Garrett & Beukelman Intervention Model

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 Overlay

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

Garrett & Beukelman Intervention Model