title: Speech-language caseloads in the schools: a workload analysis approach to setting caseload standards.
abstract: This article highlights key concepts of the recently revised policy documents of the American Speech-Language-Hearing Association on workload and caseload size for speech-language pathologists (SLPs) in schools. A major premise is that the total workload activities required and performed by school-based SLPs must be taken into account to set appropriate and reasonable caseload standards. Current policies and practices used to define caseloads appear to be inadequate to ensure caseloads that allow enough time for the provision of quality services. In this article we describe school-based SLPs' workload, including the expanded roles and responsibilities that are mandated by the Individuals with Disabilities Education Act (IDEA) and other legislation. We consider the available research on the effects of large caseloads on the service options chosen by SLPs, treatment outcomes for students, and SLP attrition and burnout. Finally, we present an approach for analyzing a SLP's total workload activities, along with a discussion of how that analysis can be used to help determine caseload standards consistent with meeting the intent of IDEA and the needs of students with disabilities.
authors.affiliation: Minneapolis Public Schools, Minneapolis, Minnesota 55410, USA.
authors.forename: Frank
authors.initials: F
authors.lastname: Cirrin
authors.forename: Ann
authors.initials: A
authors.lastname: Bird
authors.forename: Larry
authors.initials: L
authors.lastname: Biehl
authors.forename: Sally
authors.initials: S
authors.lastname: Disney
authors.forename: Ellen
authors.initials: E
authors.lastname: Estomin
authors.forename: Judy
authors.initials: J
authors.lastname: Rudebusch
authors.forename: Trici
authors.initials: T
authors.lastname: Schraeder
authors.forename: Kathleen
authors.initials: K
authors.lastname: Whitmire
mesh_terms: D006801:Humans; D012572:School Health Services / Q000458:organization & administration* / Q000592:standards; D013066:Speech-Language Pathology; D014481:United States; D000078329:Workforce; D016526:Workload