People living with speech, language, voice, hearing, and cognitive challenges often face difficulties accessing the information and accommodations necessary for their health care. The lack of effective communication access not only leads to frustration for everyone involved in a care interaction but also contributes to poorer health and health care outcomes.
Prioritizing communication by asking individuals about their needs FIRST—and making necessary modifications—can improve access to quality care and help reduce health disparities. Yet, many health care workers feel uncomfortable or unprepared to do so. Audiologists and speech-language pathologists can assist by engaging in interprofessional education, training, and collaborative practice aimed at reducing communication barriers. They can also empower patients and clients with self-advocacy tools that support their rights to accessible, effective communication and high quality care.
ASHA's Communication Access initiative centers around its ACCESS framework, which outlines six key principles to improve effective communication access in health services and programs. The initiative includes online resources, trainings, and techincal assistance for health professionals, front-line staff, health system administrators, and consumers. It offers information about:
Other activities supporting this initiative include presenting and exhibiting at related professional conferences, participating in media interviews and podcasts, highlighting the work of ASHA members in this area, sharing articles and e-newsletters with a wide range of health professionals, creating informational videos, and collaborating with other associations pursuing similar goals.
See the Communication Access site or contact Adena Dacy (she/her) at healthservices@asha.org.
This initiative was submitted on December 23, 2025.