Praxis 5331 ASHA Standards & CCC-SLP Questions

Standards items usually hinge on distinguishing the CCC-SLP, the state license, and any school-specific certification. The CCC-SLP is a voluntary national credential issued by ASHA and requires a graduate degree from a CAA-accredited program, 400 supervised clinical hours, a passing Praxis 5331 score, and a completed Clinical Fellowship. A state license is mandatory to practice in that state and is issued by a state board with its own fees, jurisprudence requirements, and renewal cycle. School certification, where it exists, is issued by the state department of education.

When a stem asks what someone 'must' have, the answer is the state license. When it asks what is required for reimbursement, ASHA membership, or interstate mobility, the answer usually involves the CCCs. Answer choices that treat ASHA as a licensing or disciplinary authority over practice rights are distractors — ASHA can revoke certification and membership, not your ability to practice.

The CF is 1,260 hours over a minimum of 36 weeks of full-time work, with at least 80 percent of the time in direct clinical contact. The mentor must hold current CCC-SLP certification, and mentoring includes a minimum of 18 supervisory activities in each of three segments: six hours of direct observation and six hours of other monitoring per segment. Part-time CF work is allowed but must be at least five hours per week, and it extends the calendar length proportionally.

Items also test who is responsible for what. The Clinical Fellow holds primary responsibility for their caseload and documentation; the mentor is responsible for oversight, feedback, and the formal performance evaluation. A scenario where a mentor never observes direct sessions describes a violation of the mentoring requirement, not merely poor practice.

SLPAs may implement treatment plans written by the supervising SLP, document objective data, and assist with materials and screenings. They may not interpret assessment results, write or modify goals, discharge clients, counsel families about diagnosis or prognosis, or represent themselves as SLPs. The supervising SLP retains full legal and ethical responsibility for every client on the SLPA's schedule.

Graduate student supervision is graded rather than fixed: the supervisor must provide at least 25 percent direct supervision of therapy and 50 percent of each diagnostic session, adjusted upward based on the student's competence and the client's needs. Any answer choice that reduces supervision below the minimum because the student 'seems capable' conflicts with the standard.