The first step to improving one’s speaking abilities with Parkinson’s is to have an evaluation by a speech-language pathologist who is trained in the SPEAK OUT! & LOUD Crowd program. 

Pre-treatment audio and video recordings are obtained, and speech and voice characteristics are assessed, including vocal volume, breath support for speech, vocal quality, articulation, and prosody.  Stimulability testing is then performed to determine if the patient would benefit from SPEAK OUT!

Prior to starting SPEAK OUT!, patients and families attend a Parkinson’s Webinar. It is essential for the whole family to understand basic information about Parkinson’s and how speech and swallowing can be affected. The webinar illustrates how using intention can improve one’s communication, as well as other motor movements, such as walking and writing.

In addition, the presentation explains how reduced levels of dopamine affect motivation and drive and how setting a routine combined with family support is crucial to managing Parkinson’s.

After the patient and family attend our "Introduction To Parkinson's Webinar," it is time to begin SPEAK OUT! The program typically consists of eight to twelve speech therapy sessions with daily home practice.

Together, the patient and speech-language pathologist complete speech, voice and cognitive exercises using the SPEAK OUT! Workbook.  Parkinson Voice Project provides a workbook to every person with Parkinson’s in the U.S. who is receiving SPEAK OUT! Unfortunately, it is cost-prohibitive to ship workbooks outside of the U.S.  However, BOTH U.S. and Non-U.S. patients can obtain free access to our SPEAK OUT! & LOUD Crowd eLibrary.  Your treating speech-language pathologist will give you a link to access the eLibrary.

SPEAK OUT! emphasizes speaking with intent and converts speech from an automatic function to an intentional act. Upon graduation from SPEAK OUT!, patients transition to The LOUD Crowd.

It can be challenging to make the transition from formal speech therapy to “maintenance.”  This is why Parkinson Voice Project recommends a follow-up session with a speech-language pathologist about six weeks after SPEAK OUT! graduation.  The SPEAK OUT! exercises are reviewed, and assistance with establishing a daily home practice routine is provided. Successful transition into The LOUD Crowd is also assessed.