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Cat. III · Treatment Planning & Implementation5 min read
Receptive & Expressive LanguageFeeding & Swallowing

Counseling & Family-Centered Practice

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Counseling Inside the SLP Scope

The ASHA Scope of Practice (2016) names counseling as a service delivery domain: SLPs counsel individuals and families about communication and swallowing disorders, prognosis, treatment options, adjustment, and decision making.

TypePurposeExamples
Informational counselingGive and check understanding of informationWhat a hearing loss means for language; why stuttering is not the parent's fault
Personal-adjustment counselingHelp people manage the feelings, beliefs, and choices that come with the disorderA spouse's grief after a stroke; a parent ambivalent about AAC

Outside scope: diagnosing or treating mental health conditions such as depression, anxiety disorders, trauma, or eating disorders. The boundary is the topic, not the emotion.

High-Yield: When a scenario describes a family member crying after a diagnosis, acknowledge the feeling and listen. Do not redirect to the treatment plan, and do not refer at the first tears; referral is for needs that exceed communication-related adjustment.

The rest of this outline 9

  1. Active Listening and Reflective Techniques
  2. Grief, Adjustment, and Chronic Sorrow
  3. Motivational Interviewing Basics
  4. Cultural Responsiveness
  5. Family-Centered Practice
  6. When to Refer to Mental Health
  7. Documenting Counseling
  8. Common Traps
  9. Sources to Know

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