Accountability in speech, language, and hearing services can be seen as a multifaceted concept. That is, the therapist is accountable for his or her therapeutic work to numerous stakeholders with an interest in the therapeutic course and is also accountable at different levels of therapy. Accountability in therapy of communication disorders can be explained as (a) an obligation of the therapist to account for his or her activities, (b) acceptance of responsibility for these activities, and (c) documentation of the therapy results in a transparent manner.

These three parts of accountability apply at an individual level between therapist, client, and other relevant parties—for example, significant others—in the particular relationship. However, accountability in therapy also includes a responsibility to document therapy results at a financial and administrative ...

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