Collaboration between teachers and speech and language therapists: Services for primary school children with speech,language and communication needs

Abstract

Speech, language and communication needs (SLCN) are prevalent among primary school-aged children. Collaboration between speech and language therapists (SLTs) and teachers is beneficial for supporting children’s communication skills. The aim of this study was to investigate the needs of both professional groups and their preferences for service delivery when working with mainstream, primary school-aged children with SLCN. This study was undertaken within one education region in New South Wales, Australia, using a mixed-methods research design. In Phase 1, all teachers (schools n = 156) and all SLTs (n = 36) working within the region were invited to complete a questionnaire. Responses were obtained from 14 teachers and 6 SLTs. In Phase 2, a subsample of participants (n = 4) contributed to a focus group. Within the study sample, minimal collaborative practice was reportedly occurring. Teachers and SLTs expressed a desire for increased training and knowledge and more collaborative practice. Teachers and SLTs also expressed frustration at perceived systemic inadequacies with regard to funding, personnel and resources. Findings from this study suggest that change to service delivery needs to be considered at an individual, interpersonal and organizational level to enable better outcomes for children with SLCN and increased support for their families and the professionals who work with them.

Keywords

Collaboration school speech language and communication needs (SLCN)speech and language therapists (SLTs)teachers service delivery children

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References

Almost

Rosenbaum

(1998) Effectiveness of speech intervention for phonological disorders: A randomized controlled trial. Developmental Medicine and Child Neurology 40: 319–25.

Antoniazzi

Snow

Dickson-Swift

(2010) Teacher identification of children at risk for language impairment in the first year of school. International Journal of Speech-Language Pathology 12: 244–52.

Baker

McLeod

(2011) Evidence-based practice for children with speech-sound disorders: Part 1 narrative review. Language, Speech and Hearing Services in Schools 42: 102–39. doi: 10.1044/0161-1461(2010/09-0075).

Ballard

Robin

McCabe

McDonald

(2010) A treatment for dysprosody in childhood apraxia of speech. Journal of Speech, Language and Hearing Research 53: 1227–45. doi: 10.1044/1092-4388(2010/09-0130).

Baxter

Brookes

Bianchi

Rashid

Hay

(2009) Speech and language therapists and teachers working together: Exploring the issues. Child Language Teaching and Therapy 25: 215–34. doi: 10.1177/0265659009102984.

Bloor

Frankland

Thomas

Robson

(2001) Focus groups in social research: Introducing qualitative methods. London: Sage.

Botting

Conti-Ramsden

(2000) Social and behavioural difficulties in children with language impairment. Child Language Teaching and Therapy 16: 105–20.

Brandel

Loeb

(2012) Service delivery in schools: A national survey. The ASHA Leader 17. Retrieved from: http://leader.pubs.asha.org/article.aspx?articleid=2280132 (August 2015).

Catts

(1997) The early identification of language-based reading disabilities. Language, Speech and Hearing Services in Schools 28: 86–89.

10.

Creswell

(2003) Research design: Qualitative, quantitative, and mixed methods approaches. 2nd edition. Thousand Oaks, CA: Sage.

11.

Creswell

Plano Clark

(2007) Designing and conducting mixed methods research. Thousand Oaks, CA: Sage.

12.

Davidson

McAllister

(2002) An introduction to qualitative research approaches. ACQuiring Knowledge in Speech, Language and Hearing 4: 28–31.

13.

Dockrell

Lindsay

(2000) Meeting the needs of children with specific speech and language difficulties. European Journal of Special Needs Education 15: 24–41.

14.

Dockrell

Lindsay

(2001) Children with specific speech and language difficulties: The teachers’ perspective. Oxford Review of Education 27: 369–94. doi: 10.1080/03054980120067410.

15.

Felsenfeld

Broen

McGue

(1994) A 28-year follow up of adults with a history of moderate phonological disorder: Educational and occupational results. Journal of Speech and Hearing Research 37: 1341–53.

16.

Friend

Cook

(2000) Interactions: Collaboration skills for school professionals. 3rd edition. New York: Longman.

17.

Gallagher

Chiat

(2009) Evaluation of speech and language therapy interventions for pre-school children with specific language impairment: a comparison of outcomes following specialist intensive, nursery-based and no intervention. International Journal of Language and Communication Disorders 44: 616–38.

18.

Hall

(2005) ‘Joined-up working’ between early years professionals and speech and language therapists: Moving beyond ‘normal’ roles. Journal of Interprofessional Care 19: 11–21. doi: 10.1080/13561820400021759.

19.

Hartas

(2004) Teacher and speech-language therapist collaboration: Being equal and achieving a common goal? Child Language Teaching and Therapy 20: 33–54.

20.

Health Workforce Australia (2014) Australia’s health workforce series: Speech pathologists in focus. Canberra: Department of Health.

21.

Kersner

(1996) Working together for children with severe learning disabilities. Child Language Teaching and Therapy 12: 17–28.

22.

Kersner

Wright

(1996) Collaboration between teachers and speech and language therapists working with children with severe learning disabilities (SLD): Implications for professional development. British Journal of Learning Disabilities 24: 33–37.

23.

Law

Boyle

Harris

Harkness

Nye

(2000a) Prevalence and natural history of primary speech and language delay: Findings from a systematic review of the literature. International Journal of Language and Communication Disorders 35: 165–88.

24.

Law

Lindsay

Peacey

. (2000b) Provision for children with speech and language needs in England and Wales: Facilitating communication between education and health services. Nottingham: Department for Education and Employment.

25.

Law

Lindsay

Peacey

. (2001). Facilitating communication between education and health services: the provision for children with speech and language needs. British Journal of Special Education 28: 133–37.

26.

Liamputtong

(2010) Research methods in health: Foundations for evidence-based practice. South Melbourne: Oxford University Press.

27.

Lincoln

Guba

(1985) Naturalistic inquiry. Thousand Oaks, CA: Sage.

28.

Lindsay

Dockrell

(2002) Meeting the needs of children with speech language and communication needs: A critical perspective on inclusion and collaboration. Child Language Teaching and Therapy 18: 91–101.

29.

Lindsay

Dockrell

(2004) Whose job is it? Parents’ concerns about the needs of their children with language problems. The Journal of Special Education 37: 225–35.

30.

Marshall

Ralph

Palmer

(2002a) ‘I wasn’t trained to work with them’: Mainstream teachers’ attitudes to children with speech and language difficulties. International Journal of Inclusive Education 6: 199–215. doi: 10.1080/13603110110067208.

31.

Marshall

Stojanovik

Ralph

(2002b) ‘I never even gave it a second thought’: PGCE students’ attitudes towards the inclusion of children with speech and language impairments. International Journal of Language and Communication Disorders 37: 475–89. doi: 10.1080/13603110110067208.

32.

McCartney

(2002) Cross-sector working: Speech and language therapists in education. Journal of Management in Medicine 16: 67–77.

33.

McCormack

Harrison

McLeod

McAllister

(2011) A nationally representative study of the association between communication impairment at 4–5 years and children’s life activities at 7–9 years. Journal of Speech, Language and Hearing Research 54: 1328–48.

34.

McLeod

McKinnon

(2007) Prevalence of communication disorders compared with other learning needs in 14,500 primary and secondary school students. International Journal of Language and Communication Disorders 42: 37–59.

35.

McLeod

McKinnon

(2010) Support required for primary and secondary students with communication disorders and/or other learning needs. Child Language Teaching and Therapy 26: 123–43. doi: 10.1177/0265659010368754.

36.

McLeod

Press

Phelan

(2010) The (in)visibility of children with communication impairment in Australian health, education, and disability legislation and policies. Asia Pacific Journal of Speech, Language, and Hearing 13: 65–75.

37.

Minichiello

Sullivan

Greenwood

Axford

(eds) (1999) Handbook of research methods for nursing and health sciences. Frenchs Forest, Australia: Pearson Education Australia.

38.

Mroz

(2006) Providing training in speech and language for education professionals. Child Language Teaching and Therapy 22: 155–76. doi: 10.1191/0265659006ct305oa.

39.

NSW Department of Education and Communities (2012) Every student, every school: Learning and support. Sydney: NSW Department of Education and Communities. Retrieved from: https://www.det.nsw.edu.au/media/downloads/about-us/how-we-operate/national-partnerships-program/every-student-every-school/learning-and-support.pdf (August 2015).

40.

NSW Department of Education and Training (2008) Who’s going to teach my child?: A guide for parents of children with special learning needs. Darlinghurst: NSW Department of Education and Training.

41.

O’Callaghan

McAllister

Wilson

(2005) Consumers’ proposed solutions to barriers to access of rural and remote speech pathology services. Advances in Speech-Language Pathology 7: 58–64.

42.

O’Toole

Kirkpatrick

(2007) Building collaboration between professionals in health and education through interdisciplinary training. Child Language Teaching and Therapy 23: 325–52. doi: 10.1177/0265659007080685.

43.

Patton

(2002) Qualitative research and evaluation methods. 3rd edition. Thousand Oaks, CA: Sage.

44.

Roberts

Priest

(eds) (2010) Healthcare research: A textbook for students and practitioners. Chichester: Wiley-Blackwell.

45.

Ruben

(2000) Redefining the survival of the fittest: Communication disorders in the 21st century. Laryngoscope 110: 241–45.

46.

Ruggero

McCabe

Ballard

Munro

(2012) Paediatric speech-language pathology service delivery: An exploratory survey of Australian parents. International Journal of Speech-Language Pathology 14: 338–50. doi: 10.3109/17549507.2012.650213.

47.

Sadler

(2005) Knowledge, attitudes and beliefs of the mainstream teachers of children with a preschool diagnosis of speech/language impairment. Child Language Teaching and Therapy 21: 147–68. doi: 10.1191/0265659005ct286oa.

48.

Schuele

(2004) The impact of developmental speech and language impairments on the acquisition of literacy skills. Mental Retardation and Developmental Disabilities Research Reviews 10: 176–83.

49.

Senate Community Affairs References Committee (2014) Prevalence of different types of speech, language and communication disorders and speech pathology services in Australia. Canberra: Senate Community Affairs References Committee.

50.

Shaddock

Smyth King

Giorcelli

(2007) Project to improve the learning outcomes of students with disabilities in the early, middle and post compulsory years of schooling. Canberra: Australian Government Department of Education, Science and Training. Retrieved from: http://pandora.nla.gov.au/pan/78123/20071019-1322/www.dest.gov.au/sectors/school_education/publications_resources/profiles/report.pdf (August 2015).

51.

Silverman

(2011) Interpreting qualitative data: A guide to the principles of qualitative research. 4th edition. London: Sage.

52.

Skeat

Eadie

Ukoumunne

Reilly

(2010) Predictors of parents seeking help or advice about children’s communication development in the early years. Child: Care, Health and Development 36: 878–87. doi: 10.1111/j.1365-2214.2010.01093.x.

53.

Snowling

Adams

Bishop

DVM

Stothard

(2001) Educational attainments of school leavers with a preschool history of speech-language impairments. International Journal of Language and Communication Disorders 36: 173–83.

54.

Speech Pathology Australia (SPA) (2011) Speech pathology services in schools: Clinical guideline. Melbourne: Speech Pathology Australia. Retrieved from: http://www.speechpathologyaustralia.org.au/library/Clinical_Guidelines/ServicesInSchools.pdf (August 2015).

55.

Tashakkori

Teddlie

(1998) Mixed methodology: Combining qualitative and quantitative approaches. Thousand Oaks, CA: Sage.

56.

Tollerfield

(2003) The process of collaboration within a special school setting: An exploration of the ways in which skills and knowledge are shared and barriers overcome when a teacher and speech and language therapist collaborate. Child Language Teaching and Therapy 19: 67–84.

57.

Wright

Graham

(1997) Where and when do speech and language therapists work with teachers? British Journal of Special Education 24: 171–74.

58.

Wright

Kersner

(1998) Supporting children with communication difficulties: Sharing the load. London: David Fulton Publishers.

59.

Wright

Kersner

(1999) Teachers and speech and language therapists working with children with physical disabilities: Implications for inclusive education. British Journal of Special Education 26: 201–05.

60.

Wright

Kersner

(2004) Short-term projects: The standards fund and collaboration between speech and language therapists and teachers. Support for Learning 19: 19–23.