SLP Chat

This will be a place where therapists can share ideas, problem solve and express concerns.  Lets work together to make our jobs easier!


Speech Language consultants and school contracts

Posted by on Nov 23, 2015 in Administrators Page, slider, SLP Chat | 0 comments

Speech Language consultants and school contracts

One of the most challenging things about promoting a niche book is how to get it into the hands of the people the book is meant for. I’m sure most of my book sales have been to SLPs who hopefully share it with their administrators or at least find it supportive.

A couple of weeks ago I received a message on Facebook from a consulting service, mentioning that they purchased a couple of my books. The purpose of their purchase was to give the books to school administrators. The information I provided in the book not only explained the role of the SLP in schools, it helped outline and justify time needed to properly service the schools they contract with. I was blown away and thrilled. I had not even thought of this as a use for my book The Speech Language Pathologist, An Administrator’s Guide to understanding the role of the SLP in schools along with strategies to aid staffing, workload management and student success.

Where I live most schools provide their own staff to service Speech and Language students. Occupational therapy and physical therapy are more likely to be contracted out because they service fewer students. However, there are a few schools in my area that contract out to hospitals and agencies. I do believe this practice is seen more often in urban areas or areas where SLPs are hard to find.

Agencies who contract to schools, probably have to maintain a delicate balance with schools to develop and maintain contracts. School administrators in most situations probably base their needs on the time written into the IEPs or number of students. The problem with this is that an SLPs workload far exceeds the number of hours spent on direct service.

The School Speech Language Pathologist, An Administrator’s Guide to understanding the role of the SLP in schools along with strategies to aid staffing, workload management and student success, is organized to first explain the role of the SLP, what areas we service and who we might service. Then the book goes on to explain the workload tasks involved, time needed to complete workload tasks and variables that may increase both direct services and workload tasks.

If you are a speech and language consulting service looking for a guideline you can offer schools, this book might be right for you. Please take a look at reviews on Amazon or read excerpts on my publisher’s site, Booklocker.


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Do you have professional liability insurance?

Posted by on Nov 2, 2015 in slider, SLP Chat | 0 comments

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With the beginning of the school year it is time to make sure you professional liability policy is up to date. This year I switched my policy to Trust Risk Management Services, who does continues as an active sponsor on this blog. TRMS provides Professional Liability Insurance for Speech Language Pathologists offering comprehensive policies tailored to your specific needs and reasonable rates. You can request an instant quote and learn more about professional liability insurance by going to the TRMS site or clicking the link located in the menu above.

I feel very strongly about the need for Speech Language Pathologists to carry personal professional liability insurance. While the schools and agencies I’ve worked for over the years obviously carry liability insurance, I understood that I couldn’t always depend on my employer for enough protection or cover me if I was sued personally. Carrying my own liability insurance also gave me the flexibility to work with private clients as the opportunities arose without worry. Professional Liability insurance for Speech Language Pathologists is affordable and easy to obtain.

Teresa Sadowski MA/SLP-ccc

AKA The School Speech Therapist



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Caseload and Workload article review

Posted by on Oct 11, 2015 in Administrators Page, slider, SLP Chat | 1 comment

Caseload and Workload article review

I found what I think is a fairly new article on ASHA focusing on Caseload and Workload. The article makes a fair attempt at explaining workload vs. caseload. There are a few points I would disagree with in the article but for the most part it does a good job of explaining that some students just require more man hours than others based on their disability.

This is an article obviously written for school administrators, yet I doubt many administrators have even taken a look. The article is a little muddy in the middle on how to determine a workload analysis. But at least it brings up the topic. I don’t feel a workload analysis has to be that complicated. However, I guess even administrators have to show their data.

Caseload and Workload also presents several alternative therapy models. Again the explanation of the models is a little unclear even with examples. I think alternative scheduling approaches are good to consider as long as direct therapy is not compromised. As we all know larger groups and in class services does not often provide language disabled students with what they need to become more efficient. It is also important to note that alternative scheduling approaches may work in one community and not another, totally dependent on need, school schedule, parental influence and flexibility of administration.

On page two the article talks about how a higher caseload impacts intervention. This is not something we’re really able to advocate for in schools. I am glad ASHA is opening the door on that.

This article didn’t hit all the topics and factors that impact workload but ASHA is getting closer to the real problems. Workload and Caseload is probably written for SLPs to either implement on their own or to share with administrators. It is a good start and many of the ideas go along with what I’ve covered in my book The School Speech Language Pathologist, An Administrator’s Guide to understanding the role of the SLP in schools along with strategies to aid staffing, workload management and student success. Since part of the source for the article was the ASHA 2014 Schools Survey, I imagine that many SLP’s find workload a significant issue since most schools focus almost solely on caseload numbers/hours of direct service.
Is your school doing anything unique to manage workload?

Side note: The article states “the SLPs first responsibility is to provide educational services on his or her caseload”…It goes along with ASHA position on CCSS. I’m going to disagree with that till the day I die. I am a therapist not a teacher. For at least 20 of my 30 years as an SLP my job was to teach underlying language skills so students could access the curriculum and use language efficiently. All of a sudden the rules changed and we have to create goals based on curriculum standards not language development. Which means therapists in private practice are servicing students differently than we are. Not to mention our testing is not usually grade leveled nor are our materials. That’s my rant for the day

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Scheduling Template

Posted by on Aug 31, 2015 in pictures, slider, SLP Chat | 0 comments

Scheduling Template

Can anyone use this to work out their draft schedule (I mean schedules)? I know it doesn’t take long to create but we know every minute counts. It is a pages doc. Scheduling template 2015 Here is the PDF Scheduling template 2015


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7th grade and the SLP

Posted by on Aug 27, 2015 in slider, SLP Chat | 1 comment

7th grade and the SLP

Yesterday I received a question that had to do with transition to 7th grade

“I find it difficult to transition students from 6th grade to middle school, meaning targeting appropriate goals/etc. What are the areas you find critical to this age? Do you have a screening tool you give to your students? What are the main areas you look at to gauge success in junior high/middle school?”

First lets talk briefly about 7th grade. 7th grade, no matter what middle school model your school has, is a significant bump up in academics, expectations, higher order language (understanding and usage, texts, adult usage, peers……) and higher order thinking. 7th grade is the year the speech and language students dismissed from therapy a couple of years ago will end up back on your radar.

The reason for this is that everything in 7th grade is more difficult and most if not all academics (could be argued by the finest SLPs) are language based. Higher order language and thinking is emerging in 7th graders. Most are going to “get it” in a very naturalistic way without any difficulty. However, for those that don’t “get it” will feel and look like a deer caught in headlights for most of their 7th grade year.

I personally spend a lot of time working with 5th and 6th graders on understanding the underlying vocabulary, language and concepts needed to help them understand higher order language. At the very least I hope my students realize they don’t “get it”, know how to think outside of the box or when to ask for help.

In the past I’ve written two articles on my previous blog Your Middle Schooler: A Unique Age and I still use the recommended books and techniques to this day.

Speech and Language Workbooks that Work

Vocabulary Development is Key to Higher Level Learning

Another suggestion is using appropriate ads from magazines and commercials. Talk about how the language is used to convey different or ambiguous meanings. Teaching students how to understand jokes, is a lot of fun. Finding jokes with accompanying pictures is ideal. I also use some modified techniques from the Visualizing and Verbalizing program. If you haven’t taken the training for this program I highly recommend it.

It is pretty easy to identify the students who don’t “get it.” However in this day and age we usually need some sort of data to prove this. I use scores from the CELF metalinguistics (formally the Test of Language Competence) and The Test of Problem Solving.

I hope these suggestions give you a good place to start. Teachers have a difficult time understanding that some kids don’t “get it” from a language perspective so it is important to at some point meet with teachers and explain the issue.

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The School SLP-book reviews

Posted by on Aug 10, 2015 in Administrators Page, Parent Information, pictures, slider, SLP Chat | 0 comments

The School SLP-book reviews

Last April I introduced my first book The School Speech Language Pathologist, An administrators guide to understanding the role of the SLP in schools along with strategies to aid staffing, workload management and student success. It has been a lot of fun working on book promotion and I’ve received almost 100% positive feedback from other SLPs. Several SLPs have mentioned that they have good enough relationships with the administrators to share the book. Yeah! Two SLP’s reported that their administrators asked to peek at the book (double Yeah!).
Two SLP bloggers have been kind enough to highlight my book on their blogs. I want to share their perspectives with you. Both of these blogs are very professional and interesting so take a peek around their sites while you’re there.

The first review was written by SLP Darla Gardner: Ms. Gardenia’s Speech Room

The second review was written by SLP Mandi Schaumburg: Panda Speech Therapy

The School SLP can be purchased through a number of sites including AMAZON (see link on this page), Booklocker (my publisher) and Barnes and Noble

Thanks to both Darla and Mandi for taking the time to The School SLP. Any ideas on how to get this book into the hands of administrators is greatly appreciated.

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Concerts: Don’t forget your ear plugs

Posted by on Aug 2, 2015 in Administrators Page, Parent Information, SLP Chat | 0 comments

Concerts:  Don’t forget your ear plugs

After taking a little bit of a hiatus from blogging due to vacation it is really hard to get started again. I lugged my computer 3000 miles with the hopes that I would get some writing and book promotion done but that didn’t happen. Since school got out I’ve jotted down several ideas for articles but never quite found the time or passion to develop them. Well, it’s time to get back on track.

This past weekend I attended the first concert I’ve been to in over two years. It was some old rockers but it was still loud. Ear protection did not even dawn on me until the break between bands where next to the beer line was the table selling ear plugs. At that point I flashed to the generic package of disposal ear plugs purchased after the last concert two years ago sitting in a drawer at home.

As an SLP I’m embarrassed by the fact that I didn’t even think of ear plugs until I saw them being sold. I gladly forked out the $15 dollars and figure if I liked them I could at least get a short blog post written about them. And of course protect my hearing.

The brand being sold was ETY Plugs from Etymotic Research. I wish I had another brand to compare during the concert but I was fairly impressed with the sound quality when the ETY plugs were in. How can I describe it……It was more than just muffling the sound, the plugs seemed to filter out the static like noise. Of course it did not make it sound a recording but I think I heard the lyrics a little better. Clapping sounded muted and I did have to remove the plugs to speak to others.


The design of the ear plugs allows for a consistent seal (even a better seal after I got home a read the instructions). These ear plugs are reusable and do need to be cleaned. I used a little soap, water and a q-tip. Even without a comparison, I think I could recommend ETY Ear Plugs for concerts. My generic plugs just muffled sound.

That old quote “If it’s too loud, then you’re too old”, was coined by DJ Ernie Anderson and popularized by Ted Nugent, use to sound so cool. Today, given my age, experience and my un-coolness I would probably scold Ernie and Ted and tell them to change it to “If it’s too loud, use common sense”. Now I just have to remember to bring my ear plugs to the next concert.


A side note….Some real jerk of a Dad (sorry Dads) had his 4 or 5 month old baby bouncing on his shoulders. The baby did not have any ear protection and looked like a deer caught in the headlights. As the guy was trying to get as close as he could to the stage, I saw one of the workers tell him to get the baby out of there. No Mom in sight. Made me cringe.

Related Posts
NSSLAH at Assumption College
Hearing Health in Children and Adults

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Buzzword Book Give-a-way

Posted by on Jun 17, 2015 in Administrators Page, slider, SLP Chat | 0 comments

Buzzword Book Give-a-way

Hearing about which buzzwords bother you the most was a lot of fun. Every single one of the words submitted were irritating in their own unique way. I chose two that I thought were the best worse buzzwords.

The first buzz word selected was submitted by Patricia. Her word was “rigor” and for the obvious reason, it makes Pat think of death. I have to admit I also flash to an episode of Law and Order, with the pathologist saying, “TheThe body was in full rigor” every time I hear that word used in school. If they are going to use the word ‘rigor” in education why just use the word “rigorous” it makes more sense. lists the following meanings for the word “rigor”

1. Strictness, severity, or harshness, as in dealing with people.
2. The full or extreme severity of laws, rules, etc.
3. Severity of living conditions; hardship; austerity:
The rigor of wartime existence.
4. A severe or harsh act, circumstance, etc.
5. Scrupulous or inflexible accuracy or adherence:
The logical rigor of mathematics.
6. Severity of weather or climate or an instance of this:
The rigors of winter.
7. Pathology. A sudden coldness, as that preceding certain fevers; chill.
8. Physiology. A state of rigidity in muscle tissues during which they are unable to respond to stimuli due to the coagulation of muscle protein.
9. Obsolete. stiffness or rigidity.

The synonyms listed for ‘rigor” are even worse
inflexibility, stringency. cruelty (these are 3 words I always like to associate with education)

I understand rigorous curriculum (don’t like it but I get it) but I started thinking this word must mean something else in education. After a little research I found this page in The Glossary of Educational Reform defining “rigor”. Basically Educational Reform has redefined the word and made it way more confusing. I predict this buzz word will quit buzzing in a few years unless Webster’s adds it maybe as a new slang in 2016.

Kim suggested the word “Modify.” I chose “modify” because of her reason for disliking “modify” and because of my own personal experiences with this buzz word. Kim wrote, “Modify in theory is fabulous. However, in practice this buzz word often lacks depth in its application, is laden with inconsistency & often does not live up to its full intended potential.” Couldn’t have said it better myself. We write and suggest modifications all the time but who is responsible for modifications and who monitors them is a whole other story.

“Modify” became a big buzz right after “RTI” (response to intervention-a buzz word in itself and worthy of its own article) came into play. I remember the confusion between Modifications and Accommodations. I also remember our team leader having to present several times on the differences between the two. If I had to sit through that lecture one more time I might have started pulling my hair out. Now another buzz word submitted was “differentiated instructions” which in my mind is the same as modifications (but I bet it isn’t). I tried looking it up in that glossary mentioned above but it wasn’t there.

The other buzz words mention also deserve comment as runners-up.

Kudos-Yeah that gets said a lot. It’s one of those word that if you hear too much there is usually something wrong or something being nervously covered up. It ranks right up there with everyone talking about how nice, cute or sweet a child it. In meetings that’s code for you have a child who has something going on.

Servicing-I think I might be guilty of this one but not with parents just with staff. As Shannon suggests, this is a word that gets misused. “We are not “servicing” children, we provide a service. Sheesh- sounds like we are changing a transmission, not providing speech therapy!” to quote Shannon.

Using “no longer eligible” rather than “dismissing” from therapy is another one that makes us sound high faulting to parents. I think it must be in the team leader training because students have to be eligible for services. I think they are taught to use that word. However, there are some situations where that language might need to be used because most of our language students will never develop strong language skills.

Pre-determining Services-This was actually a very good one that leads to another question. Why are school SLP’s in many areas not allowed to diagnose or recommend specific direct speech and language services in their reports? It’s frustrating that a lot of the time the expertise of the school based SLP is not respected, welcomed or even considered when determining programming. (I’m keeping this one for a future article.)

Thank you all for your submissions. Patricia and Kim will be receiving copies of my book.The School Speech LanScreen Shot 2015-04-04 at 3.52.05 PMguage Pathologist, An administrators guide to understanding the role of the SLP in schools along with strategies to aid staffing, workload management and student success.

Keep the buzz word coming. Some are just so absurd. Luckily we don’t have to listen to many for long since they come and go so quickly.

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Buzz Words in Education

Posted by on Jun 7, 2015 in Administrators Page, Parent Information, slider, SLP Chat | 1 comment

Buzz Words in Education

In the field of education buzz words come and go quickly. Current buzz words in education usually reflect the trend of the week and saturate conferences, school meetings, program development, scholarly articles, blog posts, social media and even lunchroom conversation for short periods of time. After working in education for so many years, it is difficult to take any new or even recycled buzz word seriously. Reality is most buzz words in education don’t buzz for long and are quickly replaced with a new flavor of the day.

The buzz word I dislike the most has been around forever. It’s only been the past 10 years or so that this word has taken on a negative connotation for me. The buzz word I have grown to dislike is STRATEGY. This was a perfectly good word until it became overused in education.

Now I am not recommending we stop using and suggesting strategies all together. We need to suggest them and kids need to have a set of strategies to use. However, based on meetings I’ve attended over the past several years, in a variety of educational settings, it appears that somehow educators have gotten it into their heads that if we put enough strategies in place, learning and development emerges. We all know strategies can help but the overuse of the term strategies leads one to believe that strategies can replace learning.

Strategies generated can be very vague, somewhat vague, fairly concrete or solid. What defines a special strategy? Are strategies that special or just best practices repackaged. Does a strategy involve direct or indirect intervention? How can you really measure a strategy’s success. Do you need a baseline? Who should be suggesting/approving strategies? Who monitors strategies? Who teaches strategies? Why are so many kids needing so many strategies? So many questions come to mind.
Rather than teaching the deficit or missing skills, “strategies” are put into place. Most strategies (initially suggested) are very superficial and do not increase direct time or effort with the student. Many students often remain in “strategy mode” for years.

Strategy, as a buzz word has become too broad and thats why it bothers me. Everything we try in schools has become a strategy. I would like to see this word used a little less and strategies in schools become a more defined.

What buzz word bothers/bothered you the most or what buzz word do you find the most humorous/useless?

Check out my Facebook page for a giveaway of my new book when you tell me your most bothersome Buzz Word in education.

Related Article

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Therapy Hot Spot Review

Posted by on May 25, 2015 in Parent Information, slider, SLP Chat | 0 comments

Therapy Hot Spot Review

I recently came across this new service/product and fell in love with the concept. Therapy Hot Spot is a relatively new business that puts together monthly therapy kits based on the needs of your current caseload.
Wendy Underwood OTA/L is the owner and brains behind this idea. Wendy and her staff create therapy boxes for PTs, PTAs, OTs, COTAs, SLPs, SLPAs and parents. After having you fill out a questionnaire and personally speaking with you, a “therapy box” is filled with materials and suggestions that target your needs and the needs of your students.


I reviewed a sample kit and found a variety of items that could tackle general speech and language related concepts and student needs. The box was easily portable and sturdy. I don’t know about you but my workload is bursting at the seams. I often miss my planning time for other workload activities. If Therapy Hot Spot can save me a little time hunting, gathering and creating therapy activities it would be well worth the fee.
Wendy has promised me a tailored kit in the near future. I’m so looking forward to using her items with my specific students. Now my caseload it huge and very diverse so I’m not expecting her to send the perfect activity for every student but we’ll see. However, a good SLP should be able to use their therapeutic skills to take just about any activity and modify that activity to match the needs of their students.
My thoughts are that Therapy Hot Spot boxes would work well in both clinical and school settings. Therapy Hot Spot is defiantly worth a peek online and serious consideration, especially for those who find their planning time disappearing into the abyss.
For specifics and fees please visit their website


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