2022 Early Hearing Detection & Intervention Virtual Conference
March 13 - 15, 2022
3/14/2022 | 1:15 PM - 1:45 PM | Virtual Multidisciplinary Clinic Model for all D/HH Children | Room 1
Virtual Multidisciplinary Clinic Model for all D/HH Children
We at University of California San Francisco developed a multidisciplinary Hearing and Communication Clinic (HCC) that serves all children who are D/HH, including hearing aid, bone conduction hearing devices, and cochlear implant candidates and recipients. This is a synchronous 2-hour clinic visit with core representation from pediatric otolaryngology, audiology, speech-language pathology, and social work.
In these clinic visits, we use a relationship-centered communication approach to parent counseling, education, and care coordination, rather than direct service provision. Different pairs or groups of providers can work synchronously with families, and every family receives a comprehensive care plan after each visit that is shared with outside collaborators. This promotes health literacy and family engagement with management plans, critical collaboration with external providers, especially Early Interventionists and school districts, and makes actual service provision visits more efficient.
Since COVID, HCC visits are entirely virtual, and we plan to continue this. The Telehealth platform allows bringing in multiple parents, outside collaborators such as Early Interventionists, and puts the focus on the parents' needs and communication with the multidisciplinary care team. HCC visits are protocolized to occur at important transition points in a child's hearing healthcare journey: After initial identification of hearing loss, before and after major intervention changes (pre-/post-CI, for example), and major educational transitions (pre-IEP, kindergarten entry, etc.). Improved access through a virtual platform, and developing a structured, family-centered schedule of needs, rather than traditional ad hoc clinical checkpoints, improves equity in delivery of care.
Inclusion of all D/HH children, rather than just CI recipients, builds considerable capacity for the team to serve many more D/HH children, who have many similar needs to CI recipients especially with regards to educational interventions, functional disability, etiologic testing, developmental comorbidities, and speech/language delays. We would like to share our evolving model, success stories, challenges, and future directions.
- Describe benefits to regular collaborative, interdisciplinary care of D/HH children, including key checkpoints for teams in a child’s journey.
- Learn effective, HIPAA-compliant use of Zoom breakout rooms for virtual visits.
- Discuss ideas for educational resources, screening, and outcome measures that can be implemented in a virtual setting.
Presentation:
3353554_15061ChiaraScarpelli.pdf
Handouts:
Handout is not Available
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Silvia Bellfort-Salinas
(), University of California, San Francisco, silvia.bellfort-salinas@ucsf.edu;
Silvia Bellfort-Salinas, MSW-LCSW, is a license clinical social worker at UCSF Benioff Children’s Hospital, OHNS’s Children Communication Center. She has over 16 years of experience working in both international and domestic child-welfare. Silvia earned her Bachelor of Arts in Social Welfare and Political Science from UCB, beginning her career working with families and children. Silvia spent a year in Bologna, Italy as a volunteer for refugee families. Upon her return to the United States and while still a student at UCB, Silvia became a Spanish medical interpreter at UCSF Health helping vulnerable monolingual speaking families. This job let her to learn about social work in pediatrics, earning her MSW from the University of Southern California. Today Silvia’s purpose and passion lies in helping children who are Deaf or Hard of Hearing through advocacy, education, research and emotional support.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Melissa Ho
(Virtual), University of California San Francisco, melissa.ho2@ucsf.edu;
Melissa Ho is a pediatric audiologist who provides a broad range of diagnostic and rehabilitative services for children with hearing loss. She has a special interest in relationship-centered communication, student education, and community outreach.
Dr. Ho received her doctor of audiology (Au.D.) degree from San Diego State University and the University of California San Diego, externship training at University of California San Francisco, and her bachelor’s degree from the University of California Berkeley.
Dr. Ho is a member of the American Academy of Audiology and American Auditory Society.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Chiara Scarpelli
(Virtual), University of California San Francisco, chiara.scarpelli@ucsf.edu;
Chiara Scarpelli, MS, CCC-SLP is a Speech-Language Pathologist in the Pediatric Division of the Department of Otolaryngology Head and Neck Surgery. She specializes in the evaluation and treatment of children who are Deaf/Hard of Hearing and is a member of the Children’s Hearing and Communication Clinic team.
Ms. Scarpelli completed her undergraduate degree in Speech and Hearing Science at The George Washington University in Washington, DC. She continued her studies by earning her master’s degree in Communication Sciences and Disorders from Teachers College, Columbia University in New York City. Prior to joining our team, Ms. Scarpelli gained valuable research and clinical experience working at La Trobe University in Melbourne, Australia, before returning to New York City to provide services in the public-school system.
Ms. Scarpelli is a member of the American Speech-Language-Hearing Association (ASHA). She is a published author in the Seminars in Speech and Language Journal and has also remained active in research.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Jihyun Stephans
(), Jihyun.Stephans@ucsf.edu;
Jenny is a Program and Clinical Research Coordinator for the UCSF Children’s Communication Center of Pediatric Otolaryngology at UCSF. Jenny completed her undergraduate degree with a major in Biochemistry and a minor in the Business Foundations at The University of Texas at Austin. Her clinical and research interests are focused on multidisciplinary hearing healthcare in pediatrics, disparities in hearing health outcomes, and language development in children who are deaf or hard-of-hearing. Her goals are to improve support and awareness for children that are Deaf or Hard of Hearing and facilitate community outreach by creating patient & family community support programs in partnership with community organizations.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Anna Meyer
(Virtual), University of California San Francisco, anna.meyer@ucsf.edu;
Dr. Anna K. Meyer is a pediatric otolaryngologist-head and neck surgeon and Medical Director of Patient Experience at UCSF Benioff Children's Hospital. She treats a variety of head and neck conditions in children with a focus on hearing loss.
Dr. Meyer's key academic interests are in hearing loss, relationship-centered communication, diversity/equity/inclusion/belonging, health disparities and medical education. She completed medical school at UCSF in 2002 and a residency in otolaryngology and head and neck surgery at the University of Michigan in 2007. In 2008, she completed a fellowship in pediatric otolaryngology at Children's Memorial Hospital in Chicago. Dr. Meyer is a member of the American Academy of Otolaryngology and a specialty fellow of the American Academy of Pediatrics. She is an associate professor of pediatric otolaryngology-head and neck surgery.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Kayla Kolhede
(Virtual), University of California San Francisco, kayla.kolhede@ucsf.edu;
Kayla Kolhede, MA, CCC-SLP, LSLS Cert. AVT is a Speech-Language Pathologist in the Pediatric Division of the Department of Otolaryngology Head and Neck Surgery. She specializes in the evaluation and treatment of children with hearing loss and is a member of the Children’s Hearing and Communication Clinic Team. Her clinical interests include the development of listening and spoken language skills for children who use hearing aids and cochlear implants.
Ms. Kolhede joined the UCSF team in 2021 after working at Lucile Packard Children’s Hospital, Stanford. She completed her undergraduate degree in Linguistics at UCLA where she worked as a research assistant in the UCLA Language Acquisition Lab. Ms. Kolhede earned her master’s degree from San Jose State University and completed her clinical fellowship at Weingarten Children’s Center in Redwood City, CA. She gained additional clinical experience with listening and spoken language development as a therapist with the BabyTalk Teleintervention team and Listen To Me! Conference. She received her Listening and Spoken Language Specialist/Auditory Verbal Therapist certification from the AG Bell Academy in 2019.
Professional affiliations include the American Speech-Language-Hearing Association (ASHA) and AG Bell Academy for Listening & Spoken Language.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.