Ppact Intervention Model

Improved Essays
PACT is an acronym for “parents and children together” and is rooted in the belief that a child with a phonological disorder should be guided towards the normal route of development in improving intelligibility through the use of active parent involvement within the treatment process (Bowen, 1999). PACT is unique in that it actively involves parents in predetermined individual clinician-child interactions during “therapy blocks” followed by “breaks” in which parents continue to deliver aspects of intervention that account for gradual phonological acquisition. This approach to therapy for unintelligible three to six year old children involves five components: parent education, metalinguistic training, phonetic production training, multiple exemplar …show more content…
This showed that the therapy was more effective than no therapy (Bowen & Cupples, 2006). This intervention model takes into consideration linguistic, motoric, and developmental factors making it a broad-based approach to the intervention process (Bowen, 1999). Caroline Bowen identified previous research (as cited by Kamhi, 1992) that indicated the need for such a methodology of value stating this model is “consistent with assessment procedures that are comprehensive in nature and treatment procedures that focus on linguistic, as well as motor aspects of speech.” This approach is differentiated from others because it utilizes a blend of the five specific components that result into a new and innovative treatment approach in itself (Bowen, 1999).
In regards to parent education, parents of children whose speech is largely unintelligible often do not know where to start correcting, or if they should. The PACT model is family centered stressing family involvement in the intervention process, both during and between therapy attendances (Bowen, 1999). The parents or caregivers are those likely to spend the most time with the child. This being said, the parents are going to be highly motivated and best situated to assist in educating, guiding, and supporting the
…show more content…
First, through minimal contrast therapy or minimal pairs therapy and second, through auditory bombardment (as cited by Ingram 1989). Ingram suggested that auditory bombardment might facilitate phonological change by increasing the frequency of some targets. Minimal contrast activities also provide a means of facilitating the child’s ability to recognize contrastive phonemes (Bowen, 1999).
Homework is an essential component of the PACT therapy approach. The homework component provides children with practice, reinforcement, and opportunities to generalize skills. It also allows parents to generalize teaching skills learned in therapy. This contributes to building parent’s confidence in administering therapy and creates new learning opportunities for children in more natural environments. As a result, phonological “breakthroughs” typically occur during homework (Bowen,

Related Documents

  • Improved Essays

    The Goldman-Fristoe Test of Articulation 2 (GFTA-2) was administered to the client. The test administration was audio recorded for further interpretation and transcription. The clinician obtained this recording from the faculty supervisor. Using the recording and a form provided by the faculty supervisor, the clinician transcribed the client’s utterances next to the target words. To analyze the client’s utterances for phonological processes, the clinician used the Khan-Lewis Phonological Analysis, Second Edition (KLPA-2) manual.…

    • 1685 Words
    • 7 Pages
    Improved Essays
  • Superior Essays

    This book will provide opportunities to duplicate productions that are the focus of therapy. Through a structured, interactive, easy to follow book, J.A. will be able to receive additional practice in the areas of consonant vowel combinations and exercise to develop expressive, functional language. Coupled with the therapy goals presented, this home program will aim to solidify the activities done in therapy and provide J.A. with the much need repetitious practice that is need in order to progress towards functional and intelligible…

    • 1373 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Parents should be aware of which stage their child is at so they do not feel discouraged. Listening skills must develop in a sequential pattern as well starting with the learning to listen sounds in isolation and gradually working to larger sets. The AVT should provide feedback to the parents to support and encourage them Building and developing the child’s skills each week and expanding on language learned through hearing will help the child’s confidence in listening to increase. As the child progresses in AVT the focus moves from listening, receptive language, to speaking, expressive…

    • 429 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Treatment targets allow clinicians to successfully create a plan of action for the client. The first treatment target is developmental norms are based on normative data gathered from speech development research studies. Clinicians use developmental norms the most due to the clinically wise decision of treating the child to what is appropriate for his/her age. A clinician may use developmental norms because the norms of the research serves as a representation of where the child falls in and can ultimately be useful in the school setting or for insurance requirements.…

    • 448 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Introduction Charlie is a 6 years old boy living with his aunts and grandparents. He experiences problems with both speech and language. His method of communication includes pointing and noise making. When he tries to speak, one could barely understand what he is trying to say due to poor enunciation. Since the age of two, his family were very concern about his development.…

    • 922 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    It puts stress on the family because there are studies that have been proven that children should be exposed to their first language as early as five years of age, once passed that age children have a hard time mastering a language, which can be a hardship that they may never overcome. Due to the pressure to find the best method hearing parents are thought to believe medical professionals, when the first step they should take it to talk to individuals like their deaf child, the Deaf…

    • 590 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    They deserve to know the beauty of ASL and use it in their everyday lives. Making them read lips and not sign is not going to make them hearing nor should it. If I could give any of my family members or friends with deaf children advice it would be to make sure that child is enrolled in a school for the deaf and to surround that child with members of the deaf community to learn the culture. It is so crucial for that child as well as the parents to embrace deaf culture, learn about it, live it, and love…

    • 915 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Psl-5 Essay

    • 502 Words
    • 3 Pages

    As a speech pathologist in early intervention and in the education arena, I have assessed a diverse population of children birth-three years old, as well as school aged children. When choosing an assessment instrument, I consider multiple factors to include, how long does it take to administer the instrument, what is the age of the child, are there co-existing disabilities, will the parent or caregiver be available to provide information. The Preschool School Language Scale- Fifth Edition (PLS-5) and the Battelle Developmental Inventory-Second Edition (BDI-2) are both designed to address the communication development in young children. Both assessments allow for parent interview, observation and elicitation from subjects as means to administer the instrument.…

    • 502 Words
    • 3 Pages
    Decent Essays
  • Decent Essays

    Intervention Review Paper

    • 441 Words
    • 2 Pages

    To be effective in learning the new skill, it must be demonstrated in different settings. To reinforce the use of newly learned skills by having teachers practice using the picture of Sammy preforming the behavior. We will inform the art, music, and other specialist teachers and have them reinforce Sammy when she does assigned task. The reinforcement schedule will be set up so it includes all different subjects, such as morning meeting, prep-teacher and specialist. Reducing Prompts: When Sammy is not preforming assigned task, what would happen is the teacher shows her the picture card.…

    • 441 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    one of prerequisite to success at school is development communication skills. Receiving speech and language services is kind of the substantial supports for individuals to benefit from their education. The school-based Speech-Language Pathologist(SLP) plays an important role in education and his serves could be in the both teams the special education and general education. SLPs may serve students directly or work with educators and parents to address communication and language needs. Speech-language pathologists aim to aid these individuals in improving communication in not only the context of therapy, but also to generalize these skills to home and community, among parent, friends, and community communication partners.…

    • 330 Words
    • 2 Pages
    Decent Essays
  • Superior Essays

    Many children and adults at some point in their life require therapy from a speech language pathologist (SLP). Debra Edgar states that the 24th Annual Report to Congress on the Implementation of Individuals with Disabilities Education Act implies that “speech or language impairment was the most prevalent disability category” (par. 3). Speech or language impairment is becoming more frequent and the need for speech-language pathologists is growing. There are many concerns about the lack of speech-language pathologist and this all revolves around what people know about this type of therapy. The fact that communication disorders are “among the most common type of disabilities in the United States”, the knowledge people have of the profession needs…

    • 1754 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    There are seven stages of motor speech systems that are focused on are all developmental and interactive in nature. The first stage is related to tone, the second stage is phonatory control, the third stage is mandibular control, the fourth stage is labio-facial control, the fifth stage is lingual control, the sixth stage is sequenced movements and the seventh stage is prosody. These aspects have been identified as elements that need to be addressed when working with CAS. Treatment focuses heavily on the integration of tactile kinestetic cues in order to integrate the child's speech movements with different sensory integration cues. These cues are then faded as therapy continues in order…

    • 853 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    I began to think about the meaning of the hand sign and how it really hits close to home when considering the mindset of parents in sending their children to boarding schools that require them to mimic speech patterns to resemble their hearing counterparts, while locking away their Deaf identities and culture that are inseparably connected to signing. The outlook of “helping” the Deaf through forceful speech therapies and auditory restoration treatments will only do more harm than good. I believe that mutual efforts, support, and understanding can help overcome problems resulting from cultural differences between minority groups and the majority group. Every parent wants their child to have a happy, healthy, and normal childhood. Parents of a Deaf child can also provide their child with a happy, healthy, and normal childhood when they are willing to accept the fact that Deafness is a state that should be embraced and not fixed.…

    • 706 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Deaf Parents

    • 82 Words
    • 1 Pages

    Erin Toohey (2010) researched the phonological development in hearing children of Deaf parents. Hearing children of Deaf parents develop speech and language in an atypical way. The environment for these children consist of lack of linguistic auditory input, resulting in few opportunities to acquire spoken language. These children are ultimately learning two languages at one time. More specifically, “children of Deaf adults often times acquire both American Sign Language (ASL) and English simultaneously, also known as bimodal bilingualism” (Toohey, 2010, p. 6).…

    • 82 Words
    • 1 Pages
    Improved Essays
  • Great Essays

    For example, script therapy will monitor the rate for each client while repeated practice adds hand tapping and a metronome to sentences to dictate the rate in which the clients will speak. In addition, both script therapy and repeated practice used motor learning with a motor plan and programming techniques to teach the…

    • 1223 Words
    • 5 Pages
    Great Essays

Related Topics