Upon completion of SPEAK OUT!,® each patient enters the maintenance phase of Parkinson Voice Project's two-part therapy program. Since Parkinson’s is a progressive, degenerative condition, maintaining the strength of one’s voice can be a challenge. People with Parkinson's often struggle with motivation as a result of the lack of dopamine in the brain.
In 1999, Parkinson Voice Project’s founder developed The LOUD Crowd. This maintenance program consists of speech therapy groups and a singing program to help patients maintain the strength of their voices. The LOUD Crowd provides ongoing vocal practice, accountability, support, and encouragement. By participating in LOUD Crowd, patients have been shown to maintain their SPEAK OUT! results for more than five years and counting.