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Arizona Speech-Language Pathology — Requirements & Free Practice

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Speech-Language Pathologist

Regular speech-language pathologist license. A compact privilege is derived from the home-state license and is not a separate Arizona-issued license. Applicants seeking compact privileges must also satisfy the fingerprint-clearance provision of A.R.S. section 36-1940.01(C).

Licensing authority: Arizona Department of Health Services · Application information

Initial licensure with current CCC SLP
Speech-Language Pathology (5331)
Application
Submit the Department application, required identity and employment information, truthful signed attestation, and applicable application and license fees; an eligible first-time applicant may request the statutory fee waiver.
Criminal History
Disclose misdemeanor and felony convictions and supply court records documenting disposition and completion when applicable.
Disciplinary Eligibility
A.R.S. section 36-1940.01(A)(4) or section 36-1940.04(A)(3), as applicable, prohibits a revocation or suspension within the preceding two years and current ineligibility because of prior revocation or suspension.
Examination Waiver
A.R.S. section 36-1940.02(B)(2) mandates waiver of the examination requirement for a holder of the approved clinical competence certificate. The waiver is an applicant condition; Praxis remains the underlying currently offered examination referenced by this SLP issuance route.
Lawful Presence
Provide citizenship or lawful-presence documentation required by A.R.S. section 41-1080.
License History
Disclose prior licensure, revocations, suspensions, ineligibility and disciplinary actions; provide dates, jurisdiction, explanations and applicable orders or settlement agreements.
Professional Certification
Provide a current ASHA CCC-SLP and certification number. R9-16-204 and the application accept it instead of separate degree, practicum, ETSNESLP and clinical fellowship documents.
Initial licensure with foreign equivalent professional education
Speech-Language Pathology (5331)
Application
Submit the Department application, required identity and employment information, truthful signed attestation, and applicable application and license fees; an eligible first-time applicant may request the statutory fee waiver.
Clinical Practicum
Completion of the supervised clinical practicum specified by A.R.S. section 36-1940.01(A)(2)(b).
Criminal History
Disclose misdemeanor and felony convictions and supply court records documenting disposition and completion when applicable.
Disciplinary Eligibility
A.R.S. section 36-1940.01(A)(4) or section 36-1940.04(A)(3), as applicable, prohibits a revocation or suspension within the preceding two years and current ineligibility because of prior revocation or suspension.
Education
A master’s degree in speech-language pathology or equivalent from an accredited institution in a program consistent with Arizona university standards.
Foreign Education Waiver
Under A.R.S. section 36-1940.02(A), the advisory committee may recommend an educational waiver if the Department is satisfied that foreign education is equivalent to this article’s education and practicum requirements; the examination requirement is retained.
Lawful Presence
Provide citizenship or lawful-presence documentation required by A.R.S. section 41-1080.
License History
Disclose prior licensure, revocations, suspensions, ineligibility and disciplinary actions; provide dates, jurisdiction, explanations and applicable orders or settlement agreements.
Passing Examination
Provide documentation of completion of ETSNESLP (Praxis) under A.R.S. section 36-1940.01(A)(3); passage before application remains an examination reference.
Postgraduate Experience
Completion of Department-approved postgraduate professional experience; submit clinical fellowship documentation.
Initial licensure by examination
Speech-Language Pathology (5331)
Application
Submit the Department application, required identity and employment information, truthful signed attestation, and applicable application and license fees; an eligible first-time applicant may request the statutory fee waiver.
Clinical Practicum
Completion of the supervised clinical practicum specified by A.R.S. section 36-1940.01(A)(2)(b).
Criminal History
Disclose misdemeanor and felony convictions and supply court records documenting disposition and completion when applicable.
Disciplinary Eligibility
A.R.S. section 36-1940.01(A)(4) or section 36-1940.04(A)(3), as applicable, prohibits a revocation or suspension within the preceding two years and current ineligibility because of prior revocation or suspension.
Education
A master’s degree in speech-language pathology or equivalent from an accredited institution in a program consistent with Arizona university standards.
Lawful Presence
Provide citizenship or lawful-presence documentation required by A.R.S. section 41-1080.
License History
Disclose prior licensure, revocations, suspensions, ineligibility and disciplinary actions; provide dates, jurisdiction, explanations and applicable orders or settlement agreements.
Passing Examination
Provide documentation of completion of ETSNESLP (Praxis) under A.R.S. section 36-1940.01(A)(3); passage before application remains an examination reference.
Postgraduate Experience
Completion of Department-approved postgraduate professional experience; submit clinical fellowship documentation.
License renewal within the 30 day grace period
No examination is required for this applicant pathway.
Continuing Education
Complete at least 20 hours of applicable continuing education in the previous 24 months and provide the required attestation or proof.
Existing License
Hold the Arizona license being renewed; identify the license number and expiration date.
Late Fee
Submit the applicable late renewal fees.
Military Extension
A.R.S. section 36-1904(I)-(J) provides active-duty and service-injury license extensions, including 180-day extensions in the stated circumstances; notify the director and provide the specified military documentation. Within the applicable extension, only normal renewal fees and activities apply.
Renewal Application
Submit a signed Department renewal application and applicable renewal fee; disclose current employment, criminal history, discipline, suspensions and ineligibility.
Timing
Submit within 30 calendar days after expiration.

Official no-examination sources

Effective from 2026-09-22.

New application more than one year after expiration
Speech-Language Pathology (5331)
Application
Submit the Department application, required identity and employment information, truthful signed attestation, and applicable application and license fees; an eligible first-time applicant may request the statutory fee waiver.
Certification Waiver
If the applicant holds the approved current CCC-SLP, the statutory exam waiver and the application’s certification-document alternative remain available; the waiver is an applicant condition.
Clinical Practicum
Completion of the supervised clinical practicum specified by A.R.S. section 36-1940.01(A)(2)(b).
Continuing Education
A.R.S. section 36-1904(H) requires the prescribed continuing education within the previous 24 months.
Criminal History
Disclose misdemeanor and felony convictions and supply court records documenting disposition and completion when applicable.
Disciplinary Eligibility
A.R.S. section 36-1940.01(A)(4) or section 36-1940.04(A)(3), as applicable, prohibits a revocation or suspension within the preceding two years and current ineligibility because of prior revocation or suspension.
Education
A master’s degree in speech-language pathology or equivalent from an accredited institution in a program consistent with Arizona university standards.
Lawful Presence
Provide citizenship or lawful-presence documentation required by A.R.S. section 41-1080.
License History
Disclose prior licensure, revocations, suspensions, ineligibility and disciplinary actions; provide dates, jurisdiction, explanations and applicable orders or settlement agreements.
Passing Examination
Provide documentation of completion of ETSNESLP (Praxis) under A.R.S. section 36-1940.01(A)(3); passage before application remains an examination reference.
Postgraduate Experience
Completion of Department-approved postgraduate professional experience; submit clinical fellowship documentation.
Previous License
The previous Arizona regular license expired more than one year ago; apply for a new initial license.
New application after the grace period and within one year after expiration
Speech-Language Pathology (5331)
Application
Submit the Department application, required identity and employment information, truthful signed attestation, and applicable application and license fees; an eligible first-time applicant may request the statutory fee waiver.
Continuing Education
Provide proof or attestation of at least 20 hours of applicable continuing education completed within the previous 24 months.
Criminal History
Disclose misdemeanor and felony convictions and supply court records documenting disposition and completion when applicable.
Disciplinary Eligibility
A.R.S. section 36-1940.01(A)(4) or section 36-1940.04(A)(3), as applicable, prohibits a revocation or suspension within the preceding two years and current ineligibility because of prior revocation or suspension.
Examination Exemption
A.R.S. section 36-1904(G) exempts an application received within one year after expiration from taking an examination; the implementing rules exempt ETSNESLP documentation. At the exact one-year boundary, the statute’s within-one-year exemption controls the rules’ narrower less-than-one-year wording.
Lawful Presence
Provide citizenship or lawful-presence documentation required by A.R.S. section 41-1080.
License History
Disclose prior licensure, revocations, suspensions, ineligibility and disciplinary actions; provide dates, jurisdiction, explanations and applicable orders or settlement agreements.
Previous License
The previous Arizona regular license expired more than 30 calendar days ago; use the initial-license application.
Initial licensure by reciprocity
Speech-Language Pathology (5331)
Application
Submit the Department application, required identity and employment information, truthful signed attestation, and applicable application and license fees; an eligible first-time applicant may request the statutory fee waiver.
Criminal History
Disclose misdemeanor and felony convictions and supply court records documenting disposition and completion when applicable.
Current License
Provide each current out-of-state professional license and its number and issue date. The Department determines that the other jurisdiction’s licensure requirements meet this chapter’s minimum requirements.
Disciplinary Eligibility
A.R.S. section 36-1940.01(A)(4) or section 36-1940.04(A)(3), as applicable, prohibits a revocation or suspension within the preceding two years and current ineligibility because of prior revocation or suspension.
Education
Attest to meeting the applicable minimum education requirements.
Examination Waiver
A.R.S. section 36-1940.02(B)(1) states: "The applicant presents proof satisfactory to the department that the applicant is currently licensed in a state, district or territory of this country that has standards that are at least equivalent to those of this state." The Department shall waive the examination requirements under that condition; the current reciprocity checklist requests licensure proof rather than an exam score. This waiver is recorded as a condition of the underlying SLP national-examination requirement.
Good Standing
The reciprocity attestation requires good standing in all jurisdictions in which the applicant holds a license.
Investigation
Attest that no license or certification was voluntarily surrendered while under investigation for unprofessional conduct and that no complaint, allegation or investigation for unprofessional conduct is pending.
Lawful Presence
Provide citizenship or lawful-presence documentation required by A.R.S. section 41-1080.
License Duration
The current application and R9-16-202(B) or R9-16-502(B) require at least one year of licensure with a consistent scope of practice.
License History
Disclose prior licensure, revocations, suspensions, ineligibility and disciplinary actions; provide dates, jurisdiction, explanations and applicable orders or settlement agreements.
License renewal before expiration
No examination is required for this applicant pathway.
Continuing Education
Complete at least 20 hours of applicable continuing education in the previous 24 months and provide the required attestation or proof.
Existing License
Hold the Arizona license being renewed; identify the license number and expiration date.
Military Extension
A.R.S. section 36-1904(I)-(J) provides active-duty and service-injury license extensions, including 180-day extensions in the stated circumstances; notify the director and provide the specified military documentation. Within the applicable extension, only normal renewal fees and activities apply.
Renewal Application
Submit a signed Department renewal application and applicable renewal fee; disclose current employment, criminal history, discipline, suspensions and ineligibility.

Official no-examination sources

Effective from 2026-09-22.

Temporary Speech-Language Pathologist

Supervised license for master’s graduates completing postgraduate professional experience; renewal permitted once.

Licensing authority: Arizona Department of Health Services · Application information

Initial temporary licensure for clinical fellowship
Speech-Language Pathology (5331)
Application
Submit the Department application, required identity and employment information, truthful signed attestation, and applicable application and license fees; an eligible first-time applicant may request the statutory fee waiver.
Clinical Practicum
Completion of the supervised clinical practicum specified by A.R.S. section 36-1940.01(A)(2)(b).
Criminal History
Disclose misdemeanor and felony convictions and supply court records documenting disposition and completion when applicable.
Disciplinary Eligibility
A.R.S. section 36-1940.01(A)(4) or section 36-1940.04(A)(3), as applicable, prohibits a revocation or suspension within the preceding two years and current ineligibility because of prior revocation or suspension.
Education
A master’s degree in speech-language pathology or equivalent from an accredited institution in a program consistent with Arizona university standards.
Lawful Presence
Provide citizenship or lawful-presence documentation required by A.R.S. section 41-1080.
License History
Disclose prior licensure, revocations, suspensions, ineligibility and disciplinary actions; provide dates, jurisdiction, explanations and applicable orders or settlement agreements.
Passing Examination
Provide documentation of completion of ETSNESLP (Praxis) under A.R.S. section 36-1940.01(A)(3); passage before application remains an examination reference.
Postgraduate Experience
Postgraduate experience is incomplete; submit a signed clinical fellowship agreement and plan identifying the supervisor, site and supervision responsibilities.
Renewal Limit
A temporary license may be renewed only once.
Supervision
Practice only under a fully Arizona-licensed speech-language pathologist, not a temporary licensee.
Term
R9-16-205(B) and the current ADHS applications state a 24-month term. R9-16-214(D)(2)(b) separately says "Twelve months, if a temporary license." The specific temporary-license rule and current applications are used; the conflicting general processing-rule wording is retained here.
Temporary license renewal within 30 days after expiration
No examination is required for this applicant pathway.
Continuing Education
Complete at least 20 hours of applicable continuing education in the previous 24 months and provide the required attestation or proof.
Existing License
Hold the Arizona license being renewed; identify the license number and expiration date.
Military Extension
A.R.S. section 36-1904(I)-(J) provides active-duty and service-injury license extensions, including 180-day extensions in the stated circumstances; notify the director and provide the specified military documentation. Within the applicable extension, only normal renewal fees and activities apply.
Remaining Experience
The clinical fellowship remains incomplete; provide the sponsor/supervisor agreement, supervisor contact details and license number.
Renewal Application
Submit a signed Department renewal application and applicable renewal fee; disclose current employment, criminal history, discipline, suspensions and ineligibility.
Renewal Limit
Only one renewal is permitted by A.R.S. section 36-1940.03(B).
Supervision
Continue practice under a fully Arizona-licensed SLP.
Timing
The March 24, 2026 renewal application allows the 30-day grace period with a $25 late fee.

Official no-examination sources

Effective from 2026-09-22.

New temporary license application after the renewal grace period
Speech-Language Pathology (5331)
Application
Submit the Department application, required identity and employment information, truthful signed attestation, and applicable application and license fees; an eligible first-time applicant may request the statutory fee waiver.
Clinical Practicum
Completion of the supervised clinical practicum specified by A.R.S. section 36-1940.01(A)(2)(b).
Criminal History
Disclose misdemeanor and felony convictions and supply court records documenting disposition and completion when applicable.
Disciplinary Eligibility
A.R.S. section 36-1940.01(A)(4) or section 36-1940.04(A)(3), as applicable, prohibits a revocation or suspension within the preceding two years and current ineligibility because of prior revocation or suspension.
Documentation Exception
R9-16-207(F) exempts ETSNESLP documentation when the new application is more than 30 days but less than one year after expiration; the underlying examination named in the temporary issuance statute remains referenced.
Education
A master’s degree in speech-language pathology or equivalent from an accredited institution in a program consistent with Arizona university standards.
Lawful Presence
Provide citizenship or lawful-presence documentation required by A.R.S. section 41-1080.
License History
Disclose prior licensure, revocations, suspensions, ineligibility and disciplinary actions; provide dates, jurisdiction, explanations and applicable orders or settlement agreements.
Passing Examination
Provide documentation of completion of ETSNESLP (Praxis) under A.R.S. section 36-1940.01(A)(3); passage before application remains an examination reference.
Postgraduate Experience
Postgraduate experience is incomplete; submit a signed clinical fellowship agreement and plan identifying the supervisor, site and supervision responsibilities.
Renewal Limit
A temporary license may be renewed only once.
Supervision
Practice only under a fully Arizona-licensed speech-language pathologist, not a temporary licensee.
Term
R9-16-205(B) and the current ADHS applications state a 24-month term. R9-16-214(D)(2)(b) separately says "Twelve months, if a temporary license." The specific temporary-license rule and current applications are used; the conflicting general processing-rule wording is retained here.
Timing
R9-16-207(E) directs a licensee who misses the 30-day renewal grace period to apply for a new license under R9-16-202; this does not waive the statutory single-renewal limit.
Temporary license renewal before expiration
No examination is required for this applicant pathway.
Continuing Education
Complete at least 20 hours of applicable continuing education in the previous 24 months and provide the required attestation or proof.
Existing License
Hold the Arizona license being renewed; identify the license number and expiration date.
Military Extension
A.R.S. section 36-1904(I)-(J) provides active-duty and service-injury license extensions, including 180-day extensions in the stated circumstances; notify the director and provide the specified military documentation. Within the applicable extension, only normal renewal fees and activities apply.
Remaining Experience
The clinical fellowship remains incomplete; provide the sponsor/supervisor agreement, supervisor contact details and license number.
Renewal Application
Submit a signed Department renewal application and applicable renewal fee; disclose current employment, criminal history, discipline, suspensions and ineligibility.
Renewal Limit
Only one renewal is permitted by A.R.S. section 36-1940.03(B).
Supervision
Continue practice under a fully Arizona-licensed SLP.
Timing
Submit before expiration; the current form states a 24-month temporary-license term.

Official no-examination sources

Effective from 2026-09-22.

Speech-Language Pathology (5331)

Provider
Educational Testing Service (ETS); computer delivered at a test center or at home (online); ASHA announces a transition to PSI, a wholly owned ETS subsidiary, on January 11, 2027, with availability through ETS and Prometric through December 31, 2026
Format
Computer-delivered selected-response questions; the test may contain some questions that do not count toward the score; the score is based on the number of questions answered correctly
Exam questions
132 selected-response questions (approximately 44 in each of the three content categories)
Time limit
150 minutes
Passing score
States, institutions, and associations that require the test set their own passing scores; the passing score for purposes of ASHA certification is 162 on a 100-200 scale
Exam fee
$146.00
Examination outline
  • I. Foundations and Professional Practice (approximately 44 questions; approximately 33% of examination). Speech-language pathologists must have strong foundational knowledge about typical communication development, as well as common characteristics of communication and swallowing disorders and potential factors impacting communication. SLPs must also understand the professional practice requirements that support the provision of services. Knowledge about these requirements ensures that ethical, culturally competent services are provided within the framework of legislative and regulatory requirements and are founded in research.
    • A. Foundations — 1. Typical development and performance across the lifespan: a. developmental norms; b. speech sound and phonology; c. receptive and expressive language (–– syntax and morphology; –– semantics; –– pragmatics/social language); d. fluency; e. voice, resonance, and motor speech; f. feeding and swallowing; g. cognition; h. processing; i. motor and linguistic processes
    • A. Foundations — 2. Factors that influence communication, feeding, and swallowing: a. medical; b. cultural and ethnic; c. linguistic; d. psychological; e. anatomy/physiology; f. environmental; g. genetics; h. auditory
    • A. Foundations — 3. Epidemiology and characteristics of common communication and swallowing disorders: a. speech sound and phonology; b. syntax and morphology; c. semantics; d. pragmatics; e. fluency; f. voice, resonance, and motor speech; g. feeding and swallowing; h. cognition; i. processing
    • B. Professional Practice — 1. Wellness and prevention: a. prevention terminology, practices, and public education; b. risk factors for communication disorders
    • B. Professional Practice — 2. Culturally and linguistically appropriate service delivery: a. understanding, respecting, and responding to explicit and implicit cultural factors that influence communication; b. identifying the impact of assimilation and acculturation on communication patterns; c. communication differences between speakers of the same language
    • B. Professional Practice — 3. Counseling, collaboration, and teaming: a. interpersonal communication and counseling techniques; b. integration of other professionals into the assessment and treatment process; c. communication with patient/client/student, families, and other professionals
    • B. Professional Practice — 4. Documentation: a. legal and regulatory requirements; b. purposes of documentation; c. privacy requirements; d. official records
    • B. Professional Practice — 5. Ethics: a. standards of ethical practice (–– permissions, referrals, and record keeping; –– client/patient/student privacy; –– supervisory requirements; –– conflicts of interest; –– professional competence)
    • B. Professional Practice — 6. Legislation and client advocacy: a. federal laws and regulations impacting delivery of services; b. reporting requirements of governmental agencies; c. licensing requirements and standards
    • B. Professional Practice — 7. Research methodology and evidence-based practice: a. criterion for test selection; b. determining reliability of assessment procedures; c. models of research design; d. test construction principles; e. tenets of evidence-based practice
  • II. Screening, Assessment, Evaluation, and Diagnosis (approximately 44 questions; approximately 33% of examination). Speech-language pathologists use a variety of tools and strategies to gather information about clients with communication and swallowing disorders. They must synthesize and analyze the information to develop appropriate management plans. This section will focus on screening, assessment, evaluation, and diagnosis of communication and swallowing disorders. Topics include how SLPs use and interpret various screening and assessment tools to determine whether additional formal evaluation is indicated, as well as issues related to the selection of appropriate tools and approaches for screening, assessment, and evaluation. Identification of relevant factors from the case history, determining an appropriate assessment protocol, and interpretation of findings to determine a diagnosis and formulate recommendations are covered in this section of the exam, as well.
    • A. Screening — 1. Communication disorders: a. role of the SLP in screening for speech, language, and hearing disorders; b. screening procedures and approaches; c. identification of clients/patients and characteristics requiring further evaluation; d. knowledge of populations at risk for communication disorders
    • A. Screening — 2. Feeding and swallowing disorders: a. role of the SLP in screening for feeding and swallowing disorders; b. screening procedures and approaches; c. identification of clients/patients and characteristics which require further evaluation; d. knowledge of factors leading to increased risk of swallowing and feeding disorders in various populations
    • B. Approaches to Assessment and Evaluation — 1. Developing case histories: a. reviewing records for pertinent information; b. interviewing techniques to obtain pertinent information; c. integrating critical factors identified in the case history
    • B. Approaches to Assessment and Evaluation — 2. Selecting appropriate assessment instruments, procedures, and materials: a. identifying factors that influence test/procedure selection; b. identifying factors that require adaptation of traditional assessment procedures, instruments, and materials; c. selecting instrumental approaches that can be utilized to evaluate various communication and swallowing disorders (e.g., imaging, acoustic, aerodynamic, etc.)
    • B. Approaches to Assessment and Evaluation — 3. Assessing factors that influence communication and swallowing disorders: a. cultural and ethnic factors; b. linguistic factors; c. medical factors (e.g., stable versus progressive conditions, early versus late onset, etc.); d. developmental and cognitive factors; e. psychological factors; f. environmental factors
    • B. Approaches to Assessment and Evaluation — 4. Assessment of anatomy and physiology: a. assessment of pertinent anatomy, physiology, and neural substrates for: –– respiration; –– phonation; –– speech sound production; –– resonance; –– speech/language perception and processing; –– feeding and swallowing
    • C. Assessment Procedures and Assessment — 1. Speech sound production: a. standard and nonstandard assessment procedures; b. parameters of assessment of speech sound production; c. instrumental assessment of speech sound production; d. differential diagnosis of speech sound disorders; e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 2. Fluency: a. standard and nonstandard assessment procedures; b. parameters of assessment of fluency; c. instrumental assessment of fluency disorders; d. differential diagnosis of fluency disorders (e.g., stuttering versus cluttering); e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 3. Voice, resonance, and motor speech: a. standard and nonstandard assessment procedures; b. parameters of assessment of voice, resonance, and motor speech disorders; c. instrumental assessment of voice, resonance, and motor speech disorders; d. differential diagnosis of voice, resonance, and motor speech disorders; e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 4. Receptive and expressive language: a. standard and nonstandard assessment procedures; b. parameters of assessment of receptive and expressive language disorders; c. instrumental assessment of language disorders; d. differential diagnosis of language disorders; e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 5. Social aspects of communication, including pragmatics: a. standard and nonstandard assessment procedures; b. parameters of assessment of social aspects of communication, including pragmatics; c. differential diagnosis of social communication disorders and pragmatic disorders; d. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 6. Cognitive aspects of communication: a. standard and nonstandard assessment procedures; b. parameters of assessment of cognitive communication disorders; c. differential diagnosis of cognitive communication disorders; d. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 7. Augmentative and alternative communication: a. standard and nonstandard assessment procedures; b. low tech and high tech instrumental assessment procedures; c. parameters of assessment for augmentative and alternative communication; d. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 8. Hearing: a. assessment approaches; b. considerations related to age, developmental status, medical condition, etc.; c. interpretation of assessment (e.g., audiograms and tympanograms) and identification of indicators for referral
    • C. Assessment Procedures and Assessment — 9. Feeding and swallowing: a. instrumental and noninstrumental assessment procedures; b. considerations related to age, developmental status, medical/surgical history, etc.; c. differential diagnosis of feeding and swallowing disorders; d. interpretation of assessment data and indications for referral
    • D. Etiology — 1. Genetic: a. modes of inheritance; b. genetic conditions associated with communication disorders and feeding/swallowing disorders, including common syndromes; c. features of common syndromes and their impact on communication and feeding/swallowing (e.g., Trisomy 21, 22q11.2 deletion syndrome, Fragile X syndrome, etc.)
    • D. Etiology — 2. Developmental: a. developmental delay; b. congenital and acquired conditions associated with developmental communication and feeding/swallowing disorders
    • D. Etiology — 3. Disease processes: a. childhood (e.g., congenital vocal fold paralysis, cystic fibrosis); b. acquired (e.g., Bell’s palsy, iatrogenic); c. progressive (e.g., amyotrophic lateral sclerosis, myopathy)
    • D. Etiology — 4. Auditory problems: a. congenital and childhood hearing loss; b. acquired hearing loss
    • D. Etiology — 5. Neurological: a. congenital (e.g., cerebral palsy); b. acquired (e.g., TBI, neoplasms, stroke)
    • D. Etiology — 6. Structural and functional: a. congenital (e.g., craniofacial anomalies); b. acquired (e.g., head and neck surgery, trauma, and iatrogenic causes); c. functional causes (e.g., velopharyngeal mislearning, vocal misuse)
    • D. Etiology — 7. Psychogenic
  • III. Planning, Implementation, and Evaluation of Treatment (approximately 44 questions; approximately 33% of examination). Speech-language pathologists are responsible for designing and implementing evidence-based treatments to help clients maximize their functioning in communication and/or swallowing. Consequently, the test includes a range of items that pertain to treatment planning, implementation, and evaluation. This topic area includes issues related to the development and evaluation of treatment plans, as well as evidence-based principles and procedures associated with specific communication and swallowing disorders.
    • A. Treatment Planning — 1. Evaluating factors that can affect treatment: a. evaluating the evidence base associated with a particular treatment strategy or approach; b. evaluating the role of client factors such as age, disorder type, disorder severity, concomitant disorders, personal goals/aspirations, and sociocultural background when planning and implementing treatment goals; c. evaluating the role of external factors such as caregivers’ interactions with the client, school or workplace policies, public laws, medications and iatrogenic, and societal stereotypes when planning and implementing treatment goals
    • A. Treatment Planning — 2. Initiating and prioritizing treatment and developing goals: a. processes and procedures for developing comprehensive, appropriate treatment goals; b. processes and procedures associated with integrating assessment results, caregiver or client/patient/student preferences, and treatment outcomes research; c. factors that affect when to begin, modify, or terminate a treatment plan; d. factors that affect the order in which treatment goals are addressed
    • A. Treatment Planning — 3. Determining appropriate treatment details: a. factors related to treatment scheduling (e.g., number and duration of sessions, time and location of sessions); b. factors related to treatment delivery (e.g., individual versus group sessions, sequential or simultaneous targeting of goals); c. personnel requirements (e.g., extent to which caregivers, teachers, peers, etc., are involved with treatment); d. training requirements (e.g., extent to which caregivers, teachers, peers, etc., need to be trained prior to participating in treatment or implementing generalization activities)
    • A. Treatment Planning — 4. Generating a prognosis: a. considering/accounting for client/patient/student factors (e.g., age, motivation, nature of disorder) that can affect treatment outcome; b. considering/accounting for external factors (e.g., family support, availability of services) that can affect treatment outcome
    • A. Treatment Planning — 5. Communicating recommendations: a. procedures, requirements, and best practices for communicating treatment-related recommendations to clients/patients/students and (when appropriate) their family members; b. procedures, requirements, and best practices for communicating treatment-related recommendations to other professionals who are involved in the client/patient/student’s treatment plan; c. principles of interprofessional practice
    • A. Treatment Planning — 6. General treatment principles and procedures: a. general principles and procedures to consider when selecting a treatment (e.g., age, disorder, sociocultural background, severity of impairment, nature of disability)
    • B. Treatment Evaluation — 1. Establishing methods for monitoring treatment progress and outcomes to evaluate assessment and/or treatment plans: a. procedures associated with identifying appropriate measures of treatment progress and treatment outcomes; b. methods associated with measuring baseline performance; c. methods associated with measuring progress while treatment is ongoing; d. procedures associated with modifying progress measures, if necessary, while treatment is ongoing; e. methods associated with evaluating performance when treatment concludes (e.g., short- and long-term outcomes); f. methods associated with determining the social validity of treatment outcomes and the impact of treatment outcomes on a client/patient’s quality of life
    • B. Treatment Evaluation — 2. Follow-up on post-treatment referrals and recommendations
    • C. Treatment — 1. Speech sound production: a. principles and characteristics of interventions used in the treatment of disorders that affect speech sound production; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with speech sound production disorders or differences
    • C. Treatment — 2. Fluency: a. principles and characteristics of interventions used in the treatment of fluency disorders; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with fluency disorders
    • C. Treatment — 3. Voice, resonance, and motor speech: a. voice (–– principles and characteristics of interventions used in the treatment of voice disorders; –– strategies and procedures for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with voice disorders); b. resonance (–– principles and characteristics of interventions used in the treatment of resonance disorders; –– strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with resonance disorders); c. motor speech (–– principles and characteristics of interventions used in the treatment of motor speech disorders; –– strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with motor speech disorder)
    • C. Treatment — 4. Receptive and expressive language: a. principles and characteristics of interventions used in the treatment of receptive and expressive disorders; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disabilities associated with receptive and expressive language functioning
    • C. Treatment — 5. Social aspects of communication, including pragmatics: a. principles and characteristics of interventions used to treat social aspects of communication, including pragmatics; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with social aspects of communication
    • C. Treatment — 6. Communication impairments related to cognition: a. principles and characteristics of interventions used to treat communication impairments that are related to cognitive functioning; b. srategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with cognitively based communication impairments
    • C. Treatment — 7. Treatment involving augmentative and alternative communication: a. factors involved in determining candidacy for AAC approaches; b. factors involved in selecting an appropriate AAC approach; c. principles and characteristics of AAC options/strategies; strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability in those who use AAC
    • C. Treatment — 8. Hearing and aural rehabilitation: a. principles and characteristics of interventions used in the treatment of hearing loss; b. strategies for preventing, reducing, or eliminating speech-language and/or related (e.g., educational, occupational) disability associated with hearing impairment
    • C. Treatment — 9. Swallowing and feeding: a. rationale for selection of interventions used in the treatment of swallowing and feeding disorders based on evaluation data; b. other factors (outside of evaluation data) affecting the likelihood of success for a given treatment for feeding/swallowing disorders; c. strategies for preventing, reducing, or eliminating swallowing and feeding disorders; d. strategies for reducing the common health-related adverse consequences of swallowing and feeding disorders
Examination sources