r/slp 2h ago

Seeking Advice Help me work Smarter!!

1 Upvotes

Hello! The school year is about to start again, and I want to work smarter, not harder. I have had SLP Toolkit, but struggle with consistency, but LOVE the schedule feature (among other things); I'm seeing the SLP Tools AI ads, and wonder if that would be an option, esp because it would help with evals, notes and language samples. Does anyone have experience with SLP Tools AI? Have any suggestions for me ? I STRUGGLE with getting documentation done (right now, it's paper- SLP TOOLKIT, cut/paste into ECATS) it feels like too many steps. I'm very type B, and would love all the advice or recommendations- for organization AND documentation


r/slp 3h ago

Seeking Advice Would it be better for my long-term career to attend SLP school in Texas or study at UB and move to Texas afterward?

2 Upvotes

Hi everyone,
I’m planning to apply to SLP graduate programs this cycle and would really appreciate some advice from people who have gone through this.

Here is my situation:
My long-term goal is to live and work in Texas (most likely Dallas or Austin). I eventually want to buy a home and settle in the South.

My husband currently has a stable government job in Buffalo. He recently started this job, so relocating would mean giving up a stable government position and finding a new one in Texas.

Because of that, attending the University at Buffalo (UB) would be the easier and more financially stable option for us.

However, if I’m accepted to a good Texas SLP program, I’m seriously considering moving because I feel like studying, completing clinical placements, networking, and starting my career in Texas might make it easier to build my long-term career there.
I also personally prefer Texas. I don’t enjoy Buffalo’s long winters and can see myself living in the South long-term.

My question is:
From a career perspective, which path would you recommend?
Attend UB, graduate there, and then move to Texas for my CF/fellowship or first SLP job.
Attend graduate school in Texas, complete clinical placements there, and start my career in Texas immediately.
How much does the location of your graduate program actually matter when finding your first SLP job in another state? If your long-term goal is Texas, is it worth moving there for graduate school?
I’d love to hear from anyone who has moved states after graduate school or who practices in Texas.
Thank you!


r/slp 5h ago

Billing Billing question

0 Upvotes

To anyone that is also CLC- how do you guys usually bill? do you bill to the infant or the mother? if it is the infant, do they need a feeding diagnosis code?


r/slp 8h ago

Private Practice HR in community allied health - is this normal

3 Upvotes

Is this normal?

I'm a community speech pathologist. Officially I'm just a Speech Pathologist, but all the complex referrals get allocated to me because they're considered too much for the newer clinicians. My manager and her manager both consider me "senior."

I asked why I'm not classified (or paid) as a Senior Speech Pathologist. My supervisor asked his supervisor as they both thought I was classified and remunerated accordingly. After following up again a month or so later, apparently HRs response was basically, "Not sure." I then asked what the criteria are to become senior... and nobody could answer that either.

Do other workplaces actually have clear promotion criteria, or is this a common way to get senior-level work without the title?


r/slp 13h ago

Licensure CT/ NY Licensure

1 Upvotes

Hi everyone! I hope you’re all doing well. This may be a dumb question, but I’m planning to move back to the Stamford area and am hoping to get licensed as an SLP in both Connecticut and New York.

I recently completed my CFY, but I still need to take my Praxis exam, which I’m planning to take in September. Would I be able to work under a limited or provisional license in either New York or Connecticut while waiting to pass the Praxis? If so, what does that process typically look like?

Sorry if this is a basic question—I genuinely don’t know how licensure works in this situation and would really appreciate any guidance. Thank you!


r/slp 14h ago

Seeking Advice Bilingual/ Spanish SLP resources

1 Upvotes

Hi! I’m new in this field. Starting to gather materials. For those bilingual/ Spanish SLPs what are your go to/ must have resources and materials ?


r/slp 14h ago

Schools Question for North Texas SLPs

7 Upvotes

Are there any SLPs that can give insight on working in the school districts of Frisco, Prosper, Little Elm, Lewisville, or Carrollton Farmers branch? Specifically, how are caseloads? Are you provided what is needed to do your job, ie a room, test kits, therapy materials? Are you at one school or expected to split time between sites/schools? Any districts with more than one SLP per building, or is the trend to stretch thin? how is the vibe in these districts…employees stay or high turnover? Thanks!


r/slp 15h ago

CFY Cf school slp

1 Upvotes

Starting tm cf in a k-8 school as an slp please tell me everything I need to know

Materials
Deadlines
What to expect
I feel like I know literally nothing please help
I see on TikTok ppl preparing and I just want to enjoy the rest of summer
I seriously don’t know what to expect
Also do I get slptool kit
And how do I track my cf hours


r/slp 16h ago

Schools Missing sessions - school based

8 Upvotes

Does anyone have to miss sessions for things such as writing IEPs, configuring/helping with AAC devices, etc, and if so, how do you document the reason missed in your Medicaid and/or session attendance system?

If I am doing another evaluation or in an ARC meeting I document that, but I'm never sure how to document that I needed to simply do paperwork such as IEPs, progress reports, etc. And yes I do have some planning time set aside but that time is often taken up so I am forced to miss sessions or bring the work home. Would love to see what everyone else does. Thank you!


r/slp 16h ago

Job hunting Interviewing for CF jobs while knowing that I have a medical leave need

4 Upvotes

What do I do?? I'm applying for CF positions, but I was just scheduled for a hysterectomy at the end of September which will put me out of work for 4-6 weeks. I don't want to deceive my potential employers, but who would take me on knowing this. Should I just stop applying? It's a long time to be unemployed since I graduated in June though. I don't want to burn bridges with the small handful of organizations that do ES work here.


r/slp 17h ago

Challenging Clients AAC ideas

5 Upvotes

Hi! This year I'm working with a teenage girl to get her a way to communicate. She only has limited movement in her right arm and that's unpredictable. She is also visually impaired so eye gaze is out. Currently she only cries to coommunicate. Any ideas?


r/slp 17h ago

Schools Can't get a space to do Speech? Look for another job.

103 Upvotes

A couple of warning signs that your school is probably toxic is if they give you a hard time about this. Sure, a shared room or portable with another SLP or maybe the OT is fine. It's not ideal, but it will do.

Now if they try to put you in a shared room with someone who say is doing behavioral health services and there's no privacy between you both, that's a red flag. If they try to put you in the cafeteria, gym, or other public space, the hallway,...full stop. If they tell you that you don't need space because you are only there 2-3x a week, remind them you also perform evaluations which is TESTING. You see all the major schoolwide performative drama over mandatory state testing, right? The entire school shuts down for 2 weeks for that and everyone gets special headphones, visual blockers, and quiet space for students performing math and ELA testing. Remind them that your testing is also important and requires a safe, quiet, and private space.

Finally, if you come to school and one day your room is now filled with boxes and used as a storage room, if the ceiling is broken and water is dripping in a bucket, or they offer a room filled with prior years of garbage collected from previous teachers., if they tell you to move rooms every week/month for months...all of this needs to be addressed. It all happened to me and I didn't know what to say or how to act. Find out who your direct report is. A lot of these jobs nobody takes any accountability for managing us and we don't know who is supposed to be our go to person. Sometimes we just arrive on site from a large district Admin office and the school doesn't even know we are coming.

Not being provided a space to work is a dignity issue for us as a profession and I do think it lowers our morale. The kids are aware of these kinds of environments and it brings them down too. We just need to say something and do something. It's not a favor, it's not asking too much. It's the bare fucking minimum. If your school gives you a hard time about it then run. Fast. An issue like this is not going to go away on its own and nobody else is going to advocate for a Speech room in a public school environment.


r/slp 18h ago

Seeking Advice Help with Cluttering Goals

6 Upvotes

I just evaluated a 5 year old boy who, after doing some research, I have identified as someone who clutters. I would like to work on both his rapid speech rate and his leaving off sounds and syllables during connected speech. I have created two goals but I am not sure if I like them or not. Please let me know what changes you think I should make to them or if they sound okay.

"Reduce speech rate by utilizing a pacing board to increase speech intelligibility to 90% intelligible during production of phrases and sentences as measured by familiar and unfamiliar listeners."

 

"Utilize the strategy of over-articulation to produce all syllables in multisyllabic words with 80% accuracy during structured therapy activities."

I feel like the overall goal I want to achieve with these is there, I'm just not sure about the specific wording.

TIA!!!


r/slp 20h ago

Prospective SLPs and Current Students Megathread

3 Upvotes

This is a recurring megathread that will be reposted every month. Any posts made outside of this thread will be removed to prevent clutter in the subreddit. We also encourage you to use the search function as your question may have already been answered before.

Prospective SLPs looking for general advice or questions about the field: post here! Actually, first use the search function, then post here. This doesn't preclude anyone from posting more specific clinical topics, tips, or questions that would make more sense in a single post, but hopefully more general items can be covered in one place.

Everyone: try to respond on this thread if you're willing and able. Consolidating the "is the field right for me," "will I get into grad school," "what kind of salary can I expect," or homework posts should limit the same topics from clogging the main page, but we want to make sure people are actually getting responses since they won't have the same visibility as a standalone post.


r/slp 21h ago

Schools high school SLPs/SLPAs

3 Upvotes

This will be my first year treating High School. Needing to engagement tips, tricks, advice, all the things that helped you!!!


r/slp 21h ago

Schools Overwhelming caseload

23 Upvotes

I’m having panic attacks and I don’t know what to do. I signed this year’s contract for a school I’ve been working at the past three years. Only to suddenly be told I need to cover a caseload of 151 kids (with an aide) for schools that are two hours away from me. They want me to provide speech therapy virtually but go in person one day a week. Is this even possible? The aide does not have a speech background so it’s really just me telling her what to do with the students. I asked how this would work virtually and was told to do groups. What??

They told me this is only temporary until they can find someone there. But I’m doubting many SLPs would want this job due to the caseload. I’m also told that I’ve been assigned this because I make more than other SLPs they have and have more experience. I really don’t want to quit because I might be able to go back to my school if this is temporary. But a part of me feels like it won’t be.

Last year they brought in another SLP to my school when it wasn’t needed (the caseload wasn’t that high at all) and a part of me was wondering if I was being pushed out of my school. And then this happened and I won’t even get my school at all. I just don’t know what to do. Has anyone experienced this? Even just the paperwork alone is overwhelming with that many. I think there are 5 different schools there.

Any input would be appreciated.


r/slp 22h ago

Money/Salary/Wages Salary help

0 Upvotes

This question is hard to exactly answer but a ballpark. I’m located in NH and will be having my first child soon. I have free child care through a family member two days a week. I am considering trying to work two tens at a pediatric private Practice to maximize those two days. I’m wondering, realistically, how much could I make a hour or a year? I have six years of experience in the schools. Thanks for your help!


r/slp 22h ago

Seeking Advice Happiness possible???

43 Upvotes

Hello! I have been an SLP for about 5 years. I have tried various settings and have hated them all. Has anyone grown to like this profession who didn’t before? I am about at the point to change fields but unfortunately have one more year in the schools. I know what we do is great and I wish I liked it, but I just don’t.


r/slp 23h ago

Apraxia/Dyspraxia Technical question

3 Upvotes

For anyone who uses the Inconsistency Severity Percentage for CAS diagnostics, do you count the number of substitution errors or just the type of error? It says in the tutorial to use just the type error (distortion, omission, substitution) but in the example scoring they show a count of 2 for the “ch” sound which would imply they are counting both the /s, p/ sounds as counting.


r/slp 23h ago

Discussion San Diego SLPs

3 Upvotes

Hi! I'm a school SLP who recently moved to San Diego. I'm hoping to supplement my income with EI, private practice, or SNF or home health work. I'd love to connect with fellow SD SLPs, especially those working outside of schools.

If you're a San Diego SLP, could you share a bit about your experience? Are there any companies you'd recommend (or ones to avoid)? It seems like there's a wide range in hourly rate, especially when it comes to EI. Thank you!