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<blockquote data-quote="buddy" data-source="post: 517423" data-attributes="member: 12886"><p>You have said this before and I respect your opinion that you like neuropsychs. I do too. But I worry that people will not believe their Occupational Therapist (OT)'s and Speech Language Pathologist (SLP)'s when they give a perfectly legitimate diagnosis which they are well trained and qualified to give. OTR's and Speech Language Pathologist (SLP)'s are absolutely able to diagnosis anything within their professions. For Speech Language Pathologist (SLP)'s examples include Receptive and Expressive language delays and disorders, aphasia, apraxia of speech, fluency disorders, dysarthria, voice disorders among many others. Codes for insurance still have to be used and they can only be given by licensed, and certified people in these areas.</p><p></p><p>I love neuropsychs but as I have said from past experiences, they do tests that sometimes use only subtests that give a glimps into language/communication and motor issues. They would have no clue about how muscle tone actually feels and how to judge quality of movement like a PT or Occupational Therapist (OT) could. They can say from checklists that parents fill out etc...whether there may be delays. They then often recommend more in depth testing through an Occupational Therapist (OT) or Speech Language Pathologist (SLP) (sometimes they are part of centers that do neuropsychologist testing so it can be done at the same time) ( others like to do the Speech Language Pathologist (SLP) and Occupational Therapist (OT) first is because many of the things that are looked at are not included in depth in a neuropsychologist evaluation). </p><p></p><p>Just wanted to clarify that in fact, within their professions they absolutely do give a diagnosis based on formal and informal assessments. Now, if an Speech Language Pathologist (SLP) gives a diagnosis of receptive and expressive language delay.... can they say that the child has Down's Syndrome even if it is obvious??? NO. Can they say the child has Autism Spectrum Disorders (ASD), well depends on if they are part of an evaluation team that is deciding that. But to decide if speech orlanguage is delayed or disordered, that is the Speech Language Pathologist (SLP)'s domain. With a diagnosis like Down's you can pretty much assume there will be issues with the other two (Occupational Therapist (OT) and Speech Language Pathologist (SLP) types of things) but not true with all genetic disabilities. Sometimes the testing that is done by an Speech Language Pathologist (SLP), pt, otr, can give a neurologist the first clue to a degenerative neurological disease and many many referrals to neurologists are made that way. Whether one values the diagnosis is a fair matter of opinion and everyone is entitled. I really always vote for the comprehensive approach. Use them all, cover your bases fully.</p><p></p><p>Just dont want anyone to think the Speech Language Pathologist (SLP) or Occupational Therapist (OT) defrauded them if they gave a diagnosis.</p><p></p><p>neuropsychologist is wonderful for that broad perspective looking at all behaviors including the results from other professions and putting the big picture together. </p><p></p><p>If you are using a pretty experienced and well rounded Occupational Therapist (OT) or Speech Language Pathologist (SLP) you often will get an idea long before the docs get around to the correct diagnosis...but that is off the record. That is because they live it and see it daily. I know an amazing PT who can spot some pretty rare disabilities but has to keep mum until the doctors come around to what she is referring the kiddo for....She leaves me in awe.</p><p></p><p></p><p>PS: Even though OTR, PT and Speech Language Pathologist (SLP)'s who work in schools have the same education in their professions (sometimes adding a teaching degree), it IS true that NO ONE in a school is allowed to give any medical diagnosis. That is a school versus medical setting issue, not the qualifications of the professionals. Those very same people in a medical/clinical setting can.</p></blockquote><p></p>
[QUOTE="buddy, post: 517423, member: 12886"] You have said this before and I respect your opinion that you like neuropsychs. I do too. But I worry that people will not believe their Occupational Therapist (OT)'s and Speech Language Pathologist (SLP)'s when they give a perfectly legitimate diagnosis which they are well trained and qualified to give. OTR's and Speech Language Pathologist (SLP)'s are absolutely able to diagnosis anything within their professions. For Speech Language Pathologist (SLP)'s examples include Receptive and Expressive language delays and disorders, aphasia, apraxia of speech, fluency disorders, dysarthria, voice disorders among many others. Codes for insurance still have to be used and they can only be given by licensed, and certified people in these areas. I love neuropsychs but as I have said from past experiences, they do tests that sometimes use only subtests that give a glimps into language/communication and motor issues. They would have no clue about how muscle tone actually feels and how to judge quality of movement like a PT or Occupational Therapist (OT) could. They can say from checklists that parents fill out etc...whether there may be delays. They then often recommend more in depth testing through an Occupational Therapist (OT) or Speech Language Pathologist (SLP) (sometimes they are part of centers that do neuropsychologist testing so it can be done at the same time) ( others like to do the Speech Language Pathologist (SLP) and Occupational Therapist (OT) first is because many of the things that are looked at are not included in depth in a neuropsychologist evaluation). Just wanted to clarify that in fact, within their professions they absolutely do give a diagnosis based on formal and informal assessments. Now, if an Speech Language Pathologist (SLP) gives a diagnosis of receptive and expressive language delay.... can they say that the child has Down's Syndrome even if it is obvious??? NO. Can they say the child has Autism Spectrum Disorders (ASD), well depends on if they are part of an evaluation team that is deciding that. But to decide if speech orlanguage is delayed or disordered, that is the Speech Language Pathologist (SLP)'s domain. With a diagnosis like Down's you can pretty much assume there will be issues with the other two (Occupational Therapist (OT) and Speech Language Pathologist (SLP) types of things) but not true with all genetic disabilities. Sometimes the testing that is done by an Speech Language Pathologist (SLP), pt, otr, can give a neurologist the first clue to a degenerative neurological disease and many many referrals to neurologists are made that way. Whether one values the diagnosis is a fair matter of opinion and everyone is entitled. I really always vote for the comprehensive approach. Use them all, cover your bases fully. Just dont want anyone to think the Speech Language Pathologist (SLP) or Occupational Therapist (OT) defrauded them if they gave a diagnosis. neuropsychologist is wonderful for that broad perspective looking at all behaviors including the results from other professions and putting the big picture together. If you are using a pretty experienced and well rounded Occupational Therapist (OT) or Speech Language Pathologist (SLP) you often will get an idea long before the docs get around to the correct diagnosis...but that is off the record. That is because they live it and see it daily. I know an amazing PT who can spot some pretty rare disabilities but has to keep mum until the doctors come around to what she is referring the kiddo for....She leaves me in awe. PS: Even though OTR, PT and Speech Language Pathologist (SLP)'s who work in schools have the same education in their professions (sometimes adding a teaching degree), it IS true that NO ONE in a school is allowed to give any medical diagnosis. That is a school versus medical setting issue, not the qualifications of the professionals. Those very same people in a medical/clinical setting can. [/QUOTE]
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