Illinois Speech-Language Pathology — Requirements & Free Practice
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Speech-Language Pathologist, Licensed
Ordinary Illinois speech-language pathologist licence. Applicant pathways include acceptance of examination and endorsement; certificates, foreign education, waivers and evidence alternatives are applicant conditions.
Licensing authority: Illinois Department of Financial and Professional Regulation, Division of Professional Regulation · Application information
Restoration from discipline with more than five years nonrenewed restoration requirements
- Application
- Restoration application, applicable fee and Board interview.
- Board discretion
- Section 11(e) permits evaluated clinical experience or an examination for an expired licensee who has not maintained active practice elsewhere.
- Continuing education
- 20 hours of approved continuing education in the two years before restoration.
- Examination window
- The currently offered Praxis is retained even when the score predates application; the one-year score window is an applicant condition.
- Fitness alternatives
- Submit either sworn evidence of authorized active practice in another US jurisdiction, affidavit of qualifying military service under Section 11(f), or proof of passage of Praxis or another recognized national examination within one year before application. These are applicant evidence alternatives.
- Military fee relief
- Under Section 11(f), an eligible expired licensee applying within two years after qualifying service, training or education ends may restore without lapsed renewal or restoration fees.
- Other national examination
- Another Department-recognized national examination remains an unnamed alternative under 1465.50.
- Rehabilitation
- Written petition and proof of rehabilitation, compliance with the order, professional Act and rules; Board recommendation and public-interest determination under Section 23.
- Restoration equivalence
- Section 23 treats suspended and revoked licences as nonrenewed and requires compliance with Section 11 and related restoration rules.
- Status
- Illinois licence expired or inactive for more than five years under 1465.80(c); statutory fitness evidence begins at five years.
- Waiting period
- Generally no application to restore a revoked licence until three years after revocation under 2105-15(a-5), except the statutory child-support exceptions; 2105-165 supplies separate eligibility and waiting rules when its health-care-worker provisions apply.
Endorsement
- Application
- Submit the prescribed application, applicable fee, education and licensure certifications; complete the process within three years.
- Certification alternative
- Under 1465.60(a)(4), ASHA Certificate of Clinical Competence may replace supervised-experience and examination documents upon Board recommendation.
- Education
- Submit evidence of a Department-approved master’s or doctoral degree.
- Equivalency
- Original licensing requirements were substantially equal to those in Illinois then, or original requirements plus subsequent education and professional qualifications are substantially equal to Illinois requirements at application; the Department determines equivalency.
- Examination evidence
- 1465.60(a)(3) requires proof of successful completion of the examination in 1465.50. The currently offered Praxis is retained even if passed before application; Section 13 permits issuance without a new examination but does not prohibit proof of prior passage.
- Existing licence
- Licensed in another United States state or territory; submit certifications of original and current licensure and disciplinary history.
- Other national examination
- Another nationally recognized examination is an open, unnamed alternative under 1465.50 and is an applicant condition.
- Pending practice
- Under Section 7(b) and 1465.60(c), an eligible out-of-state licensee holding ASHA CCC and having no discipline or pending disciplinary matters may practice for up to 90 days from application or until disposition, whichever is earlier; this is permission pending the same endorsement application, not a separate licence.
- Supervised experience
- Provide evidence of nine months full-time equivalent supervised experience unless the accepted ASHA certificate supplies the evidence.
Acceptance of examination with education obtained outside the United States
- Age
- At least 21 years old (225 ILCS 110/8(b)).
- Application
- Apply in CORE, submit required education and score or certification evidence, verification of employment, personal history information and applicable fee; complete the application within three years.
- Certification alternative
- Under 1465.40(b), the Division, upon Board recommendation, accepts ASHA’s Certificate of Clinical Competence in lieu of examination-score and supervised-experience documents. This is an applicant evidence alternative, not another examination.
- Conduct
- Must not have violated Section 16 of the Practice Act.
- Education
- Master’s or doctoral degree in speech-language pathology from a Department-approved program; program approval and clinical practicum are governed by 68 Ill. Adm. Code 1465.20(a).
- Experience
- Equivalent of nine months of supervised professional experience under 1465.30; experience in Illinois must occur under a valid temporary licence and an Illinois-licensed supervisor.
- Foreign education
- An applicant educated outside the United States must substantially satisfy the approved-program minimums in 225 ILCS 110/8 and 1465.20(a)(4)(B)(i); a verifiable ASHA letter establishing academic and clinical experience requirements may satisfy the foreign master’s-program requirement under 1465.20(e).
- Other national examination
- The Department may recognize another national examination; the official texts name only Praxis, so this open approval remainder is a condition.
Acceptance of examination
- Age
- At least 21 years old (225 ILCS 110/8(b)).
- Application
- Apply in CORE, submit required education and score or certification evidence, verification of employment, personal history information and applicable fee; complete the application within three years.
- Certification alternative
- Under 1465.40(b), the Division, upon Board recommendation, accepts ASHA’s Certificate of Clinical Competence in lieu of examination-score and supervised-experience documents. This is an applicant evidence alternative, not another examination.
- Conduct
- Must not have violated Section 16 of the Practice Act.
- Education
- Master’s or doctoral degree in speech-language pathology from a Department-approved program; program approval and clinical practicum are governed by 68 Ill. Adm. Code 1465.20(a).
- Experience
- Equivalent of nine months of supervised professional experience under 1465.30; experience in Illinois must occur under a valid temporary licence and an Illinois-licensed supervisor.
- Other national examination
- The Department may recognize another national examination; the official texts name only Praxis, so this open approval remainder is a condition.
Restoration from discipline with five years or less nonrenewed restoration requirements
- Continuing education
- 20 hours required by the nonrenewed restoration rule; comply with all order-specific remedial education.
- Duration
- Suspended or revoked licence subject to the five-years-or-less restoration procedure; other disciplinary status is governed by the order and Section 23.
- Rehabilitation
- Written petition and proof of rehabilitation, compliance with the order, professional Act and rules; Board recommendation and public-interest determination under Section 23.
- Restoration equivalence
- Section 23 treats suspended and revoked licences as nonrenewed and requires compliance with Section 11 and related restoration rules.
- Waiting period
- Generally no application to restore a revoked licence until three years after revocation under 2105-15(a-5), except the statutory child-support exceptions; 2105-165 supplies separate eligibility and waiting rules when its health-care-worker provisions apply.
Official no-examination sources
Effective from 2026-09-22.
- Illinois Speech-Language Pathology and Audiology Practice Act
225 ILCS 110/23
- Illinois Administrative Code, petition for restoration
68 Ill. Adm. Code 1110.30(a) and (c)
- Department of Professional Regulation Law, general powers and duties
20 ILCS 2105/2105-15(a-5)
- Illinois Administrative Code, Title 68, Part 1465
68 Ill. Adm. Code 1465.80(a)
Expedited reactivation of an ordinary military endorsed licence inactive for five years or less
- Continuing education
- Rule 1465.80(b) requires 20 CE hours, but Section 11(b)(2) sets a statutory 20-hour minimum for inactive restoration, which controls for an assistant.
- Fee
- Pay current renewal fee and supply any applicable fitness evidence at the statutory five-year threshold.
- Military return
- Returning service member or spouse placed the ordinary licence inactive upon departure; provide evidence that the original licence on which Illinois issuance was based remains valid and in good standing.
- Review
- Completed reactivation application reviewed within 30 days; does not apply to military portability licences.
Official no-examination sources
Effective from 2026-09-22.
- Civil Administrative Code of Illinois, expedited military licensure
20 ILCS 5/5-715(c-5)
- Illinois Speech-Language Pathology and Audiology Practice Act
225 ILCS 110/11(b)(1)-(2)
- Illinois Administrative Code, Title 68, Part 1465
68 Ill. Adm. Code 1465.80(b)
Licence renewal
- Continuing education
- 20 hours of approved continuing education in the two-year licensing cycle; the first renewal is exempt under 1465.85(a)(8); hardship waiver requests are governed by 1465.85(f).
- Distance learning
- A CE distance-learning course includes a course examination under 1465.85(b)(2); it is not an independently identified licensing examination.
- Ethics
- For a speech-language pathologist, at least one clock hour of ethics training each cycle.
- Existing licence
- Current Illinois licence expiring October 31 of an odd-numbered year.
- Renewal
- Renew during the month preceding expiry and pay the renewal fee.
Official no-examination sources
Effective from 2026-09-22.
- Illinois Speech-Language Pathology and Audiology Practice Act
225 ILCS 110/11(a), renewal
- Illinois Speech-Language Pathology and Audiology Practice Act
225 ILCS 110/11(a-10)
- Illinois Administrative Code, Title 68, Part 1465
68 Ill. Adm. Code 1465.70(a)
- Illinois Administrative Code, Title 68, Part 1465
68 Ill. Adm. Code 1465.85(a)(8)
Restoration from expired status for five years or less
- Continuing education
- Rule 1465.80 requires 20 hours of approved continuing education.
- Fees
- Pay the applicable restoration or current renewal fee.
- Five year boundary
- At exactly five years, the statutory fitness-proof requirement is retained even though the rule’s short-restoration procedure includes five years.
- Status
- Illinois licence expired for five years or less under 1465.80; statute Section 11(d) applies its fitness-evidence threshold at five years or more.
Official no-examination sources
Effective from 2026-09-22.
- Illinois Speech-Language Pathology and Audiology Practice Act
225 ILCS 110/11(c)
- Illinois Speech-Language Pathology and Audiology Practice Act
225 ILCS 110/11(d), five-year fitness threshold
- Illinois Administrative Code, Title 68, Part 1465
68 Ill. Adm. Code 1465.80(a)
Restoration from inactive status for five years or less
- Continuing education
- Rule 1465.80 requires 20 hours of approved continuing education.
- Fees
- Pay the applicable restoration or current renewal fee.
- Five year boundary
- At exactly five years, the statutory fitness-proof requirement is retained even though the rule’s short-restoration procedure includes five years.
- Status
- Illinois licence inactive for five years or less under 1465.80; statute Section 11(d) applies its fitness-evidence threshold at five years or more.
- Statutory ce
- Section 11(b)(2) requires a minimum of 20 hours for restoration from inactive status; for assistants this higher statutory minimum controls over the rule’s 10-hour statement.
Official no-examination sources
Effective from 2026-09-22.
- Illinois Speech-Language Pathology and Audiology Practice Act
225 ILCS 110/11(b)(1)-(2)
- Illinois Speech-Language Pathology and Audiology Practice Act
225 ILCS 110/11(d), five-year fitness threshold
- Illinois Administrative Code, Title 68, Part 1465
68 Ill. Adm. Code 1465.80(b)
Reinstatement after tax, restitution or workers’ compensation compliance
- Licence term
- Clearance does not extend a licence term; an expired or inactive licence also follows its applicable restoration route.
- Restitution
- Restitution must be paid in full under Section 16.3 before practice resumes.
- Status
- Licence suspended for statutory tax, restitution or workers’ compensation noncompliance.
- Tax
- Tax-law compliance certified by the Department of Revenue terminates the relevant suspension.
- Workers compensation
- The Workers’ Compensation Commission or Department of Insurance must notify IDFPR that noncompliance is corrected or otherwise resolved to its satisfaction.
Official no-examination sources
Effective from 2026-09-22.
- Illinois Speech-Language Pathology and Audiology Practice Act
225 ILCS 110/16(4)
- Illinois Speech-Language Pathology and Audiology Practice Act
225 ILCS 110/16.3
- Department of Professional Regulation Law, general powers and duties
20 ILCS 2105/2105-15(g), termination of suspension
- Department of Professional Regulation Law, general powers and duties
20 ILCS 2105/2105-15(g-5), termination of suspension
Expedited endorsement for military service members and spouses
- Application
- Submit the prescribed application, applicable fee, education and licensure certifications; complete the process within three years.
- Certification alternative
- Under 1465.60(a)(4), ASHA Certificate of Clinical Competence may replace supervised-experience and examination documents upon Board recommendation.
- Education
- Submit evidence of a Department-approved master’s or doctoral degree.
- Equivalency
- Original licensing requirements were substantially equal to those in Illinois then, or original requirements plus subsequent education and professional qualifications are substantially equal to Illinois requirements at application; the Department determines equivalency.
- Examination evidence
- 1465.60(a)(3) requires proof of successful completion of the examination in 1465.50. The currently offered Praxis is retained even if passed before application; Section 13 permits issuance without a new examination but does not prohibit proof of prior passage.
- Existing licence
- Licensed in another United States state or territory; submit certifications of original and current licensure and disciplinary history.
- Expedited review
- Meets ordinary endorsement standards; expedited initial review within 30 days after complete documentation, applicable checks and fee. Military training and experience credit are subject to the statute; this does not waive statutory licensure qualifications.
- Military status
- Applicant is a service member or spouse as defined by 20 ILCS 5/5-715; active duty or active duty concluded within the preceding two years.
- Other national examination
- Another nationally recognized examination is an open, unnamed alternative under 1465.50 and is an applicant condition.
- Pending practice
- Under Section 7(b) and 1465.60(c), an eligible out-of-state licensee holding ASHA CCC and having no discipline or pending disciplinary matters may practice for up to 90 days from application or until disposition, whichever is earlier; this is permission pending the same endorsement application, not a separate licence.
- Relocation
- Assigned to duty in Illinois, legal residence in Illinois, or will reside in Illinois within six months after application.
- Supervised experience
- Provide evidence of nine months full-time equivalent supervised experience unless the accepted ASHA certificate supplies the evidence.
Restoration after more than five years expired or inactive
- Application
- Restoration application, applicable fee and Board interview.
- Board discretion
- Section 11(e) permits evaluated clinical experience or an examination for an expired licensee who has not maintained active practice elsewhere.
- Continuing education
- 20 hours of approved continuing education in the two years before restoration.
- Examination window
- The currently offered Praxis is retained even when the score predates application; the one-year score window is an applicant condition.
- Fitness alternatives
- Submit either sworn evidence of authorized active practice in another US jurisdiction, affidavit of qualifying military service under Section 11(f), or proof of passage of Praxis or another recognized national examination within one year before application. These are applicant evidence alternatives.
- Military fee relief
- Under Section 11(f), an eligible expired licensee applying within two years after qualifying service, training or education ends may restore without lapsed renewal or restoration fees.
- Other national examination
- Another Department-recognized national examination remains an unnamed alternative under 1465.50.
- Status
- Illinois licence expired or inactive for more than five years under 1465.80(c); statutory fitness evidence begins at five years.
Speech-Language Pathology Temporary, Licensed
Temporary licence for completing supervised professional experience; initial term is 18 months and one renewal may be allowed.
Licensing authority: Illinois Department of Financial and Professional Regulation, Division of Professional Regulation · Application information
One time temporary licence renewal or extension
- Application
- Submit extension application, written justification and supporting documentation, updated TP-SLP, the original licence and the $50 fee.
- Existing licence
- A valid temporary licence; only one renewal is available.
- Grounds
- Good cause shown: full-time Armed Forces service, physician-documented incapacitating illness, or similar extenuating circumstances.
- Term
- One extension for 12 months under 1465.41(b).
Official no-examination sources
Effective from 2026-09-22.
- Illinois Speech-Language Pathology and Audiology Practice Act
225 ILCS 110/8.1, initial issuance
- Illinois Administrative Code, Title 68, Part 1465
68 Ill. Adm. Code 1465.41(b)
- IDFPR Temporary Speech-Language Pathology License Extension
page 1, extension eligibility and documents
Temporary licensure for supervised professional experience
- Application
- CORE application, official transcript, Praxis score evidence or accepted ASHA certification, TP-SLP and applicable fee.
- Certification alternative
- The rule and June 2025 qualification sheet accept ASHA certification as the alternative to direct examination-score evidence.
- Eligibility
- Pursuing permanent Illinois speech-language pathology licensure and satisfying Section 8(a)-(e), including age, conduct, approved master’s or doctoral degree and national examination.
- Other national examination
- A Department-recognized national examination other than the named Praxis remains an unspecified approval alternative.
- Pending practice
- A graduate who has completed the course and clinical curriculum but has not yet been conferred the master’s degree may begin supervised experience for 120 days from application or until disposition under Section 8.1 paragraph 2. This does not create another licence identity.
- Supervisor
- Certify on TP-SLP that an Illinois-licensed speech-language pathologist will supervise the professional experience.
- Term
- Temporary licence lasts 18 months; supervised experience must occur while the licence is valid.
Reinstatement after tax, restitution or workers’ compensation compliance
- Licence term
- Clearance does not extend a licence term; an expired or inactive licence also follows its applicable restoration route.
- Restitution
- Restitution must be paid in full under Section 16.3 before practice resumes.
- Status
- Licence suspended for statutory tax, restitution or workers’ compensation noncompliance.
- Tax
- Tax-law compliance certified by the Department of Revenue terminates the relevant suspension.
- Workers compensation
- The Workers’ Compensation Commission or Department of Insurance must notify IDFPR that noncompliance is corrected or otherwise resolved to its satisfaction.
Official no-examination sources
Effective from 2026-09-22.
- Illinois Speech-Language Pathology and Audiology Practice Act
225 ILCS 110/16(4)
- Illinois Speech-Language Pathology and Audiology Practice Act
225 ILCS 110/16.3
- Department of Professional Regulation Law, general powers and duties
20 ILCS 2105/2105-15(g), termination of suspension
- Department of Professional Regulation Law, general powers and duties
20 ILCS 2105/2105-15(g-5), termination of suspension
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
- The Praxis Study Companion: Speech-Language Pathology 5331 (ETS)
p.5, Test at a Glance, content category I
- The Praxis Study Companion: Speech-Language Pathology 5331 (ETS)
p.5, Test at a Glance, content category II
- The Praxis Study Companion: Speech-Language Pathology 5331 (ETS)
p.5, Test at a Glance, content category III
- The Praxis Study Companion: Speech-Language Pathology 5331 (ETS)
p.6, Test Specifications introduction
- The Praxis Study Companion: Speech-Language Pathology 5331 (ETS)
p.31, Study Topics introduction
- ETS Praxis test page: Speech-Language Pathology (5331)
Details, distribution of test questions
- ASHA: About the Speech-Language Pathology Praxis Exam
Praxis Exam Content
- ETS Praxis test page: Speech-Language Pathology (5331)
Features: Number of Questions
- ETS Praxis test page: Speech-Language Pathology (5331)
Features: Format
- ETS Praxis test page: Speech-Language Pathology (5331)
Features: Test Length
- The Praxis Study Companion: Speech-Language Pathology 5331 (ETS)
p.5, About This Test, last sentence
- The Praxis Study Companion: Speech-Language Pathology 5331 (ETS)
p.47, Appendix: Other Questions You May Have (guessing)
- ASHA: Praxis Scores and Score Reports
Scoring the Exam
- ASHA: About the Speech-Language Pathology Praxis Exam
About the Speech-Language Pathology Praxis Exam, passing score statement
- The Praxis Study Companion: Speech-Language Pathology 5331 (ETS)
p.45, Step 10: What are the score requirements for my state?
- ETS Praxis test page: Speech-Language Pathology (5331)
Purchase panel: delivery options
- ETS Praxis test page: Speech-Language Pathology (5331)
Purchase panel: test price
- ETS Praxis test page: Speech-Language Pathology (5331)
Purchase panel: fee
- The Praxis Study Companion: Speech-Language Pathology 5331 (ETS)
p.2, Which tests should I take?
- ASHA: Praxis Exam in Audiology and Speech-Language Pathology
Praxis Exam page, testing vendor transition notice (first sentence)
- ASHA: Praxis Exam in Audiology and Speech-Language Pathology
Praxis Exam page, testing vendor transition notice (second sentence)