Speak Out October 2020 DIGITAL EDITION FINAL

SPEAKOUT OCTOBER 2020 THE MAGAZINE FOR AUSTRALIAN SPEECH PATHOLOGISTS SP Week 2020

ALL YOU NEED TO KNOW ABOUT THE 2020 CODE Ethics in private practice and early career speech pathology NDIS AND ETHICAL DECISION MAKING The Ethics issue

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October 2020 | Speak Out

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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 Chyrisse Heine – Vice President Communications Maree Doble – Vice President Operations Copyright © 2020 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 Letters may or may not be published in future issues of Speak Out magazine at SPA’s discretion.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. speechpathologyaustralia.org.au to view the 2020 Speak Out ad kit. Any queries may be directed to SPA Publications Manager Advertising booking dates for December 2020 Speak Out . The official booking form must be received at national office by COB 12 November, 2020. 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. Print Post Approved PP349181/01711 Print ISSN 1446-053X Digital ISSN : ISSN 2208-7125 Brooke Sanderson – Director Bronwyn Sutton – Director Kathryn McKinley - Director Alison Smith - Director T 1300 368 835 E publications@ speechpathologyaustralia.org.au

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Do you have an idea for a story?

If you have an idea for a story that you think may be of benefit to the profession and membership it could be suitable to publish in Speak Out. We'd love to hear from you. To receive the editorial/ contributor guidelines please contact the Publications Manager Rebecca Faltyn, rfaltyn@speechpathologyaustralia.org.au Speak Out Branch Editors Please see the website for Branch Editor contact details. Connect with the profession Speech Pathology Australia supports a number of member communities on Facebook. These popular communities allow members to share information, collaborate and provide mutual support. Members may join and participate in as many groups as they like. You will need to make a request to join each group and can remain a member of the group/s while you are a SPA member. Please remember, the member communities are not a forum for advertising products, services or events. Acknowledgement We acknowledge the Traditional Custodians of lands, seas and waters throughout Australia, and pay respect to Elders past, present and future. We recognise that the health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples are grounded in continued connection to culture, country, language and community. Do you have a question about your membership? The Association's membership team remains available to answer any of your questions about your membership or member resources. Call: 1300 368 835 Member communities

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Speak Out | October 2020

Contents

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Features

Regulars

The COVID Curveball - Impacts on higher degree research students Member perspective - Working in mental health and justice New ways of working : TBI clients staying connected

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From the President

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Ethics Feature All you need to know about the 2020 Code of Ethics Speech Pathology Week celebrations Professional Education news

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Member research Grants

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Cover pic: The Rubik's cube video was highly watched duing the Association's Speech Pathology Week celebrations. . 20

National Conference news

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In Practice - What is procedural fairness?

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Winning innovation - Say Bananas!

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NDIS Audit under the NQSF

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Branch News

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October 2020 | Speak Out

From the President

If 2020 has taught us anything, it’s that disruption is the mother of innovation. My little innovative idea at work is the establishment of a, “you’re on mute” jar. At some stage, travel may well be back on the cards, and I reason that if I add a couple of dollars every time I hear someone say this phrase during a teleconference, I should have a tidy little sum to get me a mini-break by the time flights become a possibility. As far as the concept of innovation goes, I’ll admit this is pretty small fry in comparison to what’s going on amongst the Association, and you’ll read about loads of much better initiatives here. Congratulations to Professor Kirrie Ballard and her team in the development of ‘Say Bananas’, recognised this year through Speech Pathology Australia’s Innovation Awards. With many Australian families struggling to assist children with their regular school tasks at home, the development of an app to increase dosage for speech sound disorders will come as a relief both to families and their treating speech pathologist. In this issue, you will also read how many of the Association’s prominent strategic projects have been able to progress, even in the era of “you’re on mute”. A large section of this issue quite rightly focuses on the Association’s Code of Ethics, due to be launched officially later this month, co-occurring with Global Ethics Day. This cornerstone document sets the tone for how we act as a profession, and what our culture involves. It would be difficult to estimate how much care and time has gone into crafting this document. The Ethics Board and Trish Johnson (Manager of Ethics and Professional Issues) have devoted so much to this, incorporating the contributions of many members and external stakeholders. I’m looking forward to seeing how the interactive tools help us with the diverse questions we ask ourselves on a daily basis. Danielle McGettigan and Dylan Mraz from the Early Career Reference Group have penned an interesting article in this issue, looking at how clinical supervision sessions can use the Code of Ethics to guide conversations and decisions. The disruption also shaped Speech Pathology Week activities in a way that increased our profile online and through the media. Michael Kerrisk (Communications and Marketing Manager) breaks down our reach through the week via our official channels, and within our State and Territory Branch reports, you’ll read about several initiatives that were implemented throughout the week. I’m especially impressed by Victorians managing to throw together a Schwa Day and Trivia night from the confines of their own home, while other Branches moved out into their community across the Nation. Certainly, we weren’t on mute. Despite all the disruption we’re still moving forward, as always exploring and cementing what being a member of Speech Pathology Australia really means. The Association is moving into its Innovate phase of the Reconciliation Action Plan. I am really pleased to say that, just as the Association published its Response to Racism earlier this year, a pleasingly large amount of thoughtful and considered feedback was received, which invigorates us in our commitment to strong collaboration between the profession and First Nations peoples. Let’s keep this momentum going, through this period of disruption. You will see that there are several opportunities to “go off mute”, if you so wish, and help shape the future of our profession. If research is your thing, there are opportunities opening with JCPSLP. If you are early on in your career, the Early Career Reference Group is seeking new members for 2021. If you work alongside someone extraordinary, it’s time to recognise them through the SPA awards. And, if you are a strategist with a love for the profession, nominations to join the Board of Directors have just opened. So, don’t make the costly mistake of thinking this year of disruption means you should stay on mute. You’re a part of this incredible gang that we call Speech Pathology Australia. Click off the muted microphone icon and make your mark!

Tim Kittel

Tim Kittel National President

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Speak Out | October 2020

Association NEWS

Board Meeting Report AUGUST 2020

The third Board meeting for 2020 was held virtually, on Friday 28 and Saturday 29 August 2020. The meeting included two highly informative presentations. The first on the topic of Ethics was presented by the Association’s Ethics Board Chair, Dr Trish Bradd and Manager, Ethics and Professional Issues, Trish Johnson. The second on the topic of Association’s Governance, focused on the composition of the Board of Directors and was facilitated by Denys Correll from Association’s Forum. A range of items were discussed during the meeting, with some of the key points outlined below: 2020-2022 Strategic Plan Acknowledging that there has been significant disruption to the progress on certain key deliverables of the new Strategic Plan due to COVID-19, the Board was pleased to review the overall progress report outlining work taking place across a range of strategies. The Board also reviewed the previously identified priority projects noting certain revised timelines. The current priority projects remain as follows: • Develop a framework for identifying advocacy priorities and forming strategy, being cognisant of current government policy, and utilising available evidence and data. • Engage with PHNs and other local networks to support identification of specific local community needs and gaps in access to services. • Communication Access: Terminology and national standards development. • Build a range of promotional campaigns that have consistent messaging to increase general public awareness, and that of other professions (e.g. GPs/ PHNs, teachers/principals), regarding communication disability and swallowing difficulties as well as the breadth of role of speech pathologists. • Build evidence of the impact and cost benefit of speech pathology services. • Conduct speech pathology profession workforce analysis. Part A – Capture and Understand the workforce trends to identify strategies to support the profession now and into the future. 2021 National Conference After careful discussion, and given advice received on continuing risks and disruption due to COVID-19, the Board has agreed to approve that the 2021 National Conference proceed as an online/virtual conference only.

The National Conference Manager and Northern Territory Conference Planning Committee will continue to plan and coordinate the Conference, with information disseminated to all members via eNews on Tuesday 2 September. Reconciliation Action Plan (RAP) The ‘Reflect’ Reconciliation Action Plan has now concluded, with Reconciliation Australia indicating that a number of incomplete items can be rolled into the ‘Innovate’ Reconciliation Action Plan. The ‘Innovate’ Reconciliation Action Plan is now in draft format, with this to be released shortly for feedback. University Accreditation The Australian Catholic University Bachelor of Speech Pathology and Bachelor of Speech Pathology (Honours) at the Melbourne, North Sydney and Brisbane campuses and Charles Sturt University’s Master of Speech Pathology program were awarded Full Accreditation for a period of 5 years. Branch Chair and Vice Chair recognition The Board is pleased to acknowledge and recognise the significant contribution of members holding key Branch Executive positions, with Branch Chairs and Vice Chairs to be offered certain National Conference and professional development offerings, within the year of their tenure. National Office The significant impacts of COVID-19 restrictions continue to be felt within Victoria, where Speech Pathology Australia’s National Office is located. Accordingly, all National Office staff continue to work remotely. In acknowledging the significant level of work undertaken by staff during this time, the Board of Directors has approved the CEO’s recommendation to provide two additional leave days to support staff well-being and in recognition of the continuing strong efforts. Accordingly, the National Office will schedule to be closed on Monday 2 November and Thursday 24 December (ahead of the Melbourne Cup Public Holiday and Christmas closure period, respectively). In addition, it was noted that staff have been provided access to a new Employee Assistance Program. A range of policies relating to staff employment and industrial relations were also recently reviewed and adopted by the Board. The Board will next meet on Friday 27 and Saturday 28 November 2020. This meeting will include consideration of the Association’s 2021 financial budget. The format of this meeting will be confirmed in late October.

Gail Mulcair Chief Executive Officer

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Association NEWS

Call for nominations Speech Pathology Australia Awards SPA acknowledges excellence in speech pathology practice and the voluntary work undertaken by members through the following nationally recognised awards. 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 forms. Awards for 2021 close on Friday 26 February 2021. Late submissions will be considered for 2022 awards. For more information visit the website or email execassist@speechpathologyaustralia.org.au

Call for Board nominations

In accordance with Speech Pathology Australia’s Constitution, nominations are currently sought to fill three upcoming vacancies on the Board of Directors. Please note: Under the current Constitution the Association cannot have any more than two Directors from any one state or territory. Given that there are two Queensland based Directors continuing in their current term, the Association cannot accept nominations from Queensland based members on this occasion. Speech Pathology Australia’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 and as such, many Directors have never previously undertaken a role with similar legal, financial and strategic management responsibilities. Every possible support and assistance is provided by experienced 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. Board nomination forms and an information package are available on our website. Each nomination must address key selection criteria and completed nomination forms must be received at National Office by Sunday 31 January 2021. (Late nominations cannot be considered). The appointments will be effective from the 2021 Annual General Meeting in May 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 four nominations are received. For further information, please see the Director Position Description, (contained within the Policy and Procedures Manual available on Speech Pathology Australia’s website), or contact the Association’s Chief Executive Officer, Gail Mulcair, gmulcair@ speechpathologyaustralia.org.au

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Speak Out | October 2020

Association NEWS

Join the clinical journal

Expressions of Interest: JCPSLP Editor The Journal of Clinical Practice in Speech-Language Pathology (JCPSLP) is Speech Pathology Australia’s major clinical publication and provides a professional forum for members of the Association. It is published three times each year. The Editor, with support from an Editorial Committee, is responsible for ensuring each issue of JCPSLP contains a range of material that appeals to Speech Pathology Australia’s broad membership base. The term of appointment is two years (2021/2022) following a proposed handover period to commence in December 2020 with the existing editor. An honorarium is paid to the incumbent. All applicants must hold current membership of the Association. The Editor must have strong organisational skills and experience meeting deadlines and budgets, as well as broad professional experience and professional networks. While not essential, experience in editing, writing and publishing is highly desirable, as is a higher degree qualification. Applications may be from individuals or a joint Co-Editor application. Please email National Office via execassist@ speechpathologyaustralia.org.au to obtain further details about the position. Expressions of Interest, including a brief CV, should be emailed to Gail Mulcair, Chief Executive Officer by Friday 30 October, 2020. Email the Association's Publications Manager should you require any additional clarification regarding the role. Sign up to receive IJSLP new article alerts Did you know that you can sign up to receive alerts about new published articles in the International Journal of Speech Language Pathology? It takes only a minute to sign up. Go to the website: www.tandfonline.com/toc/ iasl20/21/5?nav=tocList and click on 'New Content Alerts'. This will let you know every new paper that comes online as well as the full issue. Happy reading!

Expression of Interest: JCPSLP Editorial Committee Members The Association is seeking expressions of interest for two members to join the Journal of Clinical Practice in Speech Language Pathology editorial committee. The editorial committee works with the Editor to deliver high quality material that has broad appeal to the Association’s membership. The appointment is for two years. Editorial committee members must be a current member of Speech Pathology Australia, have good organisational skills and experience in meeting deadlines, and have broad professional experience. While not essential, experience in editing, writing and/ or publishing of manuscripts, experience in reviewing

manuscripts for publication and a post graduate degree are highly desirable. Email the Association’s National Office to obtain further details about the position. Expressions of Interest, including a brief CV, should be emailed to the Association's Chief Executive Officer by Friday 30 October, 2020. Email the Association’s Publications Manager for any additional clarification regarding the role.

JOURNAL OF CLINICAL PRACTICE IN SPEECH-LANGUAGE PATHOLOGY

Journal ofClinicalPractice in Speech-LanguagePathology Journal ofClinicalPractic in Speech-Lan a e l Volume 22 ,Number 1 2020 Volume 13 ,Number 1 2011 Expanding possibilities: Foci on reading and interdisciplinary practices Multimodal communicatio

In this issue: Statistical Learning andReading

Oral vocabulary and reading comprehension

GraphemicBuffer Impairment inAphasia

ResearchwithinHealth inQueensland

TheValue ofAlliedHealthAssistants

Volume 22 ,Number 1 2020

Speech-language pathology in theNorthern Territory Speech-language pathology assessment in diagnostic evaluation ofASD Health andwellbeing outcomes after returning towork /study following acquired brain injury

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Speak Out | October 2020

Ethics

The 2020 Code of Ethics What you need to know in five questions!

What is new? There is new and expanded content to reflect a focus on human rights and that, by taking a person-centered centred approach in their professional work, speech pathologists demonstrate respect for all diversity. However, much of the content will also be familiar to members, and it has been streamlined to ensure members know where to look for information that will guide their decision making. In addition to this, the new look and format is designed to ensure members can use the Code of Ethics to help make everyday ethical choices and to ensure that members have the resources and informational supports to consider all issues and come to the decision that is right for the situation. These resources include FAQs, self-audit tools, definitions and external links. How should it be used? Speech pathologists make decisions everyday that involve ethical issues so consulting the Code of Ethics should be second nature when coming across an everyday ethical dilemma. Members can either navigate directly to the section in the Code on the SPA website look at the resources that are associated with it, if they know. Or, If they aren’t sure where this is, the flipping book has a search feature, put the key phrase into this and read the sections it brings up then pick the section and resources

that best fit the individual context and need. How will it help in daily practice? We all face situations and have ethical dilemmas everyday that require us to make ethical choices, these may range from a simple decision about record keeping to a complex situation about separated parents. For these and everything in between there are resources designed to help make informed, and ethically appropriate choices. These will be updated, and new resources will be generated as needed, so members are encouraged to contact Speech Pathology Australia if they have requests or suggestions. Where can it be found? The 2020 Code of Ethics is available as text on our website, or a flipbook/PDF, which are best for printing it or downloading a copy. Look for it under the ethics tab on the SPA website. Still have questions? We are happy to speak with members further about the Code of Ethics, these resources or help problem solve any ethical decisions members are facing. Contact us ethics@speechpathologyaustralia.org.au

Trish Johnson Manager Ethics and Professional Issues

Code of ethics

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October 2020 | Speak Out

Dr Patricia Bradd Chair Ethics Board As someone passionate about high standards of ethical clinical care, it was a privilege to be involved in the review of the Speech Pathology Australia Code of Ethics in my role as Chair of the Ethics Board. The revised Code was informed by extensive consultation with members from all across Australia, along with other key organisations and stakeholders. A dedicated and hard-working subgroup from the Ethics Board spent countless hours alongside our SPA Ethics team (Trish and Nadia) considering feedback from members as well as information on best practice internationally from both speech pathology and other professional associations as we shaped the new document. The team aimed to make the revised Code accessible and relevant to members, whilst embedding the core elements of diversity, human rights, client autonomy and evidence-based practice. Our hope is that you find the revised Code of Ethics both valuable and useful in your professional life. The revision of the Code of Ethics has provided us all with an opportunity to reflect more closely about what are the important ethical benchmarks we wish to promote for members of our profession. With so many changes to the profession in recent years, as well as developments in preparing our students to enter the profession, we need to be crystal clear about what our expectations of professional behaviour are. Increasingly, members of the public, our consumers, are consulting our code of ethics when they are concerned about how they are treated or what they have experienced from speech pathologists. Thus, it has become increasingly important that we needed to revise the code in terms of its language, clarity and relevance to current (and foreseeable) practice. Members of the Ethics Board hope the revision will be helpful to all speech pathologists, wherever they work, in their everyday practice and as they manage their careers, alongside to the newly designed lifelong Professional Standards for Speech Pathologists in Australia. Reviewing the Code of Ethics was an opportunity to reflect on the values that inform and drive how speech pathologists interact with others and behave in their workplaces. Values are core to professional practice and during the Review of the Code, it was important to articulate values that meaningfully reflect our expectations of ourselves and our colleagues. The revised Code clearly expresses our ethical values, incorporating the dynamic nature of our profession and contemporary understanding of what ‘being ethical’ means; a powerful message for our profession and the community. Values, in the revised Code, clearly draw upon person and relationship- centred care, respect for the unique characteristics of individuals and communities and the importance of building communication accessible communities. The values also reflect our understanding of professional community and building a professional culture that respects and cares for all members. SPA 2020 Code of Ethics Ethics Board member reflections Dr Susan Block Senior Member Ethics Board Dr Belinda Kenny Senior Member Ethics Board

Ethics

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Dr Tanya Serry Elected Member on the Ethics Board

It is a great honour to be part of the team that has sat behind the development of the 2020 Code of Ethics. Although I have clocked up many years as a speech pathologist, I am one of the newcomers to the Ethics Board. I have been guided by the wisdom of many in my own small contributions to the 2020 Code of Ethics and have delighted in the way that our new code reflects our contemporary society.

Mr Tristan Nickless Elected Member Ethics Board Collaborative Optimal Dynamic Engaged

CODE 2020 is the result of comprehensive consultation with an engaged membership. The final result was by no means an accident. Rigorous processes demanded at the inception of the review, led by Trish Johnson, Suze Leitao and Trish Bradd, guided the subcommittee in delivering a contemporary code for today and also for the future. The undertaking was enormous: facilitated workshops encouraging contributions from our diverse profession; over 700 submissions collected via survey; and content analysis of results. The Code of Ethics 2020 captures the values, principles and standards of our dynamic profession. It will indeed guide our ethical principles for the next decade. Congratulations to the membership of Speech Pathology Australia. An unparalleled result: CODE 2020. you ' re invited ! Speech Pathology Australia is launching the new Code of Ethics via an online event.

Ethics

Reflections on ethics by the CEO

While reflecting on the new Code of Ethics for Association members, I was drawn to the parallel of the ethical conduct also expected of our Association staff and volunteers. We have noted that the SPA Code of Ethics guides and informs everyday professional practice and should be used by members in a proactive manner. So to, should all staff and volunteers strive to provide ethical and professional practice in our daily interactions with members, colleagues, other professionals and importantly, the general public. Recently a new Code of Conduct policy has been developed to guide the behaviour and conduct of staff and volunteers. The values and principles by which staff and volunteers are expected to uphold are drawn from the Association’s Strategic Plan as well as the Association’s Code of Ethics. While expressed slightly differently, the values Hear from leaders in the profession Meet the Ethics Board Co e of Ethics Q and A

echo those expressed also for members and include: Cultural responsiveness; Excellence; Innovation; Person-centred practice; Professionalism and Ethical Practice. Staff and volunteers “sign up” to adhere to the following expectations, to perform our duties: Ethically; Diligently; Impartially; Responsively, and Professionally.

Members, volunteers and staff alike are committed to behaving and conducting our business at a very high standard and with the utmost professionalism. It’s a shared responsibility.

Gail Mulcair Chief Executive Officer

you ' re invited ! Speech Pathology Australia is launching the new Code of Ethics via an online event. Hear from leaders in the profession

Join us via Zoom at 3:00pm AEST Wednesday 21 October 2020

Meet the Ethics Board Code of Ethics Q and A

Register for the launch here

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October 2020 | Speak Out

Ethics

Ethics and private practice

“We act ethically and legally when we own or manage a business.”

support and advice: psa@speechpathologyaustralia. org.au When setting up a business it is important to comply with all relevant legislation, standards and procedures. SPA’s information about Small Business Resources contains information about Safework Australia, Fairwork Australia, the Australia Government Business portal and supports available from individual state and territory business organisations. See: www.speechpathologyaustralia.org.au > Resources for Speech Pathologists > Professional Resources Promotional, marketing and advertising materials should be accurate, objective and based on clincial evidence. Advertising your business is important; however, as you develop your website, advertise your business through social media channels and use other forms of advertising, make sure you review SPA’s advertising resources including the Code of Ethics- Adverting Policy, examples of ethical advertising and a practical self-audit tool: www.speechpathologyaustralia.org.au > Ethics > Advertising If you have been an employee or contractor in a private practice prior to starting your own practice, then it is important to avoid conflict of interest and conduct a private practice in competition with an employer without appropriate disclosures or requests. See SPA’s FAQs about

The Code of Ethics 2020 reflects the changing face of service delivery in the speech pathology profession and the increasing number of members who now work in private practice. When running a business, either as sole provider or when engaging staff, there are sections in the Code that provide members working in private practice with explicit guidance to ensure ethical practice underpins decision making. Below is reference to some of the key standards in the updated Code and resources the Association has available for members to support the work being carried out in the private sector. All private providers need to ensure you have access to appropriate supervision and support both for yourself and any staff. Supervision ensures you are supported and engaged in critical reflection about your practice and that your work is competent, and any continuing professional development needs are discussed and made provision for during a specific time frame. In addition to supervision of clincial skills, you may also want to engage with supports to develop your business skills. See the Association’s information about supervision that also includes links to SPA’s Supervision Register: www. speechpathologyaustralia.org.au > Members > Clinical Supervision . Members can also contact Nate Cornish-Raley, SPA’s Professional Support Advisor for

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Restraint of Trade and Conflict of Interest for more information. If you are employing or engaging staff it is your professional responsibility to inform them fully about the terms and conditions of your relationship with them and respect and comply with industrial and professional entitlements. The Professional Resources page on the SPA website has links to documents about contracts, awards, wages and employment conditions, engaging staff and the differences between an employee and contractor. Members can also access the services of WorkPlacePLUS for free initial advice about HR supports. When providing professional services, policies and procedures need to be communicated and shared with all staff and clients in a responsive and timely manner. SPA’s Private Practice Policy and Procedure Manual and associated templates includes a comprehensive list of frequently requested policies and procedures that can be adapted for your practice. This can be found on the SPA website at Private Practice Essentials. This document is currently being updated and will soon also include policies about complaints and grievances; performance management, harassment, bullying and discrimination, and code of conduct. For supports to manage secure storage of digital and other files and best practice regarding privacy and security of personal information see SPA’s FAQ about Health Records and SPA’s Private Practice Privacy Guide and templates. The Guide contains sections on the Australian Privacy Principles (APPs) and how they relate to private speech pathology practice, a step-by- step guide to developing a Privacy Policy, information on retention of personal information and information on how to protect the privacy of clients’ personal information when selling or closing a business. The Guide can also be found on the Private Practice Essentials page of the SPA website. National office staff are always happy to answer members’ questions and support you to ensure ethical practice and decision making about the way in which you manage your business go hand in hand. Contact: advisor@speechpathologyaustralia.org.au

Guide to report writing

Section 2.2 Accurate and timely information (Code of Ethics (2020)) and SPA’s updated Guide to Report Writing "We make sure that information we provide is clear, accurate and sufficient, and that it is provided in a timely manner. We communicate in a respectful and professional way. We provide information that is accessible and understood by clients, their families and significant others. This includes information relating to assessment, reports, and evidence- based practice and the implications of these." Alongside the launch of the updated Code of Ethics, Speech Pathology Australia has also released the updated Guide to Report Writing that is intended to apply across a range of sectors and speech pathology practice areas. The Guide contains general report writing information that is transferable across populations, practice areas and contexts. Members can access the Guide at www. speechpathologyaustralia.org.au > Resources for Speech Pathologists > Professional Resources The Association would like to thank Harmony Turnbull for her work in developing this Guide for members. Harmony outlines some of the key issues faced when developing this new guide in the Association’s recent podcast Discussions around the Guide to Report Writing

Nichola Harris Manager Professional Practice

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October 2020 | Speak Out

Ethics and early career speech pathologists

Early Career Reference Group members, Danielle McGettigan and Dylan Mraz, interviewed a group of Early Career speech pathologists to discuss the role of ethics for those entering the profession. Early Career speech pathologists are presented with unique ethical considerations that differ from their experienced and veteran colleagues. The majority of the speech pathologists who spoke with Danielle and Dylan reported feeling supported with ethical matters during supervision and through interactions with colleagues. Whether selecting evidence-based treatment approaches, managing complex family issues, or completing administration tasks, they felt they had received adequate guidance based on the values, principals, and standards of practice in the Code of Ethics. However, some of these clinicians also identified ethical situations that they felt were difficult to navigate at this stage of their career. A few of the speech pathologists

CPSP status. Early Career members who have questions can find information about this at the Speech Pathology Australia website, on the Early Career Facebook page , or by contacting the Professional Self-Regulation Advisor at psr@ speechpathologyaustralia.org.au. These Early Career speech pathologists also remarked that recording learning modules and other Continuing Professional Development on the Professional Self-Regulation (PSR) log, (available as a downloadable form or online from members’ account page), made them reflect on how much they had learnt during their first year in the workplace. As a group they were pleasantly surprised at the diverse ways they had attained knowledge, including through social media, participation in workshops, and reading journal articles. Most had used the online log to keep a rolling account of their activities. A few, who had to compile their activities on paper before the renewal deadline, regretted not updating their activities regularly. Participation in regular clinical supervision helps speech pathologists work within their professional scope of practice and find support in managing ethical issues. The Early Career members who were interviewed stated that they had access to many more hours of supervision than the minimum 12 hours required to move from Provisional to Full CPSP status. Most of these clinicians received the recommended one hour of supervision per week. Whilst participants reported that elements of the Code of Ethics may not have been explicitly discussed in their supervisory meetings, they found these meetings were absolutely essential in the development of their clinical skills and were in turn guided by best practice and the Code of Ethics. Participants remarked that the 12 hour requirement seemed achievable, and even low when compared to the impact supervision had in their development as a speech pathologist. Early Career members are reminded that time spent in Supervision and other professional support counts toward their PSR points. You can learn more about the Supervision Standards and even use the online register to find external supervision on SPA’s website. Dylan Mraz and Danielle McGettigan Early Career Reference Group Members

Ethics

interviewed found it difficult to advocate for themselves when it challenged their employer’s business operation model. This might include needing to see a client for a longer session in order to implement a treatment approach with fidelity or working with a reduced caseload to ensure adequate preparation and administrative time. Similarly, work with the National Disability Insurance Scheme (NDIS) has seen some Early Career professionals feeling pressured to serve clients whose needs are outside of their personal scope of practice. Participants also spoke about the requirements to transition from a Provisional to Full Certified Practising

Speech Pathologist (CPSP). These Early Career members agreed that the case studies in the Ethics Module encouraged reflection on how ethics can be applied to their practice, even where case studies did not directly apply to their current workplace. Each of the clinicians interviewed completed the ethics modules individually and did not reflect on information or case studies with their colleagues, which can be a helpful exercise. A few of the participants reported some difficulty understanding the requirements to move to Full

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Speak Out | October 2020

Ethics, Supervision, and Mentoring

PROFESSIONAL SUPPORT PARTNERSHIPS, SUCH AS CLINICAL SUPERVISION AND MENTORING INTERACT WITH ETHICS IN NUMEROUS WAYS. THE ASSOCIATION'S PROFESSIONAL SUPPORT ADVISOR NATHAN CORNISH-RALEY EXPLORES THE VARIOUS FACETS OF THE RELATIONSHIP BETWEEN PROFESSIONAL SUPPORT AND ETHICS.

Professional Standards, 2.4 A. “We participate in professional development, supervision and/or mentoring to develop knowledge and skills relevant to our roles and to maintain currency.” B. “We engage in development opportunities, supervision and mentoring to enable responsive and reflective services that meet the preferences and needs of people from diverse cultural, language and social backgrounds. These standards apply to all members of Speech Pathology Australia. They emphasise the need for professional support throughout one’s career – not just as an Early Career member or when beginning a new area of practice. Ethical practice requires speech pathologists to understand which type of support will provide them with the best information to answer clinical and professional questions. Where it is necessary to review specific client information in detail, support must be confidential and permit a thorough discussion. Where making clinical decisions based on evidence and professional standards, support must come from a knowledgeable and accountable source. Where engaging in professional development needs, support must be skilled in identifying appropriate resources and guiding the learner through critical reflection. Some of these elements can be best achieved, or only achieved, in the context of supervision or mentoring.

Our ethical obligations create a need for professional support. That support, in turn, is guided by ethical standards. Finally, supervision and mentoring partnerships are often a space where ethical issues are managed, and principles of ethics are learned or reinforced. Ethical practice requires supervision and mentoring At many points in their career speech pathologists encounter questions or situations that are outside their personal scope of practice or experience. One of the most helpful tools for fulfilling our ethical obligations in these circumstances is by participating in clinical supervision or mentoring. This is a foundational concept of the profession that it is included in the Association’s core documents: Code of Ethics, 1.1 Professional Competence “We engage in lifelong learning to maintain and continually update and extend our professional knowledge and skills. We do this by participating in professional development and seeking the support of a supervisor…” “We seek education and professional supervision when changing our scope of practice…” Code of Ethics, 1.3 Professional Responsibilities “We take reasonable steps to ensure that we, and those we are responsible for: are supervised by an appropriate supervisor…”

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October 2020 | Speak Out

Ethical principles guide supervision and mentoring partnerships The Association’s Code of Ethics offers guidance on how supervision and mentoring should be undertaken. Each of the points under section 1.2, Professional Conduct can be applied to the support we provide, especially regarding: • Keeping current and complete documentation of the supervision and mentoring offered • Respecting colleagues and the profession • Managing conflicts between an employer’s policies and professional standards or codes of conduct Section 1.3, Professional Responsibilities is even more specific in advising those who manage, employ, or supervise others to: • Treat them fairly and without discrimination • Inform them fully about the terms and conditions of supervision or mentoring Comply with professional entitlements, employment laws and work health and safety laws • Provide fair and constructive feedback • Provide them access to professional development • Ensure they have equitable access to resources Other aspects of the Code of Ethics also apply to these partnerships, including maintaining confidentiality, currency and accuracy of the information we share, skills in offering supervision and mentoring, managing conflicts of interest, and acting with integrity. In addition, the Association’s Supervision Standards offer guidance related to the ethical obligations of supervisors and supervisees. This document includes general principles related to the conduct of supervisors such as what might constitute a conflict of interest, obtaining appropriate training and experience, understanding the limits of confidentiality, and how to manage the dynamics of supervision or any misconduct of the supervisee. Importantly, the Standards also detail supervisee responsibilities such as obtaining informed consent of clients, actively participating in the supervisory process, and ensuring that the supervisor is meeting • • Involve them in decision-making

their needs. This final point can be achieved by engaging in critical reflection, identifying learning needs, and communicating these to the supervisor. Ethical reasoning is developed during supervision and mentoring Mentors and supervisors help those they support to understand and apply ethical principles to their practice. The Code of Ethics, 1.3 Professional Responsibilities states that when we accept responsibility to supervise someone, “We demonstrate and discuss ethical practice with those we supervise to facilitate their ethical reasoning skills.” In addition, a key principle in the Supervision Standards states, “Supervisors will ensure that opportunities are provided for supervisees to critically reflect on their practice, to discuss impacts of their work and to work through ethical/practice issues or dilemmas.” Supervision and mentoring can be one of the most useful contexts to discuss ethical principles and how they apply to specific situations, and to analyse and resolve ethical issues that occur in practice. These partnerships can also be key in supporting a learner’s development of ethical decision-making skills. Supervisors and mentors may access the various resources offered by Speech Pathology Australia to reflect upon and manage ethical decisions. These include: • Principles-Based Reasoning Decision Making Protocol • Casuistry Approach • The Ethics of Care Approach • The Narrative Approach • Ethical decision making: Should I use this therapy approach? • Ethical decision making. Ethics and professional support have a complex and interwoven relationship. While ethical practice requires supervision and mentoring, it also guides these partnerships, is exercised within them, and is developed by participants.

Ethics

Nathan Cornish-Raley Professional Support Advisor

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Speak Out | October 2020

Ask SPA NDIS and ethical decision making Scenario 1: I have a client I have been seeing

therefore participants and members would need to be aware of the risk of using this item for communication and then being audited/ the use of funds questioned. Providers may be penalised, and self managed participants no longer allowed to self manage their funds. The NDIA will have allocated a certain amount of funds to therapy (including SP) and that is the allocation, they expect therapy to be arranged according to the amount of funds available. If the allocation of funds for speech pathology is not sufficient, the participant or family can ask for a plan review. Participants would also need to be clear that taking money from the core section may mean that they are limiting their funds to pay for core supports (such as assistance with daily living tasks), and that they will not hypothetically have additional funds added in to their plan for these core supports, as they would be expected to budget. Participants may need to prioritise funds for what they see as being essential. When communicating with participants, speech pathologists have an ethical obligation to provide information that is accurate and objective. The onus of responsibility lies on the individual speech pathologist to understand what can and cannot be done, rather than relying on others. Ensuring that we both understand these limits and act within them protects everyone involved. This might result in you needing to have a conversation with the participant or their significant others, that is difficult, but this too is an ethically appropriate choice, as it reflects the values of professionalism and integrity and responsiveness, as well as the principles of autonomy and justice and fairness. Scenario 2: My client’s parent has heard from their plan manager that they can get a new iPad through the extended low cost low risk AT process for telehealth so they have asked me to buy them a top of the range iPad pro and a pencil and a printer to help with school work. They have been told they are entitled to this, but we have been doing the online sessions on their laptop and it’s been working well. What should I do?

for some time around their communication, and they have run out of funds in their capacity building budget for speech therapy. The support co-ordinator has said this is ok, I can keep seeing them and we can just use funds from their core budget, because the client has choice and control over how they use their budget, is that right? A: While the client does have choice and control over their supports, and within some budgets, at present there is limited flexibility across budgets. For instance, now that core budgets are completely flexible, a participant can choose to have additional home support, ‘borrowing’ funds from their unspent consumables budget. It is important to note that if the client uses up all of their funding in their core supports, they may not be able to get any additional funds without a plan review, and may not be able to receive additional funds at all if those supports were appropriately funded, but this money was used for something else. Additionally, many of the core support categories would not be able to be used by speech pathologists, as they are only for specific professionals. For example, items under the ‘Development of Daily life skills’ with a 0117 number can only be accessed by Disability Support Workers, Aboriginal Health Workers and Welfare Workers. At present the only core support items that can be claimed for speech pathology supports are 01_741_0128_1_3 (for over 7s) and 01_740_0118_1_3 (for early childhood), but these can only be used for disability related health supports (e.g dysphagia supports). There is no core item for communication supports, only the regular therapy items under capacity building. As per page 49 of the price guide: “These Disability-Related Health Supports provide care, other than nursing care, to respond to the disability-related health needs of a participant where that care is not the usual responsibility of the health system.” The NDIA’s official stance is that these are for disability related health services ONLY,

Ethics

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October 2020 | Speak Out