SLPs on Understanding What Matters at the End of Life

As the professional world grows increasingly mobile, hear how the Audiology & Speech-Language Pathology Interstate Compact is making it easier for CSD professionals to deliver services across state lines. Guests discuss how the compact works, who may benefit from it, how it creates greater access to services, and the story behind what they did to make it happen.Learn More:The Audiology & Speech-Language Pathology Interstate Compact WebsiteUpdate on Interstate Compact Launch (2025)ASHA Voices: Student Advocacy and a Win for People Who StutterTranscript

From comfort feeding to communication access, two SLPs discuss the important ways speech-language pathologists deliver services as part of palliative care teams.Sharing personal and professional stories, Brittany Horvath and Marissa James address informed consent, how SLPs can integrate themselves into palliative care teams, and more.Learn More:Dysphagia Management: Strengthening Skills, Overcoming ObstaclesASHA Voices: Changes and Trends in Dysphagia TreatmentAJSLP: Palliative Care Training for Medical Speech-Language Pathologists: A Multiple Baseline DesignOffering Comfort Feeding in Palliative CarePrioritizing Patient Voice and Choice in Dietary DecisionsTranscriptSupport for this episode of ASHA Voices comes from Ambu and Zanda.

Speech-language pathologist Claudio Milstein joins the podcast to discuss inducible laryngeal obstruction (ILO), an often misdiagnosed condition that can leave patients feeling shortness of breath.Milstein breaks down the roles of interprofessional collaboration and differential diagnosis in service delivery. Plus, he shares the story behind the new global community he’s cofounded to bring together experts and create awareness around how to diagnose and treat ILO.Learn More:Practice Portal: Inducible Laryngeal ObstructionAJSLP: Inducible Laryngeal Obstruction Differential Diagnosis in Adolescents and Adults: A TutorialPerspectives: Breathing Pattern Disorder: A New Kid on the BlockASHA Voices: Preparing the “Vocal Athlete” for PerformanceGlobal Initiative for Inducible Laryngeal Obstruction (GIILO)Transcript

Speech-language pathologist Jessica Donaldson explains how the neurodiversity-affirming approach of her multidisciplinary clinic, Autism Specialists, strives to create a sense of belonging, acceptance, and accessibility for autistic clients.She describes how and why she created a social group for her clients that’s directed by their interests and goals.Donaldson, the sibling of an autistic adult, also shares how that relationship fuels her work and career.Learn More:ASHA Voices: ‘This Too Is a Mask’: A Neurodivergent SLP Confronts Autism and IdentityASHA Voices: What a CSD Professor Learned About Autistic Masking While Creating Neuro-Affirming SpacesASHA Voices: Preparing Pediatric Audiologists through LEND ProgramsASHA Voices: Twyla Perryman-Brownlow on Building Skills for Post High School LifeOnline Conference: Autism: Communication and ConnectionTranscript

Hear ASHA members discuss how school-based audiologists and speech-language pathologists advocate for themselves, the professions, and the people they serve.On the podcast, guests share stories of what successful advocacy looks like and give a behind-the-scenes look at the work they do. All three guests are members of the ASHA Teacher Union Member Advisory Group and recently published new resources for audiologists and SLPs interested in engaging with education associations or unions.Learn More:Working for Change: A Guide for Audiologists and Speech-Language Pathologists in SchoolsEngaging With Teacher Unions and Education AssociationsASHA Voices: Student Advocacy and a Win for People Who StutterTranscriptSupport for this episode of ASHA Voices comes from AMBA.

SLP Stephanie Boron joins the podcast for a conversation on how she seeks and creates neurodiversity-affirming spaces through her work as a clinician, clinical instructor, and faculty member at Northwestern University.Boron describes herself as AuDHD—autistic and ADHD. On the podcast, she shares what neurodiversity-affirming spaces can look like and why they matter to clients.Learn More:ASHA Voices: What a CSD Professor Learned About Autistic Masking While Creating Neuro-Affirming SpacesPositively Disrupting Social Groups: A Neurodiversity-Affirming Glow-UpAssistive Technology in SchoolsTranscript

For young patients with TBIs and their families, challenges persist after hospital discharge.On the podcast, guests discuss how they address barriers associated with this transition. We’ll hear perspectives from both sides of that transition: Taryn Townsend at Texas Children’s Hospital, and Melaney Grenz, who worked for nearly three decades in the schools and as part of the Oregon TBI team. Grenz joins this conversation from the Center on Brain Injury Research and Training—or CBIRT—which is part of the University of Oregon.Townsend and Grenz discuss how clinicians may engage with schools, the role of brain injury management teams, and common questions from parents.Learn More:How Social Determinants of Health Shape TBI Recovery in ChildrenASHA Voices: Supporting Families of Children With Disorders of ConsciousnessASHA Voices: Overcoming Barriers on Families’ Journey From NICU to HomeASHA Practice Portal: Pediatric Traumatic Brain InjuryCBIRT: Return to School

Three SLPs discuss multilingual service delivery in light of “translanguaging,” a concept that’s been gaining attention recently. “Translanguaging” refers to the way a speaker, often multilingual, may incorporate the “entirety of their linguistic repertoire,” possibly pulling from two or more named languages.Guests share what translanguaging sounds like, how it differs from code-switching, and what it may mean for service delivery. Through personal stories, they highlight how their own linguistic backgrounds relate to the subject.Learn More:Multilingual Service Provider Resource CollectionWebinar: Translanguaging for Pediatric SLPs: Service Delivery With Multilingual ChildrenLSHSS: Functional Language Proficiency in Bilingual Children: A Conceptual Framework, Culturally Responsive Practice, and Measurement ApproachASHA Practice Portal: Multilingual Service Delivery in Audiology and Speech-Language PathologyTranscript

Audiologist Marcia Dewey started Froedtert & the Medical College of Wisconsin’s Tinnitus and Hyperacusis Program in 2011. Nearly 15 years later, she joins the ASHA Voices podcast to discuss the program’s origins and how chronic pain rehabilitation techniques have transformed her practice.Learn More:ASHA: TinnitusASHA Voices: From Surf Rocker to Research Audiologist, Jim Henry Knows TinnitusASHA Voices: What Tinnitus and mTBI Can Mean for Patients

When a child leaves the NICU, families and caregivers may face what’s called a “services cliff”—a point where it can be confusing or difficult to find needed services without the structure of a health care center.Hear from Sara Circelli and SLP Tiffany Elliott about their work to reshape that transition where they live and work. They share how they address barriers to services through the hospital-to-home care model in Washington state.Learn More:ASHA Voices: Supporting Families of Children With Disorders of ConsciousnessASHA Voices: Preparing Pediatric Audiologists Through LEND ProgramsASHA Voices: Exploring Caregiver-Provider InteractionsTranscriptSupport for this episode of ASHA Voices comes Feeding Matters International Pediatric Feeding Disorder Conference.