SHS Clinic gives students, faculty the opportunity to provide clinical services for the community



The Audiology and Speech-Language Pathology Clinic is located at 201 S. Oak Street in Champaign
(Photo provided)

Nestled in the University of Illinois’ Research Park is a place where the Department of Speech and Hearing Science improves communication and quality of life using evidence-based practices on a daily basis. This mission goes back to the founding of the department.

The Audiology and Speech-Language Pathology Clinic, operated by SHS, provides a full range of diagnostic and therapeutic services to 200 children and adults annually. The clinic serves individuals in the local community and across Illinois via in-person and telepractice means, providing services to clients across the lifespan. 

May is Better Hearing and Speech Month, and 2023 marks the 50th anniversary of the celebration of that occasion, as well as the 50th anniversary of SHS being established at the University of Illinois. The month’s theme of Building a Strong Foundation and its emphasis on “life-altering treatment” fit nicely with the department’s history of service, instruction and research.

During the month free pediatric and adult hearing and speech-language screenings will be offered to community members. Graduate students will perform the screenings with supervision from certified audiologists and speech-language pathologists. The event will be held at the clinic at 2001 S. Oak St. Suite B in Champaign on the morning of Wednesday, May 24, and the afternoon of Thursday, May 25. All are welcome and can call the clinic at 217-333-2205 if interested in scheduling a free screening.

Other community activities have included:

  • Presentations from second-year masters students at the OSF Heart of Mary Medical Center stroke support group’s monthly meeting.
  • Presentations at the Parkinson’s Disease Support Group of Champaign County about the role of speech-language pathology and its benefits for quality of life in Parkinson’s disease.
  • Convenient, no-charge audiology and hearing care services provide to residents of Clark Lindsey Nursing Home. Doctor of Audiology students informed residents about listening and repair strategies, cleaned and maintained hearing aids, and cleaned earwax out of residents’ ears.
  • Free hearing and speech-language screenings at the Child Development Laboratory on campus and at Chesterbrook Academy Preschool.
  • Sharing information about communication disorders and the services available at the clinic with the community as part of the College of Applied Health Sciences booth at the Urbana Market on the Square.

Graduate students in audiology and speech-language pathology develop knowledge and skills to provide clinical care to the community through their academic coursework and clinical practica experiences.

“As a clinic, we’re working very closely with the department,” said Clarion Mendes, a speech-language pathologist at the clinic and a clinical assistant professor in SHS. As Mendes explains, exposure to the needs of the community in the clinic informs teaching.

“Part of our mission is to intertwine the two and not see them as distinct entities,” she said. “The department has gone through a curriculum revision for the master’s program in recent years that highlights cultural and linguistic diversity, and if we look at that with a broader lens, that also includes looking at speech differences rather than considering them as disabilities. Speaking for myself, my clinical population nearly exclusively consists of marginalized populations. I work nearly exclusively with gender-diverse individuals. Working within that landscape requires a lot of reflection and cultural humility, constantly revising how I approach clinical practice and teach it to my students.”

The clinic gives students the unique opportunity to provide cutting-edge care informed by research and clinical expertise in an immersive environment under the supervision of licensed and nationally certified audiologists and speech-language pathologists. While clients are receiving care, they are contributing to new discoveries in the assessment and treatment of communication disorders and training the next generation of speech, language, and hearing clinicians and researchers.

Working with external partners and increasing the diversity of the student body bring fresh viewpoints and experiences to the clinic and department. In fact, the international composition in the clinical programs body is at a 10-year high, with seven international students in the clinical programs in audiology and speech-language pathology. “Efforts are also underway to expand the accepted insurances to get a broader patient base,” Clinical Assistant Professor Sadie Braun said.

Clinical work powers education and research and has motivated SHS since its humble beginnings. Jennifer Dahman, a speech-language pathologist and clinical assistant professor at SHS, credits her work as a clinical educator for making her a “better speech-language pathologist.”

“Yes, we teach the how, but more importantly, we teach the why,” she said. “And if we don’t know the why then we find out. Being able to explain that active kind of learning perspective to students translates into their service delivery.”

Learn more about the Audiology and Speech-Language Pathology Clinic by visiting the website.

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SHS audiologist ‘hopeful’ about hearing aid ruling



After a recent FDA decision, hearing aids are now available over the counter.

A decision by the Food and Drug Administration that permits hearing aids to be sold without consulting a medical professional could be a positive development, Speech and Hearing Science audiologist Sadie Braun said.

But, as she’s fond of saying, consumers might have to “play it by ear”.

The FDA ruling, which was finalized in August and took effect on Oct. 17, allows adults with mild or moderate hearing loss to purchase a hearing aid without prescription. The ruling will create more competition and lead to quick technology advancements and lower device costs, but without FDA approval a company cannot classify its product as a “hearing aid.” Per the FDA, the devices covered are air-conduction hearing aids, which fit either in the ear canal or sit behind the ear. Other types of hearing  devices include cochlear implants or bone-anchored systems.

While there are plenty of positives to the new rule, it is important to stress that hearing aids are not a one-size-fits-all proposition, Braun said.

“I am a little nervous about the idea that some people who are self-diagnosing may not actually have a mild-to-moderate hearing loss,” she said. “They might be getting hearing aids that are not ideal for them. More importantly, I’m worried that by removing audiologists and ear, nose, and throat doctors from that process altogether, that patients might not get the care that they need for some of those more significant auditory and medical conditions that can be related to the ears and can be very serious if left untreated, such as acoustic neuromas, and Meniere’s disease, to name a couple.”

Given those concerns, Braun recommends that anyone who is considering trying an over-the-counter device make an appointment with an audiologist for an initial hearing test.

That said, Braun believes the ruling will end up being a good thing for “our patients, for audiology, and for the hearing aid industry on the whole.”

“I think that this legislation definitely opens the door for some of our traditionally underserved and underrepresented populations and communities so that they can obtain devices that can help them hear better that they might not have otherwise been able to obtain,” she said, citing the cost of hearing aids. 

The average price for a pair of prescription hearing aids is $4,600, but OTC hearing aids are expected to cost far less. The federal government estimates Americans could save up to $3,000 on hearing aids by choosing OTC brands rather than prescription devices. If that’s the case, the average cost for a pair of OTC hearing aids would be around $1,600. One wrinkle is that there are now several different devices that can be used to amplify sound for a multitude of purposes: hearing aids and Personal Sound Amplification Products, better known as PSAPs, and it can be difficult for consumers to differentiate them.

“The big difference with PSAPs is that they are not meant to treat hearing loss,” Braun said. “They are actually for normal-hearing individuals only. And they’re therefore not classified as medical devices. Instead, they’re considered electronic products. Because of this, they are not regulated at all by the FDA. One example of something the FDA determines with medical devices is age limitations and requirements, and they have stated that OTC aids are ‘not intended for use by individuals who are younger than 18’.  However, while they say that in the rules and regulations, they do not require age verification before over-the-counter hearing aid purchase. But on PSAPs, for example, there’s no recommended requirement.”

Another benefit of the FDA OTC rules, Braun believes, is they will go a long way toward ensuring safety standards for OTC devices.

“The rules and regulations that took years to develop and fine-tune are critical pieces in this OTC legislation,” she said. “We really have to have those built-in safety mechanisms to protect the consumer, to make sure the consumer does not get injured. Also, we have to make sure that these devices meet a set of standards, a set of criteria, to be sure that they do what they claim they will do, or what they are intended to do. Without those regulations in place, I would be much more wary of recommending OTC hearing aids as an option for some of my patients who have mild-to-moderate hearing loss.”

Still, Braun cautions that in the early stages of the aftermath of the rules, much is yet to be determined, and she stresses the need for professional guidance.

“Each person has a different and unique set of needs,” she said. “Some individuals can navigate that process, on their own and potentially be successful with over-the-counter devices. I think that other individuals really need that guidance of a professional to help them through the entire process from start to finish and to be there for support and assistance the entire way. Over-the-counter hearing aids cut out the service component, and that professional service component is what a lot of patients really rely heavily on.”

One way to access that professional service is through SHS’s Audiology & Speech-Language Pathology Clinic. You can reach clinicians by calling 217-333-2205 or emailing shsclinic@illinois.edu.
 

Editor’s note:

To reach Sadie Braun, email svojak@illinois.edu.
 

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Department of Speech and Hearing Science
901 South Sixth Street
M/C 482
Champaign, IL 61820
217-333-2230