The aim of this meta-analysis was to demonstrate that treatment of persons with aphasia is affected by social workers, demonstrate that social workers have limited knowledge about aphasia, explore the perceptions stroke clients and their families have of social workers, and provide recommendations for future training programs for social workers. This review utilized a variety of databases such as EBSCO host, ERIC and ProQuest. Key terms used in the search included 'social work and aphasia', 'social work and stroke', 'social work in hospitals' and related variations. Results of the review showed that treatment of persons with aphasia is in fact affected by social workers, particularly at hospital discharge; social workers do have limited knowledge of aphasia and are not trained effectively to communicate with clients with aphasia; and stroke clients and their families have poor perceptions of social workers. Recommendations for future training programs are made with caution because improvement would require implementing a system-wide change and shift in perspectives.