16
Speak Out
December 2017
www.speechpathologyaustralia.org.auJ
oyce was a founding member of Speech Pathology
Australia and a member for over 60 years.
Joyce passed away in early August, following a brief
illness.
Joyce graduated as a speech therapist in Melbourne
in 1952 when the earliest training took place in the
Department of Psychiatry in the Royal Children's Hospital.
Joyce commenced work at the hospital in 1953 when it
was still situated in Carlton, and had only just received
Royal Assent to change its name to the "Royal Children's
Hospital". She continued to work at the hospital for 51
years and became its longest serving employee. This
sustained service over almost half a century represents a
huge contribution to the life of the hospital and the children
and the families that it serves. Her services were recognised
by the hospital with the Chairman’s Award in 2001.
Joyce became head of Speech Pathology at RCH in 1957,
and retained the role for fourteen years, until 1971. In
this role, as well as leading the speech pathology team,
she also trained successive years of speech pathology
students, honing the ability of these future professionals to
observe the “whole” child in the context of their family and
environment, while conducting specialized assessments in
communication.
The plastic surgeons in the hospital saw the importance
of quality speech assessment and treatment in the
management of cleft conditions, and Joyce became an
integral part of a team that pioneered inter-disciplinary
practice in this field. She remained a core member of the
Plastic Surgery Outpatient Team until her retirement from
the hospital in 2005.
In Victoria there are more than 100 children born each year
with cleft lip and /or palate. The majority of these attend the
Royal Children’s Hospital, where, over the years, Joyce saw
literally thousands of children with the cleft condition. Over
time she began to see the grandchildren of some of her
original clients. This extraordinary follow up of generations
along with diligent record keeping and a sharp and
enquiring mind, provided invaluable insights into the pattern
of clefting and associated speech problems.
During her time at the hospital Joyce’s expertise in this
specialist field was unrivalled in the state of Victoria. Each
week she received enquiries and referrals from speech
pathologists from around Victoria and interstate, seeking
her expert opinion. As well as sharing her knowledge and
educating speech pathologists in the community in this
way, Joyce also educated students and colleagues from a
range of disciplines. Her willingness and ability to share her
knowledge and to encourage critical thinking was invaluable
in the education of plastic surgeons, otolaryngologists,
dentists and other related professionals who work with
children with clefts.
Joyce’s knowledge, ideas and records inspired and assisted
research in a range of areas and across professional
boundaries, and she was instrumental in the introduction
of many innovative approaches to the assessment and
management of children with clefts.
In 1995 Joyce was pivotal in setting up the Melbourne
Cleft Lip and Palate Clinic at the hospital. The clinic helped
ensure a coordinated plan of management for children with
cleft lip and palate, and provided children with coordinated
access to all members of the cleft management team on
the one day. For the first five years of its operation Joyce
coordinated the clinic in her own time, a mammoth task,
undertaken willingly because of her commitment to her
patients receiving the best possible care. Joyce was also
instrumental in beginning the nasendoscopic examination of
children with clefts at The Royal Children’s Hospital, again a
great initiative that has now become standard practice.
Joyce constantly acknowledged the importance of family
in the care of the child with cleft lip and palate, and the
need for excellent communication between the parents and
professionals. She had a close relationship with CleftPals,
the organisation for parents of children with clefts and
VALE – JOYCE ALLEY
J
OYCE ALLEY WAS A SPEECH PATHOLOGIST WHO EXCELLED IN THE FIELD OF CHILDREN WITH CLEFT
LIP AND PALATE, AND WHO GAVE HUGELY OF HERSELF PERSONALLY AS WELL AS PROFESSIONALLY
IN THE CARE OF THOUSANDS OF CHILDREN WITH COMMUNICATION DIFFICULTIES.