White Paper

Appropriateness for Teleservices

It is important to note that tele-assessment or tele-services are not appropriate for all students (including teletherapy, tele-SLP, or virtual specialized instruction). While there are some indicators that a student is better or less suited for tele-services, the provider should always use clinical judgment to determine whether or not any individual student is a good fit.

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What you'll learn

  • The six service lines the matrix covers, and the provider type each one requires
  • Whether each service runs individually or in a group, and the age range it serves
  • When an on-site helper is needed, and what the setting has to provide — a private room, or headphones in a shared one
  • The age floor on full psychoeducational evaluation, and why file-only reviews sit differently
  • Which student situations are flagged as a poor fit for virtual delivery, and how those differ between assessment, counseling, speech and instruction
  • Why the matrix treats all of this as indicators for clinical judgment rather than eligibility rules

What this paper covers

This one is a single-page reference matrix rather than a paper. It sets out, service line by service line, who can be served virtually and under what conditions.

Six rows: psychoeducational assessment as a file review, psychoeducational assessment as a full evaluation, speech-language assessment, behavioral and mental health counseling, speech-language therapy, and specialized instruction. For each one it names the provider type, whether the service runs individually or in a group, the ages served, whether an on-site helper is required, and what the setting has to provide — a private location, or headphones where the space is shared.

The contraindications are the useful part, and they differ by service. Full psychoeducational evaluation is not appropriate below age seven. Across services, virtual delivery is flagged as a poor fit for students unwilling to engage online, students in acute crisis, students too behaviorally dysregulated to sit in front of a screen, and significantly oppositional students — with severe emotional disturbance and significant verbal communication difficulties added for counseling and speech.

The page is explicit that these are indicators rather than rules. The provider's clinical judgment decides whether any individual student is a fit.

Who this paper's for

Special education directors and clinical managers deciding which students and which services are a fit for virtual delivery.

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Dr. Jordan Wright

Chief Clinical Officer, Parallel
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