Roulstone Sue, Enderby Pam
University of the West of England, Bristol, UK.
Int J Speech Lang Pathol. 2010 Aug;12(4):292-5; discussion 329-32. doi: 10.3109/17549501003770277.
This paper expands on the lead article by Hersh (2010) regarding a number of challenges that face speech-language pathologists (SLPs) when ending therapy, in this case focusing on children's speech and language impairment. Children's speech and language impairments are often long-term with impacts on other aspects of their functioning; there is little clarity about the notion of resolution and there is little research about optimum points of discharge or ending therapy. In the lead article, Hersh (2010) reports the personal concerns experienced by SLPs working with people with aphasia. Similar findings are highlighted here from the child speech and language impairment context; in particular that SLPs' thresholds of concern vary. The paper notes the resource pressures that lead to prioritization decisions related to the point of discharge and argues that clarity in goal planning and the explicit discussion of goals and the purpose of intervention, in partnership with clients and their families goes some way to reducing pressure faced by SLPs.
本文扩展了赫什（2010年）的首篇文章，该文章论述了言语语言病理学家（SLP）在结束治疗时面临的诸多挑战，本文聚焦于儿童言语和语言障碍。儿童言语和语言障碍往往是长期的，会对他们功能的其他方面产生影响；关于康复的概念几乎没有明确界定，而且关于最佳出院点或结束治疗的研究也很少。在首篇文章中，赫什（2010年）报告了与失语症患者合作的言语语言病理学家所经历的个人担忧。本文从儿童言语和语言障碍的背景中突出了类似的发现；特别是言语语言病理学家的担忧阈值各不相同。本文指出了导致与出院点相关的优先级决策的资源压力，并认为在与客户及其家人的合作中，明确目标规划以及对目标和干预目的进行明确讨论，在一定程度上有助于减轻言语语言病理学家面临的压力。
