Communication - Evidence based literacy intervention Cochlear implant (re)habilitation New expert advisers - New Zealand Speech-language ...
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AUTUMN/NGĀHURU 2020
ISSUE /NGĀ TAKE 38
communication
Evidence based literacy intervention
Cochlear implant (re)habilitation • New expert advisers
Contents
Rārangi upoko kōrero
1 2 3 4 5 6
From the NZSTA Week of action Dear Friend: A fully Welcome to
president Calendar A letter to accessible three new
Waiata my speech- Aotearoa Expert
language Advisers for
therapist 2020
7 8 9 10 12 13
Te Reo o Te The NZSTA What I have Increasing What is a Standards of
Kaumatua Conference been reading treatment Cochlear practice in
2020 efficacy Implant Aotearoa
Who to follow in grammar Rehabili-
intervention tationist?
16 17 18 19 20
Māori & Celebrating Thriving with Members’ Area updates
cultural communication a stutter queries and
development accessibility comments
Cover: Elizabeth Knowles, Speech Language Illustrated, www.speechlanguageillustrated.co.nz
Please contact the editor with your ideas at any time and we will endeavour to accommodate them in the next edition.
Send to editor@speechtherapy.org.nz
ISSN 2324-2302 (Print)
ISSN 2324-2310 (Online)
The NZSTA reserves the right to refuse for inclusion in Communication Matters, any articles, features or advertisements which are contrary to the NZSTA Code of Ethics.
Unless formally stated to the contrary, acceptance and publication of material and advertising does not imply endorsement of views, positions, programmes or products by NZSTA.
Articles may be edited.
From the president
Nā te tumuaki
Annette Rotherham president@speechtherapy.org.nz
The NZSTA is tracking to an exciting and has learnt to trust us as a team and has and well being of our SLTs who identify
positive future. Our vision statement put his faith in the mahi and shared vision as Māori as well providing awhi for our
”A thriving profession, working in we have to improve outcomes for Māori pasifika SLTs as well. Please do reach out
partnership to enhance lives” is a in Aotearoa. Now a huge advocate for to Rukingi and Katrina and kōrero with us.
wonderful vision and from the feedback speech-language therapy, he promotes Shannon has told us in emails about media
we received from the member survey, the profession at every opportunity. coverage, government submissions and
we feel we are definitely thriving. any other important news. Shannon also
2020 started strongly, as we welcomed
The board is strong and dynamic and I Katrina McGarr to the Māori and Cultural co-ordinated an excellent submission
have every trust in the team we have in development portfolio and Shannon to the Ministry of Education around the
2020. We met on Saturday 29 February, Hennig to the Communications portfolio. importance of speech language therapy
in Wellington, to set our priorities and Their mahi is already evident with some and the needs of tamariki with the
goals for the next 5 years. We also meaningful achievements. Implementation Education and Training Bill (number 193-1).
considered how our profession may of our Bicultural plan is well under way A copy of this submission is available on
look in 10–20 years. Much was shared with Kaumatua Rukingi attending the the website. Through the recent regional
and we were energised for the future. orientation ceremony for the Canterbury meetings, I circulated processes for
We reflected on the importance of trust, University BSLP and MSLP Programmes. communications with our admin team,
how we have to trust each other in our There was whakawhanaungatanga with board and regional representatives. We
teams otherwise we would never move Katrina, students and staff. NZSTA are value your feedback and especially ideas
forward. Rukingi talked about how he aiming to bring a real focus to the needs and contributions for solutions to any issues.
Finally, huge thanks to Karen Watson,
who so capably edited our magazine
over the past couple of years. We
appreciated her attention to detail and
her commitment to quality, and we wish
her all the best for her next endeavours.
As we head into the next decade, keep
connected – to our profession and to your
communities – keep making a difference.
Ngā mihi mahana
Annette
NZSTA Board at February strategic planning in Wellington.
Left to right: Rukingi Haupapa, Katrina McGarr, Annette Rotherham, Shannon Hennig, Anna Miles,
Jodi White, Claire Winward.
Communication Matters • 1
NZSTA FEB FEB
Calendar
Rukingi, our kaumatua, attended The board undertook strategic
Some of our recent the orientation of the new planning over a weekend
Association happenings intake of speech-language meeting in late February, and
at a glance... therapy students at Canterbury will have lots more to feedback
University in February. about this as the year rolls on.
FEB FEB FEB
Sally Kedge, Talking Trouble,
represented NZSTA at Access
Alliance People’s Choice
Accessibility Awards for Hui was held with the stroke Liz Doell, from Massey University,
Business, 21 Feb, in Auckland. rehabilitation services at participated in Building on
Winners were recognised by Burwood Hospital, Canterbury Success for All, Ministry
the Minister for Disability Issues, District Health Board, attended of Education hui working
the Hon. Carmel Sepuloni. by Rukingi, Katrina and Annette. on the Education Learning
Support Action Plan.
MAR AUG
Allied Health Aotearoa Our conference in Christchurch
New Zealand (AHANZ) held their continues to shape, under the
AGM and members meeting expert mahi of Conference
on 11 March. Our members Convenor – Julianne Johns;
were represented in this Scientific Programme Chair –
multidisciplinary forum by Annette. Toby McCrae; and Sharon
Broadmore, Kate Cook,
Naomi Grigg and Ruth Ramsay.
Conference Manager – Pamela
Richards – pam@prcc.com.au.
2 • Communication Matters
Week of action Waiata
7–13 September 2020 Are you ready for
#NZSTA2020?
We are really looking forward to
We are looking to building on the great connecting in Christchurch at our
work of past years and need volunteers biannual conference. The conference
to help make 2020 even better. If you theme is ground – aspiring – connected.
want to help with print and digital We are all aspiring to be even more
resources, media contacts, developing connected and to keep moving
events in your regions, and other towards a more bicultural association.
projects, let us know by emailing
With this in mind, we would love for
communications@speechtherapy.org.nz.
everyone to arrive feeling confident to
The goals of our week of action sing along with our association’s two
are to increase awareness of our waiata. Both Tōnā reo and Kōrero can
profession, encourage people from all be listened to on our youtube channel,
backgrounds to consider our profession, with subtitles to help learn the words.
improve the public’s knowledge of
The first waiata includes the word awhi
communication accessibility, and like to create four portraits in a grid of which carries many meanings. It can
to advocate for the rights of all New SLTs working in different areas (such mean a hug, support, to give someone
Zealanders living with communication as hospital, Ministry of Education, an encouraging pull or push, and to
and swallowing disabilities. private practice with adults or help guide someone from where they
We support these goals year around, children, adult disability etc). are to another stage in their journey. •
however September 7–13th is a chance We would love to see your own “candid”
to connect and create some additional shots from their work for Elizabeth to For more information on the conference,
buzz around our great work and ongoing illustrate. If clients are in the photos the conference website is here
goals. This event depends on all of us Elizabeth can maintain their privacy speechtherapy.org.nz/info-for-slts/
and so if you are interested, do reach out! by significantly completely changing nzsta-2020-conference/
Elizabeth Knowles of what they look like, but keeping the
www.speechlanguageillustrated.co.nz integrity of their pose in the image. •
is kindly creating one of her beautiful
illustrations for the cover for the Please forward your images to
awareness week issue. We would editor@speechtherapy.org.nz.
Communication Matters • 3Dear Friend:
A letter to my speech-language therapist
Ten years ago, I had a nasty
car accident and sustained a
severe brain injury. Reflecting
on my rehabilitation journey
these are my several top tips
I would like to pass on to
speech-language therapists.
1
When we’re in Intensive Care, speak
to us like we are here and with you –
like we’re just asleep. We might
not respond but ask our opinion on
things just in case we’re listening.
2 4
Tremendous thanks to Blair, and to
Don’t nanny us – give us time to make Support me rather than totally
MaryBeth Williams from Focus on
our own decisions. We are thinking contribute for me and dive ahead of Potential for this contribution. MaryBeth
but our thought processes might me – give me time to get there. can be contacted at marybeth.williams
take longer. Be patient with us!!! @focusonpotential.com
5
We would like this to be a regular
3
Include me in conversations and editorial in our magazine. We would
Try not to be too intense – use decisions – I may not be able to love to hear from any of our service
humour and make light conversation. respond straight away but I’m users. Please contact editor@
Make it interesting and fun. listening, and it is sinking in. speechtherapy.org.nz if you can help.
6
Think of the positives I can contribute rather
than the negatives – Don’t give up hope. •
4 • Communication MattersA fully accessible Aotearoa
Sally Kedge, Speech-language Therapist and court-appointed Communication Assistant, RMNZSTA (registered member
of NZSTA), Director/Coordinator of Talking Trouble Aotearoa NZ, www.talkingtroublenz.org
The Access Alliance wants Aotearoa These winners spanned a diverse range
NZ to be fully accessible. To showcase of organisations and businesses and
examples of excellence, they held we heard from those who won the
the inaugural People’s Choice Access various categories either in person
Awards held at the Sudima Hotels on or via a short video who talked about
Friday, 21 February 2020 (Sudima was the ways they address accessibility.
one of the nominees and has previously
Those presenting each award talked
earned Silver and Bronze status in the Photo credit: Low Vision New Zealand
about their own experiences of
Be.Welcome assessment programme).
accessibility and when it has not been in
The aim of the Access Alliance is to place. The event was superbly chaired might be snatched away if legislation does
bring about law change in 2020 that will by Amy Hogan, from The Cerebral not require accessibility to be mandatory.
require Aotearoa NZ to have in place Palsy Society of New Zealand. At my table were people whose
accessibility legislation in so it was fitting interests in this topic were varied:
Before the awards began I talked with a
that Hon. Carmen Sepuloni, Minister for
range of people who are passionate about • parents wanted employment
Social Development and Disability issues
what the Access Alliance are working on. opportunities for their adult
attended the Awards event with other
One person expressed concern that the children who have disabilities
Ministers and MPs. Congratulations to
positive changes that have been achieved
the winners in the seven categories. • families wanted accessible toilets,
public buildings and transport
in place so they could be out
Access Alliance People’s Choice award winners: and about in the community
• a couple needed housing that they
Best Accessibility Website Best Accessibility Employer
could get in and out of easily and
IT’S ACCESSIBLE Thumbs Up Charitable Trust
that was set up for their needs
Best Accessibility Education Best Accessibility Service • a parent wanted those who educated
Provider Auckland Provider NextStep NZ her child to understand how to
University of Technology communicate with him effectively.
Best Social Inclusion
Best Accessibility Transport Sign Equity Ltd From a speech-language therapy
Provider Driving Miss perspective, it was particularly
Supreme accessibility
Daisy Mangere Bridge fantastic to hear one of the winners
winner Sign Equity Ltd
Best Accessibility Retailer talk about communication being
The Warehouse Group a ‘human right’. So true. •
Sally Kedge
Communication Matters • 5Welcome to three new
Expert Advisers for 2020
Claire Winward, Professional Development Portfolio / Tūranga Whanaketanga
Sarah Spence, Expert Adviser in Shannon Hennig, Expert Adviser Alison Zani, Expert Adviser
Complex Communication Needs – in Autism and Neurodiversity – in Aphasia.
for children and young people aged 2–21 children and adults.
with a range of complex needs including
communication, physical, learning,
behaviour, sensory, hearing and vision.
Sarah has over 15 years of experience Shannon has over 15 years of experience Alison has over 15 years of experience
working as part of teams supporting working with people of all ages with working in the area of aphasia
children and young people with complex ASD in New Zealand and the USA, rehabilitation and other neurogenic
communication needs in mainstream including 3 years working as an outreach communication disorders in adults.
and specialist school settings, both in coordinator for Autism NZ. She currently She has worked in a variety of aphasia
New Zealand and the UK. She currently works across the Wellington region as a related roles in New Zealand and
works at Kimi Ora Specialist School in private practitioner. She has presented the UK, including setting up support
Lower Hutt. You may remember her at many conferences and recently groups with local networks including
presentations at NZSTA symposiums co-authored a survey regarding the the Stroke Foundation. She currently
in Christchurch and Dunedin. diagnostic experience in New Zealand. works as a private practitioner based
in Dunedin, covering contracts
Sarah is deeply invested in changing Shannon keeps in regular contact with
in Otago and Southland.
and improving the outcomes for all the the international community working with
amazing children and young people people with ASD, and also maintains an Alison is excited by the opportunities
with complex communication needs, active network of professional colleagues afforded by the Expert Adviser role
and sees the Expert Adviser role as and friends who are neurodiverse, so will and already has plans to develop a
an opportunity to further contribute be able to call on a wide range of external national Special Interest Group to
in this area. She is looking forward to skills and knowledge in her Expert provide a forum for SLTs across the
bringing her knowledge, passion and Adviser role. country to keep up to date with
enthusiasm to the role and supporting current best practice and research.
SLTs around the country in the future.
You can contact Sarah at You can contact Shannon You can contact Alison at
sarspen@gmail.com at shannon@inclusive- aphasiaadviser@gmail.com
communication.co.nz
6 • Communication MattersTe Reo o Te Kaumatua
Nā Rukingi Haupapa
Ngā mihi o te wā ki a tātou.
Out of the blue, Professor Katharina hui and connecting; I could go on and
Naswall from School of Psychology, on about it. The main thing is that it was
Speech and Hearing at Canterbury an opportunity and boy did we take it!!
University invited me to support the Nareira he whakawhētai nui ki a Katrina
orientation for their Speech Language mō tana atawhai me tana arahi.
Therapy students, in early February.
Though having never having been a key At the end of February the NZSTA
note speaker before, I accepted and board met in Wellington. The main
quickly contacted Katrina McGarr, who work was reflecting, and then sharing
January was a good time to whakaaro (thoughts) for the future. We
is our new Cultural Advisor. Katrina is a
hoki māhara, to reflect on Canterbury University staff member as also acknowledged outgoing board
members and welcomed new ones.
what we did last year and well as an active Māori SLT across many
groups and organisations that I would/ Something I do know is that there will
think about unfinished or could be interested in. Least to say that always be change. I fully endorse the
new work for this year. Katrina kindly organised a full itinerary for thank you to members who stepped
me connected by kaupapa to our work. down because of completing the time
Having time to meet with Katrina on on the board, or because ‘life just
day one about who we are, what we got in the way’. At the end of the day,
are passionate about, and maybe leading and representing your friends
how we can work together was and colleagues can be tough and
absolutely invaluable. As an old uncle challenging. However, all I have seen is
used to remind me ‘know me before a committed team doing the best for all.
you fix me’; know me before we do Ka hinga mai he tete kura, ka ara mai he
our work. That led on to a stream of tete kura. When a leader steps away from
networking and reconnecting. the position, there is always another to
Meeting staff at the orientation ready to step up and take it. Best wishes to all.
dive into another year of teaching and Finally, wishes to all. Kia mīharo tēnei
supporting, and then seeing 150 excited tau, ko te tumanako ka whakatutukihia
and nervous students and families get i ou hiahia (May this year be fantastic,
ready to learn was simply amazing for me and all your hopes are realised). •
to be a part of. The rest of Christchurch
Communication Matters • 7PO
ST
PO
NED
UN
TIL
20
21
The NZSTA Conference 2020
Aoraki Iho Ake:
Grounded – Aspiring – Connected
Reflecting on Aoraki, the most well-known
maunga tupuna (ancestral mountain) of the
Southern Alps, and on the imagery of Iho Ake
‘from Earth to heaven and everything in between’,
this conference seeks to create a panoramic view
of speech-language therapy in New Zealand
2020 and its local and global partnerships.
Opportunities abound for discussion, connection
and new insights from both research and
practice champions, and exhibitors. Talk with
your colleagues and make a plan now to join us
in Christchurch to contribute your experiences
and draw inspiration from others. •
Please visit the website speechtherapy.org.nz/
info-for-slts/nzsta-2020-conference for all
conference information or email pam@prcc.com.au
8 • Communication MattersBook review
Who to follow
What I have been reading Mā wai e whai?
Ngā tuhinga kua panui i ahau
Selena Donaldson, Speech-language therapist, The University of Auckland
Stammering Pride
and Prejuduce:
Difference not Defect Tune in here:
seehearspeakpodcast.com
Patrick Campbell, Christopher
Constantino and Sam Simpson (eds)
2019 J&R Press Ltd See Hear Speak podcast
Sally Kedge, NZSTA Expert Advisor
At times challenging, this is an astute for Vulnerable Children and Youth,
conversation about the social model describes this podcast series as
of disability, and the relationship “fantastic!” Hosted by Dr. Tiffany
between SLT and people who stutter. Hogan of the Speech and Language
With powerful art, poetry and opinion, (SAiL) Literacy Lab at MGH Institute
this is a valuable read for the clinician of Health Professions, this is a rich
who wants to partner with our resource of conversations with people
clients and be part of society which who care about reading, language and
embraces and celebrates diversity. • speech in the developing child. •
Communication Matters • 9Increasing treatment efficacy
in grammar intervention
Reviewed by Elizabeth Knowles, Speech-language therapist at START, Beyond Words, Speech Language Illustrated
Effective Grammar I attended this workshop to increase my Telicity
treatment efficacy (especially for working Typically developing children tend to
Intervention for Children on past tense). I felt like I wasn’t getting use regular –ed endings with ‘easier’
with Developmental the generalisation I wanted to see in my verbs, and move to more challenging
students. With this opportunity and by
Language Disorder, delving into extra reading (specifically
forms. But what makes a verb ‘easy’?
Past tense verbs and verb phrases can
by Dr Karen Lock Smith. on past tense –ed), my practice and be categorised by telicity: telic vs atelic.
confidence in this area has improved. Telic verbs are complete in the past, that
Hosted by Skill Builders,
Here are some of my key learnings.
Speech Language Therapy.
September 2019.
Images credit: Speech Language Illustrated
10 • Communication MattersComplex codas
which include
– Elizabeth consonant clusters
are the next most
difficult to master.”
is, they have a clear ending. These are fact that the final sound in the verb may A complexity approach
often easier for children to understand also indicate to the child that the verb for grammar?
and produce (Owen Van Horne, & has already been inflected e.g. wanted, Research conducted by Van Horne,
Green Fager, 2015). Owen Van Horne & planted, painted. Surprisingly, the Fey, and Curran (2017), indicates
Green Fager (2015) also outline framing acoustic salience of syllabic morphemes that starting with the more difficult
verbs to increase perceived telicity. does not appear to enhance the child’s verbs promotes greater outcomes
abilities in using these forms. I have noted in terms of generalisation – a
Phonological complexity this in my own practice recently with a “complexity approach” for grammar.
Accuracy with regular past tense verbs child working on regular plurals and we
is influenced by semantic context, needed extra work on these morphemes. Cuing
but phonological complexity is also A comparative study conducted by
Complex codas which include
important when selecting target verbs. Smith-Lock, Leila, Prior and Nickels
consonant clusters are the next most
Syllabic allomorphs, such as ‘waited’, (2015) looked at the efficacy of a
difficult to master. Voicing of the
‘needed’ are most challenging. This formal cuing hierarchy to recasting,
clusters has also been shown to play
may be due to the low frequency of and found that using a cuing hierarchy
a role in complexity, with voiceless
syllabic allomorphs, physical production greatly increased treatment efficacy. •
clusters being less challenging (Tomas,
issues of producing similar segments in
Demuth, Smith-Lock, & Petocz, 2015).
succession (e.g. waited), and also the
References available on request.
Communication Matters • 11What is a Cochlear
Implant Rehabilitationist?
Holly Teagle, Clinical Director of Audiology and Therapy
Ellen Giles, Cochlear Implant Rehabilitationist, Hearing House, New Zealand
Photo credit: The University of Auckland Audiology
starting with a blank slate and building
“What is a Cochlear Implant build the adult’s listening ability and
confidence in what they can hear. skills in a normal developmental manner.
Rehabilitationist?” asked If they are implanted very young, the
The auditory training is based on
our Wellington colleagues. Carhart’s principles (1961) with a
trajectory of spoken language growth
parallels that of hearing children (if
So we asked Holly Teagle, hierarchical approach to development no other medical or developmental
Clinical Director of Audiology of sound awareness, progressing to delays). If they are implanted later and
differentiation of fine speech sounds. have to overcome a longer period of
and Therapy, and Ellen
The listening programme is live voice, auditory deprivation, their habilitation
Giles, Cochlear Implant with coaching with family or friends to follows more of a remedial model where
Rehabilitationist, from Hearing continue the listening work at home they are making up for lost periods of
(ideally 30 minutes daily) and/or critical development and may have
House, New Zealand. gaps in language knowledge.
web based training for self-practice.
The work of the Cochlear Implant (CI)
We use a diverse range of listening Auditory training starts with sound
rehabilitationist (with adults) differs
tasks; analytic and synthetic tasks with awareness, progressing to conversational
to the work of the CI habilitationist
speech and music (even singing!) speech in noisy backgrounds. Singing,
(with child and family).
if that is preferred for listening. parentese, reading and lots of repetition
Rehabilitation is for adults who previously of the primary sounds in spoken English
Rehabilitation is customised to the (learning to listen sounds) are key features
had usable hearing. They are learning
individual’s interests so that it is interesting of therapy in the early stages. Children
to use the electrical signal from the CI,
and relevant to their hearing goals. learn syntax, semantics and pragmatics
relying on their foundational knowledge
Often telephone training is requested. with normal developmental process
of acoustic hearing and speech to
Counselling may be ongoing to assist with if they have good access to sound
relearn listening skills. Therefore a CI
expectations and communication skills. (which the CI typically provides). •
rehabilitationist works on aided speech
perception as most adults have a good While some children may have sudden
knowledge and use of language already. onset or progressive losses, however If you have a ‘burning question’ which
most children we see are congenitally our members will find interesting, please
The rehabilitation with new CI recipients
deaf and with little or no experience email editor@speechtherapy.org.nz
is an intensive 3 month programme
with sound. Habilitation means they are and we’ll see what we can do!
focusing on auditory alone to help
12 • Communication MattersStandards of practice in Aotearoa
Anna Miles PhD, Professional Standards Portfolio / Tūranga Ūmanga
kland Audiology
Achieving excellence and As the current NZSTA Strategic Plan The current of NZSTA clinical standards
(2016–2020) comes to an end, it is of practice are listed in the table
evidence-based practice: useful to reflect on our achievements including the NZSTA members who have
the role of New Zealand in our NZSTA Strategic Goal – To contributed to them. Over the last four
endorse evidence-based New Zealand- years, members have chosen to prioritise
Standards of Practice. specific standards of practice across the areas of practice that are considered
scope of speech-language therapy. ‘higher risk’ or areas of practice where
further advocacy and multidisciplinary
We have come a long way in our NZSTA
teams awareness was needed.
NZSTA standards of practice in the last four
Standards
years. These standards are written by This list does not represent the scope
Expertise
members, endorsed by leaders and of speech-language therapy. Some
International
of others
Standards affiliated associations and for the use of gaps represent areas where strong
(supervision)
members. NZSTA standards of practice local or Ministry standards of practice
are used daily by members to guide already exist. Where gaps currently
Excellence
in practice excellence and evidence-based clinical exist that need to be filled, we would
practice. They also play an important love to hear from you so we can
Own International role in creditability and advocacy prioritise these in 2020–2024.
expertise / scientific in our wider multidisciplinary teams
experiences evidence If you have an area that you think
and are regularly used to petition for
would benefit from a NZSTA standard
service changes and business cases.
Local
governance
of practice, please contact us and
NZSTA standards of practice now have we will help you to form a working
a place within our clinical decision- group and support the working
making alongside international group through the process. •
scientific evidence, international
standards, local governance, expertise Thank you again to all members
of self and others (through supervision) who contribute. Without members,
(Figure). They offer a local perspective these would not exist.
both in terms of culture and local
governance/speech therapy services.
Communication Matters • 13NZSTA clinical standards of practice
Generic Extended scope
Member contribution Leadership Member contribution Leadership
endorsement endorsement
Supervision Tracheostomy management for adults & children
Philippa Friary Maryanne O’Hare MOE Leaders Lucy Greig Turid Helier MOH Leaders
Joe Roker Tika Ormond MOH Leaders Molly Kallesen Sam Scott NZSTA Board
Clare McCann Helen Rigby NZSTA Board Melissa Keesing Katie Ward SPA
Helen McLauchlan Anna Miles
New Graduate Framework Flexible endoscopic evaluation of swallowing standards
Lucy Greig Kate Cook MOE Leaders Anna Miles Alicia Smith MOH Leaders
Philippa Friary Colette Maier MOH Leaders Mary McFarlane Anthony Ting NZSTA Board
Brigid McNeil Consultation: NZSTA Board Becca Hammond Jess Clews
Jodi White Maryanne O’Hare Consultation: Brigid Fay
Cheryl Palmer Claire Winward Melissa Keesing Jodi White
Gwen Kerrison Kelly Davis Laura O Carrigan Becca Ross
Bianca Jackson Emma Green
Endoscopy for SLTs standards (in press)
Return to Practice Framework Anna Miles Consultation: MOH Leaders
Lucy Greig Brigid McNeil MOE Leaders Carlene Perris Emily Jones NZSTA Board
Philippa Friary Jodi White MOH Leaders Melissa Keesing
NZSTA Board
Neuromuscular Electrical Stimulation (NMES) Policy
Telehealth Best Practice Guideline (revision in progress)
Philippa Friary NZSTA Board Maggie-Lee Huckabee MOH Leaders
Kelly Bohot AHANZ Gina Tillard NZSTA Board
Therapy assistants (revision in progress) Surgical Voice Restoration Guideline (in press)
Yvonne Cope Viviane Mulgrew NZSTA Board Cath Lawson Consultation: MOH Leaders
Deborah McKellar Adele Siave NZSTA Leadership Carlene Perris Anna Miles NZSTA Board
Sara Jodache Alicia Smith Summit (representing Fiona Hewerdine Renee Taylor RCSLT
Catherine Coups Linda MainsBarnett all sectors) Esther Ong
Lauren Hancock
Alexandra Smedley
14 • Communication MattersClinical speciality areas
Member contribution Leadership Member contribution Leadership
endorsement endorsement
Videofluoroscopy Guideline for Adults & Children Cleft Palate Guideline (in progress)
(revision in progress) Bryony Forde Contributors NZSTA Leadership
Anna Miles Melissa Keesing MOH Leaders unconfirmed Summit (representing
Freya Davison Gwen Kerrison NZSTA Board all sectors)
Lucy Grieg Sarah Perry Australasian Board NZSTA Board
of Radiologists
Risk Feeding Guideline for Adults
International Dysphagia Diet Standardisation (IDDSI) Anna Miles Consultation: MOH Leaders
Anna Miles MOH Leaders Louise McHutchison Philippa Friary NZSTA Board
Teddie Mateo NZSTA Board Tanya Watt Hospice NZ
Melinda Allen Dietitians NZ Wei-Yuen Wong
Paediatric Feeding Guideline Risk Feeding Guideline for Adults
Kristi Exley Jane Musgrave MOH Leaders Anna Miles Consultation: MOH Leaders
Billie Hampton Maryanne O’Hare NZSTA Board Louise McHutchison Philippa Friary NZSTA Board
Edwards Zsofia Olah Tanya Watt Hospice NZ
Turid Helier Caroline Setchell Wei-Yuen Wong Spectrum Care Trust
Bianca Jackson SIG Nutrition
Consultation:
Stephanie Johnston Gerontology,
Karen Brewer
Melissa Keesing Dietitians NZ
Emily Jones
Jenni Lyons
Risk Feeding Guideline for Children in Special School
Laryngology Scope of Practice for Adults & Children (in progress)
(in press) Anna Miles NZSTA Leadership
Anna Miles Consultation: MOH Leaders Bianca Jackson Summit (representing
Carlene Perris Emily Jones NZSTA Board all sectors)
Melissa Keesing NZSTA Board
Ministry of Justice Statement (in progress)
Sally Kedge NZSTA Board
Anna Miles
Communication Matters • 15Māori & cultural development
Tūranga kaupapa Māori
Katrina McGurr culturaldevelopment@speechtherapy.org.nz
Introducing Tēna koutou katoa, comes wisdom, and from wisdom comes
well-being. It is my personal journey that
Katrina McGurr I grew up on the West Coast and
has led me to accept the call to stand in
moved to Christchurch in my early
E koekoe te tūī, e ketekete te for the Māori and Bicultural Portfolio on
teens where I have continued to call
kākā, e kūkū te kererū the NZSTA. It is my hope that, although
Ōtautahi home. It is here I joined my
still on my own journey that I can connect
Ko Motu Pohue te maunga community to show resilience and
with many of you to continue my own
strength after the 2011 Earthquakes;
Ko Te Ara a Kewa te moana learning as well as encourage others
and compassion and aroha towards our
Ko Takitimu te waka who may be on their own journey.
bicultural communities following the
Together, with those who have stood
Ko Ngāi Tahu te iwi terror attack on the Mosques last year.
before me and each with our own voices,
Ko Awarua te hapū I whakapapa to the beautiful marae, we will continue to sing in harmony to
Ko Te Rau Aroha taku marae Te Rau Aroha; named for the many grow and develop our profession. •
Ko Haumai (Te Kaiheraki) raua ko (hundred!) loves of the wāhine who lost
Tamairaki Haumai ōku tūpuna their husbands to Tangaroa [the sea].
My whakapapa tells the story of early
Nō Māwhera ahau, kei Ōtautahi pākeha settlers being welcome to live
taku kāinga ināianei and work on the pā, of the migration
Ko Aitken te ingoa o tōku whānau, from our ancestral lands to urban NZ,
Ko Katrina McGarr ōku ingoa ināianei. and a disconnect from te ao Māori. Ma
te rongo, ka mohio; ma te mohio, ka
The tūī sings, the kākā chatters,
marama; ma te marama, ka matau; ma
the kererū coos – the many birds
te matau, ka ora. From listening comes
together create the chorus of the
knowledge, from knowledge comes
forest. We are each different, yet
understanding, from understanding
together create something beautiful.
16 • Communication MattersCelebrating communication
accessibility
Shannon Hennig, NZSTA Communications
This past year we honoured 18 • Coffee Culture in Lincoln for offering • Sian Van Dyk at Dowse Art
organisations or individuals with accessibility for people with aphasia Museum for their commitment to
Communication Accessibility Awards. • Dr Ciandra Keenan for her excellent accommodate people with aphasia
NZSTA collaborated with the Office communication accessibility skills • Station One Café in Christchurch
of Disability Issues, to develop these on display during patient care • Teacher Aides at Dargaville
awards, celebrating those who embody • Dr Meera Raithatha for her ongoing Primary School
principles of communication accessibility. commitment to communication • Youth Horizons Trust for updating
The human right of communication accessibility in patient care. forms, communication procedures,
depends on our collective effort to • Hannah Barnes for organising and brochures to be more accessible
improve communication accessibility. blenders and accessible food for • Zampelles Café – Queensgate
• Attitudes of others the Spectrum Care Ball Mall for making it easy for people
• Awareness and knowledge • HOYTS Cinemas for their who use AAC to order food
of communication disability sensory screening
Nominations for the 2020 Communication
• Competency at using accessible • Hutt Hospital Café for ensuring Accessibility Awards will open during our
strategies (e.g., wait time, writing that patrons with communication week of action (7–13 September), so start
and sketching while talking) needs have time and respect thinking about who you might nominate.
• Adjusting how information • Jocelyn Faalavelave for her Please share our self-audit checklist to help
is presented dedication to ensuring that visual others reflect on how they can improve
supports and communication communication accessibility of their own
• Environment factors including
supports are always on hand workplace, school, or organisation.
lightening and background noise
• Mike Dyer for his work with his
Congratulations to: We aspire to a society in Aotearoa
local communication group
New Zealand where everyone understands
• Aimee Taylor for her outstanding • NZ Police for their text 111 initiative what communication accessibility is.
communication access skills for those who find the phone difficult Talking about it, celebrating it, and letting
at Christchurch Hospital • Pataka Art & Museum for their people know when they are getting
• Andrew Stubbs, Vanessa commitment to accommodate it right will bring our vision to life! •
Hendry, Ness Ahkiong, Steve people with aphasia
Nippert, & Wendy Wimsett at • Pukeahu National War Memorial The self-audit checklist and the full
Porirua School for their dedication Park (Dr. Emma Kelly, Paul Riley, list of 2019 award recipients can be
and commitment to respecting all Tim Hurd) for their commitment to viewed on our website speechtherapy.
forms of student communication accommodate people with aphasia org.nz/about-slt/giving-voice-2
Communication Matters • 17Thriving with a stutter
New telehealth opportunity
for working age adults in Aotearoa
Selena Donaldson, speech-language therapist and clinical educator, The University of Auckland
The University of Auckland therapies such as avoidance reduction
therapy, mindfulness and aspects of
(UOA) Masters of Speech- cognitive behavioural therapy. We
Language Therapy Practice can also techniques to assist clients to
‘stutter more fluently’, or to manage their
(MSLT Prac) Clinics is
communication in specific situations
expanding their ‘telehealth’ such as interviews, meetings or tutorials.
provision for adults who To date, many of our clients have come
from within the university community
stutter, and would welcome and we have also engaged with other
enquiries and referrals from tertiary education providers in the
across Aotearoa. Auckland region to provide a service to
their students. We have seen a number
Student clinicians can follow on from of international students, and for many
existing or previous therapy provision, this has been their first engagement
or work with clients who are new to with speech-language therapy.
SLT. This clinic provides a platform
MSLT Prac students and graduates tell
for our students to gain entry level
us that this collaborative therapeutic
competence working with adults who
dyad prepares them well for working life
stutter. There is no charge for this service,
within a number of clinical specialisms.
conducted via videoconferencing
Equipping individuals to be experts and
with our final year students, with
advocates for their own condition is an
supervision from the clinical educator.
important skill for all populations we work
Our service is strongly rooted in the with. We would love to be able to extend Please contact
social model of disability. Our vision is our student opportunities with adults s.donaldson@auckland.ac.nz
to help clients thrive in their working, who stutter, and embrace the opportunity if you know any working age adults
social or academic lives, with a stutter. which telehealth provides to reach this who stutter who would be interested
We use typically use behavioural community outside of Auckland. • in working with our students.
18 • Communication MattersMembers’ queries and comments
Jodi White, Member networks / Tūranga whatunga mema portfolio holder, membernetworks@speechtherapy.org.nz
CPD We will also be looking to make contact
Q: Is there any further information with members who have raised specific
around the CPD auditing process. concerns to see if they would like to be
This is what is currently documented: involved in this process. We want to
ensure that members feel ownership of the
“Every year 10% of the NZSTA membership CPD process and that it meets our needs.
will be audited. They will be notified
in April and will be required to submit Submissions/policies
Thank you as always for your queries their CPD Log for audit by 31st August Q: Could we be alerted when
to the Board, through your area of that year. Failure to do so will result new policies added? Consider
meetings. If you have any other in the member no longer being eligible highlighting a particular policy each
queries for the Board, please let to be a member of the NZSTA. This is a meeting, along with submissions.
me know membernetworks@ requirement of the New Zealand Accident
speechtherapy.org.nz or bring Compensation Corporation, our Mutual A: New submission/policies are uploaded
them up at your next area meeting. Recognition Partners and most health, to the website as they are sent/released.
education and not for profit employers.” We do endeavour to keep membership
updated with these via the regular Board
The FAQs re: CPD have some helpful updates sent out via email and also
information (speechtherapy.org.nz/ through area meetings. Please let us know
wp-content/uploads/2013/09/ if there are other ways you would like
CPD-FAQs1.pdf) us to highlight this work. Please contact
A: These are all valid concerns that Shannon Hennig in the Communications
have been raised in various formats portfolio communications@
over the past couple of years. Instead of speechtherapy.org.nz if you have
addressing each question individually, any other suggestions. We are happy
we have determined that a full review to post on social media (Twitter and
of the CPD process is required. Claire Facebook) and encourage members
Winward who holds the Professional to follow/like us on these platforms.
Development Portfolio has formed a small
group to review the CPD framework and @NZSTAcomms
update it so that it meets the needs of our New Zealand Speech-language
members better. If you think you could Therapists’ Association
contribute to this group, please contact (search for us and
Claire at professionaldevelopment@ like the page to follow)
speechtherapy.org.nz.
Communication Matters • 19Area updates
Kōrero a rohe
Te Tai Tokerau Wellington/Nelson Otago/Southland
• Caroline Bartholomew steps The Wellington area started off the • Further excellent advocacy in the
down as Te Tai Tokerau area year with a fond farewell to Area Rep region for people with aphasia with
representative, to move to the UK. Shannon Hennig, now holding the Alison Zani running community
Caroline would like to tautoko Communications Portfolio. Shannon has support groups in both Gore
both Suanna Smith’s and Denise left very big boots to fill, so two new Area and Dunedin. We are delighted
Poole’s team effort in welcoming Reps have jointly taken over this role; with Alison’s appointment as
the responsibility as the new Te Tai Polly Newton in Wairarapa and Emily NZSTA Aphasia Expert Advisor.
Tokerau area representatives. King in Nelson. This will hopefully mean • SDHB: Planning meetings are
Kia kaha Suanna and Denise! greater access for all our area members. ongoing for Dunedin’s new hospital.
Caroline Bartholomew • Nelson Hospital is starting a Some staff changed have occurred
Stroboscopy/voice clinic with ENT. in Dunedin and Invercargill.
• Wellington Hospital have a telehealth • MOE: Recent recruitment of new
pilot and LSVT-style therapy graduate SLT has been undertaken
starting, combining SLT and PT. • Private Practice: Rethink Children’s
• Wairarapa Hospital are Therapy has recently recruited a
delivering RMST; respiratory new SLTs to their expanding tea.
muscle strength training. Nicky Cooke of Rethink presented
on difficult mealtimes as part of
• MOE’s language and literacy initiative
a seminar series in March.
OLLi is being implemented across
the region by Emma Cook. Meryl Jones
• Staff changes at TalkLink Trust
and Kimi Ora School.
Polly Newton & Emily King
Photo credit: Bryn Parish on Unsplash
20 • Communication Matters3 2 World Congress nd of the IALP Aotea Centre, Auckland, New Zealand 14 –18 August 2 02 2 International Association of Logopedics and Phoniatrics
Please consider contributing content
to Communication Matters about any
aspect of our profession. Feel free
Contact details to discuss with Selena Donaldson,
Editor, any ideas you have.
editor@speechtherapy.org.nz
Whakapā tangata
NZSTA Board Members Expert adviser contacts Area representatives
President • Annette Rotherham Ann Smaill Te Tai Tokerau • Suanna Smith & Denise Poole
president@speechtherapy.org.nz Alternative and Augmentative Communication ar.northland@speechtherapy.org.nz
Communications • Shannon Hennig ann.smaill@talklink.org.nz Auckland • Akshat Shah
communications@speechtherapy.org.nz Anna Miles • Adult Dysphagia ar.auckland@speechtherapy.org.nz
Member networks • Jodi White a.miles@auckland.ac.nz Waikato/Bay of Plenty • Gwen Kerrison
membernetworks@speechtherapy.org.nz Annabel Grant • Dementia ar.waikato.bop@speechtherapy.org.nz
Professional development • Claire Winward a.grant@massey.ac.nz Central • Elisa Mynen
professionaldevelopment@speechtherapy.org.nz Carlene Perris • Voice ar.central@speechtherapy.org.nz
Professional standards • Anna Miles cperris@adhb.govt.nz Wellington/Nelson
professionalstandards@speechtherapy.org.nz Emily Jones Polly Newton & Emily King
Māori and cultural development Paediatric Feeding and Swallowing ar.wellington@speechtherapy.org.nz
Katrina McGarr E.Jones@massey.ac.nz Canterbury/Westland
culturaldevelopment@speechtherapy.org.nz Fiona Hewerdine Kate Cook & Ruth Ramsay
Adult Neurodegenerative Conditions ar.canterbury@speechtherapy.org.nz
Other contacts and Palliative Care Otago/Southland • Meryl Jones
fiona.hewerdine@bopdhb.govt.nz ar.otago.southland@speechtherapy.org.nz
National private practitioner Jayne Newbury • Child Language
members’ representative jayne.newbury@canterbury.ac.nz
Bridget MacArthur Student representatives
privatepractice@speechtherapy.org.nz Liz Fairgray & Megan Lewis
Hearing Impairment and Cochlear Implant Massey University • Jacqui Morgan,
Administrator l.fairgray@auckland.ac.nz Brianna Oosterbroek & Bo Young Choi
ONZL Limited megan@talktogether.co.nz sr.massey@speechtherapy.org.nz
admin@speechtherapy.org.nz University of Auckland • Tash Thompson
+64 9 475 0214 Maegan VanSolkema • Traumatic Brain Injury
maegan.vansolkema@abi-rehab.co.nz sr.auckland@speechtherapy.org.nz
Speech, Language and Hearing Journal University of Canterbury
of APSSLH, HKAST & NZSTA Sally Kedge • Vulnerable Children and Youth
sallykedge@gmail.com Emma Barbafiera, Jessica Eagle & Livvy Pride
Editor: Anna Miles sr.canterbury@speechtherapy.org.nz
professionalstandards@speechtherapy.org.nz Sarah Spence
NZSTA Paediatric Complex Communication Needs
www.speechtherapy.org.nz sarspen@gmail.com
admin@speechtherapy.org.nz Shannon Hennig
PO Box 302469, North Harbour, Auckland 0751 Autism and Neurodiversity
Communication Matters editor shannon@inclusive-communication.co.nz
Selena Donaldson Alison Zani • Aphasia
editor@speechtherapy.org.nz aphasiaadviser@gmail.com
www.speechtherapy.org.nzYou can also read
