SEASON 14 EPISODE 1 [INTRODUCTION] [0:00:13.9] ANNOUNCER: Welcome to SLP Learning Series, a podcast series presented by SpeechTherapyPD.com. The SLP Learning series explores various topics of speech-language pathology. Each season dives deeper into a topic with a different host and guests who are leaders in the field. Some topics include stuttering, AAC, sports concussions, teletherapy, ethics, and more. Each episode has an accompanying audio course on SpeechTherapyPD.com and is available for .1 ASHA CEUs. Now, come along with us, as we look closer into the many topics of speech-language pathology. [INTERVIEW] [0:01:04.4] SRF: Welcome everybody, thank you so much for joining us, and welcome to our podcast series called, Advocacy for The Whole SLP, presented by SpeechTherapyPD.com. So, thanks for joining us for our very first episode, woo-hoo, exploring national advocacy trends in speech-language pathology in 2024. So, this episode is offered for 0.1 ASHA CEUs, we are your hosts, Dr. Stephanie Reed-Foti. [0:01:32.0] JH: And Jess Hunnameder. [0:01:34.3] SRF: And we are the co-owners of Speech Story Studios, and before we get started, we have a few items, need to be mentioned, we have a few financial and nonfinancial disclosures. The first one for our financial is, I am one of the co-owners of Speech Story Studios and received a speakerÕs fee from SpeechTherapyPD. [0:01:55.3] JH: And I am also the other co-owner of Speech Story Studios and IÕm also the owner of Pangea Speech Therapy LLC, and I also received a speaker fee from SpeechTherapyPD.com. [0:02:09.6] SRF: Okay, and then for our nonfinancial disclosures, I am a member of ASHA and IÕm also a New Jersey Speech-Language and Hearing Association member. [0:02:19.6] JH: And I am also an ASHA member and I am also part of the Hawaii Speech-Language-Hearing Association Membership as well, and before we get started, weÕll also go into a little bit more about who we are. I think thatÕs a little important, kind of going over what we know and who we are. So, IÕll talk about Dr. Stephanie Reed-Foti. She is a New Jersey state-licensed and ASHA-certified speech-language pathologist for the past 10 years. Stephanie graduated from Kean University with a bachelorÕs of art degree and communication science and disorders in 2012, Magna Cum Laude. Kean University with a masters of art degree in speech-language pathologist 2013, and Kean University 2020 with a doctorate in speech-language pathology. Kean in the house. She has experience working with infants, toddlers, preschoolers, school-aged children, and adolescents. She has served as speech-language pathologist in a variety of settings, including public elementary school, middle school, preschool, private practice, and home-based New Jersey early intervention. She has extensive knowledge in areas of stuttering, perceptive and expressive language disorders, auditory processing disorders, pragmatic language disorders, alternative, augmentative communication, and the development of parent and educational staff training. She has worked with children with a variety of conditions including but not limited to, autism spectrum disorder, apraxia of speech, cerebral palsy, down syndrome language, attention deficit disorder, and articulation and phonological disorders. It sounds like you are the roundabout SLP in education. [0:03:59.6] SRF: I try. [0:04:00.2] JH: Yeah. [0:04:00.9] SRF: I try, right? [0:04:00.5] JH: I hear you. [0:04:02.1] SRF: Thank you for Š itÕs fun like Š sometimes you hear someone else talk about you. All right, well, IÕm going to do the same thing and talk about you, buddy. [0:04:08.8] JH: All right. [0:04:08.2] SRF: So, we have also Ms. Jessica Hunnameder, and let me tell you about her. She received her undergraduate in 2011 and her masters in 2013 from Kean University. So much Kean. I know I love it. She has a diverse background and early intervention, school-based services, and subacute rehab. She is a firm believer in the power of high-quality evidence-based therapy for in-person and teletherapy series delivery methods for students and their families. Jess is licensed and has worked in several states across United States, including Pennsylvania, California, Florida, Washington, Alaska, Hawaii, and Wyoming, and New Jersey. [0:04:51.3] JH: And New Jersey, yeah. [0:04:54.3] SRF: And New Jersey, in her interaction with Native American, Alaskan, and Hawaiian populations, Jessica prioritizes cultural sensitivity and strives to incorporate culturally relevant approaches into her therapeutic practice. Jessica has presented on several topics including teletherapy strategies, college hearing screenings, and narratives of children with auditory processing disorders, and when Jess is not working, she can be found exploring her current residential state of Hawaii with her husband as a travel content creator. [0:05:26.6] JH: Yay-yay. I also forgot to add though that Stephanie is a new mommy. So, if baby Cece ends up chatting in the background, I mean, just be prepared. [0:05:39.5] SRF: Hopefully not, she should be going to sleep now. [0:05:43.3] JH: Fingers crossed. [0:05:44.6] SRF: Fingers crossed sheÕs asleep, fingers crossed. All right. So, everyone, in order to paraphrase the podcast, we went on a deep, deep dive, like, not just off the deep end, like, weÕre in thinking like Olympic-sized pool, high dive, all the way, perfectly executed, not just a belly flop into the world of discovering what is out there in terms of national advocacy and we want to tell you, thereÕs lots of confusion, lots of feelings but there is information out there. So, bear with me us guys and we hopefully get to tell you some of the fun things we learned along the way as well. [0:06:21.6] JH: Yeah. So, as you can probably tell, Steph and I have been you know, weÕve been friends for a long time, and we talk about speech stuff all the time too and so, we initially started talking about advocacy as not only like, colleagues, but definitely as friends and we were looking about creating or looking into creating a presentation around the idea of like, how to advocate for various needs. And then because weÕre in similar situations, although, IÕm in teletherapy, Steph is in person, you know, itÕs very similar, the difference is like the delivery model but also, you know, just talking about how itÕs so different in different states and then, you know when we wanted to talk about Š we did talk about teletherapy, actually, recently. So please go back into SpeechTherapyPDÕs website and look for our conference on burnout in teletherapy because weÕll talk a little bit about it. WeÕll hit on it towards the end of this presentation but our idea for this podcast is to kind of start on the larger scale. So, therefore, weÕre starting on the national level and then if you think of like a funnel. So, starting it big, and then kind of digging down a little bit more into like the nitty-gritty. So, starting national, which is what weÕre talking about today, then the next week, weÕll talk about state level, and then after that, weÕre going to go a little bit lower into like the business level, private practice, medical setting. WeÕre going to have some amazing guests by the way, so that is the third week, and then the last and final week, weÕre going to be talking about the individual SLP. So, just bear with us, thereÕs going to be a lot of Š keep thinking Ņfunnel.Ó IÕm just making a hand motion where IÕm creating a funnel with my hands and if youÕre listening to this later on. The other thing to say is that we will talk mostly about speech-language pathologists because thatÕs what we are and thatÕs what we know. We do love our audiologists, shout out to Dr. Karen, and SLPAs, and everyone else involved in the communication disorders and sciences career path. Shout out to everybody who is listening, thank you so much for listening to us. We hope to have more content in the future to discuss more about everyone elseÕs types of roles and advocacy but for right now, weÕre just going to guide the SLP into their own discovery. [0:08:52.2] SRF: So, to continue on that discovery, we do want to let you guys know, you know, we canÕt be in everyoneÕs situation location of course. Like I said, IÕm here in Jersey, and Jess in Hawaii. WeÕre all in different settings, sheÕs in teletherapy with all the different kiddos, she does EI. Also, I work in the middle school with preteens, I know, thatÕs crazy, but I love it but weÕre hoping to get everyone some information about where to find, reflect on some resources that are available, you know? So, kind of just a little background of how we kind of got to this journey is, while I was completing my doctorate, you know, I was given the opportunity to get to dive deep in like, specific with like policies in school setting and supervision of grad students and advocacy efforts to get there and like, how can we better support you guys, and IÕm a firm believer, like, I love helping you guys build your best confident self and that starts with our grand students. I know like, crazy bachelor's grad students that are like, ŅI donÕt know anything.Ó But my goal is to help empower you guys to gain that knowledge so you get that clinical gut and including in your advocacy. So, you know, thatÕs where my passion for this comes in and what we want to give to you guys. I know, Jess wants to rant her little back story. [0:10:11.0] JH: Yeah. I mean, I think it comes to a point where Steph and I are both at least a decade into this career and IÕve gone to many different states, not because IÕm in the military, just because I canÕt sit still but also because StephÕs laughing because itÕs true, itÕs very true. But also because I think I just love the idea of like learning about different places within the United States and also, you know, worldwide. And IÕm interested in specifically state-wide policies but then how does that also go like, national-wise, and I just really like, want to know how things work. So, I think thatÕs enough about why we decided to do this. Like I said, weÕre 10 years plus into this career, itÕs now itÕs like not that we donÕt know how to do the therapy. We know how to do therapy, weÕre always learning but now itÕs like, ŅOkay, so what can I do to take a step forward, take a step to help others, and to kind of just be more aware?Ó So, throughout this, weÕre going to start with a couple of segments. The first segment is weÕre going to go over some background in national advocacy in speech-language pathology first. So, as weÕre preparing for this presentation, we wanted to start the nitty-gritty, the beginning, the meaning, right? So, like, every other, I guess, millennial would do is we could go to dictionary.com and/or Google and literally just type in the word, advocacy. In doing so, we have three questions that we hopefully can answer within the next hour. Again, please bear with us, just know that weÕve barely touched the surface on what can be done at any level, okay? So, whether weÕre talking national, state, or personal advocacy, weÕre barely touching the surface, this is just kind of a place to guide and present information. So, Steph will provide you with the three questions that we had. [0:12:06.5] SRF: Yeah, and I know it only seems like three questions in an hour but we had a lot of information to pass along to you guys. So, the first question we want to cover is, ŅHow can speech-language pathologists effectively engage with national government bodies to advocate for policy change?Ó The second question we have is, ŅWhat role do professional organizations play in supporting SLPs in the advocacy efforts at the national level?Ó This one got really interesting. IÕm excited about that question, and itÕs more than you think, itÕs not just one organization. No spoilers, this is my spoiler. What are some Š and the last question is, ŅWhat are some common barriers or challenges and counter in advocating at the national level and how can they be addressed?Ó IÕm so excited, thatÕs our goal. [0:12:50.5] JH: Exactly. So, those three questions. Yeah, those three questions, and again, feel free, like, this is your guide, right? So, like, weÕre providing the information as much as we can find, we went on a deep dive. So, significance of national advocacy within the field of SLP, when we did the dictionary.com, it said, it means to speak or write in favor of support or urge by argument and recommend publicly. So, some of the examples were, Ņhe advocated higher salaries for teachers or the father advocates for his child with disabilitiesÓ or StephÕs personal favorite. [0:13:33.0] SRF: Oh, I do this pretty frequently, advocating for late-night Taco Bell with my husband, you know? Got to get that Crunch Wrap Supreme. [0:13:38.3] JH: On the weekends, right? [0:13:39.0] SRF: And we try to do the weekends, like it happens a lot during the week too. I hope you're all good with that. [0:13:43.7] JH: ThatÕs a lie. IÕve had it twice this week as well. So, advocating. [0:13:49.0] SRF: ThatÕs another way of advocating, right? [0:13:50.8] JH: Yeah, exactly, exactly. Basically, itÕs just how you get your voice across. So, on the same playing field for this, we are on the same playing field for advocacy, yep. So, when I look a little bit further because IÕm in the teletherapy part, I have a lot of time on the computer, I spend a lot of time playing with artificial intelligence, and with that comes ChatGPT, like all of the ChatGPTs, all of the things. All of the AIs and I thought it would be kind of cool to see, ŅOkay, well, what does artificial intelligence know about advocacy for the SLP?Ó And so, I asked it, ŅWhat are 20 things that would be effective for an SLP to advocate for?Ó And I just wanted to see. I have some feelings, I know Steph has some feelings, I wanted to see if it was on the even playing field, and also, I love outlines and itÕs very, very great to outline things. However, you still need to put on that human touch. So, weÕre going to list some of the things that ChatGPT had offered and then also, add in our human touch, okay? So, the list from ChatGPT of 20 things that would be effective for advocacy, according to what theyÕre saying, letÕs see if it kind of matches what weÕre feeling as you know, as SLPs. The first one is increased spending, advocating for increased spending for special education, duh. Yes, yes, of course, of course. We totally agree, we think that yes, there should be increased funding for special education. Number one, yes. [0:15:26.5] SRF: Amen. [0:15:27.8] JH: Got it, amen. Next one is access to telepractice services, near and dear to my heart. Yes, duh, especially in underserved areas, and thatÕs where I kind of Š my passion kind of drives from, definitely making sure that we have services and access and good Internet access to quality services is top of my list for sure. So, those are two, yes. Thank you ChatGPT. Next one is Medicare, and we can also add in Medicaid coverage. Yes, I think that thereÕs a lot to say about coverage for speech therapy services, and even when it comes to speech therapy services in telepractice and weÕll go in, weÕll talk more about that a little bit later. However, having access to services for our clients who are, you know, have experienced something, like a stroke or TBI or you know, all of that is important, definitely would love to advocate, especially for SLPs to reimburse for those services at a rate that is appropriate. So yes, three for three ChatGPT, thank you so much. The next one is universal newborn hearing screenings. That already happens, so there is some Š [0:16:52.0] SRF: I can attest for that. [0:16:54.0] JH: Yeah, you have to test for that, for sure. So, there is something, thought, about another type of hearing screening for newborns that ASHA recently did go and like, discuss, and weÕll talk more about later and where to find some more information. So, ChatGPT is a little iffy on the universal newborn hearing screenings. I think thatÕs something thatÕs already happening. Please correct as if weÕre wrong but thatÕs happening. Next one is increased research funding. Yes, yes we agree. Definitely need more research. Every time I read a research article, you have to kind of see where it says at the end, ŅMore research is neededÓ or ŅWe need more research becauseÉÓ And a given answer, yes, definitely. I definitely advocate for more research funding. ThereÕs a ton of information out there, thereÕs a ton of evidence-based practices out there. I think finding where all of those are nicely placed and easily accessible for SLPs is important. Yeah, thatÕs definitely on my list. Okay, so I think weÕre doing okay, right? [0:18:05.9] SRF: Yeah, I would say, even adding the research thatÕs functional for everyday practice. Like, I know, I think, IÕm sure you could attest like a lot of people see research and itÕs like very intimidating and it seems very detailed. IÕm like, ŅOkay, well, how can I apply this into like, my, you know, my high caseload with my 25-minute session every day?Ó Like, you know, how can I really apply this so Š [0:18:27.9] JH: Exactly. [0:18:27.9] SRF: Functional research too, right? [0:18:29.3] JH: Functional, thatÕs such a great word. I love functional. [0:18:32.1] SRF: Right? [0:18:32.4] JH: I talk about it a lot. So, the next one IÕm going to talk about is a huge one. Workforce shortage solutions, especially in rural or underserved areas, and in being in so many different states and seeing how so many different states are working, I can definitely say, like, thereÕs certain states that are having such a rough time keeping people, keeping SLPs on their, you know, within their state and it comes down to a way that things are run. It comes down to the way that paperwork is processed, it comes down to how much paperwork, how many students, and weÕll talk more about this too but caseload, caseload is a big-big thing when it comes to school-based. Then again, weÕll talk mostly about school-based, mostly because thatÕs what we know but we will add in the information about medical-based as we go through too. So yeah, thereÕs so much to say about workforce shortage. ThereÕs definitely a shortage for sure, and yeah, definitely need to advocate that. So, I think weÕre good so far, like five out of the six so far from ChatGPT, great list of advocacy, and then IÕm going to let Steph do the next couple. [0:19:50.7] SRF: Yeah, so just to me on the list, the next one I came up with, autism, you know, acceptance and support. So, advocating for policies that support individuals with autism spectrum disorder. So, it includes early intervention and school-based services, and then I added one other one thatÕs near and dear to my heart is life after 21 services. ItÕs like, thatÕs the one that didnÕt quite get there and I think that oneÕs slowly emerging of the still the need for services. I know itÕs near and dear to my heart because I have a younger sibling. I mean, sheÕs 32, sheÕs not young, young but she still needs services and we have to really fight for it to go find therapy, especially even speech therapy and you know, itÕs very hard to find that out there. [0:20:33.7] JH: It is hard. [0:20:35.6] SRF: You know, keep adding that, and again, even not just children on a spectrum but with a lot of other disabilities as well. You know, when itÕs include, where neurodiversity, IÕm including that neurodiversity include everybody and getting the advocacy out there for even rare syndromes out there. You know, there is so many special young babies, kids, young adults, older adults, letÕs include them all and talk about the change for them, you know? So good job GTP. [0:21:03.2] JH: ChatGPT. Yeah, good job. I think for this part too, when I think about 10 years ago, what my services looked like for kiddos and I will always say kiddos, thatÕs just who I am as a person. So, please donÕt come at me but what I was doing 10 years ago for kiddos on the spectrum compared to what IÕm doing now, 10 years later, has changed significantly. I mean, we used to do like the Š you know, different things. Like, it used to be autism awareness, awareness-awareness-awareness. We would go to a certain organization to talk about how weÕre going to advocate for change and supplying these services for kiddos with autism. Well, things have changed a lot in 10 years, it is acceptance. ItÕs acceptance, no longer awareness. I think everybody Š no, I wouldnÕt say everybody but people know what autism is at this point. ItÕs talking about those neurodiversity from in practices, which is something I personally would like to know more about but again, I mean, Steph, do you feel the same way? Like, 10 years ago, totally different from what weÕre doing now. [0:22:17.8] SRF: Oh yeah. I mean, even again in my personal experience, like, you know, even in the past 20 years. Like, I look at my sister, sheÕs minimally verbal. You know, we always thought, the thought 20 years ago when she was first diagnosed with, so she was on the spectrum, donÕt want to socialize. Now, we shifted to, ŅWe donÕt know how.Ó And like, even then, I see like, you know, my sister didnÕt really start socializing until her late 20s, and like, she had to find her own way of showing it and IÕm like, ŅWow, okay.Ó So, we shift our perspective of it and learning the different, you know, a different lens of it. Like, okay, there is a new way of looking at that and continue that growth that we want to see with that. [0:22:56.8] JH: Exact. [0:22:58.3] SRF: You know? All right, IÕll continue on to number eight. [0:23:00.7] JH: Go for it. [0:23:00.7] SRF: All right. So, next one is healthcare inequality. You know, advocating for healthcare, equity, and access or to speech-language pathology services for all populations including minorities and low-income areas. ThatÕs crazy Š [0:23:14.4] JH: Duh. [0:23:15.2] SRF: An important topic as well and next one that I really enjoy to talk about was public awareness campaigns. So, advocating for us as SLPs you know, and talk about communication disorders, the role of SLP. I donÕt know about you, Jess, but IÕm the only SLP in my building and you have to Š I want to say, ŅHey, IÕm here.Ó You know, and talk about it, you know, and sometimes it can be a little lonely and you want to make sure youÕd be aware. ŅHey, I can help, you know?Ó And what I do, you know? It would be nice too. [0:23:45.7] JH: Yeah, and for this National Speech and Hearing Month. [0:23:51.5] SRF: Is it right? Is it that month already? [0:23:53.9] JH: It is. Well, for this month, for this month, thereÕs lots of different campaigns going on in particular, right? So, I think if we take a step back, IÕm going to talk a little bit about in grad school, we had to write some type of paper about like a perspective paper and I was really like, hyper-focused on I think the perspectives of the public when it comes to what we do, and I think mostly, it was because like, I didnÕt understand everything that we could do and so, I just wanted to know more and it was fascinating. I just kind of poured over all this information and just kind of took it in and essentially, what it was telling me is that people donÕt really know what we can do. I literally just learned this year that there is a group or Š not a group but like, you could, as an SLP, work mostly in like, due process hearings for kiddos who are in jails or even for adult in jail or you know, helping those in that position because of language disorders or because of advocacy efforts. I had no idea that was a thing. There is an SLP thatÕs their whole position is to help people who are in the situation and I think thatÕs awesome but like, again, when I go back and I think about that paper that I wrote about how the public doesnÕt understand like they think that weÕre working on the RÕs and the S sound and the L sound and of course, we do that. Of course, we do that but like, we are speech-language pathologists. So, definitely like, so much into that where I mean, I wish I have the percentages or like, what it would said but it was pretty abysmal, truthfully. So, anyways. [0:25:58.2] SRF: And just what did your brother call it? What did your brother call it? [0:26:01.7] JH: Oh yes. When I was in school, so IÕm one of eight kids and my youngest brother was like, I was 14 when he was four and so, it was very cute. I was going through grad school and he was like, ŅOh, youÕre going to become a speech paleontologist.Ó So yeah, so worked with dinosaurs talking is what it was. Anyways. Yeah, and so, yeah, talking about being in that silo, like as a teletherapist, definitely in a silo, definitely in a silo. I am the one and only speech therapist in my house. I donÕt leave the house typically, although, I do go and I do early intervention on the island, right? So, I feel like I personally need to go out and like, be around other people but itÕs not always like, with other speech pathologists. When thereÕs a chance to do it, I need to, I thrive for it. So, yeah, definitely public awareness campaign. So, yay, yay ChatGPT. [SPONSOR MESSAGE] [0:26:57.7] ANNOUNCER: Are you taking advantage of our new amazing feature? The certificate tracker. The free CE tracker allows you to keep track of all of your CEUs, whether they are earned with us at SpeechTherapyPD.com or through another provider. Simply upload your certificate to your registered account and youÕre all set. So, come join the fastest-growing CE provider, SpeechTherapyPD.com. [INTERVIEW CONTINUED] [0:27:26.7] JH: From here, I think, Steph, what do you think? Should we just list some of the other things that we had come up with? [0:27:34.3] SRF: Yeah, I think everyone wants to get to the Š [0:27:36.5] JH: Get to the nitty-gritty. [0:27:37.6] SRF: The information already, yeah, so. [0:27:38.5] JH: Okay. [0:27:39.5] SRF: IÕll just highlight it. [0:27:41.2] JH: Yeah. So, okay, so, support for individuals with aphagia. I think definitely something that is important. Next one is improved access to AEC devices, for sure. Cultural competency training, absolutely, definitely something we should advocate for. Licensure and credential, huge, huge thing, huge thing to talk about. So, thatÕs that piece. IÕll let you go for the next couple, Steph. [0:28:07.3] SRF: Yeah. Another one is school-based service, services legislations. So, advocating for you know, comprehensive school-based services or including case low caps and adequate resources. Oh, yeah. Also, early intervention programs, so advocating for policy supporting early intervention programs for infants and toddlers with communication device. Supporting dysphagia services, then also mental health and communication. So, advocating for integrated mental health and communication services to address the impact of communication disorders on mental well-being. I donÕt know about you but thatÕs I think, a new and very upcoming Š or not, I donÕt know if itÕs upcoming but itÕs there but itÕs definitely Š [0:28:50.6] JH: ItÕs kind of got more spotlight, yeah. [0:28:53.2] SRF: Yeah. Also, collaboration with other professionals. So, advocating for policies that promote interdisciplinary with like SLPs, educators, physicians. YouÕd be surprised. I mean, IÕm sure we have all collaborated, you never know how you can intertwine what you do with a lot of other people, right? I know, one of my favorite person I ever learned, I could collaborate with was a recreational therapist. I didnÕt know I could do that. [0:29:15.8] JH: ThatÕs awesome. [0:29:15.8] SRF: But thereÕs actually Š thereÕs some things that intertwine, it was really fun. Magic. [0:29:21.4] JH: ThatÕs fascinating. Fascinating. [0:29:24.1] SRF: And IÕll let you wrap it up, Jess. [0:29:26.7] JH: Yeah, I mean, I guess, to just talk a little Š really quickly about collaborating with the other professionals. [0:29:31.7] SRF: Yeah. [0:29:32.3] JH: I, in Hawaii, in one of the programs, weÕre able to collaborate with PTs, OTs in like the service delivery models. So, we go together and we have visits together and it is so, so awesome. So, I hope that lots of other places have this too. I know, many others, like other states do not allow you to bill at the same time, which is super unfortunate because I feel like, having all of that advocacy for the parents and for the families at the same time is awesome. And so, the other thing too, I used to work in a hair salon a long time ago and it was one of my favorite jobs and I always sort of remember there, seeing a sign on one of the stylists, her station, and it said, ŅIÕm a beautician, not a magician.Ó And then, years later, IÕm sitting and IÕm in this EI session with a kiddo and the PT and OT, and IÕm thinking about this sign for some reason, and all of a sudden. So, IÕm giving strategies to the parent on like, you know, what they can do to help their child communicate, and all of a sudden, this kiddo starts just repeating everything IÕm saying, and then I think about the sign and IÕm like, ŅIÕm a clinician, not a magician.Ó Because IÕm like, IÕm not really Š IÕm not having him say it, IÕm just saying it in a different way, right? With the PT and the OT there. So like, having that collaboration, making sure that the Š that all of those things happen at the same time, so-so-so important. So anyways, IÕm going to step off of that soap box a little bit. The other thing, sorry, everybody, the other two more things that ChatGPT listed for us was advocacy for evidence-based practices, obviously, for sure, and then also, legislation to protect patient rights, obviously, and then also too, legislation should protect SLPs in practice. So, getting your insurance, making sure that you're covered, you know, if you start contracting or you do something like that, you need to be covered. Even if youÕre in the schools, you need to make sure that youÕre covered and advocate for that, so. [0:31:51.9] SRF: All important. [0:31:52.5] JH: Yes. Okay, weÕre going to transition a little bit here. Steph, take it away. [0:32:02.2] SRF: All right, so weÕre good, question number two, you know, and the next part really to say, IÕm saying you know, so who at the national level can we assess and reach out for, for assistance. So, of course, the first one, we can all, IÕm sure we thought of the course remind us, ASHA, American Speech Language. [0:32:20.4] JH: ASHA. [0:32:21.1] SRF: You know, and like to just before we start, we are aware of the current perspectives or trends, thoughts that are going on, you know, through social media or emails or text chains, all of those, and we just want to share some of the resources that we did found when weÕre going on our deep dive and our goal is just to empower you guys as individual SLP to know thereÕs Š let you know whatÕs going on. You know, I think just sometimes we kind of go the wayside but we want to know that ASHA does have resource out there. You guys can take it however you want to shape it into what you need to be successful as yourself as SLP. So, I am excited for the next one, Jess is going to share that, there is actually other national organizations that can help us and support you guys, so I was very excited about that. [0:33:07.8] JH: Totally, totally. When we think about, like Steph said, when we think about national the first thought is ASHA. I found this one, itÕs called the Council for Exceptional Children, and this one has existed for a long time as well but itÕs mostly geared towards Š so, well, let me just read what their website says: ŅThe Council for Exceptional Children is the largest professional organization dedicated to improving the educational success of children and youth with disabilities and/or gifts and talents.Ó So, they also have their own governing bodies, they have their own professional standards, their own professional development, their own ways that they provide for perfective Š for effective practice, right? And they have their own Š I am trying to think of Š oh, convention, sorry. Even though it is only two in the afternoon for me, it is Š I literally wake up at 5:00 in the morning every single day, so bear with me. But anyways, so yes, so the Council for Exceptional Children is another place where you can go for more information. It is mostly, I found that it Š mostly special education directors or teachers are part of this organization but it is a great place to go and to just kind of look around and see whatÕs happening at the national level. So, they, when I talk about their governmental policies, they also help to look at legislation. They look at what is available in terms of like what laws are written, what needs to be done. So, that is another place but again, the CEC, they have local units in all 50 states and Canada. They also have special interest divisions and they focus on things like specialty areas, roles, all of those different types of things. ThereÕs also lots of chapters at different colleges and universities. So, like I said, please, donÕt come at me if you know about this already. IÕve just learned about it, sorry. I think there are other people in the same boat as both of us because like, when do you have time to look at things? I donÕt know, IÕm very busy, I know Steph is very busy, like extra-extra busy. So, again, weÕre just going to list it. [0:35:39.8] SRF: Yeah, and again, we hope to just again, spark interest if youÕre curious about this website, learn about it, and again, you can also dissect it and take what you need to empower yourself as SLP. You know, we can always change around to help you guys where youÕre at. So, again, another organization we came across was the Association of Veterans Affairs, speech-language pathologists. So, itÕs an organization for speech-language pathologists employed by the VA or the DHA, so I know thatÕs a very specific group but thereÕs a support out there for you guys. So, donÕt feel like youÕre ever alone and get that support, and just quickly, weÕre going to list some other ones that we found. ThereÕs the National Black Association for Speech-Language and Hearing, the National Institute on Deafness and Other Communication Disorders. National Center for Hearing Assessment and Management, the International Society for Augmentative and Alternative Communication, the American Cleft Palate-Craniofacial Association, the National Stuttering Association. So, now IÕm like, I definitely looked at it on their website, IÕm like, ŅAh, I should look there for more stuff.Ó And also, there is the National Foundation for Swallowing Disorders. So again, these are all other national organizations that in case you like, get stuck on something or you just want to find more information maybe on a specific area, go explore, and I am sure there is definitely Š I am pretty sure there is a lot more out there, go for it, go explore, you never know what youÕre going to find and again, you can at least tailor it to what you need in your journey as a new SLP. So, also now, I like to start of ways to advocate. So, I know, IÕm sure you guys are kind of getting to know us through this podcast and I always thought myself when it came to advocating, IÕm like, ŅOh my God, I can never do it.Ó I am more soft-spoken and just like, ŅOkay, letÕs talk this out, letÕs figure out a solution.Ó Not as loud or IÕm sure you hear Jess talking and sheÕs like, ŅOh no, this is not how itÕs going to happen. IÕm going to tell you how weÕre going to do it.Ó IÕm sure you can see us being one of eight, you have to be loud. [0:37:45.6] JH: I have to be very loud. [0:37:47.0] SRF: Yeah, I know. [0:37:47.9] JH: I have to be loud and on this set, getting told as first daughter, so I had to be loud and thatÕs just who I am as a person and Steph, Steph is the oldest of two and her house was much quieter than mine, so itÕs okay. [0:38:03.4] SRF: So, again, my goal with advocating of also saying is you donÕt have to necessarily be the super outgoing like, ŅWow.Ó You can be the soft-spoken person like me and still voice your opinion in whatever way you feel most comfortable doing it. So, the first thing you can definitely always do is very simple, yet very effective is write a letter. You know, write it to those legislators and I know that always brings me back to the old school house rock song of you know, IÕm just a bill, and you know how it starts. You know, sometimes that one letter can be the spark to get the idea going, you know, start there, you know? [0:38:40.4] JH: I was hoping you would say this old house rock, yeah. [0:38:45.7] SRF: I donÕt know if I remember all the lyrics but I remember the tune and I can sing in my head but I donÕt remember all the words. [0:38:51.1] JH: ThatÕs fine. [0:38:52.1] SRF: ItÕs a good thing if I remember it. [0:38:53.8] JH: ThatÕs fine. [0:38:56.6] SRF: I have the tune in my head just a little, so I remember that but I donÕt remember all the words. [0:39:01.6] JH: Anyways. [0:39:03.0] SRF: Anywho, weÕll be pre-focused. So again, of course, as we were preparing for this, we also went to the ASHA website. So, we went to the one, you know, what I say weÕre most comfortably know and on the main page, smack down in the middle there, thereÕs a huge tab thatÕs just labeled advocacy. So, we know itÕs out there and this is also where we start the next deep dive as we can say of going down the rabbit hole. You know, IÕm not sure if anyone has ever really looked on there, I canÕt say I want too much. I really go on there just to check my CEUs and just make sure I pay my dues, right? And make sure like, ŅOh, IÕm curious.Ó IÕm like, ŅOh, whatÕs the policies in this state?Ó So, it was fun to get to click on that next tab over the advocacy and thereÕs actually some information out there and you know, locations and links and tools to go look. So, like things to look out too, so like you can go to Capitol Hill, I know it seems very intimidating. I know I saw, IÕd be like, ŅWhoa, I canÕt go up there, you know?Ó IÕm not a big politics person but go for it, go advocate, you know? Voice your opinion. Another great way to just also start is those little surveys, they do you know, actually send out surveys, voice your opinion on those. You know, you donÕt have to give your name, it can be anonymous but you know, thatÕs where it starts and sometimes youÕd be surprised like, ŅWell, if I do it, then IÕm going to do it and IÕm going to do it.Ó And youÕll eventually get this big list and sometimes, it just starts with that one voice, which could be yours, you know? Or IÕll respond to emails in national organizations. So again, I know, like weÕll say, ŅWhoÕs got the time, you know?Ó WhoÕs got the time for that? [0:40:42.9] JH: Hey, nobody got time for that. [0:40:44.4] SRF: I mean, my time is usually like, 2:00 in the morning when I canÕt sleep and I get all those great thoughts in my head and again, sometimes, it can just be a simple email of addressing it to even just another supervisor, another SLP like, ŅHey, I got this idea, what do you think?Ó And sometimes it just starts there and it snowballs from there. So, just like little Š where a place sparks some ideas for everybody. [0:41:07.7] JH: Agreed, agreed, and then okay, so letÕs talk about this advocacy tab and again, the reason why weÕre starting there is because this is our national board, right? Our national place to go. ASHA advocacy is huge, there are tons and tons and tons and tons of things on there. I do go on the ASHA website frequently because I do have lots of questions, specifically with state-by-state questions because as a teletherapist, like most of the time or some of the time, you will be working with states that are not your own. So, I do go on there often. I still canÕt say after looking at this website that I have enough information or that I understand everything fully and I think thatÕs okay to say out loud because I think if we know everything, then thereÕs nothing moving forward here. So, when I look at this website, when I go to the advocacy website and click, right in the middle you click on advocacy, right now, thereÕs a little button that says, ŅTake action.Ó Right after it describes what the public advocacy policy agenda is, so you can click on that link, you can also click on the Ņtake actionÓ link. So, I, of course, click on the take action link because you know, I have lots of things that I want to say and they list several pieces of legislature or things that theyÕre hoping to accomplish and so right now, at this point in time, it says, the first one is, ŅHelp advocate for a Medicaid rate increase for North Carolina SLPs.Ó And they are saying itÕs been over 20 years since there was an increase in North Carolina Medicaid rates for SLP services, and rate today are an alarming 12% lower than they were in 2003. So, I am literally reading this, right? Off of whatÕs on the advocacy website right now, thatÕs abysmal. ThatÕs awful, I mean, who would stay? Who would provide these services? If youÕre not getting paid what youÕre like Š IÕm a huge advocate for being paid for what youÕre worth. I have a masterÕs degree, like I plan to be paid as if I had a masterÕs degree, yeah? So, thatÕs one of the things that is on the top of this advocacy website at this point. The next one, I donÕt remember if you remember, I talked earlier about cosponsoring or excuse me, talking about the newborn hearing screenings. The next one on this list for 2024 says newborns or ask Congress to cosponsor the Stop CMV Act and it says, ŅNewborns with cytomegalovirus are at risk of acquired hearing loss, delayed language acquisition and speech development and other developmental challenges.Ó Currently, there is no dedicated federal support for state-based efforts to expand access to newborns with CMV. So, huge, thatÕs a huge thing that has occurred, right? So, there that, and then I continue to scroll down. If you continue to scroll down, youÕll see something that says, ŅMake telehealth access permanent for Medicare beneficiaries.Ó And I mean, youÕve got to know by now, any time there is advances in telehealth because it is not going away, it is not leaving, we are here, it is, I mean, for me, it just works for me personally. If it doesnÕt work for you, thatÕs totally fine but I think thatÕs the thing is finding the things that work for you but I personally find that telehealth access works well. So, I click on this and when you click on this information, it takes you to another part where Š on the website, another link where you type in your zip code and they give a little blurb about what is happening and what they are trying to accomplish with ASHA and then it will pull up your senators and representatives. So, me being in Hawaii, I have Senator Mazie Hirono, Senator Brian Schatz, and Representative Ed Case, and they have this little item where you can put the subject line and they allow you to type in the message body but they have a prewritten letter. A prewritten letter and thatÕs all you have to do is to Š and you can add in some more information if you want to, so of course, I fill it out. Of course, I did and I sent my message and wouldnÕt you know, wouldnÕt you know, all three of them responded to me. All of them responded back. I mean, it was most likely a pre-canned message but all of them responded and said, ŅYes, we agree. WeÕve already put this into our plan. We are cosponsoring.Ó So, that little act even as one person who has a really strong feeling about something, just putting that in there, great place to start. Great place to start and again, feel free, please go and look on this part here to see if there is anything that kind of sparks your interest. ThereÕs tons of, tons of pieces here about supporting you know, something like the interstate compact, huge, huge deal. Huge deal, you know, pay cuts are everywhere that you know, oh gosh, itÕs awful. So, making sure, like we said, increasing pay, and then I think there is something in here at one point. And somebody had mentioned in the chat about caseload caps and how to advocate for caseload caps too. I want to hold off on that piece for right now. We do want to talk about caseload caps, ASHA did have Š yeah, weÕre going to talk in episode two about caseload caps, so please come back. Sorry to kind of like sort of end it but the reason why is because weÕll talk more state-specific. From what I understand, and please correct me if I am wrong, from what I understand when ASHA did kind of advocate for more caseload caps, what happened was that they came Š the schools would come back and be like, ŅOh, that means thatÕs your minimum. So, we can give you 50 kids who have all these various severe needs.Ó And we were like, ŅAh, actually no, like thatÕs not how it goes.Ó So, please also go back and watch our Š if you have a chance, the burnout in teletherapy episode on SpeechTherapyPD. We talk a little bit more about caseload caps there as well. So, hold that thought, hold that thought, and IÕm going to Š [0:47:55.4] SRF: IÕm sorry, thatÕs yeah, thatÕs like my personal thing, like especially IÕm like, I know we saw some hands out there from New Jersey. High caseload across the board. IÕve been really advocating that in my district and I will share some ways that I have successfully gotten support. So, please bear with us, come back in the second episode and I will share Š [0:48:17.6] JH: WeÕll share more. [0:48:18.3] SRF: Some strategies for that, yeah. [0:48:19.3] JH: We promise. So, back to national part, back to national part, I know Steph talked about going to Capitol Hill, there are groups of SLPs and audiologists part of a committee of ambassadors and so essentially, these are liaisons who go from every state, they are on a three-year term and they go to Capitol Hill to advocate for needs that are specific to state legislators in DC and theyÕre like constituents, okay? So, if you go to ASHA or just type in Ņcommittee of ambassadorsÓ and type in ASHA committee of ambassadors ASHA, youÕll find your stateÕs liaison. That is a great place to get some more information or to talk with somebody who is likely in your state who I guess, has to be in your state to talk more about the state-specific issues. Again, sorry, thatÕs a little bit more state issue but again, they are heading over to DC I think next week. So, thatÕs in May, thatÕs happening. ThatÕs the thing, they go every year, they go to Capitol Hill, so yay, thank you so much for that. Another part, are you ready to still go down that rabbit hole? Because I am still there. So, if youÕre on this website for ASHA advocacy as well, please go after this. Please go, please let us know if you see something different but thereÕs parts for things that are happening in the news. ThereÕs parts for state requirements, which is where I usually go if I have questions. They have school issues, healthcare issues, professional practice, and workforce issues, and then also diversity, equity, inclusion, patient-client-student issues, and then if you go to the bottom, there is something that says, ŅSign up to be a Grasstops Envoy.Ó There is also, ŅSee ASHAÕs guide for becoming an advocate for the profession.Ó Additionally, there is something called an ASHA-PAC. So, ASHA-PAC is a committee, it is part of all of this advocacy piece. TheyÕre the part that provides the financial support to candidate committees. So, IÕm not quite sure about everything that they do, I recommend you head there, find out on your own, report back if you feel so inclined but ASHA-PAC is a thing. It exists and theyÕre part of the financial support to candidate committees. I am interested mostly in the guide, becoming an advocate for the profession. So, again, if you get involved and I think thatÕs the overwhelming arch of this is become involved. If you have an issue, get involved, ask questions, go there, ask people. I canÕt tell you how often IÕm on social media. Steph is not on social media, I like force her to be on social media but Š [0:51:27.5] SRF: IÕm getting better. [0:51:28.6] JH: You are because I am forcing you because IÕm forcing you, but if you have questions or you need something, you have to get involved. You have to know a little bit more. IÕm at the tippy top of this iceberg and I still donÕt feel like I have a full grasp on it, which is telling me that maybe others are in the same kind of boat and that is okay. So, when we talk, if we go to that link that talks about Ņbecome an ASHA member advocateÓ it will bring you to this other beautiful webpage, which some people Š WeÕll talk about a survey in a couple of minutes but that will bring you to more information about what you can do to talk about some of the issues that youÕre having or to advocate for some of the things that youÕre wanting to advocate for. I think overall, our ChatGPT experience worked pretty well in terms of like getting the general idea but everyone has their own specific, yeah, rainbow of things that they feel, right? So, when Š the only other thing that I am going to touch base on, and then weÕre going to end pretty soon with our survey results is, ŅBecome a Grasstops Envoy.Ó That was something that I was like, ŅOh, what is that?Ó So, essentially Š [0:52:50.4] SRF: Yes, tell me, Jess, I want to know more. [0:52:52.9] JH: Well, I hope I know enough but essentially itÕs individuals who go to Congress and we talk about some of the legislative issues that are impacting us. So, you can become an envoy, they have a flyer on there, they have all sorts of ways to kind of build relationships with people who are making laws and legislation, and then you know, how to get more involved in the group process that is like the laws that go into working in the places that we do, okay? So, again, IÕm kind of on a soapbox and weÕre going to remind you again, weÕre just at the tippy top. So, our best bet for right now is go to those places and look around, you have questions, look around, feel free to type in the chat box at any time or you know, reach out to us, or gosh, reach out to the national place. The best bet I would say is to contact people, and so now, segment three, and weÕre going to have to put this one pretty quickly. So, go for it, Steph. [0:54:04.9] SRF: Yeah, we got this. So, the last part of the presentation was we want to get some perspectives of SLPs in our field and really knowing how others feel and need the general consensus. Of course, weÕre just two SLPs in the big field of, thereÕs over 200,000 we have of SLPs nationwide. [0:54:19.8] JH: I donÕt think, 250,000 or more. [0:54:22.1] SRF: There, that was, so you know, two of us versus that big number, bigger perspective. So, we created a six-question survey just about advocacy at the national level and posted on a couple of different media, you know, social media so I did get involved, I did post. I wasnÕt antisocial. [0:54:38.7] JH: You did. [0:54:39.4] SRF: And we did and just before we get into the fun interesting information we found from it, weÕre very excited we got about 58 responses, so weÕre like thatÕs Š [0:54:49.9] JH: ItÕs amazing. [0:54:50.9] SRF: Thank you to the people Š right? Who came out and filled out that survey and IÕll let Jessica say what we finally found that. [0:54:57.3] JH: WeÕre really, really stoked, thank you so much for filling out this survey. It must have sounded really weird, like, ŅHey, please fill out this information.Ó From the Facebook group from a random person but really, it was just to kind of get a deeper dive into like what their perspective was for SLPs in terms of national advocacy and we can obviously tell that thereÕs lots of strong feelings and lots of confusion and so, okay, so letÕs talk about it. We had six questions, the first was, ŅHow long have you been an ASHA member?Ó About 58% of people have been an ASHA member for about 10 years, and then the rest it was kind of like in between less than a year, one to five years, five to 10 years, and/or not a member. So, it was pretty evenly between the other ones. I would say between one and more than 10 years was the majority of that question. So, thatÕs that piece and then you know, thinking about all of these national advocacy initiatives or campaigns, we asked how many people have participated in any or have you actively participated in any of those advocacy initiatives or campaigns and this is what Š oh gosh, so I guess weÕll start with the no. 44.8% of you said no and IÕm not interested in participating, like, ŅNo, we donÕt want to be involved.Ó Totally okay. I mean, weÕre busy, we get it, we totally get it. So, keep that in mind, then the other part was 36.2% said, ŅNo, but I am interested in participating.Ó ThatÕs great, thatÕs great, wonderful. The other options that we had, seven or 12.1% to, ŅYes, occasionally.Ó So, yes occasionally are one of our 58 participants said that they do get involved with some of those initiatives. Then we also got three or five percent who were unsure. And then, one percent said, ŅYes, regularly.Ó Regularly involved in initiatives and campaigns and like we said, like we are just two of hundreds of thousands of people who are in this profession. So, one thing, it may be another personÕs thing, like this may be this personÕs thing, and thatÕs awesome. So, cool but we were just kind of like flabbergasted by this. The other parts were, ŅAre you likely to reach out to ASHA for any advocacy concerns, needs, or ideas in the future?Ó A whopping 48.3% said no, ŅNope, not interested, not reaching out.Ó Totally cool, we hear you. 17.2% said, ŅYes, IÕm going to reach out.Ó And I donÕt know about you Steph, but I literally I call ASHA or not call but like, ŅHey, ASHA, whatÕs up?Ó No. I email them pretty consistently, I would say at least four to five times a year just because I have questions about things. So, I donÕt know, 31% of you said no or not sure. YouÕre not sure if youÕd reach out with any concerns or needs, so something to consider. [0:58:08.3] SRF: They kind of seem intimidating, like I think, ŅOh, my God, ASHA, like am I worthy?Ó But like, go for it. TheyÕre also SLPs too, like you never know like you never know who you can get in contact with. [0:58:19.5] JH: Yeah, the next questions are gosh, we got some really Š [0:58:25.5] SRF: Oh, great responses. [0:58:27.0] JH: Ooh, I would say the overarching thing though, would you say Steph, is caseload caps and pay? [0:58:34.3] SRF: Yes. Yeah, those were definitely the two I think a lot of people answered the question was like, you know, ŅAre there any specific ASHA services or benefits you would value the most and like to see improved?Ó And I think IÕm sure all of us can agree, caseload met and like caps or management definitely increase pay across the board, you know? [0:58:55.9] JH: Yes. [0:58:57.1] SRF: So, I think those are the big ones. I think there was Š [0:59:00.5] JH: There is one, somebody mentioned making sure that like the info and ads or like on TV dramas or movies would actually portray what how Š I donÕt know if you guys like watched GrayÕs Anatomy but like the OT is not requesting for swallow study most of the time. So, something to consider, like that was such a cool, cool answer. I love that but reimbursement for sure, pay, pay rate, huge, huge thing, and then weÕll end with this last question I think, Steph. [0:59:31.3] SRF: Yeah, and this one was definitely I think that stood as Š [0:59:34.6] JH: Oh, yeah, it hurts. [0:59:35.8] SRF: Most, ooh, the question was, ŅDo you believe that ASHA adequately represents and advocates for the interest of SLPs?Ó And a whopping 75.9% said no. IÕm glad these people felt comfortable to express their two feelings, you know? So, it hopefully gives Š makes you feel like IÕm not the only SLP out there. ThatÕs how you personally feel, you know, a lot of other people agreed with that, and 15% said unsure. Let me see, one percent said, ŅI think they do, some, but not enough.Ó And then thereÕs a little one percent, ŅI think the organization does nothing important.Ó Not important and then there was 3% who said yes but overwhelming said flat-out no. [1:00:25.9] JH: No. [1:00:26.7] SRF: So, again, as we tie all that, again, if you think this is you, get started you know? And just you know again, I know who has the time for that. Again, just starting that exploration of it all and just if you have that care why, why is that or you know, IÕd say politely question it like, ŅBut why do you think that way?Ó And start that and you know, and just dig a little deeper. You never know, again, where it can all evolve to, right now, start it there. [1:00:58.1] JH: And so, okay, weÕre going to end for now. I feel like this may have brought a lot more questions for people and I think that is a great place to be because the whole point of this and the whole way that we kind of present is more of like a conversational style in a way that you can kind of reflect on your own personal beliefs and then also move forward from there. So, oh my gosh, thank you so much for listening to us. [1:01:23.3] SRF: Yes, thank you. [1:01:24.9] JH: We are so, so appreciative. If you have anything else, weÕre so happy to be here. Thank you, bye everybody. [1:01:30.8] SRF: Thank you, guys, we appreciate it. We look forward to hopefully seeing you next week. [END OF INTERVIEW] [1:01:40.9] ANNOUNCER: Thank you for joining us for todayÕs course. To complete the course, you must log in to your account and complete the quiz and the survey. 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