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澳大利亚 12-16 岁言语治疗师的临床实践。

Clinical practices of speech-language pathologists working with 12- to 16-year olds in Australia.

机构信息

Faculty of Medicine and Health, University of Sydney, Sydney, Australia.

Office of the Pro Vice-Chancellor (Research & Innovation), School of Education, MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Sydney, Australia.

出版信息

Int J Speech Lang Pathol. 2021 Aug;23(4):394-404. doi: 10.1080/17549507.2020.1820576. Epub 2021 Feb 24.

Abstract

The current landscape of speech-language pathology (SLP) services for 12- to 16-year olds in Australia remains largely unchartered. Implementing the Speech Pathology 2030 vision necessitates mapping current services, and gaps in services, provided by speech-language pathologists (SLPs). However, the last survey of Australian SLPs' practices with young people was conducted in 2005. The aim of this study was to bridge the service delivery information gap. Ninety-six SLPs working with 12- to 16-year olds in Australia completed an anonymous online survey consisting of binary choice, multiple choice, and Likert scale questions. A theoretical approach to service delivery based on response to intervention models underpinned question design. SLP clinical practices remain traditional, following an impairment/diagnostic model. Additionally, there is an inequitable provision of SLP services across states/territories of Australia, according to whether or not there is government provision for SLP services in public schools. The results suggest a need for standard government provision of SLP services across Australia to ensure equity of access. These findings inform our understanding of contemporary assessment and intervention practices of SLPs working with 12- to 16-year olds in Australia.

摘要

澳大利亚 12 至 16 岁儿童言语语言病理学服务的现状在很大程度上仍未得到探索。要实现《言语病理学 2030 愿景》,就需要对言语语言病理学家(SLP)提供的现有服务和服务缺口进行测绘。然而,上一次对澳大利亚 SLP 与年轻人实践情况的调查是在 2005 年进行的。本研究旨在填补服务提供信息的空白。96 名在澳大利亚为 12 至 16 岁儿童提供服务的 SLP 完成了一项匿名在线调查,其中包含二选一、多项选择和李克特量表问题。服务提供的理论方法基于反应干预模型,为问题设计提供了依据。SLP 的临床实践仍然遵循传统的损伤/诊断模式。此外,根据公立学校是否有政府提供的言语语言病理学服务,澳大利亚各州/领地之间的言语语言病理学服务提供存在不平等现象。结果表明,澳大利亚需要为 SLP 服务提供标准的政府拨款,以确保公平获得服务的机会。这些发现使我们能够了解澳大利亚为 12 至 16 岁儿童提供服务的 SLP 进行当代评估和干预的实践情况。

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