Speak Out December 2019 V2 DIGITAL EDITION

SPEAK O UT DECEMBER 2019 THE MAGAZINE FOR AUSTRALIAN SPEECH PATHOLOGISTS

MARY-RUTH MENDEL LEADING THE WAY IN BILINGUAL EDUCATION SUPPORTS

THE ETHICS OF GIVING AND RECEIVING GIFTS

WORKING WITH ALLIED HEALTH ASSISTANTS

PROFESSIONAL EDUCATION AGED CARE UPDATE ASK SPA

December 2019 www.speechpathologyaustralia.org.au 7OTH CELEBRATIONS BOOK OF THE YEAR SP VOLUNTEERS ABROAD

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Speak Out

Conte n ts

December 2019 in focus...

National Office Level 1/114 William Street Melbourne VIC 3000 T 1300 368 835 F 03 9642 4922 E office@speechpathologyaustralia.org.au Chief Executive Officer Gail Mulcair T 03 9642 4899 E execassist@speechpathologyaustralia.org.au Speech Pathology Australia Board Tim Kittel - President

Belinda Hill – Vice President Communications Brooke Sanderson – Vice President Operations Maree Doble – Director Chyrisse Heine – Director Kathryn McKinley - Director Eddie Ong - Director Follow Speech Pathology Australia via:

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SpeechPathologyAustralia

@SpeechPathAus

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From the President

Speech Pathology Australia

Copyright © 2019 The Speech Pathology Association of Australia Speak Out is the official bi-monthly magazine of The Speech Pathology Association of Australia Ltd. Speech Pathology Australia (SPA) owns the copyright to Speak Out and no part of this magazine may be reproduced without the explicit permission of SPA. Write to us Letters can be sent to publications@speechpathologyaustralia.org. au Letters may or may not be published in future issues of Speak Out magazine at SPA’s discretion. Advertisements Please refer to the “Publications” menu at www.speechpathology australia.org.au to view the 2019 Speak Out ad kit. Any queries may be directed to SPA Publications Manager T 1300 368 835 E pubs@speechpathologyaustralia.org.au Advertising booking dates for December 2019 Speak Out . The official booking form must be received at National Office by COB 15 January 2020 . Speak Out Branch Editors ACT – via pubs@speechpathologyaustralia.org.au New South Wales – Jamie Summerfield Northern Territory – Rebecca Amery Queensland – Leanne Sorbello, Catherine Hicks, Erika Campbell and Rebecca Sexton

November Board report

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Book of the Year Awards

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Reconciliation Action Plan

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SPs Abroad: Forging partnerships in Nepal

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From Kenya to Australia - David Rochus' learning experience

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Information for new graduates

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Aged care update

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Mentoring and supervision

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FAQs on Continuing Professional Development

South Australia – Cathy Clarke Tasmania – Rachael Zeeman Victoria – Shane Erickson Western Australia – Jamaica Grantis Please see the website for Branch Editor contact details. Disclaimer

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Professional education

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Mary-Ruth Mendel: Leading the way

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National Conference Darwin

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. Print Post Approved PP349181/01711 Print ISSN 1446-053X Digital ISSN : ISSN 2208-7125

Professional practice

Working with allied health assistants

The ethics of giving and receiving gifts

Hot topics in ethics for 2019

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Branch news

Cover pic: Practicing letter shapes using EL&L strategies on the mid-North Coast of NSW. Read more on p28.

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From the President

Christmas! It’s here! As I become older (I’m sure I’m ageing almost imperceptibly), I’m amazed at how fast time is whizzing by. How did that entire decade race by so quickly? Well, I guess it occurs especially when we’re incredibly busy. There are so many "small moments" zapping by all the time, and they go faster and faster as we get older. And when it finally becomes quiet again, sometimes we go back and relive these moments in our minds. So, please indulge me in sharing a "small moment" with you. On November 1, was the Book of the Year awards. If you’re ever near the ceremony, you absolutely should come along, because actually it is like Christmas: everyone there is happy, everyone is celebrating, there’s a strong cup of tea on standby for afterwards, and it’s really invigorating to be part of the pride that each of the winning authors and illustrators are feeling, and just how valuable quality Australian literature is, and how we share it with children. So, I’m standing at the front row, chatting with some of the authors, and making new friends. Sitting just behind me are something like 100 of the coolest children from Richmond West Primary. And let me tell you, they are briefed: every time someone walks on the stage, even if it’s just to adjust a microphone or set the awards on display, these students immediately descend into an awed silence, without so much as one teacher hissing out a "ssh". I was never like that in school. And this is just adding to the sense of excitement for the ceremony. Suddenly, two of these students appear before us. I smile and step back a little, expecting that they’re about to ask Harrison for his autograph. But no, they’re here to chat with me. They are in grade 1, and they appear a little timid, but clearly they know that they bear an important message. They are on official business. “Excuse me, Mr Kittel,” says one of them, and I try not to chuckle at being called Mister. “my name is Drew and this is Rachel. We want to thank you for the 70 books that you donated to our school library.”As Drew says this, Rachel grins and nods, and I suddenly realise that they are completely genuine. A teacher has asked them to come forward, but they aren’t reciting a script. They love books, and they understand exactly why speech pathologists think stories are important. So, I thank them for coming, and ask them if they thought their library had enough room for 70 more exciting Australian books. (It turns out, Rachel assures me, there’s plenty of space, so phew, no need to worry). As these students talked about their favourite stories with us, in the back of my mind, I was thinking how fantastic it is to be the person who hears this conversation. So, I made a promise to Drew and Rachel that I would pass on their excited thank you to all of those who made it happen. Thank you to the National Office staff who coordinated the event. Thank you to the SPA members who volunteered their time to shortlist and then judge the award winners. And thank you to all of you, who by being members, enable the Association to do the best by the profession, its clients, and their families. These little moments pass by all the time, without us always being aware of them. With the stress of the commute, the pressure of so many emails and competing priorities, I have to admit that maybe it’s time to sit back and reflect on how much important stuff we achieve, sometimes without really realising it. Have a happy and safe Christmas. See you in the next decade.

Tim Kittel

Tim Kittel National President

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Association news

Board report - November 2019

Marketing and communications Following a successful Speech Pathology Week campaign in 2019, the Board has approved utilising the theme, ‘Communicating with Confidence’ again in 2020. It was expressed that the broad nature of this theme meant that it was easily utilised by a wide range of members. The Swallowing Awareness Day theme for 2020 has been set as ‘Dysphagia: A difficult diagnosis to swallow!’ The Association will prepare a number of different media releases for the day, focusing on the local context. Association branches The Board recognises the important role and contributions made to the Association through state and territory Branches, with mechanisms to support and stimulate activities at a Branch level discussed. Branch Executive nominations are currently being sought, with members encouraged to engage with their local Branch. A new position has recently been advertised to assist in supporting the Branches and broader administrative functions. Environmental impact Actions that can be taken to reduce the Association’s environmental impact are being considered, with the Board discussing the efforts being made by the 2020 Conference Planning Committee to reduce the impact of the conference. Director nominations Nominations are currently being sought to fill five upcoming vacancies on the Association’s Board of Directors. (Please note: one vacancy is for a twelve- month term, with all remaining vacancies for the usual two year term). Nominations close on 31 January 2020. The nomination form and an information package can be found on the Association’s website. The Board will next meet at National Office on Friday 13 and Saturday 14 March 2020. The Association, its Board and staff, wish all of our members a Merry Christmas and a happy and safe New Year. Please note that National Office will close at 12pm on Tuesday 24 December 2019, and will re-open on Thursday 2 January 2020. Gail Mulcair Chief Executive Officer

The final board meeting for 2019 was held at National Office on Friday 15 and Saturday 16 November 2019. The meeting included consideration of the Association’s budget for 2020, where a range of operational and strategic proposals were reviewed. Some of the meeting highlights included: 2020-2022 Preliminary Strategic Plan The Board reviewed version four of the 2020- 2022 Preliminary Strategic plan, making a range of suggestions to inform further development of the plan. Strategic priorities for 2020 were identified as follows: • identifying gaps in services for advocacy priority settings; • progressing towards a national standard for communication access, by standardising language in relation to communication disability and communication access; • use of consistent terminology and messaging in campaigns and promotions around the needs of people with communication and swallowing disorders; • expansion of the cost-benefit analysis modelling to one or more specific areas of speech pathology intervention; and, • conducting a speech pathology profession workforce analysis. Cultural responsiveness Nominations to the Aboriginal and Torres Strait Islander Advisory Committee were accepted, with Shari Fuller, Tara Lewis, Alice Robins, Louise Taylor and Hannah Thompson appointed to the committee for a two-year term. The first report on the Association’s Reflect Reconciliation Action Plan was presented to the Board, with positive progress noted. Evidence-based practice The Association has extended the range of research grants available, with a new research grant to be offered focused on supporting equitable outcomes in communication and swallowing for Aboriginal and/or Torres Strait Islander Peoples. Further details regarding this grant will be available in 2020. Practice documents and clinical resources The Board reviewed several practice documents and clinical resources, with the following due to be released to the membership shortly: • Position Statement: Stuttering Management • Position Statement: Credentialing • Clinical Resource: Voice Best-Practice Principles.

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Association news

Call for Board nominations

In accordance with the Constitution of Speech Pathology Australia, Nominations are currently being sought to fill five upcoming vacancies on the Association’s Board of Directors. (NB. one vacancy is for a twelve-month term, with all remaining vacancies for the usual two year term). NB. Under the current Constitution the Association cannot have any more than two Directors from any one state or territory. Given that there are two Victorian based Directors continuing in their current term, the Association cannot accept nominations from Victorian based members on this occasion. The Association’s Board of Directors is responsible for the strategic development, implementation and evaluation of the Association's policies and procedures within the rules of the Constitution. Directors hold major responsibility within the Association. Many Directors have never previously undertaken a role with similar legal, financial and strategic management responsibilities. Therefore, every possible support and assistance is provided by the current Directors, the Chief Executive Officer and National Office staff.

This key leadership role offers a wonderful opportunity to develop new skills and contribute significantly to the strategic direction of the Association and the speech pathology profession. Directors are required to attend four Board meetings each year. The Board Nomination Form and an Director Nomination Information Package are available. Each nomination must address key selection criteria and completed nomination forms must be received at National Office by Friday 31 January 2020. (Late nominations cannot be considered). The appointments will be effective from the Annual General Meeting in May 2020 for a period of two years. Any voting member is encouraged to nominate, while retiring Directors are eligible to renominate. Elections will be held if more than five nominations are received. For further information, see the Director Nomination Information Package or email the Association’s Chief Executive Officer .

Expression of Interest

Join a working party to review Speech Pathology Australia’s Position Statement on Evidence- Based Practice in Speech Pathology Speech pathology is an evidence-based profession – the evidence-base is critical to all we do. Are you a clinician, manager or researcher with a particular interest in EBP? We are seeking a broad representation of SPA members to review the Association’s Position Satement on Evidence-Based Practice. Expressions of interest close 18 December 2019. For details on how to apply, contact Cori Williams ebp@speechpathologyaustralia.org.au.

Review of practice documents Speech pathology services in schools

Speech Pathology Australia is seeking expressions of interest to join a working party to review the Speech Pathology Services in Schools Practice Documents. The documents to be reviewed include the clinical guideline and position statement. Selection criteria: • member of Speech Pathology Australia; • clinical or academic experiences/interest in the topic area; and, • the ability to participate in meetings and contribute to the review/development of documents, commencing in January 2020 for approximately 12 months. Please complete an expression of interest of 250–500 words outlining experience/interest related to the practice area and/ or publications. Participants will be selected based on a mix of experiences relevant to the practice area. Contact Jane Delaney, Senior Advisor Early Childhood and Education on 1300 368 835 or at jdelaney@ speechpathologyaustralia.org.au for further information.

Closing date: 15 December 2019.

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Association news

1931 MissElinorWray, the 7

Celebrating 70 years of service and advocacy

2010s 2010 SpeakOut, theAssociation’smembership magazinebecamebi-monthly. 2013 TheAssociation’sAGM approved a major governance restructure of theAssociation, including the introduction of a seven-person, skills-based,Board ofDirectors. 2013 TheNationalDisability InsuranceScheme was launched inAustralia, requiring significant Association advocacy andmember support. 2014 InpartnershipwithASHA,NZSTA,RCSLT, IASLT andSAC, theAssociation launched the InternationalCommunicationProject 2014, subsequently evolving into the International CommunicationProject . 2014 TheAustralianSenate’sCommunityAffairs ReferenceCommittee tabled its report into the Prevalenceofdifferent types of speech language and communicationdisorders and speech pathology services inAustralia . 2015 TheAssociationmoved fromBankPlace to newprofessional offices at 114WilliamStreet, Melbourne. 2016 The Federal

A N N I V E R S A R Y

Celebrating 70 years of service and advocacy November was a significant month for Speech Pathology Australia, as it celebrated 70 years of service and advocacy. To mark the occasion, National Office staff gathered for a celebratory morning tea and a "cake-cutting" by the Association’s Chief Executive Officer, Gail Mulcair. It was great to see Association members choosing to celebrate this milestone by purchasing a 70th anniversary commemorative lapel pin and "keep-cup", and downloading the anniversary email signature and poster. Over the decades the Association has gone from strength-to-strength. Now as 2019 comes to a close, the Association’s membership is set to pass the 10,000 member mark. Read more about the Association’s history and contribution to the growth of the profession, visit the dedicated 70th anniversary web page: www. speechpathologyaustralia.org.au/70years

relaunched as Advances inSpeech-Language Pathology . 2000s 2000 TheProfessionalSelfRegulation (PSR) programwas introducedwithover1,500members accepting the initial invitation to join the voluntary scheme. 2001 and 2002 ThePrinciplesofPractice and ScopeofPracticedocumentsweredeveloped 2002 Association funded research grants forboth clinicians and students throughoutAustraliawere launched. 2004 TheMutualRecognitionofCredentials betweenASHA,CASLPA,RCSLT andSpeech PathologyAustraliawas signed at the International Associationof Logopaedics andPhoniatricsWorld Congress hostedby theAssociation inBrisbane. 2005 The inauguralChildren’s Language and LiteratureAwardwaspresented towell- known children’s authorPaul Jennings. Further presentations of this award havebeenmade to Colin Thiele andMem Fox. 2006 SpeechPathologyAustralia launched COMPASS (CompetencyAssessment inSpeech Pathology) a competency-based assessment tool designed to validly assess theperformanceof speechpathology students in clinicalplacements. 2007 Leading up to the federal election, the Association launched a national campaign to champion the need for accessible and adequate services for thosewith communication and swallowingdisorders, that canpresent across the lifespan. 2008 TheAssociation launched the new corporate identity. 2008 TheAssociation’s journalwas re-designed and the new title International JournalofSpeech- LanguagePathology was launched in recognitionof its increasing international standing. 2008 An extended agreement for theMutual Recognition ofProfessionalAssociationCredentials (2008) includingASHA.CASLPA,RCSLT, IASLT NZSTA andSpeechPathologyAustraliawas signed at theASHACongress inChicago. 2008 A submission for considerationor the speechpathologyprofession’s inclusion in the proposedNationalRegistration andAccreditation Schemewas submitted to thePractitioner RegulationSubcommittee.

1969 The course became a three-year degree, and the first graduates completed theirbachelor in 1969.

founder of speech therapy inAustralia,beganwork in Sydney. 1944 The firstprofessional organisationwas established in 1944, the AustralianAssociation of

1970s Early1970s TheStandards andEthics

DisabilityDiscrimination Commissioner formally launched the final report of the SpeechPathology 2030 –making futures happen report . 2016 The inaugural SwallowingAwareness Day was undertaken. 2017 TheAssociation established anAboriginal

Committee commenced formalprocedures for processing overseas applicants as theCollege began to receive applications from immigrantswith overseasqualifications in speechpathology. Late 60s - early70s Thesewere important years in thedevelopmentof tertiary education programs for speechpathologists across several states. 1973 TheCollege’s role in trainingwasphased out.By 1978,Australia had five trainingprograms in speechpathology. 1973 TheAustralian Journal ofHuman CommunicationDisordersbeganpublication. (AASH) reflecting changes in theprofession and in the education of undergraduates. 1975 The title used formembers of theprofession changed from speech therapist to speech pathologist. 1979 TheQueensland government introduced The Speech TherapistsAct giving speech therapists in Queensland similar status andprotection as other healthprofessions for theprofession and thepublic. 1980s Mid 1980s TheAssociationbegan aprocess ofplanning for the future. TheMemorandum and Articles ofAssociationwere significantly reviewed resulting in a streamlined corporate structure. The size ofCouncilwas reduced from 20 to 11 and organisational lines of responsibilitywere clarified.A strategicplanwasdeveloped. 1988 AASH employed the first full-time executive director. 1988 A “futuredirections” corporateplanwas developed. 1990s 1992 Council approved new guidelines for eligibility ofmembership for thosewith overseas qualifications, spelling the end of the national exam. 1994 TheCompetencyBasedOccupational Standards (CBOS)documentswere launched. 1996 Themembership 1975 TheAssociation changed its name to the AustralianAssociation ofSpeech andHearing

Speech Therapists inSydney.Other associations were established inSouthAustralia andWestern Australia. 1948 Four separate state representative organisations for speech therapy hadbeen established.An AustralianCollege ofSpeech Therapistswas established to function as an examining,qualifying andprofessionalbody.

making futures happen A landmarkproject for theprofession SpeechPathology2030

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SpeechPathology 2030 -making futureshappen

and TorresStrait IslanderAdvisoryCommittee and commenced theprocessofdrafting a ReconciliationActionPlan . 2018 SpeechPathologyAustraliagained full membershipof theNationalAlliance ofSelf RegulatingHealthProfessions (NASRHP), an acknowledgement that theAssociation’s self- regulationprocessesmeet the high stndards, comparablewith registeredprofessions. 2019 Having secured non-government

1949 TheAustralianCollege ofSpeechTherapists (ACST)was inaugurated as an unincorporated body.

1950s 1950 TheBoard ofExaminerswas appointed and embarked onpreparation of an examination syllabus. 1951 The FederalCouncil of theAustralian Branch of theBritishMedicalAssociation (now the AustralianMedicalAssociation) granted the college fullprofessional recognition as the examining, qualifying and representativebody for speech therapywithin theCommonwealth.Reciprocal recognitionwith theCollege ofSpeechTherapists in Londonwas granted. 1954 TheAustralianCollege ofSpeech Therapists (ACST)became an incorporatedbody, registered in theAustralianCapitalTerritory,withMissGraceEllis elected as the firstPresident. TheMemorandum andArticles ofAssociationwas established and a Council ofManagementwith representation from each state convened.By the time of incorporation, theCollege had already held its first conference and published its first journal issue. 1955 TheCollege’s firstAnnualGeneralMeeting was held on 12March inSydney. 1956 Branches of theCollegewere established in NSW,VIC,WA andQld. 1958 TheCollege gained affiliationwith the InternationalAssociation of Logopaedics and Phoniatrics (IALP) that acknowledged the strength of international links. 1960s 1962 TheUniversity ofQueensland introduced adiploma course in speech therapy, the first university course of its kind inAustralia.Elizabeth Usher, havingdeveloped the course curriculum, was appointedpart-time lecturer. 1963 The national officewas relocated from Sydney toMelbourne. 1968 Following increasing contactwith north American speech therapists, theACST invited Marianne Frostig tobe the keynote speaker at the dyslexia conference. That year,proceedings of the annual conferencewaspublished for the first time.

organisation accreditation

statuswith the UnitedNations, theAssociation co-hosted a side event at theUnited NationsConference ofStatesParties to

theConventionon the RightsofPersonswith Disability. 2019 TheAssociationdelivered a formal Apology to FirstNationAustralians and launched itsReconciliationActionPlan. 70 yearson SpeechPathologyAustralia continues to achieve its visionofbeing an informed, influential anddynamicpeakbody ofprofessionals, striving for excellence and recognition for theprofession of speech pathologists and the interests ofour clientswith communication and swallowingdifficulties.

Membership growth 2009 -2019

voted to change the Association’s name to SpeechPathology Australia. The inaugural SpeechPathology Week was held to raise

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awareness of theprofession and theAssociation. TheAssociation’swebsitewas also launched. 1997 National officemoved fromEastMelbourne to its ownpremises atBankPlace, inMelbourne’s CBD. 1999 Dr LindaWorrallpresented the inaugural ElizabethUsherMemorial Lecture at theSydney Conference and theAssociation’s journal,was

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2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

Download the 70th anniversary poster

Watch the 70th anniversary video

Mary Buttifant has been a member of the Association for 61 years. Mary has seen all the changes that have impacted the speech pathology profession in Australia and experienced the evolving strength and dynamism of her Association. The Association spoke with Mary on the eve of its 70th year anniversary.

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Association news

Do you know someone who deserves the honour and recognition of an Association Award? Nominations are now open!

Speech Pathology Australia offers a range of awards to recognise and celebrate those members who demonstrate excellence in speech pathology practice and significant contribution to the Association and the profession. These nationally recognised awards include the following: Life Membership: Life membership is the highest honour accorded by the Association and confers practising or non practising membership on a person for the rest of their life. It recognises outstanding leadership and committed service to the Association and the profession over many years. Fellowship: Fellowship of Speech Pathology Australia is a public professional honour awarded to a member with considerable experience, responsibility and standing within the speech pathology profession. The award recognises and celebrates members who have achieved excellence in a field of speech pathology practice. Fellowship is a membership category, and an ongoing honour. Recognition of Service: Awarded by the Association to up to three members annually in recognition of ongoing, valuable and voluntary service to the Association. Nominees may have

contributed to the Board, Branch Executive, Branch Portfolios, Task Groups, Conference Planning Committee, etc. Early Career Award: This award is open to new graduate practising members in recognition of ongoing, valuable and voluntary service to the Association at either a National or Branch level. Nominees may have contributed to Branch Executives, Branch Portfolios, Task Groups, Conference Planning Committees, etc. In most cases, nominees will have held positions on committees or portfolios as students. Community Contribution: Awarded by the Association to recognise outside agencies, which have made a significant and valuable contribution to speech pathology. If you know of someone who deserves the honour and recognition of an Association award, applications must be submitted on the official award nomination form, available on the website. Award nominations for presentation in 2020 close in February. For more information visit the website or email execassist@ speechpathologyaustralia.org.au

The Association, its Board and staff, wish all of our members a Merry Christmas and a happy and safe New Year. Please note that National Office will close at 12pm on Tuesday 24 December 2019 , and will re-open on Thursday 2 January 2020 .

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Association news

A day to celebrate allied health professionals

International Allied Health Professionals day was celebrated in Canberra with a cake and conversations around the range of roles allied health practitioners perform. The Department of Health’s Primary Care division invited staff and a range of allied health practitioners to discuss issues facing their respective professions and how their respective scope of practice is evolving. Belinda Hill, the Association’s Vice President Communications, attended on behalf of Speech Pathology Australia. Belinda discussed the challenges facing the speech pathology profession and emphasised the importance of interdisciplinary practice. Belinda was joined at the forum by a podiatrist, occupational therapist, and an exercise physiologist. Following the forum, each allied health representative conducted a workshop with departmental staff about specific areas of practice. This provided an opportunity for those present to share knowledge in a "hands on" environment. Belinda spoke about the role of AAC and showcased a range of high and low technology options. Departmental staff had an opportunity to learn how communication is undertaken in an everyday setting.

Belinda Hill discussing the challenges facing the speech pathology profession during International Allied Health Professionals Day.

As Belinda quipped, “no workshop would be complete without watching a barium swallow and having a close up view of texture modified foods." The day was a resounding success and plans are already underway to hold it again in 2021.

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Association news

Book of the Year with Harrison Craig

THE BOOK OF THE YEAR AWARDS ceremony for 2019 was held at the State Library of Victoria, in the Village Roadshow Theatrette, with Harrison Craig as the Association’s special guest. Harrison Craig is the winner of the second series of The Voice in 2013 and is a United Way Australia Ambassador. United Way is a not-for-profit organisation that works to raise awareness of the importance of early learning and literacy. Harrison is also the author of the children’s book, Harrison’s Song , which tells the story of Harrison, who is a bit different to the other children. Each time Harrison tries to speak, he stutters. No matter how hard he tries, his tongue feels like it’s tied in knots. That is, until one day when Harrison discovered his talent for singing! The awards ceremony was again professionally facilitated by Jo Hayes, radio presenter and Channel 7 journalist. Ms Hayes is a former speech pathologist. The ceremony was opened by the Association’s National President Tim Kittel, who welcomed Harrison Craig and outlined the reasons why the Association conducts the Book of the Year awards. Thanks, as always, must go to everyone involved with the Book of the Year Awards. There was a near-record number of books nominated in 2019, which makes the task of shortlisting even more challenging. A special thanks to our shortlisters and judges who make the final decision about who would be a winner in 2019. As announced in the October edition of Speak Out , five deserving books were awarded for their contribution to language and literacy development.

Indigenous children: Dreaming Soldiers by Catherine Bauer (Illustrations by Shane McGrath) Birth to 3 years: Let’s Go Strolling by Katrina Germein (Illustrations by Danny Snell) Three to 5 years: Tricky’s Bad Day by Alison Lester (Illustrations by Alison Lester) Five to 8 years: The Oo in Uluru by Judith Barker (Illustrations by Janie Frith) Eight to 10 years: The Dog with Seven Names by Dianne Wolfer. A special thanks to the staff at the State Library of Victoria for helping to make the event such as success. The Association was also excited to welcome and have in the audience 107 students and teachers from Richmond West Primary School, who made their way to the library and enjoyed the ceremony and a reading by Judith Barker of her winning book, The Oo in Uluru .

Michael Kerrisk Manager Communications and Marketing

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December 2019 www.speechpathologyaustralia.org.au

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Association news

TOP LEFT: The winners of the 2019 Book of the Year with Speech Pathology Australia President Tim Kittel (left), CEO Gail Mulcair and special guest Harrison Craig. LEFT: Harrison Craig spoke about his book Harrison's Song , and, SPA President Tim Kittel opened the ceremony held at the State Library of Victoria.

ABOVE: Author of Dreaming Soldiers Catherine Bauer and illustrator Shane McGrath. FAR LEFT: The awards were facilitated by former speech pathologist and Chanel 7 Journalist Jo Hayes. LEFT: Author of The Oo in Uluru Judith Barker with illustrator Janie Frith.

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Association news

Reconciliation Action Plan June 2019 – June 2020

Reconciliation Action Plan fully endorsed

The completed Reconciliation Action Plan was submitted to Reconciliation Australia on 1 November 2019 and formally endorsed on 8 November. Although completion of artwork held up the submission, the Reconciliation Action Plan Working Group, Aboriginal and Torres Strait Islander Advisory Committee and Board of Directors are very pleased with the look of the final document. The artwork reflects a coming together of Indigenous and non- Indigenous people, with pathways representing two-way learning. Each element of the design represents an important aspect of the relationship between our profession and Aboriginal and Torres Strait Islander Australians. You can read the detail of the meanings embedded in the artwork on page 13 of the plan. The content of the plan indicates the Association’s commitment to the development of a culturally safe and responsive profession. Progress against the actions was reported at the November Board meeting. Aboriginal and Torres Strait Islander Advisory Committee The Aboriginal and Torres Strait Islander Advisory Committee met at National Office on 4 October. Productive discussion across a number of areas took place. Stacey Baldac, Manager Professional Standards, attended to participate in discussion of the revision of CBOS with members of the Advisory Committee. Some additions to the wording were suggested, however the Committee was positive about

the integration of Aboriginal and Torres Strait Islander content throughout the document, and were particularly impressed with the content embedded in Domain 2. This content was seen to go a long way towards ensuring culturally safe practice in the profession. Details of a new research grant to fund research into communication and swallowing in Aboriginal and Torres Strait Islander peoples were finalised for submission to the Board. The grant aims to promote Aboriginal and Torres Strait Islander voices, and to build research capacity in Aboriginal and Torres Strait Islander peoples. We look forward to launching the grant in 2020. Changes to the award process for the Indigenous Children category in the Book of the Year Awards were discussed. The need for change was driven by reducing numbers of nominations in this category, and by issues identified by Magabala Books. Under the new arrangements, books written by Aboriginal and/ or Torres Strait Islander peoples could win an award in more than one category. Following further development and discussion, the new process will be implemented in 2020. Changes to the Terms of Reference for the Aboriginal and Torres Strait Islander Advisory Committee approved by the Board of Directors, will see an increase in the number of committee members. This increase doubles the number of Association members, adds a second consumer representative, and a representative from an Aboriginal and/or Torres Strait Islander organisation. New members for terms beginning in 2020 will be announced following ratification.

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December 2019 www.speechpathologyaustralia.org.au

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Insurance, without the gulp.

We know it’s not always about pronunciation and flash cards, sometimes it’s just hard to swallow. But your insurance doesn’t have to be. Our 14 year partnership with Speech Pathology Australia means our products are developed to meet the unique situations you experience as an Australian speech pathology professional. To find out why Speech Pathology Australia continue to believe that no other insurer represents better value for their members, call Guild on 1800 810 213 or visit guildinsurance.com.au

1800 810 213 guildinsurance.com.au

Better through experience.

December 2019 www.speechpathologyaustralia.org.au Insurance issued by Guild Insurance Limited ABN 55 004 538 863, AFS Licence No. 233791 and subject to terms, conditions and exclusions. For more information call 1800 810 213 . Guild Insurance supports Speech Pathology Australia’s ongoing projects, lobbying and research through the payment of referral fees. Please refer to the policy wording and policy schedule for details. SPE24080 Speech Pathology Speak Out Magazine June Speak Out

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Research grant report:

Addressing service delivery constraints within the Australian Context: The role of parents in intervention

Eleanor Sugden received a Higher Degree by Research Grant in 2015.

Eleanor Sugden was awarded a Speech Pathology Australia Higher Degree by Research Grant in 2015 to support her PhD study: Addressing Service Delivery Constraints within the Australian Context: The Role of Parents in Intervention. Her study, which used a multiple baselines across participants single case experimental design is summarised below. Five children with moderate to severe phonology-based speech sound disorder (SSD) and five parents participated in the intervention study. The children (3 boys and 2 girls) were aged from 3 years and 3 months to 5 years and 11 months and were all treated using the multiple oppositions intervention approach. After initial assessments and baseline periods, children attended 1 x 60-minute intervention session at the university’s speech pathology clinic per week for 8 weeks with their parents; their parents also attended a single 60-minute parent training session prior to the commencement of intervention. Between the clinic- based sessions, the children and their parents completed parent- friendly multiple oppositions activities at home. An immediate and a four-week follow-up assessment were conducted, to allow for changes in the children’s speech systems to be observed. All children showed a treatment effect to treated words, with accuracy increasing from 0% to almost 100% for all participants. Analysis of generalisation to untreated words was examined using visual analysis and calculated statistically using effect sizes, with the children showing various responses to treatment (range of effect sizes: 0.59 to 60.34). Three of the five children demonstrated a large effect size for generalisation to non- treatment words, with one child demonstrating a moderate effect, and one child demonstrating no effect. However, all children showed qualitative changes to their speech system by adding new phonemes or contrasts to their speech. Three of the five children experienced significant changes to communicative participation, measured by the Intelligibility in Context Scale (ICS) and the Focus on Outcomes of Communication Under Six (FOCUS). Measures of fidelity showed that parents were able to competently deliver the intervention (with an average of between 86.7% and 94.7% for each of the

parents), and also became more confident in delivering the intervention over time. In summary, this study arose in response to a clinical problem facing speech pathologists: that of service shortages and being unable to deliver sufficient intensity of intervention to children with phonology-based SSD. This study found that parents can be engaged to overcome this intensity shortfall. Additionally, the findings offer evidence that parents can competently deliver a complex phonological intervention after receiving comprehensive training. Further, the findings provide additional tentative evidence regarding the importance of a high dose frequency for phonological outcomes, and raise important questions regarding the roles of dose, language and motor learning in phonological interventions. The results also provide insights into the effects of tailoring in interventions for phonology-based SSD, which may afford an avenue for identifying the active ingredient or combination of ingredients needed for optimal outcomes. Finally, this study adds to the evidence-base for the multiple oppositions approach by showing that it can efficiently promote phonological learning for some children with moderate and severe SSD, and lead to meaningful changes in their communicative participation. Outcomes of the study are available at: pubs.asha.org/doi/full/10.1044/2019_AJSLP-18-0248 The freely-available supplemental materials for this article contain information about how to deliver multiple oppositions intervention and how to adapt it for delivery by trained parents. Numerous presentations have also arisen from the study, and Eleanor continues to pursue her research interest in the clinical management of speech sound disorders in children in her position at the University of Strathclyde in Glasgow. She also likes tweeting about all things to do with speech sound disorders: follow her @ speechiellie.

Cori Williams Senior Advisor Evidence-Based Practice and Research

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December 2019 www.speechpathologyaustralia.org.au

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SPs Abroad

Long term partnerships forged in Nepal

Athena (pictured centre) with colleagues conducting IDDSI testing at the Tribhuvan University Teaching Hospital in Kathmandu.

FOR THE PAST SIX MONTHS ATHENA CHAN HAS BEEN VOLUNTEERING IN KATHMANDU NEPAL. SHE WRITES OF THE AWE INSPIRING BEAUTY OF THE COUNTRY AND ITS PEOPLE, AND HOW HER WORK WILL HELP TOWARDS DELIVERING AND IMPROVING PATIENT OUTCOMES .

For the past six months, I have been awed, inspired and humbled. Awed by the majesty of the Himalayas, inspired by the tenacity of the people and their ability in finding creative solutions, and humbled by their incredible generosity. Since March 2019, as a part of the Australian Volunteers Program, I have been volunteering as a speech pathologist at Tribhuvan University Teaching Hospital (TUTH) in Kathmandu, Nepal. My role here is to help establish a swallowing service and clinic, build the capacity of the local speech pathologists, raise awareness of speech pathology in the healthcare community, and contribute to enhancing service delivery and improving patient outcomes at TUTH. Speech pathology services in Nepal Speech pathology services in Nepal were founded by a dual trained audiologist and speech language pathologist in 1988 at TUTH. Over 30 years, Nepal’s audiology and speech language pathology profession grew from a single person working in a small room on hospital grounds to approximately 50 dual-trained clinicians working across the country. Clinicians here generally worked in both professions, with the majority being recent graduates from India. They have limited to no access to regular clinical supervision or support.

Tribhuvan University Teaching Hospital is one of Nepal’s major tertiary teaching hospitals, providing both inpatient and outpatient services. Nepalis from all over the country come to TUTH, sometimes travelling over 14 hours to receive services. Working with limited resources and limited qualified personnel, there is also a lack of research normed to the local language and culture. Subsequently, clinicians are forced to improvise, often leaning on strategies developed from clinical experience. Volunteering as a speech pathologist in Nepal Volunteering has the power to touch the lives of people you meet, and to challenge and broaden your world view. For me, this is something that has interested me since high school. Whether it was because I wanted to experience living and working with people from culturally diverse backgrounds, or because I had the desire to share skills and knowledge to make a positive impact on the lives of others, these factors led me to both pursue speech pathology and ultimately to volunteer internationally. In adjusting to life in Kathmandu I have been through the usual peaks and troughs of living and working in a developing country. Not speaking the language makes it difficult to truly comprehend this intricate cultural web. Apart from being an outsider, some professional challenges have included:

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SPs Abroad

RIGHT: Athena heading into the hospital in Kathmandu to begin her work. BELOW: Athena and collagues attending a voice clinic with ENT doctors and hard at work preparing a presentation.

- Adjusting to a healthcare system with poor communication procedures, shortage of healthcare professionals and a strong emphasis on fast-paced healthcare. - Working with limited resources and having to find creative solutions to problems. For example, introducing the International Dysphagia Diet Standardisation Initiative and attempting to source financially viable thickening powder alternatives that the local population could purchase. - Limited access to clinical support. However, after taking six months to find my feet and feel somewhat settled into the role, I am grateful to have now found a mentor through SPA who I can exchange ideas with and who can help support my professional growth and development. Of course, with this unique opportunity there have been many highlights, including: - Collaborating and networking with international colleagues from many different backgrounds. Working cross- culturally has supported the sharing of knowledge and skills, encouraged innovation, and supported our growth professionally and personally. It is rewarding to show our local colleagues the value of interprofessional collaboration to improve patient care and outcomes. - Presenting to healthcare professionals, organisations and associations across Nepal to raise awareness of speech pathology. Advocating for speech pathology internationally has been a great privilege. - Working closely with ENT colleagues who are graciously teaching me to scope. At the half-way mark of my assignment, it feels like I have surmounted a hill only to discover the Himalayas towering in the horizon. Speech pathology services in Nepal have a long road ahead to achieve the same professional standards and network of services we have in Australia. I am hopeful my presence here is the beginning of a longer- term partnership where other volunteers will also be able to contribute now and into the future. I hope together we can grow the awareness and quality of our profession internationally. As my colleague said to me during our first meeting, “If it doesn’t happen in this lifetime, it will happen in the next life”. If you are interested in finding out about other opportunities with the Australian Volunteers Program, please visit: www.australianvolunteers. com Written by Athena Chan Photos by Kashi Samaraweera

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December 2019 www.speechpathologyaustralia.org.au

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From Kenya to Australia

David Rochus enjoyed many learning experiences during his time in Australia including networking at the National Conference dinner (below).

My learning experience By David Rochus

There is an old African proverb that says, "birds sing not because they have answers but because they have songs.” My name is David, I’m a speech-language pathologist trained in Uganda and currently practising in Kenya. In June 2019, I attended my first SPA conference – and it was such an exciting learning experience. So, likening to that African bird, that experience is my song! Speech pathologists in East Africa are sporadically spread out across the 2,467,202 square kilometre region. The profession is currently seeing a boost with the establishment of new training programs at regional universities. There are limited chances of CPD for the local, practising SLPs. I’ve utilised online CPD platforms to get the latest information but the question might be, what cost or quality are such CPDs? I’ll refer to my experience as "learning visit" rather than just "attending a conference" because it was exponentially beneficial. Here I’ll summarise some of the impacts that information has had on my practise: • Better integration of reading and writing support in management plans: when working with toddlers and pre-schoolers, I now demonstrate and suggest activities that would give them foundational knowledge towards acquisition of reading and writing skills. For example, reading to and with children in homes is something that

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