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Collaborative consultation: An alternative to traditional treatment for children with communicative disorders

Kathy Jean Lauritsen Coufal, University of Nebraska - Lincoln

Abstract

Involving three teacher-mediators in a time series study, the effects of collaborative consultation as a means of modifying adult discourse patterns were examined. Concomitant changes in the communicative performance of three kindergarten children, identified as communicatively disordered, were examined as a measure of treatment efficacy. The multiple baseline across subjects design allowed for sequential introduction of collaborative consultation between a speech-language pathologist and the respective teachers. Modification of the respective adult-child discourse patterns as a result of integrated service delivery was examined for three communication dyads. Further, teacher attitudes and knowledge of collaborative consultation were measured. The fourfold purposes of this investigation were (a) to determine if a functional relation exists between use of collaborative consultation and teachers' discourse patterns with communicatively disordered children; (b) to determine if a functional relation exists between the use of collaborative consultation to modify teachers' discourse and the language performance of kindergarten children with communicative disorders; (c) to determine if the collaborative consultation model is effective in changing teachers' attitudes about an identified child's communicative competence; and (d) to determine if use of the collaborative consultation model is effective in changing teachers' knowledge and attitudes about the model. It was concluded that collaborative consultation between a speech-language pathologist and a classroom teacher effectively modified the teacher's discourse patterns in specific ways, which in turn resulted in increased use of expansions and extensions by the respective children. Teachers' attitudes and knowledge of the consultation process were positively modified, as were their attitudes toward the target children. An integrated model of service delivery, employing the process of collaborative consultation, is supported as an effective treatment paradigm for children with communicative disorders.

Subject Area

Speech therapy|Health education|Psychology

Recommended Citation

Coufal, Kathy Jean Lauritsen, "Collaborative consultation: An alternative to traditional treatment for children with communicative disorders" (1989). ETD collection for University of Nebraska-Lincoln. AAI9019562.
https://digitalcommons.unl.edu/dissertations/AAI9019562

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