Reducing Speech Therapy Workload

Throughout our posts we have been evolving an approach to managing SLP workloads. Workload in the U. S. has been the Number 1 professional issue for more than a decade. Some SLPs report high stress leading to early retirement or career change. Here are the elements of a comprehensive workload reduction plan:


1. Lobbying by speech and language professional groups for state reductions in caseload size (cf. 6. SLP Dismissal / Exits).

2. Lobbying by speech and language professional groups for local (LEA) reductions in workload as determined through workload analysis.


1. Reduce the number of children enrolled in special education.

2. Use least restrictive environment to move pupils toward dismissal.

3. Dismiss children who no longer belong in special education.


1. Adopt a caseload management approach to service delivery providing flexibility to move children quickly toward dismissal.
( 12. SLP Dismissal / Exits)

2. Participate in evidence-based educational programs to prevent special education placements.


A school SLP working alone can reduce numbers but it is also important to encourage schools to adopt action teams developed to keep non-disabled children out of special education.

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