Scope of Practice for SLPs - Services are INDIRECT. We will be modeling and training directly with caregivers, to best support the individual, while providing various supports to enhance the individual’s independence in the areas targeted.
Fluency
● Stuttering
● Cluttering
Speech Production
● Motor planning and execution
● Articulation
● Phonological
● Breath Support for speech
Language- Spoken and written language (listening, processing, speaking, reading, writing, pragmatics)
● Phonology
● Morphology
● Syntax
● Semantics
● Pragmatics (language use and social aspects of communication)
● Prelinguistic communication (e.g., joint attention, intentionality, communicative signaling)
● Paralinguistic communication (e.g., gestures, signs, body language)
● Literacy (reading, writing, spelling)
Cognition
● Attention
● Memory
● Problem solving
● Executive functioning
Voice
● Phonation quality
● Pitch
● Loudness
● Alaryngeal voice
Resonance
● Hypernasality
● Hyponasality
● Cul-de-sac resonance
● Forward focus
Feeding and Swallowing:
Oral phase (stuffing, rapid intake, large bolus size, decreased oral motor control, drooling/spillage, oral care)
● Pharyngeal phase (dysphagia
● Esophageal phase (recognizing s/s of GERD/reflux)
● Atypical eating (e.g., food selectivity/refusal, negative physiologic response)
● Tube feeding/positioning
● Trach care
● Diet and liquid recommendations/modifications
● Hydration
Auditory Habilitation/Rehabilitation
● Speech, language, communication, and listening skills impacted by hearing loss, deafness
● Auditory processing
Protocols ST Can Write
Dysphagia
Oral Care
Hydration
Communication
Pragmatics/Social Skills
Seizures
How SLPs can help
SLPs can address several areas that may be beneficial when addressing the needs of individuals with developmental disabilities. Areas that we address include:
Communication: Device procurement and training, speech sound/motor planning training, stuttering, breath support for speech, social skills, speech volume control (too loud or too quiet), nasal resonance (either sounding too nasally, or not enough, as if one has a constant cold), language skills
Cognition: Attention issues, memory impairments, difficulty solving problems, safety issues in the home or community, sequencing, and other executive function , identifying and expressing emotions, following directions
Hearing: hearing aid use, and maintenance trainings, procurement of sound supporting equipment (FM system)
Swallowing: Diet (solids and liquids) training, oral care, rapid eating, over-stuffing, choking prevention, aspiration prevention, tube feeding GI.
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