Quote:
“We are armed with language adequate to describe each leaf of the field, but not to describe human character.” -Henry David Thoreau
Definition of Profession:
A speech-language pathologist is a licensed health care professional who diagnoses, evaluates, and treats disorders of speech, voice, swallowing, and/or language.
About the Field:
About half work in educational services, and most others were employed by health care and social assistance facilities. A master’s degree in speech-language pathology is the standard credential required for licensing in most States. Employment is expected to grow because the expanding population in older age groups is prone to medical conditions that result in speech, language, and swallowing problems. Excellent job opportunities are expected.
How To Get There:
In 2005, 47 States required speech-language pathologists to be licensed if they worked in a health care setting, and all States required a master’s degree or equivalent. A passing score on the national examination on speech-language pathology, offered through the Praxis Series of the Educational Testing Service, is needed as well. Other requirements typically are 300 to 375 hours of supervised clinical experience and 9 months of postgraduate professional clinical experience. Forty-one States have continuing education requirements for licensure renewal. Medicaid, Medicare, and private health insurers generally require a practitioner to be licensed to qualify for reimbursement.
Only 11 States require this same license to practice in the public schools. The other States issue a teaching license or certificate that typically requires a master’s degree from an approved college or university. Some States will grant a temporary teaching license or certificate to bachelor’s degree applicants, but a master’s degree must be earned in 3 to 5 years. A few States grant a full teacher’s certificate or license to bachelor’s degree applicants.
In 2004, 239 colleges and universities offered graduate programs in speech-language pathology that are accredited by the Council on Academic Accreditation in Audiology and Speech-Language Pathology. While graduation from an accredited program is not always required to become a speech-language pathologist, it may be helpful in obtaining a license or may be required to obtain a license in some States. Courses cover the anatomy, physiology, and the development of the areas of the body involved in speech, language, and swallowing; the nature of disorders; acoustics; and psychological aspects of communication. Graduate students also learn to evaluate and treat speech, language, and swallowing disorders and receive supervised clinical training in communication disorders.
On The Job:
Speech-language pathologists, sometimes called speech therapists, assess, diagnose, treat, and help to prevent speech, language, cognitive-communication, voice, swallowing, fluency, and other related disorders. Speech-language pathologists work with people who cannot produce speech sounds, or cannot produce them clearly; those with speech rhythm and fluency problems, such as stuttering; people with voice disorders, such as inappropriate pitch or harsh voice; those with problems understanding and producing language; those who wish to improve their communication skills by modifying an accent; and those with cognitive communication impairments, such as attention, memory, and problem solving disorders. They also work with people who have swallowing difficulties.
Speech, language, and swallowing difficulties can result from a variety of causes including stroke, brain injury or deterioration, developmental delays or disorders, learning disabilities, cerebral palsy, cleft palate, voice pathology, mental retardation, hearing loss, or emotional problems. Problems can be congenital, developmental, or acquired. Speech-language pathologists use qualitative and quantitative assessment methods, including standardized tests, as well as special instruments, to analyze and diagnose the nature and extent of speech, language, and swallowing impairments. Speech-language pathologists develop an individualized plan of care, tailored to each patient’s needs. For individuals with little or no speech capability, speech-language pathologists may select augmentative or alternative communication methods, including automated devices and sign language, and teach their use. They teach these individuals how to make sounds, improve their voices, or increase their oral or written language skills to communicate more effectively. They also teach individuals how to strengthen muscles or use compensatory strategies to swallow without choking or inhaling food or liquid. Speech-language pathologists help patients develop, or recover, reliable communication and swallowing skills so patients can fulfill their educational, vocational, and social roles.
Tools of the Trade/ Lifestyle:
Speech-language pathologists usually work at a desk or table in clean comfortable surroundings. In medical settings, they may work at the patient’s bedside and assist in positioning the patient. In school settings they may work with students in an office or classroom. Some deliver services in the client’s home. While the job is not physically demanding, it requires attention to detail and intense concentration. The emotional needs of clients and their families may be demanding. Most full-time speech-language pathologists work 40 hours per week; about 1 in 5 work part time. Those who work on a contract basis may spend a substantial amount of time traveling between facilities.
Salary Range:
Median annual earnings of speech-language pathologists were $52,410 in May 2004. The middle 50 percent earned between $42,090 and $65,750. The lowest 10 percent earned less than $34,720, and the highest 10 percent earned more than $82,420.
You are:
Speech-language pathologists should be able to effectively communicate diagnostic test results, diagnoses, and proposed treatment in a manner easily understood by their patients and their families. They must be able to approach problems objectively and be supportive. Because a patient’s progress may be slow, patience, compassion, and good listening skills are necessary.
State of the Art:
Employment of speech-language pathologists is expected to grow about as fast as the average for all occupations through the year 2014. As the members of the baby boom generation continue to age, the possibility of neurological disorders and associated speech, language, and swallowing impairments increases. Medical advances are also improving the survival rate of premature infants and trauma and stroke victims, who then need assessment and possible treatment. An increased emphasis also has been placed on early identification of speech and language problems in young children. The combination of growth in the occupation and an expected increase in retirements over the coming years should create excellent job opportunities for speech-language pathologists. Opportunities should be particularly favorable for those with the ability to speak a second language, such as Spanish.
Related Professions:
Speech-language pathologists specialize in the prevention, diagnosis, and treatment of speech and language problems. Workers in related occupations include audiologists, occupational therapists, optometrists, physical therapists, psychologists, and recreational therapists. Speech-language pathologists in school systems often work closely with special education teachers in assisting students with disabilities.
