My Soapbox Saturday this month has been focused on my goal pet peeves. Sometimes these are goals that I’ve inherited; sometimes these are goals that I’ve written without thinking things through. Ultimately, poorly written goals end up taking up more of my valuable time in treatment planning and documenting progress.
I work in both outpatient pediatric settings and schools. With medically-based, habilitative therapy you are writing your short term goals for 60-90 days. Within the schools, you are writing your goals to be met over the course of one year, but you may set your objectives to be met within a shorter time frame.
Years ago, I received an IEP that contained 14 objectives for a student who was seen for 30 minutes 1x/week. The prior level of function reported that the student was making minimal progress towards therapy goals. Was this because the student was plateauing or because we weren’t giving adequate time to each goal for the student to learn? How much progress should we expect when we are giving approximately 2 minutes 26 seconds per week for each goal?
This depends on a lot of things including the child’s learning capabilities, how often the services are provided (frequency), how long the service is provided for (duration), what intensity level the services are provided for and the types of goals you are addressing.
DURATION: Duration refers to how long you are working on a skill. I would consider writing more goals for a student who I am seeing for 60 minutes per week than a student that I am seeing for 15 minutes per week. In terms of planning sessions, I often feel like students with are working on articulation at the sentence level need less duration but more frequency than students who are starting to learn articulation sounds or students with language impairments.
TYPES OF GOALS: The last thing I would look at in terms of goal setting is what goals the client is working on. Some goals are so specific that you could add a larger number of them or you may be very confident that the child will be able to accomplish them quickly. For example, I might write a lot of functional language goals. (Perhaps one for each communicative function.) I would probably have a lot more indirect minutes too to focus on staff training throughout the day. When I am working on higher level language skills I would write less. Once I received an IEP for a student who had one goal-to greet independently. The student had 20 minutes of direct services per week. This is probably going to the opposite extreme. I still giggle picturing a 20 minute session focused on saying “hi” and “goodbye” for one year.
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