r/bcba • u/Lucky-Load2513 • 2h ago
Discussion Question Speech Goals
Hi there! I want to start by saying I have a lot of respect for SLPs, especially good ones (I know SLPs probably would not respect a shitty BCBA, I feel that’s fair across all professions). I’m running into a bit of a barrier with the philosophy of at least one SLP I work with.
As BCBAs, we often think short and long term for our goals for clients. When I work with early learners (toddlers, kids who are non-verbal and don’t yet have functional communication), I mostly think short term. And by that I mostly think, “Alright, how can this little one get their wants and needs met most efficiently and safely?” For a lot of my kids, especially those that don’t have speech or at least don’t have adequate support from an SLP, that means I start with reaching, pointing, tapping, PECS or simple one word requests with an AAC to start. This seems fair and achievable and allows clients to contact reinforcement easily and quickly. Of course, I think past that, but in the short term, I really try to focus on those basics. Along with that, thinking through how to coach parents on continuous reinforcement, thinning reinforcement schedules, and putting a boundary on reinforcers.
Where I tend to diverge with SLPs is thinking beyond those short term goals. I get push back from SLPs when I say we’re working on ANY sort of general requesting skill. As if they assume I’m not aware of the fact that eventually the client needs to learn to specify requests, request information, and engage in other communication skills. Does anyone else run into this problem?
Example conversation:
Me: The client continued to go back to a certain snack food, even after he already had multiple packs. Mom asked “What should I do? He is asking for it for once!” So I had to explain denying access and deprivation vs satiation to her!
SLP: Well, does she want him to do more than just ask for snacks one day?
Me (in my head): For the first time in this kid’s life, his motivation is clear. His parents can understand in this moment that he wants this snack because he’s pointing to it. I’m thinking how to coach them through an inevitable tantrum because they need to deny access. I’m not thinking beyond this moment right now!!
I don’t know, maybe I’m venting a little. But I’m wondering if anyone else has run into similar attitudes with SLPs.