(1) screening, identifying, assessing and interpreting, diagnosing, rehabilitating and preventing disorders of speech (e.g. articulation, fluency, voice,) and language;

(2) screening, identifying, assessing and interpreting, diagnosing, rehabilitating and preventing disorders of dysphagia (swallowing), and related disorders;

(3) screening, identifying, assessing and interpreting, diagnosing, and rehabilitating cognitive and communication disorders (e.g. individuals who have been diagnosed with mental deficiency, traumatic brain injury, aphasia, stroke or other neurological disorders);

(4) assessing, selecting and developing augmentative and alternative communication systems, and providing training in their use;

(5) providing aural rehabilitation and related counseling services to hearing impaired individuals and their families;

(6) enhancing speech-language proficiency and communication effectiveness (e.g. accent reduction); and

(7) screening of hearing and other factors for the purpose of speech-language evaluation or the initial identification of individuals with other communication disorders.

(b) A licensed Speech-Language Pathologist is professionally and legally responsible for patient/client care given by SLPA-B and SLPA-M under the Speech-Language Pathologist’s supervision.

(1) If a Speech-Language Pathologist fails to adequately supervise the patient/client care by supportive personnel, as strictly provided and authorized pursuant to this Article, the Board may take disciplinary action against the licensee.

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(2) Supervision of supportive personnel requires that the Licensed Speech-Language Pathologist perform the following activities:

(A) assess the competence of supportive personnel to perform assigned tasks; and

(B) document sufficient in-service training and periodic evaluation of performance to assure safe performance of the tasks assigned to supportive personnel.

(c) A Speech-Language Pathology Assistant (Bachelor’s level) (SLPA-B) must

(1) work under the direct or indirect supervision of the supervising licensed SLP, and

(2) may only implement the therapeutic plan designed by the supervising licensed SLP in conjunction with treatment goals, and

(3) be responsible for all documentation of treatment which is co-signed by the supervising speech-language pathologist.

(d) (1) A Speech-Language Pathology Assistant (Master level) (SLPA-M) (without the CCC)

(A) must work under the indirect supervision of the supervising licensed SLP, and

(B) shall confer with and have all reports co-signed by the supervising licensed SLP.

(2) The Master level speech-language assistant shall perform all of the following duties:

(A) diagnostic testing,

(B) interpreting evaluation results,

(C) documenting all evaluation results,

(D) developing written goals and objectives based upon evaluation results, teacher/parent reports,

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(E) attending all informal/formal student meetings,

(F) maintaining a therapeutic and consultative case load,

(G) performing and documenting all therapeutic intervention,

(H) designing or selecting appropriate therapy materials or augmentative or alternative communication systems or devices.

SOURCE: Added by P.L. 24-329:11 (Aug. 14, 1998), and amended by
P.L. 34-048:5 (Oct. 13, 2017).

2017 NOTE: Subitem designations added pursuant to authority granted by 1 Guam Code Ann. § 1606.