What looks like a simple sound error is often a deeper language weakness that quietly undermines reading and writing. I keep seeing the same referrals over and over. “The student doesn’t say his R.”“She drops sounds.”“His speech is sloppy.” On paper, this gets labeled as articulation. A simple speech issue. A few drills, practice the […]
Speech-language pathologists claim to be a science-driven profession that follows the evidence. We cite evidence-based practice in our values, policies, and professional rhetoric. But in day-to-day reality, clinical decisions are often shaped less by research and more by revenue. The uncomfortable truth? Profit, not evidence, increasingly dictates what gets promoted, adopted, and normalized in our
One of the most common pushbacks I hear from SLPs related to data collection—is that contextualized language therapy makes it too hard to collect data. When I suggest working on narrative or discourse to simultaneously address goals like syntax, vocabulary, and inferencing, the response is often, ‘But how do you collect data on that? We
Contextualized Therapy Isn’t Chaos—It’s Data Gold Read More »