An assistant should not have any capability to design therapy or to modify therapy. They should not have capacity to sign any forms, attend IEP meetings without the SLP in attendance, communicate with parents without the knowledge of the SLP. One must be care to recognize that many SLPs have a strong Masters Degree, with supervised clinical fellowship of 1 to 2 years, depending on the student and have been highly trained. the assistants have not received nearly as much training and have not been trined to direc therapy on their own. I am strongly opposing any form of autonomy given to SLPAs.