SLP 6015 Clinical Processes Week 1-8
ASHA Code of Ethics - Answer-ASHA has adopted written codes of professional conduct termed Code of
Ethics
Includes principles and rules to which members aspire to conform (i.e., professionals, clinical fellows,
and students)
Codes identify guidelines that are critical to a clinician's provision of honest and caring services
Principles of Ethics I - Answer-Individuals shall honor their responsibility to hold paramount the welfare
of persons they serve professionally or who are participants in research and scholarly activities, and they
shall treat animals involved in research in a humane manner
Rules include: effectiveness of services, competency, only charge for services rendered, etc.
Principles of Ethics II - Answer-Individuals shall honor their responsibility to achieve and maintain the
highest level of professional competence and performance
Rules include: functional equipment, lifelong learning, etc.
Principles of Ethics III - Answer-Individuals shall honor their responsibility to the public by promoting
public understanding of the professions, by supporting the development of services designed to fulfill
the unmet needs of the public, and by providing accurate information in all communications involving
any aspect of the professions, including the dissemination of research findings and scholarly activities,
and the promotion, marketing, and advertising of products and services
,Rules include: not misrepresent their credentials, competence, education, training, experience, etc. and
not participating in professional activities that constitute a conflict of interest
Principles of Ethics IV - Answer-Individuals shall honor their responsibilities to the professions and their
relationships with colleagues, students, and members of other professions and disciplines
Rules include: not engaging in dishonesty, fraud, deceit, or misrepresentation and that individuals who
have reason to believe that the Code of Ethics has been violated shall inform the Board of Ethics
Board of Ethics - Answer-ASHA's Board of Ethics is responsible for interpreting, administering and
enforcing the Code of Ethics.
The BOE (1) formulates, publishes, and, from time to time, amends the Code of Ethics (hereinafter the
"Code") containing the professional responsibilities by which members and certificate holders shall be
bound; (2) develops educational programs and materials on ethics for distribution to members and
certificate holders, academic programs, and other agencies and associations; and (3) adjudicates
complaints alleging violations of the Code
Ethical Behavior - Answer-Ethical behavior is evident in the words and actions that we use
All little things a clinician does daily can demonstrate respect for individuals
Safety and security environment should be considered
Confidentiality - Answer-In addition to the client's rights being protected in the Code of Ethics, their
privacy is protected through The Health Insurance Portability and Accountability Act (HIPAA)
Client confidentiality must be maintained at all times. Difficult at times at a university clinic
SLP Treatment - Answer-In SLP - treatment includes treating persons with communication disorders
,Treatment in its most basic scientific sense, is an agent of change
Change - Answer-Defined: it's a process where by an individual behavior, emotion, thought, or
perception moves from one point to another
Our treatment is about change
Principles of Change - Answer-For clients to accomplish goals and be successful they have to be willing
to change. We are specifically concerned with change in individuals with communication deficits
Change includes: motivation, emotionally safe, accepting responsibility
Principle of Change: Accepting Responsibility - Answer-Accepting Responsibility: the client must make
the commitment to change
This ability to commit can be affected by motivation to make a change. Someone motivated to change
has more reasons to change then to stay the same
Motivation Categories for Change - Answer-Punishment: behavior typically diminishes. Not helpful.
Don't want individuals to change because of fear
Reinforcement: defined - refers to the entire process when a behavior occurs and then is followed by a
reinforcer.
Intrinsic: act itself is enjoyable-most powerful
Extrinsic: enjoyment from the completion of an act
Extraneous: tangible reward-least powerful
, When changing behaviors both you & the client need a solid foundation of knowledge (rationales)
Foundation of Change - Answer-Focuses on the foundation on which all change occurs and the means
used to effect it
3 Components: minimal pain (should not be painful), gradual change (small steps), fragile nature of
change (new behaviors need constant attention)
Fragile Nature of Change - Answer-Rapid change is too frightening
New behaviors need constant attention or they disappear. Automatic nature of old behaviors adversely
affects the new behaviors
Activity Strategy - Answer-Practice is required for any kind of change, but not just any kind of practice
Use structure to facilitate success
3 basic procedures for activity construction so that client can achieve goals
3 Components of Activity Strategy - Answer-1) Activities need to be consistently practiced
2) need to be generalized
3) clients must be held accountable for their performance
Consistent practice will result in 3 things; 1) bringing undesirable automatic behaviors to a conscious
level 2) making newly developed behaviors automatic 3) it protects the fragility of new behaviors
Undesirable behaviors are often so ingrained you don't recognize them. With every practice session the
degree of automatic occurrence is increased
ASHA Code of Ethics - Answer-ASHA has adopted written codes of professional conduct termed Code of
Ethics
Includes principles and rules to which members aspire to conform (i.e., professionals, clinical fellows,
and students)
Codes identify guidelines that are critical to a clinician's provision of honest and caring services
Principles of Ethics I - Answer-Individuals shall honor their responsibility to hold paramount the welfare
of persons they serve professionally or who are participants in research and scholarly activities, and they
shall treat animals involved in research in a humane manner
Rules include: effectiveness of services, competency, only charge for services rendered, etc.
Principles of Ethics II - Answer-Individuals shall honor their responsibility to achieve and maintain the
highest level of professional competence and performance
Rules include: functional equipment, lifelong learning, etc.
Principles of Ethics III - Answer-Individuals shall honor their responsibility to the public by promoting
public understanding of the professions, by supporting the development of services designed to fulfill
the unmet needs of the public, and by providing accurate information in all communications involving
any aspect of the professions, including the dissemination of research findings and scholarly activities,
and the promotion, marketing, and advertising of products and services
,Rules include: not misrepresent their credentials, competence, education, training, experience, etc. and
not participating in professional activities that constitute a conflict of interest
Principles of Ethics IV - Answer-Individuals shall honor their responsibilities to the professions and their
relationships with colleagues, students, and members of other professions and disciplines
Rules include: not engaging in dishonesty, fraud, deceit, or misrepresentation and that individuals who
have reason to believe that the Code of Ethics has been violated shall inform the Board of Ethics
Board of Ethics - Answer-ASHA's Board of Ethics is responsible for interpreting, administering and
enforcing the Code of Ethics.
The BOE (1) formulates, publishes, and, from time to time, amends the Code of Ethics (hereinafter the
"Code") containing the professional responsibilities by which members and certificate holders shall be
bound; (2) develops educational programs and materials on ethics for distribution to members and
certificate holders, academic programs, and other agencies and associations; and (3) adjudicates
complaints alleging violations of the Code
Ethical Behavior - Answer-Ethical behavior is evident in the words and actions that we use
All little things a clinician does daily can demonstrate respect for individuals
Safety and security environment should be considered
Confidentiality - Answer-In addition to the client's rights being protected in the Code of Ethics, their
privacy is protected through The Health Insurance Portability and Accountability Act (HIPAA)
Client confidentiality must be maintained at all times. Difficult at times at a university clinic
SLP Treatment - Answer-In SLP - treatment includes treating persons with communication disorders
,Treatment in its most basic scientific sense, is an agent of change
Change - Answer-Defined: it's a process where by an individual behavior, emotion, thought, or
perception moves from one point to another
Our treatment is about change
Principles of Change - Answer-For clients to accomplish goals and be successful they have to be willing
to change. We are specifically concerned with change in individuals with communication deficits
Change includes: motivation, emotionally safe, accepting responsibility
Principle of Change: Accepting Responsibility - Answer-Accepting Responsibility: the client must make
the commitment to change
This ability to commit can be affected by motivation to make a change. Someone motivated to change
has more reasons to change then to stay the same
Motivation Categories for Change - Answer-Punishment: behavior typically diminishes. Not helpful.
Don't want individuals to change because of fear
Reinforcement: defined - refers to the entire process when a behavior occurs and then is followed by a
reinforcer.
Intrinsic: act itself is enjoyable-most powerful
Extrinsic: enjoyment from the completion of an act
Extraneous: tangible reward-least powerful
, When changing behaviors both you & the client need a solid foundation of knowledge (rationales)
Foundation of Change - Answer-Focuses on the foundation on which all change occurs and the means
used to effect it
3 Components: minimal pain (should not be painful), gradual change (small steps), fragile nature of
change (new behaviors need constant attention)
Fragile Nature of Change - Answer-Rapid change is too frightening
New behaviors need constant attention or they disappear. Automatic nature of old behaviors adversely
affects the new behaviors
Activity Strategy - Answer-Practice is required for any kind of change, but not just any kind of practice
Use structure to facilitate success
3 basic procedures for activity construction so that client can achieve goals
3 Components of Activity Strategy - Answer-1) Activities need to be consistently practiced
2) need to be generalized
3) clients must be held accountable for their performance
Consistent practice will result in 3 things; 1) bringing undesirable automatic behaviors to a conscious
level 2) making newly developed behaviors automatic 3) it protects the fragility of new behaviors
Undesirable behaviors are often so ingrained you don't recognize them. With every practice session the
degree of automatic occurrence is increased
