Strategy Training Intervention: Categorical Organization

Diagnosis

Neurological Disorder
Degenerative Disorder
Right Hemisphere Disorder
Other individuals who experienced a cognitive-communication impairment

(Sohlberg & Mateer, 2001).

Long Term Goal

By 1/4/2023, when given a group of words, the client will explain the category using compensatory strategies in 4 out of 5 opportunities, across 2 out of 3 sessions, as measured by SLP data and observations.

Organization for Adults.pdf

Categorical Organization.pdf

Steps

The clinician reads the three words in each word group.
Clinician asks the client how the words are related and/or what category the words all belong.
Provide 5-10 minute breaks after 3 trials.
Repeat steps 1-3 until the end of the session.

Compensatory Strategies

Provide verbal prompts (e.g., Choice of 3)
- Step down: choice of 2
provide visual stimulus
Provide details of items
Repeat when necessary

Session: Based on client's communication diagnosis, the duration, intensity, and interval of the sessions will be confirmed by the speech-language pathologist (MacLennan & MCD, 2012). For example, the SLP may provide 30 minute sessions on Monday's, Wednesday's and Friday's due to the client's functional needs.

Implementation and Evidence-Based Research

An individual's ability to provide organization involving information related to specific categories might be challenging for some individuals who have deficits in attention, memory, executive function, self-monitoring, and speed of processing information (MacLennan & MCD, 2012). Through the strategy training intervention approach, the client will enhance skills that target self-selected goals, self-evaluation, compensatory strategies, and generalization of the communication goals (MacDonald & Wiseman-Hakes, 2010). After the completion of the categorical organization activity, the client will have the opportunity to reflect and explain how to apply the skills learned towards future sessions (MacDonald & Wiseman-Hakes, 2010).

Data tracking system: SOAP notes provides efficient documentation of client information (Podder, Lew, & Ghassemzadeh, 2021). Clinician's may provide data related to the session and other notes related to client history (Podder, Lew, & Ghassemzadeh, 2021).

SOAP Notes Template:

SOAP Notes

Arnold, L. A. (2009). Walc 5: Neuro rehab. LinguiSystems.

MacDonald, S., & Wiseman-Hakes, C. (2010). Knowledge translation in ABI rehabilitation: A model for consolidating and applying the evidence for cognitive-communication interventions. Brain injury, 24(3), 486-508.

MacLennan, D. L., & MCD, L. M. P. (2012). Cognitive-communication rehabilitation for combat-related mild traumatic brain injury. Journal of rehabilitation research and development, 49(7), XI.

Podder, V., Lew, V., & Ghassemzadeh, S. (2021). SOAP notes. In StatPearls [Internet]. StatPearls Publishing.

Results for soap notes. TPT. (n.d.). Retrieved December 18, 2022, from https://www.teacherspayteachers.com/Browse/Search:soap%20notes

Skidmore, E. R., Dawson, D. R., Butters, M. A., Grattan, E. S., Juengst, S. B., Whyte, E. M., ... & Becker, J. T. (2015). Strategy training shows promise for addressing disability in the first 6 months after stroke. Neurorehabilitation and neural repair, 29(7), 668- 676.

Sohlberg, M. K. M., & Mateer, C. A. (2001). Cognitive rehabilitation: An integrative neuropsychological approach. Guilford Press.

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