University of Oregon

SPEAK OUT!® ​and LOUD Crowd® for people with Parkinson's Disease

people talking around a table

HEDCO Clinic has partnered with Eugene Speech Therapy to provide SPEAK OUT!® ​and LOUD Crowd for people with Parkinson's Disease. SPEAK OUT!® is a highly effective speech therapy program developed by Parkinson Voice Project. 


SPEAK OUT!® is the first step in this two-part therapy approach. The therapy typically consists of twelve individual sessions. Together, the patient and the speech-language pathologist student work their way through a series of speech, voice, and cognitive exercises outlined in a comprehensive workbook provided to every patient in the U.S. as a gift from Parkinson Voice Project. Each therapy session lasts 40-45 minutes. The primary goals of SPEAK OUT!® are to strengthen the muscles used for speaking and swallowing and to teach patients how to speak with intent. Once patients complete SPEAK OUT!®, they transition to the second part of Parkinson Voice Project’s program called The LOUD Crowd®.

The LOUD Crowd®

Upon completion of SPEAK OUT!®, each patient enters the maintenance phase of this two-part therapy program. Since Parkinson’s is a progressive, degenerative condition, maintaining the strength of one’s voice can be a challenge. People with Parkinson's often struggle with motivation as a result of the lack of dopamine in the brain.

This maintenance program consists of speech therapy groups hosted by Hilyard Community center, ran in partnership with Eugene Speech Therapy, to help patients maintain the strength of their voices. The LOUD Crowd® provides ongoing vocal practice, accountability, support, and encouragement. By participating in the group, patients have been shown to maintain their skills for more than five years and counting.

Take Action

Site Navigation