Health Care Team (HCT)
About the Health Care Team (HCT) | Doctors | Nurses and Nursing Staff | Other Direct Care Providers | Therapists | Care and Psychosocial Support Coordinators | Consultative Resource Providers | Diagnostic Technologists | Administrative and Information Managers | Other Support Staff | Patients and Families | ConsultantsTherapists
Therapists Overview | Physical Therapist | Occupational Therapy Practitioner | Respiratory Therapist | Speech-Language PathologistSpeech-Language Pathologist
- Evaluates, diagnoses, and treats patients with speech, language, cognitive-communication, and swallowing disorders.
- Aids patients who have suffered from stroke, brain injury, Parkinson’s disease, amyotrophic lateral sclerosis, dementia, aphasia, dysarthria, apraxia, and patients suffering from impairments in memory, attention, judgment, etc.
- Works independently once certified.
- May perform instrumental assessments, endoscopies, or other procedures when assessing voice and swallowing disorders.
- Consulted by referring physicians when a patient exhibits speech, language, cognitive-communication, or swallowing difficulties.
A Speech-Language Pathologist is a professional who is educated and trained to assess and treat speech, language, cognitive-communication, and swallowing disorders.
A Speech-Language Pathologist:
- evaluates, diagnoses, and treats speech, language, cognitive-communication, and swallowing disorders in individuals of all ages
- engages in research to enhance knowledge about human communication processes, as well as swallowing physiology and functioning
- teaches in college and university programs
- manages agencies, clinics, organizations, or private practices
- supervises and directs clinical programs
- develops new methods and products to evaluate and treat speech, language, cognitive-communication, and swallowing disorders
Speech-Language Pathologists certified by the American Speech-Language-Hearing Association (ASHA) hold a master’s or doctoral degree. They have earned a certain number of hours from an accredited program in communication sciences and disorders. They have completed a minimum number of hours of supervised clinical experience in the practice of speech-language pathology in clinical observation and in direct client/patient contact. In addition, they have passed a national examination and completed a supervised clinical fellowship.
Certified Speech-Language Pathologists practice independently.
In health care settings, Speech-Language Pathologists provide and document screenings, assessments, and treatments for individuals with speech, language, cognitive-communication, and swallowing problems. They may perform instrumental assessments, such as videofluoroscopic swallowing studies, in collaboration with radiologists. They may also perform endoscopy or other procedures as part of the assessment of voice and swallowing disorders. Treatment may be provided individually or in groups. Speech-Language Pathologists participate in team and family conferences and collaborate with other professionals, including physicians, nurses, physical therapists, occupational therapists, psychologists, and social workers. They may also conduct research.
Speech-Language Pathologists must hold state licensure in order to provide services in health care settings. State licensure typically is based on the requirements for ASHA’s Certificate of Clinical Competence (CCC). Requirements for the CCC include:
- graduating from an accredited master’s degree program in communication sciences and disorders
- passing a national examination
- completing a nine-month clinical fellowship under the supervision of a certified Speech-Language Pathologist
Infants, children, adults, and senior citizens with speech, language, cognitive-communication, or swallowing disorders could benefit from the care of a Speech-Language Pathologist. Medical diagnoses frequently associated with these disorders in adults include:
- stroke
- traumatic brain injury
- Parkinson’s disease
- amyotrophic lateral sclerosis
- dementia
- other degenerative neurologic conditions
In a health care setting, a Speech-Language Pathologist is consulted by the referring physician when a patient exhibits speech, language, cognitive-communication, or swallowing difficulties. This may be determined by routine screenings, incoming reports, or medical evaluations. In some cases, patients may self-refer for evaluation by a Speech-Language Pathologist or be referred by an external source, such as an early intervention agency.
- American Speech-Language-Hearing Association
Contributed by:
Janet Brown, MA, CCC-SLP, and Penny Gershman, MS, CCC-SLP, American Speech-Language-Hearing Association

