Indiana Speech-Language-Hearing Association

Saturday’s Program

April 13, 2024

7:00 am – 2:00 pm Registration

8:00 am - 9:30 am

Annual Business Meeting and Awards Ceremony (Breakfast) NEW TIME!!

Enjoy breakfast while learning about ISHA updates such as board activities, advocacy efforts, the school based roundtables and webinars, etc. During this meeting, ISHA will present the annual awards. Help us congratulate this year’s award winners by joining us for breakfast.

Pre-registration is required. Be sure to order your complimentary ticket when registering.

This session is not CEU eligible.

9:45 am - 10:45 am

Session 9.1Common Ethical Issues and How to Avoid Them

Theresa Rodgers, MA, CCC-SLP

The ASHA Ethics Office receives hundreds of inquires a year about ethical issues. During this session, we will discuss some of the most commonly asked ethical questions, including questions about client abandonment, confidentiality, billing, documentation and providing unnecessary services. We will review and discuss case studies that highlight these common ethical dilemmas and discuss ways to protect and defend yourself from claims of unethical conduct. Finally, we will answer your questions about the ASHA Code of Ethics and the ethical dilemmas that you face in your own practice.

Learner Outcomes: At the end of this session, participants will be able to:

  • Identify common missteps that can lead to violations of the ASHA Code of Ethics.
  • Describe processes and methods you can follow to limit the risk of ethical violations when leaving a job, or posting information about a client on social media.
  • Describe what to do if a complaint is filed against you.

Time-Ordered Agenda:

5-minutes:   Introduction and Disclosures                                    
30-minutes: Discussion of Common Ethics Issues                        
15-minutes: Case Studies                                                                 
10-minutes: Q&A                                        

Instructional Level: Intermediate  |  Track: Ethics

Session 9.2Making the Most of Therapy Minutes in School Settings, Part 1

Brenda Addington, MA, CCC-SLP, Eastern Kentucky University

From the perspective of a speech-language pathologist and former elementary school teacher, the presenter will provide tips, resources and reflections from more than 30 years in the school system. Changes in therapeutic delivery over the past 30 years, meeting the demands of serving high caseloads and evidenced based practices for providing engaging and effective therapy in a limited amount of time will be explored. Suggestions and materials for saving time in therapeutic planning, caseload management and completing paperwork will be discussed. This session is loaded with time saving suggestions, engaging therapy ideas and examples, plus resources to take away and incorporate immediately in practice.

Learner Outcomes: At the end of this session, participants will be able to:

  • Identify a variety of resources to develop engaging and evidence based therapy sessions.
  • Describe and utilize strategies, materials and resources that improve efficiency and minimize time in planning and completing paperwork.
  • Identify and use alternative therapy strategies to maximize therapeutic effectiveness.

Instructional Level: Intermediate  |  Track: School Age

Product Disclosure:
A variety of materials developed by the presenter available from TPT and ProEd will be discussed, although the clinician can develop similar materials independently.

Session 9.3Practical Evaluation and Therapy Strategies for Pediatric Voice Disorders

Lydia Kruse, MS, CCC-SLP, Purdue University

In the pediatric population, the prevalence of voice disorders can be as high as 6% (Carding et al., 2006) yet many speech-language pathologists, particularly those in school settings, self-report low levels of competence in their ability to assess and treat children with voice disorders (Teten et al., 2016). This session seeks to improve the SLP’s knowledge of practical evaluation and therapy strategies for pediatric voice disorders.

Learner Outcomes: At the end of this session, participants will be able to:

  • Identify perceptual characteristics of disordered voices in the school-age population.
  • Describe at least two practical evaluation techniques for assessing voice in school-aged children.
  • Describe at least two practical therapy techniques for addressing voice disorders in school-aged children.

Instructional Level: Introductory  |  Track: Peds Medical

Product Disclosure: Pediatric voice products from A Tempo Voice Center

Session 9.4Speech-Language Pathologists (SLPs) in the Bathroom, Part 1

Adria Thompson, MA, CCC-SLP, Be Light Care Consulting

This session discusses the role of a speech-language pathologist (SLP) in assessing and treating cognitive-communication disorders in the context of activities of daily living (ADLs). There are some ADLs that SLPs are generally comfortable with (such as self-feeding). However, it is very common for an SLP to not provide any hands-on assistance or be present during toileting, showering, dressing and grooming tasks. This session is intended to outline how SLPs can provide essential communication support during self-care tasks. Implementation of evidence-based interventions that can decrease agitation, combativeness, resistance and a lack of participation with an individual with a cognitive-communication disorder will be reviewed. Common barriers SLPs face in having the confidence and competence to assist in ADLs will be discussed. Finally, practical documentation and caregiver training tips will be provided for reimbursement and carryover.

Learner Outcomes: At the end of this session, participants will be able to:

  • Describe the role of an SLP in the context of activities of daily living (ADLs).
  • Analyze communication exchanges between individuals with dementia and their care providers to determine two cognitive-communication deficits impacting participation.
  • List three cognitive-communication interventions SLPs can implement in the context of ADLs.

Instructional Level: Intermediate  |  Track: Adult

Product Disclosure: Be Light Care Consulting

11:00 am - 12:00 pm

Session 10.1How Does the Revised ASHA Code of Ethics Affect Your Practice?

Theresa Rodgers, MA, CCC-SLP

On March 1, 2023, the revised ASHA Code of Ethics (2023) went into effect. The 2023 revisions included, in part, modifications to principles and rules regarding discrimination, conflict of interest, confidentiality, supervision and practicing with reasonable skill and safety. This session will set forth the changes made to the ASHA Code and discuss how such changes impact speech-language pathologists and audiologists working in different practice areas. Additionally, the presenter will discuss the process and reasoning behind these changes and answer questions regarding the revised ASHA Code.

Learner Outcomes: At the end of this session, participants will be able to:

  • Identify how the revisions to the ASHA Code of Ethics (2023) affect day-to-day practice.
  • Identify possible conflicts of interest and address conflicts that cannot be avoided.
  • Describe how to address situations where an individual cannot practice with reasonable skill and safety.

Time-Ordered Agenda:

5-minutes: Introduction and Disclosures                                    
30-minutes: Overview of the Code of Ethics Revisions             
15-minutes: Case Studies
10-minutes: Q&A

Instructional Level: Introductory  |  Track: Ethics

Session 10.2Making the Most of Therapy Minutes in School Settings, Part 2

Brenda Addington, MA, CCC-SLP, Eastern Kentucky University

From the perspective of a speech-language pathologist and former elementary school teacher, the presenter will provide tips, resources and reflections from more than 30 years in the school system. Changes in therapeutic delivery over the past 30 years, meeting the demands of serving high caseloads and evidenced based practices for providing engaging and effective therapy in a limited amount of time will be explored. Suggestions and materials for saving time in therapeutic planning, caseload management and completing paperwork will be discussed. This session is loaded with time saving suggestions, engaging therapy ideas and examples, plus resources to take away and incorporate immediately in practice.

Learner Outcomes: At the end of this session, participants will be able to:

  • Identify a variety of resources to develop engaging and evidence based therapy sessions.
  • Describe and utilize strategies, materials and resources that improve efficiency and minimize time in planning and completing paperwork.
  • Identify and use alternative therapy strategies to maximize therapeutic effectiveness.

Instructional Level: Intermediate  |  Track: School Age

Product Disclosure
A variety of materials developed by the presenter available from TPT and ProEd will be discussed, although the clinician can develop similar materials independently.

Session 10.3Speech-Language Pathologists (SLPs) in the Bathroom, Part 2

Adria Thompson, MA, CCC-SLP, Be Light Care Consulting

This session discusses the role of a speech-language pathologist (SLP) in assessing and treating cognitive-communication disorders in the context of activities of daily living (ADLs). There are some ADLs that SLPs are generally comfortable with (such as self-feeding). However, it is very common for an SLP to not provide any hands-on assistance or be present during toileting, showering, dressing and grooming tasks. This session is intended to outline how SLPs can provide essential communication support during self-care tasks. Implementation of evidence-based interventions that can decrease agitation, combativeness, resistance and a lack of participation with an individual with a cognitive-communication disorder will be reviewed. Common barriers SLPs face in having the confidence and competence to assist in ADLs will be discussed. Finally, practical documentation and caregiver training tips will be provided for reimbursement and carryover.

Learner Outcomes: At the end of this session, participants will be able to:

  • Analyze trialed cognitive-communication interventions to determine effectiveness in improving participation of individuals with dementia with care tasks.
  • Identify solutions to two barriers SLPs face in providing therapy services during ADLs.
  • Formulate and implement cognitive-communication terminology in goals and daily documentation.

Instructional Level: Intermediate  |  Track: Adult

Product Disclosure: Be Light Care Consulting

11:00 am - 12:30 pm

Session 10.4Sensory Processing, Food and Fun!

Mary Hart Benecke, MS, OTR/L, BCP, Riley Hospital for Children
Jenna Trost, OTD, OTR/L, Riley Hospital for Children

In this session, we will explore the basics of sensory processing and how this key element can inform your approach to feeding sessions with infants and toddlers. A child’s sensory systems are developing rapidly in infancy and early childhood. Children must be given opportunities to explore the sensory elements of their world for these systems to develop in a way that supports growth and development in all areas. As such, knowledge of sensory processing and identification of sensory strategies for infants and toddlers is instrumental in the success of infant and toddler feeding. This is true for children with and without differences in sensory processing. Each child’s unique patterns of sensory processing should inform the approach to a multitude of aspects of feeding therapy including preparatory work, session of food and positioning. Addressing infant and toddler feeding with knowledge of sensory processing can improve the child’s response to interventions. This session aims to increase knowledge of sensory strategies and to review evidence-based practice to be utilized with children in order to improve infant and toddler feeding outcomes.

Learner Outcomes: At the end of this session, participants will be able to:

  • Identify sensory strategies to be used as preparatory work prior to feeding therapy.
  • Identify sensory informed strategies for session of food during a feeding therapy session.
  • Identify the body centered states and their role in feeding.

Instructional Level: Introductory  |  Track: Peds Medical

1:00 pm - 2:00 pm

Session 11.1Great Expectations: Understanding Dementia

Adria Thompson, MA, CCC-SLP, Be Light Care Consulting

This session will challenge speech-language pathologists (SLPs) to rethink their approach in dementia care by confronting commonly held beliefs and roadblocks that impact our effectiveness and confidence. During this session, we will break down expectations for the decline in cognitive communication skills as dementia progresses throughout the different stages and types, identify how these deficits impact function and examine the out-of-the-box, real-life interventions that meet the needs of our patients.

Learner Outcomes: At the end of this session, participants will be able to:

  • Describe the types and stages of dementia and the expectations of cognitive communication abilities for each.
  • Analyze the cognitive communication neurological underlying impairments causing the functional deficits reported by primary caregivers.
  • Identify and examine functional situations in which training communication strategies and employing evidenced based interventions would increase compliance with care, increase safety or improve quality of life.

Instructional Level: Intermediate  |  Track: Adult

Session 11.2Pediatric Cognitive Evaluation and Treatment Strategies Post Hospitalization for Acquired Brain Injuries

Erica Maginn-Doss, MA, CCC-SLP, Riley Hospital for Children

This session will review neuroanatomy and associated critical cognitive functions. The presenter will discuss acquired brain injury to distinguish between traumatic and non-traumatic brain injury diagnoses. Expect an in-depth review of cognitive functioning, including types of attention, memory and executive functioning. We will also discuss current, formal cognitive testing for the brain-injured pediatric population and review how to complete a thorough, informal cognitive evaluation. Evidence-based treatment strategies for attention, memory, anosognosia and metacognition will be discussed. The presenter will invite discussion of barriers that both school-based and outpatient-based speech-language pathologists encounter with this population and offer ways to facilitate successful, functional outcomes. The session will conclude with case studies to apply learned objectives.

Learner Outcomes: At the end of this session, participants will be able to:

  • Identify neuroanatomy and at least one cognitive related function.
  • Identify formal and informal means of cognitive evaluation.
  • Identify evidence-based treatment strategies for attention, memory and metacognition.

Instructional Level: Intermediate  |  Track: Peds Medical

Session 11.3Practical Prompting: AI Solutions for Evidence-Based Phonological Intervention

Michele Morrisette, PhD, CCC-SLP, Indiana University-Bloomington

Malachi Henry, MA, CCC-SLP, Indiana University-Bloomington
Tessa Bent, PhD, Indiana University-Bloomington

The current literature base for phonological intervention offers well-established guidelines for selecting target sounds and treatment words for children with phonological disorders (e.g., Storkel, 2017, 2018). Despite these advances, speech-language pathologists (SLPs) often struggle to integrate research findings into their day-to-day clinical practice (e.g., Cabbage, Farquharson, & DeVeney, 2022). Barriers to implementation may include time, access to resources and a lack of training (Greenwell & Walsh, 2021). This session aims to bridge this research-practice gap by demonstrating an innovative and time-saving approach to developing evidence-based therapy materials using freely available generative artificial intelligence (AI) platforms, such as ChatGPT 3.5. These platforms are based on large language models designed to generate new and creative content specific to user prompts. We will illustrate practical strategies for crafting prompts that incorporate published treatment words designed to maximize children’s phonological learning (Storkel, 2017). Prompts will also be engineered to align with best practice guidelines for adapting treatment words to a story context (e.g., Gierut & Morrisette, 2010). The content generated will result in unique short stories for phonological intervention that are tailored to the age and interests of individual clients. Leveraging generative AI tools for clinical practice will allow SLPs to efficiently incorporate the latest evidence-based research findings.

Learner Outcomes: At the end of this session, participants will be able to:

  • Describe and utilize evidence-based stimulus words to target phonological disorders.
  • Formulate highly effective AI prompts, incorporating evidence-based approaches to intervention.
  • Identify and incorporate evidence-based stimuli into a narrative context that is tailored to client interests and needs.

Instructional Level: Intermediate  |  Track: School Age

Session 11.4Verification 201: Verification Review and Hearing Aid Case Studies

Jacinto Fragoso, AuD, Riley Hospital for Children

The importance and need for the verification of hearing aids has been discussed ad nauseam; however, many audiologists do not complete verification as part of their clinical practice, or it’s done incorrectly. Electroacoustic verification of hearing aid function is essential in ensuring that the hearing aid is providing adequate access to sound, especially for children. The accuracy of hearing aid programming directly impacts a child’s audibility of speech which can, in turn, affect their speech and language development. In addition, appropriately fit hearing aids have been found to reduce the number of follow-up visits and hearing aid returns, as well as improve overall patient satisfaction. Verification of hearing aids should be required for adult and pediatric patients to ensure that the clinician is providing the utmost level of care. This session will give an overview of accurate verification methods including probe microphone measurements, the importance of real-ear-to-coupler-difference (RECD) and a comparison of validated prescriptive methods. Case studies will also be incorporated to demonstrate the importance of device verification.

Learner Outcomes: At the end of this session, participants will be able to:

  • Describe and justify the importance of electroacoustic verification of hearing aids.
  • Identify the quality of verification measures.
  • Describe how to appropriately fit hearing aids for patients of all ages.

Instructional Level: Intermediate  |  Track: Audiology