SHS Clinic gives students, faculty the opportunity to provide clinical services for the community



The Audiology and Speech-Language Pathology Clinic is located at 201 S. Oak Street in Champaign
(Photo provided)

Nestled in the University of Illinois’ Research Park is a place where the Department of Speech and Hearing Science improves communication and quality of life using evidence-based practices on a daily basis. This mission goes back to the founding of the department.

The Audiology and Speech-Language Pathology Clinic, operated by SHS, provides a full range of diagnostic and therapeutic services to 200 children and adults annually. The clinic serves individuals in the local community and across Illinois via in-person and telepractice means, providing services to clients across the lifespan. 

May is Better Hearing and Speech Month, and 2023 marks the 50th anniversary of the celebration of that occasion, as well as the 50th anniversary of SHS being established at the University of Illinois. The month’s theme of Building a Strong Foundation and its emphasis on “life-altering treatment” fit nicely with the department’s history of service, instruction and research.

During the month free pediatric and adult hearing and speech-language screenings will be offered to community members. Graduate students will perform the screenings with supervision from certified audiologists and speech-language pathologists. The event will be held at the clinic at 2001 S. Oak St. Suite B in Champaign on the morning of Wednesday, May 24, and the afternoon of Thursday, May 25. All are welcome and can call the clinic at 217-333-2205 if interested in scheduling a free screening.

Other community activities have included:

  • Presentations from second-year masters students at the OSF Heart of Mary Medical Center stroke support group’s monthly meeting.
  • Presentations at the Parkinson’s Disease Support Group of Champaign County about the role of speech-language pathology and its benefits for quality of life in Parkinson’s disease.
  • Convenient, no-charge audiology and hearing care services provide to residents of Clark Lindsey Nursing Home. Doctor of Audiology students informed residents about listening and repair strategies, cleaned and maintained hearing aids, and cleaned earwax out of residents’ ears.
  • Free hearing and speech-language screenings at the Child Development Laboratory on campus and at Chesterbrook Academy Preschool.
  • Sharing information about communication disorders and the services available at the clinic with the community as part of the College of Applied Health Sciences booth at the Urbana Market on the Square.

Graduate students in audiology and speech-language pathology develop knowledge and skills to provide clinical care to the community through their academic coursework and clinical practica experiences.

“As a clinic, we’re working very closely with the department,” said Clarion Mendes, a speech-language pathologist at the clinic and a clinical assistant professor in SHS. As Mendes explains, exposure to the needs of the community in the clinic informs teaching.

“Part of our mission is to intertwine the two and not see them as distinct entities,” she said. “The department has gone through a curriculum revision for the master’s program in recent years that highlights cultural and linguistic diversity, and if we look at that with a broader lens, that also includes looking at speech differences rather than considering them as disabilities. Speaking for myself, my clinical population nearly exclusively consists of marginalized populations. I work nearly exclusively with gender-diverse individuals. Working within that landscape requires a lot of reflection and cultural humility, constantly revising how I approach clinical practice and teach it to my students.”

The clinic gives students the unique opportunity to provide cutting-edge care informed by research and clinical expertise in an immersive environment under the supervision of licensed and nationally certified audiologists and speech-language pathologists. While clients are receiving care, they are contributing to new discoveries in the assessment and treatment of communication disorders and training the next generation of speech, language, and hearing clinicians and researchers.

Working with external partners and increasing the diversity of the student body bring fresh viewpoints and experiences to the clinic and department. In fact, the international composition in the clinical programs body is at a 10-year high, with seven international students in the clinical programs in audiology and speech-language pathology. “Efforts are also underway to expand the accepted insurances to get a broader patient base,” Clinical Assistant Professor Sadie Braun said.

Clinical work powers education and research and has motivated SHS since its humble beginnings. Jennifer Dahman, a speech-language pathologist and clinical assistant professor at SHS, credits her work as a clinical educator for making her a “better speech-language pathologist.”

“Yes, we teach the how, but more importantly, we teach the why,” she said. “And if we don’t know the why then we find out. Being able to explain that active kind of learning perspective to students translates into their service delivery.”

Learn more about the Audiology and Speech-Language Pathology Clinic by visiting the website.

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Can you understand me, Siri?



The Speech Accessibility Project aims to amass a database of audio recordings from people with disabilities that affect their speech. (Getty Images)

Speech recognition software such as Alexa, Google Assistant, Amazon Echo, Cortana and Siri allow anyone to access information and use smart home technologies through spoken questions and commands. At least, that’s what they’re supposed to do. Unfortunately, these devices typically don’t recognize speech that is affected by a disability.

Mark Hasegawa-Johnson, professor of electrical and computer engineering at Illinois, wants to change that. He launched the Speech Accessibility Project (SAP), which aims to amass a database of audio recordings from people with disabilities that affect their speech. Volunteers with Parkinson’s disease, amyotrophic lateral sclerosis (ALS), stroke-related disabilities, cerebral palsy and Down syndrome record responses to three different types of prompts to capture commands, phonetically diverse speech such as one might produce when reading aloud, and conversational speech. 

SHS Associate Professors Laura Mattie and Marie Moore Channell are leading the Illinois Down Syndrome Team. “People with Down syndrome have intelligibility issues so it’s common for them to not be understood at all or to be misunderstood by voice recognition systems,” Mattie said. And it’s not just that it’s the hot new thing, as Channell observed. “These systems are among the strategies we put into place to make life easier for people with disabilities,” she said. One can imagine the frustration that results from being unable to use technologies that are supposed to improve your life.

Mattie said she and Channell put a lot of effort into developing the prompts for the recordings “…to make them representative of the kinds of things for which individuals would be using the software.” Added Channell, “It’s about making sure on the front end that the recordings are valuable and representative so that what goes into the database is relevant.”

The Speech Accessibility Project database initially will be available to the consortium of technology companies that are funding the project, including Amazon, Apple, Google, Meta and Microsoft, before becoming widely available to the public.

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Student Spotlight: Charlie Nudelman, a trained ear



Charles Nudelman, right, with adviser Pasquale Bottalico

What comes to mind when you hear “professional voice-user?” Perhaps the image of an opera singer or a sports announcer pops in your head.

Ask Department of Speech and Hearing Science doctoral candidate Charles Nudelman, and he’ll conjure dozens of examples: Canvassers, radio DJs, telemarketers, clergy and lawyers are just a few of the professions who’ve come to him with vocal problems.

“The voice is something I feel like we take for granted—we wake up in the morning and expect everything to go fine,” Nudelman said. “If you’re relying on your voice for your job, hoarseness is going to get worse as you use it. And there’s a lot of costs related to that.”

After spending a year diagnosing voice issues in a clinical setting, 2019 SHS graduate Nudelman has returned to his alma mater to obtain his doctorate, focusing his research on preventing vocal disorders for the near-30 percent of adults who face them.

Nudelman, from Gurnee, Ill., was raised by a speech language pathologist: His mother. But he came to the University of Illinois with his major undeclared, initially hoping to veer from the course she traveled.

“I wanted to carve out my own path, but I ended up loving the classes and loving the faculty of (SHS),” Nudelman said. “That’s what drew me here to the U. of I., knowing regardless of the path I took I would have a really good education. And it was true.”

Under his advisor and friend SHS Associate Professor Pasquale Bottalico, Nudelman has become a decorated student researcher within the department, receiving the Phyllis Ariens Burkhead Memorial Fellowship and the Elaine Paden Award this spring.

And for his presentation at 2023’s “Research Live!,” where graduate students describe their own studies to a judge panel of high school juniors, he came away with the grand prize of $500.

From the start of his undergraduate experience, Nudelman was using his communication skills often, joining student radio and broadcasting Illinois athletics events through Big Ten Network’s Student U.

“It brought me to figure out what exactly is the voice, how does it work, what is this instrument we all have? And how can I make it better while I’m on TV? That’s a wormhole to itself, and I’m still living in it.”

Those questions brought him to SHS 301: General Speech Science, taught by then-first-year Assistant Professor Bottalico. Nudelman sat in the front row every lecture, taking copious notes. He quickly attached to Bottalico’s “distinct” teaching style, and gratefully accepted an invite to his lab.

For the better part of six years, the pair have worked “nonstop” on projects together, even when Nudelman left to obtain his master’s degree from the MGH Institute for Health Professions in Boston. Now back at the Illinois, he’s set to obtain his Ph.D. in 2025.

“The stars aligned, he’s an amazing mentor and friend and person,” Nudelman said. “He’s not only looking to open doors for me but any person who works with him.”

What’s “astonished” Bottalico about his mentee is how Nudelman has responded to escalating expectations with every new research project. Just one year into his Ph.D. program, Nudelman’s research output is already comparable to that of an advanced scholar, Bottalico said.

“I have a very high standard, it’s not easy to surprise me.” Bottalico said. “And Charlie has done it constantly since we met.”

Nudelman’s winning study for Research Live! took a close look at the vocal performance of teachers. He used a virtual reality headset to simulate various classroom environments for 30 schoolteachers, closely monitoring the acoustics of their voices.

What it showed: Teachers who spoke to virtual classrooms fuller with simulated students reported more vocal discomfort and fatigue, Nudelman said, while larger virtual classrooms negatively affected the teachers’ voice quality.

“I think it’s something to think about within classrooms when class sizes are only increasing and we want our teachers to be comfortable,” Nudelman said. “I guess I’m a proponent for smaller class sizes based on this study.”

He has his sights set on a career in academia, “hopefully being a mentor like Dr. Bottalico has been to me to as many students as I can,” he said. But the doctoral student finds fulfillment in making research accessible to the general public as well.

For example: Instead of clearing your throat before speaking, sip on some water. Avoid whispering — it’s worse for your voice than just talking. And if you’re speaking to a large group, use a microphone and take pauses to breathe to avoid hoarseness afterward.

It’s this brand of practical science that made Nudelman feel right at home at AHS.

“It doesn’t matter what AHS major you are, you’re working with people to improve their quality of life,” he said. “Even though we’re all doing different things, the goal is the same, and you can feel that whenever you’re interacting with anyone in this college.

“It’s a great place to come if you’re interested in helping people.”

Editor’s note:

To reach Ethan Simmons, email ecsimmon@illinois.edu.
 

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Department of Speech and Hearing Science
901 South Sixth Street
M/C 482
Champaign, IL 61820
217-333-2230