I created this packet to make the process of using video modeling in therapy easy and fast. I have used video modeling for students of different ages and with different speech-language/social goals. In the packet I have tried to create forms that will help you go through the process successfully with any student. Below is a description of each form and its intended use.
Sample Student Forms: The first 4 pages are example sheets. I have created a hypothetical student and goal. This demonstrates how I have used the forms in the past.
Parent Consent Forms: These are written permission slips you can send home with your student that explains the purpose of video modeling and ensures student privacy. There are two forms: one for pragmatic goals and one for speech-language goals.
Goal Sheet: This form is used prior to the video recording. The student and SLP describe the goal, when it will be practiced and the feelings around achieving the goal.
Tally Sheets: These sheets can be given to the student or used by the therapist to measure the student’s success in the videos. I have created three different tally sheets: one based on reminders given, one based on % goal occurred, and one color in for younger students.
Progress Chart: The progress charts can be used by the therapist or the student. The information taken on the tally sheet can be graphed on these forms. Students can watch their growth between sessions. I have created charts based on reminders given and % goal occurred.
Reflection Sheet: This form can be used after reviewing the video. This gives the student an opportunity to record what they have learned from the experience and what they can work on next time.
Social Flow Chart: This form can be used at any part of the process. I have used this to help students chart out how their behavior or actions will impact another. Many students have difficulty predicting what will happen when the behavior occurs.