Advocacy Roadmap in Early Intervention

Audiologists and speech-language pathologists (SLPs) play a critical role in supporting timely and equitable access to early intervention (EI) services. We know that this leads to stronger outcomes for children with communication-related needs—including those in the areas of speech, language, and hearing.

This resource equips audiologists and SLPs with practical tools and strategies to deepen their impact through advocacy and effective system navigation. Whether you’re new to EI or you’re an experienced professional looking to use your voice to amplify those in need of EI services this roadmap will guide you in taking meaningful action to advance early identification, family-centered services, and equitable care for all children.

Steps to Effective Advocacy

Every day, audiologists and speech-language pathologists in EI help families lay the foundation for lifelong communication and learning. Advocacy extends that mission beyond individual sessions to support systems that reflect the needs of children from birth to age three. ASHA’s recommended steps offer a clear, practical path to guide your advocacy efforts. Review the steps below, then explore how to apply them in the subsections that follow.

  1. Build your advocacy plans.
  2. Build critical knowledge about relevant legislation.
  3. Gather relevant information.
  4. Strengthen your impact through strategic partnerships.
  5. Develop your advocacy message.
  6. Use research-based information to create compelling advocacy materials specific to your needs.
  7. Broaden your advocacy reach.

Step 1: Build Your Advocacy Plan

Build Your Advocacy Plan

Effective advocacy starts with a plan. Step 1 focuses on identifying your goals, connecting with your community, and forming local partnerships that bring your mission to life. Within this section, you’ll find practical recommendations and resources to help you get started.

EI Advocacy Planning Worksheet

EI Advocacy Planning Worksheet

Whether you’re advocating within your organization, within your community, or at the policy level, you might consider using an EI advocacy planning worksheet [PDF]. This template guides you through five essential steps:

  1. Define your advocacy focus.
    Examples include early referrals, family education, and equity in regard to service access.

  2. Know your system.
    Understand your local EI pathways and barriers.

  3. Engage your allies.
    Build relationships with families, colleagues, and community leaders.

  4. Take action.
    Use tools, scripts, and strategies to move your plan forward.

  5. Reflect and refine.
    Track your efforts, adjust, and grow.

Community Outreach Planning Worksheet

Community Outreach Planning Worksheet

Using a community outreach planning worksheet [PDF] can help you strategically organize and implement outreach efforts aimed at addressing your advocacy goals. This template guides you through five essential steps:

  1. Identify your audience.
    Define who you want to reach and why. Consider the groups most affected by or influential in your advocacy goal.

  2. Develop your key message.
    Clarify the main idea you want your audience to understand. Keep it simple, focused, and relevant to their role.

  3. Determine your method.
    Choose how you’ll reach your audience and share your message most effectively.

  4. Develop or gather needed materials.
    Prepare the tools and resources that will help communicate your message clearly and professionally.

  5. Follow up.
    Plan how you’ll measure impact and maintain engagement after your outreach activity.

Sample Scripts for Outreach and Community Education

Sample Scripts for Outreach and Community Education

You may want to engage with your community and with allied health professionals whose roles and populations overlap with your own—but perhaps you don’t even know where to begin. ASHA can provide you with support, tips, and resources to help you get there.

We’ve designed sample scripts [PDF] to support—and maybe even jump-start—your outreach efforts and community education. These scripts provide a starting point for delivering key messages. Feel free to adapt them to suit your audience and specific communication goals. They can help you engage with your community and get the conversation—and collaboration—started!

ASHA Resources To Support Community Education Projects

ASHA Resources To Support Community Education Projects

ASHA offers the following resources for audiologists and SLPs who are seeking to support community education projects.

ASHA’s Developmental Milestones
ASHA offers webpages, handouts, and a presentation on its developmental milestones.

ASHA’s HEAR and TALK Texting Programs
The resources and webpages below describe the award-winning collaborations between ASHA and two other organizations to develop texting programs that help families whose children have been diagnosed with communication disorders.

Step 2: Build critical knowledge about relevant legislation

Build Critical Knowledge About Relevant Legislation

A key step in effective advocacy is knowing how the Individuals with Disabilities Education Act (IDEA) Part C Regulations work—and how your state puts IDEA into practice. ASHA provides these resources to support you:

Step 3: Gather Relevant Information

Gather Relevant Information

Gathering data is essential for EI advocacy—it helps audiologists and SLPs demonstrate needs, highlights gaps in services, and provides credible evidence to support informed decision making and policy change.

Here’s some information that you might find helpful.

Evidence Showing the Prevalence of Infants and Toddlers Who Are Eligible for EI Services

  • The Early Childhood Technical Assistance Center (ECTA) reported that 441,515 infants and toddlers received EI services under Part C in 2023.

  • The U.S. Department of Education reported that in 2023, nationally, just over 4 percent of U.S. children under age 3 received services.

  • National surveys have shown that 13 to 20 percent of children under age 3 may have delays and disabilities that could improve with EI services, which means many more children may benefit than are being served through EI Part C programs, reported by the Prenatal-to-3 Policy Impact Center in a 2021 evidence review [PDF].

  • According to the Center for Children and Families, “Medicaid is a key source of funding for the Part C Infants and Toddlers With Disabilities Program of the IDEA. The two programs work together to provide effective EI services for infants and toddlers with disabilities and developmental delays.”

Statistics Related to EI Outcomes for Toddlers with Communication Delays Who Received EI Services

  • Nearly half of all children who began EI services with a delay in communication skills exited the program with age-expected communication skills—as reported by ECTA in 2022 [PDF].

  • Researchers have found that for children with permanent hearing loss, enrolling in EI by 6 months of age was linked to higher language skills (both comprehension and expressive) than those enrolled later.

Step 4: Strengthen Your Impact Through Strategic Partnerships

Strengthen Your Impact Through Strategic Partnerships

ASHA recommends establishing strategic partnerships as a way of strengthening your impact. Here are some ways you can do that:

    • Kentucky Coalition Secures Pay Increase for Early Intervention Providers: Describes how the Kentucky Speech-Language-Hearing Association (KSHA), the Kentucky Early Intervention Providers Association (KEIPA), and individual providers came together—with ASHA’s help—to secure a 15% rate increase for Kentucky Early Intervention System providers.

    • Building a Grassroots CMV Action Group: Discusses an important advocacy campaign conducted by the Mid-Atlantic cCMV Consortium to support legislation for universal congenital cytomegalovirus (cCMV) screening.

Step 5: Develop Your Advocacy Message

Develop Your Advocacy Message

When developing your advocacy message, it’s important to take these two critical actions:

  • Craft a clear, concise statement on the importance of audiology and speech-language pathology services in EI.
  • Prepare personal stories that highlight your message. Your stories are powerful—and essential! Don’t underestimate their value and impact.

Sample Statements and Elevator Pitches

To get you started in crafting your advocacy message, we’ve developed some sample statements and elevator pitches [PDF] that you can use as starting points.

Step 6: Use Research-Based Information To Create Compelling Advocacy Materials

Use Research-Based Information To Create Compelling Advocacy Materials

Research gives advocacy its power. When you base your materials on solid evidence, you not only strengthen your message—you help decision-makers understand the importance of early speech, language, feeding/swallowing, and hearing support.

Below are a few key research articles and reports that form a strong evidence base for advocacy in EI. While some may be older, each remains highly relevant today and continues to demonstrate the critical role of EI in supporting children’s communication development.

ASHA has developed a sample advocacy handout [PDF] using data points from the above listed research articles to help you strengthen your advocacy efforts, communicate your value to decision makers, and champion the importance of timely, equitable access to EI services.

Step 7: Broaden Your Advocacy Reach

Broaden Your Advocacy Reach

As an audiologist or SLP, you can extend your impact by (a) using the media as leverage to spotlight the life-changing benefits of EI and (b) sharing resources with primary referral sources to get important information into the hands of families and caregivers. By sharing credible, research-based information and highlighting the impact of early services, professionals can help ensure that more families understand—and access—the support their children need as early as possible.

Leverage Media and Public Awareness

Leverage Media and Public Awareness

Here are some ideas for using the media and increasing public awareness.

Share Resources With Primary Referral Sources

Share Resources With Primary Referral Sources

Primary referral sources can include professionals such as pediatricians and organizations such as childcare centers. Consider sharing resources such as these parent education materials and websites with them:

Explore these ASHA tools and resources to support your advocacy for EI and the professions of audiology and speech-language pathology:

ASHA Corporate Partners