Professional Issues in Speech-Language Pathology and Audiology.

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The fifth edition of Professional Issues in Speech-Language Pathology and Audiology is a singularly comprehensive resource for students in speech-language pathology and audiology as they prepare for their professional careers. It also serves as a timely source of information for both practitioners and faculty, serving as an updated “state of the professions” desk reference.

The book is divided into four major sections: overview of the professions; employment issues; setting-specific issues; and working productively. The information presented in each section provides the reader with a better understanding and a new perspective on how professional issues have been affected by both internal and external influences in recent years including technological advances, demographic shifts, globalization, and economic factors. Chapter authors are recognized subject matter experts, providing a blend of both foundational and cutting-edge information in areas such as evidence-based practice, ethics, finding a job, interprofessional practice, service delivery in healthcare and education, technology, cultural competence, supervision, and leadership.

Students reading this book will appreciate how the professions have evolved over time while acquiring a sense of where they are right now as they prepare to enter the professional world. Each of the topics covered in the book will continue to play important roles in the future of audiology and speech-language pathology, providing early career professionals with the requisite knowledge to achieve success in any setting.

New to the Fifth Edition

• New coeditor Mark DeRuiter, PhD, MBA, CCC-A, CCC-SLP
• 5 new chapters including Professional Accountability (Shelly Chabon and Becky Cornett); Safety in the Workplace (Donna Fisher-Smiley and Cynthia Richburg); Interprofessional Education and Interprofessional Practice (Alex Johnson); Counseling (Michael Flahive); and Advocacy (Tommie Robinson and Janet Deppe)
• New authors Tricia Ashby, Bob Augustine, Stacy K. Betz, Janet Deppe, Cathy DeRuiter, Mark DeRuiter, Robin Edge, Susan Felsenfeld, Liza Finestack, Michael Flahive, Carolyn Higdon, Kelly M. Holland, Shirley Huang, Susan Ingram, Marie Ireland, Jeffrey Johnson, Pui Fong Kan, Lemmietta McNeilly, Lissa Power deFur, Gail Richard, Steve Ritch, Lisa Scott, and Tina Veale
• Critical thinking questions at end of each chapter for classroom discussion and examination
• Updated table of chapter content relevant to the Council for Clinical Certification standards for ASHA Certificate of Clinical Competence
• Updated acronyms glossary
• Updated figures and tables
• Updated and expanded references

Key Features

• Each chapter begins with an introduction and ends with a summary of key areas
• Chapters are authored by preeminent experts in the field of communication sciences and disorders
• Access to a PluralPlus Companion Website with PowerPoint lecture slides for each chapter

From the Foreword 

"It is with great pleasure as I retire from the University of Minnesota, I have been asked to write this foreword for the fifth edition of Professional Issues in Speech-Language Pathology and Audiology, edited by Melanie Hudson and Mark DeRuiter. ...This volume reflects the fact the impact and maturity of a discipline and, in our case, two professions, cannot be measured by disciplinary expertise in speech-language pathology and audiology alone. Rather, the context in which we practice is just as important as what we practice. In fact, we cannot practice or do clinical research effectively without understanding the demands of culture, law, global influences, and the values and ethics of our own and other professions. ...This volume contains 30 chapters written by 45 authors organized into four main sections – overview of the professions, employment issues, setting-specific issues, and working productively. This is a rare book, serving to enlighten students as they become professionals and to allow even experienced practitioners to learn about new trends in, and external pressures to, the discipline. It can be both a beginning textbook and a resource for individuals and groups as they grapple with professional practice and translational research in the 21^st century. This book contains the collective wisdom and experience of expert clinicians, scholars, and administrators from every practice setting, the academy, and professional associations. These authors have held a variety of national, state, and local leadership positions. I have worked with many of them directly and have listened to their thoughtful presentations. Seeing this volume today makes me want to teach Professional Issues again. There is no doubt that readers will have the highest quality experience that will assist them every day in their professions."
—Arlene Earley Carney, PhD, CCC-A, Professor Emeritus in the Department of Speech-Language-Hearing Sciences at the University of Minnesota – Twin Cities.

Foreword

Preface

About the Editors

Contributors

Table A

Acronyms

Section 1: Overview of the Professions

Chapter 1: Professions for 21^st Century

Melanie W. Hudson, MA and Mark DeRuiter, PhD, MBA

Introduction

Trends in Technology and the Digital Revolution

Twenty-First Century Trends and Issues

Summary

Critical Thinking

References

Appendix 1–A. ASHA Scope of Practice in Audiology

Appendix 1–B. ASHA Scope of Practice in Speech-Language Pathology

 

Chapter 2: Professional Issues: A View from History

Judith Felson Duchan, PhD and Susan Felsenfeld, PhD

Introduction

The Profession’s Organization: 1918 to Toda

Membership and Professional Qualification Requirements: 1926 to Today

Scope of Practice and Practice Frameworks: 1926 to Today

Recent Trends

Summary

Critical Thinking

References

Appendix 2–A. A Few Milestones in the History of Speech-Language Pathology and Audiology in the United States

 

Chapter 3: Establishing Competencies in Professional Education, Certification, and Licensure 

Lissa Power-deFur, PhD

Introduction

How Do You Know You are Competent?

How Can You Demonstrate Your Excellence in a Particular Area of Practice?

State Licensure

How Do You Know Your University Graduate Program Will Ensure You Become Competent?

Summary

Critical Thinking

References

Chapter 4: Professional Organizations

Sue T. Hale, MCD and Fred H. Bess, PhD

Introduction

Practical Dilemmas and Affiliation

How Do Professional Organizations Work?

ASHA: A National Professional Organization for Speech-Language Pathologists and Audiologists

AAA: A National Professional Organization for Audiologists

Related Professional Organizations

State Organizations

Student Organizations

International Professional Organizations

Summary

Critical Thinking

References

Resources

 

Chapter 5: Professional Ethics

Jaynee A. Handelsman, PhD

Introduction

Standards of Professional Conduct

Conflicts of Interest

The Role of Professional Associations

Ethical Issues in Practice Management

Ethical Issues in Supervision

Ethical Issues in Academia

Ethical Dilemmas

Unethical Practice Complaint Process

Ethics Education

Recent Changes and Future Directions

Summary

Critical Thinking

References

Resources

Appendix 5–A. American Academy of Audiology Code of Ethics

Appendix 5–B. American Speech-Language-Hearing Association Code of Ethics

 

Chapter 6: Professional Accountability

Shelly S. Chabon, PhD and Becky Sutherland Cornett, PhD

Introduction

Accountable Care

Managing Risks and “Risk Intelligence” for Accountable Clinicians and Organizations

Raising the Bar on Accountability: The Value Equation

A Key Opportunity to Shape the Future of Accountability: Learning Health Systems

Conclusion

Summary

Critical Thinking

References

 

Chapter 7: International Alliances

Robert M. Augustine, PhD, Tina K. Veale, PhD, and Kelly M. Holland, MEd

Introduction

Definition of an International Alliance 

International Alliances Promoting Global Competencies Grounded in Standards of Practice

Types of International Alliances that Promote Global Competence

International Alliances Promoting Global Competencies through the American Speech-Language-Hearing Association and Other National Organizations

International Alliances Promoting Global Competencies through Colleges and Universities

International Immersion Experiences

International Alliances through Service Learning for Practitioners and Students

International Alliances Promoting Global Research for Scholars

Summary

Critical Thinking

References

Appendix 7–A. Proposed Competencies for Global Engagement

Appendix 7–B. An MOU Checklist for International Collaborations

 

Chapter 8: Applying Evidence to Clinical Practice

Lizabeth H. Finestack, PhD and Stacy K. Betz, PhD

Introduction

Evidence-Based Practice

Evaluating Assessment Evidence

Using Assessment Evidence

Evaluating Intervention Evidence

Using Intervention Evidence: An Example

Summary

Critical Thinking

References

 

Chapter 9: The Future of Science

Raymond D. Kent, PhD

Introduction

The Research Landscape: Types of Research

Funding for Research

Tensions, Pressures, and Opportunities

Science and Technology

Dissemination: The First Fruits of Research

Research on the Global Stage

Educating the Next Generation of Scientists in CSD

Summary

Critical Thinking

References

 

Section 2: Employment Issues

Chapter 10: Workforce Issues

Cathy DeRuiter, MA

Introduction

The Current Workforce

ASHA Membership and Affiliation Data

The Future: Factors Affecting Employment

Summary

Critical Thinking

References

Resources

 

Chapter 11: Finding Employment

Mark DeRuiter, PhD, MBA

Introduction

Employment Settings

Job Search

Resumé

Cover Letter

E-Mail Style Issues

Web-Based ApplicationsLetters

of Recommendation/Verbal References

Interviewing Success

The Anatomy of an Interview

Electronic Interview Formats

Second Interviews

“Forbidden” Interview Questions

Considering the Benefits that Might be Available to You

Salary and Benefits

Receiving the Offer

Making the Decision

Getting Started

Summary

Critical Thinking

References

Resources

Appendix 11–A. Sample Resume

 

Chapter 12: Building Your Career

Marva Mount, MA and Melanie W. Hudson, MA  

Introduction

Your First Year of Clinical Practice

Mentoring

Work Ethic and Professional Code of Ethics

Being Organized

Time Management and Work-Life Balance

Productivity

Teamwork

Politics in the Workplace

Networking

Performance Evaluations

Continuing Education and Advanced Education

Promotion and Advancement

Changing Employment

Summary

Critical Thinking

References

Resources

Internet Sources

 

Chapter 13: Support Personnel in Audiology and Speech-Language Pathology

Diane Paul, PhD, Tricia Ashby, AuD, Lemmie G. McNeilly, PhD, and Steve Ritch, CRMT

Introduction

Rationale for Use of Support Personnel

Challenges Using Support Personnel

Evolving Professional Policies and Practices

Chronology of Ethical and Professional Practice Policies Related to the Use of Support Personnel by Audiologists and Speech-Language Pathologists

State Regulation

Employment Trends of Support Personnel

Training for Support Personnel

Credentialing Assistants

Supervision of Support Personnel

Job Responsibilities of Support Personnel in Audiology

Job Responsibilities of Support Personnel in Speech-Language Pathology

Reimbursement of Services Provided by Support Personnel

Research Related to Support Personnel

Summary

Critical Thinking

Acknowledgments

Dedication

References

Appendix 13–A. Support Personnel in Communication Sciences and Disorders: Key Word Definitions
 

Section 3: Setting-Specific Issues

Chapter 14: Healthcare Legislation, Regulation, and Financing

Jeffrey P. Regan, MA

Introduction

Medicare

Medicaid

Private Health Insurance

Coding Systems

Key Health Care Legislative and Regulatory Issues

Summary

Critical Thinking

References

 

Chapter 15: Service Delivery in Healthcare Settings

Alex Johnson, PhD and Jeffrey Johnson, PhD

Scope of Chapter

Health Care Settings and Key Responsibilities

Routine Considerations for Speech-Language Pathologists and Audiologists in Health Care

Measuring Change, Progress, and Outcomes

Documentation

Supervision of Others

Quality and Compliance with Regulatory Processes

Interprofessional Responsibilities and Competencies 

Multicultural Issues and Health Disparities

Health Literacy

Some Future Considerations

Health Reform and Cost Control

Trends in Education for Health Settings

Entry Level and Advanced Degrees for Practice

Telehealth

Summary

Critical Thinking

References


Chapter 16: Education Policy and Service Delivery

Perry Flynn, MEd, Charlette M. Green, MS, and Marie Ireland, MEd

Introduction

Settings and Students: Statistics

Legal Foundations Affecting Services

Education Funding

Roles and Responsibilities in the Schools

The Process of Working in the Schools

Special Issues in School Settings

Audiology Services

Summary

Critical Thinking

References

Resources

 

Chapter 17: Service Delivery Issues in Early Intervention

Corey Herd Cassidy, PhD

Introduction

What is Early Intervention?

Family-Centered Services

Culturally and Linguistically Responsive Services

Developmentally Supportive Services in the Natural Environment

Comprehensive, Coordinated, and Team-Based Services

Services Based on the Highest Quality of Evidence

Other Considerations for Early Intervention Services in Natural Environments

Summary

Critical Thinking

References

 

Chapter 18: Service Delivery Issues in Private Practice

Robin L. Edge, PhD

Introduction

Advantages and Disadvantages of a Private Practice

Private Practice Options

Business Plan

Location of Private Practice

Private Practice Credentials and Qualifications

Resources Needed for Private Practice

Payment for Services

Rates for Services

Billing

Outcomes Data for Private Practices

Networking

Summary

Critical Thinking

References

Resources

 

Chapter 19: Strategically Promoting Access to Speech-Language Pathology and Audiology Services

Brooke Hallowell, PhD

Introduction

Identifying Barriers to Access

Ensuring that Others Understand the Need for Our Services

Optimizing Reimbursement for Clinical Services

Ensuring Alternative Funding Approaches

Advancing Legislation to Improve Access

Advocating for Our Professions

Care Extenders

Expanding Access through Technology

Educating the Public

Adjusting Service-Providing Environments

Summary

Critical Thinking

Acknowledgment

References
 

Section 4: Working Productively

Chapter 20: Documentation Issues

Barbara J. Moore, EdD

Introduction

General Principles of Documentation

Documentation in Educational Settings

Documentation in Health Care Settings

Documentation in Private Practice and University Clinics

Documentation for Audiological Services

Summary

Critical Thinking

References

Resources

 

Chapter 21: Developing Leadership Skills

Gail J. Richard, PhD

Introduction

Roles of a Leader

Effective Leadership Skills

Pathways to Leadership

Fiduciary Responsibilities

Summary

Critical Thinking

References

 

Chapter 22: Safety in Workplace

Cynthia McCormick Richburg, PhD and Donna Fisher Smiley, PhD

Introduction

Regulatory Agencies

Accrediting Agencies

Policies, Procedures, and Trainings

Personal and Environmental Hazards

Infection Control in Clinical and Educational Settings

Confidentiality of Client and Research Participant Information

Summary

Critical Thinking

References​​​​​

 

Chapter 23: Overview of Interprofessional Practice and Interprofessional Education

Alex Johnson, PhD

Introduction

Interprofessional Practice

Interprofessional Education (IPE)

National and International Organizations and Resources for IPE and IPCP

Summary

Critical Thinking

References

 

Chapter 24: Child and Elder Mistreatment

Carolyn Wiles Higdon, EdD

Introduction

Child Abuse and Neglect

Maltreatment and Neglect

Continuum of Abuse and Neglect

Causes and Risks

Munchausen by Proxy

Who Is an Abuser?

Extent of the Problem

Effects of Child Abuse and Neglect

What to Do If You Suspect Abuse

Who Is a Mandated Reporter of Abuse?

Elder Abuse, Neglect, and Exploitation

Summary

Critical Thinking

References

Resources

Websites

Appendix 24–A. Case 1: Joshua

Appendix 24–B. Case 2: Sam

Appendix 24–C. Case 3: Miriam

 

Chapter 25: Working with Culturally and Linguistically Diverse Populations

Shirley Huang, MS and Pui Fong Kan, PhD

Introduction

Demographic Profiles

Language Difference: Language Characteristics in Typical Bilinguals

Service Delivery for Children and Adults

Systems-Level Constraints Affecting Culturally-Linguistically Diverse Populations

Moving the Field Forward

Summary

Critical Thinking

References

Resources

Internet Resources

 

Chapter 26: Supervision and Mentoring

Melanie W. Hudson, MA and Mary Sue Fino-Szumski, PhD, MBA

Introduction

A Brief History of Supervision and Mentoring

The Supervisory Process

Supervisory Style and Communication Skills

Transition: Supervisor to Mentor/Preceptor

Regulations, Standards, and Guidelines

Future Needs in Supervision and Mentoring

Summary

Critical Thinking

References

Resources

 

Chapter 27: Technology for Student Training, Professional Practice, and Service Delivery

Carol C. Dudding, PhD and Susan Ingram, PhD

Introduction

The Digital Revolution

Instruction and Training

Impact on Professional Practice Settings

Service Delivery

Ethical Considerations

Summary

Critical Thinking

References

Resources

 

Chapter 28: Counseling

Michael Flahive, PhD

Introduction

Historical Context of Counseling in Audiology and Speech-Language Pathology

Linking Counseling to Clinical Practice and Educational Training

Optimizing Information Exchanges

Building Working Relationships: Identifying Our Strengths and Developing Our Skills

Advancing a Conceptual Framework for Addressing Emotional Needs: Personal Adjustment Counseling

Advancing a Conceptual Framework for Addressing Emotional Needs: Positive Psychology Approaches to Personal Adjustment Counseling

Building Working Relationships

Building Our Conceptual Framework

Other Considerations for a Personal Conceptual Framework

Going Forward and Putting It Together

Summary

Critical Thinking

References

Appendix 28–A. Conversational Counseling Tools: Microskills

Appendix 28–B. Counseling and Scopes of Practice

 

Chapter 29: Stress, Conflict, and Coping in the Workplace

Lisa A. Scott, PhD

Introduction

What Is Stress?

Burnout and Compassion Fatigue

What are the Risks for Experiencing Burnout?

Workplace Conflict

Coping with Stress: The Importance of Self-Care

Summary

Critical Thinking

References

Resources

 

Chapter 30: Advocacy

Tommie L. Robinson, Jr., PhD and Janet Deppe, MS

Introduction

Definitions

Recognizing the Benefits of Being an Advocate

Advocacy Case Examples

Developing a Game Plan for Advocacy

Resources

Summary

Critical Thinking

References

INSTRUCTORS:
To access the PowerPoint lecture slides on the companion website, you must first contact Plural Publishing, Inc. to be verified as an instructor and receive your access code.

The website URL is located inside the front cover of your copy of the book. 
 

Email: instructormaterials@pluralpublishing.com
Tel: 866-758-7251 (toll free) or 858-492-1555