In honor of BETTER Speech & Hearing Month, I am tackling some answers for BETTER questions we can be asking each other as a profession. Imagine if we started asking some of these thoughtful questions that could elevate and inform how we practice, in contrast with questions that oversimplify what we do such as “What’s your favorite game to play for memory?” Let’s crowd-source our knowledge here! I’d LOVE to hear your thoughts in a comment below or email me: Sarah@honeycombspeechtherapy.com.

This Week: What If Someone Has No Speech Therapy Goals?

This is a common question when we start getting into a Person-Centered Care approach. After all, if we aren’t simply basing our therapy goals on how someone does on standardized testing, then what our own patients think about their need for speech therapy starts playing into things. And of course, that can get a bit messy. We are working with populations that have had brain changes, so it can get complicated if they don’t think they need therapy (but we can see that they would benefit.) So how do we handle this?

Although this is a nuanced issue, here are the main ideas that I usually think about.

I’d love to know your thoughts on this issue! How do YOU handle things if someone doesn’t have any real goals for speech therapy?

2 Responses

  1. I think these are great blog posts for May! Re: OT–I think you gave a great example of how OT/ST can complement each other. They key is communication! Same with pt’s without goals. A lot of patients may have long term impairments so goals are essential. I think when the pt is an active participant (as able) then you can have better, more functional outcomes. I agree that ultimately, it’s the patient’s choice. Recognizing this has reduced the therapists’ tendency toward burnout and feeling responsible for EVERYTHING in our setting. Great topics!

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