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SPEECH-THERAPY-MANAGEMENT5 MIN READ

Find The Root Cause Behind No-Shows

Use Five Whys to identify a system-level cause of repeated missed therapy sessions.

Friday preschool clinic no-shows reached 38 percent for the third week in a row. Five Whys: follow the evidence below the symptom until you find a changeable cause. The common trap is stopping at blame: families are unreliable, teachers forget, clinicians are busy. Blame rarely creates a testable fix. Why 1 Why were children absent? Several families did not realize the appointment was still scheduled. The first why moves from "no-show" to a communication failure that can be investigated. Why 2 Why did they not realize? Reminder texts were not received by 6 of 10 absent families. Evidence matters. The…

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