PERSON-CENTERED FOCUS ON FUNCTION:

Dysarthria

What are person-centered

functional goals?
Goals identified by the client, in
partnership with the clinician and
family, that allow participation in
meaningful activities and roles
ICF: International Classication
Why target person-centered functional goals? of Functioning, Disability
To maximize outcomes that lead to functional and Health
improvements that are important to the
individual Health Condition
To optimize the individuals potential to disorder or disease
that informs predicted
participate in meaningful activities comorbidities and
To facilitate a partnership that ensures the prognosis
individual and family have a voice in the care
received and outcomes achieved
Body Functions Activities and
To demonstrate to the payers the value of and Structures Participation
skilled services anatomical parts execution
and their of tasks or
What is the ICF, and how does it help? physiological involvement in
functions life situations
The International Classification of Functioning,
Disability and Health (ICF)developed by
the World Health Organization (WHO)is a Environmental and
framework to address functioning and disability Personal Factors
related to a health condition within the context physical, social, attitudinal,
of the individuals activities and participation in and environmental factors
and factors within the
everyday life. individuals life

ADDITIONAL RESOURCES: asha.org/slp/icf/ who.int/classications/icf/en/

 Person-Centered Focus on Function: Dysarthria

Case study
Health Condition: Parkinsons disease with hypokinetic dysarthria

Assessment Body Functions and Activities and Environmental and

Data Structures Participation Personal Factors
Rigidity of articulators Wife reports increased Age: 57
Lingual tremors social isolation from Motivated to
Reduced range of frequent breakdown communicate
motion of articulators in communication effectively with his
Poor respiratory resulting from reduced children who live in
support speech intelligibility. different cities
Monopitch Patient reportsb Hesitant to use
Monoloudness greater difficulty technology to augment
Strained, breathy vocal conversing over communication
quality the telephone than Reduced motivation for
Imprecise articulation in face-to-face social communication
Fluctuating rate of conversations. due to stigma
speech Patient reports associated with speech
Difficulty initiating quickly fatiguing in intelligibility
verbal productions verbal communicative Had benefitted from
Speech intelligibilitya: contexts. SLP services previously
65% but is currently
Functional hearing, discouraged given
vision, cognition, progression of disease
mobility Unable to communicate
well in the presence of
background noise

Clinical
Reasoning What environmental/
What impairments What activities are
personal factors are
most affect function, most important to
faciilitators or barriers
based on clinician the individual in the
to participation in the
assessment & the current or discharge
current or discharge
individuals self-report? setting?
setting?

Goal Setting Person-Centered Functional Goals

Long-Term Goal:
Without external cues, Mr. J will use functional communication skills for social interactions
with both familiar and unfamiliar partners.
Short-Term Goals:
With moderate verbal cues from communication partners, Mr. J will increase respiratory
support to produce intelligible phrase-level utterances.
Mr. J will use a low-tech system with occasional cues to augment speech production in
challenging environments (e.g., in the presence of background noise).
Without cues, Mr. J will consistently initiate requests for appropriate environmental
modifications (e.g., reduce background noise, use videoconferencing for phone calls) to
improve communicative effectiveness.

a
Measured by sentence intelligibility subtest of the Assessment of Intelligibility of Dysarthric Speech (Yorkston & Beukelman, 1981)
b
Reported on Communication Effectiveness Index-Modified (CETI-M; Yorkston., Beukelman, Strand, & Bell, 1999)
10869

For clinical and documentation questions, contact healthservices@asha.org.

The interpretation of ICF and examples above are consensus based and provided as a resource for members of the
American Speech-Language-Hearing Association.