Julie Hart

Director of TBI Medicaid Waiver Services/ Clinical Supervisor

Degrees

M.S.Speech Pathology/Speech SciencePurdue University
B.S.Speech Pathology and AudiologyIthaca College

Professional Experience

Director, TBI Medicaid Waiver Services
Pauline K. Winkler Center
The College of Saint Rose, January 2010 – Present

The TBI Waiver and Neuro Services Program at The College of Saint Rose serves 50 people per week in a variety of individual and group sessions. There are a total of 22 groups that take place each week and participants spend anywhere from 2-18 hours/week, working on improving functional communication, cognition, behavior, technology skills, community reentry and working towards living a meaningful life after brain injury and stroke. The program is the only Waiver Program in NYS that utilizes Communication Sciences and Disorders graduate students to provide services to these individuals. This allows the participants to benefit from a 1:1 or 1:2 ratio and allows the students to gain a unique clinical experience.

Clinical Responsibilities:

  • Direct client service – 20 hours of direct individual and group therapy.
  • Facilitate 9 groups per week for individuals s/p stroke, TBI and other neurogenic etiologies.
  • Supervise 20-25 graduate student clinicians per semester in 1:1 and group interactions.

Administrative responsibilities:

  • Developing relationships with appropriate professionals and staff in the community including regulatory agencies, who will serve as a source of referrals.
  • Completing the necessary documentation in accordance with regulatory agencies (NYS DOH, Medicaid, and ASHA) to ensure timely billing for services.
  • Developing program standards in accordance with the Medicaid Waiver program.
  • Maintaining and developing collaborative relationships with agencies who provide services to individuals with neurogenic communication impairment (i.e., Living Resources, Millview TBI program, and Belvedere Services.)
  • Managing and supervising three part-time staff members who facilitate programming throughout the week.

Academic Responsibilities:

  • Teaching 5 courses per year:
    • Adult Language Disorders
    • Anatomy and Physiology for Speech and Swallowing
    • Neuroanatomy for Speech Pathologists
    • Medical Speech-Language Pathology: Issues and Considerations
  • Directing independent studies and research projects for graduate students
  • Participating in weekly CSD department meetings and actively joining committees
  • Involved in the graduate school admission process

Visiting Instructor, Communication Sciences and Disorders Dept.
The College of Saint Rose, Fall 2007 – June 2011

  • Academic responsibilities include teaching; Neuroanatomy and Physiology for the Student of Speech-Language Pathology, Motor Speech Disorders, Swallowing and its Disorders, and Anatomy and Physiology for Speech-Language and Swallowing. Advising 45 undergraduate and graduate students. Conducting on-going research in the area of group intervention for individuals with neurogenic communication disorders.
  • Clinical responsibilities include supervising students in the campus Winkler Speech and Hearing Center as they provide services to individuals in both individual and group settings, and coordinating the campus Adult Communication Support Group for Individuals with Neurogenic Communication Impairment from TBI, CVA, brain tumor, encephalitis and progressive neurological disease. The group utilizes the project approach to intervention, allowing group members to determine the project that is initiated and the support that is needed. This occurs after functionally based assessments are completed. Members of the group are accompanied by family members or support personnel to allow for generalization of skills and strategies outside of the group setting.

Clinical Consultant for Swallowing Evaluation
Capital Region Ear, Nose and Throat, August 2008 – July 2011

  • Evaluation of individuals with dysphagia secondary to various diagnoses using FEES (Fiberoptic Endoscopic Evaluation of Swallowing) in collaboration with the ENT.

Speech and Swallowing Pathologist
Albany Memorial Hospital, Northeast Health, May 2002 – August 2007

  • Provided comprehensive inpatient and outpatient speech and swallowing services as a member of an interdisciplinary team of physical and occupational therapist, nurses, social workers, dieticians, physicians, neurologists and neuropsychologists.
  • Provided functionally based assessments to develop appropriate treatment plans for individuals with neurogenic communication impairment. The goals were frequently geared toward assisting the individual to return to the community in social, professional and/or academic areas.
  • Provided in-service education to hospital staff regarding communicating with individuals with neurogenic communication disorders to improve quality-of-life and service delivery.
  • Involved primary family members and caregivers in intervention to allow for generalization of skills and strategies.

Speech-Language Pathologist
Eddy Cohoes Rehabilitation Center, Northeast Health, May 2000 – January 2002

  • Provided speech-language-cognitive and swallowing services on an inpatient acute rehabilitation unit to individuals with cognitive-communicative and/or swallowing impairment resulting from TBI or CVA, as part of a functional interdisciplinary team. Services were individualized and delivered in a functional manner, focusing on increasing independence with the least amount of support necessary.
  • Involved primary family members and caregivers in intervention to allow for generalization of skills and strategies.

Faculty, Communication Disorders Department
The College of Saint Rose, January 1997 – May 2000

  • Similar academic and clinical responsibilities as listed above. In addition, acted as faculty advisor for independent studies in Cognitive-Communicative Impairment following TBI, Neurogenic Communication Disorders and Speech and Swallowing in Individuals with Tracheostomy Tubes and Ventilator Support.

Senior Speech-Language Pathologist
Inpatient Traumatic Brain Injury Unit
Sunnyview Hospital and Rehabilitation Unit, November 1990 – December 1997

  • Performed functionally based assessments and wrote treatment plans designed to make individuals independent, with the goals geared toward transitioning the person back to their community in personal, social and academic areas.
  • Involved primary family members and caregivers in intervention to allow for generalization of skills and strategies.

Staff Speech-Language Pathologist
New Medico Neurologic Rehabilitation Center, May 1989 – November 1990

Research/Creative Works

Research

  • Clinical Application of Counseling Techniques in Group Therapy with Adults with Neurogenic Communication Disorders
  • Locus of Control in individuals with Traumatic Brain Injury
  • Use of Meditation in Individuals with Aphasia
  • Understanding Flooding in Individuals with Traumatic Brain Injury
  • Use of the CAAST Treatment Protocol in an Individual 4 Years Post CVA
  • Use of Intentional Whisper to Reduce Apraxic Errors
  • Single Case Study – Individual 22 years’ post TBI with concomitant anxiety and misophonia

Presentations (local, regional, state and national level)

  • “Understanding Traumatic Brain Injury”, The College of Saint Rose, Kappa Delta Pi, November 29, 2017
  • “The Importance of Using Meaningful Projects to Achieve Improved Communication Success”, The College of Saint Rose, Supervisors’ Workshop, November 3, 2017
  • “Finding and Honoring Your Voice after TBI and Stroke”, Brain Injury Awareness Day, , Guilderland, NY, August 25, 2017
  • “Advocating for Yourself When You Have Communication Differences”, Steps for Stroke, Glens Falls Hospital Community Center, Glens Falls, NY, June 26, 2017
  • “Communication after TBI and Stroke: The Importance of Acknowledging and Revealing Competence”, BIANYS Annual Convention, Saratoga, NY, June 15, 2017
  • “All Technology on Deck”, for the New York State Speech Language Hearing Association (NYSSLHA) Annual Convention, Saratoga Springs, NY, April 21, 2017.
  • “The Use of Projects to Improve Functional Communication”, Capital Area Speech and Hearing Association (CASHA), March 8, 2017
  • “The Effectiveness of CAAST: A 10-Week Study,” at the American Speech and Hearing Association (ASHA) Annual Convention, Philadelphia, PA, November 17 – 19, 2016
  • “Using the Project Approach with Adults with Neurogenic Communication Disorders”, at the American Speech and Hearing Association (ASHA) Annual Convention, Philadelphia, PA, November 17 – 19, 2016
  • “The Use of Project Approach to Intervention,” for the Central New York Speech Language Hearing Association (CNYSLHA) Dewitt, NY, November 5, 2016.
  • “Creating a Culture of Apprenticeship: Celebrating the Work of Mark Ylvisaker”, in the 1st Annual Ylvisaker Pro Sem, University of Wisconsin, Eau Claire, WI, October 21, 2016
  • “Using Project Approach to Improve Functional Communication in Adults with Neurogenic Communication Disorders,” for the New York State Speech Language Hearing Association (NYSSLHA) Annual Convention, Saratoga Springs, NY, April 8, 2016.
  • “Making Group Therapy for Adults with Neurogenic Disorders a Possibility”, at the American Speech and Hearing Association (ASHA) Annual Convention, Denver, Colorado, November 2015
  • “Low Energy Neurofeedback System (LENS): Influence on Functional Communication in Adults with Neurogenic Communication Disorders, at the American Speech and Hearing Association (ASHA) Annual Convention, Denver Colorado, November 2015
  • “The Moving Message: Using Project Approach to Intervention with Adults
  • who have Neurogenic Communication Disorders (NCD), at the American Speech and Hearing Association (ASHA)Annual Convention, Denver, Colorado, November 2015

  • “Dysphagia in the individual with developmental disabilities” – OMRDD videoconference across NYS, Fall 2009
  • “Non-Speech Oral Motor Exercises” – Annual Supervisor’s Workshop, The College of Saint Rose, Fall 2008
  • “Swallowing and Its Disorders: what the acute care nurse needs to know”, Albany Memorial Hospital School of Nursing
  • “Motor Speech Disorders – Praxis Review” – NYSSLHA 2008 convention
  • “The Efficacy of Oral Motor Exercises in Swallow Therapy” – Clinical Grand Rounds, The College of Saint Rose, Fall 2007
  • “Interpretation of Videofluoroscopic Swallowing Studies: The role of the supervisor in the development of a strong graduate clinician – Annual Supervisor’s Workshop, The College of Saint Rose
  • “Use of Cervical Auscultation to Augment the Bedside Clinical Evaluation” – Annual Supervisor’s Workshop, The College of Saint Rose
  • “The Use of Neuromuscular Electrical Stimulation to Augment Traditional Swallowing Therapy”, Clinical Rehabilitation Staff, Albany Memorial Hospital
  • “The Role of the Speech Pathologist with the Critically Ill Individual”, Medical Grand Rounds for Physicians and Medical Support Staff, Albany Memorial Hospital – December 2002