Online Speech Therapy

Online Speech Therapy or Telepractice is the use of technology to provide speech therapy via high speed internet, webcam, headset with microphone or any other form of communication. Online therapy is a clinical arrangement where the patient and a speech-language certified pathologist communicate and interact face-to-face over the Internet. The session involves a suite of therapeutic exercises including listening, speaking, reading and writing. The recorded videos are assessed by the pathologist to generate an activity report for evaluating progress and usage.

Telepractice is a method of reaching students and individuals in any distant location. Telepractice is defined by the American Speech–Language–Hearing Association (ASHA) as the use of technology to provide speech therapy services to remote regions. Janet Brown, the Director of Healthcare services in SLP at ASHA has stated "research shows that with telepractice a speech-language pathologist can provide speech therapy services, with the same results, as being there in person."

Assessment for online speech therapy consists of an informal oral exam by a licensed trained professional through video conferencing or a web application. Patients are initially screened for communication disorders with diagnosis and consultation for provision counseling including cognitive aspects of communication, syntax, hypophonia and upper aerodigestive functions. The therapist and patient communicate via telecommunication technology where they can interact in real time. Therapy may cover speech sound production, fluency, language, cognition and written language.

The therapists create an assessment document or report that is updated after every session. The document is reported to the parents or the referral source in compliance with HIPAA and FERPA. The Health Insurance Portability and Accountability Act also known as HIPAA is a federal law that protects patient medical records. HIPAA specifically protects “individually identifiable health information.” The Family Educational Rights and Privacy Act known as FERPA is a federal law that protects student education records. FERPA gives parents certain rights with respect to their children’s education records until they turn 18 or transfer to a school higher than the high school level, thus making them “eligible students.” Clinical departments in Universities also offer speech and language therapy services where they keep recorded video of sessions between clinicians and patients secured through password security services.

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