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UM’s Big Sky Aphasia Program is run by Jenna Griffin (left) and Catherine Off in the DeWit RiteCare Speech, Language and Hearing Clinic in the basement of the Curry Health Center. aphasia can present in curious ways. A person with aphasia might be able to talk, but the words come out as gibberish. The individual might say one thing but actually mean the opposite. They might put a full sentence together but not be able to engage in conversation. “Some folks struggle with just retrieving single words,” says Catherine Off, director of the Big Sky Aphasia Program and an assistant professor in UM’s Department of Communicative Sciences and Disorders. “They might know everything about a tangerine, but they can’t think of the word ‘tangerine.’” The first version of BSAP was developed in 2011 by Annie Kennedy, a UM clinical educator at the time, who was exploring clinical approaches to aphasia. When Off took a position at UM, she and Kennedy continued developing and expanding the program. Kennedy moved out of state recently, and Jenna Griffin, a former graduate student in the department, joined BSAP as a clinical educator and co-director. At the DeWit RiteCare Speech, Language and Hearing Clinic in the basement of Curry Health Center, Griffin and Off facilitate one-on-one sessions between clients and clinicians. “We sometimes do what’s called semantic feature analysis,” Griffin says. “So if you take the example of tangerine, we might have a client try to describe aspects of a tangerine: Where does it grow? What do you do with it? And through this you strengthen those verb and noun networks.” participants, along with focused one-on-one conversations between the clients. They take breaks between sessions to avoid burnout, and they often end the day with a game of cards or some social activity that serves as a breather from all the focus on language skills. In addition to in-person therapy, BSAP offers weekly tele- rehabilitation, providing help via video chat for clients in rural areas who are unable to be physically present – something of major importance for a state like Montana. BSAP’s approach is based on a new comprehensive model, using intensive therapy that is administered in shorter periods of time than is done during standard practice. One of the most important aspects of this approach is that it is specifically tailored to the client. When Kristi and Jake Jacobsen came to the clinic, for instance, the clinicians took time to learn about his interests and his goals. “Jake’s an avid Griz fan,” Kristi says. “He’s a hunter and likes to work in the yard, so all those things were integrated into his therapy. The idea is that if he’s going to make gains in therapy, he’s going to make gains in subject matter that he can use socially.” She laughs and adds, “And I know that seems so obvious, but let me tell you, on the other side of the world in rehab units, that isn’t necessarily the case.” BSAP holds two intensive programs each year – a longer one during the summer that includes recreational and social outings and a mini-intensive in the fall. If the client has an exciting life event, the clinicians will find a way to use it. UM’s aphasia program is unique for another key reason. It also provides counseling, education and training for caregivers. Studies show that clients who have solid support networks will continue improving to a greater degree than those who do not. “Caregiver counseling gives them the private space to vent all the stuff that is going on behind the scenes, that they would never want to share with their loved one – the parts of caregiving that are hard,” Off says. During the fall, spring and summer terms, BSAP also offers a free aphasia community group on Wednesdays from 11 a.m. to noon for anyone with aphasia, even if they’re not enrolled with BSAP. “Our aphasia group helps people to see that there really is aV c o m m u n i t y h e r e , ” O f f s a y s . “ T h e y a r e n o t a l o n e . ” ictoria Hinther enrolled in speech-language-pathology studies because she wanted to help people. BSAP offered her a focus for her passion. “I’ve fallen in love with working with aphasia,” she says. “Everyone is different, and I think it’s really cool to figure out what they each need to be successful in communication.” Hinther just started graduate school this fall, but she was able to get a jumpstart by working under Off’s mentorship in the BSAP lab as an undergraduate researcher earlier this spring. During the summer session, she accompanied BSAP participants to the Museum of Mountain Flying and the Boone and Crockett Club. These experiences gave her a chance to learn how to sharpen her skills as a clinician. Most of all, she learned it was important to gain her clients’ respect. “When we first start [the program], we do some assessments BSAP also consists of small group sessions with four or five Vision 2016 20PDF Image | Carbon Vision 2016
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