Speak Out April 2013

April 2013

2013 SPA National Conference registrations now open! 23-26 June 2013 Gold Coast Convention and Exhibition Centre, Broadbeach, Queensland

Contact details and advertising

Contents

National Office Level 2 / 11-19 Bank Place Melbourne VIC 3000 T 03 9642 4899 1300 368 835 F 03 9642 4922 E office@ speechpathologyaustralia.org.au Chief Executive Officer Gail Mulcair T 03 9642 4899 E council@ speechpathologyaustralia.org.au Speech Pathology Australia Council Christine Stone President Felicity Martin Vice President Communications Meg Ledger Vice President Operations Michelle Foley Continuing Professional Development and Scientific Affairs Felicity Burke Member Networks Robyn Stephen Practice, Workplace and Government – Communications Gaenor Dixon Practice, Workplace and Government – Operations Stacie Attrill Professional Standards

Advertisements Start from $165 (inc GST) for an eighth of a page. Where Speech Pathology Australia has to arrange the artwork, there is an additional charge of $44 (inc GST). Publications Officer Lana Busby T 03 9642 4899 1300 368 835 E pubs@ speechpathologyaustralia.org.au Advertising Booking Dates for June 2013 Speak Out The official booking form must be received at National Office by COB Tuesday 30 April 2013. The artwork material deadline is COB Friday 3 May 2013. See the Association website for further information www.speechpathologyaustralia.org.au Disclaimer To the best of The Speech Pathology Association of Australia Limited’s (‘the Association’) knowledge, this information is valid at the time of publication. The Association makes no warranty or representation in relation to the content or accuracy of the material in this publication. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of the information provided. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this publication. Inserts/Flyers Distributed nationally $1595 (inc GST)

April 2013

2013SPANationalConference registrationsnowopen! 23-26 June 2013 GoldCoastConvention andExhibitionCentre,Broadbeach,Queensland

3 From our President 4 Association News

Queensland registration of speech pathologists to cease Council highlights

Notice of AGM – 24 June 2013 Introducing our new fact sheets! Laryngectomy clinical guideline 2013 RACV scholarship EOI for IJSLP Editor position NDIS update WA Branch lobbying Research Grants Program 2013: Call for reviewers Free IJSLP e-Alerts available Conference dolphin grand prize 12 Speech Pathology Week 2013 13 Book of the Year turns 10! 14 2013 National Conference 16 CPD Update PSR and online learning 19 Private Practice Dealing with warring parents 20 Branch Pages: • New South Wales • Queensland • Tasmania • Victoria • Western Australia 24 SPA online update 24 SPA profile – Sarah Lemon 25 Feature Speech pathology work in PNG 26 Classifieds 31 Notice Board

Tennille Burns Public Affairs

Print Post Approved PP349181/01711

ISSN 1446-053X

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Speak Out April 2013

Speech Pathology Australia

From our President

T his year is a particularly important one for Speech Pathology Australia. The first months of the year have been an absolute hive of activity as many of our larger projects enter their final stages. Concurrently, our sustained lobbying efforts of the past three years have also begun to bear fruit on several fronts. This has provided tremendous opportunities for dialogue with politicians and policy makers and exciting new project opportunities such as the SPyce youth justice pilot. message that ‘communication is a basic human right’. The sobering statistics about the scale of disadvantage confronted by those who cannot access appropriate speech pathology services speak for themselves. We have had significant success in getting this message across to the broader community and to the media. It has been extremely gratifying to see their response as they truly understand the powerful difference speech pathologists make to the lives of everyday Australians with communication and swallowing difficulties, and to see them take up the challenge on our behalf to advocate for greater access to services for our clients. The common strand uniting all our externally focused activities is advocacy for Australians experiencing communication and swallowing difficulties. We have deliberately distilled our campaigning and lobbying material to emphasise simple, powerful messages which we repeat We are also beginning to get very meaningful traction with the simple

frequently and support with robust data. This strategy underpins our planning for Speech Pathology Week and for our international year of action and advocacy on behalf of our clients and consumers. You’ll find much more information in this edition as we prepare to ‘start the conversation’ around communication disability in Australia and internationally. Many more of the projects and activities the Association is involved in are detailed within. But, as always, there is simply so much going on it is impossible to cover everything. I do hope that many of you are planning to join us at our National Conference on the Gold Coast in June. Along with speakers presenting the latest research, the AGM is a fantastic opportunity to hear more about the Association’s many achievements and to celebrate the tremendous successes of our award winners. At this year's AGM we will also be asking you to vote on our proposed new Constitution which has been the focus of so much work over the past two years. I hope to see as many of you as possible in person but please remember that if you are unable to attend you may forward a proxy vote. Please note, the AGM is a stand alone event open to all members, conference registration is NOT a requirement for attendance. Make sure you have your say about the future of our Association.

Until next time...

Chris Stone National President

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Association News

Legislation passed in Queensland Parliament to cease registration for Queensland speech pathologists

M embers will have been following the Association's efforts to reverse the Queensland government's decision to repeal legislation which would lead to de-registration of the speech pathology profession in Queensland. A poll of members indicated overwhelming support to continue registration in Queensland. This mandated the Association's position to maintain registration in Queensland while continuing to pursue inclusion in the National Registration and Accreditation Scheme. With the proposed legislation having been referred to the Health and Community Services Parliamentary Committee, the profession had the opportunity to submit a formal submission to argue its case in regards to seeking ongoing protection of the public through registration, so as to ensure safe, competent and high quality practice by all speech pathologists across Queensland. Queensland Branch President, Dr Petrea Cornwell, supported by National Councillor, Gaenor Dixon and CEO, Gail Mulcair, presented the Association's position with great clarity and conviction at the Parliamentary Hearing on 13 February. Representatives of the Registration Board, Meredith Kilminster (Chair) and Anne-Marie Hunter, Board Member, were also in attendance at the hearing. It is disappointing to report that after this consultation and due consideration, the government's review committee determined that they supported the proposed

From left, Meredith Kilminster, Gaenor Dixon,

Gail Mulcair and Petrea Cornwell outside the Queensland Parliament.

that non-member speech pathologists will wish to take up membership and we are happy for them to contact us to discuss any issues or concerns. This is a disappointing result with respect to reduction in consumer protection, given the vulnerable nature of those whom our profession serves, however we are very confident in the competence, knowledge and ongoing professional development of Association members, and will actively inform the public to ensure they seek services from speech pathologists who are members of Speech Pathology Australia. Speech Pathology Australia will work closely with the Speech Pathologists Board in order to provide you with clear and definitive information as these changes to registration for speech pathologists take effect.

legislation, effecting that registration for Queensland speech pathologists will cease. This legislation was subsequently passed at a second reading in Parliament, closing the door on any further negotatiations. The official date for ceasing registration of speech pathologists (and dental technicians) is not yet clear, however the Office of Health Practitioner Registration Board will be abolished one month after the registration boards are abolished. Transitional arrangements will be put in place for obtaining blue and yellow cards, as required, with a three month transitional period provided. We also understand that prorata refunds on registration fees will be provided depending on the timing of registration ceasing. Speech Pathology Australia will do all it can to assist members over this transition period. We are also aware

Gail Mulcair Chief Executive Officer

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Speech Pathology Australia

Association News

Council highlights from February

T

representatives of the Queensland Registration Board in attendance as witnesses. The committee are required to provide a recommendation on 12 March 2013. Please refer to the article on page 4. • Strategies to strengthen the Professional Self- Regulation program and Certified Practising Speech Pathologist (CPSP) Status continue to be explored. • The extremely positive outcomes of the Speech Pathology in Youth (Justice) Custodial Education (SPyce) project were discussed, with a final report received. • Updates to various existing practice documents continue to progress including the Tracheostomy Clinical Guideline, Videofluroscopic Swallow Study Clinical Guideline and NMES Position Statement. • An initial suite of fact sheets, aimed to inform the public in relation to a number of areas of practice were approved by Council – please refer to page 6 for more information about the fact sheets. • The Speech Pathology Week 2013 theme ‘Start the conversation’ was confirmed in preparation for ‘The International Communication Project 2014’ – please refer to page 12 for further information. • A number of existing Association policy and procedures were reviewed (in accordance with the set review schedule). These will be finalised and uploaded onto the website in the near future. Nicole Pantelleresco Council and Executive Assistant

he first Council meeting for 2013 was held over the weekend of 22-23 February.

Ahead of this meeting Speech Pathology Australia’s Lobbying Consultant, Kerren Clark, facilitated a workshop with a number of Councillors and key staff to review and extend the priorities for lobbying in 2013 and beyond. An important component of the February Council meeting is to receive the Audited Financial report. As is the case in most years, the report is presented by our Auditor, Duncan McGregor of McGregor West Chartered Accountants. It was pleasing to confirm that the Association remains in a very strong financial position with a further profit gained from the 2012 year. Details will be reported within the Annual Report, to be circulated to members prior to the Annual General Meeting. • Council provided in-principle endorsement to the revised Constitution, with the final document to be presented to members ahead of the Annual General Meeting. • Council heard that the legislation to repeal the Speech Pathologists Registration Act 2001 was passed by Queensland through the lower house of Parliament, where it was referred to the Committee of Health and Community Services, to receive public comment. Following a formal submission, P Cornwell, Queensland Branch President presented to the Committee, with G Mulcair, G Dixon and Other highlights from Council include...

Notice of Annual General Meeting – Monday 24 June 2013

N otice is hereby given that pursuant to the provisions of the Constitution of Association, the next Annual General Meeting of Speech Pathology Australia is to be held at 5.45pm, Monday 24 June 2013, at the Gold Coast Convention and Exhibition Centre, Broadbeach, Queensland.

made available to members via the website.

be voted upon at this meeting. For information about the proposed governance changes please see the Constitution Review Information Package which can be accessed via a link on the SPA website's homepage. In the near future comprehensive details of all the proposed changes and access to the draft revised Constitution will be

All members are invited to attend this very important meeting of the members, regardless of whether you will attend the Conference. As you will be aware Speech Pathology Australia has completed a significant Constitution review to reflect best practice and contemporary governance. The final Constitution will

The June issue of Speak Out will contain the 2012 Annual Report, a detailed agenda for the 2013 Annual General Meeting and Proxy Form. Members unable to attend may vote using the Proxy Form.

Nicole Pantelleresco Council and Executive Assistant

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Association News

T he long-awaited updated set of fact sheets is now available! You can now access the 11 revised or brand-spanking new fact sheets, with another four on the way soon. Thank you to everyone who provided their expertise to make this project happen. Now available from the ‘Information for the Public’ section of the website are: Introducing our new suite of fact sheets!

Communication impairment inAustralia

Stuttering

What isaSpeechPathologist?

What iscommunication? Communication involves speaking,hearing, listening,understanding, social skills, reading,writing and using voice. What iscommunication impairment? Peoplewhohavedifficultycommunicatingmay require assistancewith: Speech: involves saying the sounds inwords so thatpeople canunderstandwhat is being said.For example,achildwhodoesn’t saywords clearlyor anadultwho slurs their speech after anaccident. Language: involves the exchangeof ideasusingwords,usually in spokenorwritten form. For example, achildwhohas troubleunderstandingand following instructionsor an adultwhocan’t find the rightwordsafter a stroke. Literacy: involves reading,understandingwhat is read and communicating inwritten form. SocialCommunication: ishowwecommunicate and involves interpreting the contextof a conversation,understandingnon-verbal information and the social rulesof communication thatareneeded todevelop a relationshipwith anotherperson. Voice: using the vocalcordsor voicebox toproduce speech.Forexample, apersonwho frequently loses their voiceor apersonwhohashad surgery for throat cancer. Fluency: commonly known as stuttering.Thisproblem isusually firstnoticedwhen a child starts putting sentences togetherbutcancontinue into adulthood.

Communication impairment ismorecommon than you think...

Stuttering isaspeechdisorder thatcauses interruptions in the rhythmorflowofspeech. These interruptionsmay include

13,000Australiansuse electroniccommunicationaids togettheirmessageacross impairmentaresixtimesmore likelytohaveareadingproblem thanchildrenwithout 46%ofyoungAustralianoffenders havealanguageimpairment Thereisahighcorrelation betweencommunication difficultiesandpoormentalhealth Threeinevery1,000newborns havehearingloss,whichwithout interventioncanaffecttheir speech,languageandliteracy. Indigenouschildrenhavethree timesmorehearingproblems thannon-Indigenouschildren

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• Childrenwithautism,Down Syndrome,andCerebralPalsy

Speechpathologists study,diagnose and treatcommunicationdisorders, includingdifficulties with speech, language, swallowing,fluencyand voice. Theyworkwithpeoplewhohavedifficultycommunicatingbecauseofdevelopmentaldelays, stroke,brain injuries, learningdisability, intellectualdisability,cerebralpalsy,dementiaand hearing loss,aswellasotherproblems thatcan affect speech and language.

repeated sounds ( c-c-can ), syllables ( da-da-daddy ),words ( and-and-and ) orphrases ( Iwant-Iwant-Iwant ). Repetitionsmighthappenonce ( b-ball, can-can )ormultiple times ( I-I-I-I-Iwant, m-m-m-m-m-m-mummy ).Stuttering mayalso includeprolongations, where soundsorpartsof theword are stretchedout ( caaaaan Igo )and blocks.Blocksareoften silentandare seenwhen it looks like theperson is stuck, trying to speakwithno sound comingout.Thereareoften secondary behaviourswhichaccompany stuttering. Thesemaybe verbaland includegrunts, smallnon-speech sounds, fillerwords

oftenbegintheirlifewitha communicationimpairment 20%offouryearoldchildren havedifficultyunderstandingor usinglanguage 14%of15yearoldshaveonly basicliteracyskills 28%ofteacherstaketimeoff workeachyearbecauseof voiceproblems • Atleast30%ofpeoplepost-stroke sufferlossoflanguage(aphasia) • 85%ofthosewithParkinson’s diseasehavevoice,speechand/ orswallowingdifficulties

tobecausedbydifferences inbrain activity related to speechproduction. Thismeans that stuttering isnotusually causedor triggeredbyanevent,person, experience, stressoranxiety.Some people inheritapredisposition to stutter. Whodoesstutteringaffect? Stuttering can affect children, adolescents and adults.Around1% of thepopulation experiences stuttering

• Childrenwithalanguage

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Peoplewho experiencedifficulties swallowing food anddrink safely canalsobehelpedby a speechpathologist.

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(puttingwords together andbeing understood) or receptive language (understanding instructions and meanings).Speechpathologists alsoworkwithAugmentative and AlternativeCommunication (AAC), devices that helppeoplewho find itdifficult to speakorwrite to communicatemore easily. This can include ‘unaided systems’ like signing andgesturesor ‘aided systems’ likepicture charts,books and special computersordevices.

Augmentativeand AlternativeCommunication

at anygiven time and asmany as 5% across a life time.Stuttering usually starts in early childhood, oftenby the age of three. Itmay start graduallyoverdays,weekormonths, or it canbe sudden, over hoursor a day.Stutteringmay change in type or frequencyover time. Itmaydecrease or seem togo away forperiodsof time. TheSoundofSpeech:0 to 3 years Theagesand st gesofchildren’s speechdevelopment

Using assessment tools, speech pathologists are able todiagnose eachperson’s specificproblem and devise a treatmentplan thatbest suits their needs. Speechpathologists are specialists might visit a speechpathologist to help them understand and find the rightwords to use after a stroke, while a childmight need treatment to help their expressive language whoworkwithpeople across their entire lifespan.An adult

• Helping yourbaby to talk

( um/er )orpauses.Theycanalsobe non-verbal likegrimacing,blinkingor bodymovements. Theexactcauseof stuttering is unknown.Speechdisordersare thought

Language is fundamental to yourbaby’sdevelopment.Everybaby learns to speakby listening,playingwith sounds and talking toothers. Babiesbegin to learn from themoment they areborn – first receptive language skills (understandingwhat theyhear), thenexpressive language skills (speaking). Youcanhelpdevelopboth kindsof language skillsby talking,watching, listening,playingand sharingbookswith yourbaby.

Recent research inAustralia indicates that8.5%of3 yearold childrenexperience stuttering. Learning to speak is a crucialpar of a child’sdevelopmentand themost intensiveperiod of speechand languagedevelopmenthappens in thefirst three yearsof life. Even thoughchildren vary in theirdevelopmentof speechand language, thereare certain ‘milestones’ thatcanbe identifiedasa roughguide tonormaldevelopment.Typically, these skillsmustbe reachedat certainagesbeforemorecomplex skillscanbe learned.These milestoneshelp speechpathologistsdetermine if achildmayneed extrahelp to learn to speak oruse language.

Talking •

• Watchyourbabyandcopytheir actionsandsounds.Showthem newactionsandactivities • Choosegamesandtoys appropriatetoyourbaby’sage thatencourageexploration, problemsolvingandinteraction betweenyouandyourbaby. • Fingergames,softdollsand stuffedtoys,balls,blocksand activityboardsallhelptodevelop yourbaby’sfingersandhands, aswellaslisteningandlearning skills • Buildarepertoireofsongsand rhymes.Singingthesamewords overandoveragainwillhelpyour babylearnlanguageandrhythm languageandthinkingskills,preparing childrenforlearningtoreadandwrite. • Readtoandwithyourbabyfrom birth–makebookspartofyour dailyroutine • Choosebookswithlarge,bright Sharebooks Earlyreadingpromotesgood pictures.Babieslovepicturesof otherbabiesandphotosoftheir family Pointtoandnameobjects,animals orpeople–eventuallyyourbaby willrespond

Talktoyourbabyoften,speaking slowly,clearlyandsimply Emphasisewordsfortheobjects mostcommonlyusedinyour baby’sworld • Useavarietyofwordstodescribe whatishappeningaroundyou,not justthenamesofthings • Repeatwords–yourbabywill begintounderstandthemeaning ofthemiftheyhearthemoften Imitatethesoundsyourbaby makesorsaythewordthey maybetryingtouse • Commentonthesoundsyou heartodrawyourbaby’sattention tothesound Taketurnswhenyoutalkand play,pausingtolistenandspeak justlikeyouwouldinanadult conversation • • Playing • Babieslearnabouttalkingand listeningthroughplay,soit’s importanttosetasidetimetoplay withyourbabyeachday • Createopportunitiesforyourbaby toplaywithotherchildrenby joiningaplaygrouportoylibrary, •

Babies:0-1 year During their first year, childrendevelop the ability to hear and recognise the soundsof theirparents’ language. They experimentwith soundsbybabbling (e.g. “baba”, “babamada”), andover time, theirbabblingbegins to soundmore andmore like realwords. Whatcanmostbabiesdo? • Between0-3monthsbabies communicateby crying, cooing, smiling, and making eye contact • Between3-6monthsbabies communicateby crying, cooing, smiling, making eye contact,pointing,blowing raspberries and laughing • Between 6-9monthsbabies communicatebybabbling, using sounds madewith the lips (e.g.b andm) in sequences like “baba” and later “bamada” • Between 9-12monthsbabies communicatebybabbling, usingmore sounds (e.g.d,m, n, h,w, t) • Around 12monthsbabiesbegin to usewords Whatdomanybabies stillfinddifficult? Babies can’t saywords the sameway as adultsdo andoften simplifywords (e.g.biscuitbecomes “bi”). How canparentshelp? Childrenwhodo notprogress through this stageof “playingwith sounds” are at riskof speechdifficulties later.Parents can helpby talking to their infants and responding to any attemptsby their infants to communicate (e.g.by copying theirbabbling). For information about helping yourbaby to talk, see the “ Helping yourbaby to talk” fact sheet.

What isAAC? AugmentativeandAlternativeCommunication (AAC) isany typeofcommunicationstrategy forpeople witha rangeofconditionswhohavesignificantdifficultiesspeaking.

Whymightsomeoneneed to useAAC? If aperson is not able speak theymay need a varietyofdifferent types ofAAC systems to communicate. Somepeople also needAAC systems and strategies to understand another person’smessage. Peoplewho havedifficulties speaking often needboth high technology sytems, low technology systems and unaided AACdependingonwhere they are and withwhom they are communicating. OneAAC system or strategymay notbe sufficient tomeet all of their needs, allof the time.

Thereare twomain types ofAAC –aidedAACand unaidedAAC. AidedAAC is any external item used to aid communication (e.g. object symbols, communicationboards,books, key-ringmini-cards,wallets, speech generatingdevice, computer,mobile phone, tablet).AidedAAC includesboth high technology systems and low/light technology systems. UnaidedAAC refers to communication techniques thatdo not require the use of an external aid.That is, theperson useswhatever is available to them, generally theirownbody.Examples of unaidedAAC include using eye contact, facial expression,body language, gestures andmanual sign.

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orspendingtimewithpeople whoalsohaveyoungchildren

Speechpathologyand Indigenouschildren

Speechpathology in mentalhealth services

TheSoundofSpeech: preschooland schoolagedchildren Theagesand stagesofchildren’s speech development

Mentalhealth Mentalhealth is related topromotionofwell-being andprevention, treatmentand rehabilitation ofpeopleaffectedbymentalhealthdisorders.Mentalhealthdisordersaffectaperson’s social, emotional and/orbehavioural functioning and canbe influencedby anumberof individualand environmental factors includingbiological,psychologicaland social factors. Communication impairment Communicationdisordersmay involvedifficulties inoneormoreof the following: • Speechproduction • Understandingwhatotherpeopleare saying • Formulating ideas intowords to talk toor respond toothers • Having the social skills required to interactappropriatelywithothersacross the lifespan in a varietyof situations

Learning to speak is a crucialpartof a child’sdevelopment andprogressmade in thepreschool and early school years iscrucial tomastering the rulesof language. Even thoughchildrenvary in theirdevelopmentofspeechand language, therearecertain ‘milestones’ thatcanbe identifiedasa roughguide tonormaldevelopment.Typically, theseskillsmustbe reachedatcertainagesbeforemorecomplexskillscanbe learned.Thesemilestoneshelpspeech pathologistsdeterminewhetherachildmayneed extrahelp to learn to speakoruse language.

Preschoolchildren: 3 to 5 years Preschool children start to usemuch longer sentences, yet their speech should stillbe understoodby unfamiliarpeople (outsideof the family) about75%of the time.By5 years of age, anyone (including unfamiliar listeners) shouldbe able to understand the child’s speech in conversation95-100%of the time. What canmost childrendo? • By4 years, children can saymost sounds correctly (e.g.,m, n, h,w,p,b, t,d, k, g, ng, f, y, s, z, ch, j, sh, l).They can usemany consonant clusters, which are combinations of twoormore sounds (e.g., tw, sp,gl).Children may use clusters at the start (e.g.,blue) or end ofwords (e.g., hand).Also, childrenwill saymost vowel sounds inwords correctly (e.g., ay,oh, ee). • Between4-5 years,preschool children start todevelop skills thatwillbe important for learning to read andwrite (called “pre-literacy skills”).They become aware that spokenwords can rhyme (e.g., cat –bat), and canbe broken into syllables/beats (e.g., am-bu-lance). Whatdomany children still finddifficult? • Some sounds are later todevelop and childrenmay still havedifficultywith them at this age. For instance,preschool children commonly havedifficulty with “r” (e.g., saying “wed” for red), “v” (e.g., saying “berry” for very), and “th” (e.g., saying “fank you” for thank you) • Some children are stilldeveloping the ability to use consonant clusters (e.g., scribble and strawberry),or to say all the sounds correctly in longerwords (e.g., caterpillar and spaghetti).Some childrenmay stillproduce “s” as “th” (e.g., a lisp) Whatcanparentsdo tohelp? Ifparentsareconcernedabout theirchild’sspeechdevelopment, theyareadvised to have theirchild’shearingcheckedbyanaudiologistashearing is important in learning how tosaysoundscorrectly.Also,parentscan visitaspeechpathologist ifconcerned about theirchild’sspeechdevelopment. Inparticular,a visit to thespeechpathologist is recommended ifchildrencannotbeunderstood, if theyare frustratedwithattempts tocommunicate, if theirspeechappears veryeffortful, if theyareusing very few words,or if theyarenotusingsoundsat thestartofwords (e.g.,saying “ish” for fish).

Communication impairmentcan impact onaperson’sability toparticipate in schoolandeducation,getand keepa joband socialisewith their family, friends andcommunity.This limits theway they form friendshipsand relationshipsas wellasaffecting thedevelopmentof appropriatecommunication skills. Communication andmental healthdisorders Communicationdisordersoftenco- occur in individualswithmentalhealth issues,wit hsomepeopleexperiencing mentalhealthproblems related to pre-existingcommunicationconditions (e.g. they feeldepressedoranxious about theircommunicationdifficulties). Communicationand/orswallowing difficultiescanalsobepartofaperson’s mentalhealthdisorder (e.g.disordered speechand lan guagecanbe features

Adultsandchildrenwith speechand language impairmentsaremore likely tohavementalhealthproblems than thosewithout.There isalsoa strong linkbetweenaperson’scommunication skillsand theirmentalhealth status. The roleof speechpathologists inmentalhealth Speechpathologistsaim to improvea person’scommunicationandswallowing skillsso theycan function ineveryday life.Thegoalofspeechpathology intervention is to improveaperson’s ability to functionphysically,sociallyand mentallyathome, in theclassroom, in theworkplace, insocialsituationsand in mentalhealth treatmentprograms. Speechpathologistsarean important partof thementalhealth team that assessespeoplewithmentalhealth issues,as they identifycommunication difficultiesanddevelopappropriate treatment targets.Aspartofamental health team, speechpathologistsplay an important role indiagnosingcertain mentalhealthconditions, likedementia, schizophrenia,autism spectrum

• 2.4%oftheAustralianpopulation(455,000)isIndigenous • Morethan50%oftheIndigenouspopulationliveinremoteareas • 84%ofIndigenouspeoplelivinginremoteareasdonotspeakAustralianEnglishathome • 21%ofIndigenousAustraliansdon’tuseAustralianEnglish

English’ andmanypeoplewho hear it spokenwrongly assume it tobe “pidgin English”. In fact,most Indigenous children in remote areas know three or four complex languages anddialects and it’s these they’ve grown upwith, not standardAustralianEnglish. AboriginalEnglish varies across Australia,butdiffers toStandard AustralianEnglish in its sound system, grammar, story structure and in the way it’s used –words often have differentmeanings and take into account the rich linguistic heritageof Indigenous culture. It is important that speechpathology services aredelivered from the

Indigenouschildren have a higher riskof health andotherproblems thanotherAustralian children. They are twice as likely tobebornwith lowbirthweightwhich can lead to communicationdifficulties. Indigenous children have extremely high ratesof middle eardisease (around 70% of all children in remote communities),which can lead to conductive hearing loss. Hearing loss from early in life can affect thedevelopment of listening, speech and language skills, aswell as literacy development. AboriginalEnglish 80% of IndigenousAustralians speak ‘Kriol’ or adialect of ‘Aboriginal

ofschizophrenia,andswallowing difficultiesaspartofdementia).

Swallowingdisorders inmentalhealth oftenoccurasasideeffectofmedication orasa resultofsubstanceabuseor acquiredbrain injury.

• What is a speech pathologist?

• Speech pathology in mental health services

• The sound of speech: preschool and school aged children

• Communication impairment in Australia

Coming soon: Speech, Language, Swallowing and Voice.

• Communication impairment following stroke

• Stuttering

• AAC

If you think we should develop a fact sheet for a certain topic, please email your suggestion to marketing@speechpathology australia.org.au

• Speech pathologists working with older people

• Helping your baby to talk

• Speech pathology and Indigenous children

• The sound of speech: 0 to 3 years

Clinical guideline developed for management of laryngectomy

T he Laryngectomy Clinical Guideline has been developed in response to requests from the Speech Pathology Australia (SPA) membership for the development of a clinical guideline for laryngectomy management. The Laryngectomy Clinical Guideline provides speech pathologists with comprehensive information about the management of individuals who have had a laryngectomy from the pre-operative phase through to the long-term/ongoing management phase.

The topics and content of the laryngectomy guideline address all aspects of communication and swallowing, and other important rehabilitation areas of focus; such as humidification and olfaction. It is anticipated that the clinical guideline will assist clinicians and employers in identifying the knowledge, skills and resources required to work in the area of laryngectomy.

Stacey Baldac Practice Document Coordinator

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Association News

Applications for the 2013 RACV Sir Edmund Herring Memorial Scholarship are now open T he RACV Sir Edmund Herring by funding important research projects that help prevent road trauma and improve the quality of care delivered to road trauma victims. Applicants must be health professionals, Australian residents and work in the state of Victoria. Successful applicant(s) receive up to $52,000 to undertake a project that will lead to improved care in the area of road trauma. Memorial Scholarship scholarship aims to assist health professionals The RACV Sir Edmund Herring Memorial Scholarship has been awarded annually since 1983, in memory of the late Sir Edmund Herring, a former Governor of Victoria and RACV Patron for 34 years. • Bridget Hill (Epworth Rehabilitation), who is conducting an international study tour to view current therapy practices for peripheral nerve injuries and develop a multidisciplinary clinical program based on evidence collected; • Associate Professor Jonathan Jackson and Dr Sharon Bentley (Australian College of Optometry), who aim to examine the important factors in the decision to stop driving among older people with vision impairment compared to those with normal vision. Please note applications close on Friday 7 June 2013 . Full application guidelines can be obtained from the RACV website www.racv.com.au The recipients of the 2012 scholarship were:

International Journal of Speech- Language Pathology ( IJSLP ) – Editor Position

(available from 2014) Applications sought

After many years of providing excellent stewardship of the IJSLP, Professor Sharynne McLeod has elected to not seek a further renewal of her contract as the IJSLP Editor. The position will become vacant as of January 2014 and we are seeking applications from suitable candidates for a three-year term. As it is intended that a considerable hand-over period will occur, we are seeking applicants who can commence as of October this year. This valuable and strategic role will continue to enhance the growth and international positioning of the Association’s journal. The IJSLP Editor is responsible for the editorial coordination and strategic development of the Journal. Working closely with the IJSLP Executive Board, Council, CEO and external publishers, the Editor oversees the direction, standard and promotion of the journal as well as ensuring high quality issues are published in accordance with policies and timelines. Applications are sought from members who have demonstrated experience and a passion for research and publications. The candidate should have achieved a higher degree, experience and demonstrated skill in editing and writing, a track record of publishing research in international journals, and an understanding of quantitative and qualitative research methodologies. Previous experience in editing academic publications or being a member of journal editorial boards is highly desirable. An honorarium is paid to the editor (or employer if required) on an annual basis. A position description is available and applications (comprising a cover letter addressing the selection criteria, a current CV and 2 professional referees) are to be forwarded to the Chief Executive Officer by COB Friday 10 May 2013 . Enquiries can be made to the CEO on gmulcair@speechpathologyaustralia. org.au or the current IJSLP Editor, Professor Sharynne McLeod, via ijslp@csu.edu.au Gail Mulcair Chief Executive Officer

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Association News

NDIS Update

T he NDIS is law! You may have read that the NDIS legislation has passed through both the House of Representatives and the Senate, with a name change announced along the way (DisabilityCare). We'll keep calling it NDIS for now, though. So, we feel it is timely for us to share an update on the NDIS and how it looks at present. The first thing to know is that much of the NDIS is still under development. The Legislation has been passed, but the Rules that provide the real meat to the scheme are still in draft form, and many aspects of the scheme are not clarified under the rules (they may be clarified by the NDIS Agency in policies and procedures, or there may be further rules yet to be released – we are not sure). With those caveats, we wanted to share what we do know at this point. Summary of NDIS – what we know so far Under NDIS, people accessing the scheme (participants) will be able to determine their support needs based on their goals and aspirations. They will use these goals to determine what supports they will access with their flexible funding. In order to become a participant, people will need to meet disability, age and residence criteria. These criteria can be read in detail in the NDIS rules http://yoursay.ndis.gov.au/draft-NDIS-rules . Briefly: • Participants must be 65 years or under when they apply to NDIS. There was recent clarification from the government that participants who turn 65 can choose whether to continue to access supports under NDIS or move to the aged care system for support. • Residence requirements are about citizenship or permanent residence status, however specifics relating to where people have to live in order to access NDIS in the launch sites are outlined in the NDIS Rules for Becoming a Participant. • The disability requirements focus on a permanent impairment (defined as ‘irreversible’), plus substantially reduced functional capacity to undertake relevant activities (any of communication, social interaction, learning, mobility, self care, or self management). The definition of substantially reduced is quite broad, encompassing:

(a) the person is unable to perform day-to-day tasks or actions required to undertake or participate in the activity; or (b) the person experiences severe difficulty in independently performing tasks or actions required to undertake or participate in the activity; or (c) the person can perform tasks or actions required to undertake or participate in the activity only with the assistance of other persons or with the use of assistive technology or equipment (other than commonly used items such as glasses) or home modifications; or (d) the person can perform tasks or actions required to undertake or participate in the activity only with regular supervision or training by other persons. The exact assessment tools and methods that will be accepted for establishing the above have not yet been determined. Supports under NDIS – what can participants access? The NDIS Rules Support for Participants provides general information about supports that will be ‘in scope’ for NDIS, including: • the support will assist the participant to pursue the goals, objectives and aspirations included in the participant’s statement of goals and aspirations; • the support will assist the participant to undertake activities, so as to facilitate the participant’s social and economic participation. Although participants will choose their own supports, the NDIS Agency will have the final say in whether participants’ choice of services meets certain NDIS criteria, including meeting their stated goals, efficacy, cost effectiveness, and whether the service is ‘more appropriately’ provided through a non NDIS system (e.g., the education system). The rules provide some clarification about what NDIS covers, versus what is provided through health, education, mental health and other areas. Some supports of interest to speech pathologist that are generally considered appropriately provided by NDIS, versus other systems, include:

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c. results in the need for a combination and sequence of special interdisciplinary or generic care, treatment or other services that are of extended duration and are individually planned and coordinated.

• delivery or supervision of care required as a result of a functional impairment, including PEG feeding, trachea tube changes; • assistance for a person with complex communication needs or challenging behaviours to assist them to access health services, including hospitals; • allied health and other therapy directly related to managing or reducing the functional impact of a person’s psychiatric condition on undertaking activities of daily living or social and economic participation, including social and communication skills development; • personal supports at schools or educational facilities that are required by an individual regardless of the activity they are undertaking, such as assistance with feeding and managing airways or ventilation; • portable aids and equipment that are required by an individual regardless of the activity they are undertaking, such as hearing aids, wheelchairs, or personal communications devices; • specialist transport to and from schools or education facilities required as a result of a person’s disability (where no other transport option is available and not substituting for parental responsibility); • specialised support and training for school staff related to the specific personal support needs of the participant, including specific behaviour management plans; • allied health and other therapies to support a student’s functional capacity which are delivered in schools or other education facilities for non-educational purposes. Although it has not been specifically stated, it does not appear likely that assessment of a person’s eligibility for NDIS will be funded. Early Intervention There is also an Early Intervention element to NDIS which can be accessed by participants (as defined above), or by children who meet ‘developmental disability’ criteria. In the last draft we saw, these criteria focused on a delay in the development of a child under 6 years of age that: a. is attributable to a mental or physical impairment or a combination of mental and physical impairments; and b. results in substantial reduction in functional capacity in one or more of the following areas of major life activity: (i) self care; (ii) receptive and expressive language; (iii) cognitive development; motor development; and

There has been no further elaboration on these or how they will be evaluated at this stage.

Early Intervention supports will need to have the potential (as assessed by the NDIS Agency) to reduce future need for supports; mitigate, alleviate or prevent deterioration of functional capacity; or strengthen the sustainability of the informal supports available to the person, including through building carer capacity. Providers under NDIS Providers of services – including speech pathologists – will need to register with NDIS. They will need to meet certain criteria, including providing evidence that they are suitable to provide the support in question, including in relation to their qualifications, capacity, and experience – these aspects are not detailed as yet, and we will keep you updated as we get more information. Although not mentioned in the rules, there is a funded project under the NDIS Practical Design Fund which is looking at ‘accreditation’ requirements for providers who are prescribing devices, and this is likely to include AAC devices. What have we missed? This is just a snapshot, but we hope we have covered the main parts of the scheme that might be of interest to you. If you have questions about things we have not covered, feel free to email them to research@ speechpathologyaustralia.org.au . We are also happy to hear from members who have comments on any of the areas outlined above. Don't forget that you can subscribe to our NDIS Interest Group email list so that you get updates like this sent to you. Please contact support@speechpathologyaustralia. org.au to register for this.

Jemma Skeat National Advisor, Research and Policy

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SPA ’ s WA Branch undertakes strategic lobbying during the recent WA election

I n the lead-up to the Western Australian General Election, the WA Branch carried out a strategic lobbying campaign to raise awareness of the importance of speech pathology in schools and increase speech pathology services within the Department of Education. A targeted policy was developed and endorsed by Early Childhood Intervention Australia Western Australia Chapter (ECIA WA), Organisations, Investing in Our Youth (Bunbury), and the Faculty of Education at the University of Western Australia. Hardworking SPA members were able to organise meetings with 22 candidates in marginal seats, taking our policy directly to these candidates and asking for their commitment to moving it forward within their party. the Western Australian Council of State School either declined to meet with representatives or did not respond. Brooke Sanderson and Asher Verheggen also met with several key senior politicians including the Minister for Health, Hon Dr Kim Hames, and the Shadow Minister for Education, Paul Papilla, CSC, MLA. Many more candidates were approached and

Read all about the lobbying efforts of the SPA Western Australia Branch on the WA General Election webpage.

would include screening for speech and language difficulties. This campaign would not have been possible without the dedication and expertise of the SPA members who volunteered their time to attend the strategy workshop, identify families and case studies and meet with local candidates. Our most sincere thanks to you all. Follow up of the winning Coalition has begun to build on the great momentum gained during the campaign.

offered their personal support for the policy, there was not a firm commitment from party leaders to providing a workable solution to the issue. The Minister for Health has requested the Department of Health prepare an option paper looking at the review of health injection funds with a view to redirecting some monies to fund speech pathologists within schools in the metropolitan and Peel regions. Leader of the Liberal Party, the Hon Colin Barnett’s response differed somewhat, indicating that if re-elected the Liberal Government would appoint 155.5 school health nurses to provide school entry health assessments, which

brought speech pathology services for WA school children into the spotlight, and onto a lot of politician’s agendas. In many meetings, candidates shared their own stories of accessing speech pathology support for their children or the children of friends and family, while others were interested to hear about us and the work that we do, some for the first time. Great media coverage was also achieved, with statewide print and radio coverage that highlighted the need for more speech pathology services. While candidates from all sides generally acknowledged the need for increased speech pathology services and

To find out more visit the WA General Election webpage.

The campaign was very successful and certainly

Brooke Sanderson WA Branch PWG Leader

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Research Grants Program 2013: Call for Reviewers

T he Scientific Affairs Portfolio is seeking interested members to participate in the Research Grants Program as reviewers. If you have an interest in research, academia and evidence based practice, or experience and expertise in a specific professional area the Association would love to hear from you. Reviewers play an important role in the development of evidence based practice within the profession and their contribution is much appreciated.

Research grant applications are due by Friday 26 July 2013 . Reviewers have approximately four weeks to complete a maximum of three research applications. Please submit an updated curriculum vitae outlining your qualifications and professional interests to: CouncillorCPD.SA@speechpathologyaustralia.org.au by Friday 5 July 2013 .

Michelle Foley National Scientific Affairs Coordinator

International Journal of Speech-Language Pathology ( IJSLP ) e-Alerts service available via Informa

Don ’ t forget to enter the ‘ Meet a Dolphin ’ grand prize draw at SPA ’ s National Conference!

Informa e-Alerts is a free email alerting service that delivers Tables of Contents in advance of printed edition journals to all users who subscribe to Informa Healthcare journals, including Speech Pathology Australia's International Journal of Speech-

Remember to check the next issue of Event

e-News for your opportunity to win a pair of SEA change promotional sunglasses and go into the main draw to win the ‘ Meet a dolphin ’ grand prize at Speech Pathology Australia's National Conference in June!

Language Pathology ( IJSLP ). Subscribing to Informa e-Alerts can serve as a tool for interested members to keep up to date with IJSLP news and content. If you would like to sign up to receive Informa e-Alerts, please visit the Informa webpage at http://informahealthcare.com and click on the ‘Sign up for e-Alerts’ icon on the homepage. Alternatively, SPA members can visit Informa's IJSLP website directly at http://informahealthcare.com/loi/asl and select the ‘Sign up for e-Alerts’ icon located to the left of the journal's webpage.

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