The Capability-Focus Treatment Framework for Child Speech Disorders

Abstract

The goals of this report are to describe a treatment framework for child speech disorders, to summarize findings on the predictive validity of the framework, and to stimulate discussion of associated treatment issues. Since 1984, the capability-focus treatment framework has been used in a university speech clinic by over 200 student clinicians who treated approximately 260 preschool children with speech delay. The framework reflects a treatment philosophy that has been readily endorsed by student clinicians and clinical instructors for its efficacy but is challenging to document because of measurement constraints on the constructs of capability and focus. We describe theoretical and clinical foundations of the capability-focus framework, review findings from three studies using discriminant function and relative risk analyses, and discuss associated issues in measurement, theory, and clinical practice.

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