Communication

Out of scope / wrong door

The following conditions are out of scope for this service: Adult Adult Voice and Dysphonia - Residential aged care facility residents. - Patients who receive Level 3 or 4 Home Care Packages. - Patient with an NDIS package of care which is relevant to an existing disability. - For patients who are transgender or gender diverse and wishing to alter their voice, please refer to the Gender Service at Metro North. [https://metronorth.health.qld.gov.au/specialist_service/refer-your-patient/gender-services] Swallowing/Dysphagia - Congenital condition causing dysphagia. - Oesophageal dysphagia or oesophageal dysmotility in isolation without suspected oropharyngeal dysphagia. - Patients with neurodegenerative or other conditions where long term dysphagia management is required (e.g. Motor Neurone Disease, Huntington’s Disease). These patients are more appropriate for the Chronic Disease and Post-Acute Speech Pathology service. Lee Silverman Voice Treatment Program - For patients that present with dysarthria that is not characterised by hypophonia, please refer for communication outpatient services rather than the LSVT service. Communication - Developmental conditions (i.e., Autism Spectrum Disorder, cerebral palsy, intellectual impairment). - Conditions unrelated to confirmed or suspected neurological involvement. - Patients who reside outside the GCHHS catchment area - Patients who reside in high-care residential aged-care facilities - Patients who communication difficulties resulting from developmental conditions (i.e., cerebral palsy, intellectual development) - Patients who communication difficulties that are unrelated to a confirmed or suspected neurological cause - Patients who receive a home care package (level 3 and above) or have an NDIS package and is already receiving, plans to receive or is sufficiently funded to see a speech pathologist offering the same level of services as Gold Coast Health Regarding NDIS: Adults who are accessing the NDIS/have NDIS funding are not excluded from this service if they have specific rehabilitation goals. If their goals are aimed at accessing the community or participating in the community, then their needs will be more appropriately met through a community speech pathologist using their NDIS funding. Consider reviewing alternative Speech Pathology outpatient/community services if patient does not fit the below criteria. Ear, Nose & Throat (ENT)/Head & Neck/Laryngectomy - Patients who have not undergone head and neck surgery or laryngectomy or tracheostomy. - Patients under the care of a private Ear, Nose & Throat or Plastic Surgery or Maxillofacial specialist. Radiation Oncology - Patients who have not had radiation or chemotherapy to the head and neck region. - Patients under the care of a private Radiation Oncologist. Paediatric - Infants/children who are eligible to receive another service in the community or at Queensland Children’s Hospital including: - GCHHS Child Development Service- Mealtime clinic, Speech Pathology or multidisciplinary services - National Disability Insurance Scheme (NDIS)/ECEI services - Education Queensland Speech Pathology services Feeding and Swallowing - Velopharyngeal insufficiency. Communication - Communication deficits associated with cleft lip/palate, velopharyngeal insufficiency, cochlear implant/hearing impairment.