TRANSFER AND MAINTENANCE OF FLUENCY
Rationale: Fluent speech is generally easily achieved within the clinical
environment. However, this fluency is of little value unless the speaker
is able to transfer his/her new skills into his/her normal communication
environment.
Activities/Techniques:
For Transfer:
- use ongoing strategies
- define a hierarchy of situations from easy to
difficult
- use different physical movements
- increase audience size and encourage "quests" in
therapy
For Maintenance:
- weekly or monthly telephone checks with the
parents
- sessions are reduced to weekly, biweekly,
monthly, etc.
- intermittent home practice in structured and
unstructured activities
- have the client make a tape of several
conversations at home. Have him/her grade their
performance on several areas such as rate, soft
contacts, and stretches; and then bring the tape
to therapy so the clinician can give his/her
feedback
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