Are drill‑based practices ever appropriate for TBI patients?
Yes. There is a movement away from just drill-based treatment but drill-based therapy does seem to help with post acute patients. Especially if you are looking at attention and problem-solving, that highly intense, repeated practice of those things is effective when you include the self-regulatory or self-monitoring technique. It goes beyond just a drill-based practice but includes the person monitoring themselves while they're doing it. This is most appropriate for more chronic patients at a high-level of intensity.
Angela Hein Ciccia, Ph.D., CCC-SLP is an Assistant Professor in the Communication Sciences Program, Department of Psychological Sciences at Case Western Reserve University. Her research focuses on the area of social information processing, or social cognition, in the school-age and adolescent TBI population. Clinically Dr. Ciccia sees patients with a variety of neurogenic communication disorders across the lifespan.
This course will provide an overview of the characteristics of cognitive-communication disorder that are common after traumatic brain injury and of evidence-based practice assessment and treatment suggestions. It is designed for clinicians that are just beginning to work with the TBI population or clinicians that are looking for a basic refresher.
During this one-hour on-line course, Dr. Nancy Helm-Estabrooks will discuss clinical uses of the Cognitive Linguistic Quick Test (CLQT). The lecture will be divided into two major areas for discussion of CLQT applications: the CLQT as an assessment/diagnostic instrument, and the CLQT as a tool for forming treatment decisions. Among the clinical populations addressed will be those with right and left hemisphere strokes, traumatic brain injury, Alzheimer's and Parkinson's disease, and mild cognitive impairment. Both research and clinical evidence that support the utility of the CLQT will be reviewed.
This course will briefly review the salient features of acquired apraxia of speech and the principles of motor learning as they apply to best practice. Treatment approaches will be reviewed with current research findings applied to efficacy. The VAST (Video Assisted Speech Technology) approach will be demonstrated as a therapeutic and a compensatory technique.
In this changing health care environment, the SLP should work closely with the patient in establishing goals that focus on function and aim to achieve the desired, measurable outcome. Medicare guidelines stipulate that services must be provided at a level of complexity requiring the services of a speech-language pathologist. Even when Medicare guidelines are followed in the provision of services, the documentation sometimes does not demonstrate the focus on function or that a skilled service was provided. This course will address how to write measurable, functional goals and provide tips on how to accurately document skilled services.
This course will address the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its application within Speech-Language Pathology. Topics addressed will include who and what is covered by HIPAA, administrative safeguards, penalties for non-compliance, and how HIPAA relates to other laws, such as the Health Information Technology for Economic and Clinical Health (HI-TECH) Act. US rules, regulations and laws form the foundation of this course.