How It Works


Step 1. An in-person or virtual evaluation

Only a speech-language pathologist who is a certified SPEAK OUT!® provider can complete this evaluation and treatment process. Hazley will come out to your home for all evaluation and treatment sessions; she is currently serving Danville, PA and surrounding areas.


Step 2. Parkinson’s Information Session

Prior to beginning treatment sessions, patients and families attend a Parkinson’s Information Session. It is essential for the whole family to understand basic information about Parkinson’s and how speech and swallowing can be affected.


Step 3. Parkinson Voice Project

The program typically consists of twelve speech therapy sessions and daily home practice. Together, the patient and speech-language pathologist complete speech, voice and cognitive exercises using a specialized workbook that Parkinson Voice Project provides to every person with Parkinson’s who is receiving SPEAK OUT!® treatment.


Step 4. Six-week follow-up

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.


Step 5. LOUD Crowd®

The LOUD Crowd® is a maintenance program that provides accountability and education through weekly group sessions where SPEAK OUT!® exercises are performed. As an added bonus, this maintenance program promotes camaraderie and provides support and encouragement for the local Parkinson’s community.