ABSTRACT
Significant reforms in education are changing the way school-based speech-language
pathologists document and provide treatment. Faced with resource constraints and new
mandates for accountability, clinicians are being pressured to demonstrate the value
and impact of their services. To assist clinicians with meeting these challenges,
the American Speech-Language-Hearing Association developed the National Outcomes Measurement
System (NOMS) as a way to determine the effectiveness of school-based speech and language
services. Data collected from NOMS are used to discuss: the effects of speech and
language intervention on a student's ability to perform in the classroom, the key
factors influencing progress for preschoolers with articulation disorders, and the
impact of a clinician's caseload size on the outcomes students achieve.
KEYWORDS
Treatment outcomes - schools - caseload - speech-language pathology - articulation