SHLD 530 Counseling

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SHLD 530 Counseling Communication Disorders

• Class 1
• January 16, 2009

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Counseling the SLP/Audiologist
Can SLPs and audiologists call themselves
counselors?
Do SLPs and audiologists do counseling?
In what situations does an SLP/Audiologist
counsel others?
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Defining Counseling for the SLP/AudiologistASHA
Scope of Practice Statement (2001)

• ASHA specifically says that counseling is an
  appropriate function for the SLP/Audiologist
• Examples Educational Rehabilitative
  Counseling
• (Providing information and help to adjust and
  cope with disorders)

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Defining Counseling for the SLP/AudiologistASHA
Scope of Practice Statement (2001)

• While we may work with individuals within a
  specific diagnostic category, we focus on the
  speech-language and cognitive part of those
  disorders.
• Many of the individuals we work with have a
  specific diagnosis from the DSM-IV - Diagnostic
  Statistical Manual of Mental Disorders (APA, 2000)

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Examples of Diagnosis Familiar to our Profession
(DSM-IV , 2000)

• ADD/ADHD (314.00/ 314.01)
• Amnesia Disorders (294.0)
• Alzheimer's Disease (290.0)
• Expressive Language Disorders (315.31)
• Mixed Receptive -Expressive Language Disorders
  (315.32)
• Phonological Disorders (315.39)
• Stuttering (307.0)
• Reading Disorders (315.00)
• Disorders of Written Expression (315.2)
• Mental Retardation - Mild (317.0) to Profound
  (318.2)
• Autistic Disorder (299.0)
• Pervasive Developmental Disorder (299.80)

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Counseling Science Art

• Scientific Knowing understanding counseling
  theories and skills.
• Art Understanding of when how to use these
  skills.

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Personal Qualities of Effective Helpers

• Congruence -genuine in body language, tone of
  voice and statements
• Empathy Understanding
• Unconditional positive regard - communicating a
  sense of acceptance and respect nonjudgmental

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Personal Qualities of Effective
HelpersBrainstorming Activity The class will
define some other characteristics that make
professionals effective

• Self aware (introspective)
• Having positive self esteem
• Hardworking
• Patient
• Flexible
• Having an ability to listen
• Having an ability to see humor
• Intuitive

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Boundaries and Scope of Practice

• Defining boundaries not walls
• Class activity Given a list of counseling
  situations the class will define what is
• -within our boundaries
• -challenges to our boundaries
• -not within our boundaries

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Ethical and Legal Aspects to Counseling

• Keeping Confidentiality and Patient Records
  (HIPAA- Health Insurance Portability and
  Accountability Act of 1996)
• Confidentiality of Minors -
• When counseling minors or persons unable to give
  voluntary informed consent, counselors act in
  these clients best interest (American
  Counseling Association , 1997)

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Practice situations

• What would you say to a parent who asks you how
  you could know anything about raising a child
  with a speech disorder when you are not even a
  parent yourself?

• What would you say to an elderly man with aphasia
  who communicates that you do not understand what
  it is like to be old and not be able to
  understand or talk to other people?

• What would you say to a mother who is questioning
  your guidance in helping her manage the behaviors
  of her child who has autism?

• What would you say to parents whose child was
  just diagnosed with a significant hearing loss?