When people with aphasia have difculty communicating, there is a risk for miscommunication and negative outcomes related to medical care and safety (Blacksone, Beukelman, & Yorkson, 2015). This risk can be reduced by ensuring that each person with aphasia can communicate efectively when using diferent types of discourse and at diferent points…

Purpose: This retrospective case series utilized clinical data mining (CDM) to understand the potential key components in an integrated treatment approach delivered by speech-language pathologists (SLPs) treating adolescents experiencing persistent cognitive effects postconcussion. The first purpose was to describe the profiles of students treated…

Communication supports for people with motor speech disorders can include strategies and technologies to supplement natural speech efforts, resolve communication breakdowns, and replace natural speech when necessary to enhance participation in all communicative contexts. This article emphasizes communication supports that can enhance…

Survivors of brain injury from trauma and stroke often lose their sense of identity and face a series of lifelong obstacles that challenge their ability to integrate back into their communities and live meaningful and productive lives. Their stories provide powerful accounts of these challenges, which can inform clinical decision-making. Arguably,…

This article describes intervention techniques for facilitating adolescent expository text comprehension that uses a blended approach, combining content instructional techniques with the use of facilitative strategies. The suggestions in this article are based on informal review of the literature and the author's clinical experience. An adolescent…

A mild traumatic brain injury (TBI) constitutes the overwhelming majority of brain injury cases in children and adolescents. This article focuses on cerebral concussion, which can be viewed as a subset of mild TBI, which, until recently, has received limited attention in the pediatric assessment literature. Few extant measures appropriate to this…

The Shock Trauma Center of the Maryland Institute for Emergency Medical Services Systems instituted a comprehensive speech-language pathology program to provide acute intervention for communicative disorders in a critical/intensive care environment. This article provides a profile of the Center, a review of communicative impairments, and examples…

This article presents a family-centered perspective in rehabilitation of individuals with cognitive-communicative impairments following traumatic brain injury (TBI). The approach focuses on capacity rather than dysfunction in families and includes family members as collaborators in rehabilitation. Suggestions for understanding family responses to…

Cognitive-communicative intervention with children and adults with head injuries should emphasize such aspects of cognitive functioning as the knowledge base and the executive system. Assessment and intervention should focus on realistic goal setting, planning, self-directing and initiating, self-inhibiting, self-monitoring, self-evaluating,…

This paper calls for the incorporation of family counseling into rehabilitation programs treating cognitive-communicative disorders in head-injured individuals. The paper describes general family responses that may be anticipated when a family system experiences head injury, functional versus dysfunctional family responses to a crisis, and three…

This examination of the impact of the head-injured student's cognitive-communicative deficits upon school performance and interpersonal relationships focuses on: the educator's perspective regarding the head-injured student, specific cognitive-communicative deficits, typical classroom behaviors of the student, teaching strategies, useful…

Community reentry programing for individuals with head injuries should involve cognitive retraining integrated into a social skills context. Combining ecological validity with a social skills approach provides a real-world, client-centered approach and a systematic philosophical framework upon which assessment, treatment, and outcome evaluation…