Child speech, language and communication need re-examined in a public health context: a new direction for the speech and language therapy profession.

  • Law J
  • Reilly S
  • Snow P
  • 10

    Readers

    Mendeley users who have this article in their library.
  • N/A

    Citations

    Citations of this article.

Abstract

BACKGROUND: Historically speech and language therapy services for children have been framed within a rehabilitative framework with explicit assumptions made about providing therapy to individuals. While this is clearly important in many cases, we argue that this model needs revisiting for a number of reasons. First, our understanding of the nature of disability, and therefore communication disabilities, has changed over the past century. Second, there is an increasing understanding of the impact that the social gradient has on early communication difficulties. Finally, understanding how these factors interact with one other and have an impact across the life course remains poorly understood.

AIMS: To describe the public health paradigm and explore its implications for speech and language therapy with children.

METHODS & PROCEDURES: We test the application of public health methodologies to speech and language therapy services by looking at four dimensions of service delivery: (1) the uptake of services and whether those children who need services receive them; (2) the development of universal prevention services in relation to social disadvantage; (3) the risk of over-interpreting co-morbidity from clinical samples; and (4) the overlap between communicative competence and mental health.

OUTCOMES & CONCLUSIONS: It is concluded that there is a strong case for speech and language therapy services to be reconceptualized to respond to the needs of the whole population and according to socially determined needs, focusing on primary prevention. This is not to disregard individual need, but to highlight the needs of the population as a whole. Although the socio-political context is different between countries, we maintain that this is relevant wherever speech and language therapists have a responsibility for covering whole populations. Finally, we recommend that speech and language therapy services be conceptualized within the framework laid down in The Ottawa Charter for Health Promotion.

Author-supplied keywords

  • Child
  • Communication
  • Communication Disorders
  • Communication Disorders: rehabilitation
  • Great Britain
  • Humans
  • Language Therapy
  • Language Therapy: trends
  • Mental Health
  • Public Health
  • Public Health: methods
  • Social Behavior
  • Speech
  • Speech Therapy
  • Speech Therapy: trends

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

Authors

  • James Law

  • Sheena Reilly

  • Pamela C Snow

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free