Access SLP Health Care

Issue Focus: Telepractice March 2018
Access SLP Health Care addresses the specific needs of speech-language pathologists working in health care.

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Telepractice: Providing Audiology and SLP Services at a Distance

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Featured Question

Who can be used as facilitators for telepractice while speech-language pathology services?

Appropriately trained individuals may be present at the remote site to assist the client.  Unless restricted by institutional or state policies or regulations, the facilitator may be a teacher’s aide, nursing assistant, student clinician, audiology assistant or speech-language pathology assistant, teleaudiology clinical technician, telepresenter or other type of support personnel, interpreter, family member or caregiver, among others. Practitioners must be aware of applicable state policies and regulations regarding the use of facilitators.

The type of paraprofessional required at the remote site may vary depending on the type of service being provided. It is the responsibility of the practitioner to direct the session and ensure that the facilitator is adequately trained to assist. Adequate training includes knowledge of and sensitivity to clients’ cultural and linguistic differences as well as how such differences may influence participation in telepractice (see ASHA’s Practice Portal pages on Bilingual Service Delivery and Cultural Competence). The hierarchy for preferred interpreters in telepractice is consistent with that used for interpreters during in-person practice (see ASHA’s Practice Portal page on Collaborating With Interpreters).

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The next issue of Access SLP Health Care is coming May 2018! Address comments and suggestions for future topics, information or resources to Monica Sampson at

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