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Professional Issues in Speech-Language...
Questions: Paraprofessionals
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Paraprofessionals who support activities of an Audiologist or Speech-Language Pathologist can represent several different levels of expertise and practice. In some cases a person with no formal education in communication or communication disorders may have bilingual skills and life experience that would supplement a clinician's expertise in working with individuals of another culture. Such a person might work as a general aide in a school or agency and act as an interpreter and family liaison. He or she would not be asked to engage in direct treatment or independent counseling activities but would act in concert with the clinician. At another level an individual who has some higher education credits and formal training in basic communication development and disorder foundations might be used to carry out direct treatment activities prescribed by an SLP or Audiologist and closely supervised by that professional. ASHA will institute a voluntary registry for "Speech-Language Pathology Assistants" (SLPA) beginning January 1, 2003. ASHA's Council on Professional Standards in Speech-Language-Pathology and Audiology has developed a set of criteria for the SLPA registration process, including academic curricula and practica requirements. Training programs leading to an Associate's degree are currently in place at over 30 colleges around the United States for such paraprofessionals. In some states individuals with a Baccalaureate degree in Communication Disorders can be employed and even licensed to work as paraprofessionals under the supervision of an SLP. These persons may have more scope in terms of the direct practice activities in which they may engage as long as they work at the prescription and under the supervision of an SLP. Currently, the majority of communication paraprofessionals are employed in educational settings, although medical centers may also use some of their services as well (ASHA, Speech-Language Pathology Assistants FAQ, 2002; see this section's Interesting Web Links page.)
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