POPULARITY
Categories
Do you feel like most CEUs aren't very beneficial? You're not alone—60% of my audience across the field feels the same way.That's why I created The ABA Speech Connection CEU Membership—a program designed to foster collaboration, provide access to current research, and deliver engaging, practical CEUs that actually help you support your learners in communicating with the world.ABA Speech Connection is both ASHA and ACE approved, with a strong focus on meaningful outcomes. Since launching, more than 500 professionals have joined. Each month, members can attend at least one live course (often more) and access our growing catalog of CEUs. Whether you're an SLP, RBT, or BCBA, you'll find everything you need to earn your continuing education in one place.Membership is just $25 per month or $247 per year, with group pricing available as well.What's Inside:ASHA and ACE approved CEUs.A space for collaboration for SLPs, RBTs, and BCBAs. Mentioned In This Episode:Speech Membership - ABA Speech ABA Speech: Home
SLP malpractice insurance without ASHA Membership (or the CCC), fact or fiction? In this Fix SLP Summer School episode, Dr. Jeanette Benigas, SLP, and Preston Lewis, MS/SLP, discuss affordable liability coverage options for licensed SLPs who choose not to maintain ASHA membership or the CCC. They explain the ProLiability/AMBA partnership, why it's not your only option, what policies and riders are important (malpractice, general liability, E&O, license defense), and how to shop smart for rates that fit your risk and setting.Plus: our first sponsor, ⭐️ Remedy ⭐️, an EMR built by SLPs, offering early access with 50% off your first two months. Check them out! PLUS, a quick Michigan update: Health Policy Committee vote scheduled for HB 4484.New here? Subscribe, share with a colleague, and call the Minivan Meltdown line at fixslp.com to add your voice.
You love your kids. You love summer. But right about now? You've had enough. The lack of structure, the endless snacks, the back-to-school forms piling up—it's a lot. And if you're feeling scattered, behind, or just plain wiped, you're not failing. You're human.In this episode (pulled from a Facebook Live), I'm talking about what this season actually feels like for SLPs, why it's so tricky for ADHD brains, and the mindset + systems shifts that can keep you afloat until routines return.Here's what we'll cover:Why this season feels so hard (hint: it's not just you)The power of naming what's happening out loud to defuse shameWhat it really means to be gentle with yourself—and how to build up to itMy go-to strategy for B- work: the Minimum Viable Product approachPractical cues, reminders, and supports that actually help when life is chaosA quick mindset reframe that puts you back in the driver's seatWhether you're trying to keep up with eval reports, school paperwork, or just laundry and snacks on repeat, this episode will help you feel less alone—and remind you that you do have options (none of which involve being perfect). To find out how I can help you improve your work-life balance, click here. Come join the SLP Support Group on Facebook for more tips and tricks!Follow me on Instagram! @theresamharpLearn more about Theresa Harp Coaching here.
What if the very thing you think will burn you out… is actually the thing that saves your career?Burnout is everywhere in our field. And here's the hard truth: burnout is the single greatest threat to you staying in this profession — the very profession you spent years of your life and tens of thousands of dollars in grad school to join.That's why today's episode is such an important one. We're talking about how private clients aren't the cause of burnout — they're actually the path out of it.So many SLPs and OTs believe that adding private clients would just stretch them thinner. But here's the truth: it's not the therapy that's exhausting you — it's the system. Overloaded caseloads, endless paperwork, lack of flexibility, and feeling undervalued are what's draining you.Instead of running on empty, you finally get to create a career that fuels you, both personally and professionally.Inside the Start Your Private Practice Program, I've seen this transformation over and over again. So many students came in ready to leave the field altogether, but private practice reignited their passion. They're working fewer hours, earning more, serving clients they love and most importantly, loving their careers again.In Today's Episode, We Discuss:Why burnout is the #1 threat to your careerThe real cause of burnoutHow private practice restores control, balance, and fulfillmentBest time to take your first step into private practiceHere's what I want you to remember: you didn't come this far, invest this much, and work this hard just to burn out and walk away. Private practice can be your way back to freedom, fulfillment, and loving your career again.Want to take back control of your career and finally escape burnout? The Start Your Private Practice Program is where I'll help you set up your first private clients so you can work less, earn more, and love being a clinician again. To learn more, please visit www.StartYourPrivatePractice.com.Whether you want to start a private practice or grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more. Where We Can Connect: Follow the Podcast: https://podcasts.apple.com/us/podcast/private-practice-success-stories/id1374716199Follow Me on Instagram: https://www.instagram.com/independentclinician/Follow Me on Facebook: https://www.facebook.com/jena.castrocasbon/
This special episode is part one of host Erin Forward's course titled "Attachment and Infant Feeding: an SLPs Role in Mental Health" through the end of September this course is available for free for listeners of First Bite when you use the code "FBSpecial" at checkout! Earn .2 ASHA CEUs for free with code - FBSpecial: speechtherapypd.com/attachmentOften, SLPs do not fully understand their role in a patient's mental health regarding feeding. We are well aware that counseling is in our scope of practice, but even in the direct therapy we provide, we play a significant role in the mental health of a patient and their caregivers. Both communication and feeding are integral parts of the development of attachment within a caregiver-child dyad, and we have a direct role in those activities. Thus, it is our job to gain greater insight into attachment and infant feeding, specifically to understand how we can support mental health outcomes for both caregiver and child. This course will dive into the deep connections of attachment, feeding, and mental health and how we can cater our therapeutic style and sense of self to support a more healthy bond.
Resources Mentioned:David's Email: davidbateman@me.comDavid's Website: SpecialEdConsultant.orgDavid's 504 Guide: https://slpnowblog.s3.us-west-1.amazonaws.com/Bateman+504+Accommodations+Guide.pdf[FREE EVENT] What Every Special Education Leader Needs to Know: https://parallellearning-20474008.hs-sites.com/drbatemanfalldistrictleaders2025
What if starting your own private practice meant more time with your kids, a healthier work-life balance, and the freedom to create a career that truly fits your values? That's exactly what today's guest, Erin West, set out to do and her journey is going to inspire you.Today I'm introducing you to Erin West, a speech-language pathologist and the owner of Wildflowers Pediatric Therapy in Bradenton, Florida. Erin has been in the field for over 15 years, specializing in pediatrics, feeding, AAC, and neurodiversity-affirming care.She joined the Start Your Private Practice Program and has since built a thriving practice that allows her to be present for her two children while also serving her community in a way that aligns with her values.Although Erin loved her hospital job and the colleagues she worked with, she found herself increasingly drained by the demands of the environment. As a highly sensitive person and single mom, she needed more balance and flexibility to pour into both her clients and her kids.That's when she decided to take the leap into private practice. With the support of her son and the Start Your Private Practice program, Erin transitioned from full-time employment into running her own business. Now, she sets her own schedule, collaborates with other professionals in her community, and enjoys more time with her family.Outside of her practice, she is a mom of two, enjoys collaborating with other therapists in her community, and is even pursuing certification to teach Music Together® classes as another way to support families through connection and creativity. In Today's Episode, We Discuss:Taking the leap without a financial safety netBuilding a niche around feeding, autism, and sensory needsFinding unexpected community support and collaborationAnd how her 13-year-old son literally helped her run the numbers to get startedErin's story shows that you don't have to hate your job to know it's time for a change. Sometimes it's about recognizing misalignment, valuing yourself, and choosing to build something that better supports both your family and your clients. Her journey is proof that with the right mindset and support, you can create a private practice that's fulfilling, flexible, and financially sustainable.Want to build a private practice that gives you freedom, flexibility, and fulfillment—just like Erin has? Learn more about our Start Your Private Practice Program, where Erin and so many other SLPs and OTs have gotten the tools, systems, and confidence to make the leap. Visit www.GrowYourPrivatePractice.com to learn more.Whether you want to start a private practice or grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more. Resources Mentioned:Follow Erin on Instagram: www.instagram.com/wildflowers_pediatric_therapy/Check out her website: https://www.wildflowerspediatrictherapy.com/Learn more about growing your practice: www.GrowYourPrivatePractice.com Where We Can Connect:Follow the Podcast:
Burnout is hitting SLPs earlier and harder, especially as caseloads and productivity rise. Dr. Jeanette Benigas, SLP, is joined by Fix SLP's Mikayla Treynor, MA/SLP, to chat about what burnout really is (per WHO), how high caseloads and rising productivity targets fuel it, and how to tell burnout from simple under‑stimulation. They share practical strategies you can use now: set enforceable boundaries, stop unpaid paperwork, try micro‑breaks, prioritize real rest, use therapy as a tool, track wins, choose CEUs that actually energize you, and connect with peers. They also zoom out to system‑level solutions such as workload models, employer education, and advocacy that make your day‑to‑day job better. If you're a school or medical SLP feeling stretched thin, this episode gives you tools, language, and a plan to protect your energy and stay in the field you love.
In this episode you will discover: Math IS Language - It's in Our Wheelhouse Math has syntax (order of operations), semantics (number meanings), and involves memory and executive function - all areas SLPs already assess and treat. If you can help with language, you have transferable skills for math therapy. Start Simple with What You Have You don't need special materials or extensive math training. Use a deck of cards, dice, and real-life examples like restaurant receipts. Make numbers "friendly" (round $18.72 to $20) and let clients show you multiple ways to solve problems. Address Your Own Math Anxiety First Most SLPs feel uncomfortable with math, but clients need this support for life participation (paying bills, calculating tips, telling time). Acknowledge your discomfort, start with basics you DO know, and remember - if you avoid it, you can't help your clients who want to work on it. If you've ever felt your palms get sweaty when a client asks for help with numbers, this conversation is for you. Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Katie Strong, a faculty member at Central Michigan University where I lead the Strong Story Lab. I'm today's host for an episode that might just change how you think about math anxiety - both your own and your clients'. We're featuring Tami Brancamp and Dave Brancamp, who are doing pioneering work at the intersection of aphasia and mathematics. Before you hit pause because you're having flashbacks to algebra class, stay with me! This research shows us that the language of math is exactly that - language - which puts it squarely in our wheelhouse as SLPs. We'll explore how to support our clients with aphasia who are struggling with everyday math tasks like counting change, telling time, or balancing a checkbook. And yes, we'll tackle the elephant in the room: addressing our own math insecurities so we can show up confidently for our clients. Let me tell you about our guests. Tami Brancamp is an associate professor at the University of Nevada, Reno School of Medicine and founder of the Aphasia Center of Nevada. Her research focuses on identity in aphasia and rehabilitating everyday math skills. Dave Brancamp spent over 15 years as a junior high math teacher and later became Director of Standards at the Nevada Department of Education. Together, they co-founded Aphasia + Math, where they're exploring how language and mathematics intersect for people with aphasia. Okay now let's get this Aphasia + Math conversation started! Katie Strong: Tami and Dave, welcome to the podcast. I'm so excited for you to be here today. Dave Brancamp: Thank you. Tami Brancamp: We are both super excited to have a chance to talk about things that are different, right? Katie Strong: Right. I do have to say, I don't know if it was a rash, but I did get a little bit nervous coming into the conversation, because I think I may be one of those SLPs that feel a little bit uncomfortable with math. Tami Brancamp: Well, this SLP also is uncomfortable with math, so we can be uncomfortable together. And we'll let the math dude guide us through some of the things. Dave Brancamp: And it will be fun. By the time you're done, I want to see that smile that you have on your face. Katie Strong: Well, let's jump in and have you share a little bit about how you came to researching aphasia and math. Tami Brancamp: Well, I have loved working with people who have aphasia since the beginning of my graduate studies. And then probably, like most of us, there's a few clients who've really hit your heart. One of them, I don't recall her name, and that's okay, but she had a stroke, had aphasia. She had had great recover physically, and her language was quite good, some anomia. But she's a banker, and she could not process numbers, and she was angry. I'm a newbie, I didn't understand the emotional piece of stroke survivor, aphasia. can't do my job well. But she was angry, and I felt so helpless. I didn't know what to do to help her. You know, I could pull a workbook off the shelf or something, but it didn't feel right. You know, she could do calculations, but couldn't do her job. And I always felt so very, very helpless over the years. And the other part that came to start looking at this was teaching in a speech pathology program, undergrad and grad. And in class, maybe we're doing an averaging or something to get a score. I'm not sure if we start talking math, and I would see these students, and their eyes would just like, pop up, like, “Oh my gosh, she's asking me to do math.” And like, deer in the headlights. So I'm like, “What is this?” Every semester, I would do kind of an informal survey when we would do a little bit of math, and I say, “Okay, so how many of you don't do math? Raise your hand or are afraid of math?” And it would be at least two thirds to three quarters of the class every single semester, and I'm like, “Okay, there's something here.” Like, if I'm afraid of math, how am I going to help my clients remediate that in an efficient way? Right? I'm going to avoid it. If I can, I'll go do other things that are important. So those were, like, the two big things, and then happened to be married to a math dude. And I wondered why are we not combining our skill sets? Because I would come home and I would share with Dave. I'm like “Dave, the majority of my students are afraid to do math or uncomfortable doing math.” And it's not complicated math. We're not talking quadratic equations or things I don't even know what they mean anymore. And we would talk about it a little bit, and we talk about math attitudes and perceptions and how we develop our math skills. And I'm like, “There's something here.”But I was never taught, how do you remediate number processing? Calculations? right? But yet, I would have multiple clients say, “Hey, Tammy, I can't do numbers.” “Yeah, how do I do this?” And there really wasn't anything the literature that told me how to do it. So, I would talk to Dave, and then, just over the years, I'm like, “Okay, we need to do something with this. We really do.” And I don't know what that means, because I'm not most comfortable with math, it is not my passion. We're very opposite. I think I shared like, Dave has math and fun in the same language, and then in the same sentence, I'm like, “they don't go together in my brain.” So we're very, very opposite. But you know, you can speak for yourself how you grew up and you had to learn how to embrace math, and having good teachers helped when we were younger, and having poor teachers or teachers with different attitudes also left a lasting impression. But when you think about it, whether it's, you know, cooking, driving, banking, living, going to grocery store, restaurants, everything we do all the time, it all involves numbers to some impact, you know, to some effect. And our folks with aphasia, again, not everybody, but the majority of them, will still have an impact with acalculia, difficulty processing numbers and calculating and transcoding, you know, saying, saying the numbers. So, we started to look at it. I did have a had a gift of time with Audrey Holland. So that was my beautiful, like, for many of us, a mentor, you know, she had her three-pronged stool, like the different parts of aphasia. And Dave and I started dividing it up, like, what were the parts we thought involve, you know, aphasia and numbers. And we did think about the math and language math skills, making it fun, but also those influencing elements, like attitudes and perceptions. So, we started just like, “How do we look at this?” Because it's really overwhelming just from the beginning, you know, and just pulling that workbook off the shelf didn't do it for me. You're allowed to speak on that. (Laughter) Dave Brancamp That's one of my passions, obviously, the whole math side. But pulling a workbook is an unfortunate because if someone starts to practice something wrong, they'll repeat that practice, and now it's very difficult to get them to correct a habit, basically that you've formed. And sometimes it's like that nails on a chalkboard? That's what it feels like to me when I hear it. I'm like, “Oh, don't do that.” Because if they're doing it wrong, like, 20 times, 10 times, even then it performs a habit that's real hard for them to go, “Well, but I thought I got them all right.” Katie Strong: Yeah. Dave Brancamp: Because I think we can all go back to math and you come up unless it was something really, really difficult in at least in our early years of math. We all came up with an answer. And that's how it feels on a worksheet that might have like just adding single digit numbers, if you make an error, you won't know until someone either corrects it or asks you, “How did you get there?” And to me, that's where it became more important. And then I had to learn how to do what do you call it? aphasia friendly language, you know? So, math folks usually speak in short sentences, so that helps. But we'll run a whole bunch of sentences together. If I give you the best example. I know we're going to talk a little bit about that math perception quiz, the difference between us on that question, I think it says “I would prefer to do an assignment in math rather than write an essay.” I'm the person to give me that math assignment. 100%. Tammy is like, give me the essay! Katie Strong: And I have to say I'm right there with Tammy. Tami Brancamp I think so, as speech pathologists, we learned about the pedagogy of language and language development. We can analyze it. We can treat it. We can assess it. And then I talked to Dave, and he goes, “Well, there's this whole math I know there's a math pedagogy, and there's this whole developmental progression of how we learn math.” But “Really, okay, well, I've never learned that, right?” “No, you learn this before you learn that.” We lived it, we just weren't overtly taught it. Or how you know, if there's an error in a calculation, that means that there's some challenges in this part of your developmental math abilities. Like, “Huh, okay, well, that kind of sounds like language to me, a little bit.” They do go together. Katie Strong: Yeah, yeah. So, I love to maybe ask a little bit about this. As we've pretty clearly stated, many SLPs feel uncomfortable with math and their own math skills. Tami Brancamp: Yeah. Katie Strong: And we, probably many of us, have avoided it in our own education. Tami Brancamp: Yeah. Katie Strong: So I love this idea that there's the language of math, and I was wondering if you could talk a little bit about that and why it should fit right within our scope of practice as SLPs. Tami Brancamp: A long time ago, I remember how many years ago I came across an article by Seron 2001 in Aphasiology. And he or she, I actually don't know, stated that math should be part of the SLPs practice. I started looking at 20 years later, and it still wasn't (a part of our practice). So, something's really amiss. What are we missing? When we talk about the language, there is a syntax in math. Dave calls it order of operations. And I don't even know what the PEMDAS. Dave Brancamp: PEMDAS. Tami Brancamp: PEMDAS, right? Dave Brancamp: You what scares most people about that? Parentheses, exponents, multiplication, division, addition, subtraction. The left to right. I mean, that's the part people left off. Tami Brancamp: But, ah, yeah, that kind of sounds familiar, doesn't it? Katie Strong It does. It's ringing a very faint bell. Dave Brancamp: It's like, oh no, we're not going to do that. Tami Brancamp So there is a syntax. There's an order of operations, how we put mathematical equations together. Just like how we put sentences together. There's semantics, right? There's word meaning. We have a little sign for you. It won't translate audio, but we'll talk about it. So, in math, and you use the word or the number, the orthographic representation 2, right? Yes. And then we spell it TWO. We also spell it TO and TOO. And then, if you say, “Okay, we also have a two in the number 12, right?” They have to be able to transcode that and a two in the number 20, the two zero. The two in all those locations has different meaning, right? So, it does have semantics. The other parts, I think, were important, was memory and executive function. Executive function permeates mathematics in so many ways. So, when we think about our stroke survivors, those are areas that are and can be impacted. Information processing. How much can they hold in memory of being presented with language, and in this case, language and numbers. So, I think for me, it just, it really is integrated. I also thought, too, when we were looking, I was looking at the neuroscience of it, and there's some shared neuro space that works for math and language. They're not fully disassociated, so I found that really fascinating as well. Katie Strong Yeah, it really is, as I've been thinking about our conversation and just looking into things a little bit, it really makes sense. And even just thinking about just thinking about a word problem in math, certainly, there's that language component that may be a little less intimidating for SLP clinicians that aren't typically working in practice. But I so appreciate you both bringing this conversation out into the light and doing this work, because I can think of a significant number of clients that I've worked with that have also expressed challenges in all sorts of different ways of math. And sometimes I've been able to maybe support it a little bit, and other times I haven't. And I, you know, whether it's me just avoiding it and saying, “Oh, we could work on all of these other things or we can work on this math thing” or, you know, it's just frustrating, I think, to not have really the tools to be able to know how to support it. Our podcast, really focuses on the Life Participation Approach to Aphasia, which really emphasizes a person-centered approach. Like I'm the client I want to choose what I want in my life and what I want to work on. And so, I'm just wondering if you might be able to talk through a little bit about how math skills fit into LPAA framework. Tami Brancamp: Yeah, we were talking about that, and there's one particular client who has multiple PhDs before his stroke. He has family, adult children. And he's like, “Tammy.” And we were Dave and I were piloting some work together. And he's like, “Guys, I want to take my family to dinner. I want to pay the bill and the tip.” I'm like, “Okay, dude, I got an app for that.” And he's like, “No, I want to do it myself.” So that, to me, is life participation. If a person is fine with an app, let's make it so and work on something else. Katie Strong: Yeah. Tami Brancamp: But his case, it was so important to him. I'm like, “Okay, here we go.” How do we how do we work on figuring out the tip? Now, does it have to be an exact percent? No, Dave likes to teach it more like there's some more strategies to get to the tip. Another client I wanted to share, and sometimes too, when we think about assumptions. So, the data on how many people with aphasia also have math difficulties, numeracy difficulties is wide ranging. It's so big. So you can't even really say what percent. But I also had an assumption. I have a gentleman who I've worked with off and on for a very long time. He's nonfluent aphasia and also has apraxia of speech, and so we're working a lot on his language and his speech. And I said, “So how's your math?” “It's fine. You know, I own my own business and I have somebody help, but it's fine.” I'm like, in my head, hmm, I don't think so. I wonder, because the severity of his aphasia and his ability to transcode so like, see a number and then say the name or say the numbers he wants to say, was really impacted. So, we were doing a pilot study during the pandemic online, and so Dave and I were working with this one gentleman. And I think you why don't you do the story because I don't remember you gave him homework or something. A home program. Dave Brancamp: There's a math game called Krypto. Tami Brancamp: Oh, Krypto. Dave Brancamp: So you put five cards down. And each one has its value, you know. And so your listeners just so they know, like when the Jack would fall, that would be 11, and so the Ace automatically took a one, the Queen would be, you know, 12, and the King 13. So five cards different values, or they could be the same value didn't matter, and then one more card became like a target. You had to figure out an equation. So, some big, nice math term there to that you'd add, subtract, multiply, divide to equal this last card. Now they could do with just two cards, three cards, four cards or five would be ideal. So, they had some room for success. And this gentleman, we had some hard numbers that were there. And, you know, he had done a couple, and was rolling right through. And I kept looking over at Tami and I am like, "He's got his math. His math is really good.” Tami Brancamp: His ability to calculate. Dave Brancamp: And then we hit one that was really hard, and we're both looking (each other). And the next thing, you know, this gentleman, not to scare anybody, but makes a complex fraction, making a fraction over another fraction to solve. And you can see right now, right Tammy. Tammy is like, “What are you doing?” I'm like, “Yeah, yeah, no, let's go for it. Let's go for it.” And next thing you know, we were able to solve it by doing two complex fraction with another number. And he solved the problem. And I looked at Tammy said, “This man has no math problems.” Tami Brancamp: And I said, “Boys, I'm out. I'm out. You all just continue playing with your numbers. Have a good time.” That's not a comfort zone for me. It's also not the focus we're doing with aphasia in math. But it was something he was capable to do, and I also could see within him, he was super excited that he could do this. Katie Strong: Yeah Dave Brancamp: And he wanted to show his wife. He wanted to show other people, he was like, “Look at this. Look at this.” You know, I was like, “Yeah, there's a lot happening.” Tami Brancamp: But he could not read the equation. Okay, so there's the aphasia language issue. Katie Strong: Right. Tami Brancamp: Transcoding. He could do the calculations without difficulty. Katie Strong: Amazing. Tami Brancamp: But those are the those are really fascinating. And while we were piloting, we had a group of, I don't know, five or six people with aphasia, and each one had their own. They're all on the non-fluent side, but everybody had their own combination of language difficulty and number processing difficulty. We did notice what one client we worked with who had more cognitive impairment along with language and hers, her processing was much more different than pure aphasia and the acalculia issues. So, it's really interesting to see. It's definitely not cookie cutter, right? Just like aphasia therapy. Katie Strong: Right. Tami Brancamp: Every person's got their unique strengths and challenges. And I'm going to say similarly, I think with the math. Where in the brain was the injury? What is their background? What are their interests and passions? All of that plays in just like in aphasia. Katie Strong: I love bringing up though their prior experience with math too is so important. We think about that from a language standpoint, but we really don't consider that. Or I will speak for myself, I don't typically consider that when I'm learning about somebody and their strengths. Tami Brancamp: Yeah. Dave Brancamp: You think like to go back to your language, like the word “sum” S-U-M, is what we'd use in math for adding, but it has the same sounding as “some” S-O-M-E and so right there, there's some language difficulty that could come out. So often we will have flash cards with the plus symbol so that they and can associate words and just so that you feel better on it, too. Most of us, when we'd heard subtraction probably used an unfortunate phrase of what's called “takeaway”. Well, that's not what happens from a mathematical point. So, us in the math side, cringe and are like, “Oh well, the numbers don't get taken away. They're still there.” They got, you know, replaced is what we would call them. And so the word of difference, you know, where you live in a different town than we do, so that's what we associate but difference is how we do subtraction. So those little, simple nuances that I had to also remember too because I taught junior high, which most of them were fairly comfortable with their, you know, at least their basic skills. And I'd heard those terms where suddenly, you know, Tammy would bring up to me, “You're gonna have to help us out with that” because that it's easy for you to say that it's causing a problem and that makes us then, you know, have those moments of pause that you're like, “Oh yeah, you're right. I've got to do that.” Tami Brancamp: Just a little aside on that with we just finished a pilot study with two groups of people doing online intervention. So that background of knowledge, you know, say you got 10 people in a group, and you could see the people who go, “Oh yeah, I remember that. I remember that math language.” You're getting, the nodding like, “Oh yeah, that's right.” And then there's others who have like, “I don't understand what he's saying.” The look. So, it's really fascinating to make sure that we pay as much attention to that background as we do in language. Katie Strong: Yeah. Interesting, interesting. Dave Brancamp: I don't know if you want to go down that path, but like when we hit time, you know, which is an element that folks aphasia really want to work with, right? And yet, it's a whole different concept mathematically, because we are used to in almost all the countries we work with of things from, you know, basically what we call base 10 or zero to 100 zero to 10, we can play time is in elements of 12. And so, like you might say it's a quarter past, you know, like one, that's not a 25 it's written as 1:15. And you know, what does that mean? And, oh, I don't know. I don't know how I'm supposed to be at the bus stop or the doctor appointment or whatever they may be going to. Katie Strong: Right, right. Dave Brancamp: And a lot of our groups found that to be a huge help, you know. And as much as we all laugh, you probably at least most of us remember when we were in elementary school having little clocks that we might play with. Katie Strong: Right Dave Brancamp: We call them our Judy clocks from when we were as teachers. But it's like, as simple as those are, those are what you need to bring back and go, “Let's take a look at what you know, because it's a quarter of the circle, and that's where it got its name from.” Tami Brancamp: But it's one over four, like 1/4 one quarter. Dave Brancamp: But that's not how we'd write it in time. It's actually whatever the hour is and the 15, and you're like, “Where'd that come from?” So, it was very fascinating to watch, and especially when we did some work with some of the clinicians, are just like, “Oh, you're kidding. I didn't even think about that.” It's because we knew it. we transition it naturally and not thinking, “Oh my gosh, my brain now has to re-picture this”. So. Katie Strong: It is fascinating. Tami Brancamp: And that you can see how much language is involved. Tami Brancamp: Huge. Huge. Katie Strong: Yeah, well, I'm excited to talk about the projects and research that you've been doing. You gave us kind of a teaser about these online groups. Should we start there? Tami Brancamp: Maybe, we aren't there. We haven't analyzed all the data… Katie Strong: I'm curious. Tami Brancamp: Yeah, that'll be a teaser. We are working with our partner, Carolyn Newton. She's in London, and she is at University College London. She's done some work in mathematics and aphasia, and also her doc students, so we're working with them. They did all the assessment with my students. And then Dave and I did intervention. We had two groups. We had, like, a Level 1 and a Level 2. Everybody had aphasia. And we did group intervention primarily because Dave and I have been working with Lingraphica and Aphasia Recovery Connections Virtual Connections. Katie Strong: Yep. Tami Brancamp: Since March of 22, we've been doing it every single month. Katie Strong: Amazing. Tami Brancamp: We had some time off. Yeah, but you know, what's so crazy is that we average about 38 people who come on to do the session. Katie Strong: Wow! Tami Brancamp: Oh, I know, with a range like 19 to 50 people. Katie Strong: That is amazing, but such a testament that people are interested in this topic. Tami Brancamp: That's what made us keep pushing forward. Because if that many people show up, there's an interest and there's a need. Katie Strong: Right. Tami Brancamp: You know? But how do we how do we help is the challenge. We are in the process of analyzing, did we could that group in the way that we did it, like twice a month over three months? Would that impact change? They could hold it at the end of the treatment. And then we also did 30 days later, so we'll see. And then we also did some we did the math, attitudes and perceptions. Katie Strong: I took it so maybe give people a little bit of background on what this is. Tami Brancamp: Yeah. So this is a we looked at a lot of different tools, and this one is called, what is it called Attitudes Toward Mathematics Inventory. And it was designed for adults, college age, students and adults. There's a lot for children. But this is like, really, you know, what do you think about math in terms of you like it, you don't like it. Is it important? Not important. And so there is a lower number means that you are less confident, less familiar. Dave Brancamp: You might not like it. You might not like it as much. Katie Strong: And it might give you a rash. Tami Brancamp: (Laughs) It might give you a rash! Dave Brancamp: I'm sorry. Tami Brancamp: Right, all the things that it does. It's up to a point of 200 Do you want to share what your score was? Katie Strong: Well, I didn't calculate it. I just did the ABCDE, but I'm gonna guess it's in the lower like 25th. Tami Brancamp: Yeah. Dave Brancamp: So let me ask you, what was your last math class? Katie Strong: It was a statistics class in my PhD program. Dave Brancamp: And how did that class make you feel? Were you like, “Oh, I'm so excited to go!” or like, “Oh my gosh, I just got to get this done.” Katie Strong: I wanted to get out of there as quickly as I could. I tried hard, and I just kept, I think I kept telling myself it was hard and I couldn't do it, and it just and it was. Dave Brancamp: So, if you think about that, for us as adults, right? Or anybody, even kids. Take our kids. Whatever your last class is, it sits with us. It's a memory we carry. And then math has its unique way of, kind of building on itself. And then it can bridge to a couple different areas and what have you, but it builds. And if your last class wasn't the most pleasant. You didn't score well, or you didn't have a teacher that you could relate with, or whatever it was, you probably don't have a real fun feeling of math. So that leads to our perceptions, right? And it's and you know, using this we've done this with some of your students as they go through soon to be clinicians, and as soon as they took it and then had us talk, they you almost want to say, “Let's take it again”, because our feeling is of that last class. But when you find out, what we'll probably do is adding, subtracting, multiplying, maybe division, not likely. But what we call basic life skills, it may change how you took the test or take the inventory, because, you know, like for me, it's still, it will never change the fact of giving a math problem over an essay. I'll give you guys the essay. I'll take the math problem. But it's just, you know, is it important your everyday life? Well, how often do you do your statistics on an everyday life? That was your last class right? Not a lot, maybe some. But it's, you know, it's becomes an interesting whatever sitting with us probably has a feeling. If we come in with a bad attitude toward what we're going to teach or share with you, no matter whether they have aphasia or if it's just us in a general setting, they're going to know you don't like this, then why should I spend time with it so we that's the My purpose is make it so that they enjoy even if it's difficult, we're going to enjoy it so that otherwise, you know, I'm already behind because you don't like it. So why should I like it? Katie Strong: And I love that because, I mean, I know that, like hard work can be fun. I mean, in a therapy situation, hard work can be fun, but thinking about this from a math standpoint really is kind of a game changer for me. Tami Brancamp: One of the things, and I think we'll come back to the research a little bit. But Dave likes gamification. I don't really like to play games, right? Dave Brancamp: You're getting better! Tami Brancamp: But you have to, you know. Dave Brancamp: I will pick up like dice. We try to do things that we figure our folks could find rather easily. You know whether you have dice from a Yahtzee game where you can go pick them up and a deck of cards. Almost everything I do with them are one of those two. It might take a little more looking, but I'll we often use what are called foam dice so they don't make all that noise, because sometimes too much noise can be very bothersome. And then using, like, the whiteboard or something to write with helps so they can see, because sometimes you'll be playing a game and they'll have no idea of the math that's involved and why there might have been, like, a strategy or so on. Tami Brancamp: When we do work with people using cards and dice to generate the numbers, we have activities we do and we make it aphasia friendly, but we'll also discuss, maybe after the fact, “All right, so how did you do? Where was it difficult? I want you to recognize that you were working on executive function here. You were giving it strategies and thinking and multiple steps ahead.” So that they can recognize it isn't a kid game. Katie Strong: Yeah, just a game.” Yeah. Tami Brancamp: It's not just a game. It's making it fun and a little bit more lighthearted. If we can lighten it, but still make it skilled intervention, I'm not in there to play games and win. But having a give and take, a little competition, some laughter, some humor, while we're doing the intervention. To me, that's a lovely session. Dave Brancamp: One of the things Katie, we found, too, is there's not a lot of good tests out there for math to diagnose the problem. You can find out by taking the different tests, and you and Tammy know the exact names, but they'll say, “Well, Dave has a problem doing math.” But now where do I start? Is a whole different game, because they build, as we said earlier, and if I don't start at the right spot the building block, I get a sense of failure immediately, because I can't do it, whereas you need to just keep backing up, just like you do in language, you keep backing up till you find my starting point. And that's one of the areas we'll maybe talk about later, is those things we're trying to figure do we work on finding a better way to assess the math, to truly know what's Dave or your client or whoever, whatever they're doing, because sometimes it could be simply the language, like we had with the one gentleman who has great math skills. Katie Strong: Right. Dave Brancamp: And others could be I can't even tell the difference between these two numbers, which is larger or smaller. And so now we have to start back at what we call basic number sense. It can be anywhere in that game, and it's like, well, they can't add. Well, do we know they can't add? Or do they just not recognize that six is smaller than eight. Tami Brancamp: Or how did you let them tell you the answer. If you only get a verbal response versus writing response, or, you know, selecting from four choices, you know. All of those give us different information when you're when you're having to blend a language disorder and a numeracy disorder. Dave Brancamp: Because that one gentleman, he struggles immensely with anything with a two in it, so 20s, just…so you could easily say, “Wow, there's no way this man has math skills.” I mean he's doing complex fractions. He just couldn't tell you it's one over two. It was be like, I don't know what that is called. Katie Strong: Fascinating. Dave Brancamp: We enjoy the game part. And one of the pieces in this last research we did that was a new thing, right? We didn't even think of it prior was what we call a home program. Taking the game we did, putting it in friend aphasia friendly language with pictures so they could practice them. Katie Strong: Okay. Dave Brancamp: Because we would not see them for like a two they was every two weeks. So, some could practice. I would say our Level 1 - our folks working on foundational sets practiced more than are more advanced. Which was very fascinating. Tami Brancamp: What we were doing in this research, the most recent one, we would encourage people to, you know, take a photo, take a screenshot of the work we're doing. But we also did it too, and then we put it into a page with an explanation, and then we would send it so that they could, ideally practice with a family member or a friend, or by themselves. You know, that's also a variable for people, right? Dave Brancamp: And what we found in it, they needed more pictures. In our first attempt, we didn't put as many. So we would ask them, “since you wanted this, did that help?” “Not really.” They're honest. Katie Strong: Yeah. Dave Brancamp: We appreciate that. And they're like, Well, what? Why didn't it like, well, it, even though we tried to make it as aphasia friendly language, it was just too much word Tami Brancamp: Too many words. Dave Brancamp: Too many words. So then we started asking, “well would more pictures help?” “Yes.” So we did that. So they helped us. It was amazing to watch. Tami Brancamp: So that research project will we can get to down the road once we figure out what was going on. What we did share with you was the survey that we did with speech language pathologists from the United States and the United Kingdom. So we thought, well, Carolyn's there, and we kind of look at math a little bit similarly. So we had 60 participants who completed the study. We want to know, like, do you treat people with aphasia who also have math difficulties? If so, what are you doing? Dave and I still wanted to look at the attitudes and perception, because I still believe that's an influencing factor. But we also wanted to get a good sense, like when you are working with people with aphasia, who have number difficulties, what difficulties are you seeing? And then what are you doing? What do you use to assess? And what are some of the barriers? So it gave us a nice overview, and that one's out for review currently. Anywhere from like, how many of you work on numeracy difficulties? About 35% responded with rarely, and 40% responded with occasionally, and 17 said frequently. And also, there was no difference between the countries. Katie Strong: Oh, interesting. Tami Brancamp: Yeah, I thought so too. Katie Strong: But I also think too, you know, I mean, there really isn't a lot out there instructing SLPs on how to do this work in an evidence-based manner. So that makes a little bit of sense. Tami Brancamp: It did, because I still felt the same way for myself, like, “Where do I go to learn how to do this?” Okay. I'm married to a math teacher, so I'm learning right? It's a lot of give and take. And Carolyn, our partner, she's very good about when we're talking about this she's like, “But not everybody has a Dave on their shoulder.” Like, “No, they do not.” Because even today, I'm still a little cautious, like if I had to go do all this solo, I have some holes that I want, and those are the things I want to help us create for future training opportunities and education continuing ed that would help clinicians who really want to do this and they have a client who wants to work with it, right? Katie Strong: I hope that's a large number of people, because I think, you know, I think that this is really a significant challenge that I hear so often from support group members or people that I work with who have aphasia. Tami Brancamp: I really think that's why we keep going, because we hear it from our we hear it from our clients. Katie Strong: Yeah. Tami Brancamp: We're not hitting it as much in acute care, for sure, rehab, you might get a little sample that is going on, but it's usually that outpatient. And then the longer term, like the they have some of the big needs met. And then we've got time to maybe look at math. But for some people, math should have been math and language together could have been hit earlier. But who's to say, you know? Dave Brancamp: Well, you would know it best because I've asked when we first started this there would be like one, Tammy would give me one of her classes, and I would talk to them about math and absolutely deer in the headlight looks, “Oh my gosh, what are you going to do?” to by the end realizing “We're going to make this as fun as we can. We're going to use dice and cards, and we're going to do pretty much what we call foundational adding subtracting skills that they were welcome”, but you already have so much in your course to do that we just don't even have time. So that becomes this very interesting, because, you know, one of the big questions Tammy always asked me is, “Well, how can I know this pedagogical, or the reason behind?” I know they'll be able to hear but, I mean, I've done this now for 30 plus years, so there's a lot in my head that I have to figure out, how do we do this? So I can see this is the problem by how they addressed it without them having to take a whole other set of courses. Tami Brancamp: Yeah, we can't. There is surely not room for whole courses. So it's got to be embedded in existing coursework, or continuing ed opportunities after training. Katie Strong: Or both, right? Tami Brancamp: Yeah, I think both. Some of those barriers that we found people saying was, you know, there's not training on it, which I agree. Dave Brancamp: There's not the resources. Tami Brancamp: Yes, there's not the resources. And are the tests that people use. They have some sampling of math. But my question always is, “Okay, so I give this little bit of math in my aphasia test or something else like and now, what? Well, I know what they can't do, but what does that mean? And how might I support them for relearning?” I found it more helpful to look at it from a developmental perspective. I'm going to learn a, b, c, d, and I'm going to learn x, y, z, and then it helps me understand, like, “Where might I start?” Because I don't have to go down to counting dots, right? That number sense larger, less than visually. If that's not where the client needs to be. But learning where they need to be, we need better assessments for that. I don't know if that's something we're going to be able to tackle or not. I mean, Dave spent quite a big part of his professional career, developing assessments. So, it would be logical. But there's so many pieces to do. Katie Strong: Right? It's a big it's a big undertaking. Dave Brancamp: Well, there's so much that you gain by finding out from the client how you did the problem. It could be four plus six is what? and they write two. Well, I need to know why you think it's two. So did you think that was subtraction? Because they just didn't see the plus symbol. Well, you know? Well, then they have some good math. There's some good math there. They did the math correctly if they subtracted it. It's not the answer I'm looking for. And so could they say, you know, when you asked it if you were a person and he's like, “Katie, so if I gave you six things and gave you four more, how many your total?” Do you know what that even meant to do? These things that just gives us clues to where your math might be and for unfortunately, for a lot of us, which makes it hard for me, I feel bad that they didn't have the experience is ones and zeros have some very powerful meanings in math that unfortunately, scare a lot of folks. Katie Strong: Yeah, right. Tami Brancamp: I never learned the fun stuff of math, you know. There's some tricks and some knowledge and some skills that I, you know, good math teachers will teach you, and I just didn't really learn those. So, Dave's teaching me just because I were doing this together? I don't know. I kind of was thinking like what we talked a little bit about, what does the intervention look like? Katie Strong: Yeah. Tami Brancamp: Gamification, making it fun, not using workbooks. We're hoping that we could utilize some of the home programs that we've created, and share those as part of the teaching. Dave Brancamp: And like the game. I think I told you that we did with that one gentleman with Krypto. It could simply be like a target number or something of that nature, but it's fun to have when we did with our both groups with Virtual Connections, or our research groups, other people could find out, like, you could solve it one way, Katie. Tammy could do it a different way, and I could do it a completely different way. And it was fascinating to watch the groups, like, I had no idea you could do it there. And that's what we need to hear So that people go, “Oh, you don't have to do it just one way.” Because I, unfortunately, and some are my colleagues, they forced, “I need you to do it x way.” It's like, “Well, okay, maybe to start. But now let's open the door to all these other ways you can, like, add a number or whatever.” And because it always fascinates me when we do, is it multiplication or subtraction? Now I forget, but one way Tammy is, like, “I never learned it that way. I always…” and, you know, it was just how she grew up. It was what you were taught. Tami Brancamp: Well, like multiplication. When I'm multiplying multiple numbers, it's like, I'm kind of just adding multiples of things. So, how I get to the answer is very different than how Dave does, yeah, and we've had experiences with care partners, who we were doing some of the pilot work, who felt very strong that their way was the only way. Is this some generational differences? I suspect there's some of that, but it's also just, it's personality. This is how I know how to do it, and this is how it should be done. Well, not necessarily. Katie Strong: It really mind blowing for me to be thinking about. I mean, I know that, like, you can teach things in different ways, but I just didn't really think about it from a math standpoint, because, probably because I know how to do things one way. If I know how to do it, it's probably one way, versus having more versatility in “If this doesn't work, try something else.” Dave Brancamp: But like on a deck of cards at least the ones we use, they'll have, like a seven of diamonds. There's seven little diamonds on that card. Well, nothing else. Put your finger to them. There's nothing wrong with counting 1 2 3 4 5 6 7. Now, when you move over to the three, go 8 9 10, and there's your answer. They're like, “I can do that?” “I'm like, sure you can!” I can use my fingers? You know, it's, it's those, it's those little things that, unfortunately, probably for a lot of us and a lot of our clients, went through, at least in my experience, in math as we went through school, we took away those, what we call manipulatives in math, that you learn it right, bringing them back now, so that they're like, “Oh, I can do this”” So they can see it, or they can write it in a different way, or, you know, whatever it takes to help them. That's one of the pieces that's so amazing. Tami Brancamp: We definitely support a multi modal approach. Not just one way. Katie Strong: Which, I think the clinicians who are listening to this conversation will feel like, “Oh, I do a multi modal approach in all of the other things that I do in my interventions.” And so, you know, that makes sense. Dave Brancamp: And that's where we saw that piece of saying that we're trying to unite math and language. The two of those do play together. You know, it's like because you just said you spend weeks and weeks with all your future clinicians training them on all these skills and language, so many of those will play out just as well in math, except to do it in a different way. Katie Strong: Mmm. So we've talked about what the intervention might look like, and we'll be excited to see what comes out from your projects that you're in the process of analyzing but looking ahead, what excites you most about where this field could go? Dave Brancamp: Oh my, that's the question! Tami Brancamp: There's a lot of work to be done. It actually is…it's fun. We are wondering, you know, how might it be if it's on a one on one, a more traditional model, right for our outpatient settings, versus small groups. Katie Strong: I'll say this. I should have said it earlier, but for those of you listening, I'll put in a link to Virtual Connections and if you're interested in seeing Tammy and Dave's math Aphasia + Math. Dave Brancamp: Yeah, it's aphasia plus math. It would be Level 1 or 2. They can come watch the whole thing. It's fascinating to watch them how they work. Tami Brancamp: They are best teachers, yep, without a doubt. Dave Brancamp: To your last question, “So that's with the clients?” But you know, there's been and we've talked on and we've touched on, like, “how do we help our clinicians?” And then the unfortunate side of that stool that sometimes gets forgotten is, what could we do for our caregivers? Does this help? Because we've all been taught differently. so sometimes you might look at one of the gamifications we did and went, “Oh, I can't do that. That's not how I add.” We have a very set format, or do they understand the language? Do we make it clear enough. So, you know, we're I think that's a great question, because then we get torn to just time in the day to say, “But I want to still work with my clients, but we need to help clinicians so they can help us, and don't forget the caregiver in there.” I know it's not an easy answer. It's not the it's nothing nice and smooth, but it's kind of the one that we've been really what is to what are we doing. Katie Strong: And probably also why it this hasn't, there aren't tons of resources already developed, right? That it is complex. Dave Brancamp: Well, and I will tie back to our attitudes. What we found, we were fortunate enough to do…. Tami Brancamp: IARC. The International Aphasia Rehab Conference. we presented there. Dave Brancamp: So some of our beginning there's an awful lot of interest out of Australia and Europe. But Australia and Europe, and I'm not trying to sound bad or negative, but they take look at math very differently than like England and the United States for sure does. That's a natural like thought, we don't accept the term. “I don't do math well.” They don't like to say that. There's an increased interest, at least in those two areas of the world, to when we but we gotta strengthen this, this is important. So, we've found that very fascinating, that some of our folks who've drawn an interest and set out of this come out of the main countries of Europe, or from Australia, because they don't mind talking about a subject that we often go, “I'm good at this, right? Let Dave solve it.” And it's like, well, but I don't have the skill set that all of you SLPs have. Tami Brancamp: In our earlier conversations, we touch on the fact that United States, it's okay for me to say, you know, “I don't do math, right?” It's okay, and it's sort of accepted in some cases, it's kind of a badge of honor in some ways. But if I were to say, “Oh, I can't read” you know, that's we one. We want to help if somebody admits it. But there's a personal sense of shame attached. So, in our country, I believe the perceptions are different. You have the person who's had the stroke, has survived the stroke, has the aphasia, and now also has the math difficulties. That's a lot to navigate, and I respect in our in our world, as a clinician, I can't address all of it. So following that Life Participation Approach, we're going to let our clients be our guide. Support, train, and look at where their priorities are. And it's never enough. There's never enough therapy, never enough opportunity to be in a group environment, because not everybody has access to that, you know, but I think, “Where can I make a difference?” Like, that's probably my question. Like, I can't fix the world, so let me keep backing it down, backing it down, backing it down. And if I can make a difference with 5, 10, 15, 20, people, Hey, and then let those ripples go as they go out and make a difference and learn. I think that, in itself, is powerful. Katie Strong: Beautiful, and certainly is conjuring up Audrey here. Well, I've got one last question for you as we wrap it up. But you know, what would you say to an SLP, who's listening right now and thinking, I want to help my clients with math, but I don't know where to start. Tami Brancamp: So one of, I think one thing for me is you do know basic math. You know everyday math. You do know how to do this. So one just start. You can get a little assessment. You can use the existing ones that are out there with our aphasia batteries or the Numerical Activities for Daily Living. Dave Brancamp: I would say, a deck of cards are not hard, you know, hopefully they have or some dice, yeah, and use those to generate the numbers. Or bring in, like, when they want to do tips, we would often just bring in receipts of anything and just say, “Let's say something cost $18.72. Round it up to 20 and make it a friendly number.” So it's around 20, So it's a little bit easier for them to grab onto and hold, and it's okay to say, because we've done it in our own sets going through, “Oh, wait a minute, six plus six is not 13. Look at what I did here. I let me, let's check this and add it.” Because sometimes you'll hear just even, you know, like when any of us are doing something, you look and go, oops, I made a mistake. Tami Brancamp: Okay, right? Dave Brancamp: It's all right, hey, to make mistakes and say, that's what we all do. And then, you know, but I mean to me, it's if we can get, like, if you want to use one or two problems off a worksheet, use it as a driver to start discussion and say, “So what can we do?” And see if they can do anything. Because sometimes it's amazing what we'll find out is just knowing that 16 is a bigger number than just 12 is let them and then what's the difference between right there, you could figure out subtraction if they know it or not. And we often will in if they have a chance to look on the website or any of this stuff, we'll take out, like all the face cards, we'll take out the 10. Keep moving it down to numbers that they're comfortable with, like dice will only be the numbers one to six, yeah, but if I use two dice, I could make some interesting two digit numbers, right, that are in that range. So it's just things that make it so they can grab on. And then you can start adding and changing rules and some of the math games they may have seen, they just adjust them so that they have access points. The true rules of Krypto is, you must use all five cards in order to get a point. Well, we just change it usually is two, right? Tami Brancamp: Like we do for everything we can modify. Katie Strong: I love this. And I mean, I'm thinking, most clinics have a deck of cards and dice. Tami Brancamp: In most households in general, not but in general, you're going to have access to those tools. We didn't want people to have to go buy crazy stuff. I think there's one challenge I do want to think about and put out there. So, our new clinicians who are graduating, let's say they're in their mid-20s, and I know there's a range they are doing online banking. How are they going to support an older adult? Katie Strong: Oh, right. Tami Brancamp: Very structured and rigid in their checking account. I think we have to think about some again, different ways. None of the students that I teach today, and even our own son, they don't have a checkbook. Yeah, they don't write checks. So that's gonna introduce another variable down the road, but in the meantime, cards, dice, numbers, gamification, simplifying, watching language, thinking about executive function, number of steps, how we how we speak, the instructions. Give the directions. It's language. Dave Brancamp: And ask the client what they think or what they might have heard, because it's interesting what they would have, what we've learned from them as well. Katie Strong: Thank you so much for being a part of our conversation today, and for the listeners, I'll have some links in the show notes for you to check out for some info on Aphasia + Math. Thank you. Tami Brancamp: Thanks for having us. Dave Brancamp: And thanks for playing with us too. Thank you. Katie Strong: On behalf of Aphasia Access, thank you for listening. For references and resources mentioned in today's show please see our show notes. They're available on our website, www.aphasiaaccess.org.There you can also become a member of our organization, browse our growing library of materials and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@aphasiaaccess.org. For Aphasia Access Conversations, here at Central Michigan University in the Strong Story Lab, I'm Katie Strong. Resources Aphasia + Math focuses on strategies for the rehabilitation of everyday mathematics in people with aphasia. Tami and Dave focus on four pillars to support this work: Influencing Elements (math literacy, learning environment, aphasia severity); Math and Language (receptive & expressive language, cognition including executive function and memory); Foundational Math Skills (use of linguistic and numerical symbols, lexicon, syntax, semantics); and Aphasia Friendly Math Activities (gamification in learning, understanding math language, opportunities for communication). Their goal is to unite math and language. Contact Tami tbrancamp@med.unr.edu Join the Aphasia + Math Facebook Community Join an Aphasia + Math session on Virtual Connections Brancamp, T. & Brancamp, D. (2022). Exploring Aphasia + Math. Aphasia Access 24-Hour Virtual Teach-In. https://www.youtube.com/watch?v=2mGSOJzmBJI Girelli, L. & Seron, X. (2001). ) Rehabilitation of number processing and calculation skills. Aphasiology, 15(7), 695-71. https://doi.org/10.1080/02687040143000131 https://www.researchgate.net/publication/32888331_Rehabilitation_of_number_processing_and_calculation_skills#fullTextFileContent Tapia, M. (1996). Attitudes toward mathematics inventory. https://www.academia.edu/29981919/ATTITUDES_TOWARD_MATHEMATICS_INVENTORY
Hallie & fellow SLP Kimberly Kean discuss the importance of self-care for SLPsThis week on SLP Coffee Talk, Hallie sits down with the inspiring Kim from Speech Dreamers to talk all things SELF-CARE.
Be objective, be honest, be prepared! The SLPs dive in to meetings with educational advocates. They discuss how to prepare for IEP meetings with advocates, tips on communicating with families, and what not to say (hint: don't mention your schedule).Resources we love to make sure you know what you're talking about: The Informed SLP........................................⭐️ Help us grow by subscribing and rating our podcast on any platform (don't forget to leave a 5 ⭐️ review)❤️ Support our podcast
How can speech-language pathologists determine whether a child's communication challenges are due to a language difference or a language disorder—and then choose the most impactful language intervention strategies? In this episode, I'm joined by Dr. Celeste Roseberry-McKibbin, one of the leading experts in culturally, linguistically, and economically diverse (CLED) populations. With over 70 scholarly publications and 16 books, she has dedicated her career to ensuring SLPs can assess children fairly and provide evidence-based interventions that truly change outcomes. You'll get research-backed, Monday-morning-ready tools you can use right away to evaluate students from under-resourced backgrounds and target goals that will boost both communication and academic skills.
Disorders of consciousness, often associated with brain injuries, vary in severity and can include patients who are unresponsive or experiencing confusion. What comes next for these patients and their families and care partners can be a long, emotionally difficult journey through uncertainty. SLP Emily Silverberg of Spaulding Rehabilitation shares her insights from treating patients all along the disorders of consciousness spectrum. She explains how SLPs look for subtle signs of responsiveness. And she shares one unusual story that demonstrates the role families and care partners can play in this treatment.Learn More:ASHA Evidence Map: Disorders of ConsciousnessASHA Voices: Isolation, Frustration, and What Follows a Brain InjuryHow TBI Presents Differently in Children Under Age 4Transcript
In this episode, I'm giving you a behind-the-scenes tour of the three digital binders I created to save SLPs hours of prep time and reduce session stress. We'll explore the Assessment Binder, Probe Binder, and Visuals Binder—with over 2,400 pages of ready-to-use tools. I also share practical ways to use them for instant access, better data collection, and more engaged students. Whether you're planning therapy, writing IEPs, or tracking progress, these binders make it easy to work smarter, not harder as an SLP!Need these binders? Head to slpnow.com/summit to find out more! Or email hello@slpnow.com.
ASHA doesn't own the SLP Interstate Compact, but in Virginia, they used it as leverage to oppose a petition aimed at removing the supervised experience requirement for full licensure. In this bonus episode, Dr. Jeanette Benigas, SLP, and Preston Lewis, MS/SLP, unpack the petition, ASHA's public letter of dissent, and why using the SLP Interstate Compact as a scare tactic matters for SLPs nationwide. We break down the Medicare Administrative Contractor and private insurance barriers, the CMS connection, and Fix SLP's alternative solution to qualify new graduates for full licensure immediately after graduation while protecting both access to care and new graduate support.·Want to earn some PDHs or CEUs with a discount? Find our most up-to-date promo codes and discounts here.·We want to collaborate with YOU. If you would like to lead or join your state team, please email your name and state to states@fixslp.com.·Become a sustaining partner to support our work.·Follow us on Instagram, Facebook, TikTok, and YouTube.·Find all our information at fixslp.com, and sign up for our email list to be alerted to new episodes and content.·Email us at team@fixslp.com.·Leave a message on our Minivan Meltdown line! ★ Support this podcast ★
In this episode of SLP Coffee Talk, Hallie's keeping it real with a heart-to-heart just for you—no therapy hacks, no guest experts, just a reminder that what you do matters. If you've ever felt like a goldfish in a foggy little bag, overwhelmed by paperwork and wondering if anyone even notices, this one's for you. Hallie's sharing what she wishes someone told her back in that windowless therapy closet—and why showing up for your students, even on the hard days, is more than enough.Bullet Points to Discuss: Many SLPs feel burnt out and question if their work truly matters.Your impact often shows up in small moments, not just in data.Creating a safe, supportive space helps students build confidence.School-based SLPs face real challenges, from heavy caseloads to limited resources.Reconnecting with your “why” can reignite your purpose and presence.Here's what we learned: Your work matters, even when it doesn't feel like it.Impact isn't always measurable—but it's still real.Safe, trusting spaces help students thrive.You're doing more than just meeting goals—you're changing lives.Remembering your “why” keeps you grounded and motivated.Learn more about Hallie Sherman and SLP Elevate:
More From Tongue Tie Experts:
Send us a textLive from Big Sky Literacy Summit Day 2Episode 133
Are you using the Natural Language Acquisition (NLA) framework in your autism intervention? This episode of The Preschool SLP pulls back the curtain on Gestalt Language Processing (GLP) and challenges you to think critically about what's truly supported by research—and what isn't. SLPs are increasingly encouraged to adopt GLP-informed interventions, but a recent article by Venker and Lorang (2025) in response to Hadock et al. (2024) raises five concerns you can't afford to ignore. In this episode, we break down each criticism with clinical insight and offer evidence-aligned strategies you can use immediately in your therapy room.
The McGraw Show 8-7-25: Hulu, Hamilton, CCCW, SLPS & No One is Trapped inside the Bean by
Megan Lynch explores the latest Missouri audit of the St Louis Public Schools with clips from state auditor Scott Fitzpatrick,
Chris and Amy comment on the Hiroshima anniversary; car fires in Clayton; the SLPS audit findings; ESPN & NFL; Francis Howell school district. Plus visits with John Rooney and comedian Anjela Johnson-Reyes, and a look back on the bombings of Hiroshima and Nagasaki.
Chris and Amy learn about an interesting event that followed the dropping of atomic bombs on a pair of Japanese cities; the SLPS audit revealed some surprises; John Rooney talks Cardinals and broadcasting; Question of the week.
Scott joins the show to break down the newly released audit on Saint Louis Public Schools, what the audit tells us about how the money is being spent/allocated for the city schools, a broken bonus system, bloated bureaucracy & what's the next step in what is actual multiple audits.
In the final hour Joe is joined by Scott Fitzpatrick, a Missouri auditor who is working on the SLPS audit, he dives into the issues with the Democrats refusal to stay in Texas and play ball, Jane Dueker comes on to try to translate the Democratic view on things and the audio cut of the day.
Opening today's show Joe Beamer has a monologue on the Texas democrats & their literal flight to Illinois, Brianna Lyman joins to talk about the view from New York on the gerrymandering kinds of American politics, Corey Brewers joins Joe to talk about how parents can protects their kids from DEI & a look into just how much things have changed. Joe is joined by Ethan, Sue & Fred for Sue's News, with one of the best runs of random facts we've ever heard in the segments and Joe is joined by Colin Wright, an evolutionary biologist & Manhattan Institute fellow on his newest opinion piece on discrimination at Cornell University In the final hour Joe is joined by Scott Fitzpatrick, a Missouri auditor who is working on the SLPS audit, he dives into the issues with the Democrats refusal to stay in Texas and play ball, Jane Dueker comes on to try to translate the Democratic view on things and the audio cut of the day.
In this episode of SLP Coffee Talk, Hallie chats with Jacquilyn Arias—pediatric SLP and co-founder of Habla Cadabra SLP—about how narrative language sampling (NLS) can make your assessments faster, more meaningful, and way more aligned with real classroom demands. Jacquilyn breaks down why NLS is a must-have tool for busy school SLPs, how it works across languages and cultures, and which free resources (like MAIN, ENNI, and SLAM) she swears by. Plus, she shares how new-ish, objective measures like Percent Grammatical Utterances (PGU) can help you confidently distinguish between a language difference and a disorder—no fancy software required. Whether you're brand new to NLS or just looking to level up your evals, this conversation will leave you feeling empowered, efficient, and ready to try it out.Bullet Points to Discuss: Narrative language samples save you time—they're way more efficient when you've got a structured planThey're super aligned with what students are doing in school and give you rich info on their grammar, vocab, and storytellingYou can use them across languages and cultures—tools like MAIN and SLAM are built for thatNewer measures like PGU are fast, easy to score, and actually help you spot a real language disorder—no fancy software neededHere's what we learned: NLS saves time and gives richer data than conversational samplesIt's aligned with academic standards and shows real classroom impactTools like MAIN, ENNI, and SLAM are free, easy to use, and multilingualGreat for bilingual evals—helps tell difference vs. disorderPGU is a quick, reliable measure—no special software neededAI tools make transcribing faster and easier than everEven short samples can give strong, goal-driving insightsStart small—confidence comes with trying it outLearn more about Jacquilyn Arias: Website: www.hablacadabraslp.com Instagram: https://www.instagram.com/HablaCadabraSLP/ Freebies: https://www.hablacadabraslp.com/blog-english Learn more about Hallie Sherman and SLP Elevate:
Have you wondered if it's possible to launch your private practice sooner than planned? Today's guest will encourage you to trust your gut and go for it! Joining me is Laura D'Surney, SLP and owner of Play on Words Speech Therapy, her private practice just outside of Richmond, VA. Laura, an alum of the Start Your Private Practice Program, was hit with the curveball of losing her job shortly after returning from her honeymoon! She chose to go all in and launch her practice, despite not feeling as ready as she'd planned. In this episode, Laura shares how she turned her unexpected job loss into a thriving practice and offers tips for setting boundaries and marketing as a small business owner.Laura D'Surney is a licensed speech pathologist and private practice owner of Play on Words Speech Therapy. She currently provides mobile speech, language, and reading services to the Richmond, VA area. She also develops and sells speech therapy materials on TPT and has provided professional development for other SLPs on speech sound disorders. In Today's Episode, We Discuss:The boundaries Laura has built into her business to protect her personal needsHow to take the scary feeling out of marketing by taking a natural approachLaura's advice for those who are unsure if they can really start their practice right nowTaking time to step back from comparison syndrome and acknowledging your progressWhether you're wondering if now is the right time or if life forces your hand, don't be afraid to take the next step toward private practice! I hope Laura's story inspires you to follow your heart and lean in to the support and help available to you.If you want help to start your private practice step-by-step (just like we helped Laura!) please visit www.StartYourPrivatePractice.com.Whether you want to start a private practice or grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more.Resources Mentioned: Laura's website: www.playonwordsrva.comFollow Laura on Instagram: www.instagram.com/lauratheslpLaura's TPT: www.teacherspayteachers.com/store/laura-the-slpFind support and start your private practice: www.StartYourPrivatePractice.comWhere We Can Connect: Follow the Podcast: https://podcasts.apple.com/us/podcast/private-practice-success-stories/id1374716199Follow Me on Instagram: https://www.instagram.com/independentclinician/Connect on Facebook: https://www.facebook.com/groups/slp.private.practice.beginners/
Are you using the Gestalt Language Processing (GLP) approach in assessing autistic language development—or wondering if you should? In this episode of The Preschool SLP Podcast, we cut through the noise to break down what's evidence-based, what's not, and how to make informed, practical decisions starting Monday morning. Whether you're a speech-language pathologist or a parent of a child with autism, this episode will equip you to approach Gestalt language development with discernment and clarity. In This Episode, you'll Learn: What is Gestalt Language Development and where it comes from (Marge Blanc, Barry Prizant, Laura Lee)? Why does current meta-analytic research cast doubt on many GLP intervention programs? Which active ingredients of the Gestalt paradigm align with spontaneous, generative language development? What are the biggest red flags in GLP that may hinder progress? The #1 evidence-based assessment tool you should be using (Hint: It's a spontaneous language sample—only 25 utterances needed!)? How to measure growth using: Repetition reduction, Type-token ratio, Verb diversity, Subject-verb combinations, Syntactic + grammatical complexity? Why do verbs matter more than nouns in assessing vocabulary gains? How to “be discerning like a swan” and combine the best of multiple intervention models? This episode isn't just theory—it's practical, raw, and backed by real research. If you're looking to create impactful change in language development, this is your blueprint.
Register Here! slpsummit.com In this quick recap, we'll chat about communication strategies, legal aspects of referrals, and real data from 400+ SLPs on referral trends. Get a sneak peek of what's coming next! Replays available at slpsummit.com until August 15th!
In this episode of SLP Coffee Talk, Hallie sits down with Kassy Maloney—Orientation and Mobility Specialist and founder of the Society of Exceptional Educators—to talk about what SLPs really need to know when working with students who have visual impairments. Kassy shares practical, real-world tips for adapting your lessons (even if you don't have braille or fancy tools), why collaboration with TVIs and O&Ms is a game-changer, and how small changes—like saying your name when entering a room—can make a big difference. If supporting students with visual impairments has ever felt intimidating, this convo will leave you feeling more equipped, more connected, and ready to jump in—no braille training required.Bullet Points to Discuss: Just got a student with a visual impairment on your caseload? Here's what to know before you start stressing.Easy ways to adapt your lessons and keep students engaged—no Braille expertise needed.Common faux pas when working with visually impaired students (we've all been there!)—plus what to do instead.Here's what we learned: Reach out to the TVI and O&M specialist early—they can give you quick tips that save tons of guesswork.Always say your name when entering or leaving—it's a small habit that builds connection and clarity.Use real objects to bring concepts to life—it's faster, easier, and more effective than trying to reinvent your whole lesson.Skip hand-over-hand guidance—offer your arm and talk them through it instead.Build in more wait time than you think they need—it's not hesitation, it's processing.Check for background knowledge—they might be missing basic concepts most kids learn through sight.Don't guess on tactile tools—talk to the TVI to make sure your adaptations match their learning style.No need to avoid words like “see” or “look”—natural language is fine.You don't need to learn braille—just focus on clear input, creative supports, and collaboration.Learn more about Kassy Maloney: LinkedIn: https://www.linkedin.com/in/kassandra-maloney-6b815844 Website: https://www.exceptionaleducators.us YouTube: https://www.youtube.com/@exceptionaleducators Instagram: https://instagram.com/exceptionaleducators.us Facebook: https://facebook.com/exceptionaleducators.us 5 Key Strategies to Every Educator Needs to Support Students with Visual Impairments (Quick PDF Guide)Learn more about Hallie Sherman and SLP Elevate:
Back-to-school will be different this year for many in St. Louis Public Schools. Instead of returning to familiar campuses, many students and teachers have been assigned to different SLPS buildings because of severe tornado damage. STLPR education reporter Hiba Ahmed provides an overview of what's happened since the May 19 tornado; announcements about school re-assignments this year and prospective closures the next. She also discusses a recent summit for educators about integrating AI tools into the classroom.
Are you worried that starting a private practice will be too much work and take you away from your family life? Today's guest is proof that you can build a career on your own terms and make it work for you!Joining me is Ricki Klein, someone I've actually known for a while! Ricki is an SLP, mom, and owner of Kid Speak Easy, her private practice in Sudbury, Massachusetts. Ricki left the workplace during the pandemic as her young family experienced a lot of change. After constantly giving out free advice at the park, Ricki realized she missed working and wanted to figure out a way to dip her toe back into clinical work. In this episode, Ricki shares how she created a private practice that is professionally fulfilling, fits her family's needs and schedule, and gives her the balance that so many family-oriented SLPs are searching for.Ricki Klein is licensed in the state of Massachusetts and holds a certificate of clinical competence from the American Speech-Language-Hearing Association. She graduated from Hamilton College with a Bachelor of Arts degree in Psychology, then went on to Emerson College, where she obtained her Masters of Science in Communication Disorders. Ricki supports children of all ages, with a focus on preschool and school-age children, who have a range of speech and language difficulties. Ricki enjoys working closely with families and teachers in a collaborative manner to develop treatment plans that allow children to make progress across all contexts. Ricki lives in Sudbury, MA, with her husband and two young children. In Today's Episode, We Discuss:Ricki's hesitancy toward the logistics of starting a private practice How her first paying client gave her enough fulfillment to go all in Learning to get over fear and network organically How Ricki gives back to her community through her businessWhy you shouldn't worry if your area is oversaturated with providersEven though Ricki's journey started differently than what she had planned, she was able to grow her practice intentionally while maintaining balance at home. If Ricki's story inspired you and you're thinking, “I want to do that…” — you can. We help SLPs and OTs get set up, start seeing clients, and build sustainable businesses through our Start Your Private Practice Program. If you're ready to take the next step, head over to www.IndependentClinician.com to learn how we can support you.Resources Mentioned: Check out Ricki's practice: https://www.kidspeakeasy.com/ Find support to start your private practice: http://www.IndependentClinician.comWhere We Can Connect: Follow the Podcast: https://podcasts.apple.com/us/podcast/private-practice-success-stories/id1374716199Follow Me on Instagram: https://www.instagram.com/independentclinician/Connect on Facebook: https://www.facebook.com/groups/slp.private.practice.beginners/
We're combining two of the most highly requested topics—Gestalt Language Processing and AAC (Augmentative and Alternative Communication)—into one conversation with Farwa Husain of First Phrases. We're answering some key questions about AAC + Gestalt: What do we actually know about integrating gestalts with high-tech AAC systems? What's missing in the research? How can SLPs move forward confidently on Monday morning without waiting for perfect data? What Gestalt Language Processing really means (and why you can't “give” a child a gestalt)? What common AAC myths are holding children back—and what to do instead? Is the child “stimming” on AAC devices (spoiler: often exploration, a good thing)? Why focus on relationship-first therapy? How can we model extensively and in a meaningful manner? What are some joyful learning strategies for introducing AAC to Gestalt Language Processors in preschool? Whether you're a seasoned SLP or just getting started, this episode is packed with actionable insights and evidence-informed best practices for Monday morning therapy with autistic preschoolers. Guest Bio: Farwa Husain is a specialist in Gestalt Language Processing and AAC integration. Follow her on Instagram @firstphrasesofficial and learn more at www.firstphrases.com. Roll up your sleeves and join the SIS Membership today! Get ready to implement what you hear on the podcast with done-for-you, ready-to-use literacy, music, and movement-based activities that treat the whole child. The SIS Membership is your go-to toolbox for engaging, evidence-based, educationally rich, neurodiversity-affirming therapy activities that treat the whole child in preschool and elementary school settings. Get AAC support, weekly movement activities, visuals, behavior supports, AAC strategies, Google Slides Decks, and more—all aligned with best practices discussed in today's episode. I look forward to seeing you at the SIS Membership drawing board. Join now at www.kellyvess.com/sis
In this powerful reflection episode, Tara shares one of the most impactful moments of her career—her conversation with Jordyn Zimmerman during the 2025 Preschool Autism Summit. Together, they unpack the importance of presuming competence, providing early AAC access, and creating neurodiversity-affirming learning spaces. Tara also shares emotional ripple stories from participants, illustrating how nearly 50,000 educators and therapists are creating waves of change for autistic children around the world. Key Takeaways: Presume competence—always. Speech is not the same as intelligence, and we must stop making assumptions based on verbal ability. Non-speaking ≠ non-verbal. The term “non-verbal” implies a lack of language; “non-speaking” affirms that language exists, even without speech. There are no prerequisites for AAC. Children do not need to match, point, or “behave” a certain way before receiving access to communication tools. PECS is not a communication system. It is a requesting system and does not provide full language access. AAC must include access to robust, literacy-based tools. Limiting a child to a core board or basic images restricts their ability to truly communicate. Talking about students in front of them causes real harm. Many non-speaking students hear and understand far more than people assume. Lack of access to communication is traumatic. It can lead to emotional and physical distress—and we have a responsibility to prevent that. Real inclusion means access, not separation. Segregated classrooms limit growth and potential; all students deserve meaningful academic instruction. Educators are making real-time ripples. From texting SLPs during the summit to creating team trainings, attendees are already pushing change. Small shifts create big waves. With over 49,000 participants, the summit's ripple effect may reach nearly half a million autistic children—and it all starts with choosing compassion over compliance. Links Jordyn's Documentary: https://thisisnotaboutme.film/ Jordyn's Website: https://www.jordynzimmerman.com/ You may also be interested in these supports: Visual Support Starter Set Visual Supports Facebook Group Autism Little Learners on Instagram Autism Little Learners on Facebook
In this summer school episode, Dr. Jeanette Benigas and Preston Lewis, MS/SLP, unpack everything SLPs need to know about CCC reinstatement, from costs and Praxis requirements to outdated myths. Whether you're a new grad, stay-at-home mom, or seasoned clinician ready to let the CCC go, this episode breaks down the three requirements for reinstatement and what's actually worth worrying about. Plus, updates on the Fix SLP on our way to 100K contest!·Want to earn some PDHs or CEUs with a discount? Find our most up-to-date promo codes and discounts here.·We want to collaborate with YOU. If you would like to lead or join your state team, please email your name and state to states@fixslp.com.·Become a sustaining partner to support our work.·Follow us on Instagram, Facebook, and TikTok·Find all our information at fixslp.com, and sign up for our email list to be alerted to new episodes and content.·Email us at team@fixslp.com.·Leave a message on our Minivan Meltdown line! ★ Support this podcast ★
Ever feel like no matter how early you get up or how hard you hustle… there's never enough time?You're not alone. And spoiler alert: that's not just a scheduling problem—it's a mindset one.In this episode, I'm getting real about:Why “never enough time” isn't a time issue—it's a relationship issueHow time scarcity keeps high-achieving SLPs stuck in survival mode (even when you're crushing it)Small, powerful reframes to shift out of panic and into time authorityA question that might just change your weekThis one's short and potent, if I do say so myself. Hit play, take a breath, and let's start rewriting the time script. To find out how I can help you improve your work-life balance, click here. Come join the SLP Support Group on Facebook for more tips and tricks!Follow me on Instagram! @theresamharpLearn more about Theresa Harp Coaching here.
In this practical episode of SLP Coffee Talk, Hallie chats with Dr. Danika Pfeiffer—preschool SLP, assistant professor, and early literacy researcher—about how we can support early writing in young kids, especially those with developmental language disorder (DLD). From understanding why name writing is more about memory than letters, to how SLPs can build in writing practice without adding to their workload, Danika breaks it all down. You'll hear simple ideas, ways to team up with teachers and OTs, and why even small moments of print awareness can go a long way. If you've ever wondered if writing is in your scope, this convo will leave you feeling inspired and ready to dive in—one crayon at a time.Bullet Points to Discuss: Why early writing starts earlier than you think—even in preschoolThe difference between name writing and letter writingHow writing challenges show up in kids with developmental language disorder (DLD)Simple ways to embed writing practice into your existing sessionsWhat SLPs can look for during evaluations—no fancy tools neededBuilding print awareness without overhauling your therapyPartnering with teachers and OTs around early writing supportThe SLP's role in preventing future writing difficultiesMaking early writing doable (and meaningful) for busy SLPsHere's what we learned: Name writing is visual recall—not true letter-sound knowledge.Letter writing is harder and needs explicit, repeated support.Kids with DLD follow typical writing development but at a slower pace.Easy, everyday strategies (like sign-in sheets or labeled items) can build writing skills.Print awareness fits naturally into speech sessions—no overhaul needed.Informal assessments (paper + crayon!) are enough to track early writing.Collaborate with teachers and OTs to target both language and motor skills.Early writing support helps prevent bigger literacy challenges laterLearn more about Dr. Danika Pfeiffer: Website: www.danikapfeiffer.com Instagram: https://www.instagram.com/danikapfeiffer.slp/ LinkedIn: www.linkedin.com/in/danika-pfeiffer Bluesky: https://bsky.app/profile/danikapfeiffer.bsky.social Podcast: https://open.spotify.com/show/444VIuWOxBzZ8fI2hqGyFj Learn more about Hallie Sherman and SLP Elevate:
Guest: Farwa Husain, MS CCC-SLPEarn 0.1 ASHA CEU for this episode: https://www.speechtherapypd.com/courses/glp-for-the-pediatric-slpOriginally Aired: March 2024In this episode, Michelle is joined by Farwa Husain, MS CCC-SLP, bilingual speech-language pathologist and private practice owner of One-on-One Speech Therapy in New Jersey. Farwa, recognized as an ASHA Innovator in 2023, spends this hour sharing her passion for growing culturally and linguistically appropriate therapy for gestalt language processors (GLP) and their caregivers! So, if you want to learn more about GLP, how it compares to analytic language processors (ALP), and how to support GLP in their natural environments, then tune in and let Farwa share her brilliance and compassion!About the guest: Farwa Husain is an experienced bilingual speech-language pathologist and private practice owner of One-on-One Speech Therapy in New Jersey. Farwa has presented at ASHA, New Jersey Speech and Hearing Association, and Morris County Speech and Hearing Association on gestalt language processing. Farwa was recognized at the 2023 ASHA convention as an “Innovator” in speech-language pathology. She is nominated for the Clinician of the Year-SLP award at the upcoming National Black Association for Speech-Language and Hearing 2024 National Convention. Families have also recognized her in the NJ Family magazine “Top Docs” edition. Farwa is currently serving as President of Morris County Speech and Hearing Association, a non-profit organization that provides exceptional continuing education to SLPs and audiologists in New Jersey. She is devoted to culturally and linguistically appropriate therapy that celebrates a family's unique lifestyle and mentors SLPs in supporting gestalt language processors around the world.Mentioned in this episode:July 21 Course - Echolalia Explained: Practical Tools for Meaningful Language GrowthPresented by: Farwa Husain MS, CCC-SLP Enroll Here: https://www.speechtherapypd.com/courses/echolalia-explained
In this episode, we're joined by literacy expert Dr. Molly Ness, author of Making Words Stick, to unpack the science behind orthographic mapping and what truly effective spelling instruction looks like. If you've ever found yourself wondering whether “irregular” words really exist—or how to teach spelling in a way that actually transfers to reading and writing—this episode is for you.Dr. Molly Ness is a former classroom teacher, a reading researcher, and a teacher educator. She earned a doctorate in reading education at the University of Virginia, and spent 16 years as an associate professor at Fordham University in New York City. The author of five books, Molly served on the Board of Directors for the International Literacy Association and is a New York state chapter founder of the Reading League. Dr. Ness has extensive experience in reading clinics, consulting with school districts, leading professional development, and advising school systems on research-based reading instruction. She is also the host of the End Book Deserts podcast. In 2024, she founded Dirigo Literacy, a literacy consulting firm supporting schools, districts, and states align with and implement the science of reading.
Decision fatigue is real—especially for SLPs juggling full caseloads, families, and life. If you ever get stuck in analysis-paralysis (hello, overthinking tiny choices and the big ones), this episode is for you.In today's FB Live-turned-podcast-episode, I'm sharing a pretty major life decision I made and the five strategies I used to help me go from analysis-paralysis to bold, confident action.Decision-making is one of the biggest things that comes up in coaching sessions. Whether it's big, life-changing stuff or tiny daily choices that drain your brain, indecision kills your time and energy. So let's make it simpler.Here's what you'll learn:✅ Why decision-making burns you out—and how to save your energy for what really matters✅ My 5 go-to strategies✅ How to stop overthinking the small stuff so you have brain space for the big stuff✅ What to do after you make a decision so you don't spiral in regretIf you're ready to make choices with more clarity (and less time-wasting angst), you're in the right place. To find out how I can help you improve your work-life balance, click here. Come join the SLP Support Group on Facebook for more tips and tricks!Follow me on Instagram! @theresamharpLearn more about Theresa Harp Coaching here.
Swallowing is something that most of us don't think twice about—until it becomes difficult. But what if counting how many times you can swallow in 30 seconds could help flag potential health concerns? That's the idea behind a study that has generated recent public and media attention. Researchers examined how healthy individuals performed on the Repetitive Saliva Swallowing Test (RSST). It's a quick and simple screening tool used to check for signs of oropharyngeal dysphagia, a disorder that can affect people with neurological conditions, head or neck cancer, and other medical conditions. Speech-language pathologists (SLPs) evaluate patients for—and treat—swallowing disorders. The American Speech-Language-Hearing Association (ASHA) is sharing the following information to put the study's findings—and its broader application with the general public—into context.
Take aways: Learn about Hilary and Steve's journey to enhance care for people with aphasia. Learn about communication access as a health equity issue. Identify systematic gaps and the disconnect between training and real world needs of people with aphasia. Learn about the development of the MedConcerns app. Get sneaky! Learn how the MedConcerns app can serve four functions simultaneously: 1) meeting the needs of someone with aphasia 2) serving as a tool that providers can use to communicate with people with aphasia 3) providing education to providers who learn about aphasia as they use the app 4) bringing SLPs and other providers together to meet the needs of people with aphasia Welcome to the Aphasia Access Conversations Podcast. I'm Jerry Hoepner. I'm a professor at the University of Wisconsin – Eau Claire and co-facilitator of the Chippewa Valley Aphasia Camp, Blugold Brain Injury Group, Mayo Brain Injury Group, Young Person's Brain Injury Group, and Thursday Night Poets. I'm also a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's host for an episode that will feature Hilary Sample and Dr. Steven Richman to discuss their app, MedConcerns. We're really excited to share this with you, so I'll jump into introducing them. Hilary G. Sample, MA, CCC-SLP Hilary is a speech-language pathologist, educator, and co-creator of MedConcerns, a communication support app that helps people with aphasia express medical concerns and participate more fully in their care. The app was born out of her work in inpatient rehabilitation, where she saw firsthand how often individuals with communication challenges struggled to share urgent medical needs. Recognizing that most providers lacked the tools to support these conversations, she partnered with physician Dr. Steven Richman to create a practical, accessible solution. Hilary also serves as an adjunct instructor at Cleveland State University. Steven Leeds Richman, MD Dr. Steven Richman is a hospitalist physician and co-creator of MedConcerns, a communication support app that helps people with aphasia express medical concerns and participate more fully in their care. With nearly two decades of experience in inpatient rehabilitation, he saw how often communication barriers prevented patients from being heard. In partnership with speech-language pathologist Hilary Sample, he helped translate core medical assessments into an accessible tool that supports clearer, more effective provider-patient communication. Transcript: (Please note that this conversation has been auto-transcribed. While we do our best to review the text for accuracy, there may be some minor errors. Thanks for your understanding.) Jerry Hoepner: Well, Hello, Hillary and Steve. Really happy to have you on this aphasia access conversations podcast. With me, I'm really looking forward to this conversation. It's maybe a year or 2 in the making, because I think this was at the previous Aphasia Access Leadership Summit in North Carolina. That we initially had some discussions about this work. And then life happens right? So really glad to be having this conversation today. Hilary Sample: And we're really glad to be here. Jerry Hoepner: Absolutely. Maybe I'll start out just asking a little bit about your background, Hillary, in terms of how you connected with the life participation approach and aphasia access and how that relates to your personal story. Hilary Sample: Sure, so I haven't been in the field long. I graduated in 2019 and began my career immediately in inpatient rehab. I have to remember. It's talk slow day, and I'm going to make sure that I apply that as I speak, both for me and for listeners. So I began on the stroke unit, primarily in an inpatient rehab setting, and I've worked there for the majority of my career. I came in as many, probably in our field do, trained and educated in more of an impairment based approach but quickly when you work with people, and they let you know who they are and what they need. The people that I worked with on the stroke unit, the people with aphasia let me know that they needed more of a life participation approach. You know I learned how vital it was to support communication and to help him, you know, help them access their lives, because most of the time I entered the room. They had something they wanted to communicate, and they had been waiting for someone who had those skills to support communication in order to get that message across. So it wasn't about drills it was about. It was about helping them to communicate with the world, so that I spent more and more time just trying to develop my own skills so that I could be that professional for them and that support. And then that took me. You know that it just became my passion, and I have a lot of room to improve still today, but it's definitely where my interest lies and at the same time I noticed that in general in our hospital there was a lack of communication supports used, and so I thought that in investing in my own education and training, I could help others as well. And so I started doing some program development to that end as well with training and education for healthcare staff. Jerry Hoepner: I just love the fact. And actually, our listeners will love the fact that it was patients who connected with you, people with aphasia, who connected with you and encouraged you to move towards the life participation approach, and how you learn together and how that's become your passion. That's just a really great outcome when people can advocate for themselves in that way. That's fantastic. Hilary Sample: Yeah, it really meant a lot to me to be able to receive that guidance and know that, you know there's an interest in helping them to let you know what they want from therapy, and that was there. But a lot of times the selections were impairment based, and then we. But there was something wrong, and we needed to uncover that. And that was, you know, that was the push I needed to be able to better support them. Jerry Hoepner: Yeah, that's really great, Steve. I'm interested in your story, too. And also how you came to connect with Hillary. Steve: I started as a trained as a family physician, had a regular outpatient office for a number of years, and then transitioned into inpatient rehab. That's where I really started to meet some people with aphasia. For the 1st time. Hilary and I have talked a few times about my training and education about aphasia before we met each other, and it was really minimal in Med school. They had lectures about stroke and brain injury, and some of the adverse effects you might get from that. And they, I'm sure, mentioned aphasia. But I really don't recall any details, and if they did teach us more, it would just nothing that I grasped at the time. So I would walk into these patient rooms, and what I would normally do for my trainings. I would ask people all these open, ended questions to start with, and then try to narrow down, to figure out what their problems are, and with people with aphasia, especially when they have minimal or no language skills. They couldn't. I was not successful at getting useful information out, and I remember walking out of those patient rooms and just being frustrated with myself that I'm not able to help these people, and the way I can help everyone else, because if I don't know what's going on. you know. How can I? It was really challenging and I really didn't know where to go. I talked to a few other doctors, and there didn't seem to be much in the way of good information about how to move forward. Eventually I met Hillary, and we would have these interesting episodes where I would talk or try to talk with the patients and get minimal, useful information. And Hillary would come back and say, they're having this problem and this concern. And with this medicine change. And how do you do that? How and that kind of started our us on the pathway that we've taken that recognition from my end that there's a lot that can be done. And the yeah. Jerry Hoepner: Yeah, I love that story, and it's a really good reminder to all of us that sometimes we forget about those conversations, the conversations with physicians, with other providers who might not know as much about aphasia. I'll just tell a really quick story. My wife used to work in intensive care, and of course she had been around me for years, and they would have someone with aphasia, and her colleagues would be like, how do you even communicate with them, and she would be coming up like you, said Steve, with all of this information about the patient, and they're like, where are you getting this information. The person doesn't talk. Hilary Sample: Yes. Jerry Hoepner: And that just emphasizes why it's so important for us to have those conversations, so that our all of our colleagues are giving the best care that they can possibly provide. Hilary Sample: That's a great story. That was very much like almost verbatim of some of the conversations that we initially had like, where is this coming from? They don't talk, or you know they don't have. Maybe they don't have something to say, and that's the assumptions that we make when somebody doesn't use verbal communication. You know, we quickly think that maybe there's not something beneath it, you know. I have a story as well. So what led to a little bit more toward where we are today. sitting in those rooms with people with aphasia and apraxia and people with difficulty communicating. There's 1 that stuck out so much. She was very upset, and that it was. And I we had just really developed a very nice relationship, a very supportive relationship she kind of. She would let me have it if she was upset about something. We had really honest conversations and it and it was earlier on to where I was stretching my skills in in using communication supports, and she really helped me grow. But I remember being in her room one day, and she had something to share. And this is a moment that repeated itself frequently, that the thing that needed to be shared was medical in nature, you know, in inpatient rehab. That's a frequent. That's a frequent situation that you run into. And we sat there for maybe 15 min, maybe more. And we're working on getting this out. We're narrowing it down. We're getting clarity. We're not quite there yet, as I said, I'm still new, and but the physician walks in and we pause. You know I'm always welcoming physicians into the into therapy, because I really see that we have a role there. But and talk slow. Hilary, the physician, asked an open-ended question like Steve was talking about asking those open-ended questions as they're trained to do, and it was a question that the person with aphasia didn't have the vocabulary available to answer, and before I would jump in, that person shrugged her shoulders and shook her head that she didn't have anything to share with them, and I was like, but we had just been talking. You know, there's definitely something, and I think I just sat there a little bit stunned and just observing more. And you know the physician finished their assessment mostly outside of verbal communication, and left the room, and then I spoke to her, and we. We tracked down what the rest of her concern was, and clarified it, and then I found the physician who was not Dr. Richman, and I shared all the things that they had told me that she had told me, and I remember her saying I was just in there. She didn't have anything wrong. and I and I was, you know, I told her, like the communication supports that I used, and you know we got that. We moved forward with the conversation. But there were a few things that stuck out to me in that, and one was the way that the physician was communicating wasn't using. They weren't using supports. For whatever reason, I didn't have that knowledge yet. We dove into the literature to learn more later on. The second thing was that the person with aphasia seemed to give up on the provider, knowing that since supports weren't being used. It wasn't going to be a successful communication attempt. So why even bother, and that definitely fits her personality. She's like I give up on you. And the 3rd thing was that the education about that somebody has something to share the education about. Aphasia was lacking, so you know that the person's still in there. They still have their intellect, their identity, their opinions, beliefs. But they didn't have the ability to communicate that piece seemed to be missing on the part of the provider, because they were saying they didn't have anything to share. So, it was like, I said that situation happened repeatedly, and very much. Sounds just like yours, but it hit me how much there was to do. And so, hearing, you know Steve's experiences that are on the other side of that. Such a caring, the one thing that led me to want to speak to Steve is that he's a very compassionate caring physician, so it's not a lack of care and compassion. But what else was going on what led to this, and we started learning that together. It was really interesting for me to learn how Hillary's 1st assumption is. Why aren't these physicians using communicative supports or other things that we were never taught about? The assumption that the docs know all this, and there's plenty we don't know. Unfortunately, there's, you know there's so much out there. Steve Richman: The other thing Hillary touched on that was so true in my experience, is here. I'm meeting people that had a significant event, a traumatic brain injury, a bad stroke. And we're so used to judging people's intelligence through their speech. And they're not speaking. And it's so easy to start thinking there's just not much going on up there, and I didn't have the education or information or training to know for a long time. That wasn't the case until my dad had a stroke with aphasia. And so yeah, there's still plenty going on there just hard to get it out. And even as a medical provider, I really wasn't fully aware of that. And it took personal experience and learning from Hillary to really get that. it's still there just need to find out how to help them get it out. Jerry Hoepner: Yeah, I think that's a rather common story, especially for people with aphasia. But even for people without aphasia, that sense that the doctor is coming in, and things have to happen. And I know I'm sitting here with Steve, who is very compassionate and wants to ensure that communication. But I think there's a little bit of fear like, oh, I can't get it out in this context, and just bringing awareness to that, and also tools. So, tools in education. So those physicians can do the work that they need to do and get that knowledge that they may have never been exposed to, and probably in many cases have never had that training to communicate with someone so like you, said Steve. How are you supposed to know when they didn't train us in this? And I guess that brings us back around to that idea that that's part of the role of the speech language pathologist and also kind of a vacancy in tools. Right? We're. We're just missing some of the tools to make that happen consistently across facilities and across people. So, I'm really interested in hearing a little bit about the tools you've created, and kind of the story leading up to that if you if you don't mind sharing. Hilary Sample: Absolutely. 1st I'll share. There's a quote, and I'm not going to remember who said it. Unfortunately, I'll come up with it later, and I'll make sure to share with you. But that healthcare is the medium by or I'm sorry. Communication is the medium by which healthcare is provided, or something to that extent. We need communication in order to ensure equal access to health care. And like you said that gap, it's really big, and it's a systemic issue. So, leading up to us, coming together, we had those experiences on both of our ends. I realized that I wasn't a physician. I already knew this, but I also I was trying to provide communication support to enable them to communicate something on a topic that I'm not trained in. In order to really give what it's due right? I don't know what questions that Steve is going to ask next, you know I tried, but I and I tried to listen, but I didn't always have, you know. Of course, I don't have that training, so know your limits right. But I did. The general overarching method that I was using was we'd have concerns to choose from, including the question mark that enabled them to tell. Tell me that you're way off, or you didn't guess it, or it's not on here. And then narrow choices that I try to come up with, and we'd move on like that. And anytime somebody appeared to have a medical concern. There's those general topics that you would try to see if it's 1 of these things. One of these concerns, and then those would generally take you to a series of sub questions, and so on, and so forth. So, I recognize that this was repeatable. I also, at the same time as I shared, was recognizing that communication supports weren't being used. And that doesn't. That doesn't end with, you know, a physician that's also nurses nursing aides. That's therapists, including SLPs, and you know, so I'm doing a thing that can be repeated. Why not stop recreating it every time I enter the room and make it into something that I can bring with me a prepared material that I can bring with me and ideally share it with others. So, I again, knowing my limitations, know what I have to bring to that equation. But I knew that I needed to partner with someone that cared just as much but had the medical knowledge to inform that tool. So at 1st it was a print little framework that I brought, and what happened is, I came up to Steve, and I let him know what I was thinking, and he was open and willing to work together on this, and Hillary showed me these pictures that were kind of showing some general medical concerns, and brought up the whole concept and we initially were going for this pamphlet booklet idea, you know. If you have this concern, you go to this page to follow it up with further questions, and then you go to this other page to finalize the subs. We realized there was a lot of pages turning involved to make that work, and we eventually turned it into an app where you could take your concern, and we start with a general Hello! How are you? You know? Kind of what's the overall mood in the room today. And then what medical concerns do you have? And then from those concerns, appropriate sub questions and sub questions and timeframes, and the stuff that you would want to know medically, to help figure out the problem. And then go ahead. I'm sorry. Jerry Hoepner: Oh, oh, sorry! No, that's terrific. I appreciate that that process and kind of talking through the process because it's so hard to develop something like this that really provides as much access as is possible. And I think that's really key, because there's so many different permutations. But the more that you get into those the more complex it gets. So, making it easy to access, I think, is part of that key right? Hilary Sample: One thing that I'm sorry. Did you want to say? Yeah, I'll say, okay, 1. 1 part of it. Yes, the accessibility issue. Every provider has a tablet or a phone on them, and many of our patients and their families also do so. It made it clear that it's something that could be easier to use if that's the method somebody would like to use, but also having a moment where my mind is going blank. This is gonna be one of those where we added a little bit. This is what you call a mother moment. Jerry Hoepner: Okay. Steve Richman: The one thing that was fascinating for me as we were developing this tool is I kept asking why? And Hillary kept explaining why, we're doing different parts of it. And at this point it seems much more obvious. But my biggest stumble at the beginning was, why are these Confirmation pages. Why do we have to keep checking, you know? Do they mean to say yes? Do they mean to go ahead? And that education about how people with language difficulties can't always use language to self-correct. We need to add that opportunity now makes so much sense. But I remember that was a stumbling block for me to acknowledge that and be good with that to realize. Oh, that's really important. The other thing that Hillary said a lot, and I think is so true is in developing this tool. We're kind of developing a tool that helps people that know nothing about communication supports like myself how to use them, because this tool is just communication supports. You know, I hear these repeatedly taught me about the importance of layering the clear pictures and words, and the verbal, and put that all the well, the verbalizing, the app is saying the word in our case, so that could all be shared and between all that layering hopefully, the idea gets across right and then giving time for responses. Jerry Hoepner: It sounds like the tool itself. Kind of serves as an implicit training or education to those providers. Right? Hilary Sample: And there's the idea that I was missing when I had a little bit of. So yes, all of those strategies. They take training right? And it takes those conversations. And it takes practice and repetition. And there's amazing, amazing things happening in our field where people are actually undertaking that that transformation, transforming the system from above right. Jerry Hoepner: Right. Hilary Sample: But one thing that a big part of this work was trying to fill the gap immediately. I know you and I had previously talked about Dr. Megan Morris's article about health equity, and she talks a lot about people with communication disorders, including aphasia. And you know there's and she mentions that people cannot wait. The next person pretty much cannot wait for that work to be done, though that'll be amazing for the people that come down the line, the next person, what can we do for them? So we also need to be doing that. And that's where we thought we could jump in. And so I think the biggest you know. The most unique aspect of MedConcerns is that, or of the tool we created is that it kind of guides the clinician, the healthcare provider, through using communication supports. So you know, when I go in the room I offer broad options, and then I follow up with more narrow choices, always confirming, making sure I'm verifying the responses like Steve talked about, and or giving an opportunity to repair and go back and then that I summarize at the end, ensuring that what we have at the end still is valid, and what they meant to say. And so that's how the app flows, too. It enables the person to provide a very detailed, you know, detailed message about what's bothering them to a provider that has maybe no training in communication supports, but the app has them in there, so they can. It fills the gap for them. Jerry Hoepner: Absolutely. It's kind of a sneaky way of getting that education in there which I really like, but also a feasible way. So, it's very pragmatic, very practical in terms of getting a tool in the hands of providers. It would be really interesting actually, to see how that changes their skill sets over time but yeah, but there's definitely room for that in the future. I think. Hilary Sample: We could do a case study on Dr. Richman. Steve Richman: whereas I used to walk out of those patient rooms that have communication difficulties with great frustration. My part frustration that I feel like I'm not doing my job. Well, now you walk out much more proudly, thinking, hey, I able to interact in a more effective way I can now do in visit what I could never accomplish before. Not always, but at least sometimes I'm getting somewhere, and that is so much better to know I'm actively able to help them participate, help people participate. I love writing my notes, you know. Communication difficulties due to blank. Many concerns app used to assist, and just like I write, you know, French interpreter used to assist kind of thing and it does assist. It's it makes it more effective for me and more effective for the person I'm working with. It's been really neat to watch you know, go from our initial conversations to seeing the other day we were having a conversation kind of prepping for this discussion with you and he got a call that he needed to go see a patient and I'll let you tell the story. So we're prepping for this. A couple of days ago. I think it was this Friday, probably, or Thursday, anyways, was last week and I'm at my office of work and again knock on the door. Someone's having chest pain. I gotta go check that out. So I start to walk out of the room. Realize? Oh, that room! Someone was aphasia. I come back and grab my phone because I got that for my phone and go back to the room. And it's interesting people as with anything. People don't always want to use a device. And he's been this patient, sometimes happy to interact with the device, sometimes wanting to use what words he has. And so I could confirm with words. He's having chest pain. But he we weren't able to confirm. What's it feel like? When did it start? What makes it better. What makes it worse? But using the app, I can make some progress here to get the reassurance that this is really musculoskeletal pain, not cardiac chest pain. Yes, we did an EKG to double check, but having that reassurance that his story fits with something musculoskeletal and a normal EKG. Is so much better than just guessing they get an EKG, I mean, that's not fair. So, it would have been before I had this tool. It would have been sending them to the er so they can get Stat labs plus an EKG, because it's not safe just to guess in that kind of situation. So, for me, it's really saved some send outs. It's really stopped from sending people to the acute care hospital er for quick evaluations. If I if I know from the get go my patient has diplopia. They have a double vision, because that's part of what communicated. When we were talking about things with help from MedConcerns. Yeah, when I find out 4 days later, when their language is perhaps returning, they're expressing diplopia. It's not a new concern. It's not a new problem. I know it's been a problem since the stroke, whereas I know of other doctors who said, Yeah, this person had aphasia, and all of a sudden they have these bad headaches that they're able to tell me about. This sounds new. I got to send them for new, you know whereas I may have the information that they've been having those headaches. We could start dealing with those headaches from the day one instead of when they progress enough to be able to express that interesting. Jerry Hoepner: Yeah, definitely sounds like, I'm getting the story of, you know the improvement in the communication between you and the client. How powerful that is, but also from an assessment standpoint. This gives you a lot more tools to be able to learn about that person just as you would with someone without aphasia. And I think that's so important right to just be able to level that playing field you get the information you need. I can imagine as well that it would have a big impact on medication, prescriptions, whatever use? But also, maybe even counseling and educating that patient in the moment. Can you speak to those pieces a little bit. Steve Richman: You know, one of my favorite parts of the app, Hillary insisted on, and I'm so glad she did. It's an education piece. So many people walk into the hospital, into our inpatient rehab hospital where I now work, and they don't recall or don't understand their diagnosis, or what aphasia is, or what happened to them. And there's a well aphasia, friendly information piece which you should probably talk about. You designed it, but it's so useful people are as with any diagnosis that's not understood. And then explained, people get such a sense of relief and understanding like, okay, I got a better handle of this. Now it's really calming for people to understand more what's going on with them. Hilary Sample: This is, I think you know, that counseling piece and education, that early education. That's some of the stuff that could bring tears to my eyes just talking about it, because it's; oh, and it might just now. So many people enter, and they may have gotten. They may have received education, but it may not have. They may have been given education, but it may not have been received because supports weren't used, or there's many reasons why, you know, even if it had been given, it wasn't something that was understood, but so many people that I worked with aphasia. That one of the 1st things that I would do is using supports. Tell them what's going on or give them. This is likely what you might be experiencing and see their response to that. And that's you know what aphasia is, how it can manifest. Why it happens, what happened to you, what tools might be useful? How many people with aphasia have reported feeling? And you might be feeling this way as well, and these things can help. And it's very simple, very, you know. There's so much more to add to that. But it's enough in that moment to make someone feel seen and you know, like a lot of my friends, or one of my friends and former colleagues, uses this, and she says that's her favorite page, too, because the people that she's working with are just like, yes, yes, that's it, that's it. And the point and point and point to what she's showing them on the app. It's a patient education page, and then they'll look at their, you know, family member, and be like this. This is what's going on this, you know, it's all of a sudden we're connecting on that piece of information that was vital for them to share. And it was. It was just a simple thing that I kept repeating doing. I was reinventing the wheel every time I entered the room, but it was. It stood out as one of the most important things I did. And so that's why Steve and I connected on it, and like it needed to be in the app. And there's more where that came from in the future planning. But we added to that A on that broad, you know, kind of that page that has all the different icons with various concerns, we added a feelings, concern emotions, and feelings so that someone could also communicate what's going on emotionally. We know that this is such a traumatic experience, both in the stroke itself, but also in the fact that you lost the thing that might help you to walk through it a little easier which is communicating about it and hearing education learning about it. But so those 2 tools combined have really meant a lot to me to be able to share with people, with aphasia and their families, and also another sneaky way to educate providers. Jerry Hoepner: Yeah, absolutely. Hilary Sample: Because that's the simple education that I found to be missing when we talked about training was missing, and this and that, but the like when Steve and I talked recently, we you know, I said, what did you really learn about aphasia? And you kind of said how speech issues? Right? Steve Richman: The speech diagnoses that we see are kind of lumped in as general like the names and general disorders that you might see, but weren't really clearly communicated as far as the their differential diagnoses being trained as a generalist, we would learn about, you know, neurology unit stroke and traumatic brain injury. And somewhere in there would be throwing in these tumors, which are huge aphasia and apraxia and whatnot, and I don't think I recall any details about that from Med school. They probably taught more than I'm recalling, but it certainly wasn't as much as I wish it was. Hilary Sample: and so that education can just be a simple way to bring us all together on the same page as they're showing this to the person that they're working with. It's also helping them to better understand the supports that are needed. Jerry Hoepner: Sneaky part. Steve Richman: Yeah, speaking of the sneaky part, I don't think I told Hilary this yet, but I'm sure we've all had the experience or seen the experience where a physician asked him, What does that feel like? And the person might not have the words even with the regular communication, without a communication disorder. and last week I was working with a patient that just was having terrible pain and just could not describe it. and using the icons of words on that he had a much better sense of. You know it's just this and not that, and those descriptors of pain have been really useful for people now without more with communication difficulties that I just started doing that last week. And it was really interesting. Hilary Sample: You mentioned about how those interactions with physicians are can be. Well, it's not nothing about you guys. Jerry Hoepner: It's the rest of the physicians. Hilary Sample: No, it's the, you know. There's a time. It's the shift in how our whole system operates that it's, you know I go in and I'm like, I just need notes if I need to speak about something important to my physician, because, like, I know that one reason I connect so deeply with people with communication disorders is that my anxiety sometimes gets in the way of my ability to communicate like I want to, especially in, you know, those kind of situations. And so, you know, it can help in many ways just having something to point to. But we also saw that with people with hearing loss, which, of course, many of the people that we run into in many of the patients that we work with are going to have some sort of hearing loss. People that speak a little different, you know. Native language. You know English as a second language. Jerry Hoepner: Absolutely. Hilary Sample: There and then. Cognitive communication disorders, developmental disorders, anybody that might benefit with a little bit more support which might include you and me. You know it can help. Jerry Hoepner: And I think you know the physician and other providers having the tools to do that education to use the multimodal supports, to get the message in and then to get responses back out again. I think it's really important. And then that process of verifying to just see if they're understanding it. Are you? Are you tracking with me? And to get that feedback of, I'm getting this because I think sometimes education happens so quickly or at a level that doesn't match, and they might not understand it. Or sometimes it's just a matter of timing. I know we joke about Tom Sather and I joke about this. We've had people come to our aphasia group before who traveled out to a place in the community and they're sitting next to you. And they say, what is this aphasia stuff everyone's talking about? And I'm like, you literally just passed a sign that said Aphasia group. Right? But it's so hard to ensure that the message does go in, and that they truly understand that until you get that Aha moment where you describe like, yes, that's me, that's it. And that's just so crucial. Hilary Sample: yeah, it's 1 of the most important pieces, I think to name it doesn't for anything that anybody is dealing with that's heavy, you know, to have to have it named can really provide relief just because that unknown, you know, at least at least you can have one thing that you know. I know what it is, and then I can learn more about it. Once I know what it is, I can learn more about it, and I can have some sort of acceptance, and I can start that grieving process around it, too, a little bit better. But when it goes unnamed, and the other part of it is if you don't tell me that, you know like that, you can see and understand what I might be experiencing, I might not think that you know what it is either, and I might not feel seen. So just the fact that we're both on board that we know I have this thing. I think it can take a lot of the weight off. At least, that's what I've seen when it's been presented. Jerry Hoepner: No or care, right? Hilary Sample: Yeah. Yes. Exactly. Jerry Hoepner: Yep, and that's a good a good chance to segue into we I know we picked on Steve a little bit as a physician but the system really kind of constrains the amount of time that people have to spend with someone, and they have to be efficient. I'll go back to that sneaky idea. This seems like a sneaky way to help change the system from within. Can you talk about that a little bit like how it might move care forward by. Hilary Sample: Showing what's possible. Yeah, I'm sorry, sure. In part time. Constraints, unfortunately, are very real, and without the knowledge of training how to communicate or support communication. It's challenging for us to move us physicians to move forward, but with something like our app or other useful tools in a short amount of time you could make some progress. And then, if you could document, this is worthwhile time worthwhile that I'm accomplishing something with my patient. I'm helping to understand what their issues are, and helping to explain what we want to do. That all of a sudden makes the time worthwhile, although time is a real constraint. I think, is general. Doctors are happy to spend extra time. If it's worthwhile that's helping our patient. That's the whole reason we go into this is help our people. We help the people we're working with, you know. No one wants to go in there and spend time. That's not helping anybody. But if you could justify the time, because I'm making progress. I'm really helping them great go for it. It's worth doing, and the part about efficiency. So there's so many ways that this focus on. And it's not even efficiency, because efficiency sounds like some success was achieved, you know. But this, this we only have this amount of time. One of the one of the things that's kind of interesting to me is that it an assumption? I've seen a lot, or I've heard a lot is that using communication supports takes time. More time and I have watched plenty, an encounter where the physician is trying, and it takes forever. I've experienced my own encounters as I was growing and deepening my own skills, and where it took me forever. And that's because we're trying. We care, but we don't have something prepared. So when you have a prepared material, it not only helps you to effectively and successfully you know, meet that communication need and find out what is actually bothering the person that you're working with. But it enables you to move at a pace that you wouldn't be able to otherwise, you know. So if Steve and I have this kind of running joke that I'll let you tell it because you have fun telling it. Steve Richman: With the MedConcerns app. I could do in a little while what I can never do before, and with the med concerns App Hillary could do in 5 min. What used to take a session? It's really. Jerry Hoepner: Yeah. Hilary Sample: Makes huge impacts in what we could accomplish, so less of a joke and more of just. Jerry Hoepner: Yes, but having the right tools really is sounds like that's what makes the difference. And then that gives you time and tools to dedicate to these conversations that are so important as a person who's really passionate about counseling. One of the things we were always taught is spending time now saves time later, and this seems very much like one of those kind of tools. Hilary Sample: Yeah. Well, we had one of the 1st times that we brought the prototype to a friend of ours who has aphasia. And it kind of speaks to the exactly what you just said. Spending time now saves time later, or saves money. Saves, you know, all the other things right is our friend Bob, and he doesn't mind us using his name. But I'll let you tell this story a little bit, because you know more from the doctor. Bob was no longer a patient of ours, but we had spent time with him and his wife, and they were happy to maintain the relationship, and we showed him that after he had this experience but he was describing experience to us, he was having hip pain. He had a prior stroke hemiplegic and having pain in that hemiplegic side. So the assumption, medically, is, he probably has neuropathy. He probably has, you know, pain related to the stroke, and they were treating with some gabapentin which makes sense. But he kept having pain severe. 10 out of 10. Pain severe. Yeah. And just. We went back day after day, and not on the 3rd day back at the er they did an X-ray, and found he had a hip fracture and look at our app. He was like pointing all over to the things that show the descriptors that show not neuropathic pain, but again, musculoskeletal pain and that ability to, you know, without words we could point to where it hurts. But then, describing that pain is a makes a huge difference. And he knew he very clearly. Once he saw those pictures he like emphatically, yes, yes, yes, like this is this, we could have, you know, if we could have just found out this stuff, we wouldn't have had to go back to the er 3 times and go through all that wrong treatment and this severe amount of pain that really took him backwards in his recovery to physically being able to walk. And things like that, you know, it's just finding out. Getting more clarity at the beginning saves from those kind of experiences from the pain of those experiences. But also, you know, we talked about earlier. If you have to sort of make an assumption, and you have to make sure that you're thinking worst case scenario. So in other situations where you send out with a chest pain and things like that, there's a lot that's lost for the person with aphasia because they might have to start their whole rehab journey over. They have to incur the costs of that experience. And you know they might come back with, you know, having to start completely over, maybe even new therapists like it's. And then just the emotional side of that. So, it not only saves time, but it. It saves money. It saves emotional. Yeah, the emotional consequences, too. Jerry Hoepner: Yeah. Therapeutic Alliance trust all of those different things. Yeah, sure. Yeah. I mean, I just think that alone is such an important reason to put this tool in the hands of people that can use it. We've been kind of talking around, or a little bit indirectly, about the med concerns app. But can you talk a little bit about what you created, and how it's different than what's out there. Hilary Sample: Yeah, may I dive in, please? Okay, so we yeah, we indirectly kind of talked about it. But I'll speak about it just very specifically. So it starts with an introduction, just like a physician would enter the room and introduce themselves. This is a multimodal introduction. There's the audio. You can use emojis. What have you then, the General? How are you? Just as Steve would ask, how I'm doing this is, how are you with the multimodal supports and then it gets to kind of the main part of our app, which is, it starts with broad concerns. Some of those concerns, pain, breathing issues, bowel bladder illness. Something happened that I need to report like a fall or something else and the list continues. But you start with those broad concerns, and then every selection takes you to a confirmation screen where you either, you know, say, yes, that's what I was meaning to say, or you go back and revise your selection. It follows with narrow choices under that umbrella concern, the location type of pain, description, severity, exacerbating factors. If you've hit that concern so narrow choices to really get a full description of the problem, and including, like, I said, timing and onset. And then we end with a summary screen that shows every selection that was made and you can go to a Yes, no board to make sure that that is again verified for accuracy. So, it's a really a framework guiding the user, the therapist healthcare provider person with aphasia caregiver whomever through a supported approach to evaluating medical concerns. So generally, that's the way it functions. And then there are some extras. Did you want me to go into those? A little bit too sure. Jerry Hoepner: Sure. Yeah, that would be great. Hilary Sample: Right? So 1 1. It's not an extra, but one part of it that's very important to us as we just talked about our friend Bob, is that pain? Assessment is, is very in depth, and includes a scale description, locations, the triggers, the timing, the onset, so that we can get the correct pathway to receiving intervention. This app does not diagnose it just, it helps support the verbal expression or the expression. Excuse me of what's wrong. So, it has that general aphasia, friendly design the keywords, simple icons that lack anything distracting, clear visuals simple, a simple layout. It also has the audio that goes with the icon, and then adjustable settings, and these include, if you know, people have different visual and sensory needs for icons per screen, so the Max would be 6 icons on a screen, although, as you scroll down where there's more and more 6 icons per screen. But you can go down to one and just have it. Be kind of a yes, no thing. If that's what you need for various reasons, you can hide specific icons. So, if you're in a setting where you don't see trachs and pegs. You can hide those so that irrelevant options don't complicate the screen. There's a needs board. So we see a lot of communication boards put on people's tray tables in in the healthcare setting, and those are often they often go unused because a lot of times they're too complex, or they're not trained, or they, for whatever reason, there's a million reasons why they're not used. But this one has as many options as we could possibly think might need to be on there which any of those options can be hidden if they need to be. If they're not, if they're irrelevant to the user language it's in. You can choose between English and Spanish as it is right now, with more to come as we as we move along, and then gender options for the audio. What voice you'd like to hear? That's more representative. And the body image for the pain to indicate pain location. There's some interactive tools that we like to use with people outside of that framework. There's the whiteboard for typing drawing. You can use emojis. You can grab any of the icons that are within the app. So, if you know we if it's not there and you want to detail more, you can use the whiteboard again. That needs board the Yes, no board. And then there's also a topic board for quick messages. We wanted to support people in guiding conversations with their health care providers. So, I want to talk to Steve about how am I going to return to being a parent? Once I get home, what's work life going to be. I want to ask him about the financial side of things. I want to ask him about therapy. I want to report to him that I'm having trouble with communication. I want to talk on a certain topic. There's a topic board where you select it. It'll verify the response. It has a confirmation page, but from there the physician will start to do their magic with whatever that topic is. And then, of course, there's those summary screens that I already detailed, but those have been very useful for both, making sure at the end of the day we verify those responses but then, also that we have something that's easy to kind of screenshot. Come back to show the physician. So show the nurse as like a clear message that gets conveyed versus trying to translate it to a verbal message at the end from us, and maybe missing something so straightforward, simple to address very complex needs, because we know that people with aphasia would benefit from simple supports, but not they don't need to stay on simple topics. They have very complex ideas and information to share. So we wanted to support that. That's what it is in a nutshell that took a nutshell. I love that. It's on my phone, or it could be on your. Jerry Hoepner: Oh, yeah. Hilary Sample: Or on your or on your apple computer. If you wanted that, it's on the app store. But I love this on my phone. So, I just pull in my pockets and use it. Or if you happen to have an another device that works also. Jerry Hoepner: Sure. Hilary Sample: We're in the. We're in the process of having it available in different ways. There's a fully developed android app as well. But we're very much learners when it comes to the business side of things. And so there's a process for us in that, and so any. Any guidance from anybody is always welcome. But we have an android that's developed. And then we're working on the web based app so that we could have enterprise bulk users for enterprise, licensing so that that can be downloaded straight from the web. So that's all. Our vision, really, from the onset was like you said, shifting the culture in the system like if there's a tool that from the top, they're saying, everybody has this on their device and on the device that they bring in a patient's room, and there's training on how to use it, and that we would provide. And it wouldn't need to be much, just simple training on how to use it. And then you see that they are. They get that little bit more education. And then it's a consistent. We know. We expect that it'll be used. The culture can shift from within. And that's really the vision. How we've started is more direct to consumer putting it on the app store. But that's more representative of our learning process when it comes to app development than it is what our overall vision was, I want to say that equally as important to getting this into systems is having it be on a person's device when they go to a person with aphasia's device when they go to an appointment. I always, when we've been asked like, Who is this? For we generally just kind of say, anybody that that is willing to bring it to the appointment, so that communication supports are used, and maybe that'll be the SLP. Maybe it's the caregiver. Maybe it's care partner or communication partner, maybe a person with aphasia. Maybe it's the healthcare staff. So, whoever is ready to start implementing an easier solution. That's for you. Jerry Hoepner: Yeah, absolutely. And that brings up a really interesting kind of topic, like, what is the learning curve or uptake kind of time for those different users for a provider on one hand, for a person with aphasia. On the other hand, what's a typical turnaround time. Hilary Sample: We've tried to make it really intuitive, and I think well, I'm biased. I think it is Hilary Sample: I for a provider. I think it's very easy to show them the flow and it, and it becomes very quickly apparent. Oh, it's an introduction. This is putting my name here. What my position is next is a how are you that's already walk in the room, anyways. And that's that. What are your concerns? Okay, that that all. Okay. I got that I think with time and familiarity you could use the tool in different ways. You don't have to go through the set up there you could jump to whatever page you want from a dropdown menu, and I find that at times helpful. But that's you. Don't have to start there. You just start with following the flow, and it's set up right there for you. The, as we all know people with the page I have as all of us have different kind of levels, that some people, they, they see it, they get it, they take the app, and they just start punching away because they're the age where they're comfortable with electronic devices. And they understand the concept. And it takes 5 seconds for them to get the concept and they'll find what they want. Some of our older patients. It's not as quick. But that's okay. My experience with it's been funny to show to use it with people with aphasia versus in another communication disorders, and using it with or showing it to people in the field or in healthcare in general, or you're just your average person most of the time that I showed this to a person with aphasia or who needed communication supports. It's been pretty quick, even if they didn't use technology that much, because it is it is using. It's the same as what we do on with pen and paper. It's just as long as we can show them at the onset that we're asking you to point or show me right. And so once we do that and kind of show that we want you to select your answer, and some people need more support to do that than others. Then we can move forward pretty easily. So people with aphasia a lot of times seem to be waiting for communication supports to arrive, and then you show them it, and they're like, Oh, thanks, you know, here we go. This is what's going on. Of course, that's there are varying levels of severity that would change that. But that's been my experience with people with aphasia. When I show people that do not have aphasia. I see some overthinking, because you know. So I have to kind of tell people like, just them you want them to point and hand it over, you know, because when I've seen people try to move through it, they're overthinking their what do you want me to do? I'm used to doing a lot with an app, I'm used to, you know, and the app moves you. You don't move it. So the real training is in stepping back and allowing the communication supports to do what you're thinking. I need you to do right. Step back and just let the person use the communication supports to tell you their message. And you, you provide those supports like we tend to provide more training on how to help somebody initiate that pointing or maybe problem solving the field of responses or field of icons that's on the page, or, you know, troubleshooting a little bit. But the training more is to kind of have a more hands off. Approach versus you know, trying to move the app forward since the apps focus, really, on describing what's going on with somebody and not trying to diagnose once someone gathers. Oh, I'm just trying to get out what I'm experiencing, it becomes very intuitive. Yeah, that's the issue. And this is, yeah, that's how describes it more. And yeah, this is about when it started that Jerry Hoepner: That makes sense. And it's in line with what we know about learning use of other technologies, too, right? Usually that implicit kind of learning by doing kind of helps more than here's the 722, you know, pieces of instruction. So yeah, that kind of makes sense. Hilary Sample: Simple training. I just to throw in one more thought I you know a little bit of training on what communication supports are, and then you show them. And it really, the app shows you how to use communication supports. And so it, you know instead of having to train on that you can just use the app to show them, and then and then they sort of start to have that awareness on how to use it and know how to move forward from there. Generally, there's some training that needs to be to be had on just where things are maybe like the dropdown menu, or you know what's possible with the app, like changes, changes, and settings and the adjustments that we talked about earlier but usually it's a little bit of a tool that I use to train people how to use communication support. So, it's sort of like the training is embedded. So we're doing both at the same time. You're getting to know the app, and you're learning more about how to support communication in general. Jerry Hoepner: I think that's a really great takeaway in terms of kind of that double value. Right? So get the value to the person with aphasia from the standpoint of multimodal communication and self-advocacy and agency, those kinds of things, and then the value to the providers, which is, you learn how to do it right by doing it. Hilary Sample: Which is great. Yeah. Jerry Hoepner: Really like that. Hilary Sample: Some of the most meaningful experiences I've had are with nurses like, you know, some of those incredible nurses that, like they see the person with aphasia. They know they know what to say, they want to. They know that the person knows what they want to say, but has difficulty saying it. We have one person I won't mention her name, but she's just incredible, and you know the go to nurse that you always want to be in the room she pretty much was like, give me this as soon as we told her about it, and I did, you know, and she goes. She's like, see, you know she uses it as a tool to help her other nurses to know what's possible for these. She's such an advocate but if it can be used like that to show what's possible like to show, to reveal the competency, and to let other nurses know, and other physicians, and so on, to help them to truly see the people that they're working with. It's like that's my favorite part. But the it's not only like a relief for her to be able to have a tool, but it's exciting, because she cares so much, and that like Oh, I'll take that all day long. That's wonderful. Jerry Hoepner: Absolutely well, it's been really fun having a conversation with you, and I've learned a lot more than I knew already about the app. Are there any other things that we want to share with our listeners before we close down this fun conversation. Hilary Sample: I think maybe our hope is to find people that are ready to help kind of reach that vision of a culture shift from this perspective from this angle. Anybody that's willing to kind of have that conversation with us and see how we can support that. That's what we're looking for just to see some system change and to see what we can do to do that together, to collaborate. So if anybody is interested in in discussing how we might do that, that's a big goal of ours, too, is just to find partners in in aphasia advocacy from this angle. Jerry Hoepner: That's great! Hilary Sample: Perfect. I totally agree. We're very grateful for this conversation, too. Thank you so much, Jerry. Jerry Hoepner: Grateful to have the conversation with both of you and just appreciate the dialogue. Can't wait to connect with you in future conferences and so forth. So, thank you both very much. Hilary Sample: Thank you. Jerry Hoepner: On behalf of Aphasia Access, thank you for listening to this episode of the Aphasia Access Conversations Podcast. For more information on Aphasia Access and to access our growing library of materials go to www.aphasiaaccess.org. If you have an idea for a future podcast series or topic, email us at info@aphasiaaccess.org. Thanks again for your ongoing support of Aphasia Access.
What happens when one bilingual SLP decides she's tired of feeling alone? She builds a whole movement! In this feel-good episode, Hallie sits down with Sara Gonzalez—a certified Spanish-English SLP in New York and the powerhouse behind the B.E.A.M. SLP Program aka Bilingual Empowerment through Allied Mentorship
Are ASHA elections really democratic? In this episode of the Fix SLP Podcast, Dr. Jeanette Benigas, SLP, and Preston Lewis, MS/SLP, dig into ASHA's so-called “elections,” exposing how the committee system hand-picks a slate, leaving SLPs with no real choice. They discuss the heavy tilt toward academia, why it keeps the same priorities in power, and how voting NO is a small but powerful protest. Learn why thousands of SLPs are removing CCCs from their signatures, dropping membership, and urging peers to vote NO to demand change. Tune in for candid insights, practical action, and our trademark Fix SLP sass.·Want to earn some PDHs or CEUs with a discount? Find our most up-to-date promo codes and discounts here.·We want to collaborate with YOU. If you would like to lead or join your state team, please email your name and state to states@fixslp.com.·Become a sustaining partner to support our work.·Follow us on Instagram, Facebook, and TikTok·Find all our information at fixslp.com, and sign up for our email list to be alerted to new episodes and content.·Email us at team@fixslp.com.·Leave a message on our Minivan Meltdown line! ★ Support this podcast ★
If you work with or have a child with communication impairments, today's episode, dedicated to improving behavior, is a 'must-listen'. I'm pulling back the curtain and giving you access to two powerful tools straight from my SIS Membership that are helping SLPs across the country transform their therapy sessions—without burning out. Heat up your laminator and get ready for success. Tool #1 will help your kiddos develop prosocial communication behaviors. Tool #2 will support celebrating and generalizing prosocial communication behaviors. These tools are designed to be effective, easy to implement, and evidence-based for kiddos with communication challenges. Download both free tools by going to www.kellyvess.com/behavior Get ready-to-go, empirically-based, engaging activities (with parent home practice) in your inbox every week by joining the SIS Membership today at www.kellyvess.com/sis Join SIS and be present.
Hallie and guest Nathalie Lebrun chat about preparing students for life after high school.In this honest and energizing episode of SLP Coffee Talk, Hallie chats with Nathalie Lebrun—SLP, speaker, co-host of LeadSpeak Podcast and the voice behind LifeSpeak—about working with transition-age students. Nathalie shares how she went from post-acute rehab dreams to leading a massive school-based SLP team, and how she discovered the often-overlooked role SLPs can play in helping students ages 18–22 build real-world communication skills. From Uber training to poker lessons to letting go of perfect data, Nathalie keeps it real about what it means to be a communication coach, not just a therapist. If you've ever felt stuck with your older caseload or unsure how to prep students for life beyond school, this conversation will leave you inspired—and ready to rethink your approach.Bullet Points to Discuss: Nathalie's unexpected path to becoming an SLP and transition expertWhat “transition services” really look like in public school settingsThe SLP's evolving role as a communication coach beyond the therapy roomFunctional therapy ideas that connect directly to real-life independenceWhy transition planning should start way earlier than we thinkHere's what we learned: SLPs are essential in supporting students beyond academicsReal-world communication skills should be a therapy focus, especially for older studentsFunctional progress > perfect data collection—especially in transition workCollaboration and creativity are key to meaningful outcomesStart thinking transition early—even in elementary schoolLearn more about Nathalie Lebrun: Email: nathalie.lebrun@lifespeakllc.org Website: www.lifespeakllc.org LinkedIn: https://www.linkedin.com/in/nathalielebrun/Podcast: https://www.lifespeakllc.org/leadspeak-podcastLearn more about Hallie Sherman and SLP Elevate:
What do you get when you mix a surgeon, a scientist, and a self-proclaimed “tinkerer” who also happens to struggle with reflux? You get Dr. James Daniero—and you get this conversation about RefluxRaft. In this episode, Theresa Richard chats with Dr. Daniero, an ENT who's not just treating voice, airway, and swallowing disorders—he's innovating them. From basement experiments to biomaterials backed by NIH grants, Dr. Daniero walks us through how his personal journey with reflux turned into RefluxRaft, a barrier-based solution designed to help patients (and clinicians) think beyond PPIs. We dive into the science behind alginates, the "physics problem" behind reflux, and the collaborative power between ENTs, SLPs, and GIs. This one's for the med SLPs who want to understand the why behind the symptoms—and the potential tools to help. https://RefluxRaft.com Download show notes and references here: https://syppodcast.com/372 The post 372 – What If Reflux Isn't Just an Acid Problem? A New Way to Think About It with RefluxRaft appeared first on Swallow Your Pride Podcast.