SlideShare a Scribd company logo
1 of 37
UTS CRICOS 00099F
Speech Pathology Reaching Out at UTS
Telepractice Speech Pathology
The UTS Experience
Dr Lucy Bryant
SPROUTS Clinic Manager
Lucy.Bryant@uts.edu.au
We would like to acknowledge the Gadigal People
of the Eora Nation upon whose ancestral lands our
campus and clinic now stand. We would also like to
pay respect to the Elders both past and present,
acknowledging them as the traditional custodians of
knowledge for this land.
Acknowledgement
of Country
Acknowledgements, Declaration, and Sharing
• This presentation was developed and delivered by Dr Lucy Bryant, Lecturer in speech
pathology at UTS, March 2020
• Dr Bryant and UTS do not have any financial interest in COVIU and do not receive any
financial benefit from COVIU or any other product mentioned in this presentation
• Proper attribution and acknowledgement of resources developed by staff and students at
UTS should be preserved if materials from this presentation are shared
• This presentation was delivered for free in response to the COVID-19 pandemic
impacting on health sites and the provision of speech pathology services
• Please consider sharing any resources you develop for use during telepractice sessions,
so that other people can benefit at this extraordinarily difficult time
SPROUTS and Telepractice
Outline
Using Telepractice – The Evidence
COVIU Software
Help and Support
Assessment and Therapy Resources
Facilities and Hardware
SPROUTS and Telepractice
UTS CRICOS 00099F
Using Telepractice:
Some Evidence
SPROUTS and Telepractice
Telepractice in Speech Pathology
• Speech Pathology Australia – Position statement and guidance
• Search the SpeechBite database - telehealth in speech pathology
• Substantial and growing evidence that telehealth/tele-practice services are not inferior to
face-to-face sessions
• Some evidence that some clients are more satisfied
• Australian Stuttering Research Centre at UTS – Current NHMRC research investigating
telehealth interventions
• Loads of research – voice, dysphagia, speech, language, AAC … it's time for Australian
speech pathologists to implement!
• Let's stop talking about it, and just do it.
SPROUTS and Telepractice
Telepractice: stimulated by the COVID-19 Pandemic
• Useful during social distancing during the present pandemic
• removing the necessity of seeing the client in person;
• enabling services to continue when clinics close;
• reducing the number of people present in the clinic.
• Provision of services and its relationship to income and employment
• Your clients can receive a continuous service
• Access to new clients and new models of service delivery now and in the future
• Rural and remote
• Unable to travel
SPROUTS and Telepractice
Telepractice in Clinical Education: The SPROUTS
Experience
• It's easy to do – the clinical educator starts the call, and the student and client log in to
the same call.
• The client (teacher/parent), speech pathology student, and clinical educator in the call
can mute the audio and the camera.
• This means that the clinical educator on mute can observe while not being seen or
heard.
• Allows remote observation of the student's session, and growing autonomy.
• Allows collaborative service delivery, so the clinical educator can join the student in the
'online room'.
• The educator can jump into the session as needed to offer assistance and supervision.
SPROUTS and Telepractice
UTS CRICOS 00099F
Facilities and Hardware
SPROUTS and Telepractice
Physical Space for Telepractice
• Use the space you already have
• A clinic room
• An office
• At home - anywhere that is quiet, private and has a computer
• Consider a screen or blank backdrop without distractions
• Space demand is smaller – just you sitting (or standing) at a computer
• All your resources are online
• Where they can’t be online, use a document camera to show them
SPROUTS and Telepractice
The SPROUTS Clinic Space at UTS GSH – 100 Broadway
SPROUTS and Telepractice
Large Clinic Room Small Clinic Room Reception Area
Hardware for Telepractice
• A computer with a webcam and a microphone
• We use a standard HP laptop
• Clients use similar laptops
• Could also access using a tablet computer if needed
• We sometimes use a second monitor and split screen configuration
• Connect second screen with a VGA or HDMI cable
• In “display settings” – change to split screen
• Allows us to use a shared screen and see it and the client at the same time
(typically when sharing a screen in a video call, you can only see one or the other)
SPROUTS and Telepractice
Supporting others (colleagues, clients):
Tips to 'move to online' for sessions
• This presentation includes resources that will help you to teach your colleagues
• Use the resources as needed to show your clients (have a practice run)
• Clients need Internet and computer + reassurance: "we can troubleshoot to help you"
• Provide a handout to clients - picture + written guides "follow these steps to connect"
• Have a phone back-up connection to ring and help to "get back online"
• Teach tech 'operational competency' and 'strategic competency' + resilience
• Planning for steps to take if connection is lost
• Draw upon the motivation and benefit of (a) not travelling, and (b) being able to self-isolate.
SPROUTS and Telepractice
UTS CRICOS 00099F
Telehealth Software used
at SPROUTS
SPROUTS and Telepractice
Why ?
• Chosen for privacy, strong tech support, and ease of use
• Created within the CSIRO through research into telehealth
• Fully compliant with Australian privacy principles
• Encrypted software to ensure confidentiality and privacy
• All call content (video and audio) is encrypted
• AWL servers located in Sydney
• For more information https://help.coviu.com/en/articles/412368-privacy-security-of-data
SPROUTS and Telepractice
Internet Requirements for - Bandwidth
• Connectivity – requires a sustained internet connection
• Scalable connection
Means the capacity of the call (available bandwidth) will vary depending on what is
available
• A minimum bandwidth of 700Kbps upload and download to establish connection
• COVIU will use a maximum bandwidth of 1Mbps if it is available
• Minimum bandwidth of 350Kbps to hold a quality video call**
** For a 2-party call. Add an extra 350Kbps upload & download per additional caller
SPROUTS and Telepractice
Internet Requirements for - Data Usage
• Based on a 3-person call (client, CE and student SP)
• At maximum bandwidth
30-minute session = 675 MB
60-minute session = 1.35 GB
• A minimum bandwidth
30-minute session = 237 MB
60-minute session = 473 MB
SPROUTS and Telepractice
How to Access for Sessions
• Clinics will need a license – See the COVIU website
(starting at $19.95 per user per month)
• Clients don’t need any special software – runs through the web browser
• An email is sent to clients with a customisable link
• Clients MUST use Google Chrome
• Feedback from clients has been very positive
SPROUTS and Telepractice
How to Access for Clients
SPROUTS and Telepractice
• After accessing the room link
• Client will “join as guest”
How to Access for Clients
SPROUTS and Telepractice
Position the client’s face here.
Make sure the webcam is
working.
Click here to take the
photo. This is
compulsory to enter the
therapy room.
Enter the client’s
name here.
• Client takes a headshot
• Enters name
Additional layer of security so
you can see who is logging-in
• Then clicks “continue”
How to Access for Clients
SPROUTS and Telepractice
• Client directed to online waiting
room
• Customisable wait music
• Client waits here for the clinician
(as they would in a physical
clinic)
How to Access for Clients
SPROUTS and Telepractice
• Client name and image will
appear here
• “Accept” or “Decline”
Additional security – only people
you accept to the room can
enter your session.
• Will also ring to alert clinician
that client is waiting
This can be muted
How to Access for Clients
SPROUTS and Telepractice
• Client will enter once accepted,
and have a clear view of their
clinician
Some features of
Some things to look at during the demonstration…
• Share your screen, a document or a file
• Use a whiteboard as a shared creative space
• eLr – interactive Extra Language Resources
• Book sessions
• Take payments
• Customise for your clinic - branding
SPROUTS and Telepractice
: Other Information to Note
• You will need to register each user / team member / clinician
• It comes at a price – currently (Mar 2020) starting at $19.95 / month
• Each clinician receives their own virtual room
• Shared rooms – limited available (but this may change to one per clinician)
SPROUTS and Telepractice
UTS CRICOS 00099F
Assessment & Therapy
Resources
SPROUTS and Telepractice
Assessments
• Online versions of some tests through Pearson Q-Global
• Limited tests available
• CELF-5
• PPVT 4 & 5
• Using a document camera
• Client can use pencil function or arrow function to point where needed
• Scanning stimulus items is generally a breach of copyright
SPROUTS and Telepractice
Adapting for COVIU
• Flashcards and games
• Create in PowerPoint
• 1 card per slide
• Save as a PDF
• Allows easy progression through items
• Allows client to draw on pages to interact
• Select, draw, add, erase, type
• Some interactive element is key to engaging the client
SPROUTS and Telepractice
Creativity and Design for Therapy
• Come student favourites
• Flash cards
• Board games – race to the finish, snakes and ladders
• Noughts and Crosses
• Complete the picture (Mr Squiggle-style)
• Active games and movement – to “wake up the brain”
• Simon says
• Dancing or stretching
SPROUTS and Telepractice
Creativity and Design for Therapy
• Some examples
• Flash cards
• Board games – race to the finish, snakes and ladders
• Noughts and Crosses
• Reading and listening comprehension activities
• Speech sounds and minimal pairs
• Assembling S-V-O sentences
• Visual schedules to help the client through the session
SPROUTS and Telepractice
For Adult Clients
• Sharing documents – that provide explanation
• Using the whiteboard for orthographic cuing
• Screenshare for video examples
• Similar strategies for picture cards, written information, stimuli as with children
SPROUTS and Telepractice
UTS CRICOS 00099F
Help & Support
SPROUTS and Telepractice
Some Interesting Blog Posts from COVIU
• Allied health telehealth reimbursements
https://blog.coviu.com/2020/03/09/what-telehealth-rebates-exist-for-allied-health-
practitioners/
• Telehealth usage in speech pathology
https://blog.coviu.com/2020/01/08/is-your-speech-practice-ready-for-2020/
• 5 step guide to marketing your digital practice
https://blog.coviu.com/2019/03/19/how-to-market-your-digital-practice-in-5-easy-steps/
• Coronavirus and telehealth
https://blog.coviu.com/2020/03/03/telehealth-keeping-healthy-people-safe-during-
coronavirus-outbreak/
SPROUTS and Telepractice
Where to go for Help from COVIU
• COVIU support
Website online chat
https://help.coviu.com/en/
• COVIU Frequently asked questions
https://help.coviu.com/en/collections/88269-faqs
• COVIU provides a course:
https://coviuacademy.thinkific.com/courses/speech-pathologists-a-complete-guide-to-
embracing-telehealth
SPROUTS and Telepractice
Some Evidence for Telepractice
• Evidence resources for telepractice from The Informed SLP
https://www.theinformedslpmembers.com/free-telepractice-research-reviews
• Speech Pathology Australia Position Statement on Telepractice
• Try Google – Telepractice in Speech Pathology
SPROUTS and Telepractice
Resources from UTS
• Some examples available to you from the SPROUTS Clinic students
• Email Bronwyn.Hemsley@uts.edu.au for a link to the Cloudstor for additional download
materials
SPROUTS and Telepractice
UTS CRICOS 00099F
Dr Lucy Bryant – SPROUTS clinic manager
Lucy.Bryant@uts.edu.au
SPROUTS and Telepractice

More Related Content

Similar to Telepractice Speech Pathology: The UTS Experience

Ambulance telemetry - Ubonratchathani
Ambulance telemetry - UbonratchathaniAmbulance telemetry - Ubonratchathani
Ambulance telemetry - Ubonratchathani
taem
 
Modality Matters: Including Remote Interpreting in Interpreter Training Progr...
Modality Matters: Including Remote Interpreting in Interpreter Training Progr...Modality Matters: Including Remote Interpreting in Interpreter Training Progr...
Modality Matters: Including Remote Interpreting in Interpreter Training Progr...
National Council on Interpreting in Health Care (NCIHC)
 
Tele Planning Presented At It For Eye
Tele Planning   Presented At It For EyeTele Planning   Presented At It For Eye
Tele Planning Presented At It For Eye
Murali Vasudevan
 
Healthcare
HealthcareHealthcare
Healthcare
satyenb
 

Similar to Telepractice Speech Pathology: The UTS Experience (20)

Introduction to Telepsychology Part 2
Introduction to Telepsychology Part 2Introduction to Telepsychology Part 2
Introduction to Telepsychology Part 2
 
Teledentistry-Assisted Affiliated Practice Dental Teams
Teledentistry-Assisted Affiliated Practice Dental TeamsTeledentistry-Assisted Affiliated Practice Dental Teams
Teledentistry-Assisted Affiliated Practice Dental Teams
 
Planning and conducting remote usability studies for accessibility - Rosenfel...
Planning and conducting remote usability studies for accessibility - Rosenfel...Planning and conducting remote usability studies for accessibility - Rosenfel...
Planning and conducting remote usability studies for accessibility - Rosenfel...
 
Ambulance telemetry - Ubonratchathani
Ambulance telemetry - UbonratchathaniAmbulance telemetry - Ubonratchathani
Ambulance telemetry - Ubonratchathani
 
Internal communication for hospitals with SnapComms
Internal communication for hospitals with SnapCommsInternal communication for hospitals with SnapComms
Internal communication for hospitals with SnapComms
 
Joanna Smith, Chief Information Officer, The Royal Brompton & Harefield NHS F...
Joanna Smith, Chief Information Officer, The Royal Brompton & Harefield NHS F...Joanna Smith, Chief Information Officer, The Royal Brompton & Harefield NHS F...
Joanna Smith, Chief Information Officer, The Royal Brompton & Harefield NHS F...
 
NCIHC Panel Webinar Managing Interpreter Services in Pandemic part 2 01 27-20...
NCIHC Panel Webinar Managing Interpreter Services in Pandemic part 2 01 27-20...NCIHC Panel Webinar Managing Interpreter Services in Pandemic part 2 01 27-20...
NCIHC Panel Webinar Managing Interpreter Services in Pandemic part 2 01 27-20...
 
ms space North 2013: Telehealth and Telecare powerpoint presentation by Cathy...
ms space North 2013: Telehealth and Telecare powerpoint presentation by Cathy...ms space North 2013: Telehealth and Telecare powerpoint presentation by Cathy...
ms space North 2013: Telehealth and Telecare powerpoint presentation by Cathy...
 
The Expanding World of Telehealth
The Expanding World of TelehealthThe Expanding World of Telehealth
The Expanding World of Telehealth
 
Dr. felissa goldstein gpt conference2015
Dr. felissa goldstein gpt conference2015Dr. felissa goldstein gpt conference2015
Dr. felissa goldstein gpt conference2015
 
University-Wide Accessibility: Supporting all Students and Faculty with Disab...
University-Wide Accessibility: Supporting all Students and Faculty with Disab...University-Wide Accessibility: Supporting all Students and Faculty with Disab...
University-Wide Accessibility: Supporting all Students and Faculty with Disab...
 
Modality Matters: Including Remote Interpreting in Interpreter Training Progr...
Modality Matters: Including Remote Interpreting in Interpreter Training Progr...Modality Matters: Including Remote Interpreting in Interpreter Training Progr...
Modality Matters: Including Remote Interpreting in Interpreter Training Progr...
 
XpertEye presentation
XpertEye presentationXpertEye presentation
XpertEye presentation
 
XpertEye presentation
XpertEye presentationXpertEye presentation
XpertEye presentation
 
Focus on Students: Resources to Prepare you for your Public Health Career (2023)
Focus on Students: Resources to Prepare you for your Public Health Career (2023)Focus on Students: Resources to Prepare you for your Public Health Career (2023)
Focus on Students: Resources to Prepare you for your Public Health Career (2023)
 
Cedia assited living presentation
Cedia assited living presentationCedia assited living presentation
Cedia assited living presentation
 
In Office Ultrasound Services
 In Office Ultrasound Services In Office Ultrasound Services
In Office Ultrasound Services
 
Tele Planning Presented At It For Eye
Tele Planning   Presented At It For EyeTele Planning   Presented At It For Eye
Tele Planning Presented At It For Eye
 
Healthcare
HealthcareHealthcare
Healthcare
 
11. teledentistry
11. teledentistry11. teledentistry
11. teledentistry
 

More from Bronwyn Hemsley

More from Bronwyn Hemsley (20)

UTS Speech Pathology Telepractice Clinic Presented at SPA 2022
UTS Speech Pathology Telepractice Clinic Presented at SPA 2022UTS Speech Pathology Telepractice Clinic Presented at SPA 2022
UTS Speech Pathology Telepractice Clinic Presented at SPA 2022
 
People with Communication Disability Striving, Thriving,.pptx
People with Communication Disability Striving, Thriving,.pptxPeople with Communication Disability Striving, Thriving,.pptx
People with Communication Disability Striving, Thriving,.pptx
 
Crafting a robust social media strategic plan for professional practice: Dev...
Crafting a robust social media strategic plan for professional practice: Dev...Crafting a robust social media strategic plan for professional practice: Dev...
Crafting a robust social media strategic plan for professional practice: Dev...
 
How Engineered Twitter and Instagram use Buffered Master of Speech Pathology ...
How Engineered Twitter and Instagram use Buffered Master of Speech Pathology ...How Engineered Twitter and Instagram use Buffered Master of Speech Pathology ...
How Engineered Twitter and Instagram use Buffered Master of Speech Pathology ...
 
Co-Creating Safe and Enjoyable Meals Workshops 2nd June Speech Path Australia...
Co-Creating Safe and Enjoyable Meals Workshops 2nd June Speech Path Australia...Co-Creating Safe and Enjoyable Meals Workshops 2nd June Speech Path Australia...
Co-Creating Safe and Enjoyable Meals Workshops 2nd June Speech Path Australia...
 
A device looking for a purpose and user-centred co-design: 3D food printing n...
A device looking for a purpose and user-centred co-design: 3D food printing n...A device looking for a purpose and user-centred co-design: 3D food printing n...
A device looking for a purpose and user-centred co-design: 3D food printing n...
 
Balandin's Bright Spark - Communication Seminar Deakin 7th Feb 2020
Balandin's Bright Spark - Communication Seminar Deakin 7th Feb 2020Balandin's Bright Spark - Communication Seminar Deakin 7th Feb 2020
Balandin's Bright Spark - Communication Seminar Deakin 7th Feb 2020
 
Aruma's annual Human Rights Conference 2019
Aruma's annual Human Rights Conference 2019Aruma's annual Human Rights Conference 2019
Aruma's annual Human Rights Conference 2019
 
#UTStlf19 Creating Canvas Experiences: ​ Strategies for Maximising New Oppor...
 #UTStlf19 Creating Canvas Experiences: ​ Strategies for Maximising New Oppor... #UTStlf19 Creating Canvas Experiences: ​ Strategies for Maximising New Oppor...
#UTStlf19 Creating Canvas Experiences: ​ Strategies for Maximising New Oppor...
 
Balandin and Hemsley's Conversation in Tribute to Joan Sheppard NY July 2019
Balandin and Hemsley's Conversation in Tribute to Joan Sheppard NY July 2019Balandin and Hemsley's Conversation in Tribute to Joan Sheppard NY July 2019
Balandin and Hemsley's Conversation in Tribute to Joan Sheppard NY July 2019
 
Review Informing the Design of 3D Food Printing for People with Swallowing Di...
Review Informing the Design of 3D Food Printing for People with Swallowing Di...Review Informing the Design of 3D Food Printing for People with Swallowing Di...
Review Informing the Design of 3D Food Printing for People with Swallowing Di...
 
Dying for a meal: Fatal and non-fatal choking on food across populations
Dying for a meal: Fatal and non-fatal choking on food across populationsDying for a meal: Fatal and non-fatal choking on food across populations
Dying for a meal: Fatal and non-fatal choking on food across populations
 
4 hemsley twitter slides
4 hemsley twitter slides4 hemsley twitter slides
4 hemsley twitter slides
 
Communication Rights: Twitter #TweetReach Paper IJSLP 2018
Communication Rights: Twitter #TweetReach Paper IJSLP 2018Communication Rights: Twitter #TweetReach Paper IJSLP 2018
Communication Rights: Twitter #TweetReach Paper IJSLP 2018
 
Health information infrastructure in supported accommodation: Reducing risks,...
Health information infrastructure in supported accommodation: Reducing risks,...Health information infrastructure in supported accommodation: Reducing risks,...
Health information infrastructure in supported accommodation: Reducing risks,...
 
Analysis of three Twitter hashtags for discussion of personal electronic heal...
Analysis of three Twitter hashtags for discussion of personal electronic heal...Analysis of three Twitter hashtags for discussion of personal electronic heal...
Analysis of three Twitter hashtags for discussion of personal electronic heal...
 
Rapid Prompting Method Systematic Review #CPLOL18 2018
Rapid Prompting Method Systematic Review #CPLOL18 2018Rapid Prompting Method Systematic Review #CPLOL18 2018
Rapid Prompting Method Systematic Review #CPLOL18 2018
 
#CPLOL18 paper on #ResNetSLT community
#CPLOL18 paper on #ResNetSLT community#CPLOL18 paper on #ResNetSLT community
#CPLOL18 paper on #ResNetSLT community
 
Using Twitter for Impact and Engagement in Research
Using Twitter for Impact and Engagement in Research Using Twitter for Impact and Engagement in Research
Using Twitter for Impact and Engagement in Research
 
Hemsley training slides Twitter tutorial #AustinTweets
Hemsley training slides Twitter tutorial #AustinTweetsHemsley training slides Twitter tutorial #AustinTweets
Hemsley training slides Twitter tutorial #AustinTweets
 

Recently uploaded

College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
perfect solution
 

Recently uploaded (20)

Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 

Telepractice Speech Pathology: The UTS Experience

  • 1. UTS CRICOS 00099F Speech Pathology Reaching Out at UTS Telepractice Speech Pathology The UTS Experience Dr Lucy Bryant SPROUTS Clinic Manager Lucy.Bryant@uts.edu.au
  • 2. We would like to acknowledge the Gadigal People of the Eora Nation upon whose ancestral lands our campus and clinic now stand. We would also like to pay respect to the Elders both past and present, acknowledging them as the traditional custodians of knowledge for this land. Acknowledgement of Country
  • 3. Acknowledgements, Declaration, and Sharing • This presentation was developed and delivered by Dr Lucy Bryant, Lecturer in speech pathology at UTS, March 2020 • Dr Bryant and UTS do not have any financial interest in COVIU and do not receive any financial benefit from COVIU or any other product mentioned in this presentation • Proper attribution and acknowledgement of resources developed by staff and students at UTS should be preserved if materials from this presentation are shared • This presentation was delivered for free in response to the COVID-19 pandemic impacting on health sites and the provision of speech pathology services • Please consider sharing any resources you develop for use during telepractice sessions, so that other people can benefit at this extraordinarily difficult time SPROUTS and Telepractice
  • 4. Outline Using Telepractice – The Evidence COVIU Software Help and Support Assessment and Therapy Resources Facilities and Hardware SPROUTS and Telepractice
  • 5. UTS CRICOS 00099F Using Telepractice: Some Evidence SPROUTS and Telepractice
  • 6. Telepractice in Speech Pathology • Speech Pathology Australia – Position statement and guidance • Search the SpeechBite database - telehealth in speech pathology • Substantial and growing evidence that telehealth/tele-practice services are not inferior to face-to-face sessions • Some evidence that some clients are more satisfied • Australian Stuttering Research Centre at UTS – Current NHMRC research investigating telehealth interventions • Loads of research – voice, dysphagia, speech, language, AAC … it's time for Australian speech pathologists to implement! • Let's stop talking about it, and just do it. SPROUTS and Telepractice
  • 7. Telepractice: stimulated by the COVID-19 Pandemic • Useful during social distancing during the present pandemic • removing the necessity of seeing the client in person; • enabling services to continue when clinics close; • reducing the number of people present in the clinic. • Provision of services and its relationship to income and employment • Your clients can receive a continuous service • Access to new clients and new models of service delivery now and in the future • Rural and remote • Unable to travel SPROUTS and Telepractice
  • 8. Telepractice in Clinical Education: The SPROUTS Experience • It's easy to do – the clinical educator starts the call, and the student and client log in to the same call. • The client (teacher/parent), speech pathology student, and clinical educator in the call can mute the audio and the camera. • This means that the clinical educator on mute can observe while not being seen or heard. • Allows remote observation of the student's session, and growing autonomy. • Allows collaborative service delivery, so the clinical educator can join the student in the 'online room'. • The educator can jump into the session as needed to offer assistance and supervision. SPROUTS and Telepractice
  • 9. UTS CRICOS 00099F Facilities and Hardware SPROUTS and Telepractice
  • 10. Physical Space for Telepractice • Use the space you already have • A clinic room • An office • At home - anywhere that is quiet, private and has a computer • Consider a screen or blank backdrop without distractions • Space demand is smaller – just you sitting (or standing) at a computer • All your resources are online • Where they can’t be online, use a document camera to show them SPROUTS and Telepractice
  • 11. The SPROUTS Clinic Space at UTS GSH – 100 Broadway SPROUTS and Telepractice Large Clinic Room Small Clinic Room Reception Area
  • 12. Hardware for Telepractice • A computer with a webcam and a microphone • We use a standard HP laptop • Clients use similar laptops • Could also access using a tablet computer if needed • We sometimes use a second monitor and split screen configuration • Connect second screen with a VGA or HDMI cable • In “display settings” – change to split screen • Allows us to use a shared screen and see it and the client at the same time (typically when sharing a screen in a video call, you can only see one or the other) SPROUTS and Telepractice
  • 13. Supporting others (colleagues, clients): Tips to 'move to online' for sessions • This presentation includes resources that will help you to teach your colleagues • Use the resources as needed to show your clients (have a practice run) • Clients need Internet and computer + reassurance: "we can troubleshoot to help you" • Provide a handout to clients - picture + written guides "follow these steps to connect" • Have a phone back-up connection to ring and help to "get back online" • Teach tech 'operational competency' and 'strategic competency' + resilience • Planning for steps to take if connection is lost • Draw upon the motivation and benefit of (a) not travelling, and (b) being able to self-isolate. SPROUTS and Telepractice
  • 14. UTS CRICOS 00099F Telehealth Software used at SPROUTS SPROUTS and Telepractice
  • 15. Why ? • Chosen for privacy, strong tech support, and ease of use • Created within the CSIRO through research into telehealth • Fully compliant with Australian privacy principles • Encrypted software to ensure confidentiality and privacy • All call content (video and audio) is encrypted • AWL servers located in Sydney • For more information https://help.coviu.com/en/articles/412368-privacy-security-of-data SPROUTS and Telepractice
  • 16. Internet Requirements for - Bandwidth • Connectivity – requires a sustained internet connection • Scalable connection Means the capacity of the call (available bandwidth) will vary depending on what is available • A minimum bandwidth of 700Kbps upload and download to establish connection • COVIU will use a maximum bandwidth of 1Mbps if it is available • Minimum bandwidth of 350Kbps to hold a quality video call** ** For a 2-party call. Add an extra 350Kbps upload & download per additional caller SPROUTS and Telepractice
  • 17. Internet Requirements for - Data Usage • Based on a 3-person call (client, CE and student SP) • At maximum bandwidth 30-minute session = 675 MB 60-minute session = 1.35 GB • A minimum bandwidth 30-minute session = 237 MB 60-minute session = 473 MB SPROUTS and Telepractice
  • 18. How to Access for Sessions • Clinics will need a license – See the COVIU website (starting at $19.95 per user per month) • Clients don’t need any special software – runs through the web browser • An email is sent to clients with a customisable link • Clients MUST use Google Chrome • Feedback from clients has been very positive SPROUTS and Telepractice
  • 19. How to Access for Clients SPROUTS and Telepractice • After accessing the room link • Client will “join as guest”
  • 20. How to Access for Clients SPROUTS and Telepractice Position the client’s face here. Make sure the webcam is working. Click here to take the photo. This is compulsory to enter the therapy room. Enter the client’s name here. • Client takes a headshot • Enters name Additional layer of security so you can see who is logging-in • Then clicks “continue”
  • 21. How to Access for Clients SPROUTS and Telepractice • Client directed to online waiting room • Customisable wait music • Client waits here for the clinician (as they would in a physical clinic)
  • 22. How to Access for Clients SPROUTS and Telepractice • Client name and image will appear here • “Accept” or “Decline” Additional security – only people you accept to the room can enter your session. • Will also ring to alert clinician that client is waiting This can be muted
  • 23. How to Access for Clients SPROUTS and Telepractice • Client will enter once accepted, and have a clear view of their clinician
  • 24. Some features of Some things to look at during the demonstration… • Share your screen, a document or a file • Use a whiteboard as a shared creative space • eLr – interactive Extra Language Resources • Book sessions • Take payments • Customise for your clinic - branding SPROUTS and Telepractice
  • 25. : Other Information to Note • You will need to register each user / team member / clinician • It comes at a price – currently (Mar 2020) starting at $19.95 / month • Each clinician receives their own virtual room • Shared rooms – limited available (but this may change to one per clinician) SPROUTS and Telepractice
  • 26. UTS CRICOS 00099F Assessment & Therapy Resources SPROUTS and Telepractice
  • 27. Assessments • Online versions of some tests through Pearson Q-Global • Limited tests available • CELF-5 • PPVT 4 & 5 • Using a document camera • Client can use pencil function or arrow function to point where needed • Scanning stimulus items is generally a breach of copyright SPROUTS and Telepractice
  • 28. Adapting for COVIU • Flashcards and games • Create in PowerPoint • 1 card per slide • Save as a PDF • Allows easy progression through items • Allows client to draw on pages to interact • Select, draw, add, erase, type • Some interactive element is key to engaging the client SPROUTS and Telepractice
  • 29. Creativity and Design for Therapy • Come student favourites • Flash cards • Board games – race to the finish, snakes and ladders • Noughts and Crosses • Complete the picture (Mr Squiggle-style) • Active games and movement – to “wake up the brain” • Simon says • Dancing or stretching SPROUTS and Telepractice
  • 30. Creativity and Design for Therapy • Some examples • Flash cards • Board games – race to the finish, snakes and ladders • Noughts and Crosses • Reading and listening comprehension activities • Speech sounds and minimal pairs • Assembling S-V-O sentences • Visual schedules to help the client through the session SPROUTS and Telepractice
  • 31. For Adult Clients • Sharing documents – that provide explanation • Using the whiteboard for orthographic cuing • Screenshare for video examples • Similar strategies for picture cards, written information, stimuli as with children SPROUTS and Telepractice
  • 32. UTS CRICOS 00099F Help & Support SPROUTS and Telepractice
  • 33. Some Interesting Blog Posts from COVIU • Allied health telehealth reimbursements https://blog.coviu.com/2020/03/09/what-telehealth-rebates-exist-for-allied-health- practitioners/ • Telehealth usage in speech pathology https://blog.coviu.com/2020/01/08/is-your-speech-practice-ready-for-2020/ • 5 step guide to marketing your digital practice https://blog.coviu.com/2019/03/19/how-to-market-your-digital-practice-in-5-easy-steps/ • Coronavirus and telehealth https://blog.coviu.com/2020/03/03/telehealth-keeping-healthy-people-safe-during- coronavirus-outbreak/ SPROUTS and Telepractice
  • 34. Where to go for Help from COVIU • COVIU support Website online chat https://help.coviu.com/en/ • COVIU Frequently asked questions https://help.coviu.com/en/collections/88269-faqs • COVIU provides a course: https://coviuacademy.thinkific.com/courses/speech-pathologists-a-complete-guide-to- embracing-telehealth SPROUTS and Telepractice
  • 35. Some Evidence for Telepractice • Evidence resources for telepractice from The Informed SLP https://www.theinformedslpmembers.com/free-telepractice-research-reviews • Speech Pathology Australia Position Statement on Telepractice • Try Google – Telepractice in Speech Pathology SPROUTS and Telepractice
  • 36. Resources from UTS • Some examples available to you from the SPROUTS Clinic students • Email Bronwyn.Hemsley@uts.edu.au for a link to the Cloudstor for additional download materials SPROUTS and Telepractice
  • 37. UTS CRICOS 00099F Dr Lucy Bryant – SPROUTS clinic manager Lucy.Bryant@uts.edu.au SPROUTS and Telepractice

Editor's Notes

  1. INSTRUCTIONS 1. Delete blue box. 2. Then click icon, bottom left, to insert image.
  2. Clients often need support to connect to therapy services online at home, but once supported and connected, report enjoying sessions and the usual benefits of therapy.
  3. INSTRUCTIONS 1. Delete blue box. 2. Then click icon, bottom left, to insert image.
  4. INSTRUCTIONS 1. Delete blue box. 2. Then click icon, bottom left, to insert image.
  5. Compared to something like zoom – has a higher bandwidth capacity, not scalable, so higher downloads (600 kbps for high quality video)
  6. BRONWYN – add the access instruction page to cloudstor for attendees.
  7. INSTRUCTIONS 1. Delete blue box. 2. Then click icon, bottom left, to insert image.
  8. INSTRUCTIONS 1. Delete blue box. 2. Then click icon, bottom left, to insert image.