Speech Therapy Through Telepractice Objective• To recognize telepractice as a service delivery model applicable to diagnose and treat speech-language disorders for the state of Georgia.
American Speech and Language Hearing Association Position Statement on Telepractice The American Speech-Language-Hearing Association is the professional, scientific, and credentialing association for 145,000 members and affiliates who are speech-language pathologists, audiologists, and speech, language, and hearing scientists in the United States and internationally.• Telepractice is an appropriate model of service delivery.• Offers the potential to extend clinical services to remote, rural, and underserved populations, and to culturally and linguistically diverse populations.• Telepractice does not remove any existing responsibilities in delivering services including adherence to the Code of Ethics, Scope of Practice, state and federal laws.• Quality of services delivered via telepractice must be consistent with the quality of services delivered face-to- face.
Supporting ResearchHill, A., Theodoros, D., Russell, T., Cahill, L., Ward, E., Clark, K. (2006). An Internet-Based Telerehabilitation System for the Assessment of Motor Speech Disorders: A Pilot Study. American Journal of Speech- Language Pathology. American Speech-Language-Hearing Association, Vol. 15, 45-56.Mashima, P., Birkmire-Peters, D.,Syms, M., Holtel, M., Burgess, L., & Peters, L. (2003). Telehealth: Voice therapy using telecommunications technology. American Journal of Speech-Language Pathology, 12, 432-439.Perlman, A. L., & Witthawaskul, W. (2002). Real-time remote telefluoroscopic assessment of patients with dysphagia. Dysphagia, 17(2), 162-167.Waite, M.,Theodoros, D., Russell, T., Cahill, L. (2010). Internet-Based Telehealth Assessment of Language Using the CELF-4. Language, Speech, and Hearing Services in Schools. American Speech- Language-Hearing Association, Vol.41, 445-458.
Settings Appropriate for Telepractice• Educational • Clinics settings • Health• Private Practice Departments• Home Health • Nursing Homes• Medical Facilities • Universities
Clinical and School Based Areas Appropriate for Telepractice• Childhood Speech-Language• Neurogenic• Voice • Hearing Impaired • Dysphagia • Fluency
Clinical and School Based Applications • Screenings • Therapies • Assessments • Response to • MBSS Intervention • Consultations
Additional Applications Available • Caregiver Education/Support • Participate in Team Meetings • Professional Consults • Facilitator Support
Candidacy Criteria for Telepractice• Attention • Manual dexterity (e.g.,• Auditory comprehension operate a keyboard)• Literacy • Willingness of patient and• Hearing ability family/caregiver to utilize telepractice• Visual ability • Cultural/linguistic• Speech intelligibility considerations (e.g.,• Behavior interpreter)• Physical endurance (e.g., • Access and availability of sitting tolerance) resources (e.g.,facilitator,• Comfort Level with telecommunication technology network)
Benefits of Telepractice• Increased access to Speech-Language Pathologists for students/patients in rural areas• Increased motivation/responsiveness of student/ patient• Increased SLP productivity• Reduced Temporary SLP Openings (i.e. maternity leave, short term disability)• Reduced SLP shortages• Reduced travel time for patients and SLPs• Reduced financial strain on patients and educational systems
Considerations of Telepractice• Reduced direct physical contact• Reduced eye contact between student/patient and SLP• Reimbursement of services• Physical location• Static location for student/patient• Sharing of needed materials
Additional Considerations • Modifications • E-helper’s role • Noise levels • Privacy • Familiarity with technology • Support of implementation