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Episode Summary:
Hey cog-com SLP’s, looking for an episode that’s just right?  This one’s for you!  This week, the talented, outpatient adult SLP and host of  the Speech Uncensored podcast - Leigh Ann Porter-joins Kate to talk about modifying CARTs and spot on ARCS in the creation of home programs for patients with mild aphasia.  I promise, it will all make sense when you listen-Leigh Ann does an awesome job explaining so that even Kate (and I) can understand (haha, a little peds SLP humor, this stuff starts out as Greek to us!).   You’ll learn some tangible, holistic strategies to tackle patient needs across reading, writing, and speaking and get a good sense of how to stay within that magic “Goldilocks Zone” - not too hard, not too easy, just right for each individual client.  Leigh Ann lays out a few down-to-earth home program ideas that build on a patient’s strengths and foster the autonomy, independence, and the intrinsic motivation required for the hard work of rehab.  And of course, there are great resources to explore as you implement these ideas, because Leigh Ann’s got your back!  Find a chair that’s not too soft, some coffee that’s not too hot, and cozy up for some nerdy aphasia learning!

Learn more about Leah Ann here.

Learning Outcomes

1. Identify two evidence-based practices to use with patients with mild aphasia. 

2. Describe how to modify treatment protocols to increase complexity level for mild aphasia. 

3. Identify at least three resources for implementing treatment approaches with mild aphasia

Online Resources:

The Speech Uncensored Podcast:

Episode 107: Discourse Treatment in Aphasia Therapy: Attentive Reading Constrained Summarization (ARCS) with Yvonne Rogalski PhD, CCC-SLP

Episode 14: Meaningful Aphasia Therapy with Sarah Baar MA, CCC-SLP.

Aditional aphasia episodes on Speech Uncensored Podcast:

References:

Beeson, P.M. (1999). Treating acquired writing impairment: Strengthening graphemic representations. Aphasiology, 13, 367-386. 

Beeson, P.M., Hirsch, F., & Rewega, M. (2002). Successful single-word writing treatment: Experimental analysis of four cases. Aphasiology, 16, 456-473-491.

Beeson, P. M., Rising, K., & Volk, J. (2003). Writing treatment for severe aphasia. Journal of Speech, Language, Hearing Research, 46, 1038-1060.

Beeson, P.M. & Egnor, H. (2006). Combining treatment for written and spoken naming. Journal of the International Neuropsychological Society, 12, 816-827.

Obermeyer, J. A., & Edmonds, L. A. (2018). Attentive Reading With Constrained Summarization Adapted to Address Written Discourse in People With Mild Aphasia. American Journal of Speech-Language Pathology, 27(1S), 392.

Obermeyer, J. A., Rogalski, Y., & Edmonds, L. A. (2019). Attentive Reading with Constrained Summarization-Written, a multi-modality discourse-level treatment for mild aphasia. Aphasiology, 1-26.

Rogalski, Y., Altmann, L., & Rosenbek, J. (2014). Retrieval practice and testing improve memory in older adults. Aphasiology, 28:4, 381-400.

Rogalski, Y. & Edmonds, L. (2008). Attentive Reading and Constrained Summarisation (ARCS) treatment in primary progressive aphasia: A case study. Aphasiology. 22. 763-775.

Rogalski, Y., Edmonds, L., Daly, V., & Gardner, M. (2013). Attentive Reading and Constrained Summarisation (ARCS) discourse treatment for chronic Wernicke’s aphasia. Aphasiology, 27:10, 1232-125

Disclosures:

Leigh Ann Financial Disclosures: Leigh Ann is employed by The University of Kansas Health System and receive honorariums from SpeechTherapyPD.com. Non-financial Disclosures: Leah Ann is the host of the Speech Uncensored Podcast.

Kate Grandbois financial disclosures: Kate is the owner / founder of Grandbois Therapy + Consulting, LLC and co-founder of SLP Nerdcast.  Kate Grandbois non-financial disclosures: Kate is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children. She is also a member of the Berkshire Association for Behavior Analysis and Therapy (BABAT), MassABA, the Association for Behavior Analysis International (ABAI) and the corresponding Speech Pathology and Applied Behavior Analysis SIG. 

Time Ordered Agenda:

10 minutes: Introduction, Disclaimers and Disclosures

20 minutes: Descriptions of the role evidence-based practices to use with patients with mild aphasia. 

15 minutes: Descriptions of modified treatment protocols to increase complexity level for mild aphasia.

10 minutes: Descriptions of resources for implementing treatment approaches with mild aphasia

5 minutes: Summary and Closing

Disclaimer

The contents of this episode are not meant to replace clinical advice.  SLP Nerdcast, its hosts and guests do not represent or endorse specific products or procedures mentioned during our episodes unless otherwise stated.  We are NOT PhDs, but we do research our material.  We do our best to provide a thorough review and fair representation of each topic that we tackle.  That being said, it is always likely that there is an article we’ve missed, or another perspective that isn’t shared.  If you have something to add to the conversation, please email us! Wed love to hear from you!

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