medical model – Therapy Ideas Blog by Rhiannan Walton https://blog.therapyideas.org Ideas, events, and inspiration for speech and language therapists Sat, 03 Aug 2019 23:52:37 +0000 en-US hourly 1 https://wordpress.org/?v=4.9.8 https://blog.therapyideas.org/wp-content_custom/uploads/sites/2/2016/01/therapyideas-192-150x150.png medical model – Therapy Ideas Blog by Rhiannan Walton https://blog.therapyideas.org 32 32 Rhiannan Walton from Therapy Ideas talks to speech and language therapists from around the world about their work, their approaches to therapy, and new ideas for professional development. Rhiannan Walton clean Rhiannan Walton rhiannan@beenhere.com rhiannan@beenhere.com (Rhiannan Walton) Rhiannan Walton Therapy Ideas Podcast with Rhiannan Walton medical model – Therapy Ideas Blog by Rhiannan Walton http://cdn.therapyideas.org/podcast/TIL-podcast-art-large.jpg https://blog.therapyideas.org London, UK Fátima Ionescu: Therapy Ideas Podcast, episode 5 https://blog.therapyideas.org/2012/10/06/fatima-ionescu-podcast/ Sat, 06 Oct 2012 17:35:12 +0000 http://therapyideas.org/blog/?p=723 Listen to the fifth episode of the Therapy Ideas Podcast, a series of conversations with therapists from around the world. In this episode I speak to Fátima Ionescu in Singapore about working in private practice, life as a bilingual therapist and the difficulties with the medical model.

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]]> Listen to the fifth episode of the Therapy Ideas Podcast, a series of conversations with therapists from around the world. In this episode I speak to Fátima Ionescu in Singapore about working in private practice, Listen to the fifth episode of the Therapy Ideas Podcast, a series of conversations with therapists from around the world. In this episode I speak to Fátima Ionescu in Singapore about working in private practice, life as a bilingual therapist and the difficulties with the medical model. I’d love to heard what you think! Listen […] Rhiannan Walton clean Care Aims in education vs. medical model https://blog.therapyideas.org/2010/03/16/care-aims-education/ Tue, 16 Mar 2010 22:20:27 +0000 http://therapyideas.org/blog/?p=250 Clare Grace raised a great question in response to my post from 2009, Clinical Risk vs. Clinical Need: managing workload and throughput:

My biggest conundrum at the minute, is that the risk assessment tools are very medical model – and don’t seem to reflect anything within the tools/structures of education – and 80% of our caseload is working into an educational setting – any thoughts or ideas would be greatly appreciated.

Although I’m no longer working in the same service, I can remember discussions about how the approach fitted with our work in education.

I’m looking at Malcomess’ “risk” and “clinical risk” grids. The risk assessment requires judgements about functional impact on Activities for Daily Living (ADL) and environmental adaptation. We can consider ADL in the classroom. In terms of environmental adaptation I’ve found a note I wrote on one of the handouts saying: “score environment which is least adaptive (and central.)” So a child in an educational environment which is significantly contributing to risk would score highly on the context column.

In terms of clinical risk we discussed thinking about school staff as well as carers in the first column: motivation for change / carer responsibility. We need to consider who in the child’s life is primary, in relation to impact. A teacher who is unable or unwilling to collaborate in the treatment process would cause a child to score lower in this column (if the SLT service was entirely school based.)

What do you think about using the tools in education settings?

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