Speech Therapy Services

From an SLP_A?

Hello! My name is Sandra Hernandez. On official documents, I sign my name as Sandra Hernandez, B.S., SLPA. Now, you may be thinking: “I thought it was just SLP?” Would you please allow me to explain what the “A” stands for? My official job title is “Speech-Language Pathology Assistant.” “What does that mean?” You may be wondering. Well, the American Hearing and Speech Association (ASHA) describes SLPAs as “support personnel who, following academic coursework, fieldwork, and on-the-job training, perform tasks prescribed, directed, and supervised by ASHA-certified speech-language pathologists.” In short, we provide therapy services under the supervision and guidance of an ASHA-certified Speech-Language Pathologist.

Thus, we can be compared to Board Certified Assistant Behavioral Analysts (BCaBAs), Certified Occupational Therapy Assistants (COTAs), and Physical Therapy Assistants (PTAs). While you may not hear about assistant therapists often, they are an essential asset to fully certified therapists, in my very biased opinion.

In most settings, utilizing assistants provides supervisors and clinicians with time to evaluate clients, develop treatment plans, re-evaluate and record progress over time, and fulfill administrative tasks. Furthermore, ASHA reports the following advantages to utilize SLPAs: “The ASHA-certified speech-language pathologist may extend services (i.e., increase the frequency and intensity of services to patients or clients on his/her caseload), focus more on professional-level tasks, increase client access to the program, and achieve more efficient/effective use of time and resources” All in all, through the collaboration of SLPs and SLPAs, we can provide more services to the patients that need them.

SLPAs are recognized as qualified professionals in Missouri and are licensed by the Missouri Board of Healing Arts after completing a Bachelor’s degree in Speech-Language Pathology. Like most healing art programs, hours of observation and clinical practice are also required for licensure. Similar to certified SLPs, SLPAs are encouraged to seek out and benefit from continuing education courses. While SLPAs receive the same educational foundation in the Science of Communication Disorders that fully certified SLPs do, they do not receive training in diagnostics and assessment. It is important to note that the supervising clinician makes every decision throughout the whole process.

To elaborate, the supervising clinician decides whether therapy is needed and the frequency of treatment to be provided and when the patient is ready for discharge. In addition, the supervising clinician also determines what type of therapy is needed and writes a treatment plan tailored to the patient’s individual needs. Therefore, the scope of an SLPA practice is limited to only providing treatment. While we can assist in screenings, we can not administer evaluations or decide treatment methods. My responsibilities as an assistant include providing therapy for the clients placed on my caseload, recording day-to-day data, and reporting feedback from the sessions to parents/caregivers as well as to my supervisor.

Most importantly, however, our job is to help your child communicate with you. Our job is to make sure that your child has a voice. Our job is to provide an environment, understand your child’s uniqueness, and give them an opportunity for equal learning. Together, SLPs and SLPAs work to ensure that every child who comes through our doors has that opportunity. We work very closely and hard every day to help your child reach their full potential. Whether the “A” is on there or not, our job is the same. Hopefully, learning about speech-language pathology assistants’ qualifications, responsibilities, and values relieves any confusion or questions about the title difference.

Thanks for reading my post!

Sandra Hernandez, B.S., SLPA

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