Our services


SPEAK OUT!® and The LOUD Crowd®

Hospital for Special Care is pleased to offer a two-part speech therapy program to help individuals with Parkinson’s regain and maintain effective communication: SPEAK OUT!® followed by The LOUD Crowd®.

SPEAK OUT!® places emphasis on speaking with intent and converting speech from an automatic function to an intentional act. Together, patients and their speech-language pathologist work through a series of speech, voice, and cognitive exercises outlined in a SPEAK OUT!® Workbook.

Upon completion of SPEAK OUT!®, patients transition to The LOUD Crowd®. This maintenance program consists of weekly group sessions led by a speech-language pathologist. The SPEAK OUT!® exercises are performed, and group members provide support, encouragement, and accountability to one another.

Participation in The LOUD Crowd®, along with daily home practice and six-month re-evaluations, has been shown to help patients maintain their communication skills throughout the progression of Parkinson’s.


For more information about SPEAK OUT!® and The LOUD Crowd®, please call Krista Orszulak 860-827-1958 x4071. To schedule a speech evaluation please call the outpatient office at 860-832-6258.


Learn more about the Parkinson Voice Project at: Parkinson Voice Project