Mo. Code Regs. tit. 20 § 2150-4.203
Current through Register Vol. 49, No. 24, December 16, 2024
Section 20 CSR 2150-4.203 - Scope of PracticePURPOSE: This rule details the scope of practice for speech-language pathology assistants.
(1) The supervising speech-language pathologist shall assign all duties of the speech-language pathology assistant.(2) At the initial contact with an adult patient/client or guardian/designated caregiver the speech-language pathology assistant shall identify themselves as a speech-language pathology assistant and explain that they do not act independently but under the direction and supervision of a licensed speech-language pathologist. For students eligible for special education services pursuant to section 162.700, RSMo, such identification shall be provided to parents/guardians and other participants in an individualized education program meeting.(3) The activities of a speech-language pathology assistant may include, but not be all inclusive of the following: (A) Conducting speech-language and hearing screenings without interpretation;(B) Following documented treatment plans or protocols as developed by the supervising speech-language pathologist;(C) Documenting patient/client/student progress toward meeting established objectives as specified in the treatment or special education plan, with documentation review by the supervising speech-language pathologist;(D) Reporting changes in a patient's/client's/student's performance and progress to the supervising speech-language pathologist;(E) Assisting the supervising speech-language pathologist during the assessment of a patient/client/student;(F) Reporting in conferences, team meetings, etc., as directed by the supervising speech-language pathologist;(G) Scheduling activities, preparing charts, records, graphs, or otherwise display data;(H) Communicating with a patient/client/student, or a patient's/client's/student's family, staff, etc., regarding the patient/client/student status as directed by the supervising speech-language pathologist;(I) Constructing or modifying clinical materials;(J) Participating with the supervising speech-language pathologist in research projects, in-service training, public relation programs, or similar activities; or(K) Any and all duties as specified to be within the scope of the speech-language pathology assistant, as provided in Chapter 345, RSMo.(4) Speech-language pathology assistants shall not (this list is not intended to be all inclusive)- (A) Conduct and/or interpret evaluations;(B) Make diagnostic statements or special education eligibility determinations;(C) Determine case selections;(D) Interpret observations and/or data;(E) Refer a patient/client/student to other professionals, agencies, or individuals for services;(F) Write, develop, or modify a patient's/client's/student's treatment or special education plan;(G) Assist with the treatment of a patient/client/student without following an individualized treatment or special education plan prepared by the supervising speech-language pathologist;(H) Discharge a patient/client/student from treatment;(I) Provide therapeutic counseling to a patient/client/student and/or the patient's/client's/student's family;(J) Perform any procedure for which the assistant is not qualified to perform, or has not been adequately trained to perform, or both;(K) Disclose clinical or educational confidential information either orally or in writing to anyone not designated by the supervising speech-language pathologist;(L) Present written reports to anyone other than the supervising speech-language pathologist, without the supervisor's signature and approval;(M) Sign any formal documents without review, authorization, and/or co-signature of the supervising speech-language pathologist;(N) Use any title other than speech-language pathology assistant. AUTHORITY: sections 345.015 and 345.030, RSMo Supp. 2011.* This rule originally filed as 4 CSR 150-4.203. Original rule filed July 31, 2000, effective Feb. 28, 2001. Moved to 20 CSR 2150-4.203, effective Aug. 28, 2006. Amended: Filed Jan. 3, 2012, effective Aug. 30, 2012. *Original authority: 345.015, RSMo 1973, amended 1986, 1995, 1998, 2004, 2005, 2007 and 345.030, RSMo 1973, amended 1981, 1995, 1998, 2007.