Approach: Teletherapy / Telepractice / Distance Learning


Telepractice is the application of telecommunications technology to the delivery of speech language pathology and audiology professional services at a distance by linking clinician to client or clinician to clinician for assessment, intervention, and/or consultation. In 2005, ASHA determined that telepractice is an appropriate model of service delivery for audiologists and speech-language pathologists (SLPs) (ASHA, n.d.).

Use of telepractice must be equivalent to the quality of services provided in person and consistent with adherence to the Code of Ethics (ASHA, 2016a), Scope of Practice in Audiology (ASHA, 2018), Scope of Practice in Speech-Language Pathology (ASHA, 2016b), state and federal laws (e.g., licensure, Health Insurance Portability and Accountability Act [HIPAA; U.S. Department of Health and Human Services, n.d.-c]), and ASHA policy.

Common terms describing types of telepractice are as follows:

  • Synchronous (client interactive)—services are conducted with interactive audio and video connection in real time to create an in-person experience similar to that achieved in a traditional encounter. Synchronous services may connect a client or group of clients with a clinician, or they may include consultation between a clinician and a specialist.
  • Asynchronous (store-and-forward)—images or data are captured and transmitted (i.e., stored and forwarded) for viewing or interpretation by a professional. Examples include transmission of voice clips, audiologic testing results, or outcomes of independent client practice.
  • Hybrid—applications of telepractice that include combinations of synchronous, asynchronous, and/or in-person services.

Clinicians and programs should verify state licensure and payer definitions to ensure that a particular type of service delivery is consistent with regulation and payment policies.


Helpful Resources:

These PDFs, printables, and other handy resources will help you with this approach:

Flexible-Location Therapy Course

A step-by-step course that will walk you through getting set up to be able to conduct therapy in person or online (and switch back and forth)

Training Videos:

Need some extra help using this approach?  Check out these related training videos:

Webinar Recordings:

Ready to dive deep?  These hour-long webinar recordings will give you more information about this approach.

Resources, Tools, and Training for Speech-Language Professionals

*** The SLP Solution is for informational and educational purposes only and does not provide medical or psychological advice.  We provide general resources but cannot tell you exactly what should be done for a specific client.  Every client is different and your clinical judgement should be used when making decisions about specific individuals.


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