This advice-column-style blog for SLPs was authored by Pam Marshalla from 2006 to 2015, the archives of which can be explored here. Use the extensive keywords list found in the right-hand column (on mobile: at the bottom of the page) to browse specific topics, or use the search feature to locate specific words or phrases throughout the entire blog.
Q: I am helping with policy development in my district and we’re facing significant budget cuts. We have to cut mild artic kids from the caseload. Do you have any advice about this?
I am wondering if they are considering cutting services for very low functioning kids too.
Kids with very low communication skills tend to be seen quite often these days, often 2-3 times per week. On the other hand, high-functioning artic kids are being seen less and less and even being cut.
This does not make sense to me; children who are very low-functioning actually do not change so fast that they need to be seen that often. They could be served by less direct therapy and more general consult.
Kids with mild artic problems are the ones we actually can fix. Why don’t we see them more?
I do not understand why the parents of high-functioning kids are not screaming about this.
I realize that my opinion goes against the grain of everything that is going on today. I think we have everything upside-down.