Parent question

What is an SLPA (speech-language pathology assistant)?

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The short answer

An SLPA is a trained assistant who gives speech therapy under the supervision of a speech-language pathologist (SLP). The SLP evaluates your child, writes the goals and plan, and stays legally and ethically responsible for your child’s care. The SLPA carries out therapy toward those goals and records how your child is doing. SLPAs can’t diagnose, change the plan or end services.

What an SLPA does

Under ASHA’s 2022 scope of practice, an SLPA can:

SLPAs should tell families they’re an assistant, for example on a name badge or in writing, and ASHA says families should be told when services come from an SLPA under an SLP’s supervision.

What an SLPA can’t do

How supervision works

Training and certification

How common SLPAs are

In ASHA’s 2024 Schools Survey, 12% of school-based SLPs said they supervised an SLPA, and 61% said their district didn’t employ any. Districts can use them to help with large caseloads. See group therapy and caseloads.

Questions to ask

Questions parents ask

Is an SLPA the same as a speech therapist?

No. A speech-language pathologist (SLP) evaluates, diagnoses and plans therapy. An SLPA is an assistant who carries out the SLP’s plan under supervision.

Can an SLPA evaluate my child?

An SLPA can give and score screenings, but only the SLP can interpret results, diagnose or decide whether your child qualifies for services.

Who is responsible if an SLPA works with my child?

The supervising SLP. ASHA says the SLP keeps full legal and ethical responsibility for every child the SLPA works with.

Sources

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