The first thing to consider is that there are multiple factors that are known to contribute to the onset of stuttering. Each child has a unique set of abilities and vulnerabilities that determine if and how stuttering is going to persist. Those different circumstances demand different approaches to treatment. A speech pathologist cannot be expected to develop a treatment plan that is specifically tailored to the client when the SPA is using Medicare reimbursement to limit them to one approach. Speech pathologists could be faced with the unfortunate dilemma of deciding whether to use an approach that best fits the child and families’ needs or to use the approach that will get reimbursed.
Finally, the decision of the SPA to restrict SLPs to one treatment approach has the potential to negatively impact the future of stuttering research. We must not hinder research or the recognition of new and effective clinical approaches by mandating the use of one existing approach. Organizations such as the SPA and the American Speech Language Hearing Association (ASHA) were developed to ensure that our field matures and moves forward, however a mandate such as this will only hold us back.
If this policy is accepted, its impact has the potential to extend well past the country it is originating in and beyond the disorder it is addressing. Although this is occurring thousands of miles away, it is imperative that we voice our concerns about this issue now to make certain that our field continues to advance our knowledge of communication disorders and to ensure that the families we treat receive individualized and comprehensive care.
If you share in the concerns expressed above, please let Speech Pathology Australia know by contacting firstname.lastname@example.org!
*This entry was also featured on ADVANCE magazine's blog.
UPDATE May 14, 2015: The Australian Government has turned down SPA's proposal. Thank you to all of the SLPs and parent who have spoken up to educate SPA on the ramifications of their request for program-specific funding. We hope that SPA can work with stuttering specialists to develop a more well-rounded proposal to benefit children who stutter.