Adult inpatient services. We work as part of the multidisciplinary team on the adult medical and surgical wards. We see patients on a referral basis regarding disorders of speech, language, voice and cognition as well as swallowing difficulties (dysphagia). In acute care the focus is on diagnosis and early management of these disorder groups. For more information about Acute Allied Health click here

Adult inpatient rehabilitation services. Comprehensive assessment and management of adults aged over 16 years in AT&R (short term inpatient rehabilitation) with acquired communication and/or swallowing disorders. For more information about Services for Older Persons click here

We see adults aged 16 years and older who present with swallowing and/or communication difficulties. We provide: •Assessment and differential diagnosis of communication and/or swallowing difficulty. Intervention, which may be therapy and/or management. Information, education, advice, and support to patients, carers and families. Interdisciplinary casework management with the wider clinical team. Collaborate and liaise with community groups such as the Volunteer Stroke Scheme, Stroke Association, Parkinson’s NZ, Motor Neuron Disease Association, Talk Link Trust. Assess and advice around communication aids. Conditions that may require SLT input include but are not limited to: Cancer- head and neck, brain, and lung. Neurodegenerative diseases e.g. Parkinson’s Disease, Huntington’s disease, Multiple Systems Atrophy, Motor Neuron Disease, Multiple Sclerosis, Dementia, Progressive Supranuclear Palsy, Friedreich’s Ataxia, Muscular Dystrophy. Intellectual Disability (dysphagia cases). Chronic Stroke (post 2 years). Trauma to head and neck or spine. Old age. Congenital conditions. COPD. Palliative care. Exclusions: - Children (can be referred to the Ministry of Education, Special Education services, or Kidz First Child development Team). - Residents in a Private Hospital or Rest Home. Speech-Language Therapy services need to be contracted privately by the Rest Home/Private Hospital. Private therapists can be found on: www.speechtherapy.org.nz

Adult community service for stroke rehabilitation. The Community Stroke Rehabilitation Team (CSR) provides a client centred, culturally appropriate, goal focused, interdisciplinary rehabilitation service for stroke in the environment of choice, across the spectrum of physical function, activity and social participation. For more information about the Community Stroke Rehabilitation Team click here

Speech Language Therapy Service ORL/ENT Department This is a part-time outpatient service providing assessment and therapy for adults with voice disorders. Any person with persistent hoarseness must have been assessed by an Otolaryngologist prior to referral for voice therapy. Voice difficulties (dysphonia) may be experienced in a number of ways, including hoarseness; loss of voice; reduced volume; changes in pitch or reduced pitch range; fatigue on talking; or vocal strain when speaking. Service provided The Speech Language Therapist will carry out an objective assessment of voice quality. Causative factors will be discussed and a programme of voice therapy provided. Voice therapy is tailored to the needs of the individual, following diagnosis of the cause of the dysphonia. Treatment may include voice rest; advice and strategies on voice care and optimal voice use; and voice therapy using targeted techniques and exercises. Voice therapy may be provided alongside medical and/or surgical intervention. A combined Voice Clinic is held at CMDHB and includes a stroboscopic assessment with the ORL Consultant and ORL Speech Language Therapist. Exclusions Adults living at home who require ongoing intervention from Speech Language Therapy for management of swallowing difficulties should be referred to Home Health Care. Hours of Service This service is available Mon-Wed Contact Details ORL, Manukau SuperClinic Internal Fax: 3634

We work as part of the multidisciplinary team on the NICU, Kidz First, and maternity wards. We see patients on a referral basis regarding disorders of swallowing/feeding difficulties, speech, language, and voice. In acute care the focus is on diagnosis and early management of these disorder groups. For more information about Acute Allied Health click here

Community paediatric service for children with disabilities. A community based service team, providing therapy and social work to assist children with disabilities (including Down syndrome, global developmental delay and cleft lip and/or palate) and their family/whanau achieve their full potential in their daily lives. We work with children in schools, kindergartens, home, community, clinics and recreation centres. Speech Language Therapists work with children between 0 and 3 years of age and their families who have been referred with communication and/or feeding difficulties. Children with communication difficulties will only be seen for Speech Language Therapy if they require another therapy (such as Physiotherapy) as well. The service provides assessment and treatment of: feeding and swallowing early communication skills language disorder and/or delay speech disorders feeding and swallowing AAC – Alternative and Augmentative Communication For more information about Kidz First Child Development Services click here