PURPOSE This exploratory study examines the intersection of teletherapy and multi-tiered system of support (MTSS) in school-based speech-language services and explores ways in which the challenges related to MTSS vary by service delivery modality. METHOD This study involved 10 interviews with five speech-language pathologists (SLPs) who have had experience in both in-person and teletherapy-based positions and were working for the same educational agency as teletherapists during the 2023-2024 school year. Qualitative data were collected about unique facilitators and barriers teletherapists face concerning MTSS and how the defining features of teletherapy (e.g., technology and on-site facilitation with a remote SLP) impact their engagement with MTSS in both helpful and constraining ways. RESULTS Participants, all of whom worked remotely with students attending schools in person, identified a number of opportunities and challenges related to engagement with MTSS. Some challenges were identified as common to both face-to-face and remote work (e.g., misunderstandings related to the role of SLPs in MTSS). Others were unique to teletherapy in ways that made implementation easier (e.g., intentionally planned and focused conversations) as well as harder (e.g., lack of visibility and spontaneity). There were pros and cons of how technology and on-site facilitation impacted MTSS implementation. CONCLUSION As teletherapy and prevention-oriented work gain prominence in the postpandemic reality, this study offers initial insights into the synergies and challenges of engaging with the MTSS as a school-based teletherapist.

中文翻译：

---

远程治疗和多层次支持系统：学校语言病理学家的协同作用和挑战。


目的 这项探索性研究考察了远程治疗和多层支持系统 （MTSS） 在学校语言服务中的交叉点，并探讨了与 MTSS 相关的挑战因服务提供方式而异的方式。方法 本研究涉及对五名语言病理学家 （SLP） 的 10 次访谈，他们具有面对面和远程治疗职位的经验，并且在 2023-2024 学年与远程治疗师在同一家教育机构工作。收集了有关远程治疗师在 MTSS 方面面临的独特促进者和障碍以及远程治疗的定义特征（例如，远程 SLP 的技术和现场促进）如何以有益和限制的方式影响他们与 MTSS 的互动的定性数据。结果参与者都与亲自上学的学生远程合作，他们确定了与参与 MTSS 相关的许多机会和挑战。一些挑战被确定为面对面和远程工作的常见挑战（例如，与 SLP 在 MTSS 中的作用相关的误解）。其他一些是远程治疗独有的，它使实施更容易（例如，有意识地计划和集中的对话）和更难（例如，缺乏可见性和自发性）。技术和现场便利如何影响 MTSS 实施有利有弊。结论随着远程治疗和以预防为导向的工作在大流行后的现实中越来越突出，本研究为作为学校远程治疗师参与 MTSS 的协同作用和挑战提供了初步见解。