McAllister Lindy, Wylie Karen, Davidson Bronwyn, Marshall Julie
Faculty of Health Sciences, The University of Sydney, PO Box 170, Lidcombe NSW 2141, Australia.
Int J Speech Lang Pathol. 2013 Feb;15(1):118-26. doi: 10.3109/17549507.2012.757804.
Challenges to the conceptualization and delivery of services for people with communication disabilities (PWCD) have been described in the lead article in this issue, which was itself a response to the World Report on Disability. A number of commentaries followed the lead article, where authors from around the world responded to the lead article (Wylie, McAllister, Davidson & Marshall, 2013), and the World Report on Disability. This paper synthesizes the issues, ideas, and challenges raised in the preceding commentaries. This has been done by addressing each of the four key issues posed in the lead article. A number of proposals for better responding to the needs of PWCD are outlined. These include: engaging with the collection of epidemiological data, consideration of which PWCD are under-served and how this may be changed, the use of documentation, adoption of new roles and strategies for speech-language pathologists, the challenges of community-directed vs individually-focused approaches, and the suggestion of public health communication disability workers and mid-tier workers, who could work alongside more traditional speech-language pathologists.
本期特刊的首篇文章描述了为沟通障碍者（PWCD）提供服务在概念化和服务提供方面所面临的挑战，该文章本身就是对《世界残疾报告》的回应。首篇文章之后有若干评论，世界各地的作者对首篇文章（怀利、麦卡利斯特、戴维森和马歇尔，2013年）以及《世界残疾报告》作出了回应。本文综合了此前评论中提出的问题、观点和挑战。这是通过探讨首篇文章中提出的四个关键问题来实现的。文中概述了一些更好地满足沟通障碍者需求的建议。这些建议包括：参与流行病学数据的收集，思考哪些沟通障碍者未得到充分服务以及如何改变这种状况，文件的使用，为言语语言病理学家采用新的角色和策略，社区导向与个体聚焦方法的挑战，以及关于公共卫生沟通障碍工作者和中层工作者的建议，他们可以与更传统的言语语言病理学家并肩工作。
