Co-Treatment with More Than One Therapists

Co-treatment is when two practitioners work together to effectively address their treatment goals during a therapy session. For instance, the following professionals may co-treat a session with an individual: speech-language pathologist, occupational therapist, physical therapist, social worker, etc. According to the American Speech-Language-Hearing Association (ASHA), some important guidelines to consider for co-treatment sessions are:

  • Collaboration between two disciplines will benefit the patient
  • Should not co-treat for scheduling convenience
  • Document the rationale for co-treatment
  • Each practitioner should specifically document what occurred during the session (e.g., what goals targeted, progress, updates, etc.)
  • Typically limited to two disciplines providing interventions during a session

Specifically, a speech-language pathologist (SLP) and occupational therapist may work together during a feeding therapy session to improve an individual’s feeding, swallowing, and/or diet. Some specific utensils or tools that may be utilized during sessions include:

  • A variety of spoons (e.g., smooth, textured, maroon)
  • Cut out cups
  • Vibrating therapy tools
  • Chewable jewelry
  • Adaptive drinking tools
  • Brave Plate (visual reinforcement for trying different foods/textures/etc.)


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