About The Book

The Life Participation Approach to Aphasia (LPAA) is an evolutionary change in the way practitioners view aphasia intervention. By focusing on meeting the needs of individuals affected by aphasia, LPAA can produce real, meaningful enhancement to the quality of life.

Neurogenic Communication Disorders and the Life Participation Approach: The Social Imperative in Supporting Individuals and Families breaks down the past, present, and future of the LPAA movement with contributions from a range of new and experienced practitioners. In addition, this text provides a roadmap for professionals interested in incorporating person-centered intervention for aphasia and other neurogenic communication disorders, including primary progressive aphasia, dementia, and traumatic brain injury.

Within this book, clinicians will find tips, tools, and guidance for integrating a life participation approach into their practice, as well as first-hand descriptions of the positive benefits this approach can have for those living with neurogenic communication disorders.

About The Authors

Audrey L. Holland, PhD, CCC-SLP, BC-ANCDS, is a Regents’ Professor Emerita at the University of Arizona. Her areas of expertise include working with adults who have aphasia or other neurogenic communication disorders, aspects of aging, and counseling individuals with disabilities.

Roberta J. Elman, PhD, CCC-SLP, BC-ANCDS, is President/CEO and Founder of the Aphasia Center of California, an independent, nonprofit organization providing speech-language treatment, clinical research, and training/consultative services based in Oakland and Menlo Park, California. Prior to beginning the Aphasia Center of California in 1996, Dr. Elman was Co-Director of Rehabilitation at an Outpatient Medical Rehabilitation Center, where she also served as Director of the Speech-Language Department and the Aphasia Program. Dr. Elman has more than 35 years of experience in the assessment and treatment of neurogenic communication disorders. She is an internationally invited speaker, the author of numerous professional publications and webinars, and the editor of a book for Plural Publishing entitled Group Treatment of Neurogenic Communication Disorders: The Expert Clinician’s Approach. Dr. Elman is a Fellow of the American Speech-Language-Hearing Association (ASHA), a recipient of the Audrey Holland Award from Aphasia Access, and a Board Certified member of the Academy of Neurologic Communication Disorders and Sciences.

Table of Contents




Prologue. Life Participation Approach to Aphasia: A Statement of Values for the Future by LPAA Project Group (In alphabetical order: Roberta Chapey, Judith Duchan, Roberta J. Elman, Linda Garcia, Aura Kagan, Jon Lyon, and Nina Simmons-Mackie)

Chapter 1. The Social Imperative for Aphasia Rehabilitation: A Personal History

Audrey L. Holland

Chapter 2. C.A.P.E.: A Checklist of Four Essential and Evidence-Based Categories for Aphasia Intervention

Roberta J. Elman

Chapter 3. Discovering Functional Needs in Speech-Language Therapy

Sarah Baar

Chapter 4. The Role of the Environment: Supporting Language, Communication, and Participation

Thomas W. Sather and Tami J. Howe

Chapter 5. Stories at the Heart of Life Participation: Both the Telling and Listening Matter

Katie A. Strong and Barbara B. Shadden

Chapter 6. Primary Progressive Aphasia: A Practical Roadmap for Navigating Person-Centered Evaluation and Treatment

Rebecca Khayum and Aimee R. Mooney

Chapter 7. Life Participation for People with Dementia

Natalie F. Douglas and Delainey Smyth

Chapter 8. The Life Participation Approach and Social Reintegration After Traumatic Brain Injury

Peter Meulenbroek and Louise C. Keegan

Chapter 9. The Life Participation Approach to Aphasia: Looking Back and Moving Forward

Nina Simmons-Mackie



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