JCPSLP July 2014_Vol16_no2

Patient Education – Informal Patient Education – Formal (SP specific) Patient Education – Formal (general BI) Family Education – Informal Family Education – Formal (SP specific) Family Education – Formal (general BI)

Education/Support to other SPs (BI/pt management) Advocacy for pts with severe communication impairment Community/transition services Workplace/CRS School/TAFE/Study Adult Guardian

Activity Type Figure 1. Education, Advocacy & Liaison No Yes – if required Yes – regular service

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % BIRU SP services

BI = brain injury; Pt = patient; CRS = Commonwealth Rehabilitation Service

Table 1. Identified service gaps in SLP BIRU services

Table 2. Utilisation of additional SLP services in BIRU

Work practice Service delivery

BIRU SLPs

Suggested activities

Work practice

BIRU SLPs

Suggested activities

37.5% Increased staffing for increased service provision

Patient therapy services

87.5% Increased interventions/intensity/ daily therapy More groups Trials of new therapies

Provide therapy in patient’s home with significant others/children Home visits Facilitation of transition home Liaison with employer or school Follow up services post discharge

Review/change service delivery

50% Home visits

Facilitating transitions Practising skills in home environment with children Better access to families for therapy

37.5% Social network training Social skills training

Therapy services/ interventions

Resource development

25% Not specified

Increased community based interventions Increased functional activities

Research

25% Not specified

Increased links with the MDT/IDT to facilitate incorporating SLP goals into team sessions/groups

Projects/quality activities

25% Not specified

Education

25% Clients/families/carers

Family based services

25% Increased interventions with families/ children Better access to families

Improve staff support

25% Supervision Education

Education

25% To staff

Acute and regional staff

To families Support SLP colleagues (acute, rural) in managing patients with ABI

Completion of non-clinical tasks

12.5% Not specified

12.5% Nil

Additional staffing not required

No response to question No service gaps identified

12.5% Nil

50% Nil

updates and progress reports, setting goals, discussing goal attainment, rehabilitation planning and discharge planning. Service gaps and enhancement BIRU SLPs were asked to identify any “gaps in their current service” and/or “ideas for service enhancement / novel services”, with responses via free text. Four BIRU SLP

IDT = interdisciplinary team; MDT = multidisciplinary team

In addition, all BIRU SLPs (100%, n = 8) reported they were involved in family meetings as a standard part of BIRU services, which included providing information/education, discussing behaviour management, providing rehabilitation

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JCPSLP Volume 16, Number 2 2014

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