Online speech therapy

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Online speech therapy or telepractice is the use of technology to provide speech therapy via high speed internet, webcam, headset with microphone or any other form of communication.[1][2][3] Online therapy is a clinical arrangement where the patient and a speech-language certified pathologist communicate and interact face-to-face over the Internet.[4] The session involves a suite of therapeutic exercises including listening, speaking, reading and writing.[5] The recorded videos are assessed by the pathologist to generate an activity report for evaluating progress and usage.[6]

Telepractice is a method of reaching students and individuals in any distant location.[7] Telepractice is defined by the American Speech–Language–Hearing Association (ASHA) as the use of technology to provide speech therapy services to remote regions.[8] Janet Brown, the Director of Healthcare services in SLP at ASHA has stated "research shows that with telepractice a speech-language pathologist can provide speech therapy services, with the same results, as being there in person."


Assessment for online speech therapy consists of an informal oral exam by a licensed trained professional through video conferencing or a web application. Patients are initially screened for communication disorders with diagnosis and consultation for provision counseling including cognitive aspects of communication, syntax, hypophonia and upper aerodigestive functions. The therapist and patient communicate via telecommunication technology where they can interact in real time. Therapy may cover speech sound production, fluency, language, cognition and written language.[9]

The therapists create an assessment document or report that is updated after every session. The document is reported to the parents or the referral source in compliance with HIPAA and FERPA. The Health Insurance Portability and Accountability Act also known as HIPAA is a federal law that protects patient medical records. HIPAA specifically protects “individually identifiable health information.” The Family Educational Rights and Privacy Act known as FERPA is a federal law that protects student education records. FERPA gives parents certain rights with respect to their children’s education records until they turn 18 or transfer to a school higher than the high school level, thus making them “eligible students.” [10] Clinical departments in Universities also offer speech and language therapy services where they keep recorded video of sessions between clinicians and patients secured through password security services.[11]


Online speech therapy courses are offered by professional associations, Universities and cyber schools for treatment of communication disorders. The minimum eligibility for an online speech therapy course is a bachelor's degree for Master's entry-level field and master's degree for CScD offered by professional associations and Universities in the United States. The speech therapist course is not available for Bachelors or under graduate degree level in the United States. The pathologists are required to attain a minimum of 400 clinical hours to complete the course. In Asian countries, the course is open for Bachelors level degree program offered by Universities.

Speech Pathologist are also required to complete 400 hours clinical hours and pass the KASA exams in the United States.


  1. ^ "Workshop Uses iPad Apps in Speech Pathology". State University of New York College at Cortland. Retrieved 14 March 2014. 
  2. ^ Michael P. Towey> (2012). "Speech Telepractice: Installing a Speech Therapy Upgrade for the 21st Century". International Journal of Telerehabilitation. 
  3. ^ "Technical Requirements for online therapy". Cyber Speech Therapy. Retrieved 27 February 2015. 
  4. ^ "Speech Pathology & Audiology". Tennessee State University. Retrieved 6 April 2014. 
  5. ^ "Telepractice". Teachers College, Columbia University. Retrieved 14 March 2014. 
  7. ^ "New Internet Program Enhances Speech Therapy". Boca Raton News. Jan 22, 2001. p. 11. Retrieved 14 March 2014. 
  8. ^ "What should I know about telehealth and telepractice? How does telepractice apply to audiology and speech-language pathology?". American Speech Language Hearing Association. Retrieved 6 April 2014. 
  9. ^ "Telepractice Overview". Retrieved 14 March 2014. 
  10. ^ "Beyond Skype for Online Therapy: Protecting Student Privacy - Leader Live — Happening now in the speech-language-hearing world". 15 April 2014. 
  11. ^ "Telepractice, Department of Speech & Hearing Science". The Ohio State University. Retrieved 14 March 2014. 

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