What is Telepractice?
Telepractice is the use of telecommunication to provide speech and language therapy services to clients. The speech and language therapist typically use videoconferencing to administer client sessions in real-time but may utilise other formats, such as email, for related communication. Telepractice is sometimes referred to as telehealth, telerehabilitation, or telespeech.
What does a telepractice consultation involve?
A telepractice consultation usually involves some or all of the following:
- Your speech and language therapist will discuss your health and your health history with you and, where appropriate, will offer information and advice.
- You may bring a support person with you, as you might in a face to face consultation.
- If you attend a health service to participate in a telepractice consultation, other health professionals may be present and may need to examine you according to your speech and language therapist’s instructions.
- A technical support person might be present for part of the consultation to assist with technical issues.
- You are not permitted to video or audio record the consultation, unless your speech and language therapist gives you permission to do so.
What are the potential benefits of telepractice?
- Improve access to speech and language therapy services
- Reduce your need for travel
- Decrease exposure to infectious disease
What are the potential risks of telepractice?
- Be negatively impacted by technical problems, such as delays due to technology failures.
- Not offer the same visual and sound quality for observations and modelling
- Require someone onsite with you to support the speech and language therapist
- Not feel the same as an onsite session
- Not achieve everything that is required and therefore require another telepractice consultation or a face to face consultation.
- Include practices and procedures that are not as well understood in a telepractice setting as they are onsite
- Increase exposure to privacy and digital security risks. (See next section.)
Will my privacy be protected?
This practice is committed to complying with obligations related to the collection, use and disclosure of personal information, including through telepractice. The speech and language therapist must maintain confidentiality and privacy standards during sessions, and in creating, keeping and transmitting records.
At times, audio and video recordings of sessions may be taken to support the speech and language therapist’s work, as might occur in a face to face consultation. You will be informed before a recording takes place and can refuse to be recorded for any reason. The speech and language therapist will inform you of the reason for the recording and how it will be stored.
While the speech and language therapist is obligated to meet standards to protect your privacy and security, telecommunication, including videoconference, may increase exposure to hacking and other online risks; as with all online activities, there is no guarantee of complete privacy and security protection. You may decrease the risk by using a secure internet connection, meeting with the speech and language therapist from a private location, and only communicating using secure channels.
What does informed consent mean?
There are a few important principles related to informed consent:
- You must be given relevant information. Ask the speech and language therapist if you have questions about telepractice and the services offered.
- You have the right to understand the information. Ask the speech and language therapist if you do not understand.
- You have the right to choose. If you do not agree to telepractice, you may refuse to participate. You may agree to or refuse specific activities and procedures.
- You have the right to stop using telepractice anytime. You can change your mind about telepractice or a specific activity or procedure, even in the middle of a session.
- You can agree or refuse in writing or verbally. You may give your consent using the form below. ou You may also give consent or change your mind by telling the speech and language therapist. Consent and refusal that you give verbally will be documented by the speech and language therapist.
- You can ask about alternatives to telepractice. If you refuse or change your mind about telepractice services, your speech and language therapist will discuss any other options with you. The speech and language therapist may or may not be able to offer alternative services.
- Normal consent rules apply:
- Signatures by child (if older than 12), by parent if younger than 12.
- If recording takes place, consent needs to be from parents.
- A child’s assent would be sufficient, but parental signed consent is needed for teletherapy to take place. This would be since the child would probably need to use their parents’ equipment/phone/data for the session. The session will probably be taking place in the home, so parents would need to give consent, especially if it is to be a recorded session.
- Consent should be obtained from the facilitator, especially for recorded sessions, if it isn’t the parent?
- Instructions for client to find a private space (as their confidentiality might be impacted if one of their family members walks in and the therapist discussed private matters)
- Storing of recording should be in line with POPI and HPCSA regulations.
Once you have filled out all of the forms, we will email you your contract and case history form. Both will need to be completed and submitted to firstname.lastname@example.org