In Spring 2022, the American Speech-Language-Hearing Association (ASHA)
conducted a survey of speech-language pathologists (SLPs) and educational
audiologists in school settings. The survey was designed to provide information
about school-based service delivery and to update and expand information gathered
during previous Schools Surveys.

Overall Findings:

♦ 90% of the SLPs employed full time or part time were clinical service providers.
♦ 78% of clinical service providers used a caseload approach to determine the number of students they served.
♦ Median (actual) caseload size was 48 students.
♦ The median manageable caseload size was 40.
♦ The median caseload sizes were highest in Indiana (72) and were lowest in New York (30).
♦ Median caseload sizes were smallest in the New England states (36) and largest in the East South Central states (55).
♦ At least 92% of SLPs served students with autism spectrum disorder; language disorders: semantics, morphology, syntax; and speech sound disorders.
♦ 55% of clinical service providers worked on MTSS/RTI activities during the current school year.
♦ Clinical service providers spent an average of 22 hours weekly in direct intervention.
♦ 12% of the clinical service providers had used the ASHA Workload Calculator.
♦ Most of the clinical service providers were required to make up for a missed session.

Respondents also reported that they spent a mean of
• 5.8 hours on documentation;
• 3.6 hours on diagnostic evaluations (e.g., observation, screening, scoring,
analysis);
• 1.9 hours on collaborative consultation;
• 1.0 hour on technological support (e.g., hearing aids/CIs, AAC);
• 0.8 hours on supervision; and
• 2.1 hours on other duties, as assigned