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Question
An SLP is employed by a health care company that serves nursing homes. The SLP recently completed their CF in a different setting, and asks for help from their supervisor with the identification of clients in need of speech-language services. While the SLP is not at work one day, the supervisor comes to the nursing home, identifies several clients, and leaves a written note to initiate treatment. When the SLP initiates treatment for the clients, they feel that some of the clients are not good candidates for treatment and are unlikely to benefit from services. When the SLP calls the supervisor and says that some of the clients are unlikely to benefit from services, the supervisor responds there is a "quota" of billable hours per week and these clients must be served for the SLP to maintain employment.
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