Establishing a tinnitus clinic in your practice.
OBJECTIVE
While tinnitus is very common among the hearing impaired population, specific treatment for tinnitus is not provided in most clinics. This article provides a plan for establishing a tinnitus treatment program that can be implemented in stages at most audiology clinics.


METHODS
Preparation for establishing a tinnitus clinic includes having an overall plan regarding the type and degree of tinnitus management. Assessment involves a measurement of tinnitus and of the reaction a patient has to the tinnitus, including the use of handicap questionnaires. Management typically involves some form of counseling and sound therapy. Four problematic areas in tinnitus management are thoughts and emotions, hearing and communication, sleep, and concentration.


CONCLUSIONS
Licensed audiologists generally have the essential training necessary to provide counseling and sound therapy to treat tinnitus patients. We introduce 3 levels of treatment implementation, depending on whether the patient is curious, concerned, or distressed. Follow-up and referrals might be necessary in more severe cases. Finally, the development of a tinnitus clinic centers around establishing a need for individual treatment, creating a treatment plan, estimating the need for additional staff and resources, reimbursement options, and assessing the effectiveness of the program.
University of Iowa, Department of Otolaryngology, 200 Hawkins Drive, 21167 PFP, Iowa City, IA 52242, USA. rich-tyler@uiowa.edu
Richard S
RS
Tyler
George B
GB
Haskell
Stephanie A
SA
Gogel
Anne K
AK
Gehringer
D001298:Audiology / Q000458:organization & administration*; D003376:Counseling; D006287:Health Planning Guidelines; D006310:Hearing Aids; D006801:Humans; D010036:Otolaryngology / Q000379:methods; D010818:Practice Patterns, Physicians'; D012017:Referral and Consultation; D014012:Tinnitus / Q000175:diagnosis* / Q000628:therapy*