SLT versus Singing Teacher. Boundaries, Referral & Vocal Health

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What's the difference between a speech and language therapist (or pathologist) and a singing teacher? Where do those roles overlap and where should the boundaries be?

In this episode of This Is a Voice, Jeremy Fisher and Dr Gillyanne Kayes explore the similarities and differences between the work of an SLT/SLP and a singing teacher, especially when singers or professional voice users arrive with voice problems, vocal fatigue, or concerns about vocal health. The conversation begins after teaching a course for SLTs in Northern Ireland, where questions about overlap, gaps & boundaries kept coming up.

Gillyanne and Jeremy unpack the difference between a more medicalized approach and a more functional one, showing how clinicians may be focused on diagnosis, pathology, red flags and referral pathways, while singing teachers and vocal coaches are often focused on efficiency, stamina, clarity, range, coordination and performance goals.

   * when a singer should be referred onward
   * why singing teachers need to stay inside their scope of practice
   * how to think about vocal load
   * why voice problems are often multifactorial, a “perfect storm”
   * what singing teachers can legitimately observe and ask

00:00 Singing teachers training SLTs
01:30 Why this SLT training course was different
03:45 Overlaps, gaps and boundaries
05:57 Singing teachers can help retrain coordination
08:33 Medicalized vs functional voice work
11:42 Multifactorial voice problems and boundaries
15:43 Perfectionism, performance pressure and voice recovery
19:57 Case study, effortful voice through 2 different lenses
23:29 What to hear, see and ask before giving exercises
25:24 Why context matters more than generic exercises
26:33 What is my job today in this room?
28:00 Case history, profiling and trial interventions
31:34 Being a detective, testing and evaluating exercises

If you’re interested in voice therapy, vocal pedagogy, functional voice training, singing teaching, rehabilitation vs habilitation, and referral decisions, this episode is packed with practical insight from two voice experts who train speech therapists


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