Pros and Cons of Working as an SLP in Different Settings

Speech Language Pathologists (SLPs) are healthcare professionals who work with individuals who have communication, language, and swallowing disorders. SLPs can work in various settings, including schools, hospitals, and private practices. Each setting has its advantages and disadvantages, and it’s important to consider them when deciding on a career path. In this blog, we’ll explore the pros and cons of working as an SLP in different settings.


School-based SLPs work with children who have communication and language disorders that impact their academic performance. The primary role of an SLP in this setting is to identify and treat speech and language problems in children, improve their communication skills, and enhance their ability to learn.

Pros of working in schools:
Regular Schedule: School-based SLPs typically work during regular hours, with weekends and holidays off.
Team Environment: SLPs in this setting work as part of a team with other professionals, such as teachers, psychologists, and special education staff. This collaboration allows for a more comprehensive approach to addressing student needs.
Opportunity for Specialization: School-based SLPs can work with a particular age group or disorder type, such as autism or stuttering.

Cons of working in schools:
Large Caseloads: SLPs may have a high number of students on their caseload, making it challenging to provide individualized attention.
Limited Time for Therapy: School-based SLPs may have limited time with each student due to their schedules and workload.


Hospital-based SLPs work with patients who have acute or chronic medical conditions that affect their ability to communicate or swallow. In this setting, SLPs assess and treat patients with communication and swallowing disorders that are caused by medical conditions, such as strokes, traumatic brain injuries, and cancer.

Pros of working in hospitals:
Variety of Patients: Hospital-based SLPs work with a wide range of patients, including those who have had a stroke, traumatic brain injury, or cancer.
Access to Resources: Hospitals typically have more resources and equipment than other settings, allowing SLPs to provide a more comprehensive assessment and treatment.
Opportunity for Professional Development: SLPs in hospitals may have the opportunity to specialize in a particular area, such as neurogenic disorders.

Cons of working in hospitals:
Emotional Toll: Working with patients who are seriously ill or injured can be emotionally challenging.
Unpredictable Schedules: Hospital-based SLPs may work irregular schedules, including weekends and holidays.

Private Practice

Private practice SLPs have their own businesses or work for a private company. They work with individuals of all ages who have communication, language, and swallowing disorders.

Pros of working in private practice:
1) Flexibility: Private practice SLPs have more control over their schedules and caseloads.
2) Autonomy: Private practice SLPs have more control over their treatment plans and methods.
Business Ownership: Private practice SLPs have the opportunity to run their own business or work for a small business.

Cons of working in private practice:
1) Financial Risk: Starting a private practice can be expensive, and SLPs may need to invest their own money in equipment, marketing, and other expenses.
2) Limited Resources: Private practice SLPs may not have access to the same resources and equipment as SLPs in other settings.


In conclusion, working as an SLP in different settings has its advantages and disadvantages. Schools offer a structured schedule and a team environment, but may have large caseloads. Hospitals offer access to resources and professional development opportunities but can be emotionally challenging. Private practice offers flexibility and autonomy but comes with financial risk and limited resources. As an SLP, it’s essential to consider these factors and choose a setting that aligns with your personal and professional goals.

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How to Land Your Dream Job as an Slp in a Hospital Setting

As a speech language pathologist (SLP), there are many settings in which you can work. One of the most rewarding settings is a hospital. In a hospital, SLPs have the opportunity to work with a diverse population of patients and make a real impact on their recovery. However, getting into a hospital setting can be challenging. Here are some tips for SLPs who want to work in a hospital.

Get the Right Education and Certification

To work in a hospital as an SLP, you need to have a master’s degree in speech-language pathology. This is a requirement for all SLP positions, regardless of the setting. Additionally, you need to be licensed by the state in which you will be practicing. This involves passing a national examination and meeting specific requirements set by the state’s licensing board.

Obtaining certification from ASHA is not a requirement, but it can be beneficial. The ASHA Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) is a nationally recognized credential. It demonstrates to employers that you have met high standards of clinical practice and professional conduct. The certification process involves completing a clinical fellowship and passing a rigorous examination.

Gain Experience

To be competitive for a hospital position, you will need to have some experience working with patients who have acute or complex medical conditions. This includes experience with dysphagia management, tracheostomy and ventilator support, cognitive-communication disorders, and acute care. Some SLPs gain this experience through internships or externships in a hospital setting. Others work in a skilled nursing facility, rehabilitation center, or outpatient clinic to gain experience with patients who have similar needs.


Networking is a critical component of any job search, and it is especially important for SLPs who want to work in a hospital. Attend local and national conferences, join professional organizations like ASHA or your state’s speech and hearing association, and connect with SLPs who work in hospitals. You can also reach out to hospital recruiters and hiring managers to learn about available positions and the skills and qualifications they are looking for.

Highlight Your Skills

In your resume and cover letter, be sure to highlight the skills that are most relevant to a hospital setting. These may include experience with dysphagia management, tracheostomy and ventilator support, cognitive-communication disorders, and acute care. You should also emphasize your ability to work as part of a multidisciplinary team and your strong communication and interpersonal skills.


Some hospitals may require or prefer SLPs with specific specializations. For example, a hospital with a large oncology department may seek an SLP with expertise in swallowing disorders related to cancer treatment. Other specialties within the field of speech language pathology include neurogenic communication disorders, voice disorders, and pediatric speech and language disorders. Consider gaining additional training or certifications in a specific area of interest to make yourself more marketable to hospitals that require or value those skills.

Continuing Education

Continuing education is important for SLPs to maintain their licenses and stay current with developments in the field. Many hospitals offer in-house training programs and may require or encourage their SLPs to attend conferences or workshops. Be prepared to invest time and money in your professional development to stay up-to-date and competitive in your job search.


Collaboration with other healthcare professionals is an essential aspect of working in a hospital setting. SLPs will need to communicate and work with physicians, nurses, occupational therapists, physical therapists, and other members of the healthcare team. Emphasize your ability to work collaboratively and communicate effectively with others in your resume and cover letter.

Be Open to Different Roles

Finally, it’s important to be open to different roles within a hospital setting. While many SLPs work in acute care, there are also opportunities in rehabilitation, outpatient care, and other areas. You may also want to consider working as a per diem or contract SLP to gain experience and make connections within a hospital. Be flexible and willing to take on different roles and responsibilities as needed.

Image by benzoix on Freepik


In conclusion, pursuing a career as an SLP in a hospital setting can be challenging, but also highly rewarding. Consider the factors mentioned above when applying to hospital positions, and don’t be afraid to seek out advice and guidance from other professionals in the field. With the right combination of education, experience, networking, and flexibility, you can succeed in finding your dream job as an SLP in a hospital.

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The Use of Technology in Telepractice for Speech Therapy

Telepractice, or the provision of healthcare services via internet technology, has grown in popularity in recent years. Telepractice can be an effective method for speech therapists to provide high-quality care to patients regardless of their location. Speech therapists can use technology to deliver virtual therapy sessions that are engaging, effective, and tailored to each patient’s specific requirements.

In this blog, we will explore the use of technology in telepractice for speech therapy, and how it can enhance patient care. We’ll also show you some apps and software that speech therapists can use to perform virtual therapy sessions.

Benefits of Telepractice in Speech Therapy

Telepractice has numerous advantages for both patients and speech clinicians. As previously stated, telepractice allows patients who reside in remote areas or have mobility issues to have better access to care. It also removes the need for patients to travel to appointments, which can be both time-consuming and costly. Telepractice enables speech therapists to reach a larger patient population and may result in greater job flexibility.

Telepractice is also a low-cost choice for patients and speech therapists. Therapists can provide care at a reduced cost by eliminating the need for office space and equipment. Furthermore, many insurance plans now cover telepractice, making it a feasible option for patients who previously could not afford traditional treatment.

The Role of Technology in Telepractice for Speech Therapy

Technology is important in the implementation of telepractice for speech therapy. Therapists can conduct engaging and successful virtual therapy sessions using apps and software programs. These tools offer a variety of exercises and tasks that can be tailored to each patient’s specific requirements.

Apps and Software Programs for Telepractice in Speech Therapy

As previously stated, speech therapists can perform virtual therapy sessions using a variety of apps and software programs. Tactus Therapy’s Speech Therapy Apps, for example, provide exercises for speech, language, and cognitive therapy that can be tailored to each patient’s specific requirements. Speech therapy exercises for articulation, language, and social skills are available from Super Duper Publications. Smarty Ears provides articulation, language, and phonology speech training games. Lingraphica provides speech therapy software for speech, language, and cognitive treatment, while Speech Therapy Worksheets provides tasks for articulation, language, and fluency.

Customizing Telepractice for Individual Patients

One advantage of telepractice is the ability to tailor therapy sessions to each patient’s specific requirements. Speech therapists can tailor therapy sessions to address particular areas of concern by using apps and software programs. Furthermore, telepractice enables therapists to provide treatment in a familiar setting, which can improve patient comfort and engagement.

Challenges of Telepractice in Speech Therapy and How to Address Them

While telepractice has numerous advantages, there are also drawbacks to consider. Some patients, for example, may lack access to crucial equipment, such as a computer or high-speed internet connection. Furthermore, when conducting virtual therapy sessions, there may be issues about privacy and security.

To address these issues, speech therapists can give patients with resources that will allow them to gain access to the essential equipment. Additionally, therapists can guarantee that they are conducting virtual therapy sessions on safe and HIPAA-compliant platforms.

Ensuring HIPAA Compliance in Telepractice for Speech Therapy

When performing virtual treatment sessions, HIPAA compliance is critical. To ensure compliance, speech therapists should conduct telepractice sessions on secure, HIPAA-compliant platforms. Also, during virtual therapy sessions, therapists should seek written agreement from patients and explain the constraints of confidentiality.

Conclusion: The Future of Telepractice in Speech Therapy

Finally, the utilization of technology in telepractice for speech therapy has transformed the way we care for patients. Telepractice is a vital tool for speech therapists because it allows them to give high-quality therapy to patients regardless of their location. Speech therapists can deliver effective and accessible care to their patients by using safe and HIPAA-compliant platforms, tailoring therapy sessions, and resolving any issues that occur. We should anticipate to see even more innovative tools and resources for telepractice in speech therapy as time goes on, making it an increasingly significant element of the discipline.

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Becoming an Independent Speech Therapist

Being an independent speech therapist can be a challenging but also a very rewarding career choice. As a speech therapist, you will have the opportunity to help people communicate effectively, which can be a life-changing experience for many. However, before taking the leap and starting your own practice, it is important to be fully informed and prepared. In this blog, we will discuss the key things you should know before becoming an independent speech therapist.

Education Requirements for Independent Speech Therapists

To become a speech therapist, you will need to have a master’s degree in speech-language pathology and be certified by the American Speech-Language-Hearing Association (ASHA). This requires completing a master’s program accredited by the Council on Academic Accreditation in Audiology and Speech-Language Pathology (CAA) and passing the Praxis exam. The Praxis exam is a comprehensive test that covers various aspects of the speech therapy field. This includes assessment, diagnosis, treatment, and professional conduct. It is important to note that some states have different certification requirements. It is important to research the specific requirements for the state in which you plan to practice.

Business Skills: The Importance of Finances, Marketing, and Regulations

Running your own practice requires more than just knowledge of speech therapy. You will also need to be able to manage finances, market your services, and navigate the legal and regulatory requirements of running a business. This may include creating a business plan, obtaining insurance, and understanding employment laws. It may be helpful to take business courses or work with a business consultant to gain the knowledge and skills necessary to successfully run a business.

Networking : Staying Connected

Building a network of contacts in the speech therapy community is essential for growing your practice. Attend local and national conferences, join professional organizations, and stay connected with other speech therapists to stay informed about the latest developments in the field. Networking will also help you to stay informed about job opportunities. This also helps develop professional relationships that can be beneficial for your practice.

Continuing Education: Staying Up-to-Date

Keeping up with the latest research and techniques in speech therapy is crucial for providing the best possible care to your clients. Be sure to regularly attend continuing education courses and workshops to stay current with the latest developments in the field. This will not only help you to improve your skills but also to keep your certification up-to-date.

The Emotional Side of the Job: Empathy and Emotional Intelligence

As a speech therapist, you will be working with people who have communication difficulties, and it is important to be able to empathize and provide emotional support. It is important to have good emotional intelligence, being able to understand and manage your own emotions and those of others. This will help you to build trust and rapport with your clients, which is essential for effective treatment.

Conclusion: The Rewards of Independent Speech Therapy

Becoming an independent speech therapist is a big decision that requires proper education, training, and preparation. It is important to have a master’s degree in speech-language pathology and be certified by ASHA. It is also important to have the business skills necessary to run a practice. Networking and continuing education are also essential for success in this field. Additionally, it is important to be prepared for the emotional side of the job as it requires empathy and emotional intelligence. By being fully informed and prepared, you can be successful as an independent speech therapist and make a meaningful impact on the lives of those you work with.

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School based Speech Therapy vs Private Practice

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When deciding whether to work as a school therapist or at a private clinic, there are a number of things to think about. Each setting has advantages and disadvantages, just like with most educational options.

First, it’s crucial to recognize a commonality between settings: private clinicians and school speech therapists are both equally qualified. They have the same graduate education and attend the same master’s programs. While school SLPs are more generalists, private practitioners may opt to specialize based on their personal interests and professional experience. The differentials of School based Speech Therapy vs Private Practice is elaborated below.

Difference between a school-based speech-language pathologist (SLP) and Private SLP

1. Qualifications of School based and Private Practice SLPs

Although some states require speech-language pathologists (SLPs) to have a certificate that allows them to work in a school setting, there is no difference between school-based and outpatient/private SLPs in terms of the training and qualifications that is required to acquire a degree in speech-language pathology. Both clinicians must obtain a graduate degree that includes clinical therapy experience as well as extensive coursework on a wide range of topics related to speech and language development, disorders, and treatment. Following graduation, both school-based and outpatient/private SLPs must pass the praxis exam and complete a Clinical Fellowship Year to be eligible for the Certificate of Clinical Competence (CCC) awarded by the governing body, The American Speech-Language-Hearing Association (ASHA).

2. Individual vs. Group Therapy

In a school setting, most children will be seen in small groups (3-5 children). Children are frequently grouped according to age and/or impairment type, and the school-based therapist must tailor sessions to the needs of ALL children in that group. Most school caseloads are relatively large, and a school-based therapist rarely has time to see those students individually. Most children are seen one-on-one in private practice. This allows the therapist to tailor therapy to the needs and learning style of the individual child.

3. Frequency & Duration

School-based therapists typically see children once or twice a week, for a total of 25-30 minutes per group. To minimise loss of instruction time, the speech schedule in a school setting is scheduled around the child’s class schedule. Individual therapy sessions can last 30-60 minutes and are typically scheduled once or twice a week, depending on the client’s schedule and needs.

4. Service Eligibility

Different states and school districts have different rules or policies about how a child can qualify for school-based services. To be eligible for school-based speech/language services, a child must first be evaluated by the schools, then meet these predetermined requirements before receiving an Individualized Education Plan (IEP) through special education.

Regardless of the severity or whether they would “qualify” for services in a school setting, any person who exhibits some sort of communication impairment may receive treatment from a private therapist. A private SLP can provide therapy if the need for supports is demonstrated through evaluation, observation, and parent/caregiver/child feedback.

5. Price of Services

In case a child is eligible for school-based services, the family will be charged nothing as part of FAPE (Free Appropriate Public Education), a guarantee under the Individuals with Disabilities Education Act (IDEA). Private therapy services must be paid for by the family. Some private SLPs accept insurance, while others do not; however, medically coded invoices/receipts are frequently provided for families to submit to their insurance for reimbursement, if their insurance allows.

6. Working Hours

When it comes to School based Speech Therapy vs Private Practice in terms of working hours, the number of weeks that speech language therapists work in a private practice can vary depending on a number of factors, such as the therapist’s schedule, the demands of the practice, and the needs of the clients. Some speech-language pathologists work part time, but most SLPs that work full time put in 40 hours a week. Speech therapists working in a private practice can work all year round for 48 weeks (1920 hours).

Speech language pathologists in a school setting work for the duration of the school year, which is typically around 36 weeks (1440 hours). However, this can vary depending on the specific school district and the needs of the students. Some speech language therapists may also work during the summer months or on a part-time basis.

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Starting a speech therapy private practice

Being an SLP working in a school or hospital setting, you might have at some point in your life felt constricted by your work environment. You may even find yourself getting excited about opening your own private practice, wishing for the flexibility that inevitably follows. After all, as a business owner, you are your own boss. That means you get to make the final decision on all patient care, set your own schedule, and even build your own clientele.

The logistics often deter many SLPs from realizing the potential benefits of starting their own practice. Legal requirements, business entity applications, documentation, and marketing can all be overwhelming, to say the least.

Steps to start a Private Practice in Speech Therapy

Create your Business Entity

Firstly, come up with a name for your practice. Some speech therapists simply use their first and last name along with their credentials (MS, CCC-SLP). Some SLPs pick a name for their practice.
Then, there’s the question of the business structure: LLC or sole proprietorship?
These are the two most commonly used by SLPs who own a private practice. What’s more, the primary distinction between an LLC and a sole proprietorship is that an LLC provides personal liability protection.

Get an NPI Number

You’ll need this to bill insurance companies. Even if you don’t accept insurance, some clients will want to submit invoices for reimbursement from their HSA. They’ll need your NPI number on the superbill to do so. Find it ahead of time so that it can be included in your paperwork. Your NPI can be found here.

Create a HIPAA-Compliant Structure

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a law that safeguards the privacy of patients. The storage, transmission, and privacy of health information, including the documentation of treatment plans and evaluation reports for speech therapy, are governed by HIPAA regulations. The law also includes electronic standards regulations. As a result, this includes conducting Teletherapy sessions and communicating with clients and families via a secure/HIPAA-compliant connection.

Further, failure to comply with HIPAA can result in civil monetary penalties of up to $1.5 million per year. Your clients’/patients’ data is considered Protected Health Information as a private practitioner (PHI).

Apply for a TIN/EIN issued by the government

For tax purposes, your private speech therapy practice will require a Tax Identification Number. This is also known as an Employer Identification Number.
The IRS website allows you to apply for a free TIN/EIN

Acquire liability insurance

So, a non-negotiable in terms of the legal aspects of starting your own private practice is Insurance for professional liability.
As a Speech-Language Pathologist, you must have liability insurance. It legally safeguards you against unforeseeable events such as a client falling out of his chair and injuring his arm during one of your sessions.

Common FAQs about starting a speech therapy private practice

  1. What qualifications do I need to work in private practice?
    There is no “special” level of ASHA certification or state licensing required to work in private speech-language pathology practice. For the private practice of either profession, ASHA certification and state licensure (where required) are sufficient.
  2. What state and local government agencies should I contact for more information on starting a practice?
    If you want to practice from home or work from a business office, check to see if your local zoning laws allow you to open a home office, display advertising, or handle parking in a residential area. Contact the zoning board in your city or county.

    Contact your state speech and hearing association for assistance in starting your business.
    Through the state convention, the association newsletter, or interest groups, take advantage of opportunities. This includes mentoring and collaboration in developing your practice.

    Contact your state health department to learn about state regulations that may affect your practice. For example, how long to keep medical records.
  3. What are the steps involved in creating a business plan?
    According to the US Small Business Administration, a detailed business plan should include:
    provides a path to follow (shows you how to achieve your objectives);
    may aid in loan acquisition;
    can provide suppliers, personnel, and others with useful information; and
    can assist you in developing your management skills.
  4. How do I figure out how much to charge for my services?
    Service fees may differ depending on region and setting. The primary consideration for full-time private practitioners is ensuring that their fees cover both direct and indirect service costs. Monthly expenses include equipment, office space, taxes, insurance, supplies, continuing education, licensing, membership fees, and so on. Estimated revenue-generating hours should be based on a realistic assessment of the number of sessions that can be provided in a day. This allows for travel time and cancellations, as well as time off for illness, vacation, and continuing education.
  5. In what circumstances will I require a contract?
    So, If you are providing services to institutions like schools, agencies, or hospitals, you may have developed a standard employment contract, or the institution may already have an employment contract in place. If you are providing services to individuals privately, you may want to draught a statement of understanding. This includes the client’s disclosure of pertinent and important information.


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