Larissa Wisniewski



Jennifer Horton, M.A., Reg. CASLPO (#3886)Speech-Language Pathologist(last updated August 2020)Email jennifer.horton@learcomm.ca Web learcomm.caEDUCATION1999 - 2001Masters of Arts in Speech Language PathologyState University of New York at Buffalo, Buffalo, NY1994 - 1998Honours Bachelor of Arts, Linguistics and SociologyBrock University, St. Catharines, OntarioWORK EXPERIENCEOwner/ President & Speech Language Pathologist, Lear Communication Inc., Hamilton, Niagara Region, Haldimand-Norfolk County, Brant County and Halton-Peel RegionsJune 2016- PresentEnsure compliance with regulations by governing bodies CASLPO & FSCOMaintain involvement and presence at local and industry-related organizations such as OSLA, various Interest Groups, the Ontario Rehab Alliance, Hamilton Med-Legal Society, OBIA (regional chapters involving Niagara, Halton, Toronto & Hamilton)Sit on the Board of Directors for Brain Injury Association of Niagara (BIAN)Completion of medical malpractice consultations and assessments as requested by legal counsel (often involving anoxic brain injury/ CP, swallowing and voicing issues)Completion of medical-legal assessments & CAT Assessments as requested by legal representatives (auto industry)Completion of Independent Medical Assessments on behalf of Insurance (auto industry)Maintaining advanced level of training and education in legislation and disorder areas related to clientele and professional as a wholeMaintaining an active caseload of clients who have communication impairments as a result of ABI, other neurological or developmental disorders including voice, fluency, articulation, resonance, and swallowing disordersMentor staff to exceed their own clinical expectations and goalsComplete annual company performance evaluations and goal setting system ensuring compliance and growth in areas related to company’s values (Excellence, Accountability & Compassion) and in line with regulations that govern our workMaintaining competitive marketing efforts and ongoing business management and planning as the president/ director of Lear CommunicationClinical Manager & Speech-Language Pathologist, Lear Communication Inc., Hamilton/Niagara, OntarioJuly 2008 – May 2016Responsible for the assessment and treatment of communication in adults and school-aged children with brain injury, stroke, learning disabilities, speech disorders and voice disorders. Assessments are thorough and functional exploring all areas of a client’s life that may be affected by their injury or disorder. Treatment goals are client-focused and aimed toward improving clients’ home, school and/or work lives. Advocacy for speech-language pathology in the hospitals and community is an important part of the position to ensure that all people that require assistance are aware of the current options available;Assessment and treatment of swallowing and voice disorders including external health provider at hospitals (upon request), nursing homes and community/ home residences;Provide ABI service as part of a multidisciplinary team that includes Psychology, Occupational Therapy, Physiotherapy, Rehabilitation Therapists, Tutors, Behavioral Consultants, Lawyers and Case Managers;Preparation of Medical-Legal SLP reports as requested by legal representatives;Provide clinical opinion on the future needs and costs of SLP services as requested;Supervision and mentoring of Speech Language Pathology students and new graduates (CASLPO, ASHA); Supervision of Communicative Disorder Assistants and Rehab Assistants;Assist with the data collection for pilot projects;Provide input in to procedures for continuous quality improvementLink with Colleagues working with ABI and support local associations (e.g., Brain Injury Association of Niagara- assisted ABI Survivors with writing their inspirational stories in a published book funded by Trillium, annual 5km corporate run for BIAN); andClinical Manager responsibilities include daily managerial duties, SLP coaching and goal setting, providing clinical advice and support to fellow SLPs, responding to client feedback, assisting with performance evaluations and responding to client inquiriesClinical Manager, Heaman Communication Services Inc., Uxbridge, OntarioAugust 2006 – February 2009Professional Practice Leader for Speech Language Pathology providing clinical support to over 40 S-LPs in the GTA;Recruitment & orientation of new clinical staff to the applicable contract, Heaman Communication Services Inc. (HCS) and to clinical and administrative duties;Assignment of referrals and overseeing staffing/ contract volumes;Develop and implement Policies & Procedures on an ongoing basis;Education/research; Program development / public relations; Attendance at Meetings (CCAC, Heart & Stroke, School Board) on behalf of the President, Community partner member on the CCAC Diversity in Health Care Committee and Ethics Committee;Supervision and mentoring of Speech Language Pathology students and new graduates; Assist with the data collection and narrative reporting of RFPs, Quarterly Reports and Annual Quality Reports to the Central West & Mississauga-Halton CCACs; and Complete chart audits and quarterly performance reviews on all consultant S-LPsIndependent Contractor, S-LP, Heaman Communication Services Inc., Peel RegionJanuary 2001 – March 2009Provide services in the Peel Region schools under CCAC contract for clients with phonology, articulation, resonance, fluency and voice impairmentsActing Clinical Voice Leader (August 2003- Present) providing clinical support and education to fellow colleagues and providing input into policies and procedures, as well as, continuous program developmentFacilitate summer fluency groups and voice groups (July, 2003-2007)Niagara Health System, Voice Program, St.Catharines, OntarioAugust 2003- May 2005Assessed functional and organic voice problems for those who demonstrated difficulties with vocal quality or functioning;Voice assessments included videostroboscopy, voice use profile, computer analysis of vocal functioning, consultation with Otolaryngologist and psychosocial screening;Made referrals as appropriate to Social Worker, Specialists and Community Partners;Treated voice disorders in individuals and in group setting providing voice education, teaching of various voice care techniques, voice exercises and stress management skills. School Health Support Services, Comcare Health Services, Niagara Falls, OntarioSept 2004-May 2005Treated articulation and phonological disorders in a group setting through contract to the CCAC of Niagara General Medicine & Complex Continuing Care, York Central Hospital, Toronto, OntarioSeptember 2002- May 2003 (6-month contract through HCS Inc)Provided swallowing and communication assessments to adults in general medicine- acute care setting, chronic care, intensive care and palliative care unitsWorked with diverse patient populations including degenerative diseases, stroke patients and acquired brain injuryProvided support, counselling and health teaching to patients and family members regarding modified diets, positioning and alternative feeding optionsConsultant S-LP, York-Durham Aphasia Centre, Richmond Hill, OntarioJune 2004 – December 2004 (contracted through HCS Inc)Consulted to a community based program serving adults with aphasia, dysarthria, apraxia and related communication disorders due to stroke, brain injury and brain diseaseProvided support and training to program staff and volunteers regarding client communication needs, strategies and augmentative and alternative communication aids and program planningManaged client program participation; Supervised goal setting and program planning for individuals and groups within the communication program; maintain client records as assigned; andConsulted to Social Worker and caregivers regarding communication needs/education as requiredCOMMITTEE PARTICIPATION CASLPO- Peer Assessor (April 2018- present)Ontario Association of Speech Language Pathologists and Audiologists (OSLA) Board Member (November 2017- May 2019)OSLA ABI/ Auto Interest Working Group (December 2017- Present)Brain Injury Association of Niagara (BIAN) Board of Directors- January 2019 Clinical Advisory Group (CAG) member- McMaster University 2017-currentHamilton Regional Speech-Language Advisory Committee (HRSLAC) 2018-currentDiversity in Healthcare Committee Member, Peel CCAC (August 2006-Jan 2007)Ethics Committee Member, Peel CCAC (August 2006-Jan 2007)Quality Performance & Management Committee, HCS Inc. (Nov 2008-Feb 2009)PROFESSIONAL CERTIFICATIONS AND MEMBERSHIPSAccepted by the Courts as an Expert Witness 2015, 2018Registered member with the College of Audiologists and Speech Pathologists of Ontario (CASLPO) since December 2000Registered member of the American Speech-Language Association (ASHA) since December 2000Member of the Ontario Speech-Language Association (OSLA)- 2001-PresentOntario Rehab Alliance (2016, 2017)Canadian Society of Medical Evaluators (2016, 2017)PRESENTATION & CONTRIBUTIONSSpeaker & Panel member - Healthcare Advocates Conference- April 2019Panel member (SLP) at the Interprofessional Education Day- McMaster University 2018Guest Speaker with a Panel of Professionals at the 2011 Annual Back to School Conference sponsored by Thomson Rogers in collaboration with the Toronto ABI Network, September 2011Guest Speaker with a Panel of Professionals discussing “What Makes a Rehabilitation Team Work?” BIAN Annual Conference, Niagara Falls, October 2010RECENT PROFESSIONAL DEVELOPMENT OBIA (November 2019)MBSImP – Swallowing Certification Course (June 2019)When Mild is Not Mild, Sheila MacDonald, May 2019 Heath Advocates Conference , April 2019Proficient in the use of MS Office Programs including Word, Powerpoint & ExcelProficient in the use of Visipitch, PRAAT, Laryngograph & Videostroboscopy in the assessment of voice and nasalityToronto ABI Network Conference 2011, 2017, 2018OSLA- CAT Criteria and the Speech-Language Pathologist, Sept 2017OBIA Conference November 2017Canadian Society of Medical Evaluators – IME Bootcamp, March 5 2017Toronto ABI Network Conference November 2016, Toronto OnBIAN Conference, October 27, 2016 Niagara Falls On Topics: Behavioral and Emotional Issues with ABI, SABS Changes post June 2016, Navigating Complex TBI- SLP PresentationOBIA Provincial Conference 2015- Concurrent sessions with topics involving: ABI & Mental Illness, Symptoms of Mental Illness following Concussions, Substance abuse & Brain Injury & Social/Emotional/Academic Success in ABI Adolescence Returning to School)Client-Centered Management for Voice Disorders, Presented by Linda Rammage,April 15, 2014Dysphagia in the Medical Setting, Baycrest May 2013Brain Plasticity & Neurorehabilitation, Baycrest March 2013Discourse in Aphasia: Assessment & Treatment, Baycrest, May 2012Solutions for Learning: Reading and Language Disabilities, Learning Disabilities Association of Halton, April 2012Word Finding for Adults: Deep Assessment and Comprehensive Intervention, presented by Dr. Diane German, Baycrest, Friday, May 13, 2011Guest Speaker with a Panel of Professionals discussing “What Makes a Rehabilitation Team Work?” BIAN Annual Conference, Niagara Falls, October 2010Post-Graduate Course in Cognitive Communication Disorders – LEVEL 1, Presented by Sheila MacDonald, Toronto, March 2009Post-Graduate Course in Cognitive Communication Disorders – LEVEL 2, Presented by Sheila MacDonald, Toronto, October 2009Attended Chedoke ABI Conference, May 2009Attended The Impact of Working Memory on Classroom Learning, CASLPA May 2009Attended Distinguishing Working Memory and Language Impairments in School-Aged Children, CASLPA May 2009 Supporting Children and Adolescents with Self-Regulatory, Cognitive, Behavioural, and Communication Disabilities in Their School Setting, Presented by Mark Ylvisaker, September 18, 2008ONLINE PROFESSIONAL DEVELOPMENT Recorded Courses 2011Water and the Patient with Dysphagia/ Fraser Free Water Protocol, Gale Estes-Waddell, M.A., CCC-SLP ()Performing and Interpreting a Bedside Clinical Evaluation of Swallowing, Nancy Swigert, M.A., CCC-SLP, BRS-S ()Using Oral Language Strategies to Support Literacy Development in Children- The Role of the SLP, Rhea Paul ()Techniques for the Distorted “R”, Pamala Marshalla ()Treating Memory and Learning in TBI, Victoria Harding ()Selecting Apps For Therapy, Lara Wakefield ()Reading Comprehension and Language Intervention, Dee Lance ()Developing & Using Scripts in-Treatment, Audrey Holland ()Recorded Courses 2012Reading and the Brain, Dr. Kauffman LDAH September 2012Recorded Courses 2013In a World of Dysphagia, What is Normal? Kim Winter, ()Performing a Clinical Swallow Examination, Debra Suiter ()Building Better Readers, Focus on Fluency, Shari Robertson () Recorded Courses 2014Counselling and Communication Disorders: Dealing with Feelings and Emotions, Presenter Michael Flahive () Recorded Courses 2017Review of Standardization, Validity and Reliability with Assessments, ................
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