Access to Speech-Language Pathology Services for African-American Clients with Aphasia: A Qualitative Study

2014 ◽  
Vol 21 (2) ◽  
pp. 53-62
Author(s):  
Nidhi Mahendra ◽  
Julianne Spicer
Keyword(s):  
African American ◽  
Qualitative Study ◽  
Speech Therapy ◽  
Healthcare Providers ◽  
Barriers And Facilitators ◽  
Speech Language Pathology ◽  
Linguistic Barriers ◽  
Ethnographic Interview ◽  
Language Pathology ◽  
Therapy Services

The purpose of this article is to report the perceptions and experiences of family members of five African-American clients with aphasia as they accessed speech-language pathology services. Client or family responses to a survey and during a semi-structured, ethnographic interview revealed information on barriers and facilitators influencing access to speech therapy services. These data are part of a larger investigation into cultural and linguistic barriers that might influence racial and/or ethnic minority clients’ awareness of, access to, and utilization of speech-language pathology services. Results reveal the presence of distinct barriers and facilitators that can influence timely, sustained access to speech-language pathology services for African-American clients and their families. These data have critical implications for speech-language pathologists (SLPs), audiologists, and all healthcare providers.

scholarly journals The Evolution of Access to Speech Therapy Services in American Schools

2020 ◽  
pp. 52-57
Author(s):  
Christina Bradburn ◽  
Cindy Gill
Keyword(s):  
Students With Disabilities ◽  
School Children ◽  
Speech Therapy ◽  
The United States ◽  
Speech Language Pathology ◽  
Language Therapy ◽  
The Future ◽  
Language Pathology ◽  
Therapy Services ◽  
Future Direction

Aim: To trace the historic changes, track the progress, and examine the laws that have resulted in access to speech-language therapy for American school children. Rationale: Examination of the outcome of these changes will help future speech-language pathologists make optimal decisions for school children in the future.   Summary: Over the last hundred years, dramatic changes have taken place in service delivery for children with speech/language disorders and other disabilities. The evolution of laws, the shifting mindset toward children with handicaps, and the development of the profession of speech-language pathology have ensured that students with disabilities who are in need of speech and language services are eligible to receive them in the schools. There are still difficulties and differences of opinion as to what makes a child eligible for speech therapy services and how service should be delivered. However, the progression that has occurred thus far has resulted in remarkable changes in speech-language therapy in schools in the United States. Examination of the successes and failures during this one-hundred year journey should serve as a roadmap for the future direction of the profession of speech-language pathology as it is employed in the schools.

Bilingual and Monolingual Students' Perceptions of the CSD Major: A Qualitative Study

2015 ◽  
Vol 18 (1) ◽  
pp. 16-31 ◽  
Author(s):  
Flora Keshishian ◽  
Rebecca Wiseheart
Keyword(s):  
Qualitative Study ◽  
Undergraduate Students ◽  
Critical Role ◽  
School Setting ◽  
The United States ◽  
Bilingual Students ◽  
Speech Language Pathology ◽  
Diverse Environment ◽  
Language Pathology ◽  
Areas Of Interest

There is a growing demand for bilingual services in speech-language pathology and audiology. To meet this growing demand, and given their critical role in the recruitment of more bilingual professionals, higher education institutions need to know more about bilingual students' impression of Communication Sciences and Disorders (CSD) as a major. The purpose of this qualitative study was to investigate bilingual and monolingual undergraduate students' perceptions of the CSD major. One hundred and twenty-two students from a large university located in a highly multicultural metropolitan area responded to four open-ended questions aimed at discovering students' major areas of interest (and disinterest) as well as their motivations for pursuing a degree in CSD. Consistent with similar reports conducted outside the United States, students from this culturally diverse environment indicated choosing the major for altruistic reasons. A large percentage of participants were motivated by a desire to work with children, but not in a school setting. Although 42% of the participants were bilingual, few indicated an interest in taking an additional course in bilingual studies. Implications of these findings as well as practical suggestions for the recruitment of bilingual students are discussed.

Fonoaudiología En Salas De Urgencias: Perspectiva Desde Una Revisión Documental

Areté ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Johanna Rodríguez Riaño ◽  
DANIELA MARCELA QUECHO RODRIGUEZ ◽  
MARIA PAULA RINCON PINILLA ◽  
PAULA VANESSA GARAVITO HERNÁNDEZ ◽  
DANIELA MARCELA QUECHO RODRIGUEZ ◽  
...  
Keyword(s):  
Emergency Room ◽  
Speech Therapy ◽  
Web Of Science ◽  
Speech Language Pathology ◽  
Toma De Decisiones ◽  
Language Pathology

Las salas de urgencias son espacios con protocolos coordinados y actuaciones diagnósticas y terapéuticas secuenciales. Los profesionales de rehabilitación en urgencias aportan a la toma de decisiones sobre conductas de hospitalización o egreso, planes caseros, ayudas diagnósticas y remisión a especialistas. El propósito de este análisis de literatura fue identificar evidencia internacional, sobre el fonoaudiólogo en sala de urgencias y sus acciones profesionales con pacientes, familiares y equipos de salud. Materiales y métodos. Se revisó evidencia de las bases de datos Ebsco, PubMed, Scielo, Elsevier y Web of Science, entre enero de 2015 hasta septiembre de 2020, con términos de búsqueda: speech language pathology, speech therapy, emergency room en español e inglés. Se seleccionaron documentos que informaran sobre procesos de rehabilitación en salas de urgencias, que incluyeran acciones desde fonoaudiología. Se analizaron 51 documentos según criterios de inclusión. La evidencia muestra la incursión del trabajo fonoaudiológico en un contexto no tradicional, motivado por las necesidades en la toma de decisiones clínicas en diálogo interdisciplinar, principalmente en condiciones de disfagia y alteraciones deglutorias. Las acciones profesionales en este contexto incluyen la promoción y prevención de ingresos a sala de urgencias, hasta la atención en condiciones críticas, agudas y al final de la vida. Este contexto representa retos profesionales hacia habilidades de juicio clínico, argumentación científico profesional, uso de instrumentos de detección y trabajo interdisciplinar. que hacen la diferencia entre aspectos como el egreso y la hospitalización, un tratamiento o procedimiento y en algunos casos, entre la vida y la muerte.

An Exploration of Mindfulness in Speech-Language Pathology

2020 ◽  
pp. 152574012094214
Author(s):  
Angela M. Medina ◽  
Jean S. Mead
Keyword(s):  
Business Education ◽  
Speech Therapy ◽  
Education Law ◽  
Speech Language Pathology ◽  
Client Outcomes ◽  
Fluency Disorders ◽  
Measuring Change ◽  
Mindfulness Practices ◽  
Language Pathology ◽  
Improve Patient

For decades, mindfulness practices have been studied and applied across professions such as health care, business, education, law, and counseling as a means to reduce workforce stress and improve patient/client outcomes. Literature describing applications and outcomes of mindfulness has been growing in the field of speech-language pathology. While there is an abundance of work on treating fluency disorders as well as adult cognitive and language deficits, reports of the successful application of mindfulness techniques in the service area domain of voice are expanding. The purpose of this article is to describe mindfulness and how mindfulness techniques are currently being applied in the practice of speech-language pathology with clients as well as parents and caregivers of clients. Suggested mindfulness activities and means for measuring change in the context of speech therapy are described.

Speech Therapy where there are No Speech Therapists: The Task Force for the American Cleft Palate–Craniofacial Association

2014 ◽  
Vol 51 (6) ◽  
pp. 135-137 ◽  
Author(s):  
Nancy J. Scherer ◽  
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Task Force ◽  
Survey Methods ◽  
Craniofacial Anomalies ◽  
Speech Language Pathology ◽  
Initial Task ◽  
Language Pathology ◽  
Delivery Models ◽  
Speech Therapists

This paper describes the outcome of the 2013 American Cleft Palate–Craniofacial Association Task Force entitled “Speech Therapy Where There Are No Speech Therapists.” The membership and goals of the initial task force are presented. Survey methods, communication of the members, and meeting discussion of the task force at the 12th International Congress for Craniofacial Anomalies in Orlando, Florida, in May 2013 are described. Conclusions of the task force and recommendations for the future comprised four areas: organization and communication, protocols, service delivery models, and development of training programs/modules in speech-language pathology for craniofacial conditions.

Barriers and facilitators for the usage of a personal health record for medication reconciliation: a qualitative study among patients (Preprint)

2021 ◽  
Author(s):  
Denise van der Nat ◽  
Victor J B Huiskes ◽  
Margot Taks ◽  
Bart J F van den Bemt ◽  
Hein A W van Onzenoort
Keyword(s):  
Qualitative Study ◽  
Medication Reconciliation ◽  
Data Exchange ◽  
Personal Health Record ◽  
Healthcare Providers ◽  
Theoretical Domains Framework ◽  
Information Provision ◽  
Perceived Usefulness ◽  
Barriers And Facilitators ◽  
Personal Health

BACKGROUND Transitions in care are a risk factor for medication discrepancies, which can be identified and solved with medication reconciliation (MR). However, MR is a time consuming process, its effect on clinical outcomes is limited and a central role for patients is missing. As multiple organizations stimulate a more central role for patients in healthcare, personal health records (PHRs) are more often applied in medical care. However, patients’ adoption rate of using a PHR for MR is low. OBJECTIVE Therefore, the aim of this study was to provide insight into patients’ barriers and facilitators for the usage of a PHR for MR prior to an in- or outpatient visit. METHODS A qualitative study was conducted among PHR users and non-users who had a planned visit at the in- or outpatient clinic. About one week after the visit, patients were interviewed about barriers and facilitators for the use of a PHR for MR using a semi-structured interview guide based on the theoretical domains framework. Afterwards, data were analysed following thematic content analysis. RESULTS In total, 10 PHR users and 10 PHR non-users were interviewed. The barriers and facilitators were classified in four domains: 1) patient, consisting of the barriers: limited (health) literacy and/or computer skills, limited perceived usefulness and/or motivation, concerns about data safety, no computer/smartphone, and poor memory, and the facilitators: perceived importance/usefulness and place and time independent; 2) application, consisting of the barriers: practical and technical issues, poor usability and missing functionalities, and the facilitators: improve usability and add functionalities; 3) process, consisting of the barrier: ambiguity about who is responsible, the patient or the healthcare provider, and the facilitators: check by healthcare providers, more frequent update of medication list by healthcare providers and target patients who benefit most and/or have sufficient skills; 4) context, consisting of the barriers: lack of data exchange and connectivity between ICT applications, privacy concerns, healthcare professional do not use the requested data, insufficient information provision and bad (timing) of invitations and reminders, and the facilitators: integration of different applications, information provision by healthcare providers and support of professionals and/or family. CONCLUSIONS Patients reported barriers and facilitators for using a PHR to perform MR are identified at the patient, application, process and context level. Furthermore, patients indicated that they become more engagement in their own healthcare when they use a PHR. To improve the implementation of MR by using PHRs, the barriers and facilitators need to be addressed to effectively develop and implement PHRs in the MR process.

scholarly journals Organization of the referral and counter-referral system in a speech-language pathology and audiology clinic-school

CoDAS ◽  
2015 ◽  
Vol 27 (3) ◽  
pp. 273-278 ◽  
Author(s):  
Daniela Regina Molini-Avejonas ◽  
Stephanie Falarara Estevam ◽  
Maria Inês Vieira Couto
Keyword(s):  
Prospective Study ◽  
Public Services ◽  
Speech Therapy ◽  
Language Disorders ◽  
Referral System ◽  
Patient Records ◽  
Speech Language Pathology ◽  
Demographic Information ◽  
Language Pathology ◽  
Male Subjects

OBJECTIVE: To analyze the effectiveness of the referral and counter-referral flow in a speech-language pathology and audiology clinic-school and to characterize the patients' profiles. METHODS: Evaluation, retrospective, and prospective study, in which 503 patient records, without age restriction, were selected from a clinic-school and the following variables were analyzed: demographic information, speech and hearing diagnosis, and references. Patients were distributed into two groups according to the referrals made: internal (G1, n=341) and external (G2, n=162) to the clinic-school. RESULTS: A prevalence of male subjects under 12 years of age and with diagnosis of language disorders (primary and secondary) was found. It was observed that 83% patients in G1 were recalled for evaluation and speech therapy after an average of 7 months of waiting; and from the patients in G2 that were contacted (n=101), 13.9% were summoned and are satisfied with the place indicated for therapy after an average of 4 months of waiting. From those who did not receive care, 46% sought another service, and of these, 72.5% were successful. CONCLUSION: The data show the effectiveness and appropriateness of referrals made internally, suggesting that, when the team works together, the network operates more adequately. However, in relation to external referrals, they did not reach the proposed goals, indicating a lack of speech-language pathologists in public services and the low interest of patients in looking for other places of care.

scholarly journals Hospital speech-language pathology approach in oropharyngeal dysphagia and its motor and etiological associations

2021 ◽  
Vol 12 (2) ◽  
pp. 89-100
Author(s):  
Hipólito Virgilio Magalhães Júnior ◽  
Simone Aparecida Torres Figueredo ◽  
Lidiane Maria de Brito Macedo Ferreira
Keyword(s):  
Medical Records ◽  
Speech Therapy ◽  
Oropharyngeal Dysphagia ◽  
University Hospital ◽  
Speech Language Pathology ◽  
Endoscopic Evaluation ◽  
Cross Sectional ◽  
Significance Level ◽  
Language Pathology ◽  
Management Of Dysphagia

Objective: To identify the profile of speech-language pathology in patients with oropharyngeal dysphagia at a University Hospital and the associations between health conditions and the etiology of swallowing disorders. Methods: A cross-sectional and descriptive study, with analysis of medical records of patients with oropharyngeal dysphagia treated at a University Hospital, of both sexes, attended from February to December 2018. A descriptive and association analysis of the evaluated variables was carried out, with a significance level of 0.05. Results: It was identified in the sample, consisting of 26 (51%) females and 25 (49%) males, with a mean of 57.1 years (± 18.6), presence of progressive neurogenic oropharyngeal dysphagia (39.2 %), idiopathic (31.4%) and non-progressive (29.4%), in which the most performed speech-language pathology procedures were assessment (100%), giving support to observational issues during the fiberoptic endoscopic evaluation of swallowing (96.1%), management of dysphagia (92.2%) and return and discharge conducts (49% and 25.5%, respectively). The multi-professional participation has conducted better decision-making for an adequate diagnosis and speech therapy approach that had aimed at the management of oropharyngeal dysphagia, as well the intervention approaches with techniques aimed at maneuvers, and neuromuscular conditioning in relation to disorders of the biomechanics of swallowing. There was a significant association between the presence of motor and balance changes with neurogenic oropharyngeal dysphagia and difficulty in swallowing and choking symptoms as a sign of oropharyngeal dysphagia.

scholarly journals Speech-Language Pathology and Occupational Therapy interface: an integration of scientific knowledge

Revista CEFAC ◽  
2020 ◽  
Vol 22 (2) ◽  
Author(s):  
Elisandra Santos Mendes Garcia ◽  
Claudia Maria Simões Martinez ◽  
Mirela Oliveira Figueiredo
Keyword(s):  
Occupational Therapy ◽  
Assistive Technology ◽  
Speech Therapy ◽  
Scientific Production ◽  
Speech Language Pathology ◽  
Language Therapy ◽  
The Public ◽  
The Disabled ◽  
Language Pathology ◽  
Speech Therapist

ABSTRACT Objective: to analyze the national scientific production of Speech-Language Therapy in the interface with Occupational Therapy (OT) based on an integrative literature review. Methods: a selection of articles published in Brazilian journals in the field of Occupational Therapy: Cadernos Brasileiros de Terapia Ocupacional of UFSCar, Revista de Terapia Ocupacional of USP, Revista Baiana da Terapia Ocupacional and Revista Interinstitucional Brasileira de Terapia Ocupacional with the descriptors “speech therapy, speech therapist and speech-language therapy”. The sample, consisting of 10 articles, was analyzed with quantitative and qualitative procedures. Results: the search showed publications from 2000 to 2017, with the largest number of articles in 2015. The main findings point to the language area as the most prevalent, revealing a connection between speech therapy and OT. Assistive Technology, particularly adopted with children, is a common field among the professional areas studied, with the highest incidence in the articles. Conclusion: the analysis of the scientific production showed that the partnership between Speech-Language Therapy and OT appeared under different objectives and the public, as early intervention, actions in multiple disabilities, with the disabled child and their family, with autists in hippotherapy, in school inclusion and in assistive technology, the latter more frequently. These findings allowed reflections on the interdisciplinarity of both professions and fields of knowledge.

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