Professional Issues in Speech-Language Pathology and Audiology.

Fifth Edition

Melanie W. Hudson, Mark DeRuiter

Details: 550 pages, 2-Color, Softcover, 7" x 10"

ISBN13: 978-1-63550-220-6

© 2021 | Available

Click here for the new edition.

The fifth edition of Professional Issues in Speech-Language Pathology and Audiology is a singularly comprehensive resource for students in speech-language pathology and audiology as they prepare for their professional careers. It also serves as a timely source of information for both practitioners and faculty, serving as an updated “state of the professions” desk reference.

The book is divided into four major sections: overview of the professions; employment issues; setting-specific issues; and working productively. The information presented in each section provides the reader with a better understanding and a new perspective on how professional issues have been affected by both internal and external influences in recent years including technological advances, demographic shifts, globalization, and economic factors. Chapter authors are recognized subject matter experts, providing a blend of both foundational and cutting-edge information in areas such as evidence-based practice, ethics, finding a job, interprofessional practice, service delivery in healthcare and education, technology, cultural competence, supervision, and leadership.

Students reading this book will appreciate how the professions have evolved over time while acquiring a sense of where they are right now as they prepare to enter the professional world. Each of the topics covered in the book will continue to play important roles in the future of audiology and speech-language pathology, providing early career professionals with the requisite knowledge to achieve success in any setting.

New to the Fifth Edition

  • New coeditor Mark DeRuiter, PhD, MBA, CCC-A, CCC-SLP
  • 5 new chapters including Professional Accountability (Shelly Chabon and Becky Cornett); Safety in the Workplace (Donna Fisher-Smiley and Cynthia Richburg); Interprofessional Education and Interprofessional Practice (Alex Johnson); Counseling (Michael Flahive); and Advocacy (Tommie Robinson and Janet Deppe)
  • New authors Tricia Ashby, Bob Augustine, Stacy K. Betz, Janet Deppe, Cathy DeRuiter, Mark DeRuiter, Robin Edge, Susan Felsenfeld, Liza Finestack, Michael Flahive, Carolyn Higdon, Kelly M. Holland, Shirley Huang, Susan Ingram, Marie Ireland, Jeffrey Johnson, Pui Fong Kan, Lemmietta McNeilly, Lissa Power deFur, Gail Richard, Steve Ritch, Lisa Scott, and Tina Veale
  • Critical thinking questions at end of each chapter for classroom discussion and examination
  • Updated table of chapter content relevant to the Council for Clinical Certification standards for ASHA Certificate of Clinical Competence
  • Updated acronyms glossary
  • Updated figures and tables
  • Updated and expanded references

Key Features

  • Each chapter begins with an introduction and ends with a summary of key areas
  • Chapters are authored by preeminent experts in the field of communication sciences and disorders
  • Access to a PluralPlus Companion Website with PowerPoint lecture slides for each chapter

From the Foreword 

"It is with great pleasure as I retire from the University of Minnesota, I have been asked to write this foreword for the fifth edition of Professional Issues in Speech-Language Pathology and Audiology, edited by Melanie Hudson and Mark DeRuiter. ...This volume reflects the fact the impact and maturity of a discipline and, in our case, two professions, cannot be measured by disciplinary expertise in speech-language pathology and audiology alone. Rather, the context in which we practice is just as important as what we practice. In fact, we cannot practice or do clinical research effectively without understanding the demands of culture, law, global influences, and the values and ethics of our own and other professions. ...This volume contains 30 chapters written by 45 authors organized into four main sections – overview of the professions, employment issues, setting-specific issues, and working productively. This is a rare book, serving to enlighten students as they become professionals and to allow even experienced practitioners to learn about new trends in, and external pressures to, the discipline. It can be both a beginning textbook and a resource for individuals and groups as they grapple with professional practice and translational research in the 21st century. This book contains the collective wisdom and experience of expert clinicians, scholars, and administrators from every practice setting, the academy, and professional associations. These authors have held a variety of national, state, and local leadership positions. I have worked with many of them directly and have listened to their thoughtful presentations. Seeing this volume today makes me want to teach Professional Issues again. There is no doubt that readers will have the highest quality experience that will assist them every day in their professions."
—Arlene Earley Carney, PhD, CCC-A, Professor Emeritus in the Department of Speech-Language-Hearing Sciences at the University of Minnesota – Twin Cities.



About the Editors


Table A


Section 1: Overview of the Professions

Chapter 1: Professions for 21st Century

Melanie W. Hudson, MA and Mark DeRuiter, PhD, MBA


Trends in Technology and the Digital Revolution

Twenty-First Century Trends and Issues


Critical Thinking


Appendix 1–A. ASHA Scope of Practice in Audiology

Appendix 1–B. ASHA Scope of Practice in Speech-Language Pathology


Chapter 2: Professional Issues: A View from History

Judith Felson Duchan, PhD and Susan Felsenfeld, PhD


The Profession’s Organization: 1918 to Toda

Membership and Professional Qualification Requirements: 1926 to Today

Scope of Practice and Practice Frameworks: 1926 to Today

Recent Trends


Critical Thinking


Appendix 2–A. A Few Milestones in the History of Speech-Language Pathology and Audiology in the United States


Chapter 3: Establishing Competencies in Professional Education, Certification, and Licensure 

Lissa Power-deFur, PhD


How Do You Know You are Competent?

How Can You Demonstrate Your Excellence in a Particular Area of Practice?

State Licensure

How Do You Know Your University Graduate Program Will Ensure You Become Competent?


Critical Thinking


Chapter 4: Professional Organizations

Sue T. Hale, MCD and Fred H. Bess, PhD


Practical Dilemmas and Affiliation

How Do Professional Organizations Work?

ASHA: A National Professional Organization for Speech-Language Pathologists and Audiologists

AAA: A National Professional Organization for Audiologists

Related Professional Organizations

State Organizations

Student Organizations

International Professional Organizations


Critical Thinking




Chapter 5: Professional Ethics

Jaynee A. Handelsman, PhD


Standards of Professional Conduct

Conflicts of Interest

The Role of Professional Associations

Ethical Issues in Practice Management

Ethical Issues in Supervision

Ethical Issues in Academia

Ethical Dilemmas

Unethical Practice Complaint Process

Ethics Education

Recent Changes and Future Directions


Critical Thinking



Appendix 5–A. American Academy of Audiology Code of Ethics

Appendix 5–B. American Speech-Language-Hearing Association Code of Ethics


Chapter 6: Professional Accountability

Shelly S. Chabon, PhD and Becky Sutherland Cornett, PhD


Accountable Care

Managing Risks and “Risk Intelligence” for Accountable Clinicians and Organizations

Raising the Bar on Accountability: The Value Equation

A Key Opportunity to Shape the Future of Accountability: Learning Health Systems



Critical Thinking



Chapter 7: International Alliances

Robert M. Augustine, PhD, Tina K. Veale, PhD, and Kelly M. Holland, MEd


Definition of an International Alliance 

International Alliances Promoting Global Competencies Grounded in Standards of Practice

Types of International Alliances that Promote Global Competence

International Alliances Promoting Global Competencies through the American Speech-Language-Hearing Association and Other National Organizations

International Alliances Promoting Global Competencies through Colleges and Universities

International Immersion Experiences

International Alliances through Service Learning for Practitioners and Students

International Alliances Promoting Global Research for Scholars


Critical Thinking


Appendix 7–A. Proposed Competencies for Global Engagement

Appendix 7–B. An MOU Checklist for International Collaborations


Chapter 8: Applying Evidence to Clinical Practice

Lizabeth H. Finestack, PhD and Stacy K. Betz, PhD


Evidence-Based Practice

Evaluating Assessment Evidence

Using Assessment Evidence

Evaluating Intervention Evidence

Using Intervention Evidence: An Example


Critical Thinking



Chapter 9: The Future of Science

Raymond D. Kent, PhD


The Research Landscape: Types of Research

Funding for Research

Tensions, Pressures, and Opportunities

Science and Technology

Dissemination: The First Fruits of Research

Research on the Global Stage

Educating the Next Generation of Scientists in CSD


Critical Thinking



Section 2: Employment Issues

Chapter 10: Workforce Issues

Cathy DeRuiter, MA


The Current Workforce

ASHA Membership and Affiliation Data

The Future: Factors Affecting Employment


Critical Thinking




Chapter 11: Finding Employment

Mark DeRuiter, PhD, MBA


Employment Settings

Job Search


Cover Letter

E-Mail Style Issues

Web-Based ApplicationsLetters

of Recommendation/Verbal References

Interviewing Success

The Anatomy of an Interview

Electronic Interview Formats

Second Interviews

“Forbidden” Interview Questions

Considering the Benefits that Might be Available to You

Salary and Benefits

Receiving the Offer

Making the Decision

Getting Started


Critical Thinking



Appendix 11–A. Sample Resume


Chapter 12: Building Your Career

Marva Mount, MA and Melanie W. Hudson, MA  


Your First Year of Clinical Practice


Work Ethic and Professional Code of Ethics

Being Organized

Time Management and Work-Life Balance



Politics in the Workplace


Performance Evaluations

Continuing Education and Advanced Education

Promotion and Advancement

Changing Employment


Critical Thinking



Internet Sources


Chapter 13: Support Personnel in Audiology and Speech-Language Pathology

Diane Paul, PhD, Tricia Ashby, AuD, Lemmie G. McNeilly, PhD, and Steve Ritch, CRMT


Rationale for Use of Support Personnel

Challenges Using Support Personnel

Evolving Professional Policies and Practices

Chronology of Ethical and Professional Practice Policies Related to the Use of Support Personnel by Audiologists and Speech-Language Pathologists

State Regulation

Employment Trends of Support Personnel

Training for Support Personnel

Credentialing Assistants

Supervision of Support Personnel

Job Responsibilities of Support Personnel in Audiology

Job Responsibilities of Support Personnel in Speech-Language Pathology

Reimbursement of Services Provided by Support Personnel

Research Related to Support Personnel


Critical Thinking




Appendix 13–A. Support Personnel in Communication Sciences and Disorders: Key Word Definitions

Section 3: Setting-Specific Issues

Chapter 14: Healthcare Legislation, Regulation, and Financing

Jeffrey P. Regan, MA




Private Health Insurance

Coding Systems

Key Health Care Legislative and Regulatory Issues


Critical Thinking



Chapter 15: Service Delivery in Healthcare Settings

Alex Johnson, PhD and Jeffrey Johnson, PhD

Scope of Chapter

Health Care Settings and Key Responsibilities

Routine Considerations for Speech-Language Pathologists and Audiologists in Health Care

Measuring Change, Progress, and Outcomes


Supervision of Others

Quality and Compliance with Regulatory Processes

Interprofessional Responsibilities and Competencies 

Multicultural Issues and Health Disparities

Health Literacy

Some Future Considerations

Health Reform and Cost Control

Trends in Education for Health Settings

Entry Level and Advanced Degrees for Practice



Critical Thinking


Chapter 16: Education Policy and Service Delivery

Perry Flynn, MEd, Charlette M. Green, MS, and Marie Ireland, MEd


Settings and Students: Statistics

Legal Foundations Affecting Services

Education Funding

Roles and Responsibilities in the Schools

The Process of Working in the Schools

Special Issues in School Settings

Audiology Services


Critical Thinking




Chapter 17: Service Delivery Issues in Early Intervention

Corey Herd Cassidy, PhD


What is Early Intervention?

Family-Centered Services

Culturally and Linguistically Responsive Services

Developmentally Supportive Services in the Natural Environment

Comprehensive, Coordinated, and Team-Based Services

Services Based on the Highest Quality of Evidence

Other Considerations for Early Intervention Services in Natural Environments


Critical Thinking



Chapter 18: Service Delivery Issues in Private Practice

Robin L. Edge, PhD


Advantages and Disadvantages of a Private Practice

Private Practice Options

Business Plan

Location of Private Practice

Private Practice Credentials and Qualifications

Resources Needed for Private Practice

Payment for Services

Rates for Services


Outcomes Data for Private Practices



Critical Thinking




Chapter 19: Strategically Promoting Access to Speech-Language Pathology and Audiology Services

Brooke Hallowell, PhD


Identifying Barriers to Access

Ensuring that Others Understand the Need for Our Services

Optimizing Reimbursement for Clinical Services

Ensuring Alternative Funding Approaches

Advancing Legislation to Improve Access

Advocating for Our Professions

Care Extenders

Expanding Access through Technology

Educating the Public

Adjusting Service-Providing Environments


Critical Thinking



Section 4: Working Productively

Chapter 20: Documentation Issues

Barbara J. Moore, EdD


General Principles of Documentation

Documentation in Educational Settings

Documentation in Health Care Settings

Documentation in Private Practice and University Clinics

Documentation for Audiological Services


Critical Thinking




Chapter 21: Developing Leadership Skills

Gail J. Richard, PhD


Roles of a Leader

Effective Leadership Skills

Pathways to Leadership

Fiduciary Responsibilities


Critical Thinking



Chapter 22: Safety in Workplace

Cynthia McCormick Richburg, PhD and Donna Fisher Smiley, PhD


Regulatory Agencies

Accrediting Agencies

Policies, Procedures, and Trainings

Personal and Environmental Hazards

Infection Control in Clinical and Educational Settings

Confidentiality of Client and Research Participant Information


Critical Thinking



Chapter 23: Overview of Interprofessional Practice and Interprofessional Education

Alex Johnson, PhD


Interprofessional Practice

Interprofessional Education (IPE)

National and International Organizations and Resources for IPE and IPCP


Critical Thinking



Chapter 24: Child and Elder Mistreatment

Carolyn Wiles Higdon, EdD


Child Abuse and Neglect

Maltreatment and Neglect

Continuum of Abuse and Neglect

Causes and Risks

Munchausen by Proxy

Who Is an Abuser?

Extent of the Problem

Effects of Child Abuse and Neglect

What to Do If You Suspect Abuse

Who Is a Mandated Reporter of Abuse?

Elder Abuse, Neglect, and Exploitation


Critical Thinking




Appendix 24–A. Case 1: Joshua

Appendix 24–B. Case 2: Sam

Appendix 24–C. Case 3: Miriam


Chapter 25: Working with Culturally and Linguistically Diverse Populations

Shirley Huang, MS and Pui Fong Kan, PhD


Demographic Profiles

Language Difference: Language Characteristics in Typical Bilinguals

Service Delivery for Children and Adults

Systems-Level Constraints Affecting Culturally-Linguistically Diverse Populations

Moving the Field Forward


Critical Thinking



Internet Resources


Chapter 26: Supervision and Mentoring

Melanie W. Hudson, MA and Mary Sue Fino-Szumski, PhD, MBA


A Brief History of Supervision and Mentoring

The Supervisory Process

Supervisory Style and Communication Skills

Transition: Supervisor to Mentor/Preceptor

Regulations, Standards, and Guidelines

Future Needs in Supervision and Mentoring


Critical Thinking




Chapter 27: Technology for Student Training, Professional Practice, and Service Delivery

Carol C. Dudding, PhD and Susan Ingram, PhD


The Digital Revolution

Instruction and Training

Impact on Professional Practice Settings

Service Delivery

Ethical Considerations


Critical Thinking




Chapter 28: Counseling

Michael Flahive, PhD


Historical Context of Counseling in Audiology and Speech-Language Pathology

Linking Counseling to Clinical Practice and Educational Training

Optimizing Information Exchanges

Building Working Relationships: Identifying Our Strengths and Developing Our Skills

Advancing a Conceptual Framework for Addressing Emotional Needs: Personal Adjustment Counseling

Advancing a Conceptual Framework for Addressing Emotional Needs: Positive Psychology Approaches to Personal Adjustment Counseling

Building Working Relationships

Building Our Conceptual Framework

Other Considerations for a Personal Conceptual Framework

Going Forward and Putting It Together


Critical Thinking


Appendix 28–A. Conversational Counseling Tools: Microskills

Appendix 28–B. Counseling and Scopes of Practice


Chapter 29: Stress, Conflict, and Coping in the Workplace

Lisa A. Scott, PhD


What Is Stress?

Burnout and Compassion Fatigue

What are the Risks for Experiencing Burnout?

Workplace Conflict

Coping with Stress: The Importance of Self-Care


Critical Thinking




Chapter 30: Advocacy

Tommie L. Robinson, Jr., PhD and Janet Deppe, MS



Recognizing the Benefits of Being an Advocate

Advocacy Case Examples

Developing a Game Plan for Advocacy



Critical Thinking


Melanie W. Hudson

Melanie W. Hudson, MA, CCC-SLP, has over 40 years of experience as a speech-language pathologist in public schools, private practice, and university settings. She currently serves on the ASHFoundation Board of Trustees and served on the ASHA Board of Directors from 2016–2018, the Board of Ethics, the Board of Special Interest Group Coordinators, and on the Ad Hoc Committees on Governance Review in 2018, and Supervision in 2013. Her publications include co-editor and chapter author for the 4th edition of Professional Issues in Speech-Language Pathology and Audiology, (Lubinski & Hudson; Delmar, Cengage Learning, 2013) , the 5th edition (Hudson & DeRuiter, Plural Publishing, 2020), and the most recent 6th edition (Hudson & DeRuiter, Plural Publishing, 2025). She is a former President of the Georgia Speech-Language and Hearing Association and served on the Georgia Board of Examiners for Speech-Language Pathology and Audiology from 2013–2020. Melanie is an ASHA Fellow and Board-Certified Specialist in Child Language and Disorders. She presents on topics related to school-based services, clinical education, and professional ethics. She recently retired from EBS Healthcare and resides in Williamsburg, Virginia.

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Mark DeRuiter

Mark DeRuiter, PhD, MBA, is an audiologist and speech-language pathologist. He is the director of the Clinical Science Doctorate in Speech-Language Pathology at the University of Pittsburgh. Dr. DeRuiter has taught introduction to audiology, aural rehabilitation, and advanced aural rehabilitation, with teaching experiences in the United States and Taiwan. Dr. DeRuiter’s leadership experiences include serving on the executive board of the Council of Academic Programs in Communication Sciences and Disorders and serving on the American Speech-Language-Hearing Association’s Council for Clinical Certification.

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To access the PowerPoint lecture slides on the companion website, you must first contact Plural Publishing, Inc. to be verified as an instructor and receive your access code.

The website URL is located inside the front cover of your copy of the book. 

Tel: 866-758-7251 (toll free) or 858-492-1555

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