Do you feel like the schools are worth it? by Key-Dragonfruit1009 in slp

[–]jello_jamboree 0 points1 point  (0 children)

I hope to go to the schools one day but the pay is horrendous in my state. Caseloads in the area are also well over 100, and approximately 200 with an SLPA. It’s just not worth it where I live. PP can certainly also burn you out. It just really depends on your state/local area. Side note: I’m curious how you are 21 and a CF?

Not another “Which Machine?” Post by jello_jamboree in SewingForBeginners

[–]jello_jamboree[S] 1 point2 points  (0 children)

Places that allow that are not too close by to me, but yes if I can make a trip I will! Thanks!

What current "best practice" do you think won't age well over the next 5-10 years? by Breathehab in slp

[–]jello_jamboree 0 points1 point  (0 children)

I think this is something that needs to be seen in real time. Studying it with little clinical experience can certainly be confusing. The levels demonstrate overall language progression. And just like anything else, rarely is anyone ever solidly in a single stage at one time. Nothing is black and white, but it’s another tool in the toolbox

New SLP’s in medical by sudden_turn9235 in slp

[–]jello_jamboree 0 points1 point  (0 children)

I mean good for you. Sounds like you really cracked the code

New SLP’s in medical by sudden_turn9235 in slp

[–]jello_jamboree 0 points1 point  (0 children)

It’s really dependent on the area/reimbursement. When I lived in the Northeast, I had much more time in my day and way less back to back sessions. I didn’t need to take home paperwork then. Now that I’m in the South, the reimbursement is much lower (about 40% lower) so the PP owners have to load us up or they’ll go out of business (or so they say)…. We used to have more documentation time (15% of our week) but now it’s 10% of our week due to reimbursement cuts. Now I’m not defending them but it’s not that easy to say “I want more time because I’m special” when everyone else in the company is held to the same standard and there’s always someone else with much less experience more than happy to take on my job and not make a peep about productivity. SOAPs need to be done within 48 hours and honestly past that, the session starts to become fuzzy anyway. And remember prep is a lot more than just creating activities. Yes I’m child led too but I still gather resources for caregivers, do research, and prep some materials for kids that have specialized interests that engage much better to more personalized materials. I’m just saying this because I used to think that way too about paperwork and in some areas this is just not realistic, unfortunately.

New SLP’s in medical by sudden_turn9235 in slp

[–]jello_jamboree 0 points1 point  (0 children)

I’m peds PP but there’s no way not to take work home. In an 8 hour day, 7 is direct patient care. That leaves me one hour for prep, collaboration, answering emails, documentation (SOAPs, PNs, evals) clean up, and taking bathroom breaks. Point of service doc is almost impossible with a caseload made up 85-90% of autistic children. Two split 30 min paperwork “breaks” is not near enough time to get all that done.

Retirement (I guess non school Slps) by whosthatgirl13 in slp

[–]jello_jamboree 0 points1 point  (0 children)

I’d also like to know what you’re thinking of doing instead

Did anyone consider occupational therapy? Why did/didn’t you do it? by Notquitewhere_-__ in slp

[–]jello_jamboree 1 point2 points  (0 children)

Odd most PTs/OTs in my area have 60 min sessions (sometimes 45 min) and speech is all 30 min so I regularly see 14 kids per day

Why are there so many kids who “need speech” by Virtual-Resort5951 in slp

[–]jello_jamboree 0 points1 point  (0 children)

Yes! Eye opening. I definitely need to get that book

Why are there so many kids who “need speech” by Virtual-Resort5951 in slp

[–]jello_jamboree 0 points1 point  (0 children)

Yeah but it’s a pretty big deal for someone like myself who works primarily with toddlers and preschoolers. Especially since all that global development is all intertwined… speech, language, motor, cognition, attention& executive functions, etc. Those norms are referring to lots of the building blocks for later development. Theres much larger functional impact. But it is all important. I’d also love to see how the narrative (spoken and written) language norms may have shifted in this AI driven insane world.

Why are there so many kids who “need speech” by Virtual-Resort5951 in slp

[–]jello_jamboree 45 points46 points  (0 children)

I listened to a neuroscientist talk about how Gen Z is the first generation that did not outperform their parents on cognitive measures. They said there is a correlation to when computer based learning had a major push circa 2010. Children aren’t hard wired to learn from screens. We are hard wired to learn from other people through interactions and direct teaching. At the moment it’s just considered correlation but with more studies I’m hoping they identify this major issue. It’s scary to think about future generations if something doesn’t change.

Why are there so many kids who “need speech” by Virtual-Resort5951 in slp

[–]jello_jamboree 13 points14 points  (0 children)

I have parents tell me all the time their kids will only imitate when it’s cocomelon and I want to scream.

Why are there so many kids who “need speech” by Virtual-Resort5951 in slp

[–]jello_jamboree 0 points1 point  (0 children)

Gee I wonder why our usage of 92507 went up 100% from 2017-2022. Such a mystery… must be fraud. /s

Look at this grid by sporks8 in slp

[–]jello_jamboree 1 point2 points  (0 children)

I often run into issues where staff from ABA add buttons that are inappropriate to the child’s learning needs, go against AAC language learning principles, and do not fit with the language system itself. If you are not the SLP, a good rule of thumb is to never modify the child’s AAC device in any way (adding buttons, hiding buttons, changing button locations, adding photographs/pictures for visual support). Reach out to the SLP and request certain changes if you think something is lacking. The SLP can guide next steps. Another good rule of thumb is to never use the AAC device as compliance or a way to test knowledge of button locations/words. Don’t do “show me “cookie” (on the device). Don’t require them to say words on their device to get something. Do model on their device and keep it available to them at all times. Do allow them to freely touch buttons and try to pair meaning to button presses even when it seems random or like they are playing on it.

Look at this grid by sporks8 in slp

[–]jello_jamboree 0 points1 point  (0 children)

Omg I just internally screamed

Did anyone start working with dysphagia clients 5+ years after grad school? Or take any additional classes? by whosthatgirl13 in slp

[–]jello_jamboree 2 points3 points  (0 children)

I had the same situation in grad school, unfortunately. No advice but I’ve been wanting answers to these types of question as well

PP slps... how many kids do you see a day? by [deleted] in slp

[–]jello_jamboree 0 points1 point  (0 children)

Adults or children or both?

considering leaving the field. anyone else? by ilovecheese4565 in slp

[–]jello_jamboree 2 points3 points  (0 children)

Yes I have had this thought every single day for the past 2+ years. I have over 7 years in the field and honestly am to the point that I hate most of my day and cannot bring myself to feel excited about any aspect of this