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.

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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 state and national levels, and why advocacy needs to be a part of curriculums. 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!

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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 is 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 work to create content that is engaging, informative, and reaches those who would benefit from

Guest: Kristen West, MS, CCC-SLP - Everything is connected within the realm of SLP; nutrition, education, family dynamics, 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 struggle 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 forms used by oncologists, and how this differs 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 the role it plays in the body, and also weighs in on the condition of lymphedema and the role of myofascial release in treating it. We wrap things up with a conversation about functional aspiration as well as scope of practice and the role of the SLP in treating head and neck cancer patients. Tune in today!

Guest: Jessica Lasky, MS, CCC-SLP - For this episode of the Understanding Dysphagia Podcast, we are joined by Jessica Lasky to talk about trauma and ARF (not to be confused with adult ARFID)! Jessica is a medical SLP that specializes in dysphagia in the adult geriatric population. She is the founder of Mobile Scope and Evolutionary Education Solutions, and also co-founded the Dysphagia Outreach Project. We talk about the issue of patients having no access to resources after discharge and how this led to the founding of the Dysphagia Outreach Project. Our conversation then takes a deep dive into the many misconceptions and outlying cases that Jessica has experienced in her time working in outpatient neuro-rehabilitation, stroke, and trauma one hospitals, acute rehab facilities, and more. We hear about the discovery of foreign objects as well as atypical presentations from stab wounds and withdrawal, hardware in the cervical spine, and more. Jessica talks about a few of the times she has been in public and noticed that a person was presenting with symptoms and how she took action. In the last part of our conversation we get into the important issue of the utilization of interprofessional practice in our patients’ care, hearing Jessica weigh in on the other clinicians who help her bolster her practice and understanding of the respiratory system every day. Tune in for a brilliant conversation about the wide scope of Jessica’s experiences with dysphagia patients today!

Guests: Maggie Donaker, MS CCC-SLP & Katie Gollin, MS CCC-SLP - To honor Dysphagia Awareness Month, we have linked up with the Dysphagia Outreach Project to speak to some of their amazing leaders and spread their expertise and knowledge as far as possible! We are bringing you this ten-part podcast series and today's focus is neurodegenerative dysphagia. To help us understand these important subjects we are joined by Maggie Donaker and Katie Gollin, who give us some great insight, focusing on three of the main conditions under this umbrella: ALS, Parkinson's disease, and Guillain-Barre syndrome. Maggie is a medical speech-language pathologist, who has been awarded seven ASHA ACE awards! As a young medical speech-language pathologist, Katie currently works full-time in the acute care setting, with experience in inpatient rehab and skilled nursing too. In today's exploration we get some great high level, as well as specific information on these three topics, with our guests introducing each and also sharing some personal experiences and advice on diagnoses, treatments, and education. It is particularly illuminating to hear about how these conditions affect adults, with so much of what we usually do focusing on younger ones! So for a great show, packed with useful information and helpful tips and thoughts, be sure to join us!

Guest: Casey Lewis, MS CCC-SLP, CNT, NTMTC - June is Dysphagia Awareness month, and to honor this time, we have decided to do a ten-part mini-series with the Dysphagia Outreach Project. They have brought together some incredible leaders to share their knowledge in hopes of raising awareness about dysphagia across the life continuum. Casey Lewis, MS, CCC-SLP, CNT, CLC, NTMTC, works in the NICU, in the world of swallowing and swallowing breakdown, which is right where it all starts. In today’s episode, Casey sheds light on the development process of suck, swallow, and breathe, and the work that she does. Importantly, Casey understands that her role is to educate and empower parents, staff, and families so that they can all help the babies in the best way possible. We talk about the steps Casey takes in her interventions, some of the tools she uses, like bottles and pacifiers, and the outcomes she hopes to see. Another vital part of working in a NICU is collaborating with other practitioners, and Casey talks about the hard work she has put in to ensure that her voice is heard and respected. Sometimes, we get caught up in our own bubbles, and we forget that we all simply want the best for our patients. Casey reminds us of just how important it is to reconnect with our why.