A Case for Contracting in Speech and Language Therapy Practice

Article type: Discussion

Authors: Lyons, Rena^a | Kinneen, Libby^b

Affiliations: [a] Department of Speech and Language Therapy, National University of Ireland, Galway | [b] Director of Organisational Development, HSE West, Merlin Park, Galway

Abstract: In recent years, health services have moved towards a social model in the delivery of health care, in which clients and professionals are equal partners. Our initial hypothesis was that although many therapists are familiar with the concept of contracting, few employ systematic methodologies to engage with clients in a way that fosters this equal partnership. This paper discusses the need for more careful contracting in the therapy process. This discussion is based on an ongoing study following up groups of therapists who participated in contracting training. The key findings are that therapists need to learn how to contract but more importantly, may need to re-visit core values and beliefs.

Keywords: Social model, partnership, cycle of planned change, values and beliefs, clinical education, contracts

DOI: 10.3233/ACS-2008-16109

Journal: Journal of Clinical Speech and Language Studies, vol. 16, no. 1, pp. 94-101, 2008