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Speech Therapy Outcomes

In 1993, the American Speech-Language Hearing Association (ASHA) formed a Task Force on Treatment Outcomes and Cost Effectiveness in response to requests for outcomes data demonstrating that speech therapy makes a difference. Out of this study, the National Outcomes Measurement System (NOMS) came about. NOMS is a data collection system developed to show the value of speech-language services provided to adults and children with communication and swallowing disorders. The key to NOMS is the use of ASHA's Functional Communication Measures (FCMs). These were designed to describe functional abilities over time from admission to discharge from the speech-language treatment program or over the course of an academic year. The child data is based on 4,444 preschoolers who received speech-language pathology services from 2006-2010. Notice that for each FCM, more than half of the children made significant progress following speech language pathology intervention.

In short, is it likely speech-language services will help my child?

YES!

Outcomes of Pragmatic Therapy

pragmatics

Articulation & Intelligibility

Articulation & Intelligibility

Spoken Language Comprehension

spoken language comprehension

Spoken Language Production

Spoken Language Production

Swallowing

Swallowing

No Progress

Why "no progress" may have been made in some cases:
During this study, there was a wide range of treatment variability. The following variables, may or may not have influenced the outcomes:

• number of SLP sessions per week 
• length of SLP sessions
• total amount of treatment time 
• service delivery model (e.g., individual, group, classroom, etc.)
• child received services from another program/facility
• funding stopped or the parent was unable to pay
• caregiver refused treatment
• caregiver's lack of compliance
• progress plateaued
• child refused to cooperate
• illness, medical conditions, contraindications, death

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