This advice-column-style blog for SLPs was authored by Pam Marshalla from 2006 to 2015, the archives of which can be explored here. Use the extensive keywords list found in the right-hand column (on mobile: at the bottom of the page) to browse specific topics, or use the search feature to locate specific words or phrases throughout the entire blog.
Q: How often do you see your clients?
I always set once per week as my “must have” level. That is unless they are only on consult, follow-up, or the later stages of carryover.
Over 35 years, I have found that once per week is sufficient for most kids, both the easy kids and the low functioning ones.
Easy kids can do perfectly well with once per week, and low functioning clients do not move fast enough to warrant more than once per week of my individual time. The pervasive belief today is that more is better. But I have not found that to be true. Especially if there are other people in his environment at home and school who are stimulating him in various ways.
With my very severe kids I explain to parents that their kids are going to need therapy throughout their entire school career, and I tell them––
It’s not MORE therapy NOW that makes the difference. What makes a difference is GOOD therapy over the LONG HAUL.
This is my basic “rule” and of course there always are exceptions.