I know it probably comes from a place of care, but I have now had two separate families I work with ask if I also babysit, and would be willing to babysit their kids (just this week!). Who else has had this experience? It just feels like I am not always seen as a professional. I will get out of my own feelings and be okay, just looking for some validation.

I recently applied to a position where I did one of my clinical rotations as a grad student (job #1). I accepted the offer and was supposed to start within 2 weeks. I never signed the employee agreement. Cancellations aren’t paid and it’s a per billable rate model.

A week before my start date, I stumbled upon another opportunity at a newer clinic (job #2). They offered me significantly more per billable hr, paid indirect time, and paid cancellations I would also have close mentorship and work closely with the owner who is also an SLP. Not only financially but for future career development- this position felt more aligned.

I ultimately ended up withdrawing my acceptance from job #1. As a result they let me know that I am now “not re-hireable” as they had already told patients I would be seeing them.

I understand the inconvenience and frustration. But I’m really bummed by their response since I truly loved the relationships and experience there as a student. I also feel awful that I disappointed some people that I really admire.

As a part of my ongoing efforts to understand and compare the new CPT codes I decided to make this chart comparing a clinic's revenue with the upcoming changes. The boxes are color-coded by revenue (more revenue for darker green and less for lighter green). Though I've only seen clinics do 25 60-minute appointments & 50 30-minute appointments I wanted to see what a caseload that brought in the same revenue as the OTs & PTs at my last clinic would have been like for 30-minute & 45-minute appointments. I thought I'd include a new caseload that would equal the current revenue for 50 30-minute appointments, too. To me that shows how the SLPs currently carrying the 50 30-minute caseloads aren't getting enough time for prep & documentation (especially if 1.3 RVU for 92507 is accurate).

I added the second chart to show that with the new CPT codes only the Speech & Language code carries an RVU of 2.0/hour - the others are all slightly less so it will still be hard for us SLPs to achieve 2.0 RVU/hour and I'm curious how hard that is for OTs & PTs and how much "wiggle room" administrators are giving their clinicians.

Just a quick note to add that these reimbursement rates are based on my last clinic's rate, but they're not too far above to the rates I have with my insurance contracts now. Right now I do 45-minute appointments & one of my insurance companies pays me $70 for 92507 (and also 92523 & 92522, which is depressing and I'm hoping these changes will force them to respond to my attempts to renegotiate my contract), 4 that pay me $100 for 92507 & 1 that pays me $120 for 92507. I'm hoping with these new codes I can renegotiate rates that are proportional to the codes' RVUs (which would be slightly increased revenue for most of the codes). 🤞

Hi!

So my facility is having an issue properly following dirt texture recommendations. In the past I’d seen people put signs on the walls or a whiteboard in someone’s room with diet orders, transfer info, etc. I want to do this in our facility to help staff remember things, but they are hesitant saying it’s a HIPAA violation because patients share rooms.

I don’t understand how other facilities do this and think if it is IN THEIR ROOM and doesn’t have their name on it, how it could be a violation.

Do any of your facilities or hospitals do this? Wanting some backup!

I am nervous, this is my third year and the first time in a middle school!! What are the key differences between elementary v. Middle school in terms of student behavior, therapy sessions, frequency etc. ??

I have a job offer for a school CF position in Louisiana at $50,000. I was told there isn’t room to negotiate pay with the district. This pay seems really low for a Masters degree but I really want to work in the school system. Is this really how low pay is in Louisiana? Will it go up significantly once I get my C’s?

So long story short, I had a baby in April and went out on leave. I signed my contract for this year in May. I have been there since Feb 2025. Lo and behold a dream part-time position came up a week and a half ago. It’s an old supervisor of mine that reached out to me trying to fill the position. (20/hours guaranteed a week in an early intervention program housed in a special needs school, specialist/consultant type role for AAC and feeding, no IEPs!, paid for paperwork, can make the hours whatever I want) Since this can work me financially, I love the flexibility and the opportunity to stay home with my baby more. I just hate giving a notice after telling everyone I’m coming back and being so sure of it. I’m honestly not even sure how to go about resigning when it’s still summer and there are so many people involved (principal, EC director, lead SLP, EC chair).
Any advice?

Hi all! I’m a 5th year SLP who spent the last 5 years in the school setting and just transitioned full time to a SNF. I want to make the effort to get better at my job because I feel like a fish out of water! My commute is 45 minutes to an hour, I work nonstop for 8 hours, barely have a 15 min lunch (which sometimes I skip), and then have an hour drive back home. I feel totally depleted by the end of the day Monday-Friday. Do I just take some time to study on the weekends? How does everyone do it for those who transitioned from school to medical? Thanks for any and all advice!

I run a community group for toddlers and parents and would like to have a good AAC or core board blown up/laminated to use in the class. We aren’t always in the same room/center so I need to be able to take it with me. Any recommendations? The ages are birth to 5/6.

Jeanette went on a podcast known for promoting Spelling to Communicate. The podcast host, David Kaufer, objects to ASHA for their position statement against S2C, so the two discuss their shared disdain for ASHA. I won't summarize the episode, as you all can listen yourselves, but I'll leave you with two teaser quotes:

On why ASHA opposes S2C, Jeanette says, "I have to suspect it starts from someone who doesn't like it for a specific reason who's on that committee that has something to protect. That's my guess because it all comes down to money with them. Everything is about money. Nothing that I see is for the best of the community or the people who receive our services."

In her defense of S2C, Jeanette makes no mention of the fact that the primary objection to S2C comes down to authorship: who is authoring the messages. She says, "Our job is to help your kid communicate, right? Like, it doesn't matter what my opinion is. It matters what's working to get your kid to communicate. And and that's that's kind of the stance I've taken. It doesn't matter what the research says. If there are this many families saying like, 'Hey, this is working for us.' Then we need to believe them, right?"

For those of you looking for more information on Spelling to Communicate, I suggest:
-www.facilitatedcommunication.org
-https://www.asha.org/slp/asha-warns-against-rapid-prompting-method-or-spelling-to-communicate/
-Interrogating neurotypical bias in Facilitated Communication: https://link.springer.com/article/10.1007/s40474-024-00296-w

State is Connecticut.

I moved and no longer had access to my precious email address aka I missed notifications to renew my state licensure. I don’t blame anyone but my self and am already feeling really guilty and horrible. I have worked in a school and clearly no one else noticed. It has not been active for 10 months. Im not working now because summer. I completed the reinstatement licensure online and am planning to call the state tomorrow and see if there is anything else I need to do. I also start a new job in 6 weeks so I really need it reinstated by then.

my mind is spiraling that I’m going to get my license revoked and not be able to work again. anyone have experience with this?

What’s making you smile lately? 😃

Share some love and positivity!

Why not share your happiness with our discord?

https://discord.gg/7TH2tGxA2z

As a part of my efforts to understand the new CPT codes (and RVUs in general) I'm curious to calculate an average RVU for pediatric 92507 (speech & language treatment) based on our average caseloads. For that I'm using the number of clients for a full time caseload (you can find a poll for that here) and the average length of our appointment times.

Aaaaand go! I’m in pediatric outpatient. We don’t accept Medicaid

The Facebook page "For the Love of Gabe" has been popping up on my feed for years and early on I was fascinated by the story. I (a school-based NP) had never heard of spelling to communicate but it sounded similar to using an AAC device and they were having amazing results so I periodically followed along as it popped up. Before knowing about S2C, I asked some basic questions on their page like if they'd ever share a video of him spelling and how come he can't use a keyboard or AAC or spell outside of his lessons. I did not mean to offend, I was genuinely curious how it worked! I got a snappy reply back and the red flags all went up. The content of his spelling sessions has raised even more alarm with time.

After listening to the Telepathy Tapes, I did a deep dive on S2C and understand it's an off shoot of facilitated communication and is super problematic.

Unfortunately, it appears this kids parents are becoming more and more delusional in their beliefs around their autistic son's communication and they are exploiting him for money now.

His father died just a few months after he was born and his mother (who now is married to a woman) is clearly still grieving the father. She is convinced her son is communicating with his deceased father and writes extensively about the father. It's growing more and more disturbing and odd.

Professor Dave from YouTube has 2 good videos debunking Telepathy Tapes and S2C- the guest on the second episode has a ton of experience and insight.

https://youtu.be/4HiuElTX7pM?is=KhbLffvxf4OGfgjO

hi! I’m currently looking for a CF and I’m torn between a middle school placement and an SNF. i really liked my SNF experience but I also feel like middle school would burn me out less since SNFs can be a bit depressing and emphasize productivity so much. has anyone had experience doing a CF in one area and switching to another for their full time position? I won’t feel as bad either way making a choice if it’s not impossible to switch after… i just don’t know which to do!

Anyone in this sub work as an oral myofunctional therapist for a dental practice or work in a medical practice doing photobiomodulation? I’m looking to make a pivot from running my own business and trying to see if this scenario even exists. Thanks!

from Linkedin.

I am shocked that this post was on Linkedin which is usually toned down and very respectful place for job posting and resume prep (lol). If this is what BCBAs are thinking now, what will happen next?

Ok I know rates are the one thing nobody wants to talk about here, but I’d rater ask and feel a little awkward than get lowballed. So, taboo acknowledged, go easy on me lol.

A SNF reached out to me directly about doing contract speech therapy, no agency involved, straight up 1099/independent contractor. I’m in early in talks with them.

Some stuff working against me:

• no guaranteed minimum hours
• 30 to 45 min drive each way
• they’ll do federal mileage rate reimbursement but that’s it so far

im trying to figure out:

1. If you’ve contracted directly with a SNF (not through a staffing agency), what hourly or day rate did you actually negotiate?
2. Did you do straight hourly, a day rate, or hourly with some kind of minimum built in to cover travel/no shows?
3. Is mileage reimbursement enough on its own, or did you also get them to pay separately for drive time?

Basically, I’m trying not to end up in the situation where I drive 40 min, get there, and the patient’s at an appointment or refuses, and I just ate the whole day for nothing.

If you’d rather not post numbers publicly, feel free to DM me instead, totally get it. Any advice, contract language, or “wish I’d asked for X” hindsight appreciated.

Hello all,

I am currently working at a school district in California and applied to a new district before the school year let out. The new district did not get back to me until the very last day of June, and so I ended up resigning July 2nd. Unbeknownst to me, per California Ed. Code (i.e. not in our contract or even found on my districts website, but still state law) June 30th is the latest an employee can resign or else their contract is held until a replacement is found.

I have been repeatedly told that there is absolutely no way that they will release me from my contract even though I have good cause according to the CTCs own guidelines. They are telling me my only option is to wait until they find someone OR that I can petition the CTC to not hold my certificate when I do not show up for the first day of school (which I will not be, because I am moving) IF the school decides to actually file a complaint against my credential.

My problem is that my current district took WEEKS to notify me that they were refusing to release me, and the new district wants to pause the onboarding process until the situation with the current district is resolved. So, I am in employment limbo. Everyone in HR on both sides seems confident they will find someone before the new year begins and that I will be released, but I do not trust that that is possible.

My question to everyone is this- are my only options truly to wait? Has anyone been in this situation before and found a way to get the district to release you?

Thank you for any advice you might have!

My spla has been driving me crazy since starting. If it’s not one thing it’s another. I’ve tried everything to help the situation however I’m just at a loss.

( I’m the supervising Slp )

If yall have any horror stories and what helped yall that would be great

Thoughts on applying for maternity leave positions as a CFY? Am I able to finish my cf after completing a leave position?

I’m on Threads (a horrible decision) and my feed is full of discussions on school supply lists. Parents think they are too expensive and don’t like them being used for community classroom supplies. Teachers point out it’s not their job to buy kids their pencils.

the topic that’s not discussed? School SLPs need whiteboard markers, pencils, crayons, tissues and sanitizing wipes too, but parents arent even asked to get us anything. Last year I realized I have to buy wipes for my room or just have sticky tables. I went with the sticky tables option for a while! once we had an IEP meeting in my room and I quickly wiped the table down with a wet tissue.