This can be a very touchy subject with our speech colleagues! I know when I was
in a rehab setting and we introduced the Allen cognitive levels and test ,etc,
the speech therepists threw a FIT! Up to that point they were often ordered to
evaluate patients that had cognitive deficits, then they would determine that
there was nothing Speech could do for them, so they would ***graciuosly****let
OT handle them. Gee, thanks.
Anyway, we did major inservicing to our docs and whole rehab team...I remember
many sessions with the speech therapists discussing with them the differences in
how we look at cognition. We came to a concensus that allowed both of us to
feel good about our services. Basically the speech theraists admitted that they
looked at cognitive linguistic issues, and we looked at cognition form a
sensorimotor point of view (especially true is you are using the ACL etc as a
frame of reference). When we saw that what we could do complimnented rather
than competed with each other, our relationship improved by leaps and bounds.
And they also admitted that they didn not necessarily like having to eval all
those hip fractures, etc when they knew most likely they would be treating them.
The docs appreciated having OT do the cognitive evals on most of the rehab
patients, and Speech took over the super heavy duty congnitive retraining with
the TBI's. etc, you know, the paper pencil tasks, drills, etc. OT still saw the
brain injured clients, etc, but we coordinated what we did with the client so
that they got to practice functionally what speech was drilling them on. It
worked well, but the downside for speech was that clients didn't really like
speech therapy as much as they did OT!
Good luck.!
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