Service delivery to persons with communication disorders in Micronesia

1986 ◽  
Vol 7 (3) ◽  
pp. 23-25
Author(s):  
Jean L. Stewart ◽  
Velma A. Martinez

Although PL 94–142 has applied to Micronesia since its passage, there remains a great void throughout the islands in the provision of services to persons with communicative disorders. It is probably the most underserved region within the jurisdiction of PL 94–142. There is evidence of a greater need for services than in other populations of similar size. Isolated, population-density islands, with diverse cultures and many languages, create tremendous obstacles in the delivery of services. Resource limitations in the region further restrict the potential availability of services. A model is presented for providing an initial level of services to the region over the next two decades.

2009 ◽  
Vol 19 (2) ◽  
pp. 52-57
Author(s):  
John A. Tetnowski

Abstract Cluttering is discussed openly in the fluency literature, but few educational opportunities for learning more about cluttering exist in higher education. The purpose of this manuscript is to explain how a seminar in cluttering was developed for a group of communication disorders doctoral students. The major theoretical issues, educational questions, and conclusions are discussed.


1979 ◽  
Vol 73 (3) ◽  
pp. 102-105
Author(s):  
Wilma Hull ◽  
Marion Ross

Parental involvement is essential to a preschool program. Home intervention is one approach for the provision of services to both parent and child. For the effective delivery of this type of intervention, teachers should consider some of the parent-teacher issues which may arise from this service delivery mode.


2008 ◽  
Vol 11 (2) ◽  
pp. 678-688 ◽  
Author(s):  
Rochele Paz Fonseca ◽  
Yves Joanette ◽  
Hélène Côté ◽  
Bernadette Ska ◽  
Francine Giroux ◽  
...  

The lack of standardized instruments to evaluate communication disorders related to the right hemisphere was verified. A new evaluation tool was developed: Protocole Montréal d'Évaluation de la Communication – Protocole MEC, adapted to Brazilian Portuguese – Bateria Montreal de Avaliação da Comunicação – Bateria MAC (Montreal Evaluation of Communication Battery). The purpose was to present stratified normative data by age and educational level, and to verify the reliability parameters of the MEC Battery. 300 individuals, between the ages of 19 and 75 years, and levels of formal education between 2 and 35 years, participated in this study. They were divided equally into six normative groups, according to three age categories (young adults, intermediary age, and seniors) and two educational levels (low and high). Two procedures were used to check reliability: Cronbach alpha and reliability between evaluators. Results were established at the 10th percentile, and an alert point per task for each normative group. Cronbach's alpha was, in general, between .70 and .90 and the average rate of agreement between evaluators varied from .62 to .94. Standards of age and education were established. The reliability of this instrument was verified. The psychometric legitimization of the MEC Battery will contribute to the diagnostic process for communicative disorders.


1980 ◽  
Vol 89 (5_suppl) ◽  
pp. 15-18
Author(s):  
S. Richard Silverman

The bewildering patchwork or organization and organizing principles involved in the delivery of services to the communicatively disadvantaged requires an amalgam of effort. Also helpful would be a clearer understanding of magnitudes, characteristics and habilitation needs of certain subgroups such as the language disabled, the multiply handicapped and the moderately handicapped. Since this conference is concerned primarily with scientific contribution, it is suggested that we are in a transition from intuitive approaches to habilitative procedures to those derived from scientific investigations. This is pointedly documented in the area of language which cuts across all types of communicative disorders, as well as in such areas as early identification, sensory aids, career education, parent guidance, media use and mental health. It is important, too, for scientists to communicate clearly with their many publics.


1976 ◽  
Vol 7 (3) ◽  
pp. 142-148
Author(s):  
Paul Cooper ◽  
Reed Greenwood

In an attempt to establish feasible methodology for determining the extent of undue delay in the provision of services by state vocational rehabilitation agencies, a research study was planned and conducted by the program evaluators of a five state region. Two methods of assessing the extent of undue delay were investigated—one based on a case review procedure and one based on the collection of time-in-status data. The two methods are discussed with respect to their relative advantages and compared with respect to the agreement in the identification of unduly delayed cases. The findings of the case reviewers with respect to the incidence and causes of undue delay are presented.


1992 ◽  
Vol 23 (1) ◽  
pp. 82-87 ◽  
Author(s):  
Kenneth O. St. Louis ◽  
Gregory G. R. Hansen ◽  
Janice L. Buch ◽  
Tonia L. Oliver

The purpose of this study was to determine the extent to which other communicative disorders coexist with voice disorders in school children. The authors randomly selected two voice deviant groups and a control group from a database of nearly 39,000 school children in grades 1–12. Hoarseness was the most commonly occurring voice disorder in both groups. The majority of voice disordered children had coexisting articulation deviations. In addition, the voice disordered samples differed significantly from controls on two language measures and mean pure-tone hearing thresholds. This study supports other research indicating that different communication disorders frequently coexist.


1993 ◽  
Vol 24 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Vicki Lord Larson ◽  
Nancy L. McKinley ◽  
Delesa Boley

Adolescents with communication disorders have a legal right to speech-language services, and speech-language pathologists in the public schools have a moral and ethical responsibility to provide those services. This article summarizes current service delivery options available to clinicians at the secondary level and explains why the prototype service delivery model (Larson & McKinley, 1987) should be chosen for adolescents. To implement appropriate speech-language services for adolescents, administrative support is critical. The successful school clinician (a) must know counterarguments to administrators' concerns about "what can be done in speech-language intervention past the elementary grades," (b) must understand the impact of the Regular Education Initiative (REI) on service delivery options, and (c) must solicit assistance during program planning from decision makers.


Author(s):  
Modeni Mudzamba Micheal Sibanda

Local government in South Africa is no longer exclusively a function of national or provincial government; it is now regarded as a sphere rather than a tier of government. Section 152 of the Constitution of South Africa, 1996 stipulates the objectives of the local sphere of government, among which is ensuring the provision of services to communities in a sustainable manner. Poor or lack of service delivery by local authorities has received much media attention of late. Monitoring customer-focused service delivery could therefore be a critically important means to effect quality service delivery in local government. At its core this approach emphasises the treatment of municipal service users and the citizenry as customers. This article contends that conceptually customer-focused quality service delivery may potentially lever local government authorities out of the poor service delivery rut that has come to render some municipal authorities ineffective and inefficient and hence dysfunctional. At a conceptual level the article grapples with the elusive concept of service quality and the often contested concept of customer and proxy measures for monitoring service quality in the public sector. Citing British and South African customer-focused quality service delivery tools and initiatives, the article interrogates the efficacy of such initiatives and perspectives for monitoring customer-focused quality service delivery in the local sphere of government.


2000 ◽  
Vol 6 (2_suppl) ◽  
pp. 39-41 ◽  
Author(s):  
Deborah Kully

The potential value of telecommunications systems in treating communication disorders is being increasingly recognized. This mode of service delivery shows particular promise in giving patients access to specialist services for problems like stuttering, which are difficult to manage and often require long-term follow-up support. The Institute for Stuttering Treatment and Research at the University of Alberta has used videoconferencing to provide follow-up support to geographically remote adults who have undergone intensive treatment on site.


2021 ◽  
Author(s):  
◽  
Michelle McLellan

<p>Identifying the mechanisms causing population change is essential for conserving small and declining populations. Substantial range contraction of many carnivore species has resulted in fragmented global populations with numerous small isolates in need of conservation. Here I investigate the rate and possible agents of change in two threatened grizzly bear (Ursus arctos) populations in southwestern British Columbia, Canada. I use a combination of population vital rates estimates, population trends, habitat quality analyses, and comparisons to what has been described in the literature, to carefully compare among possible mechanisms of change. First, I estimate population density, realized growth rates (λ), and the demographic components of population change for each population using DNA based capture-recapture data in both spatially explicit capture-recapture (SECR) and non-spatial Pradel robust design frameworks. The larger population had 21.5 bears/1000km2 and between 2006 and 2016 was growing (λPradel = 1.02 ± 0.02 SE, λsecr = 1.01 ± 4.6 x10-5 SE) following the cessation of hunting. The adjacent but smaller population had 6.3 bears/1000km2 and between 2005 and 2017 was likely declining (λPradel = 0.95 ± 0.03 SE, λsecr = 0.98 ± 0.02 SE). Estimates of apparent survival and recruitment indicated that lower recruitment was the dominant factor limiting population growth in the smaller population.  Then I use data from GPS-collared bears to estimate reproduction, survival and projected population change (λ) in both populations. Adult female survival was 0.96 (95% CI: 0.80-0.99) in the larger population (McGillvary Mountains or MM) and 0.87 (95% CI: 0.69-0.95) in the small, isolated population (North Stein-Nahatlatch or NSN). Cub survival was also higher in the MM (0.85, 95%CI: 0.62-0.95) than the NSN population (0.33, 95%CI: 0.11-0.67). This analysis identifies both low adult female survival and low cub survival as the demographic factors associated with population decline in the smaller population. By comparing the vital rates from these two populations with other small populations, I suggest that when grizzly bear populations are isolated, there appears to be a tipping point (de Silva and Leimgruber 2019) around 50 individuals, below which adult female mortality, even with intensive management, becomes prohibitive for population recovery. This analysis provides the first detailed estimates of population vital rates for a grizzly bear population of this size, and this information has been important for subsequent management action. To determine whether bottom-up factors (i.e. food) are limiting population growth and recovery in the small isolated population I use resource selection analysis from GPS collar data. I develop resource selection functions (RSF) for four dominant foraging seasons: the spring-early summer season when bears feed predominantly on herbaceous plants and dig for bulbs, the early fruit season where they feed on low elevation berries and cherries, the huckleberry season and the post berry season when foraging behaviours are most diverse but whitebark pine nuts are a relatively common food source. The differences in overall availability of high-quality habitats for different food types, especially huckleberries, between populations suggests that season specific bottom-up effects may account for some differences in population densities. Resource selections are a very common tool used for estimating resource distribution and availability, however, their ability to estimate food abundance on the ground are usually not tested. I assessed the accuracy of the resulting RSF models for predicting huckleberry presence and abundance measured in field plots. My results show that berry specific models did predict berry abundance in previously disturbed sites though varied in accuracy depending on how the models were categorized and projected across the landscape. Finally, I combine spatially explicit capture-recapture methods and models developed from resource selection modelling to estimate the effect of seasonal habitat availability and open road density, as a surrogate for top-down effects, on the bear density in the two populations. I found that population density is most strongly connected to habitats selected during a season when bears fed on huckleberries, the major high-energy food bears eat during hyperphagia in this area, as well as a large baseline difference between populations. The abundance of high-quality huckleberry habitat appears to be an important factor enabling the recovery of the larger population that is also genetically connected to other bears. The adjacent, smaller and genetically isolated population is not growing. The relatively low abundance of high-quality berry habitat in this population may be contributing to the lack of growth of the population. However, it is likely that the legacy of historic mortality and current stochastic effects, inbreeding effects, or other Allee effects, are also contributing to the continued low density observed. While these small population effects may be more challenging to overcome, this analysis suggests that the landscape can accommodate a higher population density than that currently observed.</p>


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