Sensing of Service Provision Processes

American Speech-Language Pathologists' Training and Legislative Knowledge When Working With Immigrant and Refugee Populations: A Qualitative Study

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_pers-sig17-2019-0028 ◽

2019 ◽

Vol 4 (5) ◽

pp. 1148-1161

Author(s):

Camilo Maldonado ◽

Alejandro Ashe ◽

Kerri Bubar ◽

Jessica Chapman

Keyword(s):

Qualitative Study ◽

Service Provision ◽

Limited English Proficiency ◽

Linguistic Diversity ◽

Speech Language Pathologists ◽

Federal Mandates ◽

Refugee Families ◽

Provision Of Services ◽

English Speaking ◽

Immigrant And Refugee

Background American educational legislation suggests culturally competent speech and language services should be provided in a child's native language, but the number of multilingual speech-language pathologists (SLPs) is negligible. Consequently, many monolingual English-speaking practitioners are being tasked with providing services to these populations. This requires that SLPs are educated about cultural and linguistic diversity as well as the legislation that concerns service provision to non-English or limited English proficiency speakers. Purpose This qualitative study explored the experiences of monolingual, American, English-speaking SLPs and clinical fellows who have worked with immigrant and refugee families within a preschool context. It investigated what training SLPs received to serve this population and what knowledge these SLPs possessed with regard to federal legislation governing the provision of services to culturally and linguistically diverse (CLD) communities. Method Ten American clinicians with experience treating CLD children of refugee and immigrant families in the context of preschool service provision participated in the study. Semistructured interviews were utilized to better understand the type of training clinicians received prior to and during their service delivery for CLD populations. Additionally, questions were asked to explore the degree to which practitioners understood federal mandates for ethical and effective service provision. The data collected from these interviews were coded and analyzed using the principles of grounded theory. Findings The results of this study revealed that there was a general sense of unpreparedness when working with CLD clients. This lack of training also attributed to a deficiency of knowledge surrounding legislation governing service provision to CLD populations.

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Autism and Neurodiversity: Addressing Concerns and Offering Implications for the School-Based Speech-Language Pathologist

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-20-00188 ◽

2020 ◽

pp. 1-7

Author(s):

Laura S. DeThorne ◽

Kelly Searsmith

Keyword(s):

Service Provision ◽

Individualized Education Program ◽

Institutional Constraints ◽

Individualized Education ◽

Existing Structures ◽

Eligibility Determination ◽

Speech Language Pathologist ◽

School Based ◽

Key Points ◽

C Center

Purpose The purpose of this article is to address some common concerns associated with the neurodiversity paradigm and to offer related implications for service provision to school-age autistic students. In particular, we highlight the need to (a) view first-person autistic perspectives as an integral component of evidence-based practice, (b) use the individualized education plan as a means to actively address environmental contributions to communicative competence, and (c) center intervention around respect for autistic sociality and self-expression. We support these points with cross-disciplinary scholarship and writings from autistic individuals. Conclusions We recognize that school-based speech-language pathologists are bound by institutional constraints, such as eligibility determination and Individualized Education Program processes that are not inherently consistent with the neurodiversity paradigm. Consequently, we offer examples for implementing the neurodiversity paradigm while working within these existing structures. In sum, this article addresses key points of tension related to the neurodiversity paradigm in a way that we hope will directly translate into improved service provision for autistic students. Supplemental Material https://doi.org/10.23641/asha.13345727

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