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Georgia Speech-Language Pathology — Requirements & Free Practice

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Speech-Language Pathologist License

Full speech-language pathology license, with examination, endorsement and ASHA certification issuance pathways and renewal, reinstatement and reactivation pathways.

Licensing authority: State Board of Examiners for Speech-Language Pathology, Audiology, and Hearing Aid Dispensing · Application information

Licensure without examination by current ASHA Certificate of Clinical Competence
No examination is required for this applicant pathway.
Application
Submit the signed and notarized application and applicable fee; disclose criminal history and professional sanctions with supporting court documents and explanations.
Background
Provide fingerprints for the nationwide criminal background check at applicant expense; demonstrate good moral character.
Certification Recency
If initial certification is more than two years old, submit 20 contact hours of continuing education completed within the past two years.
Current Certification
ASHA must send verification of current CCC in speech-language pathology and initial certification date directly to the Board.
Eligibility
Meet the other eligibility requirements of O.C.G.A. § 43-44-8; the Board exercises the examination waiver in Rule 609-3-.07 and the certification application checklist.
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.
License Verification
Arrange direct verification of every license held, regardless of method of application.
Military Expedition
Under Rule 609-2-.06, qualifying military spouses and transitioning service members may obtain expedited processing on payment of fees and satisfaction of the same license requirements; this is processing of the selected pathway.
Recency
Demonstrate recency of study; Rule 609-3-.05 specifies two CEUs within the two years preceding application.

Official no-examination sources

Effective from 2026-09-22.

Licensure without examination by endorsement of a current U.S. license
No examination is required for this applicant pathway.
Application
Submit the signed and notarized application and applicable fee; disclose criminal history and professional sanctions with supporting court documents and explanations.
Background
Provide fingerprints for the nationwide criminal background check at applicant expense; demonstrate good moral character.
Board Approval
Issuance is discretionary; the application directs applicants to use an endorsement-approved jurisdiction and another pathway if not approved.
Current License
Current license in a jurisdiction whose requirements the Board finds substantially equivalent; submit current law and direct license/status verification.
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.
License Verification
Arrange direct verification of every license held, regardless of method of application.
Military Expedition
Under Rule 609-2-.06, qualifying military spouses and transitioning service members may obtain expedited processing on payment of fees and satisfaction of the same license requirements; this is processing of the selected pathway.
Recency
Demonstrate recency of study; Rule 609-3-.05 specifies two CEUs within the two years preceding application.

Official no-examination sources

Effective from 2026-09-22.

Licensure by examination after PCE/RPE
Speech-Language Pathology (5331)
Academic Credit
75 semester hours in the areas specified in Rule 609-3-.02(b), including 36 graduate semester hours.
Application
Submit the signed and notarized application and applicable fee; disclose criminal history and professional sanctions with supporting court documents and explanations.
Background
Provide fingerprints for the nationwide criminal background check at applicant expense; demonstrate good moral character.
Completion
Submit notarized PCE/RPE completion and monitoring documentation; notify changes within 14 calendar days.
Degree
Master's or higher degree in speech-language pathology from an accredited program.
Experience
Complete approved PCE/RPE: at least 36 weeks at 30 hours weekly, with 80% direct client contact; full-time completion within 12 months or approved part-time completion within 24 months. Part-time schedules of 25–29, 20–24 and 15–19 hours require at least 48, 60 and 72 weeks respectively.
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.
License Verification
Arrange direct verification of every license held, regardless of method of application.
Military Expedition
Under Rule 609-2-.06, qualifying military spouses and transitioning service members may obtain expedited processing on payment of fees and satisfaction of the same license requirements; this is processing of the selected pathway.
Practicum
375 directly supervised clinical hours plus 25 observation hours, including at least 325 hours at graduate level; diagnosis and treatment of children and adults in varied settings and populations through an accredited program or cooperating programs.
Praxis Timing
The application instruction requires the original Praxis report no later than two years from the PCE/RPE beginning date; arrange ETS delivery directly to the Board.
Recency
Demonstrate recency of study; Rule 609-3-.05 specifies two CEUs within the two years preceding application.
Supervision
Georgia licensed supervisor in the relevant area; no related supervisor; no more than two fellows per supervisor; personal/direct monitoring at least monthly; Board approval and provisional license required before starting PCE/RPE.
Expired license reinstatement after late renewal and within three months of expiration
Speech-Language Pathology (5331)
Application
Submit reinstatement application and penalty fee after late renewal; approval is discretionary.
Board Guide Praxis Timing
The Board guide, SLP Reinstatement (https://sos.ga.gov/how-to-guide/how-guide-speech-language-pathology), states: "Passing PRAXIS Score Within 1 Year (If Applicable, See Rule 609-8-.03)". The identified examination and applicable exceptions follow Rule 609-8-.03; paragraph (2)(d)1(i) states two years.
Continuing Education
20 contact hours (2 CEUs) per biennium in educational experiences directly related to the licensed scope, with initial-biennium prorating under Rule 609-7-.01(6).
Elapsed
Failure to late-renew within three months of expiration invokes the surrendered/revoked license requirements in Rule 609-8-.03(2).
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.
Praxis Alternative
Rule 609-7-.01(7)(e) allows successful Praxis completion as the whole renewal CE requirement. Sitting Praxis is excused when the applicant fulfills the CE requirement through the other approved educational activities.
Published Score
The rule states a Praxis score of 650; that is the literal state rule, not a newly defined national exam version or converted score.
Records
Retain CE documentation for three years; attest to compliance and provide records if audited; hours do not carry over between biennia.
Reuse
National results used for initial licensure may not be reused for renewal.
Licensure by examination with foreign education equivalency
Speech-Language Pathology (5331)
Academic Credit
75 semester hours in the areas specified in Rule 609-3-.02(b), including 36 graduate semester hours.
Application
Submit the signed and notarized application and applicable fee; disclose criminal history and professional sanctions with supporting court documents and explanations.
Background
Provide fingerprints for the nationwide criminal background check at applicant expense; demonstrate good moral character.
Completion
Submit notarized PCE/RPE completion and monitoring documentation; notify changes within 14 calendar days.
Degree
Master's or higher degree in speech-language pathology from an accredited program.
Education Waiver
The Board may waive education, practicum and professional employment requirements for education in another country if equivalent education and practicum are established, the approved examination is passed and other Board requirements are met.
Experience
Complete approved PCE/RPE: at least 36 weeks at 30 hours weekly, with 80% direct client contact; full-time completion within 12 months or approved part-time completion within 24 months. Part-time schedules of 25–29, 20–24 and 15–19 hours require at least 48, 60 and 72 weeks respectively.
Foreign Education
Applicants from a program outside the United States or Canada must document equivalency to U.S. Department of Education standards and satisfy Board academic and clinical requirements.
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.
License Verification
Arrange direct verification of every license held, regardless of method of application.
Military Expedition
Under Rule 609-2-.06, qualifying military spouses and transitioning service members may obtain expedited processing on payment of fees and satisfaction of the same license requirements; this is processing of the selected pathway.
Practicum
375 directly supervised clinical hours plus 25 observation hours, including at least 325 hours at graduate level; diagnosis and treatment of children and adults in varied settings and populations through an accredited program or cooperating programs.
Praxis Timing
The application instruction requires the original Praxis report no later than two years from the PCE/RPE beginning date; arrange ETS delivery directly to the Board.
Recency
Demonstrate recency of study; Rule 609-3-.05 specifies two CEUs within the two years preceding application.
Supervision
Georgia licensed supervisor in the relevant area; no related supervisor; no more than two fellows per supervisor; personal/direct monitoring at least monthly; Board approval and provisional license required before starting PCE/RPE.
Licensure without examination by endorsement of a current foreign license
No examination is required for this applicant pathway.
Application
Submit the signed and notarized application and applicable fee; disclose criminal history and professional sanctions with supporting court documents and explanations.
Background
Provide fingerprints for the nationwide criminal background check at applicant expense; demonstrate good moral character.
Current License
Current license in a foreign country with requirements substantially equivalent to Georgia; issuance follows Board comparison and approval.
Foreign Evaluation
Foreign education requires independent course-by-course credentials evaluation in American semester hours, graduate-course identification and equivalent highest education level.
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.
License Verification
Arrange direct verification of every license held, regardless of method of application.
Military Expedition
Under Rule 609-2-.06, qualifying military spouses and transitioning service members may obtain expedited processing on payment of fees and satisfaction of the same license requirements; this is processing of the selected pathway.
Recency
Demonstrate recency of study; Rule 609-3-.05 specifies two CEUs within the two years preceding application.
Translated Law
Submit an official English translation of that country's licensing law.

Official no-examination sources

Effective from 2026-09-22.

Late renewal, including the Praxis CE alternative
Speech-Language Pathology (5331)
Application
Apply April 1–30 of the odd-numbered renewal year with renewal and late fees and proof of CE compliance.
Continuing Education
20 contact hours (2 CEUs) per biennium in educational experiences directly related to the licensed scope, with initial-biennium prorating under Rule 609-7-.01(6).
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.
Practice
Practicing on a lapsed or administratively revoked license is prohibited.
Praxis Alternative
Rule 609-7-.01(7)(e) allows successful Praxis completion as the whole renewal CE requirement. Sitting Praxis is excused when the applicant fulfills the CE requirement through the other approved educational activities.
Published Score
The rule states a Praxis score of 650; that is the literal state rule, not a newly defined national exam version or converted score.
Records
Retain CE documentation for three years; attest to compliance and provide records if audited; hours do not carry over between biennia.
Reuse
National results used for initial licensure may not be reused for renewal.
Reactivation of a pre existing inactive license
No examination is required for this applicant pathway.
Application
Written application to reinstate, appropriate fee and compliance with Rule 609-8-.03(3).
Board Discretion
Board may investigate, deny or add conditions; the referenced paragraph concerns discretionary restoration and disciplinary conditions and does not identify an examination.
Eligibility
An existing inactive license; new inactive status has not been available since 2011.
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement of a surrendered, revoked or treated as revoked license: Greater than 12 months and no more than 24 months
No examination is required for this applicant pathway.
Application
Completed reinstatement application and fee; Board approval is discretionary and may include disciplinary conditions.
Board Guide Praxis Timing
The Board guide, SLP Reinstatement (https://sos.ga.gov/how-to-guide/how-guide-speech-language-pathology), states: "Passing PRAXIS Score Within 1 Year (If Applicable, See Rule 609-8-.03)". The identified examination and applicable exceptions follow Rule 609-8-.03; paragraph (2)(d)1(i) states two years.
Continuing Education
40 contact hours directly related to scope, completed within the two years preceding application.
Elapsed
Greater than 12 months and no more than 24 months since surrender/revocation or equivalent expiration event.
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement of a surrendered, revoked or treated as revoked license: Greater than 24 months and no more than 36 months
No examination is required for this applicant pathway.
Application
Completed reinstatement application and fee; Board approval is discretionary and may include disciplinary conditions.
Board Guide Praxis Timing
The Board guide, SLP Reinstatement (https://sos.ga.gov/how-to-guide/how-guide-speech-language-pathology), states: "Passing PRAXIS Score Within 1 Year (If Applicable, See Rule 609-8-.03)". The identified examination and applicable exceptions follow Rule 609-8-.03; paragraph (2)(d)1(i) states two years.
Boundary
Paragraph (2)(c) includes exactly 36 months, while paragraph (2)(d) begins at 36 months. This route preserves the explicit no-more-than-36-month provision; the separate (2)(d) route preserves Praxis with its exceptions at the same boundary.
Continuing Education
50 contact hours directly related to scope, completed within the two years preceding application.
Elapsed
Greater than 24 months and no more than 36 months since surrender/revocation or equivalent expiration event.
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement at 36 months or greater by an equivalent current license and practice
No examination is required for this applicant pathway.
Application
Submit reinstatement application and fee; Board may impose disciplinary conditions.
Board Guide Praxis Timing
The Board guide, SLP Reinstatement (https://sos.ga.gov/how-to-guide/how-guide-speech-language-pathology), states: "Passing PRAXIS Score Within 1 Year (If Applicable, See Rule 609-8-.03)". The identified examination and applicable exceptions follow Rule 609-8-.03; paragraph (2)(d)1(i) states two years.
Continuing Education
50 contact hours directly related to scope in the two years preceding application, Board approved.
Current License
Current verified license in another jurisdiction with standards equivalent to the current Georgia Act.
Elapsed
36 months or greater after surrender/revocation or equivalent expiration event.
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.
Practice
At least two years practice there and at least two years practice within the five years preceding application.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement at 36 months or greater by current examination requirements, with the continuous ASHA certification exception
Speech-Language Pathology (5331)
Application
Submit application and fee, meet license requirements in effect on application date; approval and disciplinary conditions remain discretionary.
Board Guide Praxis Timing
The Board guide, SLP Reinstatement (https://sos.ga.gov/how-to-guide/how-guide-speech-language-pathology), states: "Passing PRAXIS Score Within 1 Year (If Applicable, See Rule 609-8-.03)". The identified examination and applicable exceptions follow Rule 609-8-.03; paragraph (2)(d)1(i) states two years.
Boundary
The same rule also says no more than 36 months in paragraph (2)(c). At exactly 36 months both textual thresholds overlap; Praxis is retained under (2)(d), and the applicant may request application of (2)(c).
Certification Exception
Maintaining current ASHA CCC continuously since Georgia license expiration excuses retaking Praxis; have ASHA mail direct verification and satisfy recency of study if initial certification is older than two years.
Continuing Education
50 contact hours directly related to scope in the two years preceding application, Board approved.
Elapsed
36 months or greater after surrender/revocation or equivalent expiration event.
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.
Praxis
Retake and pass Praxis within two years before application.
Reinstatement of a surrendered, revoked or treated as revoked license: 12 months or less
No examination is required for this applicant pathway.
Application
Completed reinstatement application and fee; Board approval is discretionary and may include disciplinary conditions.
Board Guide Praxis Timing
The Board guide, SLP Reinstatement (https://sos.ga.gov/how-to-guide/how-guide-speech-language-pathology), states: "Passing PRAXIS Score Within 1 Year (If Applicable, See Rule 609-8-.03)". The identified examination and applicable exceptions follow Rule 609-8-.03; paragraph (2)(d)1(i) states two years.
Continuing Education
30 contact hours directly related to scope, completed within the two years preceding application.
Elapsed
12 months or less since surrender/revocation or equivalent expiration event.
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.

Official no-examination sources

Effective from 2026-09-22.

Biennial renewal, including the expressly permitted Praxis CE alternative
Speech-Language Pathology (5331)
Application
Renew with fee and CE documentation by March 31 of odd-numbered years.
Continuing Education
20 contact hours (2 CEUs) per biennium in educational experiences directly related to the licensed scope, with initial-biennium prorating under Rule 609-7-.01(6).
Identity Documentation
Provide the required citizenship affidavit, secure and verifiable identity document, and immigration documents when applicable, with the application or reinstatement submission; report sanctions and submit explanations and supporting documents as applicable.
Praxis Alternative
Rule 609-7-.01(7)(e) allows successful Praxis completion as the whole renewal CE requirement. Sitting Praxis is excused when the applicant fulfills the CE requirement through the other approved educational activities.
Published Score
The rule states a Praxis score of 650; that is the literal state rule, not a newly defined national exam version or converted score.
Records
Retain CE documentation for three years; attest to compliance and provide records if audited; hours do not carry over between biennia.
Reuse
National results used for initial licensure may not be reused for renewal.

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