This study addresses the use of speech amplification devices in speech therapy sessions. The major factor addressed is the impact that speech amplification has upon the managerial time of speech-language pathologists who provide therapy in small group sessions. This study measured the change in the amount of time speech-language pathologists spent on managerial tasks during small group speech therapy with the use of speech amplification equipment versus managerial time without the treatment. Managerial tasks included giving and repeating instructions, and behavior management. Results of the study suggest that there was significant improvement in student on-task behaviors, including a decrease in the number of times therapist facilitators provided on-task reminders, in the experimental group as compared to the control group. A statistically significant change in the number of times that directions were repeated was not noted.