Demographic Profile of ASHA Members Providing Bilingual Services December 2014 Introduction State data on the number of bilingual speech-language pathologists (SLPs) and audiologists are frequently requested from ASHA’s Office of Multicultural Affairs by individuals seeking information related to grant funding for bilingual training programs and by those preparing recruitment initiatives. In an effort to satisfy those requests, this report presents data from ASHA’s 2013 Member Counts on bilingual service provision alongside data from the U.S. Census Bureau’s 2013 American Community Survey (ACS) on the potential need for these services. What is the ACS? The ACS is part of the Decennial Census Program of the U.S. Census Bureau. The ACS is sent to a small percentage of the U.S. population annually. The purpose of this survey is to refresh data gathered via the Decennial Census, allowing for more current data throughout the decade. What data from the ACS are used in this report? This report includes three sets of 1-year estimates based on data from the ACS. The first set presents the percentage of individuals in a given state who speak English less than “Very Well.” These data are the closest estimates available to the number of individuals who would require services in a language other than English. The second percentage represents those who speak a language other than English as their primary language at home. Although it is likely that many of these individuals are fluent English speakers, they may feel more comfortable discussing medical issues in their native language. Finally, in Table 3 the non-English-at-home column is replaced by the percentage of individuals who speak Spanish at home. All three data elements exclude children under the age of 5 from analysis. Which members are considered bilingual service providers? Although ASHA does not offer bilingual certification, on the 2012 dues notice ASHA provided members with an opportunity to self-identify as being bilingual based on ASHA’s definition of bilingual speech‐language pathologists and audiologists, which requires native or near-native proficiency in a second language. See ASHA’s Practice Portal page on bilingual service delivery for more information. On the 2012 dues notice, ASHA asked a series of questions about bilingual service provision, two of which are critical to this analysis. Following a lengthy definition, respondents were asked “Do you meet ASHA’s definition of a bilingual service provider?” and “In what languages are you qualified as a bilingual service provider?” This question was followed by an extensive list of non-English languages. Individuals used in this analysis include those who answered “Yes” to the first question and/or provided a language in the second. Many more respondents indicated they were not qualified or chose not to answer either question; these individuals were excluded from analysis. In addition to including certified SLPs and audiologists, the columns marked “Total” in Tables 2 and 3 also include dually certified, in process, and noncertified constituents. Data Snapshot: ASHA Bilingual Service Providers, Year‐End 2013 Counts • Overall. At year‐end 2013, ASHA represented 161,163 audiologists; speech‐language pathologists (SLPs); speech, language, and hearing scientists; and audiology and speech‐ language pathology support personnel. • Bilingual Service Providers. Of the 161,163 individuals represented by ASHA, 7,214 (5%) indicated they met the ASHA definition of bilingual service provider. Of these, 6,491 were ASHA‐certified SLPs and 580 were ASHA-certified audiologists. The remainder included members with dual certification, individuals who had started—but not yet completed—the certification process, and noncertified members. • Spanish‐Language Service Providers. Of the 7,214 individuals who met the ASHA definition of bilingual service provider, most (4,152 or 58%) were Spanish‐language service providers. Of these, 3,923 were ASHA‐certified SLPs and 189 were ASHA‐certified audiologists. The remainder included members with dual certification, individuals who had started—but not yet completed—the certification process, and noncertified members. Employment Characteristics • Employment Status. The majority (77%) of ASHA bilingual service providers were employed full‐time; 18% were employed part‐time. The remainder were on leave of absence, unemployed, or retired. Percentages were similar for the total ASHA membership and affiliation. • Primary Work Setting. One half (49%) of ASHA bilingual service providers were employed in educational settings, including 43% in schools and 6% in colleges and universities. An additional 44% were employed in health care settings, including 25% in nonresidential health care facilities, 12% in hospitals, and 7% in residential health care settings. Percentages were similar for the total ASHA membership and affiliation. • Primary Work Role. The majority (73%) of ASHA bilingual service providers were clinical service providers. Nearly one tenth (9%) held an administrative position, 6% were special education teachers, 5% were college or university professors, 2% were consultants, and 1% were researchers. Percentages were similar for the total ASHA membership and affiliation. • Private Practice. More than one quarter (31%) of ASHA bilingual service providers were employed full- or part-time in private practice. In comparison, 20% of ASHA’s total membership and affiliation were employed full- or part-time in private practice. Demographics • Race. The majority (81%) of ASHA bilingual service providers were White. More than one tenth (14%) were Asian, 3% were Black or African American, 2% were multiracial, 1% were American Indian or Alaska Native, and fewer than 1% were Native Hawaiian or Other Pacific Islander. In comparison, 92% of ASHA’s total membership and affiliation were White, 3% were Black or African American, 2% were Asian, 1% were multiracial, and fewer than 1% were Native Hawaiian or Other Pacific Islander. • Ethnicity. More than one third (39%) of ASHA bilingual service providers were of Hispanic or Latino descent, compared with 5% of ASHA’s total membership and affiliation. • Gender. The majority (92%) of ASHA bilingual service providers were female, compared with 95% of ASHA’s total membership and affiliation. • Age. The median age of ASHA bilingual service providers was 42 years, compared with 43 years for ASHA’s total membership and affiliation. • Location. The largest number of ASHA‐certified SLPs who lived in the United States and were bilingual service providers lived in Texas (1,102), New York (1,021), California (881), and Florida (637). Many of these were Spanish-language service providers: Texas (958), New York (473), California (506), and Florida (494). The largest number of ASHA‐certified audiologists who lived in the United States and were bilingual service providers lived in California (78), New York (61), Texas (58), and Florida (41). Many of these were Spanish-language service providers: California (33), New York (16), Texas (34), and Florida (27). 2013 American Community Survey Data • Individuals Who Spoke English Less Than “Very Well.” The percentages of individuals who indicated they spoke English less than “Very Well” were highest in California (19%); Texas (14%); New York and Hawaii (13% each); and New Jersey, Nevada, and Florida (12% each). • Individuals Who Spoke a Language Other Than English as Their Primary Language at Home. The percentages of individuals who indicated they spoke a language other than English as their principal language at home were highest in California (44%); New Mexico (36%); Texas (35%); and New Jersey, Nevada, and New York (30% each). • Individuals Who Spoke Spanish at Home. The percentages of individuals who indicated they spoke Spanish at home were highest in Texas, California, and New Mexico (29% each); Nevada (21%); and Arizona and Florida (20% each). TABLE 1: DEMOGRAPHIC PROFILE OF ASHA CONSTITUENTS WHO SELF-IDENTIFIED AS BILINGUAL SERVICE PROVIDERS: JANUARY 1 THROUGH DECEMBER 31, 2013 TOTAL n = 7,214 EMPLOYMENT STATUS RACE n = 6,911 n = 6,441 Source: Dues Notice 2011 Source: Dues Notice 2012 Employed Full-Time 76.5% American Indian or Alaska Native 0.7% Employed Part-Time 18.1% Asian 13.8% On Leave of Absence 1.1% Black or African American 2.8% Native Hawaiian or Other Pacific Islander Unemployed/Seeking Work 1.2% 0.2% Unemployed/Not Seeking Work 2.1% White 80.5% Retired 1.0% Multiracial 2.0% PRIMARY EMPLOYMENT FACILITY n = 6,582 Source: Dues Notice 2011 Educational Facility 49.3% School 43.3% Special School 2.5% Preschool 7.7% Elementary School 16.8% Secondary School 2.3% Several Schools 11.8% Schools, Unspecified 2.2% College/University 6.0% Health Care Facility (HCF) 44.2% Hospital Facility 12.1% Residential HCF 7.0% Skilled Nursing Facility 5.8% Other Residential Facility 1.2% Nonresidential HCF 25.1% Home Health 7.3% Private Physician’s Office 1.5% SLP’s or AUD’s Office 4.3% Speech & Hearing Center 3.1% Other Nonresidential Facility 8.9% All Other Facilities 6.4% AGE Source: Dues Notice 2014 34 and younger 35–44 45–54 55–64 65 and older n = 6,644 21.6% 37.5% 22.7% 14.7% 3.5% ETHNICITY Source: Dues Notice 2012 Hispanic or Latino Not Hispanic or Latino n = 6,949 39.0% 61.0% PRIMARY EMPLOYMENT FUNCTION n = 6,601 Source: Dues Notice 2011 Clinical Service Provider 73.2% Teacher 10.4% Special Education Teacher 5.9% College/University Professor 4.6% Researcher 0.5% Consultant 2.2% Doctoral Candidate 0.5% Administrator 9.3% Administrator/Exec. Officer 2.5% Chair/Dept. Head/Manager 3.0% Supervisor of Clinical Activity 2.2% Other Director/Supervisor 1.6% Other Position 3.9% PRIVATE PRACTICE Source: Dues Notice 2011 Not Employed in Private Practice Employed Full-Time Employed Part-Time n = 6,536 69.1% 13.6% 17.3% GENDER Source: Dues Notice 2009 Female Male n = 6,115 91.5% 8.5% These counts include individuals who were ASHA members, nonmember certificate holders, international affiliates, or associates during the period and whose dues/fees were paid. The percentages are for the number of respondents (n = respondents) to that question only; percentages may not total 100.0% due to rounding. In addition to the dues notices of various years, members are also able to provide ASHA with their demographic information by contacting the Action Center at 800-498-2071 or updating their data online at community.asha.org/myprofile. For additional information about these figures, contact ASHA’s Surveys and Analysis Unit at [email protected] or 800-498-2071, ext. 8749, 8738, or 8739. TABLE 2: ASHA BILINGUAL SERVICE PROVIDERS (BSP) AND AMERICAN COMMUNITY SURVEY (ACS) DATA ON ENGLISH-LANGUAGE PROFICIENCY AND NON-ENGLISH HOUSEHOLDS ASHA SLPs State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming U.S. Subtotal Puerto Rico Other U.S. Terr. Other Countries Total # of BSP 20 6 145 17 881 107 79 13 27 637 92 14 11 284 43 8 14 12 29 10 109 166 59 54 5 25 6 8 26 10 267 129 1,021 111 1 60 14 56 111 19 33 1 32 1,102 36 10 99 84 2 59 4 6,168 81 3 239 6,491 ASHA Audiologists % of BSP 1.2% 2.0% 6.5% 0.8% 8.2% 4.0% 3.9% 3.7% 9.5% 8.0% 2.4% 3.0% 1.7% 3.9% 1.7% 0.8% 0.9% 0.5% 1.3% 1.4% 3.5% 3.9% 1.5% 2.1% 0.4% 0.8% 1.7% 0.8% 4.2% 1.3% 5.3% 10.5% 7.3% 2.3% 0.2% 1.1% 0.7% 3.6% 1.8% 3.2% 1.6% 0.3% 1.3% 10.4% 3.4% 2.3% 2.9% 3.3% 0.2% 1.9% 1.3% 4.3% 40.5% 5.5% 14.2% 4.5% # of BSP 2 1 10 3 78 11 12 4 1 41 6 4 5 15 8 1 2 1 2 0 21 12 15 5 3 6 2 1 3 4 22 2 61 10 0 16 4 3 15 1 2 0 7 58 15 0 18 12 3 2 0 530 9 0 41 580 % of BSP 0.9% 2.7% 3.7% 2.3% 9.8% 3.0% 6.0% 11.4% 4.0% 6.3% 1.9% 6.7% 8.3% 2.8% 2.9% 0.5% 1.4% 0.8% 0.9% 0.0% 6.5% 3.2% 3.4% 1.6% 2.2% 2.1% 12.5% 0.8% 5.2% 8.9% 6.2% 2.5% 7.0% 2.6% 0.0% 2.6% 2.7% 1.9% 2.9% 2.0% 1.5% 0.0% 1.9% 7.1% 9.1% 0.0% 5.0% 3.7% 2.8% 0.7% 0.0% 4.2% 60.0% 0.0% 22.3% 4.5% ASHA Total # of BSP 22 8 155 20 969 122 91 18 28 686 99 18 16 302 53 10 16 13 33 10 131 179 75 60 8 31 8 9 29 14 291 133 1,103 124 1 78 18 62 127 20 35 1 40 1,167 53 10 119 97 5 62 4 6,783 92 4 335 7,214 % of BSP 1.1% 2.3% 6.0% 0.9% 8.2% 3.9% 4.0% 4.6% 8.9% 7.8% 2.4% 3.3% 2.2% 3.8% 1.9% 0.8% 0.9% 0.5% 1.3% 1.3% 3.7% 3.8% 1.7% 2.0% 0.5% 0.9% 2.1% 0.8% 4.2% 1.7% 5.3% 10.0% 7.2% 2.4% 0.2% 1.3% 0.9% 3.6% 1.8% 3.1% 1.5% 0.2% 1.4% 10.0% 4.2% 2.1% 3.1% 3.3% 0.5% 1.8% 1.1% 4.3% 37.9% 5.7% 14.5% 4.5% ACS Language Use English < Non-Eng Very Well @ Home 2.2% 4.8% 9.1% 3.1% 18.9% 6.2% 8.2% 4.5% 5.5% 11.5% 5.7% 13.1% 4.1% 9.2% 3.2% 3.1% 4.3% 2.0% 2.8% 1.5% 6.3% 8.9% 3.3% 4.2% 1.3% 2.1% 0.7% 4.7% 11.6% 2.5% 12.0% 9.8% 13.4% 4.8% 1.5% 2.4% 4.0% 5.9% 4.1% 7.7% 2.8% 1.9% 2.7% 14.0% 4.8% 1.3% 5.3% 7.5% 0.8% 3.2% 1.8% 8.5% 78.2% No Data No Data No Data 5.1% 15.5% 26.8% 6.9% 43.8% 16.7% 21.5% 12.1% 17.9% 27.4% 13.6% 25.1% 10.9% 22.7% 8.2% 7.2% 10.9% 5.0% 8.3% 6.3% 17.0% 22.4% 9.0% 10.6% 3.7% 5.8% 3.7% 10.5% 30.3% 8.4% 30.4% 36.0% 30.1% 11.0% 5.3% 6.6% 9.8% 14.9% 10.6% 21.3% 6.9% 6.5% 6.5% 34.7% 14.1% 5.0% 14.9% 18.9% 2.3% 8.7% 6.3% 20.8% 94.1% TABLE 3: ASHA SPANISH-LANGUAGE SERVICE PROVIDERS (SSP) AND ACS DATA ON ENGLISH-LANGUAGE PROFICIENCY AND SPANISH-LANGUAGE HOUSEHOLDS ASHA SLPs State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming U.S. Subtotal Puerto Rico Other U.S. Terr. Other Countries Total # of SSP 5 1 117 13 506 81 47 7 16 494 35 4 9 171 18 3 7 6 13 2 49 71 22 27 3 15 2 4 15 6 109 102 473 78 0 22 6 37 58 12 17 1 14 958 22 2 50 39 0 44 2 3,815 69 0 39 3,923 ASHA Audiologists % of SSP 0.3% 0.3% 5.2% 0.6% 4.7% 3.0% 2.3% 2.0% 5.6% 6.2% 0.9% 0.8% 1.4% 2.4% 0.7% 0.3% 0.5% 0.3% 0.6% 0.3% 1.6% 1.7% 0.5% 1.0% 0.2% 0.5% 0.6% 0.4% 2.4% 0.8% 2.2% 8.3% 3.4% 1.6% 0.0% 0.4% 0.3% 2.4% 0.9% 2.0% 0.8% 0.3% 0.6% 9.0% 2.1% 0.5% 1.4% 1.5% 0.0% 1.4% 0.6% 2.7% 34.5% 0.0% 2.3% 2.7% # of SSP 0 0 3 1 33 2 3 0 0 27 2 1 2 1 0 0 0 0 1 0 4 3 3 1 2 1 1 0 2 0 8 2 16 3 0 4 1 1 3 1 0 0 1 34 8 0 4 1 0 0 0 180 8 0 1 189 % of SSP 0.0% 0.0% 1.1% 0.8% 4.1% 0.5% 1.5% 0.0% 0.0% 4.2% 0.6% 1.7% 3.3% 0.2% 0.0% 0.0% 0.0% 0.0% 0.4% 0.0% 1.2% 0.8% 0.7% 0.3% 1.5% 0.4% 6.3% 0.0% 3.4% 0.0% 2.3% 2.5% 1.8% 0.8% 0.0% 0.7% 0.7% 0.6% 0.6% 2.0% 0.0% 0.0% 0.3% 4.1% 4.8% 0.0% 1.1% 0.3% 0.0% 0.0% 0.0% 1.4% 53.3% 0.0% 0.5% 1.5% ASHA Total # of SSP 5 1 120 14 542 85 50 8 16 525 38 5 11 174 19 3 7 6 14 2 53 75 25 28 5 16 3 4 17 6 117 106 496 83 0 26 7 41 61 13 17 1 15 993 30 2 54 40 0 44 2 4,025 79 0 48 4,152 % of SSP 0.3% 0.3% 4.7% 0.6% 4.6% 2.7% 2.2% 2.1% 5.1% 6.0% 0.9% 0.9% 1.5% 2.2% 0.7% 0.2% 0.4% 0.3% 0.5% 0.3% 1.5% 1.6% 0.6% 1.0% 0.3% 0.4% 0.8% 0.3% 2.5% 0.7% 2.1% 7.9% 3.3% 1.6% 0.0% 0.4% 0.3% 2.4% 0.9% 2.0% 0.7% 0.2% 0.5% 8.5% 2.4% 0.4% 1.4% 1.4% 0.0% 1.3% 0.6% 2.5% 32.5% 0.0% 2.1% 2.6% ACS Language Use English < Spanish @ Very Well Home 2.2% 4.8% 9.1% 3.1% 18.9% 6.2% 8.2% 4.5% 5.5% 11.5% 5.7% 13.1% 4.1% 9.2% 3.2% 3.1% 4.3% 2.0% 2.8% 1.5% 6.3% 8.9% 3.3% 4.2% 1.3% 2.1% 0.7% 4.7% 11.6% 2.5% 12.0% 9.8% 13.4% 4.8% 1.5% 2.4% 4.0% 5.9% 4.1% 7.7% 2.8% 1.9% 2.7% 14.0% 4.8% 1.3% 5.3% 7.5% 0.8% 3.2% 1.8% 8.5% 78.2% No Data No Data No Data 3.2% 3.0% 20.4% 5.0% 28.8% 11.7% 11.4% 6.3% 8.8% 20.4% 7.9% 1.9% 8.1% 13.1% 4.6% 3.7% 7.2% 2.6% 3.5% 0.9% 7.1% 8.5% 2.8% 3.8% 2.1% 2.5% 1.2% 7.0% 20.8% 2.3% 15.7% 28.7% 15.0% 7.5% 1.4% 2.2% 6.8% 8.8% 4.5% 11.7% 4.6% 2.1% 3.7% 29.4% 9.3% 0.8% 6.6% 8.3% 1.2% 4.6% 3.9% 13.0% 94.0%
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