Meet the Specialty Clinics So many opportunities

Brain Injury & Concussion Clinic (BrICC) BrICC Team of Faculty and Supervisors Alex Ledbetter, M.S., CCC-SLP - Clinical Supervisor & Team Lead McKay Sohlberg, Ph.D, CCC-SLP - Faculty Expert Priya Kucheria, M.S., CCC-SLP - Clinical Supervisor Heidi Iwashita, M.S., CCC-SLP - Clinical Supervisor

Brain Injury & Concussion Clinic (BrICC) Key Population- Adolescents and adults with acquired brain injury Traumatic brain injury (TBI) Persistent symptoms post-concussion Acquired cognitive impairments associated with stroke or other illnesses Collaborative Partners Center on Healthy Relationships Dr. Michael Koester of Slocum Orthopedics Oregon Neurology Associates

Brain Injury & Concussion Clinic (BrICC) Initial cognitive consultations Initial two hour session with BrICC to assess cognitive concerns through interview and testing Slocum Orthopedics – Dr. Koester Refers concussion cases for assessment and intervention Oregon Neurology Associates Refer cases with cognitive concerns for assessment and intervention Center on Healthy Relationships Refer cases to us for assessment and intervention Consult/collaborate to coordinate care for shared cases

BrICC Key Competencies Understand clinical presentation of acquired cognitive impairments Gain experience with assessment methods (interview, testing) Determine suitable treatment options and express rationale Gain familiarity with evidence-based treatment approaches Use motivational interviewing to identify desired outcomes Use Goal Attainment Scaling (GAS) to measure intervention impact

BRICC-Logistics BrICC operates Thursdays and Fridays Initial cognitive consultations primarily Friday mornings Individual treatment sessions primarily TH/FR afternoons Group sessions Fridays between 2pm and 4pm per need/interest Adolescent cases primarily Thursdays 3pm onward Rounds on Fridays at 4pm after all weekly sessions have been held

Fluency Clinic (Paired with BRICC) Clients of all ages with speech fluency challenges (stuttering; cluttering) Clinic Lead: Jessica Fanning Jessica Fanning Collaborative Partners National Stuttering Association (local chapter) SLPs in community (e.g., school-based SLPs involved w pediatric clients)

Fluency Clinic Assessment Treatment Community outreach & collaboration Combination of formal & informal measures that involve input from client, caregivers, & other professionals (e.g., SpEd, RegEd, SLP) Treatment With the client/family, we consider ‘client-directed’ & ‘parent-directed’ Tx approaches Caregiver coaching is typically an important component to Tx plans Typically, our Tx approaches are “integrated” Community outreach & collaboration Local chapter of NSA

Fluency Clinic Key Competencies/Targeted Skills (align w/WHO-ICF) Speech fluency (body function) Strategy knowledge & use Feelings, attitudes, reactions to disfluency (participation; activities) Family/client education Self-advocacy (personal factors; environmental factors) Collaboration, transfer, maintenance (“own clinician”)

Fluency Clinic Logistical information When: Mondays & Wednesdays 2:00 – 6:00pm Most individual sessions Group sessions when possible

CAALMS – Clinic for Acquired Adult Language and Motor Speech Disorders Clinic serves adults with aphasia, apraxia, dysarthria as a result of CVA or other medical event. Clinic Lead- Elise Peltier All Supervisors involved- Priya Kucheria, Heidi Iwashita, Samantha Shune, Karen McLaughlin Collaborative Partners -Center for Healthy Relationships, community SLP’s and Physicians, PeaceHealth Stroke Support Group, City of Eugene, Adaptive Recreation.

CAALMS- Assessment Comprehensive Assessment Battery Standardized Tests( eg CAT- Comprehensive Aphasia Test, WAB- Western Aphasia Battery, SIT- Speech Intelligibility Test Clinician/ Caregiver reported functional behavior measures( eg ASHA NOMS- National Outcome Measures) Patient Reported Measures ( eg ASHA- QCL – Quality of Communicative Life Scale ) Oral Motor exam and Hearing Screening

CAALMS- Intervention Process Training Interventions RET- Response Elaboration Therapy Compensatory Approaches Training Augmentative or Alternative Communication Training Communication Partners Skills Based Approaches Writing of Single Words – ACT/CART Life Participation Approaches Participation group therapy

CAALMS- Contracts and Groups Partner with City of Eugene, Adaptive Recreation to host GAME DAY group Partner with Peacehealth Stroke Support group to facilitate small group conversations at support group HEDCO based groups therapy opportunities BOOK CLUB CONVERSATION GROUP CURRENT EVENTS

CAALMS- Special Populations Primary Progressive Aphasia Keeping up with research Support for clients and families at all stages of progression Parkinson’s Disease Lee Silverman Voice Therapy-LSVT Collaborate with medical team; Neurologist, ENT, Primary Care Physician Emphasis on Intensity and Modelling

CAALMS – Key Competencies/Targeted Skills Experience with a variety of assessments ( either hands on or case based ) Experience with a variety of therapy approaches Emphasis on critical thinking and clinical decision making skills Experience in Counseling Clients and Caregivers Experience in Oral Case Reporting Experience in Community Outreach and Service Experience in Group Therapy Facilitation

CAALMS - Logistics CAALMS Meetings: Mondays 1-3 Individual clients are typically scheduled Midday Tuesday, Wednesday Thursday 10- 3 is most common time Many groups are scheduled on Thursday Book Club and Ted Talks Group are Thursday AM GAME DAY group is Thursday PM at Hilyard Community Center

AAC Specialty Clinic Population: Pediatric and Adult Clients with Complex Communication Needs (CCN) Lead: Jeanine Supervisors involved: Shelley, Elise, Frank, Heidi, Priya Collaborative Partners: Center for Healthy Relationships (CHR) Graduate Student Clinicians

AAC Specialty Clinic 1:1 Assessment, 1:1 Tx, Small Group, Family Experience Day Camp Contracts ALS Association 4J School District

AAC Specialty Clinic Communication Modalities Operational Competencies Linguistic Competencies Strategic Competencies Social Competencies

AAC Specialty Clinic Logistical information Group meetings: Mondays 1-3 Clients on campus: Tuesday and Thursday afternoons 4J Contract: Wednesday afternoons ALS Association: Friday mornings and afternoons

AAC Specialty Clinic Additional Info: CDS 657 course content embedded into AAC clinic If you are in AAC Clinic, You will enroll in 2 credits less of CDS 609 Practicum and enroll in CDS 657 in place of those credits

School Age Speech and Language Clinic Supervisors: Frank Bender (clinic Lead) Susan Boettcher –Prairie Mountain Katie Mason -BLAST Shelley Watson

Description of Who We Serve: Purpose: facilitate each child’s ability to functionally communicate in all environments and successfully participate in grade level/age-appropriate school and home activities Population: The clinic will serve children who are kindergarten through 12th grade with communication disorders specific to speech and language. Number of clients served each term: 18-24 clients in clinic plus Prairie Mountain Key Competencies and Targeted Skills: Speech sounds/articulation, language (phonology, morphology, syntax, semantics, pragmatics/social skills) and hearing loss.

How We Do This: Location of Support: UO SLHC (K-12) and PM (K-8) Evaluate school-age (k-21) clients with speech and language deficits that are referred to the clinic Referrals come from pediatricians, teachers, SLPs and parents Identify the specific speech and language deficits via formal and informal assessment. Provide direct speech and language intervention to students and support services/counseling to families/caregivers (Individuals and Group Sessions) Coordinate with other service providers. School SLPs, pediatricians, occupational/physical therapists

Groups and Camps School-Age Summer Camp Writing Group Group Intervention Writing Group Language Processing Group Social Skills Group School-Age Summer Camp Writing Camp Social Skills Camp (proposal in Process)

Supervision and Support Group meetings Teaching and Rounds 2 hours each week Individual meetings Office Hours Individual Appointments

Young Child Clinic Children 5 and under, variety of delays/disabilities Co-directors: Heather Moore & Jessica Fanning Supervisors: Heather Moore, Jessica Fanning, Jill Potratz, Katie Mason Collaborative Partners Early Intervention Program Early Childhood CARES OHSU Child Development and Rehabilitation Center (CDRC)

Young Child Clinic Assessment Treatment YCC Programs Combination of informal & formal assessment measures that involve input from parents & other professionals Treatment Naturalistic Communication Intervention (NCI) through a combination of direct intervention & caregiver coaching YCC Programs HEDCO clinic BLAST Individual sessions; small group sessions Off-campus: Language and Play Everyday Programs (LAPE and LAPE+) Early Childhood CARES

Young Child Clinic Specific training in Naturalistic Communication Assessment and Intervention Direct Intervention Coaching Inter-disciplinary collaboration Treatment planning through a developmental lens Home visiting

Young Child Clinic Program Supervisor Location Clinic Time Weekly Meeting Time Building Language Speech Together (BLAST)   Katie Mason HEDCO Clinic Tuesdays 4-5:30pm Tues 5:30-6:30pm Communicate Now (C-Now) Jill Potratz or Jessica Fanning Tues & Thurs 10-2 (see individual client assignments below) Thurs 2pm-4:30pm Early Childhood Cares (EC CARES) Varies off-campus Varies (see student schedule below) Language and Play Everyday (LAPE) and LAPE + Heather Moore See schedule attached to email. Fridays 9-4 Mon 12pm-2:00