What is it about?

It is important for people with communication disorders to make decisions about their own rehabilitation and personal growth. True collaboration between clinicians and clients can be difficult when expectations differ and time is limited. The language problems in aphasia can make the planning process even more difficult. In this tutorial, we show a step-by-step model that helps people with aphasia collaborate with their speech-language pathologist to improve both communication and overall wellness. The model also helps clinicians coordinate diverse treatment methods for greater impact on real life communication.

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Why is it important?

The FOURC (pronounced "fork") model includes 4 steps (each starts with the letter C) and 4 prongs to address in therapy. It is grounded in motivational theory to help people learn what they want to learn and at the same time feel better about themselves. We adopted the model to in two busy outpatient rehabilitation programs. Here, we share three case studies to illustrate how it worked.


It was an honor to share practical aspects of a model I first developed for teaching purposes, but the best part of this paper was to collaborate with exceptional SLPs to make sure it was practical in busy clinical settings. I am hopeful that we will be able to share additional angles and information about the model in future articles.

Katarina L Haley
University of North Carolina at Chapel Hill

Read the Original

This page is a summary of: Collaborative Goals for Communicative Life Participation in Aphasia: The FOURC Model, American Journal of Speech-Language Pathology, February 2019, American Speech-Language-Hearing Association (ASHA), DOI: 10.1044/2018_ajslp-18-0163.
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