Choosing the best intervention: The nexus among interventions, clients, and clinicians

In this chapter, we attempt to integrate the intervention and client characteristics
described in the 21 intervention chapters of this book, along with clinician
characteristics to promote the challenging thinking and actions involved in
choosing appropriate interventions. In doing so, we present a framework for
integrating all three of these characteristics that we hope will be valuable for the
four audiences we addressed in the first chapter: students, clinicians, faculty, and parents. While the framework and our conclusions are of most interest to those studying, practicing, and/or teaching speech sound disorders (SSD), we believe it is also relevant for a fifth audience, namely, researchers interested in SSD. Although sharing much in common with the other audiences, researchers also have an interest in the development of more effective and efficient intervention strategies for the future as well as in the nature of clinical practice and studies of decision making. The nexus framework we present revisits many topics introduced in Chapters 1and 2, including evidence-based practice (EBP), the International Classification of Functioning, Disability, and Health - Children and Youth Version (ICF-CY; World Health Organization, 2007), and intervention elements, as described in the Phonological Intervention Taxonomy (Baker, Williams, McLeod, & McCauley, 2018)