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AUTUMN 2019
ISSUE 34
communication
Benefits of the family meal
NZSTA Registration • Cognitive rehabilitation • The colour of emotion
Contents From the editor Who to follow:
Karen Watson editor@speechtherapy.org.nz Speech Autist
@SKP_SLP
1 2 3 4 5 6
Tēnā koutou and as-salamu alaikum, this incident and its repercussions,
speak out against racism, and donate Speech Autist describes herself as
With heavy heart, I would like to
to the survivors and affected families. an “autistic SLP” with an interest in
From the President’s 2018 NZSTA The colour of Working with Education acknowledge the fifty innocent people
whose lives were senselessly taken at The suggestion to put Muslim voices at “geek stuff, intersectionality”. I started
editor report Symposium: emotion cognitive and training following her tweets and her blog
two Christchurch mosques last month, the centre has made me consider who
A student communication in cognitive- the survivors, families, friends, and all of I am listening to more generally. I have Apparently in Deep Contemplation
Who to follow perspective disorders communication because they offer a chance to
the communities in a city that has already been reflecting on my sources of news
experienced so much sorrow. To our and information, including social media. hear the voices of a neurodiverse
colleagues in Christchurch, we have I asked myself are there a diversity of community. She calls out biases
8 9 10 12 15 16 been thinking of you; take extra care of voices, experiences and perspectives? in interpretations of research and
yourselves and each other. Looking through my social media language used by the speech-
platforms, I discovered that I could do language therapy community.
An alternative The Effectiveness Registration: Registration Eating Speech therapy doesn’t occur in a She advocates working towards
better. And I have since been actively
route to ASHA postgraduate of nonverbal The new era … celebrations together vacuum. We are a community, we work
seeking people and organisations autism acceptance, not awareness,
certification journey strategies in what does it in the community and we help our clients and ensuring autistic people are
who may offer a different perspective,
aphasia therapy mean for me? connect with their communities. Like at the front and heart of any such
including people from a different ethnic
many of you, this terrible event has led campaigns. •
or cultural background to me, and
me to think about what I can change and
people with different abilities, including
what I can do to be part of the solution.
17 21 22 I stumbled upon an excellent article by
Saziah Bashir, a journalist, and I encourage
the populations we work with. In this
issue I share one of the accounts I have
discovered during this process in our
Speech Autist
@SKP_SLP
NZSTA Board Area updates Contact details you to read it on the RNZ website.
“Who to follow” section.
Member Saziah listed four things we should do
#AskingAutistics for late-
updates to help after the Christchurch shootings: In this issue, we also hear about
diagnosed folks: what memory
acknowledge racism exists, put Muslim the COMPARE aphasia trial looking
or memories make you wonder:
voices at the centre of discussions on for participants in New Zealand,
“Why wasn’t it obvious to me/
cognitive rehabilitation, using colour
family/teachers/etc that I’m
to communicate emotion, and more.
#ActuallyAutistic?” What stories
Cover: Sharing a meal together. Photo credit: Kari Reid Our area representatives and portfolio
from childhood/adolescence/
holders share their news, including more
Submission deadline for Autumn edition of Communication Matters: 12 June 2019. Send to editor@speechtherapy.org.nz early adulthood make more
information about NZSTA becoming a
sense now that you know?
ISSN 2324-2302 (Print) registered profession.
ISSN 2324-2310 (Online) 1:32 pm - 22 Mar 2019
Noho ora mai and ila-liqaa‘,
Karen
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.
ii • may
Articles Communication
be edited. Matters Communication Matters • 1
President’s report 2018 NZSTA Symposium:
A student perspective
Annette Rotherham president@speechtherapy.org.nz
Helena Sincock, Shauna Pali and Jacqui Morgan
International figures know when they We have had a number of queries Wow, what an amazing opportunity for Keynote speaker Sue MacDonell
say “kia kaha” and “arohanui” as a way to about registration, so Anna Miles has us three speechies! The symposium provided some interesting thoughts
show their solidarity, they are speaking written a piece on page 12 to explain was a whirlwind, two-day adventure. on nutrition in the elderly. She stressed
to the hearts of all New Zealanders. the changes and what this means for We had a fantastic welcome from the the importance of collaboration within
Once again highlighting the importance our profession. We want to support NZSTA Board and it was great to finally teams, and our role in working with
of communication in our lives. all speech-language therapists in the be able to put faces to names. Our roles dietitians in healthcare. The discussion
best way possible to be a thriving were to greet the attendees, take around the innovative and very
Giving Voice Aotearoa continues to be
and engaged profession known for photographs, support attendees in creative “communicapron” shared by
a campaign dear to my heart and I am
Kia ora koutou, excellence. question time, and write personalised Sarah Spence from Kimi Ora School
thrilled with the direction it is taking with
thank you cards for the speakers. in Wellington was another highlight.
15 March 2019 was a dark day for Consumer Lead Geneva Hakaraia-Tino, And on the note of excellence, I am
Sally Kedge’s presentation SLTs: Human
New Zealand with the mosque shooting Communications portfolio holder Amy so looking forward to collaborating, The first day consisted of an array
Rights Enablers was also very intriguing.
that killed 50 people during their prayer Oughton and Giving Voice Aotearoa engaging and feeling empowered as we of wonderful speakers, including
time. A week on, we are a nation in grief. Champion Lead Georgia Holibar working come together for a huge professional our keynote speaker Dr Jane Carroll. Overall, this was a fantastic experience
Our Canadian, American and Australian together on the consumer focus group. development opportunity at the In between snapping photos of our as students, as we were able to
colleagues immediately made contact to We had our first hui in February which Speech Pathology Australia and NZSTA speakers and audience, we were really delve into the real world of
express their condolences and support was well attended in Auckland and conference 2 to 5 June 2019. If you can busy taking notes and absorbing as speech‑language therapy. We have
Christchurch. We will certainly be learning In order to represent our profession, our make it over, together we can share much knowledge we could. There such a wonderful and supportive
of our New Zealand speech-language
loads about communication strategies membership and our consumers well, the wairua of our association with our were interesting conversations going speech-language therapist community!
therapists and our country. I responded
and incorporating technology as we have we really need to understand our “why”. Australian colleagues. If you are unable on throughout the breaks, and it Thank you to all of you who made this
with gratitude and a strange sense of
a range of communication disabilities to Why do we do this job? Why do we need to join, we will be sure to share our was a wonderful opportunity to symposium happen and welcomed us
inadequacy. How do we address those
consider within the meeting. It will be the NZSTA? Why should the government highlights and learnings with you on be able to meet real-life practising students, you are awesome. •
feelings of inadequacy?
exciting to see where this rōpu will lead engage with us? The answer to all this our return. speech‑language therapists. At the
I am amazed and inspired by the our association and the campaign. is essentially because it is important. AGM we had the honour of listening
response of all New Zealanders following Communication and swallowing As-salamu alaykum – peace be upon you, Inspired?
to Geneva Hakaraia-Tino share her
the compassionate and respectful In February, we also had a workshop with are vital to life. The blueprint Annette
experiences as a part of our Giving Find out about this
leadership of our Prime Minister Jacinda public relations agency, Storicom, to look document produced by Storicom is our Voice Aotearoa campaign, and her year’s conference at
Ardern. The words we choose, the at our NZSTA and Giving Voice Aotearoa “how”: how we will engage the media, ongoing passion for creating a te reo www.speechtherapy.org.nz
language we use is powerful and has strategic direction. We were fortunate how we will approach government accent synthesised AAC (alternative and
such influence. As are our actions. People to have Mātua Rukingi Haupapa join us agencies and ministries, how we will augmentative communication) device.
have shown an outpouring of aroha for this workshop and we look forward engage our membership, how we will
and maanakitanga. I have observed that to his wisdom and thoughtful reflections promote continued awareness of both The second day began with many
tikanga Māori – the practices of karakia, in times to come as the new kaumātua our profession as speech-language now-familiar faces, and an IDDSI
waiata, haka and the use of te reo Māori – for our association. Nau mai, haere mai therapists, and the rights and needs of (International Dysphagia Diet
has become our unified voice as a nation. Mātua Rukingi. the consumers we work with every day. Standardisation Initiative) update.
2 • Communication Matters Illustration: Ruby Jones Communication Matters • 3
The colour of emotion Working with cognitive
Michelle Snead communication disorders
Delwyn Eden, Katherine Williams and Kristin Gozdzikowska,
Laura Fergusson Trust Kristin@lftcant.co.nz
Effectively expressing our When people lack a socially appropriate When deciding how to use colours People can use these traffic lights
and effective means of emotional to develop a communication tool, by putting the colour on the traffic
emotions can be a major expression, they may rely on more there are some points to consider: light that best matches how they About Laura Fergusson Trust Model of cognitive-communication
challenge if we have a limited extreme methods of communication are feeling throughout the day. The Laura Fergusson Trust Canterbury is an competence
• What is the person’s current
such as yelling, hitting, pushing, refusing This provides a way of signalling how independent and charitable organisation Working as speech-language therapists
vocabulary, an ineffective to engage, destroying property, or
understanding of emotional states?
they are feeling to others, resulting in providing long-term residential post-acute with clients with TBI is an often
communication system, or • How are they currently expressing and community rehabilitation services.
inappropriate physical interaction. others responding appropriately and misunderstood role: “I can talk, so why
their emotional states? We have a five-bed unit in Christchurch
difficulty identifying our own Certain colours are universally associated • Are they using appropriate ways to
inevitably reducing inappropriate do I need to see a speech-language
forms of communication. for clients with traumatic brain injury therapist?” It is our job to educate others
emotional states (and those with certain emotions: red is often express emotions? (TBI), providing a consistent, supportive, about the work we do. Assessment and
associated with angry, as evidenced Caregivers and communication
of others). Regardless of our by the way most angry emoticons
• Are they identifying in themselves
partners can also use these visuals
home-like environment for relearning rehabilitation of cognitive-communication
shifts in emotional states or are they activities of daily living and functions disorders form a large part of our work
capacity to communicate our are coloured red. Green and yellow to help those with communication that are essential for independent living.
instead only reacting to these shifts? promoting communication competence
emotions, we all experience are often associated with “happy” or difficulties recognise their emotions The community rehabilitation teams are
• How are others reacting to their in real-world settings and reduce the
“good”, such as a green tick mark or a and to prompt discussion around part of the discharge planning process,
changes in emotional state yellow happy face. Whereas blue can communicative attempts and ways to respond appropriately allowing for seamless transitions.
negative effects of communication
are they identifying them as disorders. We wonder whether speech-
and are compelled to express be associated with feeling down or sad, and compassionately. One of my
language therapists feel they have enough
such as in the term “I’ve got the blues.” emotional expression? favourite work stories is from a Insight Rehabilitation is a division of
these in some form. • Are all communicative partners mother who told me how she had Laura Fergusson Trust Canterbury knowledge and training in this area?
responding consistently and always thought that her son with a providing home and community-based MacDonald (2017) 1 provides a model
appropriately to the person’s diagnosis of autism did not care if rehabilitation services for clients who that summarises the complex array
communicative attempts? she became upset. However, when have had TBI and other l injuries. We also of influences on communication to
she indicated to him that she was provide a community-based, supported provide a holistic view of communication
There are a variety of ways to use colours activities programme, Reconnect
feeling upset using the orange competence after brain injury. We have
to develop communication tools for After Brain Injury, for adults who have
visual, he responded, “What can I used this model for assessment and
expressing emotions. Traffic lights and suffered TBI. Our experienced team
do to make you feel green [happy]?” treatment as well as educational purposes.
thermometers are often used as a way includes speech-language therapists,
The mother could then see that
to introduce the concept of colour for occupational therapists, clinical We encourage students to gain
her son was not lacking empathy
emotions. For example, an “emotions psychologists, neuropsychologists, experience in this challenging and
for her emotions, he just hadn’t
traffic light” can be depicted with the rehabilitation coaches, physiotherapists, rewarding area of rehabilitation.
recognised her emotions through
green light indicating when we are dietitians, social workers, registered Please get in touch if you want further
her body language or tone of voice
happy or good, red when we are upset nurses and medical specialists. information or have any comments. •
Left: but using the visual support he
Emotion
or angry, and orange indicating when
could understand and respond
thermometers and we are getting upset or feeling frustrated.
appropriately. • 1 MacDonald (2017) Introducing the model of cognitive-communication competence: A model to guide
traffic light. evidence-based communication interventions after brain injury, Brain Injury, 31:13-14, 1760-1780.
4 • Communication Matters Photo credit: Michelle Snead Communication Matters • 5
Education and training in cognitive-communication:
A practitioner perspective
Dr Kristin Gozdzikowska, Katherine Williams, Delwyn Eden
Where did you receive most of your practical training in cognitive impairments?
Understanding an individual’s For example, the American Speech- To meet these standards, ASHA
35.48% In my University programme
Language-Hearing Association requires coursework and direct clinical
cognitive capability is key for (ASHA) includes the following experience in cognitive domains for
all aspects of speech‑language within the scope of practice for certification. The landscape differs 37.10% Through other disciplines (e.g. interdisciplinary teamwork)
speech‑language therapists: for speech-language therapists in
therapy intervention across New Zealand, however, with some 59.68% Through other Speech Therapists (e.g. mentor, supervisor)
• Processing information (e.g., attend,
the lifespan. However, training perceive, organize, and remember providers and organisations utilising
in cognitive‑communication verbal and nonverbal information, other allied health team members 40.32% Self-study/online
including social cues and to solve (such as occupational therapy and
disorders for speech‑language neuropsychology) to take leading roles
problems) under ideal conditions, 9.68% I don’t feel prepared or trained
therapists varies widely and in varied settings. in assessment and treatment of these
across countries. disorders. Yet, cognitive-communication
• Executive or self-regulatory control 20.97% Other
disorders are listed within the NZSTA
(e.g., set goals, plan, initiate and
scope of practice. Thus, a survey was
inhibit, self-monitor and self-evaluate).
sent out to speech-language therapists
• Modification of the cognitive and currently practising in New Zealand to
communication demands of understand their sense of preparedness
relevant social, academic, and/or received only one to three lectures team communication can impede service Cognition cannot be separated from
for managing this area of practice. dedicated to cognitive impairments, delivery, creating unintentional gaps in other critical aspects of our practice, such
vocational tasks.
Half of respondents (n = 62) had greater such as memory, attention, executive care. As stated by one respondent, as language and swallowing. As one
• Modification of the communication functions or visuospatial skills. In fact, a “it is [in] no one’s clear domain.” respondent stated, “It needs to become
than five years’ experience, and nearly
and support competencies of relevant further 12.9% of respondents stated they a skillset that is more commonly used
half of respondents had obtained their When asked, “Do you feel prepared to
everyday people in the environment. had less than one lecture dedicated to and understood to allow for effective
master’s degree (46.77%). Interestingly, assess or treat cognitive disorders as
• Development and use of effective one third of the respondents (32.26%) these topics. It was reported that most collaboration across disciplines and
compensatory behaviours. part of an interdisciplinary team given
training in cognitive impairments was with whānau”. Improving educational
the training you received?” 51.61%
provided through speech-language resources and interdisciplinary
of respondents said “No”, while 27%
[Cognition] need to become a skillset that is therapist colleagues and mentors, or
from the interdisciplinary team. However,
said “Yes”, and a further 20% reported
collaboration regarding cognition appear
key to strengthening speech-language
they might with further training. One
more commonly used and understood to allow the quality of such training can be difficult
respondent stated, “Many of my patients
therapy within New Zealand. •
to determine. There appears to be
– Respondent for effective collaboration across disciplines unclear roles in interdisciplinary teams,
have a range of cognitive deficits,
and I do not feel I have an adequate
and with whānau.” particularly in relation to occupational
understanding of these.”
therapy colleagues. Poor interdisciplinary
6 • Communication Matters Communication Matters • 7
An alternative route to ASHA certification The postgraduate journey
Lydia Keast, bilingual early interventionist, Speech Goals, San Francisco, lkeast@speechgoals.com Jessamy Bell, TalkLink Trust
You may wonder why my job I then began the process of certification, I am incredibly fortunate to be working I graduated from my bachelor’s I didn’t know exactly what I wanted to I am grateful that I was forced to make
only to realise that the Mutual Recognition in the field while completing the steps, study but I had a million questions after time to read the research and to write
title is not speech-language Agreement (MRA) would not apply to me, but the process could have been easier degree in 2007 and remember one year of working in the real world. about how it applies to New Zealand
pathologist, and so I share as I did not hold full NZSTA membership. through the MRA. As a student, I knew telling my family that there was Sally and I chatted through my questions. and my own practice. I went down rabbit
about the MRA and the process to She guided me through the different holes at times and found many tangential
my journey with you. Fast-forward two years, and I am amidst no way I would ever go back topics until I had one clear question and topics that I wanted to investigate
transfer overseas but I never thought I
the application process for licensure to university.
would work overseas and therefore did a topic to start researching, which I was further but Sally kept me focused. It was
in California and eventually ASHA
not plan ahead. passionate about. I focused on how to fascinating, challenging and eye-opening
certification. What is straightforward
teach emergent literacy for children who to hear the experiences of Kiwi families
for most through the MRA has been Whether you are thinking about heading
have complex communication needs and and children who use AAC, and what
an extended journey for me. Without overseas or not, consider the following:
use AAC (alternative and augmentative that means for how we assess, support
qualification under the MRA, additional • Record and safely store your clinical communication). I completed my studies and train teams in AAC.
steps are required to become an ASHA hours and course syllabi for every year and once again said “never again” to
certified speech-language pathologist. that you study – these will be needed! If you have been thinking of doing
my family.
further study, I would say go for it. It’s
As an international applicant without • Maintain a relationship with your
However, Sally and I kept in touch, and hard work but you will have an excellent
NZSTA membership I must: lecturers and clinical educators.
I moved jobs to TalkLink Trust, where I team supporting you. The knowledge
During my fourth year of the Bachelor I am so grateful to the many people
1. Complete a Clinical Fellowship Year encountered even more questions about and skills you develop along the way are
of Speech and Language Pathology at UC who helped me compile the
(CFY). This requires a state license. A year or so later, I was finishing my AAC implementation. So, in 2016 I found worthwhile if you find a topic you are
at the University of Canterbury (UC), information I needed.
This involves providing university first year at Wilson School in Auckland myself completing my postgraduate passionate about. And the insights into
I was sure that after completing my final transcripts and clinical hours that are • Take risks and be brave: don’t only and considering what to do next. I was diploma and then my master’s degree the families we work with has inspired
placement I would return to Christchurch evaluated to determine equivalency request placements in areas that you awarded a scholarship at the end of my the following year. I finally handed in my and motivated me to become an even
and stay there. This mindset quickly to the American education system, are interested in or feel confident. It is degree and if I did not study in 2009, thesis on AAC camps for children who better speech-language therapist.
shifted after completing a placement in completing college-level courses for important to demonstrate through it would disappear. (Perhaps not the best have complex communication needs and
San Francisco, where I now work as an clinical hours that you have a wide Thanks to Sally, my family and friends for
areas deemed missing (in my case, reason to start but it ended up being a use AAC in July 2018 after a six-month
early interventionist. range of clinical experience. your support. Thanks to TalkLink Trust,
statistics and physical science courses), really good decision). I decided to do my delay thanks to glandular fever.
ATANZ (Assistive Technology Alliance
When I finished my placement, I decided and passing the Praxis examination for • Remain active with the NZSTA as a postgraduate certificate through Massey
Postgraduate study was hard work – New Zealand), NZSTA and Massey
that instead of finding a full-time therapist speech-language pathology. student and graduate. University, supervised by Dr Sally Clendon.
there is no other way of describing University for awarding me time and
position, I would continue my studies at 2. Gain the ASHA certification of clinical This is just a summary of my journey, so it. It involved many tears, cups of professional development grants to
master’s level in New Zealand. In 2017, competency by submitting transcripts, feel free to email me to find out more. • tea, pep talks from my husband and complete this journey. •
I was eager to return to San Francisco. clinical hours and exam scores and encouragement from Sally, my family
proof of CFY completion, including a and friends. But it was also fascinating,
report and ratings. empowering, engaging and worthwhile!
8 • Communication Matters Communication Matters • 9Effectiveness of nonverbal strategies NZSTA 2019
in aphasia therapy: The COMPARE trial Professional
Professor Miranda Rose, Centre for Research Excellence in Aphasia Recovery and Rehabilitation,
La Trobe University, Melbourne, Australia Development
Although we know from evidence that aphasia therapy is effective, we have little high-quality
? Event and AGM
research evidence to support clinical decision-making about type, dose, and timing of therapy
(Brady et al, 2016).
Can you help us get this
information out to people 4 July
with aphasia who might
wish to participate?
Clinicians across the world have • CIAT/ILAT focuses on verbal tasks: The COMPARE randomised controlled The Community Room at The Hub,
questioned whether to include nonverbal using the names or actions associated trial is operating in Australia and Would you like to work as an Toitu Poneke, Kilbirnie, Wellington
modalities when they select tasks and with the picture stimuli and in some New Zealand (commenced here in assessor or therapist in this
cueing strategies for clients with aphasia. protocols with verbal cues provided March 2019) funded by the National study? We provide extensive
Is therapy involving these strategies by the therapist (e.g. semantic, Health Medical Research Council. We paid online and face-to-face
more or less effective when compared to phonologic, repetition). This aim to recruit 216 participants with training and support.
therapy focused on speech production approach is based on principles of chronic post-stroke aphasia (>6 months) 9.30 – 12.30
practice? Two different therapy neuroplasticity and aims to reduce the to determine if CIAT/ILAT and M-MAT Private practitioner workshop
approaches are Constraint Induced chance of learned non-use of spoken lead to clinically relevant improvement, Please contact the trial managers,
Melanie Hurley and Cassie Wilcox, Anna Miles, NZSTA
Aphasia Therapy/Intensive Language communication. Nonverbal skills are and if either is more effective for
Action Therapy (CIAT/ILAT; Di Francesco not rehearsed or encouraged. particular people with aphasia (e.g. at compareaphasia@latrobe.
et al, 2012) and Multi-modality Aphasia aphasia severity, comorbid memory edu.au or search for La Trobe
• M-MAT also focuses on verbal tasks
Therapy (M-MAT; Rose et al, 2013). or executive function impairments). University COMPARE trial
but includes verbal and nonverbal 1.00 – 4.00
These two approaches share several Participants are randomised into one of for more information.
therapist cueing: producing a related Engaging, Collaborating, Empowering at community level:
important features, but they differ in gesture, drawing the item, writing three arms: CIAT, M-MAT or usual care The Talking Matters story so far
a very important way, reflecting the and reading the name, repeating the and receive 30 hours of aphasia therapy Emma Quigan, Talking Matters
proposed mechanisms of neural recovery target. This approach is based on over two weeks. Participants in the usual
and reorganisation underpinning the distribution of neural networks care arm are offered therapy following References:
improvements seen in post-therapy their 12-week follow up assessment. Brady, M.C., Kelly, H., Godwin, J., et al. (2016).
which underpin language and Speech and language therapy for aphasia following
verbal communication. communication and can be harnessed All assessments are done in participants’ 4.30 – 5.30
stroke. Cochrane Database Systematic Reviews; 6,
in restoration and reorganisation after homes to minimise travel burden. CD000425. AGM & prizegiving
brain injury. One possible benefit Therapy is provided in a location close Difrancesco, S., Pulvermüller, F., & Mohr, B. (2012).
of M-MAT is that if speech fails after to their homes. • Intensive Language-Action Therapy (ILAT): the
therapy, the nonverbal strategies methods. Aphasiology, 26,1317–51.
Rose, M., Attard, M., Mok, Z., Lanyon, L., &
rehearsed during therapy may enable
Foster, A. (2013). Multi-modality aphasia therapy is
successful communication or repair. as efficacious as constraint induced aphasia therapy: See speechtherapy.org.nz for more information.
A phase one study. Aphasiology, 27(8), 938-971.
10 • Communication Matters Communication Matters • 11Registration: The new era … As a small nation, we should be proud
of this achievement and it was time to
Benefits of the new system: 2 case studies
what does it mean for me?
have this recognised formally.
The formalised self-regulatory
1 A primary school principal contacts the NZSTA. A private speech-language
process adds:
Anna Miles, Professional Standards, professionalstandards@speechtherapy.org.nz therapist has been in the school visiting a child. The classroom teacher has
made serious allegations about the speech-language therapist’s conduct. 1. Greater recognition and power of
The principal asks, “What can the NZSTA do for her?” the association to support members
The NZSTA was established What have the NZSTA done to • Engaged with unions (in health and
and our communities.
promote the change? education sectors) and gained their The speech-language therapist is not an NZSTA member
in 1947. The association has support in mandatory membership. 2. The use of APCs which has merits
• Active promotion on social media NOTHING, other than encourage the school to complain to the
grown and flourished and reaching 6,000 people. We received Currently, the allied health PSA
Health & Disability Commission – TRUE STORY!
for title protection, recognition and
MECA mandates full payment of public safety.
now has nearly 900 members. congratulations from leaders
APCs for all health professionals.
and speech-language therapists The speech-language therapist is an NZSTA member 3. An online public list of registered
NZSTA members have been discussing across the globe. This recognition With the new regulatory process,
Conduct a full ethics process where the speech-language therapist, members for the public and
registration for many years. Unlike teachers of speech‑language therapy in this now includes speech-language
if found grossly unethical, could be removed of their APC or given a employers to use.
(registered under the Education Council) New Zealand is important. therapists.
and many of our health professional condition to their APC.
4. The ability to remove or stipulate
• Encouraged speech-language therapists What about speech-language
colleagues (registered under the Health Benefit of the new Self-Regulatory Process conditions to a speech-language
to celebrate publicly including the therapists working for MoE?
Professional Competency Assurance therapist’s APC and therefore their
circulation of the self-regulation document The NZSTA has emailed all schools and special schools and has strongly
(HPCA) Act 2003), speech‑language The NZSTA and MoE speech-language work responsibilities.
and the celebration NZSTA badge. encouraged them to ONLY employ registered speech-language therapists
therapy has not previously been a therapist leaders have been working
• Written to the Health & Disability and check APCs on all speech-language therapists entering their school. What can I do for my profession in
registered profession in New Zealand. hard with human resources, the unions
Commission, Ministry of Education and MoE management. Our goal this change period and beyond?
The primary reasons for regulation of (MoE), Ministry of Health (MoH), is mandatory membership for all • Remind clients and their whānau to
a profession are to offer safety to the Southern Cross, ACC, schools, special 2 A member informs the NZSTA that they have spotted a website advertising
speech‑language therapists employed check a speech-language therapist is
public and protection of title as well as schools and the adult disability sector “Speech Therapy Training for $59.99 – become a speech therapist online!”
by MoE. Progress is extremely positive. registered before engaging in their
increasing recognition of the profession. with the following messages: Human resources are supportive and services (checking their APC and /
In New Zealand, this is usually achieved Speech-language therapist is not a protected title regulated under
1. Only engage in an agreement with we hope to offer news very soon. or the NZSTA registered members list).
by an authority mandating registration to the NZSTA
a speech-language therapist who • Offer your APC to new employers and
any suitably qualified person wishing to Why is it different from our The NZSTA contacted the company but had no response.
is a registered member with the remind employers, e.g., principals to
work under that title. old system?
NZSTA, and check APCs of new speech-language
Speech-language therapist is a protected title regulated
After employer and speech-language 2. Check the Annual Practising The NZSTA already offered an therapists.
under the NZSTA
therapist consultation in 2017 and 2018, Certificates (APCs) of all internationally accepted standard
The NZSTA contacted the company and asked them to remove the name • As leaders, make sure all employees’
the decision was made to move to a speech‑language therapists. of regulation similar to that seen
speech therapy from their advertising as it is the title used by the NZSTA. APCs are sighted annually.
formal self-regulatory process under in other countries and in other
the NZSTA. There were financial and professions e.g. under the HPCA. The company responded within 24 hours and the advert was removed – • Use “SLT Registered with the NZSTA
administrative barriers to HPCA as well The self‑regulatory processes of the TRUE STORY! (Membership No)” on your business
as concerns voiced by those working in NZSTA have been developed by many card, email signature, website).
community and education settings who of our members who for years have • Advocate for NZSTA membership to
did not identify as a health professional. given voluntary time to the association. your colleagues.
12 • Communication Matters Communication Matters • 13Registration celebrations
The self-regulation document provides a table of regulatory
activities performed by the NZSTA. This will soon be
displayed on the website under membership. For the full
document, see the front page of the NZSTA website. •
Accountability Method Celebration morning teas Top:
Canterbury Speech
occurred across New Zealand and Language
The NZSTA provides a clear statement of the scope of • Scope of Practice policy as registered members and Therapy celebrated
practice for the profession including what is not within scope registration by having
for the profession
• Policy documents in specialist areas of practice student members received a morning tea with
their celebratory NZSTA pins. • their allied health
team at Longhurst
The NZSTA provides quality assurance of the tertiary courses • Programme Accreditation Framework Health wearing
of New Zealand their badges.
Bottom right:
The NZSTA provides quality assurance of overseas-trained • Qualification Approval Process Celebratory pin with
speech-language therapists requesting membership • Mutual Recognition Agreement 2019 membership.
Bottom left:
The NZSTA provides a framework ensuring a structured • New Graduate Framework Jaren-Anne
and supervised first year of practice for newly qualified Nikora (SLTA),
speech‑language therapists Catherine Bang
(volunteer), Kelly
Zane (cake baker),
The NZSTA provides continuing quality assurance of its • Ethical Complaints Process Kate McGaw (SLT),
registered members • Annual declaration of abiding by Code of Ethics & Annabelle Hastings
statement of good standing (SLT), Leisha Currie
• Annual declaration of recency of practice (hours of practice) (SLT), Alicia Ang (SLT),
David Chang (SLT),
• Continuing professional development log and auditing
Gwen Kerrison
(Clinical lead SLT),
The NZSTA provides a framework ensuring a structured and • Return to Practice Framework Deb McKellar
supervised first year of practice for speech-language therapists (Manager),
with fewer than 1000 hours of practice in the past 5 years Claire Tahu (Chief
Advisor Allied Health,
Scientific & Technical).
The NZSTA can restrict a member’s activities to protect • Ethical Complaints Process
the public and in some cases, withdraw membership of • Annual declaration of abiding by Code of Ethics &
an individual statement of good standing
• Annual Practice Certificate including Conditions
14 • Communication Matters Communication Matters • 15Eating together
NZSTA Board Member update
Gilly Kitto, Kit&co, www.kitandco.co.nz
Professional development
Claire Winward professionaldevelopment@speechtherapy.org.nz
It is music to my ears when Life is hectic. Fitting in family meals is a Now that you understand the reasons
struggle. Children often have an earlier why eating together is so important. It’s
I hear a family say they meal to fit with bedtime routines, or about creating a plan to make it happen. Kia ora koutou, profile and awareness of good practice Talking Matters is a campaign to put
eat together. because they don’t eat the “family meal”. As a start, it may be to share one meal per with people with dementia. She can be early talk at the top of the agenda for
A couple of exciting updates for you
Unfortunately, we have allowed family week together at the dinner table and contacted on: a.grant@massey.ac.nz child wellbeing, health and education,
this edition!
meals to slip down the priority list. then to build on this. Think about what exploring ecological approaches to
Remember, we are always keen to recruit
meal is best for your family (it does not Introducing Annabel Grant, our new building community capability in order to
Studies have indicated that eating more expert advisers so if you think you might
have to be dinner). Expert Adviser in Dementia increase language learning in the home.
regularly together can strengthen have what it takes, please email me for a chat!
relationships with parents and peers. Offering the family meal to everyone is I am pleased to confirm that Annabel Grant This community-based model harnesses the
has accepted the role of Expert Adviser in Announcing a local professional power of whānau-to-whānau transmission
It can support academic achievement key. Get your children to help dish up
Dementia. Annabel has been a speech- learning and development (PLD) of knowledge. Teams are led by community
later in life. It can help children to make the meal at the table. Always make sure
language therapist for over 20 years and has event in July 2019 members, based in local centres,
better decisions around drug, alcohol you have at least one preferred food that
and smoking. And it can reduce risk of you know your children will eat. Use the been employed in clinical lead positions in Whilst we are looking forward to partnering supported by speech-language therapists.
obesity and eating disorders. time at the table to chat about the day health since 2004. She is currently working with SPA for our 2019 conference, we
This workshop will focus on the importance
and describe the qualities of the food. as a speech-language therapist, clinical do recognise that it won’t be possible for
Family mealtimes also provide rich of encouraging talk and interaction with
Remember to put your phone away. educator and lecturer at Massey University. everyone to attend. We have therefore
language learning opportunities. Think babies, using whānau coaching, and
This precious time is a great opportunity organised a Wellington PLD event from
of the great vocabulary we can expose Annabel has specialist knowledge in adult will demonstrate how all facets of the
to build relationships and vocabulary. 1 to 4pm July 4, to coincide with the AGM.
our children to while they explore their language disorders, especially those community have a role. We will explore
food! We also know that children learn Go forth and encourage your families to associated with dementia. Her passion Engaging, collaborating, how growing the educational capacity of
by watching others. Social modelling is share meals! • for lifelong learning led her to complete empowering at community level: the whole community can result in better
crucial when it comes to teaching our a Master of Health Science in 2010, with The Talking Matters story so far outcomes for all, drawing on lessons
children good eating habits. Did you her thesis: The impact of a memory book learnt from projects that are occurring in
Adapted from Gilly’s blog where she Research suggests that a key move to grow
know children are more likely to try on conversations with keyworkers and on communities across Aotearoa.
helps parents teach their children to be confident communicators is to build on
new foods if there is an adult eating the great eaters and communicators. communication related quality of life for
the strengths of families. Speech-language This workshop will be facilitated by
same food? people with dementia in residential care.
therapy as a profession has gone through a Emma Quigan from Talking Matters, with
She has presented at several conferences huge change from child-focused to family- possible other speakers to be confirmed.
on topics relating to dementia and focused, using ecological approaches that
For further details check our website.
References: communication, has been actively respect the strengths whānau bring to the
Hammons, A. J., & Fiese, B. H. (2011). Is Frequency of Shared Family Meals Related to the Nutritional Health of involved in Giving Voice Aotearoa, and is table and recognise them as the expert on Looking forward to seeing some of you in
Children and Adolescents? Pediatrics,127(6). doi:10.1542/peds.2010-1440
a moderator on the NZ Dementia website. their child. Shifting the balance of power Brisbane!
Snow, C. and Beals, D. (2006). Mealtime talk that supports literacy development. New Directions for Child and
Adolescent Development, 2006(111), pp.51-66.
has not negated the need for speech-
Annabel welcomes the opportunity to Ngā mihi mahana,
Videon, T. and Manning, C. (2003). Influences on adolescent eating patterns: the importance of family meals. language therapy: subject matter experts
talk with speech-language therapists Claire
Journal of Adolescent Health, 32(5), pp.365-373. such as speech-language therapists play
working in this area, and to raise the
an essential role in transdisciplinary teams.
16 • Communication Matters Communication Matters • 17NZSTA Board Member update NZSTA Board Member update
Member networks Communications
Jodi White membernetworks@speechtherapy.org.nz Amy Oughton communications@speechtherapy.org.nz
Tēnā koutou, Q: There are still a number of concerns issues with the timing. If payment continues “Small acts, when multiplied by more than 16 people present: people this document and will give our members
around the CPD (continuing professional to be an issue for you, please contact us. millions of people, can transform with communication difficulties (aphasia or an update soon.
We had some excellent discussions
development) log and auditing process. the world” – Howard Zinn. AAC users) and communication partners.
and feedback at our February area Q: Is there training to support the NZSTA Follow us on Facebook for the latest
As I wrote this update in my local cafe, There were a range of experiences and
meetings. I also recently met with the A: We are putting together a working party FEES (fibreoptic endoscopic evaluation of news, research and professional
I looked up in search of inspiration, to knowledge, which will be beneficial for the
national area representatives to talk to review the CPD log and auditing process. swallowing) framework? development events. We love staying
Once the group is established and our goals gather my thoughts and reflect on the group. Many individuals were interested in
about our issues, support each other, connected with you and have really
A: Yes, search the e-learning platform on last couple of months. Staring directly lobbying the government to become more
provide advice and ask questions. are determined, we will provide regular enjoyed seeing the pictures you have
the NZSTA website. You will be redirected at me was a picture of earth with the aware of communication access issues and
Please continue to support each other, feedback and ask for input. Changes may been sending through with your pins!
to a CPD website where you can find a FEES above quote written in beautiful italic to include access in legislation. There was
we are a great community and thrive take some time, so please bear with us. What a great way to raise awareness in
training module for $160. writing ... was this a sign? This quote also heavy discussion around raising public
when we are all connected. your workplace. Wear your pin proudly
Q: Can we pay membership fees in perfectly summed up what I had seen awareness of communication access.
Q: A number of concerns have been raised and when someone comments on it, use
Ngā mihi nui, instalments? There are also concerns over the last couple of weeks after the Ideas included developing resources
about the ease of use of the website. that opportunity to highlight the work
Jodi around the timing of the renewal in January. Christchurch attack. People of all ages, such as wristbands, cards, phone cases we do, the challenges our clients and
A: We are making some changes to the races and religions doing small acts of (easy access items) that have tips on how
A: We have considered this on multiple patients face, and how they can help.
website. We encourage you to login to kindness to support those affected by to communicate with someone with a
occasions as we receive many queries
see what journals you can access and how this tragedy. Small acts, when multiplied, communication impairment. The group I will leave you with a quote displayed my
Q: Can we have more information regarding this. Unfortunately, fees cannot be
you can search for information. We plan really can change communities and the believed collating and sharing stories will office to remind myself every day what I
on registration? paid in instalments as the Annual Practicing
to contemporise the website and are also world. This made me think about how we be a “powerful” way to get messages am working towards and what I believe in:
Certificate (APC) is issued for a full year
A: Check out Anna Miles’s endeavouring to keep the professional can apply this to our own professional across when lobbying to government
and cannot be issued for part-years. This “I wish for a world that views disability,
comprehensive review (page 12) of development section as up-to-date as possible. goals. We can learn a lot from those who or getting media attention. The next
is because if a member were to default on mental and physical, not as a hindrance,
the self-regulation process to find out stepped up to help and from the leaders meeting will be held in July.
their payments, they would still have their Q: There have been some queries as to how but as unique attributes that can be
what registration means for you. who displayed empathy, generosity and
APC without meeting the requirements of our professional title is written. In February, the NZSTA Board began seen as powerful assets if given the right
Q: Can we Zoom into the AGM and membership. We are investigating options most importantly, kindness and love. opportunities” – Oliver Sacks.
A: Official NZSTA documentation has working on our communication
vote online? where a third party could pay the full amount Our goals of an inclusive and accessible
Speech-language Therapist rather than blueprint: where we want the profession Take care,
and members pay instalments to the third Aotearoa can be achieved if we support
A: We are still looking into options for Speech-Language Therapist. This is and association to be in the future, and
party. We will update you on our progress. each other and step up together. Amy
remote access to the AGM. It may not the grammatically correct form the title how to focus and advance our awareness
be possible this year, but we may be Now that we have an APC, we need to keep should take if we are not using an “and”. The first Giving Voice Aotearoa consumer campaigns. This was a very productive
able to post a recording on the website. the same payment schedule. It would have a To capitalise all words, we would need to focus group teleconference was held in and informative four-hour workshop
There are a number of logistical and significant financial impact on the association change to Speech and Language Therapist. • February. It was a fantastic opportunity for and we all came away feeling inspired,
legal issues we need to consider to change this. We send out invoices in our Ambassador Geneva Hakaraia-Tino motivated and more passionate about
Editor’s note: This magazine follows New Zealand
before live-streaming is an option. advance (October) and allow some leeway for to present and lead a discussion. We had the work we are doing. We are finalising
style guide conventions, and only capitalises
Online voting will be available this year. payment (end of February) to try to mitigate speech-language therapist when used as
someone’s job title.
18 • Communication Matters Communication Matters • 19Area updates
NZSTA Board Member update
Māori & cultural development
Renee Taylor culturaldevelopment@speechtherapy.org.nz
Waikato/Bay of Plenty • Palmerston North Child Development • We also discussed how people are
Service (CDS): Emma has gone down accessing journal articles: IHC library,
towards becoming an organisation with an international conference is often very 102 members south, and Rachel has gone to the UK. Education Library, subscription service
a bicultural framework. The process of restrictive so don’t forget to check for • At the end of last year Waikato Hospital CDS is currently recruiting. Informed SLP reviews and summarises
initiating, developing, and finalising any scholarships available, and with your worked with our recently appointed • Speechie Centre for Speech-Language paediatric literature, directly emailing
these projects, as you can imagine, takes employers for professional development Aphasia Community Advisor Christa Therapy: Matt is returning to Canada. an author of a paper to ask for a PDF
time and patience, yet things are slowly or study leave funding. Grbin to set up Hamilton’s first Gavel- They are currently recruiting. copy, and via databases (ResearchGate,
but surely falling into place. Having style communication group, the Google Scholar and Academia.edu).
One of my new roles with Counties • Palmerston North MoE: Welcome
the guidance of a kaumātua who is so Kōrero Club. This has been received
Manukau Health is part of the Māori Sarah Hiew and Amberlew. Sarah Shannon Hennig
invested in our association has opened well by our patients and whānau.
Kia ora koutou katoa, Allied Health Advisory Board (MAHAG). McKeage has resigned and Jenny
many doors and really drawn together
Within this role I am able to meet and • Across the midland hospitals we have Williams is on maternity leave.
It’s been a busy and emotional time my goals for this role (outlined in the
network with a wide group of like‑minded changed the structure of our regional Canterbury
recently. As I write this it has been one previous edition of Communication • Sounds Good Speech Therapy: Kirsty
people. Much of the MAHAG’s work PD (professional development) days to We had an awesome start to our 2019
week since the events in Christchurch Matters). Rukingi and I have arranged for Laurence is going on maternity leave.
compliments my goals as the Māori and video-conferencing in-services across meetings with a great turnout both in
to which the shock and mourning our next board hui to be a noho marae • Chatter Matters: Helen Griffiths will
cultural development portfolio holder so all sites monthly and only having one person and online. Thanks everyone for
continue. New Zealand has really (overnight stay) at his marae. This has soon go full-time.
I really look forward to seeing how the in-person PD day per year. This will contributing to a great discussion.
stepped up to show such aroha and been such a generous offer and more
two roles will grow and develop together. focus on general topics in healthcare Elisa Mynen
support for our Muslim community. details will come as we plan the stay. • The University of Canterbury
with a speech-language therapy slant,
It has been really amazing to witness. Moving forward we hope to have this As always, I invite you to come forward (UC) communication disorders
for example, technology in healthcare
At a time of such darkness, there is as a yearly occurrence providing an with any questions or ideas you may
and speech-language therapy.
Wellington department has a new name: School
always light. My thoughts and prayers opportunity for the board members and have as we grow together to create 98 members of Psychology, Speech and Hearing,
are with everyone affected by the events. NZSTA members to join together, learn, an inclusive, culturally safe, bicultural • We would love to see more Ministry Te Kura Mahi ā-Hirikapo. For those
Remember to be kind to one and other: teach, and connect. workforce and membership. of Education (MoE) therapists at our • Hutt DHB shared that their public familiar with UC, the UC Speech
aroha mai aroha atu – when love is given, area meetings. speaking project for adults with and Hearing Clinic, student study
We are also busy planning our upcoming Ngā manaakitanga, aphasia has really taken off.
love is returned. Gwen Kerrison areas and staff offices are now in the
conference in Brisbane. It’s been a Renee
• Wellington hospital’s team shared new Psychology/Geography buildings in
As we come into the second quarter of delight to see how many indigenous
initiatives around caring for patients the centre of the university.
the year already, our kaumātua role has presenters and research have been Central with head and neck cancer.
been accepted by Rukingi Haupapa, selected and prioritised, for Māori, • UC fondly farewells Chris Wyles and
39 members • It was great to hear about the Office welcomes Katrina Aitken in the role
Te Arawa Iwi. This is a very exciting Aboriginal, and Torres Strait Islanders.
time for our association. We’ve made I hope that you can make it across the • Gisborne MoE: Welcomes Esther of the Children’s Commissioner of Clinical Educator. TalkLink Trust
progress on some great projects as ditch to attend the event! It would de Witt. having a speech-language therapist welcomes Sukhveer Thandal.
well as explored many budding ideas be great to see as many Kiwi faces as • DHB Whanganui: Alice is moving on their team!
Kate Cook and Ruth Ramsay
to help bind our association and move possible. I understand that the cost of to Invercargill. • We had a lengthy discussion about
various autism programmes in our area.
20 • Communication Matters Photo credit: “Christchurch Port Hills” by jamesnimmo is licensed under CC by 2.0. Communication Matters • 21You can also read
