Garrett & Beukelman Intervention Model

Meghan Neu, April LaCoursiere, & Jessica Cassellius

Specific-Need Communicator All classification

categories

Residual Skills Benefits from support in situations

requiring, specificity, clarity, or efficiency (cooking)

Intervention Goals/Skills Use phone, participate in community

leisure activities, participate, in family, and share responsibilities.

Suggested Activities for Partners Identify specific situations and

specific messages Assist in developing system

components Provide opportunities to use system

components

Skill To communicate specific information

via telephone Patient sub goals?

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”

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

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

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

Specific Needs Vocabulary OverlayHELLO I’m in

TroubleCome over

I need help

with…

YES

This is Jeff

Herzog

Call the doctor

NOW The bills $$$$$$

Shopping

How are

you?

I’m OK Stop by and visit!

The Yard NO

Specific Needs Vocabulary OverlayHELLO I’m in

TroubleCome over

I need help

with…

YES

This is Jeff

Herzog

Call the doctor

NOW The bills $$$$$$

Shopping

How are

you?

I’m OK Stop by and visit!

The Yard NO

Specific Needs Vocabulary OverlayHELLO I’m in

TroubleCome over

I need help

with…

YES

This is Jeff

Herzog

Call the doctor

NOW The bills $$$$$$

Shopping

How are

you?

I’m OK Stop by and visit!

The Yard NO

Specific Needs Vocabulary OverlayHELLO I’m in

TroubleCome over

I need help

with…

YES

This is Jeff

Herzog

Call the doctor

NOW The bills $$$$$$

Shopping

How are

you?

I’m OK Stop by and visit!

The Yard NO

Specific Needs Vocabulary OverlayHELLO I’m in

TroubleCome over

I need help

with…

YES

This is Jeff

Herzog

Call the doctor

NOW The bills $$$$$$

Shopping

How are

you?

I’m OK Stop by and visit!

The Yard NO

Specific Needs Vocabulary OverlayHELLO I’m in

TroubleCome over

I need help

with…

YES

This is Jeff

Herzog

Call the doctor

NOW The bills $$$$$$

Shopping

How are

you?

I’m OK Stop by and visit!

The Yard NO

Specific Needs Vocabulary OverlayHELLO I’m in

TroubleCome over

I need help

with…

YES

This is Jeff

Herzog

Call the doctor

NOW The bills $$$$$$

Shopping

How are

you?

I’m OK Stop by and visit!

The Yard NO

Specific Needs Vocabulary OverlayHELLO I’m in

TroubleCome over

I need help

with…

YES

This is Jeff

Herzog

Call the doctor

NOW The bills $$$$$$

Shopping

How are

you?

I’m OK Stop by and visit!

The Yard NO

Specific Needs Vocabulary OverlayHELLO I’m in

TroubleCome over

I need help

with…

YES

This is Jeff

Herzog

Call the doctor

NOW The bills $$$$$$

Shopping

How are

you?

I’m OK Stop by and visit!

The Yard NO

Specific Needs Vocabulary OverlayHELLO I’m in

TroubleCome over

I need help

with…

YES

This is Jeff

Herzog

Call the doctor

NOW The bills $$$$$$

Shopping

How are

you?

I’m OK Stop by and visit!

The Yard NO

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

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