Allied to Kids is an initiative of the NSW Children’s Healthcare Network. The newsletter will be circulated regularly to provide

updates and information to support allied health professionals who work with kids and their families.

Allied to Issue 99

June 2017 kids

Inside this Edition

Cluttering - that elusive fluency disorder

1-3

Health Calendar - June 1

Baby Cues Video 3

Admission2Discharge Together Toolkit

4

Dietetic Core Standards - outlining the skills and knowledge for dietitians working with people with disability

5

Sepsis Kills 5

New Approach for Autism - Media Release

6

Statewide Telehealth Education Opportunities

7

ECAV Training in Western NSW 8

Allied Health Educator contact details

9

Conferences/Workshops/Webinars 9-12

Cluttering - that elusive fluency disorder

In October last year, I was sitting watching my student assess a 6 year old boy (J) initially referred for stuttering. During the case history, his mother said “I don’t think he is stuttering any more – just repeating words.” I soon realised what the mother meant when we collected a sample – he had two true stutters in the entire conversation, yet sounded very disfluent and lacked cohesion. By the end of the session, two briefly-covered PowerPoint slides from a university lecture years ago stuck in my mind.

Cluttering is the forgotten speech pathology diagnosis, perhaps because it is so rare, or perhaps because it is very under-researched. YouTube has a few videos of people who have self-diagnosed, and it is difficult to find an issue when watching them from a speech pathologist’s perspective. There are few case studies, few audio files, few writing samples. What little data exists is varied, inconsistent and unreliable.

Assessment

Despite my reluctance to provide such a rare diagnosis, I could not deny what I was seeing. He ticked 13/16 of the characteristics of cluttering, some identified in case history, some in assessment tasks:

Excessive levels of typical dysfluencies (e.g. revisions and fillers)

Little to no apparent physical struggle speaking

Rapid and/or irregular rate

‘jerky’ speech due to too long, too short, or incorrectly placed pauses

Disorganised language or conversational skills

Limited awareness of fluency difficulties

Temporary improvement when asked to slow down or when being recorded

Mispronunciation or slurring of speech sounds or deleting non-stressed syllables in longer words (e.g., "ferchly" for "fortunately")

Speech that is difficult to understand

Social or vocational problems resulting from cluttering symptoms

Distractibility, hyperactivity, or a limited attention span

Auditory perceptual difficulties

Often coincides with stuttering

Learning disability not related to reduced intelligence (J did not have this)

Poor handwriting (J did not have this, possibly not diagnosable at this age)

Family history of stuttering and/or cluttering (J did not have this)

Health Calendar - June

National Burns Awareness Month

http://www.burnstrust.com.au/.

9 June - Pirate Day Friday

http://www.piratedayfriday.org.au/.

12-16 June - Infant Mental Health Awareness Week

http://www.aaimhi.org/.

For further information on major National health events please visit http://www.health.gov.au/calendar.

Issue 99 Page 2

You can see from these characteristics that there are clearly a lot of factors influencing this type of fluency disorder. There are language processing difficulties, speech errors, rate, discourse, possibly phonological awareness, and all this impacted by reduced attention and insight. Assessment requires multiple sessions, and truthfully, assessment is ongoing, throughout the entire treatment process, to ensure that, as treating clinicians, we are actually making a change.

I then came up with my own measure, percent words cluttered (%WC), in an attempt to be more objective in my data analysis. This was to look at J’s fluency and efficiency when talking – the number of clutters in his communication when compared to the total number of words. I took this measure in a range of assessment tasks (below). I also measured his %WC in a 300-word conversation sample on a weekly basis, as well as collecting daily severity ratings from his mother, to strictly monitor his progress.

Oromusculature Assessment: normal.

Diadochokinetic Rate (DDR): highly irregular rate, decreased accuracy.

CELF-4 Recalling Sentences Subtest: 16.7%WC, 2nd percentile. This significant difficulty completing the task in comparison with J’s peers was purely a result of his clutters.

Bus Story: 14.7%WC. Normal retell from a score-based point of view.

Connected speech sample: 27.4%WC (this means almost 1/3 words were a result of cluttering, or, if J was not cluttering, he would have been able to convey his message in 1/3 less time). J also stuttered at 1.4%SS, however this was insignificant compared to the other areas impacting his fluency. I have never heard him stutter again.

J’s rate of speech during conversation, on average, was normal for his age and gender – 144 syllables/minute. However his irregularity and unusual parsing, as well as other disfluency types, led to an overall lack of cohesion.

Sutherland Phonological Awareness Test (Revised) (SPAT-R): Scored within normal limits overall, however had significant difficulties with blending sounds, and identifying the first sound in words.

Speech sounds: No consistent errors, however many speech sound errors in connected speech in multisyllabic words, including omitting weak syllables and assimilation of consonants within a sentence.

Overall language: Within normal limits, however at verbal discourse level (e.g. recounts of the weekend or conversation), he was coherent (the overall verbal text makes sense) but not cohesive (the overall verbal text does not flow).

Initial severity rating: 9/10.

Therapy

So what do we do? I was excited once I was certain of the diagnosis, but that excitement quickly faded when I remembered that therapy was my responsibility, and there is not a lot of research to help me out. One article said “treat the complicating factors, then treat the cluttering”.

Being that cluttering is a fluency disorder (albeit more to do with speech and language processing rather than motor patterns as in stuttering), I chose to start by modifying the Lidcombe Program. I educated his mother on ‘clutters’, we praised non-cluttered speech, and began with structured tasks. Due to the nature of this treatment, I did attempt to help J understand why we were praising his speech (describing, giving examples, playing recordings back to him), in the knowledge that people who clutter have limited self-awareness of their difficulties. To this day, I am unsure of whether J knows why he is in speech therapy, but he is compliant and we have seen progress.

The Lidcombe Program was successful in reducing and eliminating many types of clutters, possibly simply by giving him more time for speech and language processing. I then began to see more and more speech-based clutters (particularly deleting unstressed syllables). I paired the continuing Lidcombe Program modification with phonological awareness – particularly syllabification and syllable manipulation. After 2 weeks, all speech-based clutters were gone.

Within 8 weeks, I noticed that the majority of J’s remaining clutters were restarts, fillers and rephrases due to word finding difficulty. We began some word fluency and semantic feature analysis tasks. By 3 months into therapy, he sounded like a ‘normal 6 year old’ – some typical disfluencies such as ‘um’ and ‘like’ as fillers, and occasional restarts when attempting to explain complex or abstract ideas.

I have taken a much slower approach to ‘Stage 2’ in comparison to the usual Lidcombe Program for

Issue 99 Page 3

stuttering. I want to make sure my data is consistently decreasing, maintaining intra-rater reliability, and that this is not just a fluke.

Review Assessment

After 3 months, I reassessed J. In a conversational sample, he scored 7.2%WC which seems to be a typical proportion of typical disfluencies. I understand data here is hard to norm, and hard to compare. This judgement is based very much off clinical judgement and experience with a range of typical and non-typical children.

I also assessed him with the Clinical Evaluation of Language Fundamentals – Fourth Edition (CELF-4), Recalling Sentences subtest, for which he scored in the 50th percentile – a vast improvement on his baseline score.

Finally, his severity ratings had gone from a 9 to a weekly average of 3.2 after 3 months. Subjectively, his grandparents, teachers, and parents friends were all commenting on the improvement in his communication. Part of me feels quite sceptical, but the data below over the last 6 months of management doesn’t lie.

Summary

So is this prescriptive? Certainly not. Cluttering has so many variables, and each presentation I am sure will be vastly different. I suppose all I can say is to back yourself, back your skills, and treat what you see. What, specifically, is causing the greatest breakdown in fluency? Is it phonological awareness? Is it word finding? Is it speech? Is it something else? We know how to improve all these aspects. When lumped together, it might seem scary. I was definitely initially intimidated by this case. But ultimately, as a speech pathologist, I can treat the details that makes up the whole.

Written by: Amy Ward, Speech Pathologist, Wagga Wagga Community Health Centre

Baby Cues Video

The Raising Children’s Network has released a video to help parents better understand baby cues. A baby communicates through cries and body language so that their parents can respond to their needs.

The video includes information for parents about common baby cues and how to get to know their baby.

This video can be found on the Raising Children’s Network website at http://raisingchildren.net.au/baby_cues/baby_cues.html.

Adapted from: http://raisingchildren.net.au/.

Issue 99 Page 4

Admission2Discharge (A2D) Together Toolkit

The Admission2Discharge Together Toolkit is an initiative of the Department of Family and Community Services (FACS), Supported Accommodation Services Team, South East Sydney District, the Metro-Regional-Intellectual-Disability Network (MRID) and Carer Program, South Eastern Sydney Local Health District (SESLHD). The toolkit has been produced with the assistance of many highly skilled disability and health professionals who have brought a wealth of knowledge and experience to the task. The toolkit was completed through cooperation and co-design between the Admission2Discharge Together Project Committee and the many people from disability and health services who generously supported the project.

The Admission2Discharge Together Toolkit expands upon the work done by the Admission2Discharge Project, within South East Sydney to make this successful model of care available to others, wherever they may be. It provides the tools and resources for anyone who wishes to develop an Admission2Discharge Together Folder for themselves or the person they care for to do so.

The Project builds on previous models and the team would like to acknowledge the previous work of:

Central Coast Local Health District Carer Program in developing the TOP 5 and supporting the team to adapt this for people with intellectual disability

Gloucester Partnership National Health Service (NHS) Trust, Walsingham NHS Trust and the Cumbria Partnership Community Learning Disability Health Team in developing the Hospital Passport

The Admission to Discharge (A2D) Together Folder

A hospital admission for a person with an intellectual disability (ID) can be a confusing and frightening experience resulting in behaviours that are difficult to interpret and manage. The capacity of staff to be able to communicate with the person may be limited. These factors increase the risk that a hospital admission could result in missed diagnosis, inefficient use of resources and an increased length of stay, miscommunication, disjointed discharge planning and disconnection with community resources leading unplanned re-admissions.

Poorer health outcomes and negative hospital experiences for people with ID living in supported accommodation has been reported by NSW Ombudsman and the National Disability Services (NDS) have reported high rates of adverse outcomes in addition people with ID and their carers have indicated that they often feel ignored and disrespected when in hospital.

The positive or negative experiences that a person with ID encounters in a NSW hospital depends largely on effective communication between disability support staff, the disability team leader, hospital staff and community based health services.

The Admission2Discharge (A2D) Together folder was created to facilitate timely transfer of relevant and current information. This was to enable hospital staff to meet the needs of people with ID and thereby improve their hospital journeys and health outcomes.

The resources required for creating an A2D Together Folder can be found at http://a2d.healthcare/resources/.

Adapted from: http://a2d.healthcare/.

Issue 99 Page 5

Dietetic Core Standards - outlining the skills and knowledge for dietitians

working with people with disability

The Dietetic Core Standards were developed as a joint project between the NSW Department of Family and Community Services and Cerebral Palsy Alliance in 2016.

The purpose of the core standards is to promote professional development and continuous improvement for dietitians working with people with disability. The standards outline the minimum requirements necessary to work effectively with people with disability, their families/carers, support workers and other professionals. They help guide professional practice for Accredited Practising Dietitians and also act as a guide for working within the National Disability Insurance Scheme (NDIS).

The Standards were developed in consultation with a number of highly experienced clinicians, academics and other key stakeholders.

A range of resources are available online at https://trainingalliance.edu.au/blog/dietetics/ to support learning for dietitians, health professionals and disability support practitioners.

Adapted from: https://trainingalliance.edu.au/blog/dietetics/.

Sepsis Kills

Sepsis is one of the leading causes of death in children. Many paediatric sepsis related deaths are preventable. It is widely acknowledged that sepsis can be a difficult diagnosis to make in children and infants. The SEPSIS KILLS Program has developed a number of paediatric tools and resources including guidelines and videos to assist clinicians in the early recognition, notification, escalation and initial management of sepsis.

The Clinical Excellence Commission are also running more paediatric sepsis pathway webinars in June. There is no need to preregister, simply click on the relevant WebEx link below and follow the instructions.

For further information contact CEC-Sepsis@health.nsw.gov.au.

Thursday 8 June

2.30 - 3.30pm

WebEx details

Thursday 22 June

2.30 - 3.30pm

WebEx details

Teleconference dial 02 9083 3131 followed by conference code 5060667405#

Issue 99 Page 6

New Approach for Autism - Media Release

Background Autism CRC is the world’s first national research effort focused on autism across the lifespan, working together with the autism community to provide the evidence base to support individuals on the spectrum throughout their lives. Autism CRC provides the national capacity to develop and deliver evidence-based outcomes through its unique collaboration with the autism community, research organisations, service providers and government.

A major study was launched in October 2016 to develop Australia’s first national diagnostic guideline for autism, commissioned under a collaboration between Autism CRC and the NDIA. Further information about the national diagnostic guideline is available at http://www.autismcrc.com.au/news/australia%E2%80%99s-first-national-guideline-autism-diagnosis.

The Hon Jane Prentice MP, Assistant Minister for Social Services and Disability Services has announced a new way to help those with autism access the services they need. The collaboration between the Cooperative Research Centre for Living with Autism (Autism CRC) and National Disability Insurance Agency (NDIA) will help the autism community access more support.

This project builds on an earlier collaboration between the Autism CRC and NDIA to develop Australia’s first national diagnostic guideline for autism – a critical step to ensuring consistent and equitable access to autism diagnosis for children and adults. As part of the collaboration, a world-first research study is underway to identify the most effective interventions for children on the autism spectrum based on individual characteristics.

This is the second project commissioned under the collaboration, which aims to ensure those on the autism spectrum reach their full potential.

The findings of the study would provide much needed information on which approaches may be more effective for different types of autism.

“The work of the NDIA and Autism CRC seeks to find innovative support for people on the autism spectrum with the aim of giving them great outcomes in life,” Mrs Prentice said.

Director of the Autism CRC Diagnosis Research Program, Professor Andrew Whitehouse, said the potential to identify different subtypes of autism would completely transform the way people on the spectrum access therapy.

“We know it’s important for children on the autism spectrum to access timely and targeted early intervention, however, there is considerable variability in how children respond...Results of this research will provide a unique and highly significant evidence base that will allow matching of interventions to the child's profile, thereby maximising treatment outcomes.”

The project will be undertaken in the Autism Specific Early Learning and Care Centre in each state and is one of a number of initiatives under the Helping Children with Autism funding program to support families and their children on the spectrum. Collaboration with the NDIA will ensure that the project extends across the next two years.

Adapted from: http://janeprentice.dss.gov.au/media-releases/new-approach-autism.

Statewide Telehealth Education Opportunities

Available to allied health professionals who provide services through NSW Health

Children’s Healthcare Network Allied Health Telehealth Virtual Education

The 2017 program will incorporate a range of virtual education technologies such as videoconferencing, webinars/webconferences via WebEx, and pre-recorded sessions.

Please visit the Allied to Kids website http://www.nchn.org.au/a2k/index.html for details of the 2017 calendar, latest updates and to view earlier sessions. Instructions for viewing recorded sessions online are also available on the website.

Sydney Children's Hospital (SCH) Medical Grand Rounds The SCH Medical Grand Rounds Education Program is held each Wednesday from 1:00 - 2:00pm. Upcoming sessions:

To connect via WebEx go to:

https://sesihsmeetings.webex.com/sesihsmeetings/j.php?MTID=m14401bcc57304d7b6500b8a8a46490ce

John Hunter Children’s Hospital (JHCH) Paediatric Grand Rounds The JHCH Paediatric Grand Rounds Education Program is held each Tuesday from 1:00 - 2:00pm. Upcoming session topics include (more specific details are released one week prior to the session):

For instructions on how to view these sessions online or to access previous sessions, please email

Sonia.Hughes@hnehealth.nsw.gov.au.

Issue 99 Page 7

7 June A “Shock”ing Overdose Dr Betty Chan

14 June Improving Patient Care and Experience in Systemic Lupus Erythematosus

Rheumatology

21 June UTI, VUR, MCU, DMSA. What does it mean? Where have we been? Where are we now? - A special Grand Rounds to mark the retirement of A/Prof Robert Farnsworth

Nephrology

28 June Paediatric Anterior Ligament Injuries Orthopaedics

6 June General/Endocrine Don Anderson

13 June Respiratory/Sleep Tania Gulliver

20 June Haematology/Oncology Bryony Ross

27 June Emergency Department Mike Anscombe

4 July General Kate Thomson Bowe

13 June Motor Skills and Fetal Alcohol Spectrum Disorder: Translating knowledge into clinical practice

Dr Barbara Lucas

Deputy Manager Physiotherapy Services RNSH

Honorary Research Fellow: SCHN and Kid’s Research

Institute

Honorary Fellow: Musculoskeletal Division, School of Public Health, USyd

27 June Fussy Feeding - Management strategies

Khadeejah Moraby, Speech Pathologist, Sydney Children’s Hospital, Randwick

Rachel Lindeback, Dietitian, Sydney Children’s Hospital, Randwick

ECAV training in Western NSW

The Western NSW LHD Kids & Families Strategies Integrated Violence Prevention Team is hosting a range of workshops provided by the Education Centre Against Violence (ECAV) throughout 2017 in Orange and Dubbo.

It was identified as highly important that access to high quality, specialist, training be available to our LHD staff locally; negating the need for travel to a major city for the opportunity. The range of training opportunities offer clinicians skill and theoretical development and enhanced practice improvement within a trauma informed framework.

For further information and to register for a course visit the EVAC website at:

http://www.ecav.health.nsw.gov.au/.

or contact WNSWLHD District Manager Child Protection Strategies, Stacy Whiley via:

stacy.whiley@health.nsw.gov.au.

Issue 99 Page 8

Course

Code

Course Name Date Venue

OP-1018 Developing Culturally Safe Trauma Informed

Practice in Aboriginal Communities'

25 - 27 July Dubbo

SA- 1217 Group work with adults sexually assaulted as

children

1 - 2 August Orange

DV-607 Domestic Violence & Child Protection: Developing

good practice response to a complex problem

20 - 21 September Dubbo

CP-405 Case Managing Child Well-Being & Child

Protection concerns within NSW Health Context

10 - 11 October Dubbo

SA- 1216 Holding the frame: Advanced therapeutic work

with adult survivors of child sexual assault

24 - 26 October Orange

DV-605 Domestic Violence for NSW Health Workers 28 - 29 November Orange

Jenny Nicol/Sue Sims Allied Health Educator, Southern Region Phone: 02 9382 4471 / 0434 565 733

Email: Jennifer.Nicol@health.nsw.gov.au Susan.Sims@.health.nsw.gov.au

Sonia Hughes Allied Health Educator, Northern Region

Phone: 02 6592 9164 / 0423 823 633

Email: Sonia.Hughes@hnehealth.nsw.gov.au

Carmel Blayden Allied Health Educator, Western Region

Phone: 6369 8120 / 0418 313 930

Email: Carmel.Blayden@health.nsw.gov.au

For more details about any of the information included in this newsletter, or if you have something you would like included in a future edition, please contact one of us.

Allied to Kids Allied health education and clinical support

Submissions for Future Editions of Allied to Kids

Let us know about your workshops, new programs, events, research or positions vacant. Clinical articles need to be evidence based with a relevant (albeit short) reference list. Submissions can be sent to any of the Allied Health Educators (email details are listed above) and need to be received no later than the 25th of each month to ensure inclusion in the following month’s edition. Remember, Allied to Kids is a newsletter for allied health professionals by allied health professionals.

Please note the inclusion of event/resource details in this newsletter does not constitute endorsement by the NSW Children’s Healthcare Network. Individuals are responsible for determining the credentials of events/resources in line with their own professional standards.

Issue 99 Page 9

Further details regarding Allied to Kids is available at the

Allied to Kids website:

http://www.nchn.org.au/a2k/index.html

Conferences/Workshops/Webinars

Developmental Coordination Disorder (DCD) & Handwriting

29 June 2017

The Children’s Hospital at Westmead, NSW

This course will be split into two sessions. The morning session ‘The ABCD’s of DCD’ will focus on the diagnosis and consequences of DCD; awareness of diagnostic criteria and brain differences in children with DCD. The afternoon session ‘Printing Like a Pro!: a handwriting program based on motor learning theory and current evidence’ will review a handwriting program that was developed by two occupational therapists which is a free resource available online for home and school use.

For further information contact Rowena Sebastian on 9845 3369.

MP4Kids One Day Conference 23 June 2017

Liverpool Hospital, NSW

The theme of the conference is "Lessons from the past and ideas for the future". Tickets can be purchased using the following link: https://www.trybooking.com/PITH.

For further information contact Sally Gooch at mp4kidsnsw@gmail.com.

Issue 99 Page 10

Conferences/Workshops/Webinars continued

2017 Australian Physiotherapy Association Conference 19 - 21 October 2017

Darling Harbour, NSW

Abstracts will close on 17 April 2017. Early bird registrations open 27 March.

For further information visit:

http://www.apamomentum2017.asn.au/.

12th National Allied Health Conference - Stronger Together 26 - 29 August 2017

Darling Harbour, NSW

The conference will explore the theme Allied Health: Stronger Together and will highlight the place of Allied Health in the health continuum through a number of subthemes including: Responsive Services, Reliable Systems and Resilient Workforce.

Hear from a range of eminent speakers exploring current and emerging issues shaping the future for Allied Health.

An exciting opportunity to network with an extensive range of key decision-makers and practitioners.

Learn about the latest developments in products and services from our impressive range of exhibitors.

For further information or to register visit the conference website at:

https://secure.hotelnetwork.com.au/12thnationalalliedhealthconference/home.

CIAP Evidence-Based Practice Workshop 9 June 2017 Westmead, NSW http://www.ciap.health.nsw.gov.au.acs.hcn.com.au/learning/workshops.html Upper Limb Performance Assessment 9 June 2017 Brisbane, QLD http://www.zimei.com.au/?espresso_events=upper-limb-performance-assessment Legal Essentials: For healthcare staff & managers working with children and high conflict families 13 June 2017 Narooma, NSW To register email SouthCoastFLPN@Anglicare.org.au Infant Mental Health Seminar 14 & 15 June 2017 Taree, NSW https://www.stickytickets.com.au/52821 Continuing Professional Education in Stuttering (CPES) - Lidcombe Program 19 & 20 June 2017 Melbourne, VIC 24 & 25 July 2017 Brisbane, QLD http://sydney.edu.au/health-sciences/asrc/continuing_education/cpes.shtml

Issue 99 Page 11

Conferences/Workshops/Webinars continued

Innovations in Aboriginal Chronic Conditions Forum 20 June 2017 Kirribilli, NSW www.aci.health.nsw.gov.au/about-aci/calendar/innovations-in-aboriginal-chronic-conditions-forum The Management of School Age Stuttering 21 June 2017 Melbourne, VIC http://sydney.edu.au/health-sciences/asrc/continuing_education/cpes.shtml MP4Kids One Day Conference 23 June 2017 Liverpool, NSW https://www.trybooking.com/book/event?eid=269549 Emergency Management of Severe Burns Course 24 June 2017 - Royal North Shore Hospital 11 November 2017 - Concord Repatriation General Hospital Enquiries to info@anzba.org.au Learn to Play Therapy – Introductory Course 3 & 4 July 2017 Melbourne, VIC www.learntoplayevents.com/events Advanced Learn to Play Therapy 5 & 6 July 2017 Melbourne, VIC www.learntoplayevents.com/events Developmental Coordination Disorder International Conference 5 - 8 July 2017 Fremantle, WA https://eventandconfco.eventsair.com/QuickEventWebsitePortal/dcd-12/website 27th National Occupational Therapy Conference 19 - 21 July 2017 Perth, WA www.otaus2017.com.au Fiona Stanley Forum - ‘Achieving great outcomes for Aboriginal and Torres Strait Islander Kids’ 20 July 2017 Melbourne, VIC https://www.aracy.org.au/events/event/fiona-stanley-forum-2017 Paediatric Physiotherapy Level 1 22 & 23 July 2017 Sydney, NSW www.physiotherapy.asn.au/apawcm/LearningDevelopment/Event_Display.aspx?EventKey=BPG170722C DCD/Dyspraxia and the role for occupational therapy 4 & 5 August 2017 Sydney, NSW http://www.zimei.com.au/?espresso_events=dcddyspraxia-and-the-role-for-occupational-therapy

Issue 99 Page 12

Conferences/Workshops/Webinars continued

Primary Healthcare Research Conference 7 - 9 August 2017 Brisbane, QLD http://www.phcris.org.au/news/newsfeed/2017/february/conference.php?promoid=887&uid=106693&eid=15651&mid=39&stk=aho&stype=twiphc&linkid=119509 Continuing Professional Education in Stuttering (CPES) - Camperdown Program Workshop 10 & 11 August 2017 Sydney, NSW http://sydney.edu.au/health-sciences/asrc/continuing_education/cpes.shtml 12th National Allied Health Conference 26 - 29 August 2017 Sydney, NSW https://secure.hotelnetwork.com.au/12thnationalalliedhealthconference/home Don’t Forget The Bubbles DFTB17: Making a difference 28 - 30 August 2017 Brisbane, QLD www.dontforgettheconference.com/ Perceive: Recall: Plan and Perform System (PRPP) - Assessment 11 - 15 September 2017 Brisbane, QLD http://www.zimei.com.au/?espresso_events=perceive-recall-plan-and-perform-system-prpp-assessment SNAICC National Conference 12 - 14 September 2017 Canberra, ACT http://www.snaicc.org.au/conference/ Australia New Zealand Burns Association, Annual Scientific Meeting (ANZBA ASM) 24 - 27 October 2017 Adelaide, SA http://2017.anzbaasm.com/ WeeFIM Clinician Workshop - Australasian Rehabilitation Outcomes Centre (AROC) 13 November 2017 Sydney, NSW https://ahsri.uow.edu.au/aroc/upcomingworkshops/index.html Child-Initiated Pretend Play Assessment – 2 27-29 November 2017 Melbourne, VIC www.learntoplayevents.com/events Indigenous Allied Health Australia 2017 National Conference 27 - 29 November 2017 Perth, WA http://iahaconference.com.au/