Understanding Dysphagia

How can we incorporate brain health into everyday clinical practice?

Guest: Jennifer Ruckner, MS, CCC-SLP

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Brainstorms podcast host Renee Garrett, PhD, CCC-SLP, CBIS, is joined by Jennifer Ruckner, MS, CCC-SLP, for a practical discussion on how speech-language pathologists can incorporate brain health into everyday clinical practice. Together, they break down the neuroscience behind neuroplasticity, cognitive reserve, and lifestyle factors that influence brain function, while exploring what brain health really means across the continuum of care.

About the Guest: Jennifer Ruckner, MS, CCC-SLP, is a seasoned speech-language pathologist with over three decades of experience across Early Intervention, school districts, and private practice. She earned her Bachelor of Science and Master’s degrees in Communication Disorders from Auburn University and has practiced since 1990. Jennifer specializes in Social/Pragmatic Language, Autism Spectrum Disorder, Expressive Language Disorder, and Feeding Disorders.

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Expert Panel: Amy Hobek, PhD, CCC-SLP, Fé González Murray, EdD, CCC-SLP, Vishnu KK Nair, Archie Soelaeman, Betty Yu and Reem Khamis

Take ACTION HERE: Changes to 2020 certification standards feedback. Survey. (n.d.). https://www.surveymonkey.com/r/2020_Cert_Changes

This episode will be available for 0.1 ASHA CEU on July 4, enroll here: https://www.speechtherapypd.com/courses/ashas-proposed-changes

Correction Note from Dr. Betty: “During the recording I referred to the executive order targeting associations with assets of $500 million or more. I thought ASHA met that criteria but actually ASHA’s net assets are around $174 million.”

In this episode, Michelle and Erin host an all start line up of colleagues from across the globe to discuss ASHA’s Proposed Changes to the “2020 Certification Standards” and the long-term ramifications that these changes could have for our profession. This conversation is timely in that there are only a matter of days, roughly 3 weeks or less, for audiologists and speech-language pathologists (including students) to write in and advocate to ASHA on whether the proposed changes to the 2020 Certification Standards should be accepted… changes that remove key words and language that were hard fought to obtain. Be informed that this conversation does address political rationale behind the changes and offer a plethora of resources for individuals to grow their knowledge regarding the long-term ramifications of these proposed changes… but it ends with resources on how to make your voice heard! So, come join the ladies of “First Bite” and ADVOCATE!

About the Panel:

Amy Hobek, PhD, CCC-SLP is an Associate Professor of Communication Sciences and Disorders at the University of Cincinnati. Her teaching and scholarship focus on equity and inclusion, with an emphasis on valuing and legitimizing cultural and linguistic variations in these areas within individuals, families, and communities. She is also a licensed speech language pathologist providing clinic supervision of graduate students in a culturally and linguistically diverse preschool setting on UC’s campus. She is a co-chair of the Cultural Humility Task Force of the National Black Association of Speech Language and Hearing. She is a topic co-chair of Equity, Inclusion, and Cultural-Linguistic Diversity for the ASHA 2025 Convention.

Professor Reem Khamis (also known as Reem Khamis-Dakwar) is Professor Emerita at Adelphi University and Chair of the Department of Communication Sciences and Disorders at Long Island University (LIU) Brooklyn. Her expertise centers on language development, processing, and clinical services within the sociolinguistic context of diglossia and diverse populations. Dr. Khamis is co-founder of the Journal of the Critical Study of Communication and Disability (JCSCD) and a co-founding member of the Speech, Language, and Hearing Scientists Equity Action Collective. She currently serves as Language Section Editor for the Journal of Speech, Language, and Hearing Research (JSLHR). She received the Excellence in Diversity Award in 2020 from the Council of Academic Programs in Communication Sciences and Disorders (CAPCSD).

Fé González Murray, EdD, CCC-SLP is an Associate Clinical Professor in the Department of Communication Sciences and Disorders at Northern Arizona University. Prior to joining the NAU faculty, she worked for 25 years as an English/Spanish bilingual speech-language pathologist in various settings, most notably in public schools serving Indigenous American, migrant, and immigrant populations. In addition to teaching and supervising clinical rotations, she facilitates workshops nationally and internationally on topics related to responsive practice with culturally and linguistically diverse individuals and their families, including multilingualism and collaboration with interpreters.

Vishnu KK Nair is a lecturer in the School of Psychology and Clinical Language Sciences at University of Reading, UK. He currently co-leads the health theme of the Centre for Literacy and Multilingualism, University of Reading. His current research utilizes critical, decolonial and more than human approaches to understanding communication and disability. He is committed towards building a body of interdisciplinary and anti-colonial scholarship that de-pathologizes communication disability and focuses on understanding and affirming communication variability. His teaching and research have won multiple teaching excellence, research supervision and best student dissertation awards.

Archie Soelaeman (she/her) is the Manager of School Speech Language Services and a speech-language pathologist at Helping Hand School in Countryside, Illinois, a therapeutic day school. She provides services to students with a primary diagnosis of autism and collaborates with a multidisciplinary team on a daily basis. She has over 16 years of experience in this setting. Her clinical interests include autism spectrum, augmentative and alternative communication, and apraxia. Archie is also a co-president of the Asian Pacific Islander Speech-Language-Hearing Caucus, a non-profit 501(c)(3) organization whose primary mission is to make connections among API groups, share common concerns in education, and advocate for quality speech and hearing service delivery for individuals across diverse API communities. Archie is a native speaker of Bahasa Indonesia who also has conversational proficiency in Spanish.

Betty Yu is a Professor in the Department of Speech, Language, and Hearing Sciences and a Co-Managing Editor of the Journal of Critical Study of Communication and Disability. Her research and clinical interests are in how communication access among racially-minoritized, disabled children in multilingual communities are shaped by institutional practices/policies, family socialization, and dominant ideologies about race/language/disability. She also focuses on issues of equity in the field of Speech, Language and Hearing Sciences (SLHS), particularly as related to the systemic influences of raciolinguistic discrimination, ableism and pathologization.

Show Notes:

Asian Pacific Islander speech-language-hearing caucus. Asian Pacific Islander Speech-Language-Hearing Caucus. (2022, December 14). https://apislhc.org/

Beaver, D. (2024). The politics of language. Princeton University Press.

El Akkad, O. (2025). One day, everyone will have always been against this. Alfred A. Knopf.

Karen Yourish, A. D. (2025, March 8). These words are disappearing in the new Trump administration. The New York Times. https://www.nytimes.com/interactive/2025/03/07/us/trump-federal-agencies-websites-words-dei.html

Ostrager, A.-E., Jordan, J., & High, T. R. (2025, February 10). President Trump acts to roll back dei initiatives. The Harvard Law School Forum on Corporate Governance. https://corpgov.law.harvard.edu/2025/02/10/president-trump-acts-to-roll-back-dei-initiatives/

Guests: Leanne Togher, PhD, FSPA, FASSBI, Rachael Rietdijk, PhD, SLP, & Kate Smith, MSPA, CPSP

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=The-Social-Brain-Toolkit-Practical-Resources-for-Caregiver

Join Renee Garrett as she kicks off Season 2 of Brainstorms Functional Neurorehab with esteemed guests Dr. Leanne Togher, Dr. Rachael Rietdijk, and Kate Smith. In this episode, the team explores the Social Brain Toolkit, a suite of resources designed to improve communication for individuals with acquired brain injuries (ABI). The discussion covers the inception, development, and components of programs like TBI Express, TBI ConneCT, and Interactability. They delve into the crucial role of communication partner training, methodological research, and evidence-based practices in supporting TBI patients and their caregivers. Additionally, the episode touches upon the groundbreaking work at the University of Sydney and introduces speechBITE, a curated repository of treatment research in speech pathology. Tune in to learn about their innovative approach to making effective communication strategies accessible and practical for clinicians, students, and families worldwide.

Episode Timeline:

00:00 Introduction and Disclosures

01:40 Meet the Experts

04:50 The Social Brain Toolkit: Origins and Development

09:03 TBI Express, and TBI ConneCT: Evolution of Training Programs

11:36 Telehealth and Digital Health Innovations

13:18 Expanding Communication Partner Training

15:22 Interactability and Social Ability: New Tools for Broader Impact

17:39 Practical Applications and Future Directions

32:48 Understanding Communication After Brain Injury

33:26 Training for Caregivers and Students

35:14 Introducing TBI Express and interact-ABI-lity

36:03 Free Resources and Accessibility

36:46 speechBITE: A Resource for Speech Pathologists

37:32 The Evolution and Impact of speechBITE

44:19 Kate Smith's PhD Research on Clinical Information Needs

53:01 Addressing Methodological Quality in Research

56:07 The Social Brain Toolkit and Caregiver Support

59:08 Final Thoughts and Resources

About the Guests:

Professor Leanne Togher is a full Professor at the University of Sydney, Australia, and NHMRC Professorial Research Fellow (Investigator Grant Leadership Level 3). Professor Togher holds a PhD in speech pathology and is internationally recognised with more than 250 journal articles. Professor Togher has led the development of communication treatments for people with brain injury and their families, carers, and community agencies, including TBI Express, TBI ConneCT, and the Social Brain Toolkit. She is the director of the evidence-based practice website speechBITE. Professor Togher is the incoming Chair for the International Brain Injury Association and Chair of Brain Injury Australia.

Dr Rachael Rietdijk is a certified practising speech pathologist and Lecturer at the University of Sydney, with research interests in acquired brain injury, communication partner training, and digital health. Her PhD research produced a new evidence-based intervention for people with traumatic brain injury called TBIconneCT. Dr Rietdijk was the project lead for the Social Brain Toolkit project, including interact-ABI-lity, the first free evidence-based online program about communicating successfully with people with a brain injury. This program has reached over 1500 people from over 25 countries. Dr Rietdijk continues collaborating as part of research teams on the Communication Connect NHMRC Ideas Grant and the Communication for Safe Care NDIS Information, Linkages and Capacity Building grant.

Kate Smith is a speech-language pathologist who has worked in evidence-based practice for two decades. She is a member of the speechBITE advisory committee at the University of Sydney and worked on developing speechBITE with Professor Leanne Togher for over a decade. Kate is currently undertaking her PhD, applying a user-centered approach to co-designing a new digital resource that provides research evidence for SLPs.

Mentioned in this episode:

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Guest: Marie Ireland, PhD, CCC-SLP, BCS-CL

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Tension-to-Triumph-Practical-solutions-for-the-schoolbased-S

In this episode of School of Speech, host Carolyn Dolby brings on the distinguished Dr. Marie Ireland to discuss the nine major tensions faced by school-based Speech-Language Pathologists (SLPs). Dr. Ireland shares her extensive journey from a school-based SLP to earning her PhD and provides valuable insights into navigating challenges in the field. The episode delves into the importance of understanding the law (IDEA), the need for accurate documentation of educational impact, and how to effectively collaborate with general education through strategies like MTSS and RTI. Additionally, Dr. Ireland emphasizes the significance of advocating for oneself and professional expertise without apology. This episode is packed with practical strategies and solutions that will leave you feeling informed and empowered.

Episode Timeline:

00:00 Introduction and Host Welcome

01:01 Guest Introduction: Dr. Marie Ireland

01:06 Dr. Ireland's Journey in Speech-Language Pathology

01:56 The Impact of Research and Collaboration

04:00 Understanding CHAT: Cultural and Historical Activity Theory

07:09 Exploring the Nine Major Tensions

11:58 Balancing Help and Legal Requirements

14:48 The Role of SLPs in Schools vs. Private Practice

17:52 Advocacy and Professional Identity

23:13 Addressing Cultural and Linguistic Diversity

26:37 Understanding Disabilities vs. Differences

27:32 Empowering SLPs: Advocacy and Conflict Resolution

33:22 The Importance of Data and Legal Knowledge

36:11 Building Relationships with General Education

50:52 Concluding Thoughts and Next Steps

About the Guest: Marie Ireland, PhD, CCC-SLP, BCS-CL is a Board-Certified Specialist in Child Language (BCS-CL). She has served as ASHA’s Vice President of SLP Practice (2018-2020) and on the executive board of the State Education Agencies Communication Disabilities Council. Her areas of interest include child language, evidence-based assessment, and dynamic assessment. She received an editor’s award in 2013 and 2021 for articles on evidence-based practice in the schools and has published works on SLP practice in the schools.

School of Speech is now on YouTube! - https://youtu.be/oApbslqaPhQ

Guests: Jessica Conn and Hilary Cooper

One of our favorite topics is the SLP’s role in advocacy, and today we are joined by some of the fiercest advocates around. Jessica Conn is a Visiting Clinical Instructor at Stephen F. Austin State University, where she teaches undergraduate and graduate coursework, including dysphagia and neurogenic communication disorders. She also owns East Texas Swallow Diagnostics, a mobile FEES company serving the broader East Texas area. She is currently the Director of University Relations for the Dysphagia Outreach Project as well. Hilary Cooper, our second guest, is a self-proclaimed dysphagia nerd who has extensive experience with pediatrics and adults in a variety of settings. She owns North Louisiana Swallow Solutions, a mobile FEES company, and is the President and CEO of the Dysphagia Outreach Project. In today's episode, after hearing about how Jessica and Hilary became SLPs, we dive into advocacy. We talk about how it differs from education, the importance of getting involved at the state and national levels, and why advocacy needs to be a part of the curriculum. We also get into some specific ways that you, as an SLP, can advocate for your patients and their families, who are constantly faced with the injustice and systemic inequality in our healthcare system. To hear more from these inspiring women, tune in today!

Guest: Dr. Raquel Garcia - As SLPs, it is so important that we maintain a spirit of continual learning, and today's guest, Dr. Raquel Garcia, is an exemplary example of a life-long learner. She is a trained craniofacial speech-language pathologist and works at Joe DiMaggio Children's Hospital, where she is a core member of the craniofacial team. Raquel works in the acute care setting in the neonatal

Guest: Caitlin Saxtein MS, CCC-SLP, BCSS, CBIS: For this episode of the Understanding Dysphagia Podcast, we are joined by Caitlin Saxtein to talk about end-of-life care and palliative care. Caitlin Saxtein MS, CCC-SLP, BCSS, CBIS is a medical speech-language pathologist currently working in the acute care setting and has experience in subacute, rehabilitation, outpatient, and home health. She also has an extensive background with East End Hospice, having volunteered with them for nearly 15 years. In our conversation, we talk with Caitlin about how she became passionate about end-of-life care during her many years of volunteering and what she has learned working in the field of

Guest: Sarah Breshears, MA, CCC-SLP

Today, we continue our special series in collaboration with the Dysphagia Outreach Project in honor of Dysphagia Awareness Month, this time to speak about strokes with Sarah Breshears. This amazing woman, an SLP in her sixth year of practice, working in an acute hospital setting, is the creative powerhouse behind Short and Sweet Speech, and on top of it all, she is the Instagram Manager for Dysphagia Outreach Project. She leads a team of five women who create content that is engaging and informative, reaching those who would benefit from DOP’s mission. We kick things off with the moment of divine intervention that set Sarah on the path to becoming an SLP, before chatting about how she got involved with DOP. From there, we wind our way into the heavy topic of strokes, beginning with what happens to the brain when somebody has one, the effects it can have on their life, and how to recognize early symptoms.

We also get into how strokes can result in dysphagia, and then move on to best practices for intervention and recovery, where we highlight the necessity of PT and OT. Our conversation covers the importance of instrumental assessment for dysphagia and the dangers of recommending the chin tuck swallow wholesale as well. Before wrapping up, Sarah gives us all her top tips for lowering the risk factors for strokes, so be sure to listen along with us today and learn all that Sarah has to share.

Guest: Kristen West, MS, CCC-SLP

Everything is connected within the realm of SLP: nutrition, education, family dynamics, and environmental factors, to name but a few. Our guest today works at the intersection of all of these. Her name is Kristen West, and she is an expert on all things related to Pediatric Feeding Disorder (PFD). One in 37 children under five in the United States struggles with PFDs, and we are thrilled that there is soon to be an ICD 10 code that accurately captures PFDs for the first time. Alongside numerous other roles, Kristen is the Director of Education for the Dysphagia Outreach Project (DOP), and the work she is doing through this organization is what forms the basis of our conversation today. Kristen is passionate about equipping communities with the skills and resources they need in order to ensure the best possible outcomes for children with feeding and swallowing issues. The lack of continuity of care, overarching feeding programs, and funding make this a difficult task, but Kristen is well prepared for the challenge. Kristen shares with us today what she has learned over many years about bridging the gap between knowledge and action, sharing resources, transition meetings, and the importance of getting everyone on board with the mission to help children who are struggling with PFD’s. Feeding is a paramount life skill, and the interventions that DOP is implementing are changing lives!

Guest: Brooke Beilman, MS, CCC-SLP

Today’s episode is dedicated to the SLP’s role in head and neck cancer, and we invite Brooke Beilman, MS, CCC-SLP, to speak about this important subject. Brooke is an SLP with experience in acute care, inpatient rehab, outpatient rehab, and skilled nursing settings. With certifications in manual interventions like myofascial release, neuromuscular electrical stimulation, NMES, and the McNeill Dysphasia Therapy Program, Brooke is as brilliant as she is kind. We kick things off by hearing about how Brooke got the idea to become a speech pathologist and then bring this proactive intervention to patients with head and neck cancer, thereafter helping to develop a rehabilitative program for these patients during her CF. From there, we discuss the rise of the role of HPV in the development of head and neck cancer in younger patients and the implications of this. We get into the signs and symptoms of head and neck cancer, common treatment options used by oncologists, and how these differ from those used by an SLP. Next up, we take a deep dive into the role of lymphatic impairment in head and neck cancer. Brooke helps us understand the lymphatic system and its role in the body, and also weighs in on lymphedema and the role of myofascial release in treating it. We wrap things up with a conversation about functional aspiration as well as the scope of practice and the role of the SLP in treating head and neck cancer patients. Tune in today!