Tag: Group Therapy

Is Parent Involvement Necessary?

By Pam Marshalla

Q: Do you think that clients really can improve when parents never attend therapy as is common in the public schools? The notion that children only can improve when parents are involved is a modern idea that runs counter to the way therapy has been practiced throughout the past century. In 38 years I rarely have involved parents all the time. I have parents watch parts of therapy when they are around, and I give them encouraging information about how…

Cost-Cutting Treatment and Caseload Management

By Pam Marshalla

Q: I am faced with cutting my caseload down considerably due to budget cuts. We will see the more severe kids a max of one time per week, and that’s fine. However, we are being asked to cut the mild kids more, and even eliminate them from our caseloads. Do you have any ideas? Many therapists are facing this today.  Here is a brainstorm I had that may get you thinking outside the box. The idea is to use four…

Individual vs Group Therapy with Average intelligence

By Pam Marshalla

Q: My 5-year-old son has average intelligence but speaks in 3-5 word utterances. He had hearing problems earlier. The SLP at school wants to put him into a group. Can he be affected by the modeling of the other students who also have poor articulation? Isn’t a 1-to-1 setting better? I work in private practice because I always prefer the 1:1 situation, but a group can be useful for many reasons.  Group work can be more motivating and fun.  Language…