Speech Therapy where there are No Speech Therapists: The Task Force for the American Cleft Palate–Craniofacial Association

2014 ◽  
Vol 51 (6) ◽  
pp. 135-137 ◽  
Author(s):  
Nancy J. Scherer ◽  
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Task Force ◽  
Survey Methods ◽  
Craniofacial Anomalies ◽  
Speech Language Pathology ◽  
Initial Task ◽  
Language Pathology ◽  
Delivery Models ◽  
Speech Therapists

This paper describes the outcome of the 2013 American Cleft Palate–Craniofacial Association Task Force entitled “Speech Therapy Where There Are No Speech Therapists.” The membership and goals of the initial task force are presented. Survey methods, communication of the members, and meeting discussion of the task force at the 12th International Congress for Craniofacial Anomalies in Orlando, Florida, in May 2013 are described. Conclusions of the task force and recommendations for the future comprised four areas: organization and communication, protocols, service delivery models, and development of training programs/modules in speech-language pathology for craniofacial conditions.

Update on Academic and Clinical Training in Cleft Palate/Craniofacial Anomalies for Speech-Language Pathology Students

2019 ◽  
Vol 4 (5) ◽  
pp. 870-877 ◽  
Author(s):  
Brooke Mills ◽  
Mary Hardin-Jones
Keyword(s):  
Cleft Palate ◽  
Clinical Training ◽  
Academic Programs ◽  
Craniofacial Anomalies ◽  
Speech Language Pathology ◽  
Master's Programs ◽  
Legitimate Concern ◽  
Language Pathology ◽  
Elective Course ◽  
Survey Responses

Purpose The purpose of this study was to survey speech-language pathology master's programs regarding their academic and clinical coverage of cleft palate/craniofacial anomalies. Method A link to a 19-item survey was sent via e-mail to the program directors of 271 accredited graduate programs in speech-language pathology. Information was also obtained via university websites to verify survey responses. Results The response rate was 86% with 232 of 271 programs completing all or part of the survey. Twenty-four percent of respondents indicated their program offers a dedicated and required course in cleft palate/craniofacial anomalies, 22% offer an elective course, and 51% embed this content in other courses. Respondents reported that their students frequently (7%), sometimes (58%), or rarely (34%) receive clinical experience with this population. Conclusion Our findings suggest that an increasing number of academic programs are eliminating dedicated coursework in cleft palate/craniofacial anomalies and are embedding such content in other courses. A legitimate concern resulting from this consolidation of coursework is the degree to which feeding, articulation, and resonance difficulties associated with cleft palate/craniofacial anomalies are being addressed elsewhere in the curriculum.

Special Considerations for Evaluation and Treatment of Spanish-Speaking Patients with Cleft Palate

2016 ◽  
Vol 1 (5) ◽  
pp. 41-49
Author(s):  
Ellen Moore
Keyword(s):  
Cleft Palate ◽  
The United States ◽  
Culturally Competent ◽  
Speech Language Pathology ◽  
Spanish Speaking ◽  
Appropriate Treatment ◽  
Oral Pressure ◽  
Language Pathology ◽  
History Of ◽  
Spanish Speaking Population

As the Spanish-speaking population in the United States continues to grow, there is increasing need for culturally competent and linguistically appropriate treatment across the field of speech-language pathology. This paper reviews information relevant to the evaluation and treatment of Spanish-speaking and Spanish-English bilingual children with a history of cleft palate. The phonetics and phonology of Spanish are reviewed and contrasted with English, with a focus on oral pressure consonants. Cultural factors and bilingualism are discussed briefly. Finally, practical strategies for evaluation and treatment are presented. Information is presented for monolingual and bilingual speech-language pathologists, both in the community and on cleft palate teams.

Reimbursement and Telepractice

2013 ◽  
Vol 3 (2) ◽  
pp. 35-40
Author(s):  
Carol Dudding
Keyword(s):  
Service Delivery ◽  
Healthcare Services ◽  
Speech Language Pathology ◽  
Delivery Method ◽  
Quality Healthcare ◽  
Service Delivery Models ◽  
Private Lives ◽  
Language Pathology ◽  
Delivery Models

Whether in our professional or private lives, we are all aware of the system wide efforts to provide quality healthcare services while containing the costs. Telemedicine as a method of service delivery has expanded as a result of changes in reimbursement and service delivery models. The growth and sustainability of telehealth within speech-language pathology and audiology, like any other service, depends on the ability to be reimbursed for services provided. Currently, reimbursement for services delivered via telehealth is variable and depends on numerous factors. An understanding of these factors and a willingness to advocate for increased reimbursement can bolster the success of practitioners interested in the telehealth as a service delivery method.

Fonoaudiología En Salas De Urgencias: Perspectiva Desde Una Revisión Documental

Areté ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Johanna Rodríguez Riaño ◽  
DANIELA MARCELA QUECHO RODRIGUEZ ◽  
MARIA PAULA RINCON PINILLA ◽  
PAULA VANESSA GARAVITO HERNÁNDEZ ◽  
DANIELA MARCELA QUECHO RODRIGUEZ ◽  
...  
Keyword(s):  
Emergency Room ◽  
Speech Therapy ◽  
Web Of Science ◽  
Speech Language Pathology ◽  
Toma De Decisiones ◽  
Language Pathology

Las salas de urgencias son espacios con protocolos coordinados y actuaciones diagnósticas y terapéuticas secuenciales. Los profesionales de rehabilitación en urgencias aportan a la toma de decisiones sobre conductas de hospitalización o egreso, planes caseros, ayudas diagnósticas y remisión a especialistas. El propósito de este análisis de literatura fue identificar evidencia internacional, sobre el fonoaudiólogo en sala de urgencias y sus acciones profesionales con pacientes, familiares y equipos de salud. Materiales y métodos. Se revisó evidencia de las bases de datos Ebsco, PubMed, Scielo, Elsevier y Web of Science, entre enero de 2015 hasta septiembre de 2020, con términos de búsqueda: speech language pathology, speech therapy, emergency room en español e inglés. Se seleccionaron documentos que informaran sobre procesos de rehabilitación en salas de urgencias, que incluyeran acciones desde fonoaudiología. Se analizaron 51 documentos según criterios de inclusión. La evidencia muestra la incursión del trabajo fonoaudiológico en un contexto no tradicional, motivado por las necesidades en la toma de decisiones clínicas en diálogo interdisciplinar, principalmente en condiciones de disfagia y alteraciones deglutorias. Las acciones profesionales en este contexto incluyen la promoción y prevención de ingresos a sala de urgencias, hasta la atención en condiciones críticas, agudas y al final de la vida. Este contexto representa retos profesionales hacia habilidades de juicio clínico, argumentación científico profesional, uso de instrumentos de detección y trabajo interdisciplinar. que hacen la diferencia entre aspectos como el egreso y la hospitalización, un tratamiento o procedimiento y en algunos casos, entre la vida y la muerte.

An Exploration of Mindfulness in Speech-Language Pathology

2020 ◽  
pp. 152574012094214
Author(s):  
Angela M. Medina ◽  
Jean S. Mead
Keyword(s):  
Business Education ◽  
Speech Therapy ◽  
Education Law ◽  
Speech Language Pathology ◽  
Client Outcomes ◽  
Fluency Disorders ◽  
Measuring Change ◽  
Mindfulness Practices ◽  
Language Pathology ◽  
Improve Patient

For decades, mindfulness practices have been studied and applied across professions such as health care, business, education, law, and counseling as a means to reduce workforce stress and improve patient/client outcomes. Literature describing applications and outcomes of mindfulness has been growing in the field of speech-language pathology. While there is an abundance of work on treating fluency disorders as well as adult cognitive and language deficits, reports of the successful application of mindfulness techniques in the service area domain of voice are expanding. The purpose of this article is to describe mindfulness and how mindfulness techniques are currently being applied in the practice of speech-language pathology with clients as well as parents and caregivers of clients. Suggested mindfulness activities and means for measuring change in the context of speech therapy are described.

scholarly journals Speech-Language Pathology Provision During the COVID-19 Pandemic for Children Born With Cleft Palate in the United Kingdom—Parent/Caregiver Perspectives and Experiences

2021 ◽  
pp. 1-11
Author(s):  
Lucy Southby ◽  
Sam Harding ◽  
Amy Davies ◽  
Matthew Fell ◽  
Yvonne Wren
Keyword(s):  
Socioeconomic Status ◽  
Cleft Palate ◽  
Qualitative Content Analysis ◽  
Free Text ◽  
Speech Language Pathology ◽  
Older Children ◽  
Online Questionnaire ◽  
Geographical Regions ◽  
Language Pathology ◽  
The Impact

Purpose: The purpose of this study was to examine parent/caregiver perspectives and experiences of speech-language pathology provision during the COVID-19 pandemic for children born with cleft palate. Method: An online questionnaire to parents of children born with cleft palate asked about delays and changes to speech-language pathology provision during the first U.K. national lockdown. Parents were also asked their views on the effectiveness of online speech-language pathology provision. Analysis considered variation in speech-language pathology provision by region. Chi-square and Mann–Whitney U tests examined associations between speech-language pathology provision and socioeconomic status and child age. Free text responses were analyzed using qualitative content analysis. Results: Three hundred fifty-six (39.3%) children were receiving speech-language pathology intervention before the first national lockdown. A further 49 (9.0%) were due to start speech-language pathology intervention during the lockdown. Speech-language pathology provision varied both nationally and within smaller geographical regions. Overall, 146 (42.6%) children continued to receive speech-language pathology and 197 (57.4%) had intervention delayed. There was no association between delayed speech-language pathology and socioeconomic status. Older children were more likely to experience delayed speech-language pathology provision ( p  = .004). Qualitative analysis revealed concerns about access to speech-language pathology, challenges with adequate devices to access online provision, technological problems, and child engagement in online provision. Parents reported online provision as being “better than nothing.” Conclusions: Parents/caregivers reported delays to speech-language pathology provision during the first lockdown, but this varied geographically and was more prevalent for older children. Concerns about access to speech-language pathology provision were raised, including challenges regarding online provision. Follow-on work will consider the impact of the delays experienced on longer term outcomes.

Student Self-Directed Professional Development as a Formative Assessment Skill

2008 ◽  
Vol 11 (1) ◽  
pp. 4-8
Author(s):  
Paul W. Cascella ◽  
Donald A. Vogel
Keyword(s):  
Professional Development ◽  
Master's Degree ◽  
Speech Language Pathology ◽  
Self Reflection ◽  
Reasonable Accommodations ◽  
Course Work ◽  
Language Pathology ◽  
Master’S Degree ◽  
Delivery Models ◽  
Level Student

Abstract While professional development is most typically thought of as continuing education beyond the master’s degree, we have formulated a process for master’s degree students in speech-language pathology to identify and self-evaluate their own professional development. Current standards for preparing graduate students in speech-language pathology focus primarily on introducing students to an extensive array of academic and clinical topics (e.g., disorders, conditions, service delivery models, evidence-based practice). However, indirect support for self-directed professional development can be found in two CAA standards, Standard 3.1B (i.e., “breadth and depth of the scope of practice”) and Standard 4.2 (i.e., reasonable accommodations). The authors describe a series of self-reflection activities that are integrated within speech-language pathology course work for the purpose of fostering professional development at the preservice level. Student comments and outcomes to date are described.

scholarly journals Organization of the referral and counter-referral system in a speech-language pathology and audiology clinic-school

CoDAS ◽  
2015 ◽  
Vol 27 (3) ◽  
pp. 273-278 ◽  
Author(s):  
Daniela Regina Molini-Avejonas ◽  
Stephanie Falarara Estevam ◽  
Maria Inês Vieira Couto
Keyword(s):  
Prospective Study ◽  
Public Services ◽  
Speech Therapy ◽  
Language Disorders ◽  
Referral System ◽  
Patient Records ◽  
Speech Language Pathology ◽  
Demographic Information ◽  
Language Pathology ◽  
Male Subjects

OBJECTIVE: To analyze the effectiveness of the referral and counter-referral flow in a speech-language pathology and audiology clinic-school and to characterize the patients' profiles. METHODS: Evaluation, retrospective, and prospective study, in which 503 patient records, without age restriction, were selected from a clinic-school and the following variables were analyzed: demographic information, speech and hearing diagnosis, and references. Patients were distributed into two groups according to the referrals made: internal (G1, n=341) and external (G2, n=162) to the clinic-school. RESULTS: A prevalence of male subjects under 12 years of age and with diagnosis of language disorders (primary and secondary) was found. It was observed that 83% patients in G1 were recalled for evaluation and speech therapy after an average of 7 months of waiting; and from the patients in G2 that were contacted (n=101), 13.9% were summoned and are satisfied with the place indicated for therapy after an average of 4 months of waiting. From those who did not receive care, 46% sought another service, and of these, 72.5% were successful. CONCLUSION: The data show the effectiveness and appropriateness of referrals made internally, suggesting that, when the team works together, the network operates more adequately. However, in relation to external referrals, they did not reach the proposed goals, indicating a lack of speech-language pathologists in public services and the low interest of patients in looking for other places of care.

Facilitating Communication among Speech Pathologists Treating Children with Cleft Palate

2005 ◽  
Vol 42 (6) ◽  
pp. 585-588 ◽  
Author(s):  
Michael P. Karnell ◽  
Philip Bailey ◽  
Lynn Johnson ◽  
Ariel Dragan ◽  
John W. Canady
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Speech Disorders ◽  
Craniofacial Anomalies ◽  
Web Based ◽  
Video Clips ◽  
Cleft Palate Speech ◽  
Speech Pathologists ◽  
Web Based System

An interactive web-based system was designed to facilitate communication between nonspecialist speech pathologists who provide therapy for individuals with speech disorders associated with cleft palate or craniofacial anomalies and specialist speech pathologists who provide physiologically based assessments of speech production. The web site includes instructional presentations, streaming video clips of endoscopic examinations, and exchange of information about the nature of therapy as recommended by the specialist and as provided by the nonspecialist. The approach demonstrates use of web-based computer facilities to improve the quality of communication among professionals with the goal of improving the outcomes of speech therapy. Information from the site can also be used in academic training programs as a teaching tool in courses on cleft palate speech.

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