Family-centered practice for children with communication disorders.

In conclusion, it should be kept in mind that family-centered practice is not merely a theoretical construct or philosophical position. Its practical implementation assumes that virtually any variety of options for how the family, child, and professionals will interface and collaborate will be possible, based on the needs and wishes of the family, community make-up, and the complexity of issues involved. As providers of service in a critical area of development, communication, we must be mindful of the many individual, social, and political factors, such as cultural and racial background, poverty, prejudice, mental and other health issues, managed care in medical practice, outcomes-based service models, and funding sources, that will impinge on this relationship. Key to our success is the focus on achieving mutual goals for the child: optimal communication skills in a positive, healthy family context.