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Co-Treatment: A Beneficial Approach to Student Services

1/30/2023

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Team work makes the dream work, right? This statement rings true when multi-disciplinary teams work together to support the needs and goals of our students. In Seneca Washington, we have a team of 14 specialists – School Psychologists, Speech and Language Pathologists (SLP), Speech and Language Pathologist Assistants (SLPA) and Occupational Therapists (OT) who work collaboratively together along with school teams to provide special education services and consultation to our partner schools.
If a student receives speech or occupational therapy services on their IEP (Individualized Education Plan), you may see students pulled out of class to work with providers individually or the provider may push in to support the student in the classroom. However, another approach to providing services to students that our team embraces is co-treatment. The American Speech Language Hearing Association (ASHA) states co-treatment is “when practitioners from different professional disciplines can effectively address their treatment goals while the patient is engaged in a single therapy session.” In schools, this could look like the OT and SLP working together simultaneously to target skill building in their respective discipline during a session for an individual or group of students. For example, while working with a student whose IEP goal is increasing their social emotional skills, the session may include a turn taking game. During this activity, the OT is supporting the student with turn-taking, emotional regulation and fine motor skills, while the SLP is supporting the student with peer engagement, sportsmanship, attention to the activity and following directions.
The co-treatment approach may not only benefit the student, but also positively impacts the classroom, school environment and the providers themselves. After asking the Specialists team, here are some of the benefits they experience when co-treating:
Student Benefits
  • Allows for a student to practice skills working as a team, conversation skills, turn-taking, practicing skills in a social group
  • Maximizes therapy time (could prevent fatigue or withdrawal, allows student to stay in class more)
  • More functional for students – in co-treatment sessions students are working on many skills which may increase a higher chance of carryover into other settings
  • Increased engagement – two professionals allows for more fun and involved therapy sessions (i.e. cooking, crafts, games, community outings, etc.)
Provider Benefits
  • More opportunities to learn from other professionals – tips, strategies, activity ideas, etc.
  • Supports in learning flexibility in how to target goals (being able to adapt any activity to work on skill building)
  • Supports with behavior management
  • Fun and involved therapy sessions bring joy to providers!
School Benefits
  • Promotes collaboration and a student-centered approach
  • Learning from other providers can increase information sharing with other school staff
While the term co-treatment is used with specific disciplines, the idea could also be used with clinicians, behavior specialists, School Psychs, special education teachers and other staff that support student learning and goals. Keep in mind co-treatment may not be appropriate for all students, so check with your school team and asha.org (or your professional organization) for guidance. We have found overwhelming positive feedback on co-treatment, and encourage other teams and professionals to keep this approach in mind when providing services to students.
A big shout out to Kelsey Kircher (SLP), Danielle Farrand (SLP), Devon McNeeley (Lead SLP), Nic Huang (OT) and Nicole Matichuk (Lead OT) for sharing their thoughts on co-treatment and how it can be a beneficial approach for all.

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Blog Post Written By: Gini Sanders, Director of Specialized Services ​
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