217 Final

Question 1

When you are new/ have a new client what do you do first?

Answer 1

• meet with SLP supervisor
• review list of students/cients/patients
• review files

Question 2

what are files?

Answer 2

they contain student/client/patient information
- most are electronic
and hard copies should be locked in file cabinets

Question 3

what do we look at in the files as SLPA?

Answer 3

• background info
• treatment plans
• previous therapy notes
• quarterly progress reports
• behavior plans

Question 4

What are the different treatment plans?

Answer 4

IEP
IFSP
ISP
Plan of Care
Treatment Plan

Question 5

IFSP

Answer 5

Individualized Family Service Plan

Question 6

IEP

Answer 6

Indvidualized Education Plan

Question 7

ESSA and what is it?

Answer 7

(Every Student Succeeds Act) holds schools accountable for how students learn and achieve. ESSA aims to provide an equal opportunity for students who get special education services.

Question 8

NCLB and what is it?

Answer 8

(No Child Left Behind) NO LONGER IN AFFECT authorizes several federal education programs that are administered by the states. The law is a reauthorization of the Elementary and Secondary Education Act. Under the 2002 law, states are required to test students in reading and math in grades 3–8 and once in high school.

Question 9

IDEA and what is it?

Answer 9

(Individuals with Disabilities Education Act) is a law that makes public education available to eligible children with disabilities throughout the nation and ensures special education and related services to those children. Before IDEA was passed, speech therapy wasn’t in public schools so it was harder for children to get those services.

Question 10

FERPA and what is it?

Answer 10

(Family Education Rights and Privacy Act) is a Federal law that protects the privacy of student education records, and gives parents certain rights with respect to their children’s education records.

Question 11

HIPAA and what is it?

Answer 11

(Health Insurance Portability and Accountability Act), the documents we always sign at the doctor’s office, protects sensitive patient health information from being disclosed without the patient’s consent or knowledge

Question 12

What are 4 principles of ethics? (dont need number)

Answer 12

Principles of ethics I – Responsibility to hold paramount the welfare of clients served and research participants, including animals.

Principles of ethics II – Responsibility to maintaining professional competence and performance.

Principles of ethics III – Responsibility to the public when advocating for the unmet communication and swallowing needs of the public.

Principles of ethics IV – Responsibility to other members, students, and other professions and disciplines. Individuals shall uphold the dignity of the professions and maintain collaborative interprofessional and intraprofessional relationships.

Question 13

How do ethical principles relate to an SLP supervising an SLPA?

Answer 13

If an SLP fails to adhere to these principles and rules, it constitutes a violation of the code of ethics. Even though the code does not directly apply to SLPAs, if they are working in a support role under an SLP, they must be knowledgeable about the provisions of this code. This is because the SLP is responsible for ethnically taking care of their clients. If an SLPA violates ethics that responsibility falls on the SLP.

Question 14

6 rules for maintaining confidentaility

Answer 14

○ Don’t share information with another student or parent

○ Records should be stored in secure locations

○ Be familiar of your workplace policy on confidentiality and student information

○ Mailed confidential information needs to say confidential on the envelope

○ Share only necessary information

○ Information should not be left as a message with a secretary, on a voicemail, or other mail system

Question 15

What is the biggest area of concerns as SLPs and SLPAs with confidentiality?

Answer 15

confidential information exchanged between coworkers, supervisors, and visitors

Question 16

Supervision requirements

Answer 16

20% direct 10% indirect when you first 90 days.

After 90 days 1 hour of direct supervision weekly and as much indirect as needed.

100% direct supervision of SLPA’s for medically fragile clients.

Question 17

SLPA: Requirements

Answer 17

An SLPA must complete an approved course of academic study- an associate’s degree in an SLPA program or bachelor’s degree in a speech-language pathology

Field work under the supervision of an ASHA-certified and/or licensed SLP. a minimum of one hundred (100)

Demonstration of competency in the skills required of an SLPA.

Question 18

Choosing Therapy activities

Answer 18

It is important to choose activities well fitted for the clients we are working with. Some factors to consider when choosing activities are; Age of student or client, cultural sensitivity and level of functioning. It is important for the supervising SLP to assist the SLPA in effectively selecting, preparing, and presenting treatment materials to students or clients.

Question 19

Screening what is it and what is the goal?

Answer 19

A screening is a process of identifying candidates for a formal evaluation.

The goal is not to diagnose a communication disorder; the goal is just to understand if the client is struggling in one area of language or articulation. If the client is struggling in one of those areas, the goal is determining if it warrants a complete evaluation by the SLP.

Screening separates those that need an evaluation versus those who do not.

Screenings allow us to determine progress, next steps, and document areas of strengths and weaknesses.

We DO NOT interpret if they need an eval, only collect data.

Question 20

Treatment plan: What to do when you receive a new student

Answer 20

First thing we need to do as an SLPA is meet with the SLP, review the list of students/clients you are working with, and review those patient’s files. In the files, we need to pay attention to background information, treatment plans, previous therapy notes, quarterly progress reports, and behavior plans.

Question 21

What are some tips for scheduling?

Answer 21

When scheduling, pull older kids first in the morning, they have less flexibility than younger children do. Do not interrupt specials like PE, MUSIC, RECESS, LUNCH. Give yourself a lunch too.

You should think about the individual needs of the students that you are working with when you are deciding to put them into a group or not and limit the number of students in a group session as well. You would want to group students of similar needs so that you can be working on artic/language skills as needed.

Question 22

How to take Language samples

Answer 22

written-down list of the number of utterances a child says by themselves.

This can identify speech errors, rate of fluency, speech, voice. Determine intelligibility, analyze pragmatics, semantics, etc.

Do not talk to fill silence during sample, follow client’s lead, limit yes/no questions.

Write exactly what child says and gather at least 50 utterances.

Question 23

TREATMENT PLANS -where to start?

Answer 23

1. Meet with SLP supervisor
2. Review list of students/clients/patients
3. Review files (Files can be electronic or hard copies) The different plans you may see are IEP, ISP, IFSP, Plan of Care, Treatment plan

Question 24

Remember the parts of the IDEA act:

Answer 24

There are four parts to this act that are labeled as parts A, B, C, and D.

Children born to age two receive intervention services from part C which was established to reach very young children with disabilities and provide their families with a plan for resources and goals.

Part B serves children ages three to twenty-one. States and local school districts receive funding to educate students with disabilities.

Question 25

ROLES AND RESPONSIBILITIES

Answer 25

: WE CANNOT:
-Conduct swallow screenings/assessments, participate in parent conferences unless together with the SLP

• Write/develop/modify treatment plans or IEP plans at all.
• Provide intervention, sign formal documents like IEP, or treatment plan. Select/discharge/refer a patient.
• Disclose clinical or confidential information orally or written to anyone not designated by the SLP or unless forced by law.
• Perform any task without expressed knowledge of the supervising SLP.
• Treat fragile patients without direct supervision of the SLP.

Question 26

Documentation: What is required and why do you keep it?

Answer 26

1. So you know what happened during the therapy sessions.
2. So decisions can be made about treatment based on the information that you have documented
3. Important for billing. Medicaid needs documentation that there is progress towards goals and that the child needs therapy. Documentation is needed to show that without it the services they are receiving, they would fall behind academically.

Question 27

What is a SOAP NOTE?

Answer 27

Stands for subjective, objective, assessment, and plan.

Short Example) The student came to the session in good spirits because they won their recent soccer game. The student engaged with the clinician throughout the session. The student only answered “who” questions today 5/10 correct. The goal has yet to be reached. I will continue to work on that goal next session. It is important to be sure that you are not only including subjective information and that you are adding objective facts about the session in your notes.