Podcasts about speech language pathology

Episode 138 When One Plus One Equals Three: A Conversation with National Aphasia Synergy               In this episode you will discover: 1.  People with aphasia hold the map. At NAS, people with aphasia don't just have a seat at the table — they built the table. Real peer leadership changes everything about how an organization thinks and acts. 2.  Recovery is about more than speech. The isolation and psychological distress that follow aphasia are just as real as the communication challenges — and just as deserving of attention and support. 3.  Peer-befriending is life participation in action. When people with aphasia support one another through shared experience, that's not a supplement to good care — it is good care. 4.  Sinergia: one plus one equals three. When survivors and professionals work as true equals, something greater emerges than either could create alone. June is National Aphasia Awareness Month, and around here, that means it's time for one of my favorite podcast traditions. For the past few years running, we've spent this month in conversation with people who know aphasia from the inside — those living it every day. Today is no exception, and this one is a conversation I've genuinely been looking forward to.   Welcome to the Aphasia Access Conversations Podcast. I'm Katie Strong from Central Michigan University, where I lead the Strong Story Lab, and I'm a member of the Aphasia Access Podcast Working Group. Aphasia Access is dedicated to transforming services and environments so people with aphasia can participate more fully in life — and today's guests are living proof of exactly what that looks like.         Today I'm speaking with two leaders from National Aphasia Synergy — known as NAS — a peer-led nonprofit founded in 2021 by people with aphasia, for people with aphasia. NAS was built on the belief that those living with aphasia are best positioned to support others on the same journey. Through peer-befriending, technology empowerment, and community building, NAS works to end the isolation that so often follows a stroke — connecting people across the country through a shared sense of what they call Sinergia: the idea that when survivors and professionals work as true equals, one plus one equals three.   Today's conversation feels especially meaningful to me. I've had the privilege of seeing Trish and Amy in action at conferences like Aphasia Access and ASHA — learning from their presentations and watching their advocacy make ripples far beyond those conference walls. As someone who researches friendship and aphasia, I've followed the peer befriending movement closely — it began in the UK, and when I heard that NAS was bringing it to the United States, led by a peer organization, I thought: this is what life participation actually looks like.   Before we get into the conversation, let me tell you a bit more about our guests.   Trish Hambridge is the President and Founder of National Aphasia Synergy. Trish has lived with aphasia since her stroke in 2008, and that experience is the foundation of everything she has built. A former project manager for AppleCare, Trish has become not only a powerful advocate but a published researcher — partnering with research teams to influence the questions being asked and the evidence being built in our field. Her co-authored work spans game-based rehabilitation design, posttraumatic growth in aphasia, and the measurement of motivation and psychological needs in aphasia rehabilitation — all published in leading journals including the American Journal of Speech-Language Pathology. She has spoken at conferences including the Aphasia Access Leadership Summit, Aphasia Access Chautauqua and ASHA, serves on the Disability Advisory Committee in Dunedin, Florida, and is a member of Voices of Hope for Aphasia. Her vision brought NAS to life, and her leadership — in the clinic, in the research literature, and in the community — continues to shape it.   Amy Walters is the Vice President of National Aphasia Synergy. Amy has lived with aphasia since her stroke in 2018 — a stroke that, in a striking twist of fate, occurred while she was attending a neurosurgical conference. A Harvard graduate with a Master of Public Health from Johns Hopkins, Amy spent 30 years as a senior leader in the medical device industry before her stroke, and she has channeled that same expertise and drive into aphasia advocacy. She has presented at neurosurgical conferences to raise awareness, participates in aphasia groups across the country, and brings a remarkable combination of professional knowledge and lived experience to everything NAS does.   So — let's get into the conversation.   Katie Strong: Trish and Amy, welcome. I'm so excited to have you both here today and learn about what's going on in National Aphasia Synergy.   Trish Hambridge: Thank you for the chance to meet.   Amy Walters: We are so pleased to be here with the Aphasia Access Community. Katie Strong: Well, we're delighted that you are sharing your time and expertise with us. I wanted to get started by asking about National Aphasia Synergy. How was it created? Just wondering if you could share the origin story of the organization and how that concept of synergy or working together defines your mission. Trish Hambridge: Long time ago, I had a stroke, major stroke. But I was the same person then as I am now. I remember sitting on the hospital patio in San Jose and Karen, my good friend from college and speech therapist was there, and she was teaching everyone about aphasia. My friends and family were so patient. I remember my Dad talking to me and say, "You are stubborn." and I said, "Thank you!" Because that choice – being subborn - changed everything and gave me the chance to get my identity back. Katie Strong: So, Trish, just to verify, you're saying your stubbornness got you where you are right now. Trish Hambridge: Yes, but yes! Katie Strong: Love it. Trish Hambridge: Sorry to say, I have issues! But going back to the beginning, I had only had five words. Even my 'yes' and 'no' were flipped. Traditional homework is not my cup of tea. Shhh! Quiet, I'm lazy! I needed a better strategy, and I found it with P2Go. It's so much more than an app. It is the tool that gave me my voice back. Katie Strong: I love that, so if I'm understanding correctly, traditional homework is not for you, and that you really needed something that was technology based, which goes back to your expertise in your life, career to be able to really help you communicate, and it was the P2Go. Trish Hambridge: Yeah, yeah, is small, is so, is easy, my opinion. Katie Strong: Well, that's what we're here for today, is your opinion. Trish Hambridge: In 2016, a move to Dunedin, Florida changed everything. I joined Voices of Hope and finally found my community. Then the pandemic hit. But it couldn't stop our connection. We moved to Zoom. I want to be honest, though: some of my friends didn't make it through that storm. Their pain is part of this journey. We build this community in their honor. Katie Strong: Oh, that's really touching, you know. It is. It's hard, so many friends don't stay in our lives for many reasons, but aphasia can really be a challenge for friends sticking around. Trish Hambridge: Yeah, and the technology is not my cup of tea. Katie Strong: Wonderful, wonderful. Thank you for sharing that. Trish Hambridge: In 2021, I stepped up. I moved from a 'Lead Pathfinder' to the Founder of National Aphasia Synergy. I reached out to Debbie Yones, the big cheese of Voices of Hope. She and the Board Director gave me wise advice to help me grow. I didn't do it alone. My sister and my sister-in-law helped me think through the logistics. They helped me build the support for the nonprofit. Because of them, my vision became a reality. Katie Strong: So, your consultation with those important people to your life really helped National Aphasia Synergy become a reality. Trish Hambridge: Yeah. Finally, I asked Amy to join the mission. She became part of the organization. Now, we are moving forward together. Katie Strong: Thanks, Trish. I love that. Amy Walters: Thanks, Trish. Nine years ago, I had my stroke at the neurosurgical conference. Ironic, right? Yeah, the conference was in Colorado Springs. I was in a medically induced coma for 10 days and diagnosed with Global Aphasia. Then I was airlifted to the Shepherd Center in Atlanta, Georgia, where I had a craniotomy and cranioplasty. On the flight I remembered thinking, "Am I in a simulator? What's happening to me?"   Katie Strong: Wow! That sounds surreal! Amy Walters: My career was in clinical affairs for a medical neurosurgical device company, so I am professionally and personally familiar with neuroplasticity. I know how crucial neuroplasticity is to our physical, mental, and emotional recovery. National Aphasia Synergy was born from a deep need for collaborative survivor-led company. Katie Strong: The advocacy you're doing is really amazing, and I'm so excited for our listeners to be able to hear more about it. Amy Walters: Thank you. When we look at the aphasia community today, we see massive gaps. Most organizations are built for us, but they aren't led by us. The 'medical way' focuses only on the speech deficit, but it leaves a gaping hole in mental health, identity, and social connection. The research is heartbreaking: 40% to 60% of stroke survivors with aphasia experience chronic depression, and in early recovery, a staggering 93% experience high levels of psychological distress. This isn't just about the survivor—46% of our family members also face depression. Our mission is to bridge those gaps. We aren't just here to 'fix' speech; we are here to empower the whole person. We call it Sinergia—the Greek word for Synergy. It means we don't work in silos. We don't have 'experts' on one side and 'patients' on the other. We have a partnership where 1 plus 1 equals 3.   Katie Strong: I love it!   Amy Walters: We are moving away from the isolated patient model and toward a Sinergia where survivors and professionals work as equals to reclaim our lives. We are here to educate and empower our peers to use technology to reclaim their voices. But more importantly, we are here to promote peer-befriending. We reach out to those who are new to this path or struggling to find their way, because no one should walk this road alone. Katie Strong: I know, Amy, I just am so excited. I've been watching this peer befriending happen over in the UK, or reading about it, and hearing about it, and I was just so delighted when I heard that National Aphasia Synergy was taking this up and helping us to, to have a really solid connection. I think one of the things that breaks my heart the most is when I meet someone who has aphasia, who's been living with aphasia for a really long time, and they've never met anyone else who had aphasia. Amy Walters: Heartbreaking. Katie Strong: It really is. It really is. Amy Walters: Our goal is to develop a national community that encourages optimism. We believe a positive outlook isn't just a 'nice feeling'—it is a strategy for recovery. Katie Strong: Heck, yes! Amy Walters: At NAS, we don't just look for what's lost; we build on the strengths that remain. There were gaps in the Aphasia Community. Trish Hambridge: Speech Therapists and care partners are vital to recovery. They have good intentions, but the 'medical way' is often the wrong way. Katie Strong: Yeah, yeah, it's not quite the right way. Trish Hambridge: Many researchers only survey the Speech Therapists and the partners. But what about me? What about us? What am I, chopped liver? Think about the last time someone completely iced us out. It hurts, right? It honestly chips away at our sense of self, leaving us clueless as to where we actually fit in. Katie Strong: Yeah, so Trish, just to recap this for the listeners, you're saying when somebody ices you out, you're asking the listeners to reflect on how that really feels, Trish Hambridge: Yeah, I email [a researcher], and have offered [to be a part of their team] but they are like "Oh no, but sorry." Katie Strong: I hear, I hear you. Yeah and I think what you're bringing up - and you and Amy are bringing up such a great point that as the aphasia research community has not always included people with aphasia. Or they're only including people with mild aphasia versus more severe types of aphasia, so I love that you're calling this out and shining light on it. It's, it's time. Trish Hambridge Here's what the research tells us. Therapists and partners see the journey from the outside. But those of us living it? We know the honest truth. Katie Strong: Yeah, yeah, so as the clinicians, the therapists, and the care partners see that journey from the outside, and you all are living it for sure. Trish Hambridge: It is the 'Chicken and the Egg' problem: Does the partner change first? Or does the people with aphasia change? The answer is: The Environment. We must change the environment to find true recovery. We need to move from being 'patients' to being Lead Pathfinders. Katie Strong: Yes, so I love it. You're, you're flipping the script there and reclaiming your identity, or renegotiating it from that patient role to being a lead pathfinder. I love that terminology. Thank you. Thank you. One of you said this earlier that organizations are for people with aphasia, but National Aphasia Synergy is led by people with aphasia. Why is this distinction critical for the community to understand, and how does it change the way an organization is run? Amy Walters: Right, Katie. In the past, organizations were built for us, like a charity. But National Aphasia Synergy is different. We are led by people with aphasia. We are moving from 'being helped' to leading. This is more than an organization. It is a revolution of identity. At National Aphasia Synergy, we are flipping the script on leadership. Our Board makes decisions with one clear priority: putting voices with aphasia at the forefront. That means leaders like Trish, Bruce, and me are the ones making the big calls. We collaborate with wonderful professionals, like Kait, our SLP, Helen, our Financial and Secretarial support and Will Evans, our Volunteer Consultant. They are essential to our success. They ensure our communication is accessible and our business stays strong. I always think of our board meetings being like a United Nations meeting with "international representatives" (i.e., China, France, Japan, etc.) each of us is coming to the table with a different lived experience, different aphasia types, etc. We work together to "translate" and work through our differing communication styles. But make no mistake: The people with aphasia are the primary drivers of the vision. The professionals provide the tools, but we hold the maps.   Katie Strong: Such a great analogy. I love it and it also sounds like your work is fun too.   Amy Walters: Driving you crazy, but you mean you mean you mean, yeah. Hold the phone!   Katie Strong: Oh, that's great. I love it. Well, what does National Aphasia Synergy offer that others should know about? Trish Hambridge: Look at what we have built together: First, our Peer Befriending Program. A team of four SLPs and four people with aphasia worked as equals to create our training. Today, we have 15 volunteer Allies trained and ready to support the community. Katie Strong: I love it. So, 15 people with aphasia, volunteer Allies, have been trained as peer befrienders to go out and connect with other people who newly have aphasia. Trish Hambridge: Right, but anything like… Katie Strong: Or rather, anybody who has aphasia that they're wanting to connect with. Trish Hambridge: Come! Come! But we meet on Zoom.    Katie Strong: On Zoom, right? Yeah, absolutely. This is all virtual, which is amazing, you know, because you get a good reach, a really, a really great reach. What else is going on? Amy Walters: Second, our Aphasia & Mental Health Video. We have four excellent SLPs sharing the research, stats, resources and the power of neuroplasticity. And we also surveyed 10 people with aphasia to capture the honest truth of our emotional journeys and provide 10 essential tips for recovery. Trish Hambridge: I always start with a roadmap. But originally, we were filming something completely different. But three weeks before the shoot, I went to Debbie and asked: 'What do you think?' She said, 'There are enough basic videos out there... why doesn't NAS focus on Mental Health?' Katie Strong: Yeah, okay. So, you were doing all this planning, and then three weeks before the shoot, you went and talked to Debbie and said, "What do you think?" And she said, "There's already enough videos out there on basic aphasia, but not on mental health. I love it! Trish Hambridge: Yeah and so I agree!!! We agreed right away. We made a right turn...  And changed the plan on the fly! I ran a preview for my friends at Voices of Hope. They loved it, but they asked the killer question: 'Where is the actual resource? Where do we go for help?' Katie Strong: Trish, you are speaking to my heart here, and I know I'm one of those "outsider perspectives" as a clinician. But we just don't have great resources for mental health. It's really challenging. So, I love that your friends at Voices of Hope called you out on that. What happened after that? Amy Walters: That was the lightbulb moment, right? Trish Hambridge: Yeah, a video wasn't enough—we needed a map. So, we built the Aphasia and Mental Health Resources paper. The researchers and I had some serious back-and-forth debate, but that's how you get a solid plan. We ended up with something really cool: real tools for real people. Katie Strong: Love, love it! Trish Hambridge: Third, our Adaptive Growth Culture paper. This provides a brand-new map for recovery that the whole world can use to look past the 'broken parts.' Katie Strong: Yeah, Trish, I've heard you speak on this. That talk you gave it, ASHA. I'm going to say listeners, particularly clinicians, you should check this out, because we need to get our clients with aphasia, our lead pathfinders with aphasia to be able to  think in this sort of way, so yeah, Trish Hambridge: But like I have like the speech therapist and the caregiver, and people with aphasia -  it like, look right -- is the good plan. Katie Strong: Love it, fantastic, Amy Walters: Kait and I shared five powerful aphasia stories on video to show our diversity, our strength, our inhumanity, frankly. All of this lives on our National Synergy website. These aren't just projects, they are the proof that when people with aphasia lead, we create world that actually works for us. Katie Strong: Oh, this is fantastic. And we'll have links to your website in the show notes, but you can certainly Google National Aphasia Synergy, and the website pops right up. I've been exploring it for a little bit, but I was looking at it again this morning, and there's just such great, great stuff on there. So please go and check it out. Well, I'm curious, Amy and Trish, what's on the horizon for National Aphasia Synergy, and how can our listeners, whether they're Aphasia Access members or people living with aphasia get involved or support your work. Amy Walters: We are so proud of what we have built, but we are just getting started. This is our Call to Action. Trish Hambridge: We want the world to get excited about Mental Health!  Katie Strong: And I think get excited about your Adaptive Growth Culture too. Trish Hambridge: Yeah! We recently presented a poster at the Chautauqua virtual conference, and the feedback from Aphasia Access members was powerful. The keynote speaker, Dr. Nina Simmons-Mackie, spoke about moving from 'managing a condition' to 'owning a life.' That is exactly what we do! We focus on the strengths, the emotions, and the identity that the old medical model ignores. Katie Strong: Yeah, so okay. So, Trish, you, you were, I think you presented you National Aphasia Synergy presented a poster at the Chautauqua, the Aphasia Access Chautauqua recently. Trish Hambridge: First time presenting a poster! Katie Strong: I love it, I love it. Yep, and the feedback that you got from the Chautauqua attendees was spectacular, right? And that's when, and, and, and Dr. Simmons-Mackie or Nina Simmons Mackey took that idea and we wove it into her keynote at the end, right, and talked about how it's important for us to support people and people with aphasia and care partners move from managing a condition to owning a life. I mean, that that's powerful stuff. I love it! Trish Hambridge: I'm so honored. Katie Strong: Well, you are out there making an impact. Amy Walters: Thank you. We are building something historic, and we want you to be part of it. Here is how you can join the revolution: Trish Hambridge: To the speech therapists and researchers, Help us build our evidence base. We want the test that adapted growth culture map to prove how it improves mental health and builds confidence. Don't just watch from the sidelines—come test this with us! Soon, I'm taking the Adaptive Growth Culture to the global stage. I'll be at the International Aphasia  Rehabilitation Conference in Athens. Katie Strong: You'll be at the International Aphasia Rehabilitation Conference, or IARC, in… Trish Hambridge: Athens!! I am presenting our Adaptive Growth Culture Poster to the top minds in the field. Katie Strong: Fantastic. Trish Hambridge: We have built the roadmap. Now, the researchers will provide the data-driven proof. It is time to see the Adaptive Growth Culture in action. We are moving from lived experience to clinical evidence. Katie Strong: I love it, moving from lived experience to clinical evidence. Amy Walters: That's right, that's right, Trish. If you run a community group, a local program, or a support network, we want to connect with you. Help us build this referral network so that no one is left behind in isolation. We aren't just looking for 'places to go' to pass the time. We are looking for places where we can belong and grow. We are looking for communities that see our potential, not just our deficits. To my peers with Aphasia: Your voice is our power. Share your story or send us a shout-out with your favorite tips and tricks. We also need Buddies for our Peer Befriending program. Help us show the world that we are truly 'owning our lives.' To the Volunteers: We are looking for passionate people to join our Board of Directors. We specifically need one more person with aphasia, as well as SLPs, care partners, and friends. The only requirement? You must believe in the Adaptive Growth Culture. Whether you have the tools or you hold the map, there is a seat at the table for you. Visit us and let's grow together! Katie Strong: Amazing. I hope that our listeners will take you up on the offers that you just laid out there, and that they'll also go out there and share with others that they need to hook everybody up with National Aphasia Synergy. It's a great organization. I enjoyed learning about it more today. And Amy and Trish, I so appreciate you both being here with us and sharing your stories and the amazing work that's going on in National Aphasia Synergy. Trish Hambridge: Thank you. Aphasia Access is fantastic! Katie Strong: I'm glad that you're enjoying Aphasia Access, too. It's a great network, and it's great that we're having lots of communities continue to grow and blossom to support people living successfully with aphasia.   Amy Walters: Hear, Hear! Katie Strong: Thanks. You too. Amy Walters: Thank you. Katie Strong: Have fun in Greece. Trish Hambridge: Yay! Amy Walters: Jealous! Katie Strong: Me too, me too. Amy Walters: Bye, bye. Trish Hambridge: See you. Bye.   On behalf of Aphasia Access, thank you for listening. For references and resources mentioned in today's show, please see our show notes, available on our website at 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   Below is a list of links to the National Aphasia Synergy (NAS) resources and other organizations as discussed:  NAS Website:  https://nationalaphasiasynergy.org NAS email:  info@nationalaphasiasynergy.org   NAS Facebook page:  https://www.facebook.com/WeRSynergy (to keep up with what's going on at NAS and for inspirational, adaptive growth mindset content) NAS YouTube Channel: https://www.youtube.com/@nationalaphasiasynergy1410 (to watch our Aphasia Stories series, learn about resources, and tune into our quarterly video newsletter, "The Synergy Turf" to hear real people with aphasia) NAS Adaptive Growth Culture paper: https://drive.google.com/file/d/1VIq0juI4FTPKqF0Cev8qZAI5I5po5ouO/view?usp=share_link NAS "You Have Options!" Paper:  https://drive.google.com/file/d/1PBgvb1mDrjnFASaK_dpGL2gnZND_CjaU/view?usp=share_link NAS Aphasia & Mental Health video: https://www.youtube.com/watch?v=GThkxrKbQTI NAS Aphasia & Mental Health Resource paper:  https://drive.google.com/file/d/1pXbFLtZJ8KZ9Pxpg3HVZHBEd_D7BnsED/view?usp=share_link NAS Aphasia Stories video series: https://youtube.com/playlist?list=PLk1GJP6QGrPDOapMhQlmAUBHfVb5-Mnfi&si=BIuoNmeu-TM-ab65NAS  Peer Befriending: To get involved with NAS Peer Befriending, contact  info@nationalaphasiasynergy.org o Flyer:  https://drive.google.com/file/d/1dCETc1pZck59mw6OgaEjZGnXWOcdSlCh/view?usp=sharing o Video:  https://youtu.be/0RNvCeh0BKM   Referenced resources and organizations: Proloquo2Go AAC App mentioned (what Trish uses):  https://www.assistiveware.com/products/proloquo2go Voices of Hope for Aphasia: https://www.vohaphasia.org/    

Wholesome entertainment that deals authentically with real life and honors God can feel almost impossible to find. Where can Christian parents turn for stories that inspire, edify, and wrestle with tough issues—without sacrificing biblical truth? Catherine welcomes acclaimed author Felicia Ferguson, whose award-winning women’s fiction is making waves for all the right reasons. Felicia, who holds master’s degrees in health care administration and speech language pathology, writes novels featuring strong female characters who face trauma, tragedy, and real-world dilemmas—always anchored by Christian faith and ethical choices. Together, they discuss how fiction can model kingdom impact, spark empathy, and equip Christians of all ages to handle adversity with faith. Felicia Ferguson reveals the inspiration behind her latest works, including "When Secrets Come Calling" and "The Choices She Made." She shares how her own professional and personal experiences—like navigating the loss of a parent or working with dementia patients—inspire her realistic, hope-filled storylines. Key Insights & HighlightsWrestling with Trauma through Faith Felicia's characters don’t avoid pain or gloss over difficult situations—like sexual assault, family secrets, or dementia. Instead, they walk through the challenges, lean into God, and make decisions rooted in biblical principles. The Power of Redemptive Fiction As Catherine notes, many Christian entertainment options simply sanitize secular stories without offering real answers or hope. In contrast, Felicia Ferguson’s novels show what it looks like to grieve, heal, and find identity in Christ—even if life doesn’t tie up with a pretty bow. Identity Beyond Circumstance A recurring theme in the conversation is pursuing an identity rooted not in career, family roles, or past mistakes—but in being a beloved child of God. In Felicia’s words: "Who I am intrinsically is who God created me to be." Stories That Heal and Equip Whether it’s helping readers process trauma or showing how to biblically navigate hard conversations, Felicia Ferguson’s ultimate goal is kingdom impact: “I want my characters to have that same experience because...I don’t see that enough in the Christian market.” Real-Life Application Catherine and Felicia discuss how stories—whether on the page or in real life—can prepare us as parents to face giants, support our kids through hardships, and remind us that healing and hope are possible through Christ. Guest Bio Felicia Ferguson is an award-winning author with master’s degrees in Health Care Administration and Speech Language Pathology. After a decade in the Florida Panhandle and a career as a speech therapist, Felicia now writes full-time from Colorado. Her passion is crafting women’s fiction featuring strong female leads who confront trauma and tragedy using biblical principles. Felicia’s uniquely encouraging perspective blends professional expertise with a heartfelt desire for kingdom impact, both in fiction and in life. Episode Resources Felicia’s Website & Book Links "When Secrets Come Calling" "The Choices She Made" Catherine Segars Resources Do you and your children have wholesome models for processing trauma, wrestling with identity, and making faith-based decisions? In a culture that defines us by achievements, roles, or wounds, how can you point your family toward finding identity and hope in Christ? Tune in for encouragement, inspiration, and summer reading that truly makes a difference! Discover more Christian podcasts at lifeaudio.com and inquire about advertising opportunities at lifeaudio.com/contact-us.

Pippa Hudson speaks to Dr Roxanne Malan about keeping our voices in peak condition and how screening technology is improving to make help more widely available. She’s a speech therapist and a postdoctoral fellow in the University of Pretoria’s Department of Speech-Language Pathology and Audiology. Lunch with Pippa Hudson is your respite from hard news, a space to explore, taste, read, and reflect. Hosted by former journalist Pippa Hudson, the show embraces lifestyle in all its forms, guided by her adventurous spirit. Each week also covers consumer issues, plus conversations on health, wealth and the environment. Thank you for listening. Catch the show live on Primedia+ weekdays from 1 pm to 3 pm (South African time) https://buff.ly/NnFM3Nk Find more from the show, and all catch‑up podcasts on Primedia+ https://buff.ly/xGkqLbT Subscribe to the CapeTalk newsletters to stay up to date https://buff.ly/sbvVZD5 Let’s keep the conversation going online: CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567See omnystudio.com/listener for privacy information.

What if our learners could practice success before they ever step into the real moment?I'm bringing you a conversation that completely reframed the way I think about video modeling, independence, and skill building. We're talking all about self-video modeling and how technology is creating more personalized, neurodiversity-affirming ways to support communication, daily living skills, and behavior regulation.Dr. Rachel Khasky-Levy and Rinat Hitelman share how their work with The Babel Group and Wide Therapy is helping clinicians bridge the gap between therapy and real-world implementation. What stood out to me most was the idea of helping learners visualize themselves already succeeding. Whether it's requesting a favorite snack, transitioning between activities, completing vocational tasks, or building communication skills, this approach focuses on possibility and confidence instead of correction.I also loved hearing how self-video modeling can support learners who may not yet be able to demonstrate a skill independently in real life. By creating personalized visual rehearsals, clinicians and families can give learners repeated exposure to success in a calm, supportive way that feels meaningful and functional.This conversation reminded me why I've always loved using video modeling in therapy. It's practical, engaging, and incredibly empowering for our students across ages and settings.#autism #speechtherapyWhat's Inside:How self-video modeling differs from traditional video modelingWays to target communication, vocational, and daily living skillsUsing visualization to reduce challenging behaviorsWhy personalized tech tools can increase independence and confidenceMentioned In This Episode:The Babel GroupWide TherapyVoiceittEarn CEUs with a community of peers. Join the ABA Speech ConnectionABA Speech: Home

Want to share your feedback? Send us a message!Gina Waggott, author of Scatman John: The Remarkable Story of the World's Unlikeliest Popstar, joins host Sara MacIntyre, M.A., CCC-SLP, BCS-SCF, for a conversation exploring the life, legacy, stuttering journey, and lasting impact of Scatman John. The discussion explores how Scatman John's visibility, openness, and mentorship profoundly shaped Gina's relationship with stuttering and ultimately inspired her to write his biography. She also shares more about the process of researching and writing the book, including conducting more than 100 interviews to better understand John Larkin not simply as a pop culture figure, but as a musician, mentor, and role model whose message continues to resonate with new generations of people who stutter today.Scatman John: The Remarkable Story of the World's Unlikeliest PopstarMore on Scatman John on the Stuttering Foundation's WebsiteGina Waggott is a writer, editor, and former BBC professional with a background spanning broadcasting, journalism, and disability advocacy. She is a covert stutterer trying to be more overt, and has been involved in the stuttering community for 25 years. She is currently the Finance & Operations Manager at 50 Million Voices. 

Although these therapists are called "Speech-language" pathologists, they are trained to work with much more than just speech disorders. So, if speech-language pathologists don't just do speech therapy, what do they do?Today, our host, Dr. Jonathan Karp, and student producer, Kaya Basatemur, are joined by Capital Health's own Marissa Maurin, a speech-language pathologist at Capital Health Hopewell. In this episode, Melissa talks about common misconceptions about her job, the wide variety of disorders and symptoms that speech-language pathologists frequently deal with, and the ways in which she helps people with cognitive and social communication.Melissa also discusses the Aphasia support group available with Capital Health, which hosts meetings in person and online, and has guest speakers discuss different topics once every three months. Find out more by visiting their website: https://www.capitalhealth.org/classes-events/main/aphasia-support-group

ASHA launched a new consumer-facing website, and SLPs immediately started digging. In this episode, Jeanette Benigas, PhD/SLP, and Stephanie Feero, MS/SLP, unpack the newly rebranded Communication Health Support Association (CHSA), its connection to ASHA, and the financial and organizational questions surrounding the rollout.The conversation explores CHSA's 70-year history, ASHA's evolving mission statements and strategic objectives, tax filings, membership positioning, ProFind listings, and the ongoing debate surrounding the CCC. Jeanette and Stephanie also examine public IRS Form 990 data, nonprofit structures, affiliate language, and the broader implications for clinicians and the future of the profession.This episode discusses publicly available documents, organizational timelines, and the growing questions many SLPs are now asking after discovering a consumer-facing association that has existed for decades with little public awareness, all mixed with a little sass and a few tin foil hat theories from Jeanette.✨ Grateful to Chomper Champs for bringing so much positivity and fun to the pediatric SLP space. Follow the link to order the

Have zero dollars in your therapy closet for bilingual Spanish assessments? You are not alone — and you are not stuck. In this episode, I walk you through the 8-step gold-standard process for assessing bilingual Spanish-English preschoolers for speech sound disorders, every single step backed by free, vetted, research-supported tools. This is the same framework recommended by Sharynne McLeod, Sarah Verdon, and the International Expert Panel on Multilingual Children's Speech (McLeod, Verdon, & IEPMCS, 2017, AJSLP) — taught to you in plain English with direct links you can click today. You'll learn how to: Capture a true language profile Sample BOTH languages without overdiagnosing dialect features Use narrow IPA transcription so you don't mislabel allophones as errors Distinguish a transfer error from a true speech sound disorder Free Resources Mentioned Step 1 — Language Profile Alberta Language Environment Questionnaire (ALEQ/ALDeQ) + Intelligibility in Context Scale: https://www.ualberta.ca/en/linguistics/cheslcentre/questionnaires.html Intelligibility in Context Scale: https://www.csu.edu.au/research/multilingual-speech/speech-assessments/ics Step 2 — Sampling Both Languages UBC Cross-Linguistic Phonological Development Project (single-word probes in many languages): https://phonodevelopment.sites.olt.ubc.ca/ Frog, Where Are You: https://www.iifilologicas.unam.mx/uploads/IL-2-Lecturas/050-Frog_Story_all_as_pdf_image_300.pdf Step 3 — Narrow IPA Transcription ASHA Spanish Phonemic Inventory: https://www.asha.org/siteassets/uploadedfiles/spanish-phonemic-inventory.pdf Step 4 — Parent Baseline Recording Speech Accent Archive (cross-dialect reference recordings): https://accent.gmu.edu/ Step 5 — Independent Then Relational Analysis Phon software (open-source phonological analysis): https://www.phon.ca/ Step 6 — Rule Out Transfer & Dialect Bilinguistics Spanish-English Articulation Norms Chart: https://bilinguistics.com/articulation-norms-for-spanish-and-english/ Step 7 — Diagnose Only If Errors Appear in BOTH Languages Goldstein & Fabiano (2007) ASHA Leader: https://leader.pubs.asha.org/doi/10.1044/leader.FTR2.12022007.6 Step 8 — Treat with Complex Targets UBC Fun-ology Activities: https://phonodevelopment.sites.olt.ubc.ca/activities-2/activities/ Reference: McLeod, S., Verdon, S., & International Expert Panel on Multilingual Children's Speech (2017). Tutorial: Speech assessment for multilingual children who do not speak the same language(s) as the speech-language pathologist. American Journal of Speech-Language Pathology, 26(3), 691–708. Ready to Optimize Change with Complex Targets? Join the SIS (Speech It Smarter) Membership to learn how to select, sequence, and track complex treatment targets — including three-element /s/ clusters, /fr/ and /fl/ clusters. Join the SIS Membership: https://www.kellyvess.com/sis

In this week's episode we speak with the authors of “Navigating choice: eating, drinking, and decision-making at end of life for individuals with cognitive impairment” about the vital role speech pathologist play in end-of-life and palliative care. Dr Laura Chahda, Laura Knauer, Darcy Long, Druvni Perera, and Sanora Yonan discuss their recent publication, and how we as speech pathologists can feel empowered to play a pivotal role as a member of these unique care teams. Resources: Chahda, L., Perera, D., Long, D., Knauer, L., & Yonan, S. (2025). Navigating choice: eating, drinking and decision-making at end of life for individuals with cognitive impairment. Journal of Clinical Practice in Speech-Language Pathology, 27(3), 225–233. https://doi.org/10.1080/22000259.2025.2562824 Chahda, L., Mathisen, B. A., & Carey, L. B. (Eds.). (2026). Speech-language pathology and palliative care. Routledge. https://doi.org/10.4324/9781003241966 Elwyn, G., Durand, M. A., Song, J., Aarts, J., Barr, P. J., Berger, Z., … & Frosch, D. L. (2017). A three-talk model for shared decision making: Multistage consultation process. BMJ, 359, j4891. https://doi.org/10.1136/bmj.j4891 SPA resources: Informed Choice and Shared Decision-Making for Clients who Eat and Drink with Acknowledged Risk Speech Pathology Australia acknowledges the Traditional Custodians of lands, seas and waters throughout Australia, and offers our respect to Elders, across all times and places. The Speak Up podcast recognises the central role of yarning and oral storytelling in Aboriginal and Torres Strait Islander culture, how this translates to knowledge translation, and that colonisation has interrupted these practices of Language and knowledge sharing. The Speak Up podcast acknowledges the need for truth-telling and deep listening, the central role that Language plays in connecting Aboriginal and Torres Strait Islander People with Culture, Country, and Community, and the interwoven nature of health, and social and emotional wellbeing. We recognise that the Traditional Owners of the Lands across Australia have been here since time immemorial, and that their sovereignty over this land, was never ceded. Free access to transcripts for podcast episodes are available via the SPA Learning Hub (https://learninghub.speechpathologyaustralia.org.au/), you will need to sign in or create an account. For more information, please see our Bio or for further enquiries, email speakuppodcast@speechpathologyaustralia.org.au Disclaimer: © (2026) The Speech Pathology Association of Australia Limited. All rights reserved. Important Notice, Please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited (“the Association”). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this recording. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this recording including in any of the materials referred to or otherwise incorporated into this recording. Except as otherwise stated, copyright and all other intellectual property rights comprised in the presentation and these materials, remain the exclusive property of the Association. Except with the Association's prior written approval you must not, in whole or part, reproduce, modify, adapt, distribute, publish or electronically communicate (including by online means) this recording or any of these materials.

This innovative tool is sure to support both your clinical heart and your practice as it grows.Guest: Meg Simione, PhD, CCC-SLP and Helen Cohen, BA, CLCEarn 0.10 ASHA CEUs for this episode with Speech Therapy PDWatch on YoutubeRegister for the FREE Empowering Providers PFD seriesThis episode of First Bite features Michelle Dawson, MS, CCC-SLP, CLC, BCS-S, FNAP, kicking off PFD and ARFID Awareness Month with Meg Simione, PhD, CCC-SLP, and her graduate student, Helen Cohen, BA, CLC, for an in-depth look at the PFD DAISI. Meg and Helen explain how the six DAISI factors, represented by the flower's petals, guide feeding assessment and treatment. They then dive into the four Social Spheres at the flower's core, highlighting their influence on a child's mealtime journey. They share practical tips for using the PFD DAISI in clinical practice, helping SLPs take a holistic, dynamic approach to pediatric feeding care.About the Guests: Meg Simione, PhD, CCC-SLP, is a clinician-scientist specializing in infant and child feeding, growth, and care delivery innovation. She serves as a research scientist in the Division of General Academic Pediatrics at Massachusetts General Hospital (MGH), a speech-language pathologist, and Instructor of Pediatrics at Harvard Medical School.Helen Cohen, BA, CLC, is a graduate student at the MGH Institute of Health Professions, where she is pursuing a Master of Science in Speech Language Pathology with a concentration in Medical Speech Pathology. Alongside her academic work, she serves as a research assistant at the University of Rhode Island, conducting research on Pediatric Feeding Disorder, Family Centered Care, and Implementation Science.Show Notes:Contact Meg and Helen on LinkedInDownload the PFD DAISIFeeding Innovation Lab: @feedinginnovationlab on InstagramDr Brown's BottlesDysphagia Outreach ProjectFindHelp.orgThe Feeding FlockFeeding MattersLove Money: Support URISSHLA

CPT 92507 Option B is officially in front of the AMA Editorial Panel, and this is the week that decides what happens next. In this episode, Jeanette Benigas, PhD/SLP, sits down with a private practice owner of 44 years, Mary Billings, MS, CCC/SLP, who has seen Medicare cuts before, and is sounding the alarm again. What's being proposed isn't just a coding change. It has the potential to reshape how SLPs document, bill, and treat patients across every setting, including private practice, schools, hospitals, Medicaid, and Medicare. No one is exempt.You'll hear exactly why the applicants submitted Option B, what's at risk if SLPs stay silent, and why this moment is so rare. Opportunities like this don't come around often, and once decisions are made, they can take decades to undo. If you care about your practice, your patients, or the future of this profession, this is the time to pay attention. This is the moment. Connect with Mary at Billings Speech Pathology Services or Function Focus AcademyThis episode is sponsored by Metro EHS, a growing, clinician-supported organization using a collaborative care model across disciplines. Learn more at metroehs.com.✨ Grateful to Chomper Champs for bringing so much positivity and fun to the pediatric SLP space. Follow the link to order the

Explore common GI challenges in autistic individuals, and how they impact feeding, behavior, and participation at mealtimes.Guest: Leena Sayed, MS, CCC-SLPEarn 0.10 ASHA CEUs for this episode with Speech Therapy PDWatch on YoutubeRegister for the FREE PFD series, April 30-May 28In this episode of First Bite, Michelle Dawson, MS, CCC-SLP, CLC, BCS-S, FNAP, is joined by Leena Sayed, MS, CF-SLP to take a closer look at the connection between autism, gastrointestinal health, and feeding. Together, they discuss how often GI concerns occur, the signs pediatric feeding therapists should be watching for, and how these factors align within the medical domain of PFD.About the Guest: Leena Sayed, MS, CCC-SLP is a recent graduate in Speech-Language Pathology from James Madison University (JMU) in Virginia. She brings hands-on experience working with children with pediatric feeding disorders across university clinic, outpatient hospital, and private practice settings.Show Notes:Bowel Sounds: The Pediatric GI PodcastLove Money Cause: Palestine Children's Relief FundMentioned in this episode:Register for the 2026 Autism Conference

Want to share your feedback? Send us a message!Susan Hamilton Burleigh, M.A., CCC-SLP, joins host Sara MacIntyre, M.A., CCC-SLP, to explore how clinicians, particularly those newer to working with stuttering, can bring Stuttering Foundation resources to life in everyday therapy. Susan brings over 40 years of experience in private practice specializing in stuttering and fluency disorders and has taught and supervised graduate training in stuttering at the University of Washington. She also co-led the Stuttering Foundation's Western Workshop for two decades alongside Marilyn Langevin and Jennifer Watson.In this practical, clinician-focused episode, Susan and Sara take the “What's True For You” activity from The School-Age Child Who Stutters: Working Effectively with Attitudes and Emotions Workbook and walk through how it can be used, expanded, and adapted to support meaningful therapy. Through discussion and a demonstration role-play, they highlight how the activity can help build rapport, deepen understanding of a child's unique experiences, and guide next steps in therapy. 

We discuss several aspects of Speech Language Pathology with an expert!

*Click HERE to watch the interview on WCAT TVShownotesWe might often find ourselves going to the rote prayers of the Rosary or even the Divine Mercy Chaplet. While we may think they are separate, are they really so separate in terms of how we think of them? Or is there a way that God can bring us together through both of these prayers? Is there a way that they can, no pun intended, marry each other? In this week's episode, Jennifer has a conversation with guest, Shane Kapler, to discuss the fact that there is a relationship between the Rosary and the Divine Mercy Chaplet.Our GuestFor the past 30 years Shane has been involved in evangelism and catechesis within the Archdiocese of St. Louis. He holds an M.A. in Theology with a Specialization in Sacred Scripture. Shane currently serves on the board of the Image of God Institute, an apostolate dedicated to unpacking God's plan for the human person in the teachings of Popes St. John Paul II and Benedict XVI.He is also the author of several books, including the one we will be discussing today, Marrying the Rosary to the Divine Mercy Chaplet (2016). He has been featured on EWTN's The Journey Home, is a frequent guest of Catholic radio, and contributes articles to a number of websites, including Catholic Exchange and Epic Pew. Shane also holds an M.A. in Speech-Language Pathology and is engaged in clinical practice.Connect with Our GuestWebsite: Explaining Christianity.comContact ShaneLinksShane's booksMarrying the Rosary to the Divine Mercy ChapletThe Biblical Roots of Marian Consecration: Devotion to the Immaculate Heart in Light of Scripture (2022), James: Jewish Roots, Catholic Fruits (2021)The Epistle to the Hebrews and the Seven Core Beliefs of Catholics (2016)Through, With, and In Him: The Prayer Life of Jesus and How to Make It Our Own (2014)The God Who is Love: Explaining Christianity From Its Center (2009)Tending the Temple: 365 Days of Spiritual and Physical Devotions  (co-author; 2011)Lectio DivinaSt. Thomas Aquinas and the Divine Mercy ChapletSt. FaustinaPrayer for the repose of the soul of Daniel Kapler, Shane's dad and for Lori Wright, Jennifer's aunt.Journaling QuestionsDo you have a normal prayer routine? What does it look like? Could it use a reset? Take some time to reflect on this.How often do you pray the Rosary?What are your thoughts on the fact that there are so many similarities between the Rosary and Divine Mercy Chaplet? Did you ever think about the fact that there could be a relationship between them?Have you ever tried Lectio Divina, the practice of taking a particular verse on scripture and mediating on it? If not, try it practicing the prayerIn talking about the best time to pray the Divine Mercy Chaplet being three o'clock, Shane brought up the point that “it's three o'clock somewhere.” Does that give you encouragement to pray it more frequently, regardless of what time it might be where you are? Why or why not?What is your biggest takeaway from this episode?What is your mourning glory?We hope you enjoy this episode of the Mourning Glory Podcast and share it with others who are on a journey through grief. You can find links to all of our episodes, including a link to our brand new private online community on our website at www.mourningglorypodcast.com. God Bless!

Rebecca Rowe joins me in this episode, as we explore what it truly means to provide neurodiversity-affirming speech therapy, with a focus on supporting families navigating an autism diagnosis. Rebecca shares how SLPs and OTs can guide and empower parents throughout the diagnostic process, while helping them find providers who align with neurodiversity-affirming values. We also break down key differences between ABA and OT/SLP services, and offer practical ways to support both yourself and your child with compassion, clarity, and confidence during this journey.Rebecca has over sixteen years of experience in the field of Speech Language Pathology. Her specialty is orofacial myology and she is a Certified Orofacial Myologist ( COM® ). She has owned ACT Therapy Services for ten years and enjoys leading a team providing play-based, neurodivergent therapy services to families and children. Check out her myofunctional therapy course for parents, mention this podcast and receive a 20% discount! Learn more here.Want to take your parenting journey to another level?⁠ Book your complimentary connection call now!⁠⁠⁠April 9, 2026Episode 320Neurodiversity Affirming Speech Therapy with Rebecca Rowe, SLPisAbout Your Host:Cara Tyrrell, M.Ed. is a mom or three, early childhood author, parent educator, and founder of⁠⁠ ⁠⁠⁠⁠Core4Parenting⁠⁠⁠⁠⁠.⁠ A former preschool and kindergarten teacher with degrees in ASL, Linguistics, and Education, she created the Collaborative Parenting Methodology™ to help parents, caregivers, and educators understand the power of intentional language in shaping a child's identity, confidence, and future success.As host of the top-ranking podcast Transforming the Toddler Years, Cara blends science and soul to show adults how to “talk to kids before they can talk back,” turning tantrums into teachable moments and everyday challenges into opportunities for connection. She is also the author of the forthcoming book ⁠⁠T⁠alk to Them Early and Often⁠,⁠ ⁠a guide for raising emotionally intelligent kids who thrive in school and life.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Want to book Cara for your next speaking event? Find all the details ⁠here⁠⁠⁠⁠⁠⁠⁠!

If you work with four, five, or six-year-olds with speech sound disorders, this episode was made for you and this research will change how you document, advocate, and make eligibility decisions for your students. In this episode, we break down a brand-new 2026 open-access study that every school-based SLP, early childhood SLP, and preschool speech-language pathologist needs to save, cite, and have ready to go. Whether you're navigating a negative 2.0 standard deviation eligibility criteria, writing IEP goals for preschoolers with speech sound disorders, or advocating for a child who doesn't yet "qualify" on paper, this research is your clinical ammunition. This landmark study examined peer perceptions of children with speech sound disorders across ages four, five, and six: At age 4: Neurotypical peers already rate children with severe speech sound disorders lower across domains of intelligence, friendliness, and likability compared to typically developing talkers. At age 5: Children with moderate-to-severe speech sound disorders are rated lower across all social domains by their neurotypical peers. At age 6: Even children with mild speech sound disorders are rated lower and are seen as less desirable friendship candidates compared to neurotypical peers. The bottom line? Severity matters. Age matters. And the social stakes get higher every single year. Use this research study to support eligibility decisions when standardized scores alone don't tell the full story. Cite it alongside teacher observations, parent input, direct observation of socialization, and connected speech samples. Document the educational and social impact of the speech sound disorder, not just the score Know your state's eligibility criteria: some states require -2.0 SD, others -1.0 SD, and others rely on professional judgment of adverse educational impact Advocate proactively: a wait-and-see approach has real social consequences for your students Henry, M., & Bent, T. (2026). Let's be friends: Peer perceptions of disordered speech in preschool and early school-aged children. American Journal of Speech-Language Pathology, 35(1).

How can a simple tool can strengthen complex clinical decision-making?Guests: Kelly Kleinhans, PhD, CCC-SLP, and Courtney Richards, MS, CCC-SLP, CLCEarn 0.10 ASHA CEUs for this episode with Speech Therapy PDWatch on YoutubeKelly and Courtney share how mind maps and case-based learning are used in graduate training to help learners organize complex information, recognize patterns, and connect assessment findings to meaningful intervention planning. Explore how these strategies can support diverse learning styles while also strengthening supervision and mentoring conversations. Use these tools to help students make sense of complex PFD cases and translate knowledge into confident, thoughtful clinical decisions.About the Guests: Dr. Kelly Kleinhans is a professor, program director, and clinical education enthusiast who is passionate about helping graduate students become confident, compassionate, and practice-ready SLPs. She leads the Master of Speech-Language Pathology program at Austin Peay State University.Courtney Richards, MS, CCC-SLP, CLC, is the Lead Feeding Therapist at Advanced Therapy Solutions (ATS) in Clarksville, TN, where she oversees the feeding program across three clinics. Show Notes:Bridging Pedagogy and Practice: Case-Based Learning and Mind Maps by Kelly Kleinhans, Courtney Richards, and Alison DesommaSupplemental Material APSU Speech-Language & Swallowing Community ClinicFeeding Therapy Sweatshirt - Courtney's Etsy Store Feeding Matters Power of Two ProgramSupport Feeding MattersRelated Course: Research to "Chew On" with Dr. Amy Delaney RAM ClinicsGut: The Inside Story of Our Body's Most Underrated Organ by Giulia Enders If Disney Ran Your Hospital: 9 1/2 Things You Would Do Differently by Fred Lee Mentioned in this episode:Register for the School-based Feeding and Swallowing Masterclass

Interviewer info Lyssa Rome is a speech-language pathologist in the San Francisco Bay Area. She is on staff at the Aphasia Center of California, where she facilitates groups for people with aphasia and their care partners. She owns an LPAA-focused private practice and specializes in working with people with neurogenic communication disorders. She has worked in acute hospital, skilled nursing, and continuum of care settings. Prior to becoming an SLP, Lyssa was a public radio journalist, editor, and podcast producer. In this episode, Lyssa Rome interviews Jessica Obermeyer about group treatment for aphasia. Guest info Jessica Obermeyer, PhD, CCC-SLP, is an Assistant Professor in the Department of Communication Sciences and Disorders at the University of North Carolina at Greensboro. Her area of specialization is acquired adult neurogenic language disorders. Dr. Obermeyer's research interests include discourse production in aphasia, treatment efficacy, and the cognitive requirements of language production. Prior to earning her doctorate, she worked in a variety of clinical settings where she specialized in assessment and treatment of adult neurogenic populations.     Listener Take-aways In today's episode you will: ● Recognize the role of written communication in clients' daily activities, including texting, email, and online tasks. ● Adapt ARCS-W treatment components to match each client's preferred writing modality (handwriting vs. typing). ● Identify candidates with aphasia who are well-suited for discourse-level writing treatment. Lyssa Rome Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Lyssa Rome. I'm a speech language pathologist on staff at the Aphasia Center of California, and I see clients with aphasia and other neurogenic communication disorders in my LPAA-focused private practice. 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 Dr. Jessica Obermeyer, who was selected as a 2024 Tavistock Trust for Aphasia, Distinguished Scholar, USA and Canada. Dr. Obermeyer is an assistant professor in the Department of Communication Sciences and Disorders at the University of North Carolina at Greensboro. Her area of specialization is acquired adult neurogenic language disorders. Dr Obermeyer's research interests include discourse production and aphasia treatment efficacy and the cognitive requirements of language production. Prior to earning her doctorate, she worked in a variety of clinical settings, where she specialized in assessment and treatment of adult neurogenic populations. Jessica Obermeyer, welcome to the podcast, and thanks for being here. Jessica Obermeyer Thank you. It's a pleasure. Lyssa Rome So I wanted to get started with a question we often ask, which is: How did you get into this? Was there an aha moment for you and what led you to research aphasia? Jessica Obermeyer That's a great question. I think it was more of a slow awakening and journey to realizing that this is how I wanted to spend my days. When I started studying speech language pathology, I knew I wanted to work in adult rehab with people with traumatic brain injury, stroke, and aphasia. But as an undergraduate and a masters student, I worked on a lot of research related to traumatic brain injury and cognition. But then I had some exposure to aphasia research, and as a clinician, I just loved working with people that had aphasia. I loved running aphasia groups. I started aphasia groups, and when I decided to go back for my PhD, that is what I wanted to focus on. I also had the opportunity to work in adult outpatient, so I got to see a lot of people that had aphasia and were at different points in their rehabilitation journey. And those experiences just made me want to continue and especially do research that could develop and evaluate different treatment approaches for people that had aphasia. Lyssa Rome One of the sort of through lines in your research has been discourse. And I'm curious about how you landed on that as the focus of your work, why discourse? Jessica Obermeyer It's how we talk. It was always, you know, something I was interested in. I think, as a clinician, I felt really daunted by discourse, because it is laborious, you know, it takes a lot of time to think about how you're going to analyze it. But I was always so fascinated by all the linguistic components that make up discourse as a clinician. And then I think as a researcher, I really appreciate how important it is. Everything we do in our day to day lives is often at a discourse level, and that looks so different depending on the type of discourse. So your text exchange is discourse, your emails, your conversations, the interaction with a barista. You know, every kind of functional way that we communicate is often at a discourse level. But it's so different depending on what that interaction looks like, and that's just endlessly fascinating to me as a researcher… challenging but fascinating. Lyssa Rome Challenging both to evaluate and, I guess, to some extent, to treat. One of the things that I really appreciate is that it's how we communicate in our daily lives, and so if we're thinking about life participation and sort of functional approaches to treatment, to my mind, discourse is kind of where it's at. So I'm really excited to get to talk to you more about it. So speaking of discourse, I thought we could talk about your work on ARCS. Maybe we could start by telling us a little bit about the origins and how you became involved in researching. Jessica Obermeyer Yes, I'd be happy to. I started doing research with ARCS as a doctoral student. So it's been a long time, but the origin of ARCS, or Attentive Reading with Constrained Summarization, started with Yvonne Rogalski and Lisa Edmonds, and they published the first paper, I think, in 2009, but someone should go back to check that, and it was originally for someone that had primary progressive aphasia. And then there was another paper published for two people with Wernicke's aphasia. So in the original version, it's based on constrained summarization, and constrained only in that you're giving someone guidelines for how to summarize so they have to read through a segment of text. Usually it's a current event article, but clinically, you could use pretty much any written text. And I've actually done it with someone listening as well. Typically with ARCS, you would have someone read a segment of written text and then summarize it with the constraint or guideline to be specific. So avoid words like it, stuff, thing, he, she. So use that really intentional word retrieval. That's not what we typically do. We often use non-specific words, but it's that therapeutic, like try to go for the really precise and specific word exercise that retrieval and to also stay on topic, so try not to add a tangent, or, you know, additional information that's not related to what you're reading. And then in my work, I've added an additional guideline that's just based on what that person needs. So if they're repeating a lot, then that might be part of the guideline. Often, the guideline is to try to include the essential information that you've identified already. So that's the origin of ARCS. And as a doctoral student, I really wanted to do treatment research. I became really interested in cooperative learning theory, in how people can work together in their learning, collaborate to improve learning. And when I was doing that, reading and thinking about cooperative learning, writing seemed like such an excellent tool for that, because I think one of the hard things about spoken language is that it's just gone. You say it, it's gone. It's very hard to monitor, which I'm acutely aware of right now in this recording. But with written text, you have this wonderful record of what you've produced, and that can be really helpful for thinking about language and planning, especially in an approach like ARCS or ARCS-W that emphasizes this planning, process-driven component, where you're thinking about, "What do I need to include in this discourse? What's important? What's not important? And what have I actually produced? Does that meet, you know, the guidelines I've tried to meet?" So that's how writing actually got pulled into it. And I wanted to keep the spoken language because, I don't know that I've ever met someone with aphasia who told me they didn't want to continue exercising their spoken language, but the writing was just I think, an important addition, because there are so few written discourse treatment options. And it allowed for this emphasis on monitoring and planning and some of the cognitive components of discourse that can be hard to address. Lyssa Rome And maybe you could say a little bit about what you found when you've studied ARCS-W, so the Attentive Reading and Constrained Summarization-Written. Jessica Obermeyer Well, people have improved, which is great. So the one of the things about ARCS and ARCS-W that's maybe unique when we think about aphasia treatment as a whole, is that it's not a treatment with trained items, so no items are repeated. You're working on the process of discourse production, this process of monitoring and trying to be specific, be efficient, you know. In written discourse, people have made improvements in correct information units or CIUs. So at the word level in discourse, the amount of informative and correct information that they're producing, people have made improvements at the utterance level, where they're producing more relevant utterances and more utterances that have a basic sentence structure, and then this hasn't been looked at in all of the studies, but for some of the participants, where we've measured things like main concepts, the amount that the person is conveying the main ideas or concepts in the discourse has improved for some people as well. And then at this spoken discourse. So ARCS-W, it's half spoken, half written. Basically, people have also made similar improvements. So it's been encouraging so far, ARCS-W I would say, compared to ARCS is for people in the more mild aphasia end of the spectrum, especially with the writing component. Any clinician who's worked with people with aphasia will know that writing is often a stressful thing for people with aphasia. So it's for people that are writing at a phrase level already. It doesn't mean that their spelling is perfect, but if they're really struggling to get out a single word, this is probably not the ideal you know treatment for them, but for folks that are more on the mild end who want to work on spoken and written discourse, we have seen some positive results in their spoken and written discourse production. Another thing that I think is really important for this treatment is that it is so multi-modality. When we write normally, we're reading as well. You know, we're not just writing in a vacuum. A lot of the time. We're rereading our text, we are reading that text message and then responding to it. So I like that. I like multi-modality treatments. I like that this is a treatment that allows people to address multiple types of language goals, while, you know, keeping it pretty simple and low tech. Lyssa Rome I think that that really hits on one of the reasons that I like using ARCS-W in my work with people is that It can be used with so many different kinds of texts. So I've used both, you know, work emails, if their goal is to get back to work, newspaper articles that interest them, simplified newspaper articles that interest there's so many possibilities. And anyway, it's exciting to hear you talk about that. Jessica Obermeyer Yeah, I think that as a clinician, that's why I liked ARCS. It was so flexible, so easy to implement. And that's definitely one of the things I like about ARCS-W as well. Make treatment work hard for you. Lyssa Rome So that is interesting to people as well. Where are you going next with your ARCS research? Jessica Obermeyer Great question. I'm writing up results from about six people we ran over the last couple years, so that, I hope, gets submitted for publication soon. And I would really like to adapt this treatment a little further to use more assistive technology for folks that are really wanting to write, but aren't wedded to handwriting or typing in a traditional sense. So can we use speech-to-text? I always mix it up. And can we use methods to support people producing written language that are, you know, different than just typing it? Because people have really different needs in their life. So if that is a way to meet their writing needs, excellent, and I'd like to do that in the future. Lyssa Rome I think that gets back to this idea that it's so flexible, right? You could adapt it in so many different ways. I think that that's really exciting, because it sort of further underscores the flexibility of this approach. And we were talking earlier, before we started recording, about using the same ARCS framework, or ARCS-W framework for material that clients have listened to, things like podcasts or TED Talks. So it seems like it's so adaptable, which is part of what I think makes it really exciting. Jessica Obermeyer I think that's a great idea. We actually did use listening and then summarization for one of the participants in the first arc study, because that met their profile. That's how they wanted to interact with the treatment, and it worked out really well for them, and it's a great way to incorporate people's different interests. Not everyone wants to read, so being able to listen is a great option. And in the treatment for everybody, they always select their writing modality so they can either hand write or type, depending on what's relevant for them. In the population of people that have aphasia now, and I know that this will change over time, people have really different comfort levels with technology and with typing. So if someone says, "No, I never typed. I want to handwrite," then we can do that. And if, if it's the other, we can type. So I think listening is just another way to make it meet someone's needs better. Lyssa Rome I was hoping that you could talk a little bit more about the similarities and differences between different types of discourse. So spoken and written discourse, typed and versus handwritten discourse. Tell us a little bit more about that. Jessica Obermeyer Yeah, of course. Well, I should, I guess, start off by saying, working on the ARCS-W treatment research, I recognized just how little information is out there on written discourse and the majority of discourse measures that we use in aphasiology are based on spoken discourse production. But there are differences in how we speak versus how we write. So in spoken language, we've already talked a little bit about this, it's temporal, it's just gone. So writing is tangible. You have a record of your writing, and that can be really beneficial for people with aphasia. But of course, there's there's other things that can make writing more challenging as well. With spoken language, of course, we have the suprasegmental components of what we're saying. So we have our tone and our facial expression and things that allow us to impart meaning without actually saying it, and we don't have that in writing. Although things are shifting with text messaging technologies, we can add emojis and memes that help us communicate information. But I think when we're thinking about traditional writing, it doesn't have those additional components, and therefore people have to be more explicit with their word choice and a little more clear in what they're trying to say. People are often more efficient in writing. They use fewer words than they would in speaking. So those are some of the differences. We can't automatically correct our written output because we see that our partner doesn't understand. Because in writing, there's this distance between when we're writing versus when we think someone's reading it. Even in more instant platforms like text messaging, we don't know exactly when someone's reading something or how their face looks when they read it, in the way we know with speaking. So those differences do impact how we complete the task. And of course, the context of writing changes it dramatically. So you write notes to yourself really differently than you write a research paper or a work email. And that's not so different from speaking, right? The context is still going to impact how we speak or write, very much. So in my work, I've looked at how writing and typing are the same or different. And this is a pretty new area. There's a couple papers out there on it now, and I think it's gaining traction, which is great, because most people write through typing in their daily life now. What I found is that at a group level, it's pretty similar. Writing and typing look pretty similar for people that have aphasia. But individually it can be very different. So an individual person with aphasia might have a strength or weakness in handwriting versus typing for lots of different possible reasons, like their experience, or hemiparesis, their desire to do one or the other. But it's not, the patterns aren't completely clear. I think clinicians are probably really used to hearing that every individual with aphasia has the potential to be different. So I think that keeps with written and typed language output, handwritten and typed. Some of my recent work has been related to looking at different writing modalities for people with aphasia. So are there differences in their handwritten versus typed discourse production. There's a couple papers out on this now, and hopefully there'll be even more as it gains traction. And I think it's getting more attention in the research literature because of how important writing is in our daily lives now. I mean, most activities of daily living are now completed through, you know, the virtual world, so banking, shopping, lots of messaging are completed through reading and writing now. So that's kind of why I became interested in also working with ARCS-W and having people handwrite versus type, depending on their interest and comfort level. It was always interesting to me why certain people picked one or the other, and kind of what I was seeing. There is some research out there that shows that handwriting is advantageous for learning. So the specificity of how we're moving our fingers to create letters is helpful for retention and learning items, but when we're thinking at the discourse level, when we're not using the same items necessarily, things could potentially be a little different. So I was interested in just exploring some of those differences and patterns that might emerge, and if there was anything I could figure out that might be driving a pattern. So if someone's better at typing than handwriting, is there a reason that they're better? So what I have found so far, and it's it's pretty preliminary, is that at the group level, handwriting and typing look very similar for people with aphasia, so oftentimes, there's not a big difference in the total words that they produce, and that's been confirmed by a larger study as well from Jaime Lee and colleagues. But then when we look at the individual level, that's when you can start to see differences. And I don't think any clinician would be surprised to hear that people with Aphasia are variable or different. So we know that that is common, but it's been pretty interesting and striking in my own work to see how at the group level, these differences just totally even out. But then when we look at individuals, you do see that, you know, someone is more proficient with typing, someone else is more proficient with handwriting. So in a study I did, I think from 2024, we had people fill out this historical information about their typing experience and exposure, we knew about if they had a hemiparesis or not, and so were they able to use both hands or one hand for handwriting or typing? And like I said, we did find these individual differences for some people, but there wasn't a really clear pattern in what was driving those differences? Was it that they hadn't worked with a keyboard a lot? Was it that they only had the use of one hand? And we just didn't have enough data potentially to discern any specific patterns? Lyssa Rome We've talked a little bit about different types of discourse, written, spoken for written, typed versus handwritten. But I wanted to kind of come back to how we measure and analyze discourse, and wanted to ask about a more recent paper and have you describe a little bit about your work on discourse measurement and training clinicians to measure discourse? Jessica Obermeyer That paper is a perceptual rating paper. We've talked a lot about discourse in this chat, and I think probably one of the first things I might have mentioned was how daunting discourse analysis can be. So researchers are aware of that, and always kind of thinking that discourse is so rich, it provides us so much information about someone's linguistic ability, but also their success with communication in a way that other levels of language don't necessarily tell us. So how can we benefit from that rich information in a way that clinicians can do. Because with discourse analysis, you know, in the clinical session, it might not take that long. You're having someone participate in 10 minutes of conversation—that is not a lot of time in your session. The time is all backlogged. The time is after the session is over, and you're trying to transcribe what they've said and then identify discourse measures that you're interested in. And another thing that makes discourse just complex and dynamic is that there's not one measure, you know, there's not a measure of word retrieval and discourse. There are lots of measures that can give you insight into word retrieval and discourse. So this project I did with my collaborator, Marion Lehman, who also works on discourse, and especially conversation. We wanted to see if it was possible to train people to rate conversation samples from people with aphasia on linguistic measures, so measures of language ability. So there are other perceptual rating scales, but a lot of them might be looking at speech acts like initiation or presence or absence of errors. And we were really interested in if these, if perceptual ratings, could map on to the things we're doing in our labs, so you know, correct information units or the degree of informativeness, utterances that have basic structure, coherence, you know, these measures that we are spending many hours, you know, coding line by line, or even word by word, for some. So she and I developed this training and introduced—so the paper that's published, we used research assistants in our research labs, and we exposed them to the linguistic measures that we were interested in. Had them watch some practice videos, and then told them how we had coded them. So what was the value based on our lab coding? And then we did five test samples, so there were four linguistic measures. The training lasted about three hours, and I did five test samples. And we got some really good feedback from the RAs who did the training and rating samples. We had some promising results for especially two of the measures that we used in their training, and now we're really interested in extending that work with clinicians. So the people that were in the study before had very limited experience listening to people that had aphasia. They hadn't worked with people that had aphasia, they hadn't done extensive clinical training. We're hopeful that if we can use their feedback to fine tune the training and rating procedures and recruit some clinicians to participate, that hopefully we could get even better results and hopefully provide a tool to clinicians where they can be thinking about linguistic components of conversation in a way that's more feasible to their schedule and their workload, because we recognize how much time it takes. And I think it's, it's just a barrier to entry, even, because if someone is feeling like, "I can't do this, I don't have time to do this," then it's hard to even learn about or get started. Lyssa Rome Yeah, I'm so happy to hear that you're that you're focused on the feasibility for clinicians who have productivity requirements, who don't necessarily have a lot of time at the end of the day to do that kind of really in depth analysis. I think it's exciting. Jessica Obermeyer Oh, for sure, and clinicians, I think, work a lot of extra hours, but they have a whole caseload, you know, so balancing everybody's needs and being able to to provide excellent care to everybody is, is always a challenge, and hopefully, hopefully we'll, we'll be able to continue this work. We're trying to get some funding for the project because we want to be able to pay SLPs who participate in the research. Lyssa Rome As we start to wrap up, I'm wondering what you would like clinicians who are listening to this podcast to take away from what we've talked about today, from your work. Jessica Obermeyer I think one takeaway would be for clinicians to think about incorporating handwriting and typing into their existing treatment practice. So I've talked a lot about ARCS-W. ARCS-W is not for everybody. It is a very specific treatment approach for people that have mild aphasia who want to work on discourse-level writing. But there are so many ways to have people engage with handwriting and typing that will serve them in their daily life. So we've talked a lot about how literacy is just such a big—it's a bigger part of our lives than it was 20 years ago. People can achieve a lot of independence and autonomy if they're able to interact with reading and writing and complete it successfully. So I would really encourage clinicians to think about how they can incorporate reading and writing into their existing treatment. A study I was involved with— Liz Madden surveyed SLPs on their practices assessing and treating reading and writing, and one of the take-homes from that project was that clinicians evaluate writing more than treating it. And especially handwriting, versus typing. But I think that given the way society is moving, asking people like, "What's important for you, handwriting or typing?" and let's make that our practice. Lyssa Rome I appreciate how person centered and flexible that advice is right. We're trying to meet people where they're at and recognizing that our treatment can be tailored to the person who's sitting in front of us. I'm curious to hear what is coming next for you. What are you excited about in your work? Jessica Obermeyer That's actually a great segue about how we can tailor treatment, because that is one of the projects that I'm working on now, how we can think about treatment in terms of what are the things that make it work, versus things that maybe aren't essential components of the treatment? With the last study I did with ARCS-W of the things that we were really trying to understand better was: Did it matter if people hand wrote or typed? Did they have the same kind of level of generalization to the other writing modality? And in that study, it doesn't seem that they did. And I think there's really specific reasons for that, because we're working at this discourse level without repeated items. And so you might not see the same impact of that handwriting learning boost, because we're not repeating things as often. That's one of my real interests is thinking about how we work on treatment, how we deliver treatment, how clinicians can deliver treatment. Because I am very guilty of this. Working on writing takes a long time. It takes a long time for people with aphasia to produce written discourse level text. So in the ARCS W studies, it's an hour-and-a-half treatment session where we only work on ARCS-W. But I know I recognize that that's like not most clinicians' daily life, and it doesn't mirror what therapy many people with aphasia receive. So thinking about treatment in a more component-based and mechanistic way that makes it easier for clinicians to adapt to their their practice is is one of the things I would like to flesh out in the future. And then continuing to work on this training and perceptual rating protocol. One of the things my colleagues and I would like to do is create a training that can be shared freely, where clinicians can easily get access to it, and then collect more robust data. I mean, only if we get good results, of course. If we don't, we will not be sharing it. But those are the big things I'm thinking about in the next couple of years, and then beyond that, even more. Lyssa Rome Well, I look forward to reading more of your work and to seeing what comes next as well. Dr. Jessica Obermeyer, thanks so much for talking with us. I really appreciate it. Jessica Obermeyer It's been a pleasure. Thank you. Lyssa Rome And thanks also to our listeners for the 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. Thanks again for your ongoing support of Aphasia Access. For Aphasia Access Conversations, I'm Lyssa Rome. Resources Obermeyer, J. (2024). Using and modifying standardized restorative treatments in aphasia: Clinician perspectives. American Journal of Speech‑Language Pathology. Advance online publication. https://doi.org/10.1044/2024_AJSLP-23-00349 Obermeyer, J., Leaman, M., & Oleson, J. (2025). Feasibility and preliminary data for a training protocol and perceptual rating scale of linguistic conversation measures in aphasia. American Journal of Speech‑Language Pathology. Advance online publication. https://doi.org/10.1044/2025_AJSLP-24-00420 Obermeyer, J. A., Rogalski, Y., & Edmonds, L. A. (2021). Attentive reading with constrained summarization-written, a multi-modality discourse-level treatment for mild aphasia. Aphasiology, 35(1), 100-125. Obermeyer, J. A., & Edmonds, L. A. (2018). Attentive reading with constrained summarization adapted to address written discourse in people with mild aphasia. American Journal of Speech‑Language Pathology, 27(1S), 392–405. https://doi.org/10.1044/2017_AJSLP-16-0200 Obermeyer, J. A., Leaman, M. C., & Edmonds, L. A. (2020). Evaluating change in the conversation of a person with mild aphasia after Attentive Reading with Constrained Summarization–Written treatment. American Journal of Speech‑Language Pathology, 29(3), 1618–1628. https://doi.org/10.1044/2020_AJSLP-19-00078 Obermeyer, J., Edmonds, L., & Morgan, J. (2024). Handwritten and typed discourse in people with aphasia: Reference data for sequential picture description and comparison of performance across modality. American Journal of Speech-Language Pathology, 33(6S), 3170-3185  

If you work with children with autism, developmental delays, or complex communication needs, this episode is a must-listen. Today, we're talking about cerebral visual impairment, or CVI, and why it may be one of the most overlooked reasons children struggle with communication, attention, social interaction, AAC use, and motor-based learning. This episode is not about whether a child can see an item on an eye chart. It is about how the brain processes visual information and how that affects language, participation, and learning. In this episode, I share 10 practical strategies from the literature that speech-language pathologists and speech-language pathology assistants can use right now to better support children with visual processing challenges. We discuss why reducing clutter matters, how to make materials more visually accessible, why movement activates learning, and how active task-based therapy can improve visual-motor integration. You'll learn: -Why is cortical visual impairment increasingly referred to as cerebral visual impairment -How CVI affects communication and social development -What visual complexity does to learning -Why movement is critical for visual engagement -How to adjust therapy and AAC supports for better outcomes Join the SIS Membership for ready-to-use literacy-based, movement-based activities that help you put these ideas into practice right away: https://www.kellyvess.com/sis Featured article: Wilkinson, K. M., Elko, L. R., Elko, E., McCarty, T. V., Sowers, D. J., Blackstone, S., & Roman-Lantzy, C. (2023). An evidence-based approach to augmentative and alternative communication design for individuals with cortical visual impairment. American Journal of Speech-Language Pathology, 32, 1939–1960. https://doi.org/10.1044/2023_AJSLP-22-00397 Thank you for being with me at today's intervention drawing board for a better tomorrow,

Want to share your feedback? Send us a message!Kristin Chmela, M.A., CCC-SLP, BCS-SCF, of the Chmela Communication Center, join host Sara MacIntyre, M.A., CCC-SLP, to discuss what it means to keep the person at the center of stuttering therapy. The conversation explores what person-centered care looks like in practice and how clinicians can keep the individual who stutters at the heart of clinical decision-making. She also introduce the Circle of Principles, describing how this framework can support thoughtful reflection, guide problem-solving in therapy, and help clinicians navigate complexities while remaining grounded in the needs and experiences of the person they support.Kristin Chmela, M.A., CCC-SLP, BCS-SCF has serviced children and teens who stutter for almost forty years at the Chmela Communication Center in the Northwest suburbs of Chicago.  She is an author, lecturer, consultant, and co-founder and Director of the Training and Therapeutic Experience Program at Camp Shout Out. Kristin holds certifications in yoga, mindfulness, and trauma informed practices.  She continues to spend the majority of her time helping individuals who stutter, clutter, and have other fluency challenges and remains passionate about helping speech language pathologists service this population.

Ebony Turner Bailey - Founder of Prime Speech Solutions - Licensed Speech Language Pathologist: Helping Kids and Families. This is episode 819 of Teaching Learning Leading K12, an audio podcast. Ebony Turner-Bailey is a licensed Speech Language Pathologist, the Founder and Executive Director of Prime Speech Solutions. She obtained her Master's of Science in Speech Language Pathology from Teachers College, Columbia University.  Ebony received her Master's of Science from Teachers College, Columbia University. She holds certifications in Teaching Students with Speech and Language Disabilities, and LSVT LOUD for individuals with Parkinson's disease and other neurologically based communication difficulties. Great conversation! Thanks for listening. Please share! Connect & Learn More: https://www.primespeechsolutions.com/ info@primespeechsolutions.com https://www.instagram.com/primespeech/ Length - 40:23

SLPs had a lot of questions after our last episode on CPT 92507, so we brought back healthcare reimbursement expert Rick Gawenda to answer them.In this Q&A episode, we talk about:

What if speech challenges, jaw pain, mouth breathing, or even poor sleep weren't just isolated issues — but nervous system signals? In this week's episode, I sit down with Denise Lowe, Speech Language Pathologist, to explore the powerful connection between oral function, nervous system regulation, and whole-body health. We unpack: • What myofunctional therapy actually is • Why tongue posture, swallowing patterns, and breathing matter more than you think • The hidden signs parents often miss in their children • How jaw tension, clenching, and grinding connect to stress physiology • What Neuro Emotional Technique (NET) is — and how it helps regulate subconscious stress patterns • Why addressing both structure and nervous system function changes outcomes This conversation goes far beyond articulation. We talk about sleep quality, TMD, chronic tension, airway development, communication struggles, and the emotional patterns that can quietly drive physical symptoms. If you or your child experience mouth breathing, speech delays, clenching, jaw pain, chronic tension, or sleep disruption — this episode will open your eyes to a deeper root-cause lens. Because healing isn't just mechanical. It's neurological. It's emotional. And it's functional. Podcast Offer Denise is offering a $99 initial Neuro Emotional Technique session when you mention this podcast. Offer valid through March 28th, 2026. If you have been curious about nervous system work but didn't know where to begin — this is a beautiful entry point. March 23: 10-Day Blood Sugar Reset And if this episode sparked curiosity about the nervous system's role in metabolism, inflammation, or stress — my 10-Day Blood Sugar Reset kicks off March 23rd. Blood sugar dysregulation affects: • Mood • Hormones • Sleep • Energy • Inflammation • Cravings • Nervous system stability This guided reset walks you through simple, strategic changes to stabilize glucose, calm stress physiology, and reclaim metabolic resilience. If you'd like details, fill out the interest form linked below. https://forms.gle/CRZe4Vh1QNKqithQ6 About Denise Lowe, M.A., CCC-SLP Denise Lowe is a Minnesota licensed and ASHA certified Speech Language Pathologist with nearly 25 years of experience working with children and adults across public and private settings. She is the owner of True North Speech & Wellness, located at the Hanover Wellness Center in Hanover, Minnesota. Denise holds a bachelor's degree in Communication Sciences and Disorders from St. Cloud State University and a master's degree in Speech Language Pathology from the University of Minnesota Duluth. She is known for her client-centered, evidence-based approach and her ability to create focused, effective therapy plans while deeply connecting with clients and families. In addition to traditional speech-language pathology, Denise is trained in orofacial myofunctional therapy and certified in Neuro Emotional Technique (NET). By integrating structural oral therapy with nervous system regulation, she addresses both the physical and neurological contributors to speech, sleep, TMD, and overall wellness. She has a special interest in working with individuals experiencing temporomandibular disorders (TMD), supporting improved jaw comfort, reduced clenching and grinding, and long-term functional health. Connect with Denise Location: Hanover Wellness Center, Hanover, MN Virtual services available in Minnesota Facebook: True North Speech & Wellness Instagram: @truenorthspeech Website: www.truenorthspeechandwellness.com

Want to share your feedback? Send us a message!Martha Jeffery, Highly Specialist Speech and Language Therapist at the Michael Palin Centre for Stammering in London, joins host Sara MacIntyre, M.A., CCC-SLP, to discuss a qualitative research project exploring parents' and children's perspectives of change following one year of Palin STSC (8–14 years old) therapy. Martha shares the aims and design of the study, which examined how children participating in group or individual therapy, and their parents, described the changes they experienced, and what felt most meaningful.Drawing on thematic analysis of semi-structured interviews, the conversation highlights key themes including shifts in perspective, increased confidence and participation, greater use of skills and strategies, and growing independence and resilience. Martha reflects on how meaningful change from the child and parent perspectives can positively contribute to our therapy development, outcome measurement, individualization, and guide future training and research.Bio: Martha Jeffery is a Highly Specialist Speech and Language Therapist at the Michael Palin Centre for Stammering  in London, UK and she has worked there since 2013.  She started her career as a Speech and Language Therapist in 2008, and before then she had an earlier life in conference organizing and then banking. At the Michael Palin Centre she works with children and young people who stammer and their families, carrying out assessments and delivering therapy individually and in groups.  She also has a smaller caseload of adults who stammer. She is a co-cordinator of the Michael Palin Centre's training programme, which delivers 12 core courses that range from therapy programmes such as Palin PCI, to using psychological approaches such as Solution Focused Brief Therapy and Cognitive Behavior Therapy with people who stammer.  The Centre's training courses reach over 600  speech and language therapists globally each year, which reaches an estimated 6000 children who stammer worldwide annually.  Martha also devises and delivers training programmes - most recently a one-day course on Cluttering.  The third strand of Martha's work at The Michael Palin Centre, is contributing to their research programme and she will be talking about the research project she is currently working on today.Martha has attended additional training in Cognitive Behaviour Therapy, and has an Advanced Certificate in Solution Focused Brief Therapy from BRIEF (London)'s year-long programme.  She is co-author of Solution Focused Brief Therapy with Children and Young People who Stammer and their Parents: A Practical Guide from the Michael Palin Centre (2024) with Ali Berquez.  She is not a person who stammers, but she is married to a person who stammers and is mother to two children - one whose stammer resolved and one whose stammer has continued. 

Cathy interviews Zoe Larsen Morgese, an experienced SLP. Zoe and Cathy discuss the importance of early communication between caregivers and young children with blindness and low vision.  Zoe shares her longtime experience learning about communication of the young child during mealtimes through a federal IES research project and as an SLP for educational programs across the country. Zoe discusses the importance of learning to read children's cues to encourage successful, enjoyable mealtimes. She recommends further reading through Ellyn Satter's Child of Mine book and the Ellyn Satter Institute and a parent friendly organization called Feeding Matters at https://www.feedingmatters.org/who-we-are/ where you can find support, information, and research. Another excellent resource is the Facebook Page “Kid's Eat in Color” which is managed by a child nutritionist. For those who would like to see the touching “family time” video about eating together that Zoe and Cathy discussed, here is the link:   https://www.youtube.com/watch?v=P9ZMZBSa9q8&t=5s Jenny, Cathy & Paige discuss how important establishing beginning, middle and ending routines are for infants and toddlers throughout the day, particularly for young children with blindness and low vision. These early communication efforts lead to joint attention, anticipation, vocabulary development, and choice-making skills. Jenny and Paige emphasize that these efforts can be easily incorporated into family life.   We love voicemail! Please leave us a message: https://www.speakpipe.com/FeelingThisLife   Children who are blind and low “Vision AND” have additional needs may receive early intervention services from multiple professionals.  A list of those services can be found here.    Please give us your feedback using this survey link: ⁠⁠https://educationutah.co1.qualtrics.com/jfe/form/SV_39OmBvMih6MlgNw⁠⁠        Make a Donation to-    VIPS: ⁠⁠https://secure.vips.org/np/clients/vips/donation.jsp?forwardedFromSecureDomain=1&campaign=495⁠⁠       Follow us on Facebook @⁠Feelingthislifepodcast⁠ and Instagram @⁠Feelingthislife⁠    Email: ⁠⁠feelingthislife@vips.org⁠⁠ ⁠⁠⁠   ⁠⁠www.vips.org⁠  

Want to share your feedback? Send us a message!David Luterman, Ed.D., CCC-SLP, Professor Emeritus at Emerson College, joins host Sara MacIntyre, M.A., CCC-SLP, to explore what it truly means to be family-centered in clinical practice. Drawing on more than 60 years of clinical and teaching experience, Dr. Luterman shares stories and formative moments that have shaped his belief in placing families at the center of assessment and therapy. The conversation invites clinicians to reflect on how thoughtfully supporting families can foster deeper, more meaningful change for clients.Additional Resources:Empowering the Client with Dr. David Luterman60 Years of Clinical Teacher in Counseling: Reflections with Dr. David LutermanSharpening Counseling Skills Parent Counseling: Conversations with David Luterman David Luterman, Ed.D., CCC-SLP, is a professor emeritus at Emerson College in Boston, Massachusetts and Director of the Thayer Lindsey Family Centered Nursery for Hearing Impaired Children. He is the author of many articles and several books, including his seminal book called Counseling Persons with Communication Disorders and Their Families, now in its 5th edition. He has done several podcasts and a DVD through the Stuttering Foundation called Counseling People who Stutter and Their Families. In addition to authoring many books, he is a well-known teacher, researcher, consultant, and lecturer. Dr. Luterman is a fellow of the American Speech-Language-Hearing Association and recipient of the Frank Kleffner Clinical Achievement Award (2011).

Universal Voices is back with an all new mini-series. This season we explore how different folks within the Universal Church are experiencing community within the Body of Christ. In this episode, Alissa welcomes Katie Holler and Viridiana Herrera of The Dorothea Project. The Dorothea Project is a community of Catholic women formed by Catholic Social Teaching, called to speak truth and defend human dignity. The three women spend time talking about the beauty and power of women coming together to act and move in the defense of human dignity. They also chat about:Motherhood.The power of belonging and connection.Vidi's gift of gab.   :)The Holy Spirit present in connection between persons. The longing to be seen, known and safe.How The Dorothea Project began.CST as a best kept secret.The beauty and variety of gifts, talents and backgrounds of the women that are drawn into The Dorothea Project. "On Earth As it is in Heaven. The beauty of CST being rooted in the tenets of the Catholic faith and The Gospel.Women Leading.Find out more about The Dorothea Project here or find them on Instagram here.///Katie Holler is, in no particular order, a community organizer, a wife, a mom, and a Gilmore Girls enthusiast. She currently organizes moms for universal childcare and founded The Dorothea Project to organize Catholic women to take action in defense of human dignity rooted in Catholic Social Teaching. She also teaches social work part time at Franciscan University. In her very limited free time, Katie likes baking, listening to podcasts, and dreaming of a more just society. Viridiana Herrera Solis is a catechist and Catholic Youth Minister in Bakersfield, California. She has a background in tech and data, but is currently pursuing a degree in Speech Language Pathology. Within the Dorothea Project, Viridiana serves on the Intercessory Prayer Team and Social Media Team. In her spare time she loves to write, make candles, create small sculptures, and create prayerful retreats for her friends.

Guests: Vicki R. Deal-Williams, ASHA's Chief Executive Officer, and Perry Flynn, 2026 ASHA President ElectEarn 0.10 ASHA CEUs for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/the-future-of-slhThis episode is a collaboration with the Keys for SLPs podcast, hosted by Mary Beth Hines, MS, CCC-SLP. Michelle Dawson, MS, CCC-SLP, CLC, BCS-S joins as a co-host to welcome ASHA leadership Vicki R. Deal-Williams, MA, CCC-SLP, FASAE, CAE, ASHA's Chief Executive Officer, and Perry Flynn, MEd, CCC-SLP, BCS-CL, CTRI, ASHA-F, 2026 ASHA President Elect for an inside look at the evolving speech-language-hearing professions.Together, they will explore emerging technologies, workforce trends, and ongoing efforts to recruit and retain professionals, particularly those from BIPOC communities. The conversation will also highlight the SLP Interstate Compact and offer practical guidance for students and early-career professionals navigating the changing landscape of the field.About the Guests:Vicki Deal-Williams serves as the Chief Executive Officer for the American Speech-Language-Hearing Association (ASHA), where she has been a valued team member for more than three decades. A Certified Association Executive and distinguished Fellow of the American Society of Association Executives (ASAE), Vicki is also an ASHA certified speech-language pathologist and ASHA Fellow. Her expertise lies in cultivating leadership, aligning strategic goals with organizational priorities, and navigating teams through transformation with clarity and purpose. She is known for her ability to authentically build strong, collaborative relationships and to foster a welcoming culture where everyone feels they have a voice. Through clear vision, steady guidance, and deep commitment, she works alongside volunteer leaders and members, students, vendors, partners, and staff to advance ASHA's mission, achieve optimal results, and ensure lasting impact.Perry Flynn, MEd, CCC-SLP, BCS-CL, CTRI, is the Consultant to the North Carolina Department of Public Instruction in the area of Speech-Language Pathology and a Professor in the Department of Communication Sciences and Disorders at the University of North Carolina at Greensboro. He is a Fellow of the American Speech-Language-Hearing Association, a two-time member of ASHA's Board of Directors, and a Board Certified Specialist in Child Language. He is a Professional Association of Therapeutic Horsemanship (PATH) Certified Therapeutic Horseback Riding Instructor. He has presented several times at ASHA Conventions on the topic of recruiting and retaining men and minorities in speech-language pathology and has written several articles on the topic.

Functional Communication Training can change everything when behavior is really communication and we take the time to listen.In this reprise episode, I'm revisiting one of our most popular conversations of the year, all about Functional Communication Training and how to get started in a way that is practical, ethical, and truly supportive for students. I hear so many questions about what to do when students are struggling to express their needs and emotions and how to move beyond problem behavior into meaningful communication. This conversation with Dr. Bethjoy Houck gives you a clear, research-based way forward.We walk through what Functional Communication Training actually is, why it is different from simple mand training, and why identifying the true function of behavior through assessment is essential before jumping into intervention. We also break down how to thoughtfully select functional communication responses so they are easy to prompt, meaningful to the learner, and sustainable across environments. Whether you are a speech-language pathologist, BCBA, RBT, or parent, this episode is filled with real-world examples that bring the research to life and help you apply FCT with confidence and compassion.#autism #speechtherapyWhat's Inside:What Functional Communication Training really is, and why it goes beyond basic mand trainingWhy identifying the function of behavior is essential before implementing FCTHow to select communication responses that are easy to prompt, ethical, and effectivePractical examples of using AAC, visuals, and object exchange to support meaningful communicationMentioned In This Episode:A Practitioner's Guide for Selecting Functional Communication ResponsesJoin the aba speech connection  ABA Speech: Home

Where did arbitrary cut scores for norm-referenced language assessments come from, and why do they feel “safer” than relying on clinical judgement?I discuss this question and more in this third part of a three-part series, bilingual SLPs Destiny Johnson and Tiffany Shahoumian-Ruiz join me to continue our conversation about advocating for effective language evaluation practices in schools.Across these conversations, we explore:Sensitivity, specificity, reference standards, and diagnostic accuracyHow test development has evolved over time and why this matters Why the same cut-off score shouldn't apply across all testsThe math behind using two norm-referenced tests, and why it may complicate rather than clarify in some casesOther reasons we test beyond diagnosis (treatment planning, severity, monitoring progress)How do we do we to “sell” the concept of dynamic assessment to administratorsCase studies that show the pitfalls of over-reliance on standardized scoresMisconceptions clinicians often hold, and what they should know about assessmentDifferences in state eligibility standards, and what this means for service decisionsThis series is part myth-busting, part practical strategies, and part advocacy playbook—perfect for clinicians who want to move beyond compliance-driven evaluations toward assessments that truly reflect students' needs.Destiny Johnson, M.S., CCC-SLP, is a bilingual speech-language pathologist (English/Spanish) with a deep passion for culturally responsive assessment and treatment practices, as well as advocating for policy change. She has presented on dynamic assessment at the CSHA Convergence 2024, focusing on the importance of dynamic assessment in bilingual children. Destiny has experience working as a school-based SLP, in private practice, and in early intervention. She is also the founder and CEO of Multimodal Communication Speech Clinic P.C.Connect with Destiny on Instagram @destinyjohnsonslp, on her private practice website here, and on LinkedIn here.Listen to Destiny's previous episode on De Facto Leaders here: EP 187: Dynamic Assessment: Evaluations are a process, not a test (with Destiny Johnson)Tiffany Shahoumian-Ruiz is a bilingual high school SLP from Southern California who has primarily worked in the school systems and has experience at both the elementary and secondary level. She's also a member of Language Therapy Advance Foundations, and is involved in state and local advocacy work relating to dynamic assessments and special education eligibility.Connect with Tiffany on Instagram @tiffany.shahoumianListen to Tiffany's previous episode on De Facto Leaders here: High school language therapy: Do we still have time to make an impact? (with Tiffany Shahoumian-Ruiz)In this episode, I mention Language Therapy Advance Foundations, my program that gives SLPs and other service providers a system for language therapy. You can learn more about the program here.Additional Resources Mentioned in the episode:Daub, O., Cunningham, B. J., Bagatto, M. P., Johnson, A. M., Kwok, E. Y., Smyth, R. E., & Oram Cardy, J. (2021). Adopting a conceptual validity framework for testing in speech-language pathology. American Journal of Speech-Language Pathology, 30(4), 1894–1908. https://doi.org/10.1044/2021_AJSLP-20-00032Spaulding, T. J., Plante, E., & Farinella, K. A. (2006). Eligibility criteria for language impairment: Is the low end of normal always appropriate? Language, Speech, and Hearing Services in Schools, 37(1), 61–72. https://doi.org/10.1044/0161-1461(2006/007)DYMOND Norm-Referenced Dynamic AssessmentBilingual English-Spanish Assessment (BESA) We're thrilled to be sponsored by IXL. IXL's comprehensive teaching and learning platform for math, language arts, science, and social studies is accelerating achievement in 95 of the top 100 U.S. school districts. Loved by teachers and backed by independent research from Johns Hopkins University, IXL can help you do the following and more:Simplify and streamline technologySave teachers' timeReliably meet Tier 1 standardsImprove student performance on state assessments

When we choose evaluation tools for language, are we clear on WHY we're assessing? Most people think of diagnosis, but that's not the only reason we assess students. I discuss this question and more in this second part of a three-part series, bilingual SLPs Destiny Johnson and Tiffany Shahoumian-Ruiz join me to continue our conversation about language evaluation practices in schools.Across these conversations, we explore:Sensitivity, specificity, reference standards, and diagnostic accuracyHow test development has evolved over time and why this matters Why the same cut-off score shouldn't apply across all testsThe math behind using two norm-referenced tests, and why it may complicate rather than clarify in some casesOther reasons we test beyond diagnosis (treatment planning, severity, monitoring progress)How do we do we to “sell” the concept of dynamic assessment to administratorsCase studies that show the pitfalls of over-reliance on standardized scoresMisconceptions clinicians often hold, and what they should know about assessmentDifferences in state eligibility standards, and what this means for service decisionsThis series is part myth-busting, part practical strategies, and part advocacy playbook—perfect for clinicians who want to move beyond compliance-driven evaluations toward assessments that truly reflect students' needs.Destiny Johnson, M.S., CCC-SLP, is a bilingual speech-language pathologist (English/Spanish) with a deep passion for culturally responsive assessment and treatment practices, as well as advocating for policy change. She has presented on dynamic assessment at the CSHA Convergence 2024, focusing on the importance of dynamic assessment in bilingual children. Destiny has experience working as a school-based SLP, in private practice, and in early intervention. She is also the founder and CEO of Multimodal Communication Speech Clinic P.C.Connect with Destiny on Instagram @destinyjohnsonslp, on her private practice website here, and on LinkedIn here.Listen to Destiny's previous episode on De Facto Leaders here: EP 187: Dynamic Assessment: Evaluations are a process, not a test (with Destiny Johnson)Tiffany Shahoumian-Ruiz is a bilingual high school SLP from Southern California who has primarily worked in the school systems and has experience at both the elementary and secondary level. She's also a member of Language Therapy Advance Foundations, and is involved in state and local advocacy work relating to dynamic assessments and special education eligibility.Connect with Tiffany on Instagram @tiffany.shahoumianListen to Tiffany's previous episode on De Facto Leaders here: High school language therapy: Do we still have time to make an impact? (with Tiffany Shahoumian-Ruiz)In this episode, I mention Language Therapy Advance Foundations, my program that gives SLPs and other service providers create a system for language therapy. You can learn more about the program here.Additional Resources Mentioned in the episode:Daub, O., Cunningham, B. J., Bagatto, M. P., Johnson, A. M., Kwok, E. Y., Smyth, R. E., & Oram Cardy, J. (2021). Adopting a conceptual validity framework for testing in speech-language pathology. American Journal of Speech-Language Pathology, 30(4), 1894–1908. https://doi.org/10.1044/2021_AJSLP-20-00032Spaulding, T. J., Plante, E., & Farinella, K. A. (2006). Eligibility criteria for language impairment: Is the low end of normal always appropriate? Language, Speech, and Hearing Services in Schools, 37(1), 61–72. https://doi.org/10.1044/0161-1461(2006/007)DYMOND Norm-Referenced Dynamic AssessmentBilingual English-Spanish Assessment (BESA) We're thrilled to be sponsored by IXL. IXL's comprehensive teaching and learning platform for math, language arts, science, and social studies is accelerating achievement in 95 of the top 100 U.S. school districts. Loved by teachers and backed by independent research from Johns Hopkins University, IXL can help you do the following and more:Simplify and streamline technologySave teachers' timeReliably meet Tier 1 standardsImprove student performance on state assessments

In this episode of The MFR Coach Podcast, Heather Hammell sits down with Reiki Master Teacher, MFR Therapist and speech-language pathologist Sarah Collins to explore how spiritual alignment and pricing clarity can transform an MFR business. Sarah shares how she overcame fear of visibility, chose an aligned treatment space, set real boundaries, and raised her rates with integrity. Key Lessons for Listeners Align your business with your personal values and energy. Confidence in visibility grows with consistent action. Rest and structure are business tools, not luxuries. Knowing your numbers and setting boundaries create freedom. Paid services and fair pricing strengthen results for everyone. What's Next for Sarah Sarah's next chapter includes a growing waitlist, more teaching, and helping clients strengthen self-care between sessions. She continues to align her rates with her expertise and focuses on building long-term stability and fulfillment. Website | Facebook | Instagram If Sarah's story inspires you to create a calm, confident, and fully booked MFR business, explore Heather's Foundations Coaching Program at www.themfrcoach.com/foundation. You can also grab a seat at the next free webinar at www.themfrcoach.com/webinar to start implementing these strategies in your own practice.   **This podcast is not medical advice and is not a substitute for consultation with an appropriate medical professional. We make no representations as to any physical, emotional, or mental health benefits that may be derived from listening to our podcast. Likewise, we do not make any representations or guarantees as to any possible income, business growth, additional clients, or any other earnings or growth benefits that may be derived from our podcast. Any testimonials, examples, or other results presented are the experiences of one client. We do not represent or guarantee you will achieve the same or similar results. You understand and agree you are solely responsible for any decisions you make from the information provided.**   The MFR Coach's Podcast includes affiliate links in its show notes. This means we may earn a commission if you click on or make purchases via the links in our show notes.

Language assessments shape who gets services, how goals are written, and how progress is measured, but there are many misconceptions about how to follow best-practices when doing an evaluation. In this three-part series, bilingual SLPs Destiny Johnson and Tiffany Shahoumian-Ruiz join me to dig into the science, the myths, and the policies that shape evaluation practices in schools.Across these conversations, we explore:Sensitivity, specificity, reference standards, and diagnostic accuracyHow test development has evolved over time and why this matters Why the same cut-off score shouldn't apply across all testsThe math behind using two norm-referenced tests, and why it may complicate rather than clarify in some casesOther reasons we test beyond diagnosis (treatment planning, severity, monitoring progress)How do we do we to “sell” the concept of dynamic assessment to administratorsCase studies that show the pitfalls of over-reliance on standardized scoresMisconceptions clinicians often hold, and what they should know about assessmentDifferences in state eligibility standards, and what this means for service decisionsThis series is part myth-busting, part practical strategies, and part advocacy playbook—perfect for clinicians who want to move beyond compliance-driven evaluations toward assessments that truly reflect students' needs.You can listen to Part 1 of the series here.Destiny Johnson, M.S., CCC-SLP, is a bilingual speech-language pathologist (English/Spanish) with a deep passion for culturally responsive assessment and treatment practices, as well as advocating for policy change. She has presented on dynamic assessment at the CSHA Convergence 2024, focusing on the importance of dynamic assessment in bilingual children. Destiny has experience working as a school-based SLP, in private practice, and in early intervention. She is also the founder and CEO of Multimodal Communication Speech Clinic P.C.Connect with Destiny on Instagram @destinyjohnsonslp, on her private practice website here, and on LinkedIn here.Listen to Destiny's previous episode on De Facto Leaders here: EP 187: Dynamic Assessment: Evaluations are a process, not a test (with Destiny Johnson)Tiffany Shahoumian-Ruiz is a bilingual high school SLP from Southern California who has primarily worked in the school systems and has experience at both the elementary and secondary level. She's also a member of Language Therapy Advance Foundations, and is involved in state and local advocacy work relating to dynamic assessments and special education eligibility.Connect with Tiffany on Instagram @tiffany.shahoumianListen to Tiffany's previous episode on De Facto Leaders here: High school language therapy: Do we still have time to make an impact? (with Tiffany Shahoumian-Ruiz)In this episode, I mention Language Therapy Advance Foundations, my program that gives SLPs and other service providers create a system for language therapy. You can learn more about the program here.Additional Resources Mentioned in the episode:Daub, O., Cunningham, B. J., Bagatto, M. P., Johnson, A. M., Kwok, E. Y., Smyth, R. E., & Oram Cardy, J. (2021). Adopting a conceptual validity framework for testing in speech-language pathology. American Journal of Speech-Language Pathology, 30(4), 1894–1908. https://doi.org/10.1044/2021_AJSLP-20-00032Spaulding, T. J., Plante, E., & Farinella, K. A. (2006). Eligibility criteria for language impairment: Is the low end of normal always appropriate? Language, Speech, and Hearing Services in Schools, 37(1), 61–72. https://doi.org/10.1044/0161-1461(2006/007)DYMOND Norm-Referenced Dynamic AssessmentBilingual English-Spanish Assessment (BESA) We're thrilled to be sponsored by IXL. IXL's comprehensive teaching and learning platform for math, language arts, science, and social studies is accelerating achievement in 95 of the top 100 U.S. school districts. Loved by teachers and backed by independent research from Johns Hopkins University, IXL can help you do the following and more:Simplify and streamline technologySave teachers' timeReliably meet Tier 1 standardsImprove student performance on state assessments

Our guest this week is Tom Chibucos of Chicago, IL, who is a Related Service Provider Manager of Speech-Language Pathology & Audiology services at Chicago Public Schools and father of two including one who is on the Autism spectrum.  Tom and his wife, Michelle, have been married for 20 years and are the proud parents of two children; Sylvie (10) and Vincent (9), who is non-verbal and on the Autism spectrum.Tom is also a co-founder of Pediatric Therapy Network Chicago, started in 2010 to deliver highly skilled therapeutic support to young children and families in their homes and communities so that all children can fully participate in the joys of childhood.We'll hear Tom's story, his commitment to family and service to others on this episode of the SFN Dad to Dad Podcast.Show Notes -Phone – (773) 818-3491Email – tomchibucos@gmail.comLinkedIn –  https://www.linkedin.com/in/thomaschibucos/Website - https://www.ptnchicago.com/Special Fathers Network -SFN is a dad to dad mentoring program for fathers raising children with special needs. Many of the 800+ SFN Mentor Fathers, who are raising kids with special needs, have said: "I wish there was something like this when we first received our child's diagnosis. I felt so isolated.  There was no one within my family, at work, at church or within my friend group who understood or could relate to what I was going through."SFN Mentor Fathers share their experiences with younger dads closer to the beginning of their journey raising a child with the same or similar special needs. The SFN Mentor Fathers do NOT offer legal or medical advice, that is what lawyers and doctors do. They simply share their experiences and how they have made the most of challenging situations.Check out the 21CD YouTube Channel with dozens of videos on topics relevant to dads raising children with special needs - https://www.youtube.com/channel/UCzDFCvQimWNEb158ll6Q4cA/videosPlease support the SFN. Click here to donate: https://21stcenturydads.org/donate/Special Fathers Network: https://21stcenturydads.org/  SFN Mastermind Group - https://21stcenturydads.org/sfn-mastermind-group/Special thanks to SFN Mentor Father, SFN Mastermind Group dad and 21CD board member Shane Madden for creating the SFN jingle on the front and back end of the podcast.. 

In this listener mailbag episode, SLP grad students, clinicians, and private practice owners call the Minivan Meltdown line to share what's really happening behind the scenes in our field.First, a grad student with a repaired bilateral cleft lip and palate describes a supervisor who told her she “can't be a good SLP” because of her speech difference. Dr. Jeanette Benigas and Preston Lewis, SLP, break down discrimination in training, how CCC standards exclude disabled and Deaf clinicians, and why difference is not disorder.Next, a medical SLP who accidentally dropped her CCC in 2008 shares what happened when she kept her state license and kept working. We talk shame culture, confusion around the CCC, mutual recognition agreements, and why so many CCC “rules” fall apart under scrutiny.Finally, a private practice owner in Kentucky explains how pediatric F-codes (like F80) were treated as “mental health” diagnoses, triggering visit caps, mass denials, and 12–18 month reimbursement delays. We unpack F-code chaos, the Mental Health Parity Act, and why small practices shouldn't be the ones stuck fighting insurers.If you've ever been gaslit by a supervisor, confused by the CCC, or crushed by insurance games, this episode is your reminder: you're not the problem. The system is.Stop paying to track ASHA-approved CEUs. Save your money and set up for a FREE CEU/PDH tracker with Speech Therapy PD. While you are there, get $10 off a professional subscription with the code FixSLP10!

Join us for an engaging discussion with Dr. Alyssa Boucher about Universal Design for Learning and Speech-Language Pathology!

Want to share your feedback? Send us a message!Dr. Shahriar SheikhBahaei, Assistant Professor of Neurobiology and Behavior at Stony Brook University, joins host Sara MacIntyre, M.A., CCC-SLP, to discuss emerging research exploring the cellular and neurobiological mechanisms underlying stuttering. Dr. SheikhBahaei shares his journey from lived experience with stuttering to leading a neuroscience research lab investigating how glial cells, particularly astrocytes, contribute to motor control and speech-related circuits.The conversation delves into several recent studies from his lab that utilize mouse models to uncover how alterations in astrocyte function and iron regulation may relate to the neural pathways involved in stuttering. Dr. SheikhBahaei walks listeners through the background, scientific rationale, and key findings of these studies, highlighting what they reveal about the non-vocal motor aspects of stuttering and how this basic science may inform future directions in understanding and treatment.The episode concludes with reflections on bridging laboratory research with the lived experiences of people who stutter and fostering collaboration among scientists, clinicians, and the stuttering community.Resources discussed:SheikhBahaei, S., et al. (2025). Non-vocal motor deficits in a transgenic mouse model linked to stuttering disorders. bioRxiv. https://www.biorxiv.org/content/10.1101/2025.08.08.669441v2SheikhBahaei, S., et al. (2025). Iron dysregulation in mice engineered with a mutation associated with stuttering. bioRxiv. https://www.biorxiv.org/content/10.1101/2025.07.30.667752v1SheikhBahaei, S., et al. (2024). Scientists, society, and stuttering: A multi-stakeholder approach. International Journal of Clinical Practice. https://onlinelibrary.wiley.com/doi/full/10.1111/ijcp.13678Shahriar SheikhBahaei, Ph.D., is a neuroscientist and faculty member at Stony Brook University. His research focuses on how the brain controls complex motor behaviors such as speech and breathing, particularly focusing on the role of astrocytes in neural circuits. Growing up with stuttering has influenced his lifelong pursuit to understand the neurobiology of speech and communication. He completed his Ph.D. in Neuroscience through a joint program at University College London and the National Institutes of Health (NIH). He later became one of the first Independent Research Scholars at NIH, where he established his own lab. At Stony Brook University, he continues to investigate the cellular and circuit foundations of speech disorders while also mentoring the next generation of scientists and advocating for more inclusive perspectives on communication.

SLP burnout isn't a personal failure; it's a systems problem. In this episode, Dr. Jeanette Benigas and Preston Lewis, MS/SLP, talk with researchers Dr. Tobias Kroll (Texas Tech) and Phuong Palafox, SLP, about their study, “The Invisible Workload of School-Based SLPs.” We cover why SLPs are advocating (and being ignored), how caseload vs. workload, siloed roles, and “martyr culture” fuel overwhelm, and where leadership and IDEA compliance pressure go off the rails. You'll hear practical wins that work now, and bigger-picture fixes universities and national orgs must lead. If you've ever been told to “practice self-care” while your schedule balloons, this conversation gives language, evidence, and steps to push back... together.

In this episode of First Bite, host Michelle Dawson, MS, CCC-SLP, CLC, BCS-S, wraps up October's AAC Awareness Month with one of her favorite guests, Stephen Kneece, MS, CCC-SLP! Stephen, founder of Speech and Language Songs on Instagram, is an AAC guru with Forbes AAC, a seasoned school-based SLP, and former Department Chair of Speech-Language Pathology at Columbia College. Did we mention he's also a vocalist and guitarist too?!?Tune in (pun intended) as Stephen guides us through the clinical decision-making process for AAC selection for the little ones on our caseloads, provides easy step-by-step directions for the evaluation-to-funding process, and shares alternative funding options when insurance denies.If you're new to AAC or to Forbes AAC, this episode will be sure to answer questions you didn't even know you had!Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/strategies-for-starting-aacAbout the Guest: Stephen Kneece, MS CCC-SLP, is an experienced Speech-Language Pathologist with a deep-rooted passion for enhancing communication through technology. With a background that began in media arts and music, Stephen's journey led him to discover his true calling in speech-language pathology. He earned his Bachelor of Arts in Media Arts with a minor in Music from the University of South Carolina and went on to obtain his Master of Arts in Speech Pathology and Audiology from South Carolina State University. Stephen's professional path took shape during his nine years as a pediatric Speech-Language Pathologist in South Carolina's public schools. It was here that he discovered his passion for working with Augmentative and Alternative Communication, finding immense fulfillment in helping children with complex communication needs express themselves. This experience sparked his dedication to AAC, laying the foundation for his future endeavors in the field. Before assuming his current role, Stephen served as Chair of the Speech-Language Pathology Program at Columbia College. He also served as a Lecturer and Clinical Supervisor. During his time there, he taught courses such as Phonetics, Language Acquisition & Development, Language Disorders, Speech-Language Pathology Clinical Technology, and Augmentative and Alternative Communication, while also guiding and mentoring students through their clinical practicums. In addition, Stephen spent four years teaching the Augmentative and Alternative Communication course at the University of South Carolina. His dedication to teaching and mentorship has left a lasting impact on the next generation of SLP professionals. In addition to his work in academia, Stephen's innovative approach to therapy includes the creation of Speech and Language Songs, a platform that merges his love for music with speech therapy. His contributions to the field have been recognized both locally and nationally, including receiving the Louis M. DiCarlo Award for Outstanding Clinical Achievement in 2024.Follow First Bite: Spotify: https://open.spotify.com/show/36kfA1xbU156vHPilALVoJ?si=0be088bb08894091Apple Podcasts: https://podcasts.apple.com/us/podcast/first-bite/id1399630680

Host Polly Swingle is joined by Speech-Language Pathologist, Chrissy Regan, M.A., CCC-SLP, to talk about the benefits of working with a Speech and Language Pathologist for those with head and neck cancer. Chrissy breaks down what head and neck cancer is, causes of this type of cancer, and effective treatments for those who have been diagnosed.Chrissy Regan, M.A., CCC-SLP, earned her Bachelor of Applied Arts in Communication Disorders (2010) and Master of Arts in Speech-Language Pathology (2013) from Central Michigan University. She joined The Recovery Project in February 2025 after working for 10 years in a Michigan-based outpatient rehabilitation clinic, where she developed a head and neck cancer program focused on improving speech and swallowing outcomes for patients undergoing chemotherapy and radiation therapy. Chrissy is certified in Lee Silverman Voice Treatment (LSVT LOUD) and SpeakOut! therapy programs for the treatment of Parkinson's Disease and she specializes in adult neurological disorders. She also holds a certification in VitalStim® therapy, an evidence-based approach for the treatment of swallowing disorders. Chrissy is also a part of the Concentrated Stroke Rehabilitation team at The Recovery Project.Learn more about The Recovery Project! View our website at www.therecoveryproject.net Call us 855-877-1944 to become a patient Follow us on Instagram Like us on Facebook Thanks for listening!

Full conversation with Melissa Davis, MS, CCC-SLP and Jenna Nassar, MS, CCC-SLP, BCS-S, for "Intraprofessional Practice: Strategies for Effective Collaboration Between SLPs" an episode of the First Bite podcast.Hosted by: Michelle Dawson MS, CCC-SLP, CLC, BCS-SEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/intraprofessional-practice-strategiesIn this episode of First Bite, we're exploring what effective intraprofessional practice really looks like for SLPs in pediatrics. When colleagues collaborate well, everyone benefits—especially the little ones we serve.Join Michelle Dawson, MS, CCC-SLP, CLC, BCS-S, as she interviews Melissa Davis, MS, CCC-SLP, owner of Speech Therapy for Kids and co-owner of Kids Therapy Spot in Starkville and Columbus, MS, and Jenna Nassar, MS, CCC-SLP, BCS-S, clinician and instructor in the Department of Otolaryngology–Head and Neck Surgery at the University of Mississippi Medical Center. Together, they share how they make intraprofessional collaboration work for optimal continuity of care.Tune in to learn what a typical day looks like for a pediatric medical SLP in different settings, discover strategies to strengthen your clinical skills across those settings, and gain practical ideas for communicating effectively—even across hundreds of miles—so that the little ones on both your caseloads thrive.About the Guest(s): Melissa Davis, MS CCC-SLP, is the owner of Speech Therapy for Kids and co-owner of Kids Therapy Spot located in Starkville and Columbus, MS. Melissa received her bachelor's degree in Speech-Language Pathology from Middle Tennessee State University in May of 2000 and her master's degree in Speech-Language Pathology from Mississippi University for Women in May of 2002. Melissa worked for two rehabilitation companies from 2002 to 2009, providing speech therapy services in homes and daycare centers for children in the early intervention program. In January 2010, Melissa went into private practice. She now has two outpatient clinics in Starkville and Columbus, MS, in addition to contracting speech therapy services at three Prescribed Pediatric Extended Care Facilities and the private schools in Starkville, MS. In addition to owning a private practice, Melissa continues to be a treating SLP primarily focusing on treating children with pediatric feeding disorders at her two outpatient clinics, in addition to the PPEC in Starkville, MS. She also consults on patients with PFD at the PPECs located in Meridian and Columbus, MS. Melissa is an active volunteer with Feeding Matters and was on the 2023 and 2024 ASHA PFD topic committee. She consistently speaks to undergraduate and graduate students at various universities about PFD and has also had numerous speaking engagements, presenting information on opening and operating a private practice.Jenna Nassar, MS CCC-SLP, BCS-S, is a pediatric speech pathologist and an instructor in the Department of Otolaryngology-Head and Neck Cancer at the University of Mississippi Medical Center. In addition to these roles, she also serves as the pediatric outpatient team leader, clinical Internship coordinator for the Department of Speech Pathology, and as a member of the cleft and craniofacial team. She specializes in pediatric swallowing and feeding disorders and serves patients both inpatient and outpatient at Batson Children's Hospital. She holds Board Certification in swallow and swallowing disorders through the ABSSD. She is trained in a variety of treatment approaches for feeding and swallowing disorders. She is a member of the American Speech-Language-Hearing Association, the Mississippi Speech-Language-Hearing Association, SIG 13, and Feeding Matters. She was awarded the 2023 Clinical Achievement Award from the Mississippi Speech-Language-Hearing Association and the Association's Honors in 2025. In 20024, she served on the Pediatric Feeding...

Dr. Jeanette Benigas, SLP, sits down with Oregon SLP Kara Hayden, MS/SLP, to unpack how clinicians organized, lobbied, and helped pass a state law requiring hourly pay, ending pay-per-visit in home health and hospice. They cover timelines, productivity pressure, joining an existing nurses' union, building a small core team, securing a sponsor, writing testimony, and answering the big question: “Won't agencies just pay less?” If you're ready to push for change in your state, pay models, Medicaid rules, or workplace policies, this episode gives you the blueprint and the courage to start.Brought to you by Verse Therapy, the business-in-a-box solution for SLPs who want to start, run, and grow private practice with confidence. Verse Therapy makes private practice a realistic option by providing an AI-integrated EHR, marketing support, cohort trainings, and a team that helps you build your brand and run your practice like a pro. Learn more at versetherapy.com.Stop paying to track ASHA-approved CEUs. Save your money and set up for a FREE CEU/PDH tracker with Speech Therapy PD. While you are there, get $10 off a professional subscription with the code FixSLP10!

Speech-Language Pathology and MS: Support for Thinking, Communication, and Daily Life - Episode 192 Think speech therapy is just for slurred speech or swallowing? Think again. In this episode, host Stephanie Buxhoeveden chats with Speech Language Pathologist Lauren Schwabish about how speech-language pathologists support people with MS in managing thinking, memory, planning, and communication. They explore real-life strategies like the “Four P's,” talk workplace tips, and explain why proactive care matters. Disclaimer: This podcast provides general educational information. Can Do MS does not endorse, promote, or recommend any product or service associated with the content of this program

Want to share your feedback? Send us a message!Dr. Hatun Zengin-Bolatkale, Assistant Professor in the School of Speech, Language, and Hearing Sciences at San Diego State University, joins host Sara MacIntyre, M.A., CCC-SLP, to discuss findings from a two-part research project examining emotional processing and control in children who stutter. Dr. Zengin-Bolatkale begins by sharing her background and what led her into the field of stuttering research. She then guides listeners through her work investigating the interplay between emotions and stuttering, drawing on multiple methods to better understand this complex relationship. The conversation highlights two key studies (referenced below), covering relevant background, study design, surprising and noteworthy findings, and the implications of the results. Dr. Zengin-Bolatkale closes by sharing exciting future areas of research and projects she has underway. Papers discussed:Zengin-Bolatkale, H., Key, A. P., & Jones, R. M. (2025). Cortical emotional reactivity, caregiver-reported emotional control, and stuttering frequency in young children. Journal of Fluency Disorders, 85, Article 106139. https://doi.org/10.1016/j.jfludis.2025.106139Zengin-Bolatkale, H., Conture, E. G., Key, A. P., Walden, T. A., & Jones, R. M. (2018). Cortical associates of emotional reactivity and regulation in childhood stuttering. Journal of Fluency Disorders, 56, 81–99. https://doi.org/10.1016/j.jfludis.2018.04.001Hatun Zengin-Bolatkale, Ph.D., CCC-SLP is an Assistant Professor in the School of Speech, Language, and Hearing Sciences at San Diego State University. She's a speech-language pathologist by training and has over a decade of experience across working clinically, teaching, and doing research in the field, with a focus on stuttering. She earned her master's in speech-language pathology from the University of Illinois and completed her Ph.D. at Vanderbilt University. Her work focuses on young children who stutter, with a special interest in how cognitive, emotional, and language-related factors influence the way stuttering develops—and why some children recover while others do not. In her research, she uses a variety of tools, from parent reports and behavioral observation to physiological measures like skin conductance, heart rate, and brain activity, to get a more complete picture of stuttering. Her ultimate goal is to support more informed and individualized approaches to assessment and treatment.

In this episode you will discover: Diversity Means Everyone - Race is just one piece. Consider how age, language, immigration status, religion, sexual orientation, and geography intersect to shape each person's experience with aphasia. Go Into the Community to Build Trust - Sustainable partnerships require leaving your institution and showing up consistently. Visit centers, share meals, and invest time where people gather. Trust develops gradually through authentic presence. Listen to Real-Life Struggles First - Before starting therapy protocols, hear what families actually face: shifted gender roles, children as language brokers, lack of community aphasia awareness, and disrupted family dynamics. Train Future Clinicians Differently - If you're building or revising academic programs, front-load diversity with a foundational intersectionality course in semester one, then integrate these principles across every subsequent course and clinical practicum.   If you've ever wondered how to better support multilingual families navigating aphasia, or felt uncertain about cultural considerations in your practice, this conversation will give you both the framework and the practical insights you need. 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, and I'm 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 tackles one of the most important conversations happening in our field right now - how do we truly serve the increasingly diverse communities that need aphasia care? We're featuring Dr. Jose Centeno, whose work is reshaping how we think about equity, social justice, and what it really means to expand our diversity umbrella. Dr. Centeno isn't just talking about these issues from an ivory tower - he's in the trenches, working directly with communities and training the next generation of clinicians to do better. Before we get into the conversation, let me tell you a bit more about our guest. Dr. Jose Centeno is Professor in the Speech-Language Pathology Program at Rutgers University. What makes his work unique is how he bridges the worlds of clinical practice and research, focusing on an often overlooked intersection: what happens when stroke survivors who speak multiple languages need aphasia care?   Dr. Centeno is currently exploring a critical question - what barriers do Latinx families face when caring for loved ones with post-stroke aphasia, and what actually helps them navigate daily life? His newest initiative takes this work directly into the community, where he's training students to bring brain health activities to underserved older adults in Newark's community centers.   As an ASHA Fellow and frequent international speaker, Dr. Centeno has made it his mission to ensure that aphasia research and care truly serve diverse communities. His extensive work on professional committees reflects his commitment to making the field more inclusive and culturally responsive. So let's get into the conversation.   Katie Strong: As we get started, I love hearing about how you came into doing this work, and I know when we spoke earlier you started out studying verb usage after stroke and very impairment-based sort of way of coming about things. And now you're doing such different work with that centers around equity and minoritized populations. I was hoping you could tell our listeners about the journey and what sparked that shift for you.   Jose Centeno: That's a great question. In fact, I very often start my presentations at conferences, explaining to people, explaining to the audience, how I got to where I am right now, because I did my doctoral work focused on verb morphology, because it was very interesting. It is an area that I found very, very interesting. But then I realized that the data that I collected for my doctorate, and led to different articles, was connected to social linguistics. I took several linguistics courses in the linguistics department for my doctorate, and I needed to look at the results of my doctoral work in terms of sociolinguistic theory and cognition. And that really motivated me to look at more at discourse and how the way that we talk can have an impact on that post stroke language use. So, I kept writing my papers based on my doctoral data, and I became interested in finding out how our colleagues working with adults with aphasia that are bilingual, were digesting all this literature. I thought, wait a minute. Anyway, I'm writing about theory in verb morphology, I wonder where the gaps are. What do people need? Are people reading this type of work? And I started searching the literature, and I found very little in terms of assessing strengths and limitations of clinical work with people with aphasia.   And what I found out is that our colleagues in childhood bilingualism have been doing that work. They have been doing a lot of great work trying to find out what the needs are when you work with bilingual children in educational settings. So that research served as my foundational literature to create my work. And then I adopted that to identifying where the strengths and needs working with people by new people with aphasia were by using that type of work that worked from bilingual children. And I adapted it, and I got some money to do some pilot work at the from the former school where I was. And with that money I recruited some friends that were doing research with bilingual aphasia to help me create this survey. So that led to several papers and very interesting data.   And the turning point that I always share, and I highlight was an editorial comment that I got when I when I submitted, I think, the third or fourth paper based on the survey research that I did. The assessment research. And one of the reviewers said, “you should take a look at the public health literature more in depth to explain what's going on in terms of the needs in the bilingual population with aphasia”. So, I started looking at that and that opened up a huge area of interest.   Katie Strong: I love that.   Jose Centeno: Yeah, that's where I ended up, you know, from an editorial comment based on the studies of survey research. And that comment motivated me to see what the gaps were more in depth. And that was in 2015 when that paper came out. I kept working, and that data led to some special issues that I invited colleagues from different parts of the world to contribute. And then three years later, Rutgers invited me to apply for this position to start a diversity focused program at Rutgers, speech language pathology. At Rutgers I met a woman that has been my mentor in qualitative research. Pamela Rothpletz-Puglia is in nutrition, and she does qualitative, mixed methods research. So, her work combined with my interest in identifying where the needs were, led me to identify the needs in the work with people with aphasia through the caregivers using her methodology. And I'll come talk more about it, because it's related to a lot of different projects that I am pursuing right now.   Katie Strong: I love this. So, it sounds like, well, one you got a really positive experience from a reviewer, which is great news.   Jose Centeno: Well, it was! It's a good thing that you say that because when we submit articles, you get a mixed bag of reviews sometimes. But, this person was very encouraging. And some of the other reviews were not as encouraging, but this was very encouraging, and I was able to work on that article in such a way that got published and it has been cited quite a bit, and it's, I think it's the only one that has pretty much collected very in depth data in terms of this area.   Katie Strong: Yeah, well, it sounds like that really widened your lens in how you were viewing things and taking an approach to thinking about the information that you had obtained.   Jose Centeno: And it led to looking at the public health literature and actually meeting Pamela. In fact, I just saw her last week, and we met because we're collaborating on different projects. I always thank her because we met, when our Dean created an Equity Committee and she invited the two of us and somebody else to be to run that committee. And when Pamela and I talked, I said to her, “that qualitative work that you are doing can be adapted to my people with aphasia and their caregivers”. And that's how we collaborated, we put a grant proposal together, we got the money, and that led to the current study.   Katie Strong: I love that, which we're going to talk about in a little bit. Okay, thank you. Yeah, I love it. Okay, well, before we get into that, you know, one of the things I was hoping you could talk about are the demographics of people living with aphasia is becoming really increasingly more diverse. And I was hoping you could talk about population trends that are driving the change or challenges and opportunities that this presents for our field.   Jose Centeno: Yeah, that is actually something that I've been very interested in after looking at the public health literature because that led to looking at the literature in cardiology, nursing, social work, psychology, in terms of diversity, particularly the census data that people in public health were using to discuss what was going on in terms of the impact of population trends in healthcare. And I realized when I started looking at those numbers that and interestingly, the Census published later. The Census was published in 2020, several years after I started digging into the public health literature. The Census published this fantastic report where they the Census Bureau, discussed how population trends were going to be very critical in 2030 in the country. In 2030 two population trends are going to merge. The country gradually has been getting older and at the same time in 2030 as the country is getting older, 2030 is going to be a turning point that demographic transition, when the population is going to be more older people than younger people. So that's why those population trends are very important for us because people are getting older, there is higher incidence for vulnerabilities, health complications. And of those health complications, neurological, cardiovascular problems, stroke and also dementia.   Katie Strong: Yes. So interesting. And maybe we can link, after we finish the conversation, I'll see if I can get the link for that 2020 census report, because I think maybe some people might be interested in checking that out a little bit more.   Jose Centeno: So yeah, definitely, yeah.   Katie Strong: Well, you know, you've talked about diversity from a multilingual, bilingual perspective, but you also, in your research, the articles I've read, you talk about expanding the diversity umbrella beyond race to consider things like sexual orientation, socioeconomic background and rural populations. Can you talk to us a little bit about what made you think about diversity in this way?   Jose Centeno: Very good question, you know, because I realized that there is more to all of us than race. When we see a client, a patient, whatever term people use in healthcare and we start working with that person there is more that person brings into the clinical setting, beyond the persons being white or African American or Chinese or Latino and Latina or whatever. All those different ethnic categories, race and ethnicity. People bring their race and ethnicity into the clinical setting, but beyond that, there is age, there is sexual orientation, there is religion, there is geographic origins, whether it's rural versus urban, there is immigration status, language barriers, all of those things. So, it makes me think, and at that time when I'm thinking about this beyond race, I'm collecting the pilot data, and a lot of the pilot data that was collected from caregivers were highlighting all of those issues that beyond race, there are many other issues. And of course, you know, our colleagues in in aphasia research have touched on some of those issues, but I think there hasn't been there. There's been emphasis on those issues but separately. There hasn't been too much emphasis in looking at all of those issues overlapping for patient-centered care, you know,  bringing all those issues together and how they have an impact on that post stroke life reconfiguration. You know, when somebody is gay. Where somebody is gay, Catholic, immigrant, bilingual, you know, looking at all of those things you know. And how do we work with that? Of course, we're not experts in everything, and that leads to interprofessional collaborations, working with psychologists, social workers and so on.   So that's why my work started evolving in the direction that looks at race in a very intersectional, very interactional way to look at race interacting with all these other factors. Because for instance, I am an immigrant, but I also lived in rural and urban environments, and I have my religious and my spiritual thoughts and all of those, all of those factors I carry with me everywhere you know. So, when somebody has a stroke and has aphasia, how we can promote, facilitate recovery and work with the family in such a way that we pay attention to this ecology of factors, family person to make it all function instead of being isolated.   Katie Strong: Yeah, I love that. As you were talking, you use the term intersectionality. And you have a beautiful paper that talks about transformative intersectional Life Participation Approach for Aphasia (LPAA) intervention. And I'd love to talk about the paper, but I was hoping first you could tell us what you really mean by intersectionality in the context of aphasia care, and why is it so important to think about this framework.   Jose Centeno: Wow. It's related to looking at these factors to really work with the person with aphasia and the family, looking at all these different factors that the person with aphasia brings into the clinical setting. And these factors are part of the person's life history. It's not like these are factors that just showed up in the person's life. This person has lived like this. And all of a sudden, the person has a stroke. So there is another dimension that we need to add that there in that intersectional combined profile of a person's background. How we can for aphasia, is particularly interesting, because when you work with diverse populations, and that includes all of us. You know, because I need to highlight that sometimes people…my impression is, and I noticed this from the answers from my students, that when I asked about diversity, that they focused on minoritized populations. But in fact, all this diverse society in which we live is all of us. Diversity means all of us sharing this part, you know, sharing this world. So, this intersectionality applies to all of us, but when it comes to underrepresented groups that haven't been studied or researched, that's why I feel that it's very important to pay a lot of attention, because applying models that have been developed to work with monolingual, middle class Anglo background…it just doesn't work. You know, to apply this norm to somebody that has all of these different dimensions, it's just unfair to the person and it's something that people have to be aware of. Yeah.   Katie Strong: Yeah. And I think you know, as you're talking about that and thinking about the tenets of the Life Participation Approach, they really do support one another in thinking about people as individuals and supporting them in what their goals are and including their family. You're really thinking about this kind of energized in a way to help some clinicians who are maybe thinking, “Oh, I do, LPAA, but it's hard for me to do it in this way”. You probably are already on you road to doing this, but you really need, just need to be thinking about how, how the diversity umbrella, really, you know, impacts everybody as a clinician, as a person with a stroke, as a family member.   Jose Centeno: Yeah, and, you know, what is very interesting is that COVID was a time of transition. A lot of factors were highlighted, in terms of diversity, in terms of the infection rate and the mortality was higher in individuals from minoritized backgrounds. There were a lot of issues to look at there. But you know, what's very interesting in 2020 COVID was focusing our attention on taking care of each other, taking care of ourselves, taking care of our families. The LPAA approach turned 20 years old. And that made me think, because I was thinking of at that time of disability, and it made me think of intersectionality. And I just thought it would be very helpful for us to connect this concept of intersectionality to the LPAA, because these issues that we are experiencing right now are very related to the work we do as therapists to facilitate people with aphasia, social reconnection after a stroke and life reconfiguration. So, all of this thinking happened, motivated by COVID, because people were talking about intersectionality, all the people that were getting sick. And I just thought, wait a minute, this concept of intersectionality, LPAA turning 20 years old, let's connect those two, because my caregiver study is showing me that that intersectionality is needed in the work that we're doing with people in aphasia from underrepresented backgrounds.   Katie Strong: Yeah, I'm so glad that you shared that insight as to how you came to pulling the concepts together. And the paper is lovely, and I'll make sure that we put that in the link to the show notes as well, because I know that people will, if they haven't had the chance to take a look at it, will enjoy reading it.   Jose Centeno: And just let me add a bit more about that. Aura Kagan's paper on, I forgot where it was in [ASHA] Perspectives, or one of the journals where she talks about the LPAA turning 20 years old. [And I thought], “But wait a minute, here's the paper! Here's the paper, and that I can connect with intersectionality”. And at the same time, you know, I started reading more about your work and Jackie Hinckley's work and all the discourse work and narrative work because that's what I was doing at the time. So that's how several projects have emerged from that paper that I can share later on.   Katie Strong: I love it. I love it. Yeah, hold on! The suspense! We are there, right?   Jose Centeno: This is turning into a coffee chat without coffee!   Katie Strong: As I was reading your work, something that stood out to me was this idea of building sustainable community relationships in both research and clinical work with minoritized populations. You've been really successful in doing this. I was hoping you could discuss your experiences in this relationship building, and you also talk about this idea of cultural brokers.   Jose Centeno: Wow! You know this is all connected. It's part of my evolution, my journey. Because as I started collecting data in the community from for my caregiver study, I realized that community engagement to do this type of qualitative work, but also to bring our students into the community. It's very important to do that work, because I you know this is something that I learned because I was pretty much functioning within an academic and research environment and writing about equity and social justice and all these different areas regarding aphasia, but not connecting real life situations with the community. For example, like having the students there and me as an academician taking that hat off and going into the community, to have lunch, to have coffee with people in the community, at Community Centers. So those ideas came up from starting to talk with the caregivers, because I felt like I needed to be there more. Leave the classroom. Leave the institution. Where I was in the community it's not easy. I'm not going to say that happened overnight, because going into any community, going into any social context, requires time. People don't open their doors automatically and right away. You know you have to be there frequently. Talk about yourself, share experiences. So be a friend, be a partner, be a collaborator, be all of these things together, and this gradually evolved to what I am doing right now, which is I started the one particular connection in the community with a community center.   How did I do that? Well, I went all over the place by myself. Health fairs, churches, community centers. People were friendly, but there wasn't something happening in terms of a connection. But one person returned my email and said, “we have a senior program here. Why don't we meet and talk?” So, I went over to talk with them, and since then, I have already created a course to bring the students there. I started by going there frequently for lunch, and I feel very comfortable. It is a community center that has programs for children and adults in the community. They go there for computer classes, for after school programs for the children. The adults go there for English lessons or activities and they have games and so on. And it's very focused on individuals from the community. And the community in Newark is very diverse. Very diverse.   So that led to this fantastic relationship and partnership with the community. In fact, I feel like I'm going home there because I have lunch with them. There's hugs and kissed. It's like  seeing friends that that you've known for a long time. But that happened gradually. Trust. Trust happens gradually, and it happens in any social context. So, I said to them, “Let's start slowly. I'll bring the students first to an orientation so they get to know the center.” Then I had the opportunity to develop a course for summer. And I developed a course that involved activities in the community center and a lecture. Six weeks in the summer. So this project now that I call Brain Health a health program for older adults, is a multi-ethnic, multilingual program in which the students start by going to the center first in the spring, getting to know people there, going back there for six weeks in the summer, one morning a week, and taking a lecture related to what brain health is, and focusing that program on cognitive stimulation using reminiscence therapy. And it's done multilingually. How did that happen? Thank God at the center there are people that speak Portuguese, Spanish and English. And those people were my interpreters. They work with the students. They all got guidelines. They got the theoretical content from the lectures, and we just finished the first season that I called it. That course they ran this July, August, and the students loved it, and the community members loved it! But it was a lot of work.   Katie Strong: Yeah, of course! What a beautiful experience for everybody, and also ideas for like, how those current students who will be soon to be clinicians, thinking about how they can engage with their communities.    Jose Centeno: Right! Thank you for highlighting that, because that's exactly how I focus the course. It wasn't a clinical course, it was a prevention course, okay? And part of our professional standards is prevention of communication disorders. So, we are there doing cognitive stimulation through reminiscence activities multilingually, so we didn't leave anybody behind. And luckily, we have people that spoke those languages there that could help us translate. And my dream now the next step is to turn that Brain Health course into another course that involves people with aphasia.   Katie Strong: Oh, lovely.   Jose Centeno: Yeah, so that is being planned as we speak.   Katie Strong: I love everything about this. I love it! I know you just finished the course but I hope you have plans to write it up so that others can learn from your expertise.   Jose Centeno: Yeah, I'm already thinking about that.   Katie Strong: I don't want to put more work on you…   Jose Centeno: It's already in my attention. I might knock on your door too. We're gonna talk about that later.   Katie Strong: Let's get into the work about your caregivers and the work that you did. Why don't you tell us what that was all about.   Jose Centeno: Well, it's a study that focuses on my interest in finding out and this came from the assessment work that I did earlier when I asked clinicians working in healthcare what their areas of need were. But after meeting Pamela Rothpletz-Puglia at Rutgers, I thought, “Wait a minute, I would like to find out, from the caregivers perspective, what the challenges are, what they need, what's good, what's working, and what's not working.” And later on hopefully, with some money, some grant, I can involve people with aphasia to also ask them for their needs. So, I started with the caregivers to find out in terms of the intersectionality of social determinants of health, where the challenges were in terms of living with somebody with aphasia from a Latinx background, Latino Latina, Latinx, whatever categories or labels people use these days. So, I wanted to see what this intersectionality of social determinants of health at the individual level. Living with the person at home, what happens? You know, this person, there is a disability there, but there are other things going on at home that the literature sites as being gender, religion, and all these different things happening. But from the perspective of the caregivers. And also I wanted to find out when the person goes into the community, what happens when the person with aphasia goes into the community when the person tries to go to the post office or the bank or buy groceries, what happens? Or when the person is socializing with other members of the family and goes out to family gatherings? And also, what happens at the medical appointment, the higher level of social determinants in terms of health care? I wanted to find out individual, community and health care. The questions that I asked during these interviews were; what are the challenges?, what's good?, what's working?, what's not working?, at home?, in the community?, and when you go with your spouse or your grandfather or whoever that has a stroke into the medical setting?, and that's what the interviews were about.   I learned so much, and I learned the technique from reading your literature and reading Aura Kagen's literature and other people, Jackie Hindley literature, and also Pamela's help to how to conduct those interviews, because it's a skill that you have to learn. It happens gradually. Pamela mentored me, and I learned so much from the caregivers that opened all these areas of work to go into the community, to engage community and sustainable relationships and bring the students into the community.   I learned so much and some of the things that were raised that I am already writing the pilot data up. Hopefully that paper will be out next year. All these issues such as gender shifting, I would say gender issues, because whether is the wife or the mother that had a stroke or the father that had the stroke. Their life roles before the stroke get shifted around because person has to take over, and how the children react to that. I learned so much in terms of gender, but also in terms of how people use their religions for support and resilience. Family support. I learned about the impact of not knowing the language, and the impact of not having interpreters, and the impact of not having literature in the language to understand what aphasia is or to understand what happens after stroke in general to somebody.   And something also that was very important. There are different factors that emerge from the data is the role of language brokers, young people in college that have to put their lives on hold when mom or dad have a stroke and those two parents don't speak English well in such a way that they can manage a health care appointment. So, this college student has to give up their life or some time, to take care of mom or dad at home, because they have to go to appointments. They have to go into the community, and I had two young people, college age, talk to me about that, and that had such an impact on me, because I wasn't aware of it at all. I was aware of other issues, but not the impact on us language brokers. And in terms of cultural brokers, it is these young people, or somebody that is fluent in the language can be language brokers and cultural brokers at the same time, because in the Latinx community, the family is, is everything. It's not very different from a lot of other cultures, but telling somebody when, when somebody goes into a hospital and telling family members, or whoever was there from the family to leave the room, creates a lot of stress.   I had somebody tell me that they couldn't understand her husband when he was by himself in the appointment, and she was asked to step out, and he got frustrated. He couldn't talk. So that tension, the way that the person explained that to me is something that we regularly don't know unless we actually explore that through this type of interview. So anyway, this this kind of work has opened up so many different factors to look at to create this environment, clinical environment, with all professions, social work, psychology and whoever else we need to promote the best care for patient-centered care that we can.   Katie Strong: Yeah. It's beautiful work. And if I remember correctly, during the interviews, you were using some personal narratives or stories to be able to learn from the care partners. And I know you know, stories are certainly something you and I share a passion about. And I was just wondering if you could talk with our listeners about how stories from people with aphasia or their care partners families can help us better understand and serve diverse communities.   Jose Centeno: You know, the factors that I just went through, they are areas that we need to pay attention to that usually we don't know. Because very often, the information that we collect during the clinical intake do not consider those areas. We never talk about family dynamics. How did the stroke impact family dynamics? How does aphasia impact family dynamics? Those types of questions are important, and I'll tell you why that's important. Because when the person comes to the session with us, sometimes the language might not be the focus. They are so stressed because they cannot connect with their children as before, as prior to the stroke. In their minds, there is a there are distracted when they come into the session, because they might not want to focus on that vocabulary or sentence or picture. They want to talk about what's going on at home.   Katie Strong: Something real.   Jose Centeno: And taking some time to listen to the person to find out, “Okay, how was your day? How what's going on at home prior?” So I started thinking brainstorming, because I haven't gotten to that stage yet. Is how we can create, using this data, some kind of clinical context where there is like an ice breaker before the therapies, to find out how the person was, what happened in the last three days, before coming back to the session and then going into that and attempting to go into those issues. You know, home, the community. Because something else that I forgot to mention when I was going through the factors that were highlighted during the interviews, is the lack of awareness about aphasia in the community. And the expectations that several caregivers highlighted, the fact that people expected that problem that the difficulty with language to be something that was temporary.   Katie Strong: Yeah, not a chronic health condition.   Jose Centeno: Exactly. And, in fact, the caregivers have turned into educators, who when they go into community based on their own research, googling what aphasia is and how people in aphasia, what the struggles are. They had started educating the community and their family members, because the same thing that happens in the community can happen within the family network that are not living with this person on a day-to-day basis. So, yeah. All of this information that that you know, that has made me think on how clinically we can apply it to and also something how we can focus intervention, using the LPAA in a way that respects, that pays attention to all of these variables, or whatever variables we can or the most variables. Because we're not perfect, and there is always something missing in the intervention context, because there is so much that we have to include into it, but pay attention to the psychosocial context, based on the culture, based on the limitations, based on their life, on the disruption in the family dynamics.   Katie Strong: Yeah, yeah. It's a lot to think about.   Jose Centeno: Yeah. It's not easy. But I, you know. I think that you know these data that I collected made me think more in terms of our work, how we can go from focusing the language to being a little more psychosocially or involved. It's a skill that is not taught in these programs. My impression is that programs focus on the intervention that is very language based, and doing all this very formal intervention. It's not a formula, it's a protocol that is sometimes can be very rigid, but we have to pay attention to the fact that there are behavioral issues here that need to be addressed in order to facilitate progress.   Katie Strong: Yeah, and it just seems like it's such more. Thinking about how aphasia doesn't just impact the person who has it. And, you know, really bringing in the family into this. Okay, well, we talked about your amazing new class, but you just talked a little bit about, you know, training the new workforce. Could you highlight a few ideas about what you think, if we're training socially responsive professionals to go out and be into the workforce. I know we're coming near the end of our time together. We could probably spend a whole hour talking about this. What are some things that you might like to plant in the ears of students or clinicians or educators that are listening to the podcast?   Jose Centeno: You know this is something Katie that was part of my evolution, my growth as a clinical researcher. I thought that creating a program, and Rutgers gave us that opportunity, to be able to create a program in such a way that everybody's included in the curriculum. We created a program in which the coursework and the clinical experiences. And this happened because we started developing this room from scratch. It's not like we arrived and there was a program in place which is more difficult. I mean creating a program when you have the faculty together and you can brainstorm as to based on professional standards and ASHA's priorities and so on, how we can create a program, right? So, we started from scratch, and when I was hired as founding faculty, where the person that was the program director, we worked together, and we created the curriculum, clinically and education academically, in such a way that everybody, but everybody, was included from the first semester until the last semester. And I created a course that I teach based on the research that I've done that brings together public health intersectionality and applied to speech language pathology. So, this course that students take in the first semester, and in fact, I just gave the first lecture yesterday. We just started this semester year. So it sets the tone for the rest of the program because this course covers diversity across the board, applying it to children, adults and brings together public health, brings together linguistics, brings together sociology. All of that to understand how the intersectionality, all those different dimensions. So, the way that the I structured the course was theory, clinical principle and application theory, and then at the end we have case scenarios. So that's how I did it. And of course, you know, it was changing as the students gave me feedback and so on. But that, that is the first course, and then everybody else in their courses in acquired motor disorders, swallowing, aphasia, dementia. You know, all those courses, the adult courses I teach, but you know the people in child language and literacy. They cover diversity. Everybody covers diversity. So, in the area more relevant to our conversation here, aphasia and also dementia. In those courses, I cover social determinants of health. I expand on social determinants of health. I cover a vulnerability to stroke and dementia in underrepresented populations and so on. So going back to the question, creating a curriculum, I understand you know that not every program has the faculty or has the resources the community. But whatever we can do to acknowledge the fact that diversity is here to stay. Diversity is not going to go away. We've been diverse since the very beginning. You know, like, even if you look, if you look at any community anywhere, it's already diverse as it is. So, incorporating that content in the curriculum and try to make the connections clinically. Luckily, we were able to do that. We have a clinic director that is also focused on diversity, and we cover everything there, from gender issues, race, ethnicity, all of those, as much as we can. So, the curriculum and taking the students into the community as much as we can.   Katie Strong: Yeah, I love that. So, you're talking about front loading a course in the curriculum, where you're getting people thinking about these and then, it's supplemented and augmented in each of the courses that they're taking. But also, I'm hearing you say you can't just stay in a classroom and learn about this. You need to go out.   Jose Centeno: Exactly! It's a lot. It didn't happen overnight. A lot of this was gradual, based on students feedback. And, you know, realizing that within ourselves, we within the course, when we were teaching it, oh, I need to change this, right, to move this around, whatever. But the next step I realized is, let's go into the community.   Katie Strong: Yeah, yeah. Well how lucky those students are at Rutgers.   Jose Centeno: Thank you.   Katie Strong: Well, we're nearing the end of our time together today. Jose and I just wanted, before we wrap up, I just wanted to ask you, “what, what excites you most about where aphasia research and care could go, or what do you think might need our most attention?”   Jose Centeno: That's a great question, because I thought of it quite a bit. But I'll focus it in terms of our diverse population, where the aphasia research should be. I think my impression is that there should be more attempts to connect the theoretical aspects of language with the psychosocial aspect. In other words, and this is how I teach my aphasia class. I focus the students on the continuum of care. The person comes in after stroke. We try to understand aphasia, but we aim to promoting life reconfiguration, life readaptation, going back into the community. So, here's the person with aphasia, and this is where we're heading to facilitating functioning, effective communication in the best way we can for this person, right? So, if these are all the different models that have been proposed regarding lexicon, vocabulary and sentence production and so on. How can we connect those therapeutic approaches in a way that they are functionally usable to bring this person back? Because there is a lot of literature that I enjoy reading, but how can we bring that and translate that to intervention, particularly with people that speak other languages. Which is very difficult because there isn't a lot of literature. But at least making an attempt to recruit the students from different backgrounds, ethnic backgrounds. And this, regardless of the backgrounds, there are students studying, interested in studying other cultures. And the curriculum exposes students to ways that we that there is some literature, there is a lot but there is some literature out there to explain vocabulary sentences in other languages post stroke in people with aphasia that, you know, we can use therapeutically. I mean, this is what's been created. So, let's look at this literature and be more open-minded. It's difficult. We don't speak every language in the world, but at least try to connect through the students that speak those languages in class, or languages departments that we have on campus, how those projects can be worked on. I'm just trying to be ambitious and creative here, because there's got to be a way that we should connect those theoretical models that are pretty much English focused intervention paradigms that will facilitate social function/   Katie Strong: It's a lot a lot of work, a lot of work to be done, a lot of a lot of projects and PhD students and all of that. Amazing.   Jose Centeno: I think it's as you said, a monumental amount of work, but, but I think that there should be attempts, of course, to include some of that content in class, to encourage students attention to the fact that there is a lot of literature in aphasia that is based on English speakers, that is based on models, on monolingual middle class…whoever shows up for the research project, the participants. But those are the participants. Now, I mean those that data is not applicable to the people [who you may be treating]. So, it's a challenge, but it's something to be aware of. This is a challenge to me that, and some people have highlighted that in the aphasia literature, the fact that we need more diversity in terms of let's study other languages and let's study intervention in other populations that don't speak English.   Katie Strong: Absolutely. Well, lots of amazing food for thought, and this has been such a beautiful conversation. I so appreciate you being here today, Jose. Thank you very, very much.   Jose Centeno: Thank you, Katie. I appreciate the invitation and I hope the future is bright for this type of research and clinical work and thank you so much for this time to talk about my work.       Resources   Centeno, J. G., (2024). A call for transformative intersectional LPAA intervention for equity and social justice in ethnosocially diverse post-stroke aphasia services. Seminars in Speech and Language, 45(01): 071-083. https://doi.org/10.1055/s-0043-1777131 Centeno, J. G., & Harris, J. L. (2021). Implications of United States service evidence for growing multiethnic adult neurorehabilitation caseloads worldwide. Canadian Journal of Speech-Language Pathology and Audiology, 45(2), 77-97. Centeno, J. G., Kiran, S., & Armstrong, E. (2020). Aphasia management in growing multiethnic populations. Aphasiology, 34(11), 1314-1318.  https://doi.org/10.1080/02687038.2020.1781420 Centeno, J. G., Kiran, S., & Armstrong, E. (2020). Epilogue: harnessing the experimental and clinical resources to address service imperatives in multiethnic aphasia caseloads. Aphasiology, 34(11), 1451–1455. http://dx.doi.org/10.1080/02687038.2020.1781421 Centeno, J. G., Obler, L. K., Collins, L., Wallace, G., Fleming, V. B., & Guendouzi, J. (2023). Focusing our attention on socially-responsive professional education to serve ethnogeriatric populations with neurogenic communication disorders in the United States. American Journal of Speech-Language Pathology, 32(4), 1782–1792. https://doi.org/10.1044/2023_AJSLP-22-00325 Kagan, A. (2020). The life participation approach to aphasia: A 20-year milestone. Perspectives of the ASHA Special Interest Groups, 5(2), 370. https://doi.org/10.1044/2020_PERSP-20-00017 Vespa, J., Medina, L., & Armstrong, D. M. (2020). Demographic turning points for the United States: population projections for 2020 to 2060. Current Population Reports, P25-1144.             https://www.census.gov/library/publications/2020/demo/p25-1144.html    

Telehealth coverage for SLPs under Medicare expired on October 1, 2025. In this episode, Dr. Jeanette Benigas, SLP, and Katie Brown, SLP, explain what this means for the provision of Telehealth services for traditional Medicare Part B beneficiaries, the nuances for Part A beneficiaries, and the allowance of private pay. They also unpack the government shutdown's impact on claims processing, what remains unchanged for Medicaid and Medicare Advantage plans, and why employers shouldn't issue blanket telehealth bans without checking payer rules. Get clear, practical guidance plus the free Telehealth Toolkit to support your patients and advocate for continued access.Find all of the advocacy tools you need here to participate in the telehealth call to action, or check out Katie's SLPs Blueprint to Medicare Success and get $100 off with the code FixSLP.If you missed it, catch Katie and Jeanette's earlier conversation on Medicare telehealth in Episode 96. It sets the stage for what's happening now.Stop paying to track ASHA-approved CEUs. Save your money and set up for a FREE CEU/PDH tracker with Speech Therapy PD. While you are there, get $10 off a professional subscription with the code FixSLP10!

Today on the Autism Little Learners Podcast, I'm joined by Julia DeNey, founder of Sensational You—a brand dedicated to creating adaptive clothing for children with sensory differences. Julia's journey is such an inspiring one. She started in the world of fashion, but it was her time working in special education that opened her eyes to just how much sensory needs can impact a child's ability to learn and thrive. Sensory friendly clothes can make everyday life easier for autistic kids. In this episode, learn how adaptive clothing supports comfort, confidence, and learning. I can't wait for you to hear this conversation! Takeaways Julia's background in fashion led her to create Sensational You. Sensory needs can significantly impact children's learning. Adaptive clothing can help minimize sensory irritations. Real-life feedback from families is crucial for product development. The importance of understanding dysregulation in children. Innovative designs include built-in sensory tools. Community support has been vital for Sensational You's growth. The future vision includes a wider range of sensory-friendly products. Adaptive fashion should be accessible in mainstream stores. Sensory-friendly solutions are becoming more recognized in society. Bio & Links Julia DeNey studied Fashion Design at Cornell University and later worked as a special-education paraprofessional with autistic students. Combining her design expertise with her classroom experience, she founded Sense-ational You, an adaptive clothing brand that supports individuals with autism, ADHD, and sensory sensitivities. https://shopsenseationalyou.com/ https://shopsenseationalyou.com/pages/back-to-school-sensory-checklist https://www.instagram.com/senseational_you/ https://www.tiktok.com/@senseational_you Chapters 00:00 Introduction to Sensational You 02:52 The Journey from Fashion to Sensory Solutions 05:49 Understanding Sensory Needs in Education 08:40 Innovative Adaptive Clothing Designs 11:31 Real-Life Impact of Sensory Clothing 14:15 Feedback and Community Support 17:19 Future Vision for Sensational You 20:15 Conclusion and Resources You may also be interested in these supports: Visual Support Starter Set: www.autismlittlelearners.com/visuals Visual Supports Facebook Group: https://www.facebook.com/groups/3922278281209994/ Autism Little Learners on Instagram: http://www.instagram.com/autismlittlelearners Autism Little Learners on Facebook: https://www.facebook.com/autismlittlelearners/ If you're enjoying the Autism Little Learners Podcast, I'd love for you to leave a rating and review—it helps more educators and parents find these conversations and join our community.  

Guest: Emma Justice, MS, CCC-SLP, CLC, NTMTCEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/pfd-problem-solvingTune in as we welcome one of our favorite humans, Emily Justice, a dedicated speech language pathologist with a wealth of experience working in the NICU and public schools in Boston. Join us for an engaging discussion about her path into speech therapy, her passion for supporting minority recruitment in the field, and her advocacy for accessible feeding therapy. We delve into important topics such as the necessity of instrumental swallow studies, the power of family and caregiver involvement in therapy, and the importance of interprofessional collaboration. This episode is packed with practical insights for therapists, caregivers, and anyone invested in improving pediatric feeding practices.About the Guest: Emma Justice, MS, CCC-SLP, CLC, NTMTC, works full-time for Boston Public Schools and is the owner of Justice for Infant Feeding Therapy and Lactation. She specializes in pediatric feeding and swallowing, with a focus on medical complexities and culturally diverse populations. Emma is certified in lactation counseling as well as neonatal touch and massage. She received her master's degree in Speech-Language Pathology from Northeastern University and completed her clinical fellowship at Johns Hopkins All Children's Hospital. Emma has experience across several settings, including pediatric acute care, encompassing a Level III NICU, PICU, Oncology, Cleft and Craniofacial team, Aerodigestive team, and the well-baby Mother-Infant Unit. Additionally, Emma has experience in pediatric outpatient rehab, home health, and public school settings. She is a guest lecturer and the primary pediatric consultant for the Swallowing Wellness Center, where she teaches a course on pediatric swallow studies. Emma co-created BABY S.T.E.P. with Dr. Ianessa Humbert, an infant and pediatric adaptation of Humbert's S.T.E.P. (Swallowing Training Educational Portal), designed to provide accessible, affordable, and evidence-based swallowing education. She currently serves on ASHA's topic committee for Pediatric Feeding Disorders and has presented nationally on topics related to pediatric dysphagia and cultural disparities.

Want to share your feedback? Send us a message!Mitch Guerra—educator, stuttering advocate, and recent contestant on Survivor Season 48—joins host Sara MacIntyre, M.A., CCC-SLP, to share his story. Mitch reflects on his stuttering journey, from early challenges in school to pivotal moments that shaped his confidence in high school and college, and ultimately his 20-year pursuit of a lifelong dream to compete on Survivor.He discusses the perseverance it took to finally make it onto the show, what it meant to represent both himself and the stuttering community on national television, and how meaningful moments—including a viral exchange with host Jeff Probst—sparked broader conversations about listening and acceptance. Mitch also reflects on the role of stuttering in building deep connections, his return to the classroom after Survivor, and the powerful impact his visibility has had on students who also stutter. To close, he offers inspiring advice to young people who stutter: “Even if you haven't seen someone like you do it before, that doesn't mean it's not possible—you might just be the one to go first.”