Boisvert Michelle, Hall Nerissa, Andrianopoulos Mary, Chaclas Jeanne
University of Massachusetts, Amherst.
Int J Telerehabil. 2012 Dec 9;4(2):11-24. doi: 10.5195/ijt.2012.6104. eCollection 2012 Fall.
Telepractice is a method of service delivery in which professionals provide intervention, assessment and consultation services to individuals through the use of telecommunication technologies. In response to the nationwide school-based shortage of speech-language pathologists, telepractice has emerged as a viable way to reach underserved clients. Telepractice has the potential to extend to populations in need of services, including those diagnosed with autism. This paper examines an evidence-based clinical model for the delivery of telepractice services and describes the policies and procedures required for assessing individual need, confidentiality, technology, training and documentation within a telepractice program. Two clinical case studies involving individuals diagnosed with autism are described and provide initial evidence for the use of telepractice as a practical method for direct and consultative service delivery. Results indicated that both the student receiving direct services, and the treating clinician receiving consultative services via telepractice, demonstrated an increased skill level in target domains.
远程医疗实践是一种服务提供方式，专业人员通过使用电信技术为个人提供干预、评估和咨询服务。为应对全国范围内学校言语病理学家短缺的情况，远程医疗实践已成为一种为服务不足的客户提供服务的可行方式。远程医疗实践有可能扩展到有服务需求的人群，包括那些被诊断患有自闭症的人。本文研究了一种基于证据的远程医疗实践服务提供临床模型，并描述了在远程医疗实践项目中评估个人需求、保密、技术、培训和文档记录所需的政策和程序。文中描述了两个涉及被诊断患有自闭症的个体的临床案例研究，并为将远程医疗实践用作直接和咨询服务提供的实用方法提供了初步证据。结果表明，接受直接服务的学生以及通过远程医疗实践接受咨询服务的治疗临床医生在目标领域的技能水平都有所提高。
