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What is the Impact of a Large Caseload?

Angie Neal, MS, CCC-SLP

April 3, 2023

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Question

\What is the impact of a large caseload?

Answer

When caseloads are high, and you're seeing a tremendous number of students, what's the impact? First, the outcomes are not as good. Students on smaller caseloads are more likely to make measurable progress on functional communication measures than those who are on large caseloads because we may need to serve students in a group, whereas individually may result in better or faster improvements.

Also, student outcomes depend on the SLP's ability to provide services that integrate the educational curriculum. It takes time and collaboration to know what the student's working on and what they are struggling with. It takes time to work with the teacher to figure out how to help support them exactly.

Large caseloads also tend to drive the service delivery amounts that we recommend on the IEP. In other words, "How can I fit this student on my schedule" instead of "What service time does this student need to provide effective services and efficient remediation of a disability?" Not to mention, the more students we have, the more Medicaid billing and paperwork we have to complete, which also takes a lot of time.

If we could go into classrooms and co-teach, that would benefit all students, not just those we serve in the classroom with an IEP.  But we can't do that if we have a large caseload or a large workload.

It's also worth mentioning that large caseloads are associated with difficulties in recruiting and retaining qualified SLPs. That's a big piece of it. Additionally, large caseloads limit the time that we have to train and supervise student clinicians, clinical fellows, and other support personnel like SLP assistants and paraprofessionals who may be implementing some of the recommendations of our IEPs.

This Ask the Expert is an excerpt from the course, School-based SLPs: Are Our Caseloads Really That High, presented by Angie Neal, MS, CCC-SLP.


angie neal

Angie Neal, MS, CCC-SLP

Angie Neal is the SLP Contact at the South Carolina State Department of Education, a member of ASHA's School Issues Advisory Board, graduate of ASHA’s School-Based Leadership Development Program, and a board member with the State Education Agency Communication Disabilities Council. She is also the recipient of the Nancy McKinley Leadership Award (Ohio) and the Rolland J. Van Hattum Award (South Carolina). She has worked in both adult rehabilitation, pediatric outpatient rehabilitation, and school settings, but her passion is helping children achieve academic success! Mrs. Neal is also a frequent presenter on a variety of speech-language pathology topics such as cultural and linguistic diversity, language and literacy, remediation of /r/, and pragmatics. She is a true nerd and enthusiast for all things SLP!

 


Related Courses

Reading Comprehension and the SLP: Foundational Understanding
Presented by Angie Neal, MS, CCC-SLP
Audio

Presenter

Angie Neal, MS, CCC-SLP
Course: #10763Level: Intermediate1 Hour
  'great examples'   Read Reviews
This is Part 1 of a two-part series. This course provides SLPs with foundational knowledge needed to directly address and collaboratively support reading comprehension across all grade levels. Models of language and reading comprehension, comprehension processes vs. products, instruction in comprehension skills vs. strategies, factors in reading comprehension difficulties, and connections to general education are discussed.

Reading Comprehension and the SLP: Contributions of Language
Presented by Angie Neal, MS, CCC-SLP
Video

Presenter

Angie Neal, MS, CCC-SLP
Course: #10764Level: Intermediate1 Hour
  'The information provided was excellent'   Read Reviews
This is Part 2 of a two-part series. The connections between reading comprehension and areas of language such as vocabulary, morphosyntax and social communication are described in this course. Implications for intervention/instruction and collaboration with educators are also discussed.

Standardized Assessment Limitations: Part 1
Presented by Angie Neal, MS, CCC-SLP
Video

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Angie Neal, MS, CCC-SLP
Course: #10257Level: Intermediate1.5 Hours
  'Instructor has very broad and deep knowledge of the subject and presented with excellent organization, clear examples and multiple sources'   Read Reviews
This is Part 1 of a two-part series. Specific features of assessment tools that facilitate accurate identification of disability, the limitations of standardized assessments for this purpose, and implications for determining eligibility under the Individuals with Disabilities Education Act (IDEA) are described in this course.

Standardized Assessment Limitations: Part 2
Presented by Angie Neal, MS, CCC-SLP
Video

Presenter

Angie Neal, MS, CCC-SLP
Course: #10258Level: Intermediate1.5 Hours
  'Great organization of material and excellent handouts'   Read Reviews
This is Part 2 of a two-part series. This course discusses evidence-based options for assessment that can be used as alternatives to standardized assessments, in order to determine the presence of a disability under the Individuals with Disabilities Education Act (IDEA). Methods of collecting and using assessment data to write effective treatment goals are also described.

Supporting Children of Poverty: Special Considerations for the School-Based SLP
Presented by Angie Neal, MS, CCC-SLP
Video

Presenter

Angie Neal, MS, CCC-SLP
Course: #8735Level: Introductory1 Hour
  'Angie is an enthusiastic SLP'   Read Reviews
This course will provide SLPs with a critically important view of how and why poverty has a tremendous impact on both language learning and academic success. Key strategies for working with school teams and conducting therapy will also be shared.

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