Geiger Martha
Centre for Rehabilitation Studies, University of Stellenbosch, South Africa.
Afr J Disabil. 2012 Sep 21;1(1):10. doi: 10.4102/ajod.v1i1.10. eCollection 2012.
The purpose of this paper is to provide a preliminary, qualitative review of an approach to training centre-based carers in supporting basic communication development and providing communication opportunities for the children with severe and profound disabilities in their care. In South Africa, these children are often the most neglected in terms of planning and providing appropriate interventions. For those with severe disabilities, an additional lack is in the area of the basic human right to meaningful interactions and communication. Sustainable strategies to provide opportunities for basic communication development of these children are urgently sought. Several effective international and local training programmes have been developed, but the urgent need remains to train . Non-profit organisations (NPOs) have been exploring practical centre-based approaches to skills sharing in physical rehabilitation, activities for daily living, feeding and support for basic communication development. As a freelance speech therapist contracted by four NPOs to implement hands-on training in basic communication for centre-based carers of non-verbal children, the author describes a training approach that evolved over three years, in collaboration with the carers and centre managements. Implications for training (for speech therapists and for community-based rehabilitation workers) and for further research are identified.
本文旨在对一种培训方法进行初步的定性综述，该方法旨在培训以中心为基础的护理人员，以支持重度和极重度残疾儿童的基本沟通发展并为他们提供沟通机会。在南非，就规划和提供适当干预措施而言，这些儿童往往最容易被忽视。对于重度残疾儿童来说，他们还缺乏有意义的互动和沟通这一基本人权。目前迫切需要寻求可持续战略，为这些儿童的基本沟通发展提供机会。已经制定了一些有效的国际和本地培训方案，但仍然迫切需要进行培训。非营利组织一直在探索切实可行的以中心为基础的方法，用于在身体康复、日常生活活动、喂养以及支持基本沟通发展方面进行技能共享。作为受四个非营利组织委托，为非言语儿童的中心护理人员开展基本沟通实践培训的自由职业言语治疗师，作者描述了一种在三年时间里与护理人员和中心管理人员合作发展起来的培训方法。文中还指出了对培训（针对言语治疗师和社区康复工作者）以及进一步研究的启示。
