Lecture notes
Goal Setting
- Module
- Speech and Language Therapy
- Institution
- Birmingham City University (BCU)
The use of creating goals and outcome measures within therapy
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GOAL SETTING IFFsaxmy
The
ManagementPlan
·
Contents:
Clinical
reasoning
*
Health
benefit
*
* Care aim
Long and shortterm
*
aims
Frequency / intensity
*
SLT tasks / MDT
Other
*
working
What
are
goals?
"intended
*
state"(Wade, 2009)
future
usually involves
*
but
change, may mean
maintenance.
should be active,
*
i.e. the
result intervention.
of
ICF
activity, participation, impairmentand
*
can
produce a
useful model in to
which
frame goals e.g.
well-being.
The Value Goals Clients The Value Goals
of for the of for Professional
the
Focus
* * Focus
for positive
change. for therapy.
Client-therapistrelationship-trist.
*
Client-centred leads
*
client
to
engagement.
*
Developing Co-ordination professionals, services.
*
awareness other's pointof view. with
other
of
involved in
Feeling * Allow to be
*
control. the intervention
for ejectiveness of
Motivating.
*
monitored
Enhances client Essential
therapy rehabilitation.
* *
autonomy. part of
May
*
reduce client and increase Enables SLTs
*
work
to
anxiety, help collaboratively.
Enables
insight into
difficulties and acceptance
of the
discharge planning.
future.
Goals
Long Tom Goal: that
something the
person to
wants be able to in
achieve the
future.
ShortTerm Goal:something
that help
will the term
the
person
achieve
long goal.
Are set clients?
goals always by
Goal Principles
Setting
RCSLT:
Ethicedto client,
the carers and context.
Needs-based.
*
Evidence-based.
*
Focused
*
on
junctional, participative
aspects wherever
of life possible.
, 17
T*
JAN23
*
Formulated client/carer
with
in
conjunction
* Formulated
in
conjunction
with members
other team,
of the where appropriate.
*
SMART, SMARTER
Defined
*
in
agreed terms.
Jargon-free
*
*
Take into
account and
skills
the
knowledge agentof change.
of the
Regularly
*
reviewed.
*
Discussed, agreed and evaluated and, where
clients
with appropriate, with
carers.
Specific Shared
Winting
SMART Goals
I
Y↓cassible
I
MAchievable
Result
onilored
Key
-
easurable what
to needs to and the
refers change
-
under
condition the
which tobe done.
performance is
Relevant(Realistic Relevancement
This include which
may a cation
refers to
how well
should be achieved.
goal
the
IDoran, 1981 Erothing BY WHEN
-rgers
to
when the
goal should be
Relationship-centred achieved.
(Hersh al,
et 2012)
MEASURES
OUTCOME
Having
established
goals, how do we "measure" their
effectiveness?
Service
and
Commissioning Level
Healthcare evidence
purchasing requires of:
Ejectiveness
*
treatments known worth.
use
of of
-
Efficiency
*
-
best
use
of resources.
Responsiveness meeting
*
needs &
of clients carers.
Equitability
*
1/
equal and gair.
defining charactencticof high
a
performing teams
is
willingness
their to
measure their
performance and
use
information
the tomake improvements." (Daireport, 2008)
continuous
RCSLT (2019)
The
delivery
and measurement
of the associated
outcomes with
speech and
language therapy an
is
essential component of practice of, delivery of
and the
says, effective and services.
high-quality
Outcome measurement
iscore to:
Delivering
*
person-centred
and evidence-based services.
*
Monitoring
clinical
effectiveness and
quality
supporting improvement.
Demonstrating impactof SLT.
*
the
*
Meeting
HCPC standards of conduct, performance andethics.
Whatmatters
to SLT providers?RCSLT, 2016
* Which whom?
interventions are most
effective and for
*
Is the
this best do it?
to
way
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