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Establishing a tinnitus clinic in your practice
Richard S Tyler1, George B Haskell, Stephanie A Gogel
1University of Iowa, Department of Otolaryngology, 200 Hawkins Drive, 21167 PFP, Iowa City, IA 52242, USA. rich-tyler@uiowa.edu
American Journal of Audiology
|June 4, 2008
Summary
This article outlines a staged plan for audiology clinics to establish tinnitus treatment programs. It details assessment, counseling, and sound therapy, addressing common patient concerns for better tinnitus management.
Area of Science:
- Audiology
- Otolaryngology
Background:
- Tinnitus is prevalent in individuals with hearing impairment.
- Most audiology clinics lack dedicated tinnitus treatment programs.
Purpose of the Study:
- To provide a practical, staged plan for establishing a tinnitus treatment program within audiology clinics.
- To address the gap in specialized tinnitus care.
Main Methods:
- Clinic preparation involves defining tinnitus management scope.
- Assessment includes tinnitus measurement and patient reaction via handicap questionnaires.
- Management focuses on counseling and sound therapy, addressing thoughts, emotions, hearing, sleep, and concentration.
Main Results:
- Licensed audiologists possess the core skills for tinnitus counseling and sound therapy.
- A three-level treatment approach is proposed based on patient distress (curious, concerned, distressed).
- Follow-up and referrals are crucial for severe cases.
Conclusions:
- Developing a tinnitus clinic requires identifying patient needs, creating treatment plans, and assessing resource requirements.
- Reimbursement options and program effectiveness evaluation are key components.
- The program aims to integrate comprehensive tinnitus care into audiology practices.

