Library: Career: Speech Therapist

Job Outlook

Occupational Outlook Handbook job outlook for Speech-Language Pathologists

Typical work activities

Speech-language pathologists (sometimes called speech therapists) assess, diagnose, treat, and help to prevent communication and swallowing disorders in children and adults. Speech, language, and swallowing disorders result from a variety of causes, such as a stroke, brain injury, hearing loss, developmental delay, Parkinson’s disease, a cleft palate, or autism.

Duties

Speech-language pathologists typically do the following:

Evaluate levels of speech, language, or swallowing difficulty
Identify treatment options
Create and carry out an individualized treatment plan that addresses specific functional needs
Teach children and adults how to make sounds and improve their voices and maintain fluency
Help individuals improve vocabulary and sentence structure used in oral and written language
Work with children and adults to develop and strengthen the muscles used to swallow
Counsel individuals and families on how to cope with communication and swallowing disorders

Speech-language pathologists work with children and adults who have problems with speech and language, including related cognitive or social communication problems. They may be unable to speak at all, or they may speak with difficulty or have rhythm and fluency problems, such as stuttering. Speech-language pathologists may work with people who are unable to understand language or with those who have voice disorders, such as inappropriate pitch or a harsh voice.

Speech-language pathologists also must complete administrative tasks, including keeping accurate records and documenting billing information. They record their initial evaluations and diagnoses, track treatment progress, and note any changes in a individual’s condition or treatment plan.

Some speech-language pathologists specialize in working with specific age groups, such as children or the elderly. Others focus on treatment programs for specific communication or swallowing problems, such as those resulting from strokes, trauma, or a cleft palate.

In medical facilities, speech-language pathologists work with physicians and surgeons, social workers, psychologists, occupational therapists, physical therapists, and other healthcare workers.

Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Speech-Language Pathologists,
at https://www.bls.gov/ooh/healthcare/speech-language-pathologists.htm (visited July 26, 2021).

Education

Education needed - Speech-language pathologists typically need at least a master’s degree. Most states require that speech-language pathologists be licensed. Requirements vary by state.

Education

Speech-language pathologists typically need at least a master's degree. Although master's degree programs do not require a particular bachelor's degree for admission, they may require applicants to have taken certain courses in healthcare and related fields. Requirements vary by program.

Graduate programs often include courses in speech and language development, age-specific speech disorders, alternative communication methods, and swallowing disorders. These programs also include supervised clinical experience.

The Council on Academic Accreditation (CAA), part of the American Speech-Language-Hearing Association, accredits education programs in speech-language pathology. Graduation from an accredited program is required for certification and, often, for state licensure.

Licenses, Certifications, and Registrations

All states regulate speech-language pathologists. Most states require speech-language pathologists to be licensed; other states require registration. Licensure typically requires at least a master’s degree from an accredited program, supervised clinical experience, and passing an exam. For specific requirements, contact your state’s medical or health licensure board.

Speech-language pathologists can earn the Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP), offered by the American Speech-Language-Hearing Association. Certification typically satisfies some or all of the requirements for state licensure and may be required by some employers. To earn CCC-SLP certification, candidates must graduate from an accredited program, pass an exam, and complete a fellowship under the supervision of a certified speech-language pathologist. To maintain the CCC-SLP credential, speech-language pathologists must complete 30 hours of continuing education every 3 years.

Speech-language pathologists who work in schools may need a specific teaching certification. For specific requirements, contact your state’s department of education or the private institution in which you are interested.

Speech language pathologists may choose to earn specialty certifications in child language, fluency, or swallowing. Candidates who hold the CCC-SLP, meet work experience requirements, and pass a specialty certification exam may use the title Board Certified Specialist. Three organizations offer specialty certifications: American Board of Child Language and Language Disorders, American Board of Fluency and Fluency Disorders, and American Board of Swallowing and Swallowing Disorders.

Training

Candidates can gain hands-on experience through supervised clinical work, which is typically referred to as a fellowship. This training is a type of internship in that prospective speech-language pathologists apply and refine the skills learned during their academic program under the supervision of a certified speech-language pathologist. The CCC-SLP certification requires candidates to complete a fellowship lasting at least 36 weeks.