Case Study Of Middle Tennessee State University Speech-Language Hearing Clinic

Carl continued speech therapy at Middle Tennessee State University Speech-Language Hearing Clinic. He does not receive any other therapeutic services or take any medications regularly. He currently attends Middle Tennessee Christian Academy and is in the tenth grade. Carl is very intelligent for his age.

SEMESTER OBJECTIVES AND PROGRESS
Articulation:
1. The client will produce  in all word positions within conversation given minimal cues at 90% accuracy. Status: Not Achieved, 78% The clinician used a variety of activities to target this goal. Clinician made activities such as crafting a Harry Potter sorting hat were particularly enjoyed by the client. Accuracy for this objective steadily increased weekly, with the exception of one week. The client responded to verbal cues, placement cues, tactile cues, and modeling. Additionally, instructing the client to touch the top of his lip while making the  sound was successful. Reading exerts followed by comprehension questions were effective when paired with reinforcement
The client enjoyed these functional games. The clinician and client periodically reviewed target words throughout the activity. The clinician reduced complexity of this goal to the syllable level to elicit the correct response. The clinician utilized the principle of co-articulation to elicit the target sound (i.e. “her-red”). The clinician explicitly explained what co-articulation was to the client. The client produced the sound correctly after multiple attempts utilizing this method. The client responded well to repetition cues, placement cues, and modeling cues. The clinician also increased the clients’ awareness of the difference by watching multiple YouTube videos that modeled the difference. The clinician would pause and ask the client if he heard the difference, and then practice using the same word modeled in the