Im OK Stop by and visit! The Yard NO
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Specific Needs Vocabulary Overlay
HELLO Im in Trouble Come over I need help with YES
This is Jeff Herzog Call the doctor NOW The bills Shopping
How are you? Im OK Stop by and visit! The Yard NO
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Using the Model for all Skills

• This model can be used with programmable devices
• Patient subgoals
• To locate specific messages on device
• To communicate messages at appropriate times
• Sample activity
• Saying Bingo with a tape recorder during a
  bingo game

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More Examples

• Identify situations in which it would be helpful
  for the patient to communicate more specifically
• To assist in defining specific messages during
  development of a specific-need communication
  system