Capturing a Moment in Time: A Survey of School-Based Speech-Language Pathologists' Experiences in the Immediate Aftermath of the COVID-19 Public Health Emergency
Lesley Sylvan, Erica Goldstein, Megan Crandall
Abstract
Purpose Data collected by the American Speech-Language-Hearing Association in the spring of 2020 showed that most speech-language pathologists (SLPs) experienced a moderate to major impact on their work practices as a result of the COVID-19 public health emergency. This study focused on gaining a deeper understanding of the experiences of school-based SLPs at this unique moment in time. Method This study involved a survey of 280 school-based SLPs working across the United States in May 2020. The results of the survey were analyzed both qualitatively and quantitatively to identify key themes and trends related to participants' confidence levels, workload changes, and personal challenges. Results Results indicated that SLPs faced variation in the guidance, communication, and resources they were provided by employers and variations regarding the timelines and expectations for the pivot from traditional face-to-face school services to remote services. Few SLPs had previous experience with teletherapy, and many reported low levels of self-confidence and large increases in their workload. Additionally, SLPs faced high levels of stress in their personal lives. Conclusions Despite the challenges faced, participants largely reported they were able to adapt with the support of the SLP community. Participants reported concerns regarding the relative success of their students under new service delivery models, especially for students from disadvantaged groups, and worries regarding future legal challenges. This study identifies key issues to consider with respect to speech-language services in schools as the COVID-19 public health emergency continues to unfold.