Clinical Use and New Developments

1. Clinical Use and New Developments Sally Boa Research Speech and Language Therapist University of Stirling Forth Valley NHS

2. TalkingMats

3. Talking Mats • Developed in 1998 • University of Stirling • Used both in applied and research contexts • Used locally, nationally and internationally

4. Physical vision pointing method Cognitive Symbolic understanding Understand 2 key words in 1 sentence reliable confirmation Prerequisites

5. Examples of Client Groups • Children with language disorders - expressing their views • People with intellectual disability - life planning • Frail older people • Adults with acquired communication disability - goal planning • Young offenders - communication difficulties • Making decisions about non-oral eating and drinking

6. Adults with acquired communication disability • Goal setting • World Health Organisation (2001) ICF: International Classification of Functioning, Disability and Health, Geneva: WHO

7. Goal Setting

8. WHO domains (Activities & Participation) • Learning & applying Knowledge • General tasks and demands • Communication • Mobility • Self-care • Domestic life • Interpersonal interactions and relationships • Major life areas (e.g. work, education) • Community, social and civic life

9. Talking Mats -Topics • Applying knowledge • Emotional well being • Communication • Mobility /Transport • Self care • Domestic life • Relationships • Work and education • Leisure • Environment • Health

10. Sub categories • Washing • Having a bath • Showering • Getting dressed • Fastenings • Washing hair • Eating • Drinking • Cutting up food

11. Goal setting - general topics

12. Sub mat - Communication

13. Tracking changes

15. Quotes “So this kind of explains what the rehab team do and what rehabilitation is practically. I didn’t know, for example, that it [the service] was so wide. I didn’t know that A would be taking me out, for example, and getting me used to the train the shops and people………”

16. “I suppose it is like anything that you are asked to write or any question you asked is like a blank sheet of paper and for me with speech difficulties it is easier to work with ideas than come up with your own.”

17. Non-oral eating and drinking

18. Meetings

19. Why Talking Mats works • Structured format to interaction • Open questions • Avoids direct confrontation • Time • Small chunks • helps people process concepts • reduces memory demands • Multiple channels • Ownership • Gives people control • Reduces physical demands • Helps people to say “no”

20. New developments • Training - general or targeted • Talking Mats manual • Symbol sets • Further research www.talkingmats.com

21. References • Murphy J (2004) Enabling Frail Older People with a Communication Difficulty to Express their Views: the use of Talking Mats™ as an interview toolHealth and Social Care in the Community 13 (2) 95-107 • Cameron L, Watson J and Murphy (2004)Talking Mats: A focus group tool for people with learning disability. Communication Matters18 (1) 33-35 • Boa S and MacFadyen L (2003) Goal Setting for People with Communication Difficulites. Communication Matters 17 (3) 31-33 • Boa, S and Murphy, J (2003) Talking Mats™- An overview of current developments. Communicating with pictures and symbols - Augmentative Communication in Practice Study Day 2003 43-45 • Murphy, J , McCallan S and Aitken J (2003) Helping People make decisions about PEG Feeding Bulletin of Royal College of Speech and Language Therapists No. 618 • Cameron, L and Murphy, J(2002) Enabling young people with a learning disability to make choices at a time of transition, British Journal of Learning Disabilities, 30:105-112. • World Health Organisation (2001) ICF: International Classification of Functioning, Disability and Health, Geneva: WHO