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Speech-Language Pathology Launches Into Cyberspace:
Speech Therapy Through Telepractice
Frankie Strickland Ed.S, CCC-SLP
LansonHollaway, LLC. www.lansonhollaway.com
Allison Herrin M.Ed., CCC-
SLP
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
• 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.
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.
State Licensure Telepractice Provisions
• Georgia • Iowa • Kentucky • Louisiana
• North Carolina • Ohio • Oklahoma • Wyoming
Supporting Research
Hill, 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 settings
• Private Practice • Home Health • Medical Facilities
• Clinics • Health
Departments • Nursing Homes • Universities
Clinical and School Based Areas Appropriate for Telepractice
• Childhood Speech-Language • Neurogenic • Voice • Hearing Impaired
• Dysphagia • Fluency
Clinical and School Based Applications
• Screenings • Assessments • MBSS
• Therapies • Response to
Intervention • Consultations
Additional Applications Available
• Caregiver Education/Support • Participate in Team Meetings • Professional Consults • Facilitator Support
Candidacy Criteria for Telepractice
• Attention • Auditory comprehension • Literacy • Hearing ability • Visual ability • Speech intelligibility • Behavior • Physical endurance (e.g.,
sitting tolerance) • Comfort Level with
technology
• Manual dexterity (e.g., operate a keyboard)
• Willingness of patient and family/caregiver to utilize telepractice
• Cultural/linguistic considerations (e.g., interpreter)
• Access and availability of resources (e.g.,facilitator, telecommunication 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
Speech Therapy through Telepractice
Questions
Speech-Language Pathology Launches Into Cyberspace:
Speech Therapy Through Telepractice
Allison Herrin M.Ed., CCC-SLP
Frankie Strickland Ed.S., CCC-SLP