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Claude for Speech-Language Pathologists: IEP Goals & Notes

How SLPs use Claude to write measurable IEP goals, therapy notes, progress reports and therapy materials, with a free plugin and HIPAA/FERPA cautions.

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Claude for Speech-Language Pathologists: IEP Goals & Notes

Speech-language pathologists use Claude to turn baseline data into measurable IEP goals, draft SOAP therapy notes and progress reports from their session data, and build word lists, sentence strips and practice activities for specific targets. Claude doesn't evaluate students or decide eligibility, services or goals, and it should only see de-identified information, whether you work in a school, a clinic or a hospital.

Below: one IEP goal drafted from a present level of performance, the free Speech-Language Pathologist plugin and its four commands, five more caseload tasks, and plain answers on HIPAA, FERPA and therapy materials.

Worked example: an IEP goal from a present level of performance

You're preparing for an annual IEP meeting for a preschooler with an expressive language delay. In Claude, type /iep-goal, pick it from the menu, then paste your data. The student is "Student A", with no name, school or birth date:

IEP goal. Student A, age 4, expressive language delay.
Present level: MLU 2.3 in a 50-utterance play sample; mostly nouns and verbs;
plurals and present progressive -ing rarely used; possessives absent.
Target: longer utterances using age-appropriate morphemes in structured play.
Data: SLP probes each session. Support: visual supports and models fading to independent.
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Claude returns a draft goal with benchmarks (shortened here):

ANNUAL GOAL #1 — DRAFT FOR SLP REVIEW
Area of need: Expressive language

Present level of performance:
Student A currently produces a mean length of utterance (MLU) of 2.3 in a 50-utterance
play-based sample, using mainly nouns and verbs. Plural -s and present progressive -ing
are rarely used; possessive 's was not observed.

Annual goal:
By [IEP end date], Student A will produce utterances containing plural -s, present
progressive -ing or possessive 's in 80% of opportunities across 3 consecutive data
sessions during structured play activities, given [support level], as measured by
SLP data collection. [Confirm criterion against your district's goal format.]

Benchmark 1 (by [date]): ...with 50% accuracy given a verbal model and visual support.
Benchmark 2 (by [date]): ...with 65% accuracy given visual support only.
Benchmark 3 (by [date]): ...with 80% accuracy independently in structured play.
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What's left for you: make sure the criterion and support levels match what you actually saw in testing, fit the wording to your district's IEP software, and bring it to the team as a proposal. The IEP team decides the goals, not you alone and certainly not Claude.

The free Speech-Language Pathologist plugin: four commands

The Speech-Language Pathologist plugin is free. Type a command and pick it from the menu; if you paste it, Claude reads it as plain text.

Command What it drafts
/iep-goal SMART IEP goals with baseline data, measurable criteria and benchmarks
/therapy-note SOAP session notes for articulation, language, fluency, voice and AAC
/progress-report Progress monitoring reports with data summaries and recommendations
/therapy-material Therapy activities, word lists, sentence strips and conversation scripts

Two skills switch on by themselves when they're relevant: Speech-Language Pathology and Educational Documentation.

To install it in the Claude desktop app: Customize → Plugins → Add → Add marketplace → Add from a repository, paste alexclowe/awesome-claude-cowork-plugins, click Sync, then click Add next to Speech-Language Pathologist under Discover. Plugins need a paid Claude plan. In Claude Code: run /plugin marketplace add alexclowe/awesome-claude-cowork-plugins, then /plugin install speech-language-pathologist@awesome-claude-cowork-plugins. Full steps are on the plugin page.

Set up a Claude Project for your caseload

Step 1: Create an SLP Project. In Claude, go to Projects and create one called "SLP Practice" or similar. This is your persistent workspace with context that carries across conversations.

Step 2: Set your custom instructions. In the Project settings, add:

You are my speech-language pathology documentation and materials assistant. Here is my context:

<practice-profile>
- Role: [Staff SLP / CF-SLP / Private practice owner / School-based SLP / Travel SLP]
- Setting: [School / Private practice / Hospital / Outpatient clinic / Early intervention / SNF / Home health]
- State: [Your State]
- Documentation system: [IEP software, EMR name, or practice management platform]
- Common populations: [Pediatric articulation / Language delay / Fluency / Apraxia / Aphasia / Dysphagia / Voice / AAC / Cognitive-communication]
- Documentation style: [SOAP format, narrative notes, data-driven session logs]
</practice-profile>

<rules>
- All goals should be specific, measurable, and evidence-based
- IEP goals must be written in measurable, observable terms per IDEA requirements
- Therapy notes should document skilled intervention, client response, and data (accuracy percentages, cueing levels)
- Parent/caregiver handouts should use plain language and provide actionable home practice strategies
- Never generate content for a specific identifiable student or patient — all scenarios must use de-identified information
- Remind me to verify all clinical details and data before finalizing documentation
- Reference ASHA practice guidelines when applicable
</rules>
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Step 3: Upload your templates. Add your preferred session note template, IEP goal bank or format, progress report template, and any district or facility-specific documentation requirements.

Step 4: Always work inside this Project. Every new conversation inherits your context automatically.

Five more SLP tasks to hand Claude

1. Therapy Session Notes

Session documentation must capture skilled intervention, client data, and clinical reasoning every visit. Claude drafts structured notes from your session data.

<task>Draft an SLP therapy session note from these details (de-identified client).</task>

<context>
- 6-year-old male, articulation disorder (phonological processes: fronting, stopping)
- Session 14 of current treatment plan
- Target sounds: /k/, /g/ in initial and medial positions
- Setting: School-based, pull-out individual session, 30 minutes
</context>

<instructions>
Use this session data:

Subjective: Student arrived engaged, reported practicing his "K words" at home with mom. Teacher notes improved intelligibility in classroom.

Objective:
- Minimal pairs activity (/k/ vs /t/): 85% accuracy at word level (was 70% last session), self-corrected on 3/4 errors after auditory discrimination cue
- /k/ initial position — structured picture naming: 80% accuracy with visual cue (was 65%), 60% accuracy independent
- /g/ initial position — structured picture naming: 70% accuracy with visual cue (was 55%), 45% accuracy independent
- Phonological awareness task (identifying initial /k/ vs /t/ in words): 90% accuracy
- Conversational probe (5-minute sample): /k/ correct in initial position 40% of opportunities, /g/ 25%

Assessment: Student showing consistent progress in structured tasks. /k/ approaching criterion for word level (90%). /g/ progressing but requires continued structured practice. Carryover to conversation remains the primary focus going forward. Skilled SLP services continue to be required for phonological intervention and carryover strategies.

Plan: Continue 2x/week. Progress /k/ to phrase level next session. Maintain /g/ at word level. Send home practice words for both targets. Consult with classroom teacher on embedded practice opportunities.

Format as a clinical session note with clear data documentation. Include accuracy percentages and cueing levels.
</instructions>

<avoid>Student identifiers, school name, teacher names, vague data descriptions.</avoid>
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2. IEP Goals

Writing IEP goals that are measurable, defensible, and aligned with educational standards is one of the most scrutinized parts of a school-based SLP's job. Claude helps generate well-structured goals.

<task>Write IEP speech-language goals for a de-identified student.</task>

<context>
- 8-year-old female, 3rd grade
- Eligibility: Speech-Language Impairment
- Areas of concern: Expressive language (syntax, narrative skills), articulation (/r/ distortion)
- Current levels:
  - MLU: 5.2 (below age expectation of 7+)
  - Narrative assessment: Produces stories with basic setting and action sequence, missing initiating events and character reactions. Difficulty with temporal and causal connectors.
  - /r/ production: Distorted in all positions in connected speech. 40% accuracy at sentence level with visual model.
  - Academic impact: Difficulty with written narrative assignments, oral presentations lack coherence, peers sometimes have trouble understanding her
</context>

<instructions>
Write 3 annual IEP goals (1 articulation, 2 language) with:
- Measurable criteria (accuracy percentages, frequency counts, rubric scores)
- Condition statements (given what support, in what context)
- Observable behaviors
- 2-3 short-term objectives or benchmarks per goal that show progression

Goals should be educationally relevant and tied to classroom participation and academic success. Follow IDEA documentation requirements.
</instructions>

<avoid>Non-measurable language ("will improve"), goals not tied to educational impact, student identifiers.</avoid>
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3. Progress Reports

Progress reports communicate treatment outcomes to parents, schools, and payers. Claude structures these for each audience.

<task>Draft a quarterly progress report for a de-identified pediatric client in private practice.</task>

<context>
- 4-year-old male, childhood apraxia of speech (CAS)
- Treatment approach: DTTC (Dynamic Temporal and Tactile Cueing) and ReST (Rapid Syllable Transition Treatment)
- Frequency: 2x/week individual, 45-minute sessions, 24 sessions this quarter
- Baseline (3 months ago) vs. current:
  - Functional consonant inventory: 8 consonants to 13 consonants
  - Syllable shapes: CV and CVC only to CV, CVC, CVCV, and emerging CVCVC
  - Single word intelligibility (unfamiliar listener): 35% to 55%
  - Connected speech intelligibility (unfamiliar listener): 20% to 35%
  - Functional communication: Used 15 word approximations consistently to 40+ words and 10 two-word combinations
- Goals met: 1 of 3 (expanded consonant inventory to 12+)
- Goals in progress: Intelligibility 70% single words, two-word combinations in 80% of communication attempts
- Parent report: "He is talking so much more. His preschool teacher can understand him now most of the time."
</context>

<instructions>
Format as a parent-friendly progress report that also satisfies insurance documentation requirements. Include:
- Summary of treatment approach and frequency
- Objective data with baseline comparisons
- Goal-by-goal progress analysis
- Clinical impressions and prognosis
- Recommendation for continued services with justification
- Updated goals for next quarter

Tone should be professional but accessible to parents.
</instructions>

<avoid>Clinical jargon without explanation, patient identifiers, overpromising outcomes.</avoid>
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4. Therapy Materials

Creating engaging, targeted therapy materials for diverse caseloads consumes enormous time. Claude generates custom materials tailored to specific goals and interests.

<task>Create a set of therapy materials for targeting regular past tense -ed.</task>

<context>
- Target population: Early elementary students (ages 5-7) working on regular past tense morphology
- Skill level: Students can produce present tense verbs but omit -ed in past tense contexts 70%+ of the time
- Interest themes to incorporate: dinosaurs, space, and animals
- Session format: 30-minute individual or small group (2-3 students)
</context>

<instructions>
Create:
1. A list of 20 target verbs organized by -ed pronunciation (/t/, /d/, /id/) with 5-7 verbs per category
2. A short narrative story (8-10 sentences) using 10+ past tense verbs, themed around a dinosaur adventure — include comprehension questions that require past tense in the answer
3. A structured elicitation activity: 10 picture description prompts (describe what the character already did) using the target verbs
4. A sentence completion task: 10 sentences with blanks requiring past tense verb forms
5. A brief carryover activity parents can use at home (bedtime routine: "Tell me 3 things you did today")

All materials should be appropriate for the age range and engaging enough to maintain attention.
</instructions>

<avoid>Irregular past tense verbs (those are a different target), overly complex vocabulary, materials requiring extensive printing or preparation.</avoid>
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5. Parent and Caregiver Handouts

Parents and caregivers are the most important factor in carryover. Claude generates practical handouts that translate therapy strategies into daily routines.

<task>Create a parent handout for supporting language development at home for a late talker.</task>

<context>
- Target audience: Parents of toddlers (18-30 months) with expressive language delays
- Children are in early intervention speech therapy
- Parents have varying education levels and available time
- Goal: Provide strategies parents can embed into existing daily routines without adding extra "therapy time"
</context>

<instructions>
Include:
- A brief, reassuring explanation of what "late talker" means (2-3 sentences)
- 6 strategies parents can use during everyday routines, each with:
  - The strategy name in plain language
  - A 1-2 sentence explanation of what to do
  - 2 specific examples tied to real routines (mealtime, bath, getting dressed, playing, reading)
- A "What NOT to do" section (3 items: do not quiz, do not withhold, do not force repetition) with brief explanations of why
- A "When to contact us" section (red flags, scheduling follow-up)
- Encouraging closing statement

Keep it to one page. Warm, supportive tone. No jargon.
</instructions>

<avoid>Clinical terminology, guilt-inducing language, implying the parent caused the delay, strategies that require purchased materials.</avoid>
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Prompting tips for SLP documentation

1. Always include accuracy data and cueing levels. Claude writes dramatically better session notes when you provide specific percentages and the level of cueing required. "80% accuracy with visual cue, 60% independent" gives Claude everything it needs.

2. Specify the disorder and approach. "Childhood apraxia of speech using DTTC" produces completely different content than "articulation disorder using traditional approach." Claude adapts its language, goal structure, and intervention descriptions to the specific methodology.

3. State the audience for every document. Parent reports, IEP team documents, and insurance progress reports all need different framing of the same information. Always tell Claude who will read the output.

4. Include the educational or functional impact. For school-based work, every goal and document should connect speech-language deficits to educational participation. Add "tie all goals to classroom and academic impact" to your Project instructions.

5. Ask Claude to check your goals for measurability. Paste an IEP goal and ask: "Is this goal specific, measurable, and observable? Could another SLP collect data on this goal without additional clarification?" This is the standard your goals need to meet.

6. Use Claude to generate multiple material variations. Say "Give me this activity themed around 3 different topics: space, cooking, and superheroes" so you can rotate materials across sessions without creating everything from scratch.

Can Claude write IEP goals for speech therapy?

Yes, as drafts for you to take to the IEP team. Give Claude the present level of performance and baseline data and it writes a measurable annual goal with benchmarks, a criterion, a support level and a data method. You check that the numbers reflect your assessment, match your district's format, and adjust before the meeting; the goals themselves are a team decision.

Is Claude HIPAA and FERPA compliant for SLPs?

Not in a way you can rely on with identifiable student or patient information. As of October 2026, Anthropic's Privacy Center says it signs a business associate agreement (BAA) for HIPAA-ready services, such as its own API, Claude in Microsoft Foundry, and Enterprise plans where the Primary Owner switches HIPAA on; the Free, Pro and Max consumer plans aren't on that list.

Anthropic's help center adds that plugins, skills, connectors and MCP servers aren't covered by the BAA even on a HIPAA-ready Enterprise plan, which includes this plugin. School-based SLPs have a second set of rules: student records fall under FERPA and your district's policies, and your district may allow only the AI tools it has approved. The safe default in any setting is to describe students and patients by age, diagnosis and data only, with no names, schools, birth dates or ID numbers, and to check your district or employer policy first.

Sources: Business Associate Agreements for Commercial Customers and Use Claude Code and Cowork on a HIPAA-ready Enterprise plan (both checked October 2026).

Can Claude make speech therapy materials?

Yes, and it's one of the lowest-risk uses because no student information is needed. Ask for word lists by phoneme and position, minimal pairs, sentence strips, inferencing passages or conversation scripts, themed around whatever your student likes. Read every item before you use it; Claude occasionally slips in a word with the wrong sound pattern or a passage at the wrong reading level.

Can Claude write SLP progress reports?

Yes, from data you supply. Paste goal-by-goal accuracy, cueing levels and session counts and it drafts a progress report with a narrative for each goal and a recommendation section. It can't see your data sheets, so any figure in the report must come from you, and the recommendation about continuing or changing services is your clinical call.

Does Claude replace clinical judgment for SLPs?

No. Claude never hears your client's speech, and it doesn't know their evaluation or history beyond what you type. Use it for drafting and materials; diagnosis, treatment approach and dismissal decisions stay with you, your ASHA certification obligations and your state licensure rules.

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