Speech-Language-Pathology. Their History and Their Future

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1 Speech-Language-Pathology in the USA and ASHA: Their History and Their Future Judith Page, PhD, CCC-SLP & Arlene A. Pietranton, PhD, CAE 2015 ASHA President ASHA Chief Executive Officer CPLOL Congress - May 2015 Firenze Italy

2 Who we are: Audiologists Speech-language pathologists Speech, language, hearing scientists International affiliates Student affiliates Associate affiliates

3 A Quick Historical Re-Cap 5 th century B.C. - Greek writers mentioned stuttering, aphasia, articulation and voice By published medical reports of treatment methods and results in Europe By the early 20 th century - records of original contributions by Americans records of speech correctionists in Chicago, Detroit, NYC, San Francisco, Wisconsin Before National Association of Teachers of Speech (rhetoric, debate and theater)

4 1925 at the home of Lee Edward Travis in Iowa City, Iowa An informal meeting of members of the National Association of Teachers of Speech ( a group of brash young people who wanted to start something - Robert West)

5 The American Academy of Speech Correction to promote scientific, organized work in the field of speech correction 25 Charter Members CA, IL, IA, MA, MI, MO, NY, OH, PA, WI Speech correction teachers, professors, physicians. and the first PhD granted in speech pathology in the US

6 Name Changes Over the Years American Academy of Speech Correction (AASC) 1925 American Society of the Study of Disorders of Speech (ASSDS) 1927 American Speech Correction Association (ASCA) 1934 American Speech and Hearing Association (ASHA) 1947 American Speech-Language-Hearing Association (ASHA) 1978

7 Steady Membership Growth Year Number of ASHA Affiliates , , , , , , , ,000

8 1932 Convention of the American Society for the Study of Disorders of Speech (ASSDS)

9 Executive Council of American Speech Correction Association (ASCA) 1946

10 ASHA s First Legislative Council

11 ASHA Milestones Year Milestone 1925 Founded as the American Academy of Speech Correction; 25 Members 1932 First Convention 1936 Journal of Speech and Hearing Disorders 1939 First Woman President = Sara Stinchfield Hawk 1946 American Speech & Hearing Foundation is founded 1947 Renamed American Speech & Hearing Association 1952 ASHA Certification is launched st ASHA National Office established & 1 st Staff hired 1959 ASHA Magazine 1965 Accreditation is launched

12 ASHA Milestones Year Milestone 1972 National Student Speech and Hearing Association is founded 1977 Consumer brochure: How Does Your Child Hear & Talk 1978 Renamed American Speech-Language-Hearing Association 1989 Special Interest Divisions established 1996 ASHA Website launched 1997 Mutual recognition agreement with CASLPA 2004 Multilateral recognition agreement: ASHA, CASLPA, RCSLT, SPA 2007 ASHA Governance Restructure

13 ASHA 2015 Where are we now? Members Board of Directors & Governance National Office Staff Strategic Objectives

14 A Large & Growing Discipline ASHA Constituency, * * The ASHA constituency is composed of members, nonmember certificate holders, international affiliates, associates, and students. As of 12/31/14, ASHA represented 167,327 members, 3,321 nonmember certificate holders, 413 international affiliates, 223 Associates, and 10,609 NSSLHA members for a total of 181,893. Source: Year-end Counts of the ASHA Membership and Affiliation,

15 Where ASHA Members Work

16 What ASHA Members Do

17 Age Distribution, 2014

18 Employment Status, 2014

19 Speech-Language Pathologists in the US work with the full range of human communication and its disorders: the Work Evaluate, diagnose and treat speech, language, cognitive-communication and swallowing disorders in individuals of all ages. Prepare future professionals in college and universities. Manage agencies, clinics, organizations, or private practices. Engage in research to enhance knowledge about human communication processes. Supervise and direct programs in schools and health care settings. Develop new methods and equipment to diagnose and assess. Investigate behavioral patterns associated with communication disorders.

20 SLPs in the US provide services and work in many different types of facilities including: Public and private schools Hospitals Rehabilitation centers Short-term and long-term nursing care facilities Community clinics Colleges and universities Private practice offices State and local health departments State and federal government agencies Home health agencies (home care) Adult day care centers Centers for persons with developmental disabilities Research laboratories?

21 U.S. Population Demographics U.S. Population is growing at +.8% annually Pre-school & K-12 grew by +.2% annually through 2010; then by +.7% annually 65 years+ grew by + 1.3% annually through 2010; then by + 2.8% annually U.S. Population is becoming increasingly diverse Overall result is more individuals in need of SLP services, particularly in at risk groups

22 Cultural Diversity in the US Nearly 1 of every 10 residents in the US was born outside the US; many speak languages other than a standard version of American English. Estimated 47 million individuals over the age of 5 in the United States today who speak a language other than English at home. (almost 15%)

23 PERCENT OF US POPULATION PROJECTED BY RACE 80,0% 75,7% 70,0% 60,0% 50,0% 52,5% 40,0% 30,0% 20,0% 10,0% 0,0% 22,5% 12,3% 15,7% 9,0% 10,3% 3,0% 0,8% 1,1% White African American or Black Hispanic Asian and Pacific Islander American Indian, Eskimo and Aleul Source: U.S. Census Bureau, accessed at

24 ASHA s International Affiliate Program Qualifications Must hold degree or credential required to practice in the country where applicant resides. Professionals residing in countries without either a specified credential or required degree to practice in audiology or speech-language pathology provide: Documentation indicating employment as an independent practitioner in either audiology or speech-language pathology for a minimum of 3 years and A letter of support from the minister of health or person of authority in the country verifying that the practitioner functions in this capacity. Benefits The ASHA Leader and Journals: Receive The ASHA Leader and access to The ASHA Leader Online (ALO). Unlimited access to all four of ASHA s online journals American Journal of Audiology: A Journal of Clinical Practice American Journal of Speech-Language Pathology: A Journal of Clinical Practice Journal of Speech, Language, and Hearing Research Language, Speech, and Hearing Services in Schools. The ASHA Web site: Fees $75.00 annual dues plus $15.00 processing fee. Total: $90.00 (U.S. currency).

25 ASHA s 2015 Board of Directors

26 ASHA s Governance Structure Audiology Advisory Council (AC, 54 members) Board of Directors (16 voting members) + Chief Executive Officer (Ex Officio) SLP Advisory Council (AC, 54 members) Information and recommendations from ASHA committees and boards, related agencies and groups, and individual ASHA members President Elect President Past President VP for Academic Affairs-Aud VP for Academic Affairs-SLP VP for Audiology Practice VP for SLP Practice VP for Standards & Ethics-Aud VP for Standards & Ethics-SLP VP for Finance VP for Planning VP for Government Relations & Public Policy VP for Science & Research Chair of Audiology AC Chair of SLP AC NSSLHA National Advisor Chief Executive Officer

27

28 ASHA National Office

29

30 Practice Portal

31 Change Change is the law of life. And those who look only to the past or present are certain to miss the future. John F. Kennedy

32

33 ASHA s Strategic Objectives #1 Expand Data Available for Quality Improvement and Demonstration of Value via Advanced Large-Scale Databases and Outcomes Measures. #2 Advance Interprofessional Education and Interprofessional Collaborative Practice (IPE/IPP). #3 Enhance the Generation, Publication, Knowledge Translation, and Implementation of Clinical Research. #4 Enhance Service Delivery Across the Continuum of Care to Increase Value and Access to Services.

34 ASHA s Strategic Objectives #5 Increase Influence and Demonstrated Value of and Reimbursement for Audiology and Speech-Language Pathology Services. #6 Increase the Diversity of the Membership. #7 Enhance International Engagement with Others to Proliferate Research and Improve Professional Preparation and Service Delivery. #8 Increase Members' Cultural Competence to Address Cultural/Linguistic Influences on Service Delivery Outcomes.

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