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

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.

2011 ◽  
Vol 3 (2) ◽  
pp. 27-30
Author(s):  
Melissa Jakubowitz

This Letter to the Editor on the topic of speech-language pathology license portability for telepractice, was authored by Melissa Jakubowitz M.A. CCC-SLP, Vice President of SLP Services at PresenceLearning. A speech-language pathologist with over 20 years of clinical and managerial experience, Ms. Jakubowitz is a Board Recognized Specialist in Child Language. Ms. Jakubowitz began her career working in the public schools and has also operated a successful, multi-office private practice.  She is a past Director of the Scottish Rite Institute for Childhood Language Disorders in Stockton, CA. Jakubowitz is also a past-president of the California Speech-Language-Hearing Association, which, with over 5,000 SLP members, is one of the largest speech-language pathologist state associations in the country. Active in the American Speech-Language-Hearing Association (ASHA), Ms. Jakubowitz served as a Legislative Counselor for 12 years.


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 ◽  
...  

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.


2020 ◽  
pp. 152574012094214
Author(s):  
Angela M. Medina ◽  
Jean S. Mead

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.


2014 ◽  
Vol 51 (6) ◽  
pp. 135-137 ◽  
Author(s):  
Nancy J. Scherer ◽  

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.


2019 ◽  
Vol 10 (6) ◽  
pp. 1298
Author(s):  
Hana Nawaf Mahmoud ◽  
Abdelhameed N. Mahmoud

This study was conducted to assess dentists’ knowledge of normal speech-language development (NSLD), speech-language disorders (SLD), and speech-language pathology (SLPy) and to determine their general attitudes toward speech-language pathology (SLPy). A self-administered, web-based questionnaire was emailed to all members of the Jordanian Dental Association Council. 191 completed questionnaire were entered in excel sheet and statistically analyzed with IBM SPSS version 20 software. The respondents demonstrated insufficient knowledge regarding normal speech-language development and speech-language disorders. Additionally, the major¬ity of respondents reported a general impression that the speech-language pathologist has an important role in a health profession team (86.8%). However, they did poorly on the normal speech-language development questions (26%) as well as the speech-language disorders questions (18%). There were no statistically significant differences between different variables - age, gender, years of practice, place of practice and specialty of dentists and dentists’ knowledge of speech-language pathology.


Author(s):  
Lesley Wolk ◽  
Edward G. Conture ◽  
Mary L. Edwards

Young stutterers frequently exhibit concomitant speech and/or language disorders. The co-occurrence of these disorders is, however, not yet well understood. The purpose of this paper is to introduce the notion of "comorbidity" as it relates to the field of speech-language pathology specifically, to discuss comorbidity (coexistence) of stuttering and disordered phonology in young children. Literature on concomitant speech and language disorders in young stutterers is reviewed, with special reference to the prevalence of articulatory/phonological disorders in young stutterers. Future research on the coexistence of two speech and language disorders is encouraged, as well as the consideration of diagnostic treatment and prognostic implications for children who, exhibit both stuttering and disordered phonology as opposed to children who exhibit each disorder in isolation.


2021 ◽  
Vol 12 (2) ◽  
pp. 89-100
Author(s):  
Hipólito Virgilio Magalhães Júnior ◽  
Simone Aparecida Torres Figueredo ◽  
Lidiane Maria de Brito Macedo Ferreira

Objective: To identify the profile of speech-language pathology in patients with oropharyngeal dysphagia at a University Hospital and the associations between health conditions and the etiology of swallowing disorders. Methods: A cross-sectional and descriptive study, with analysis of medical records of patients with oropharyngeal dysphagia treated at a University Hospital, of both sexes, attended from February to December 2018. A descriptive and association analysis of the evaluated variables was carried out, with a significance level of 0.05. Results: It was identified in the sample, consisting of 26 (51%) females and 25 (49%) males, with a mean of 57.1 years (± 18.6), presence of progressive neurogenic oropharyngeal dysphagia (39.2 %), idiopathic (31.4%) and non-progressive (29.4%), in which the most performed speech-language pathology procedures were assessment (100%), giving support to observational issues during the fiberoptic endoscopic evaluation of swallowing (96.1%), management of dysphagia (92.2%) and return and discharge conducts (49% and 25.5%, respectively). The multi-professional participation has conducted better decision-making for an adequate diagnosis and speech therapy approach that had aimed at the management of oropharyngeal dysphagia, as well the intervention approaches with techniques aimed at maneuvers, and neuromuscular conditioning in relation to disorders of the biomechanics of swallowing. There was a significant association between the presence of motor and balance changes with neurogenic oropharyngeal dysphagia and difficulty in swallowing and choking symptoms as a sign of oropharyngeal dysphagia.


Revista CEFAC ◽  
2020 ◽  
Vol 22 (2) ◽  
Author(s):  
Elisandra Santos Mendes Garcia ◽  
Claudia Maria Simões Martinez ◽  
Mirela Oliveira Figueiredo

ABSTRACT Objective: to analyze the national scientific production of Speech-Language Therapy in the interface with Occupational Therapy (OT) based on an integrative literature review. Methods: a selection of articles published in Brazilian journals in the field of Occupational Therapy: Cadernos Brasileiros de Terapia Ocupacional of UFSCar, Revista de Terapia Ocupacional of USP, Revista Baiana da Terapia Ocupacional and Revista Interinstitucional Brasileira de Terapia Ocupacional with the descriptors “speech therapy, speech therapist and speech-language therapy”. The sample, consisting of 10 articles, was analyzed with quantitative and qualitative procedures. Results: the search showed publications from 2000 to 2017, with the largest number of articles in 2015. The main findings point to the language area as the most prevalent, revealing a connection between speech therapy and OT. Assistive Technology, particularly adopted with children, is a common field among the professional areas studied, with the highest incidence in the articles. Conclusion: the analysis of the scientific production showed that the partnership between Speech-Language Therapy and OT appeared under different objectives and the public, as early intervention, actions in multiple disabilities, with the disabled child and their family, with autists in hippotherapy, in school inclusion and in assistive technology, the latter more frequently. These findings allowed reflections on the interdisciplinarity of both professions and fields of knowledge.


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