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...Somebody who hasn’t been able to express who they are in a really long time – I like to help find that person again.” to see where their skills are,” she says. “But it’s more than that. Somebody who hasn’t been able to express who they are in a really long time – I like to help find that person again.” Graduate students also make the program financially viable. Most people living with aphasia end up running out of insurance coverage, which often makes private practice options cost- prohibitive. BSAP costs about $2,100 for five weeks of therapy (48 hours, in all) and $2,500 for the summer intensive, while other programs across the country can range up to $40,000 for five weeks. The quality of care doesn’t suffer because of low costs, either: Graduate students usually outnumber clients, which means clients get one-on-one attention. In addition, students are required to stay abreast of the latest research to provide evidence for the treatment approaches they use during BSAP. “There is no clinician burnout,” Off says. “Every semester we have new students, so every semester we have a fresh set of eyes, a new approach and new enthusiasm and creativity.” Last fall, the graduate students and directors began collecting data from the BSAP programs. “We are tracking patient outcomes based on speech pathology tests,” Off says. “The outcomes focus on whether or not the patient’s language is getting better and whether or not the patient’s psychosocial well-being is improving. We are hopeful that the BSAP program will also help them to better cope with living with aphasia. We also track graduate student clinician outcomes to evaluate how the intensive model influences student learning. No other clinical researchers are currently examining clinician outcomes in this setting.” At the heart of BSAP’s philosophy is neuro-plasticity – the idea that the brain is capable of remarkable change. If a person with aphasia isn’t making progress, you don’t stop trying – you change your approach. When Kristi Jacobsen first arrived with Jake, this was one of her biggest revelations. It was the hope she was looking for. “Jake and I can have a conversation now,” she says. “Are there gaps? Absolutely. But BSAP has given me techniques for when we hit a block. He has made huge, huge improvements. I’m sorry that we are in this situation, but I am so grateful that Jake can participate in this. He wouldn’t be where he is today if it weren’t for this program.” V Off leads a session of the Aphasia Community Group, which meets every Wednesday during the fall, spring and summer terms. Vision 2016 21 For more information email catherine.off@umontana.edu.PDF Image | Carbon Vision 2016
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