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DOI: 10.1055/s-0041-1723842
The Five W's Meet the Three R's: The Who, What, When, Where, and Why of Telepractice Service Delivery for School-Based Speech-Language Therapy Services
Abstract
School-based speech-language pathologists (SLPs) are implementing telecommunication technologies for service provision. Telepractice is one among an array of service delivery models that can be successfully implemented in the public-school setting. While many school-based SLPs have been plunged into telepractice with the recent pandemic, this temporary shift to emergency instruction is not the same as fully implementing a telepractice service delivery model. SLPs who recognize the potential application of telecommunications would profit from additional training and experience to take advantage of the benefits of this service delivery model. The purpose of this article is to explore the concept of telepractice as a service delivery model, and to answer the who, what, when, where, and why questions of school-based telepractice. Telepractice is one of several service delivery models that school-based SLPs can confidently utilize to provide effective speech and language therapy services to school-age students.
Financial Disclosures
The author receives a salary from Kent State University, as a faculty member in the Speech Pathology and Audiology Department.
Nonfinancial Disclosures
The author has no relevant nonfinancial relationship to report.
Publication History
Article published online:
16 March 2021
© 2021. Thieme. All rights reserved.
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References
- 1 Edwards M, Stredler-Brown A, Houston KT. Expanding use of telepractice in speech-language pathology and audiology. Volta Review 2012; 112 (03) 227-242
- 2 Tucker JK. Perspectives of speech-language pathologists on the use of telepractice in schools: quantitative survey results. Int J Telerehabil 2012; 4 (02) 61-72
- 3 Resistance to change: recent trends in management. TOPPR Website. Accessed September 13, 2020 at: https://www.toppr.com/guides/business-management-and-entrepreneurship/recent-trends-in-management/resistance-to-change/
- 4 Masterson J. Computer applications in schools: what we can do-what we should do. Lang Speech Hear Serv Sch 1995; 26: 211-212
- 5 Fitch J. Perspectives on computers in communication disorders. Journal for Computer Users in Speech and Hearing. 1985; 1: 15-16
- 6 Cochran P, Masterson J. Not using a computer in language assessment/intervention: in defense of the reluctant clinician. Lang Speech Hear Serv Sch 1995; 26: 213-222
- 7 Venus M, Stam D, van Knippenberg D. Research: to get people to embrace change, emphasize what will stay the same. Harvard Business Review 2018; August 15; Accessed September 13, 2020 at: https://hbr.org/2018/08/research-to-get-people-to-embrace-change-emphasize-what-will-stay-the-same
- 8 Individuals with Disabilities Education Act of 2004 (IDEA). Publication no. 108–446. 2004 . Accessed September 13, 2020 at: https://sites.ed.gov/idea/topic-areas/
- 9 School-Based Service Delivery in Speech-Language Pathology. American Speech-Language-Hearing Association; . Accessed September 13, 2020 at: https://www.asha.org/slp/schools/school-based-service-delivery-in-speech-language-pathology/
- 10 Nippold MA. Different service delivery models for different communication disorders. Lang Speech Hear Serv Sch 2012; 43 (02) 117-120
- 11 Grogan-Johnson S. Getting started in school-based speech-language pathology telepractice. Perspect ASHA SIG 18 2018; 3 (02) 21-31
- 12 Overby MS. Stakeholders' qualitative perspectives of effective telepractice pedagogy in speech-language pathology. Int J Lang Commun Disord 2018; 53 (01) 101-112
- 13 Coufal K, Parham D, Jakubowitz M, Howell C, Reyes J. Comparing traditional service delivery and telepractice for speech sound production using a functional outcome measure. Am J Speech Lang Pathol 2018; 27 (01) 82-90
- 14 Advocacy Position: Reopening Schools. American Speech-Language-Hearing Association; 2020. . Accessed September 17, 2020 at: https://www.asha.org/Advocacy/Advocacy-Position-on-Reopening-Schools/
- 15 Warren SF, Fey ME, Yoder PJ. Differential treatment intensity research: a missing link to creating optimally effective communication interventions. Ment Retard Dev Disabil Res Rev 2007; 13 (01) 70-77
- 16 Brandel J, Frome Loeb D. Program intensity and service delivery models in the schools: SLP survey results. Lang Speech Hear Serv Sch 2011; 42 (04) 461-490
- 17 Gillam SL, Gillam RB. Making evidence-based decisions about child language intervention in schools. Lang Speech Hear Serv Sch 2006; 37 (04) 304-315
- 18 McGinty AS, Justice LM. Classroom-based versus pullout speech-language intervention: a review of the experimental evidence. Evidence Based Practice Briefs. 2006; 1 (01) 1-25
- 19 Cirrin FM, Schooling TL, Nelson NW. et al. Evidence-based systematic review: effects of different service delivery models on communication outcomes for elementary school-age children. Lang Speech Hear Serv Sch 2010; 41 (03) 233-264
- 20 Rudolph JM, Rudolph S. Telepractice vs. on-site treatment: Are outcomes equivalent for school-age children?. Evidence Based Practice Briefs. 2015; 10 (02) 1-15
- 21 Wales D, Skinner L, Hayman M. The efficacy of telehealth-delivered speech and language intervention for primary school-age children: a systematic review. Int J Telerehabil 2017; 9 (01) 55-70
- 22 Code of Ethics [Ethics]. American Speech-Language-Hearing Association; 2016. . Accessed September 17,2020 at: https://www.asha.org/Code-of-Ethics/
- 23 Grogan-Johnson S. Providing school-based speech-language therapy services by telepractice: a brief tutorial. Perspect Telepractice 2012; 2 (01) 42-48
- 24 Telepractice: Client Selection. American Speech-Language-Hearing Association; . Accessed September 26, 2020 at: https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934956§ion=Key_Issues#Client_Selection
- 25 Telepractice: Roles and Responsibilities. American Speech-Language-Hearing Association; . Accessed September 26, 2020 at: https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934956§ion=Key_Issues#Roles_and_Responsibilities
- 26 COVID-19. Tracking of State Laws and Regulations for Telepractice and Licensure Policy. American Speech-Language-Hearing Association; . Accessed September 26, 2020 at: https://www.asha.org/uploadedFiles/State-Telepractice-Policy-COVID-Tracking.pdf
- 27 Telepractice: Ethical Considerations. American Speech-Language-Hearing Association; . Accessed September 26, 2020 at: https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934956§ion=Key_Issues#Ethical_Considerations
- 28 Cohen ER, Cason J. Ethical considerations for client centered telepractice. Perspect ASHA Spec Interest Groups 2019; 4: 704-711
- 29 Richmond T, Peterson C, Cason J. et al. American Telemedicine Association's principles for delivering telerehabilitation services. Int J Telerehabil 2017; 9 (02) 63-68
- 30 Family Education Rights and Privacy Act, 20 U.S.C. § 1232g (1974). 34 CFR part 99. Published March 1, 2018. Accessed September 27, 2020 at: https://www2.ed.gov/policy/gen/guid/fpco/ferpa/index.html
- 31 Health Insurance Portability and Accountability Act of 1996, 42 U.S.C. § 1320d-9. 2010 . Accessed September 27, 2020 at: https://www.hhs.gov/hipaa/for-professionals/privacy/index.html#
- 32 Health Information Technology for Economic and Clinical Health Act, 42 U.S.C. § 300jj. 2009 . Accessed September 27, 2020 at: https://www.hhs.gov/hipaa/for-professionals/special-topics/hitech-act-enforcement-interim-final-rule/index.html
- 33 Andriks J, Smith S. Five Steps to Get Started in Telepractice. American Speech-Language-Hearing Association; . Accessed September 26, 2020 at: https://leader.pubs.asha.org/do/10.1044/5-few-steps-to-get-started-in-telepractice/full/
- 34 Telepractice Resources during COVID-19. American Speech-Language-Hearing Association; . Accessed September 26, 2020 at: https://www.asha.org/About/Telepractice-Resources-During-COVID-19/
- 35 Telepractice. American Speech-Language-Hearing Association; . Accessed September 26, 2020 at: https://www.asha.org/Practice-Portal/Professional-Issues/Telepractice/
- 36 Cornish-Raley N. Monthly post from the SIG 18 coordinating committee-technology: 1 of 3 blog post. Published September 20, 2017. Accessed June 13, 2018 at: https://community.asha.org/
- 37 Telepractice: Telepractice Technology. American Speech-Language-Hearing Association; . Accessed September 27, 2020 at: https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934956§ion=Key_Issues#Telepractice_Technology
- 38 Supan J. The U.S. Has the 8th Fastest Internet Speed in the World, but Many Are Still Left Behind. All Connect. . Published March 23, 2020. Accessed September 27, 2020 at: https://www.allconnect.com/blog/us-internet-speeds-globally#
- 39 Children's Internet Access at Home. National Center for Education Statistics; . Published May 2020. Accessed September 27, 2020 at: https://nces.ed.gov/programs/coe/indicator_cch.asp
- 40 Telepractice: Overview. American Speech-Language-Hearing Association; . Accessed September 27, 2020 at: https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934956§ion=Overview
- 41 Telepractice Services and Coronavirus/COVID-19. American Speech-Language-Hearing Association; . Accessed September 27, 2020 at: https://www.asha.org/Practice/Telepractice-Services-and-Coronavirus/
- 42 Quotes from Experts: COVID-19 and Extended Online Learning. American Association for the Advancement of Science; . Published June 22, 2020. Accessed September 27, 2020 at: https://www.sciline.org/covid-expert-quotes/online-learning
- 43 Theodoros D. Telepractice in speech-language pathology: the evidence, the challenges, and the future. Perspectives Telepractice. 2011; 1 (01) 10-21
- 44 Boisvert M, Lang R, Andrianopoulos M, Boscardin ML. Telepractice in the assessment and treatment of individuals with autism spectrum disorders: a systematic review. Dev Neurorehabil 2010; 13 (06) 423-432
- 45 Palsbo SE. Equivalence of functional communication assessment in speech pathology using videoconferencing. J Telemed Telecare 2007; 13 (01) 40-43
- 46 Waite M, Cahill L, Theodoros D, Busuttin S, Russell T. A pilot study of online assessment of childhood speech disorders. J Telemed Telecare 2006; 12 (Suppl. 03) 92-124
- 47 Waite MC, Theodoros DG, Russell TG, Cahill LM. Internet-based telehealth assessment of language using the CELF-4. Lang Speech Hear Serv Sch 2010; 41 (04) 445-458
- 48 Forducey PG. Speech telepractice program expands options for rural Oklahoma schools. ASHA Lead 2006; 11 (10) 12-13
- 49 Gabel R, Grogan-Johnson S, Alvares R, Beckstein L, Taylor J. A field study of telepractice for school intervention using the ASHA NOMS K-12 database. Comm Disord Q 2013; 35: 42-51
- 50 Grogan-Johnson S, Schenker J, Alvares R, Rowan L, Taylor J. A comparison of speech sound intervention delivered by telepractice and side-by-side service delivery models. Comm Disord Q 2013; 34: 210-220
- 51 Grogan-Johnson S, Gabel RM, Taylor J, Rowan LE, Alvares R, Schenker J. A pilot exploration of speech sound disorder intervention delivered by telehealth to school-age children. Int J Telerehabil 2011; 3 (01) 31-42
- 52 Grogan-Johnson S, Alvares R, Rowan L, Creaghead N. A pilot study comparing the effectiveness of speech language therapy provided by telemedicine with conventional on-site therapy. J Telemed Telecare 2010; 16 (03) 134-139
- 53 Carlin C. E-supervision of graduate students in speech-language pathology: Preliminary research findings. Perspect Telepractice 2012; 2 (01) 26-30
- 54 Dudding C, Justice L. A model for e-supervision: videoconferencing as a clinical training tool. Comm Disord Q 2004; 25 (03) 145-151
- 55 Dudding C. Digital videoconferencing applications across the disciplines. Comm Disord Q 2008; 30: 178-182
- 56 Tucker JK. Perspectives of speech-language pathologists on the use of telepractice in schools: the qualitative view. Int J Telerehabil 2012; 4 (02) 47-60
- 57 Boisvert MK, Hall N. Telepractice for school-based speech and language services: a workload management strategy. Perspect ASHA Spec Interest Groups 2019; 4: 211-216
- 58 Crutchley S, Campbell M, Christiana D. Implementing a school-based telepractice program. Perspect Telepractice 2012; 2 (01) 31-41
- 59 Eichstadt T, Castilleja N. Assessment via Telepractice: What You Need to Know. Accessed September 7, 2020 at: https://www.asha.org/Events/live/09-10-2019-Assessment-via-Telepractice/
- 60 Kester E. Conducting Student Speech-Language Evaluations via Telepractice. The ASHA Leader Live 2020. . Accessed September 30, 2020 at: https://leader.pubs.asha.org/do/10.1044/leader.SCM.25062020.36/full/
- 61 Ehren BJ, Montgomery J, Rudebusch J, Whitmire K. Responsiveness to Intervention: New Roles for Speech Language Pathologists. American Speech-Language-Hearing Association; . Accessed September 30, 2020 at: https://www.asha.org/SLP/schools/prof-consult/NewRolesSLP/
- 62 American Speech Language Hearing Association. COVID-19: Tracking of State Medicaid Telepractice Policies & Emergency Telepractice Orders. Accessed November 7, 2020 at: https://www.asha.org/siteassets/uploadedfiles/covid-19-state-medicaid-telepractice-policy-tracking.pdf