Communication-Based Services for Persons with Severe Disabilities: A Survey of Speech-Language Pathologists Working in North Carolina Residential Centers
Restricted accessResearch articleFirst published online September, 2000
Communication-Based Services for Persons with Severe Disabilities: A Survey of Speech-Language Pathologists Working in North Carolina Residential Centers
Speech-language pathologists were surveyed with an instrument created from The National Joint Committee for the Communicative Needs of Persons with Severe Disabilities' quality indicators self-assessment tool. Participants reported to value highly and, to a lesser degree, practice indicators of quality communication-based service delivery for persons with severe disabilities. Infrequent negative ratings for individual survey items and significant differences between opinion and practice ratings overall were unexpected and somewhat troubling. These findings would appear to suggest that in some areas of clinical practice even the most qualified speech-language pathologists fail to value and provide best practice services. Suggestions for promoting best practice are provided.
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References
1.
BeukelmanD. R. & MirendaP. (1992). Augmentative and alternative communication: Management of severe communication disorders in children and adults. Baltimore, MD: Brookes.
2.
BradyN. C. & HalleJ. W. (1997). Functional analysis of communicative behavior. Focus on Autism and Other Developmental Disabilities, 12, 95–104.
3.
CarnineD. (1997). Bridging the research-to-practice gap. Exceptional Children, 63, 513–521.
4.
CirrinF. M. & RowlandC. M. (1985). Communicative assessment of nonverbal youths with severe/profound mental retardation. Mental Retardation, 23, 52–62.
5.
EricksonK. A., KoppenhaverD. A., YoderD. E., & NanceJ. (1997). Integrated communication and literacy instruction for a child with multiple disabilities. Focus on Autism and Other Developmental Disabilities, 12, 142–150.
6.
GardnerP. L. (1975). Scales and statistics. Review of Educational Research, 45, 43–57.
7.
GlennenS. L. & DeCosteD. C. (1997). Handbook of augmentative and alternative communication. Singular: San Diego.
8.
GuessD., SailorW., & BaerD. (1976). Functional speech and language intervention for the severely handicapped. Lawrence, KS: H & H Enterprises.
9.
HalleJ. W. (1982). Teaching functional language to the handicapped: Using the natural environment as the context for teaching. Journal of the Association for Persons with Severe Handicaps, 7, 29–37.
10.
McCarthyC. F., McLeanL. K., MillerJ. F., Paul-BrownD., RomskiM. A., RourkJ. D., & YoderD. E. (1998). Communication supports checklist for programs serving individuals with severe disabilities. Baltimore, MD: Brookes.
11.
McLeanJ. E., McLeanL. K. S., BradyN. C., & EtterR. (1991). Communication profiles of two types of gesture using nonverbal persons with severe to profound mental retardation. Journal of Speech and Hearing Research. 34, 294–308.
12.
McLeanJ. E. & Snyder-McLeanL. (1987). Form and function of communicative behavior among persons with severe developmental disabilities. Australia and New Zealand Journal of Developmental Disabilities, 13, 83–98.
13.
McLeanJ. E. & Snyder-McLeanL. (1988). Applications of pragmatics to severely mentally retarded children and youth. In SchiefelbuschR. L. & LloydL. L. (Eds.), Language perspectives: Acquisition, retardation, and intervention (2nd ed., p.255–288). Austin, TX: Pro-Ed.
14.
McLeanL. & McLeanJ. (1993). Communication intervention for adults with severe mental retardation. Topics in Language Disorders, 13, 47–60.
15.
MirendaP., IaconoT., & WilliamsR. (1990). Communication options for persons with severe and profound disabilities: State of the art and future directions. Journal of the Association for Persons with Severe Handicaps, 15, 3–12.
16.
National Joint Committee for the Communicative Needs of Persons with Severe Disabilities. (1992, March). Guidelines for meeting the communication needs of persons with severe disabilities. ASHA, 34 (Suppl. 7), 1–8.
17.
National Joint Committee for the Communicative Needs of Persons with Severe Disabilities. (1995, August). Quality indicators for programs serving individuals with severe disabilities: A self-assessment tool. Unpublished Manuscript.
18.
NunnallyJ. C. (1967). Psychometric theory. New York: McGraw-Hill.
19.
OgletreeB. T., FischerM. A., & TurowskiM. (1996). Assessment targets and protocols for non-symbolic communicators with profound disabilities. Focus on Autism and Other Developmental Disabilities, 11, 53–58.
20.
OgletreeB. T., WetherbyA. M., & WestlingD. L. (1992). Profile of the prelinguistic intentional communicative behaviors of children with profound mental retardation. American Journal on Mental Retardation, 97, 186–196.
21.
ReichleJ., HalleJ., & JohnstonS. (1993). Developing an initial communicative repertoire: Applications and issues for persons with severe disabilities. In KaiserA. P. & GrayD. B. (Eds.), Enhancing children's communication: Research foundations for intervention (pp. 105–136). Baltimore, MD: Brookes.
22.
ReichleJ., RogersN., & BarrettC. (1984). Establishing pragmatic discriminations among the communicative functions of requesting, rejecting, and commenting in an adolescent. Journal of the Association for Persons with Severe Handicaps, 9, 31–36.
23.
ReichleJ. & YoderD. E. (1979). Assessment and early stimulation of communication in the severely and profoundly mentally retarded. In YorkR. L. & EdgarE. (Eds.), Teaching the severely handicapped (Vol. 4, pp. 180–218). Seattle, WA: American Association for the Education of the Severely/Profoundly Handicapped.
24.
ReichleJ., YorkJ., & SigafoosJ. (1991). Implementing augmentative and alternative communication: Strategies for learners with severe disabilities. Baltimore, MD: Brookes.
25.
RomskiM. & SevickR. (1988). Augmentative and alternative communication systems: Considerations for individuals with severe intellectual disabilities. Augmentative and Alternative Communication, 4, 83–93.
26.
RomskiM. A., SevickR. A., RobinsonB., & BakemanR. (1994). Adult-directed communications of youth with mental retardation using the system for augmenting language. Journal of Speech and Hearing Research, 37, 617–628.
27.
RowlandC. & SchweigertP. (1989). Tangible symbols: Symbolic communication for individuals with multisensory impairments. Augmentative and Alternative Communication, 5, 226–234.
28.
RowlandC. & SchweigertP. (1990). Tangible symbols systems: Symbolic communication for individuals with multisensory impairments. Tucson, AZ: Communication Skills Builders.
29.
RowlandC. & Stremel-CampbellK. (1987). Share and share alike: Conventional gestures to emergent language for learners with sensory impairments. In GoetzL., GuessD., & Stremel-Camp-bellK. (Eds.), Innovative program design for individuals with dual sensory impairments (p. 49–75). Baltimore, MD: Brookes.
30.
SackS., McLeanL., McLeanJ., & SpradlinJ. (1992). Effects of increased opportunities within scripted activities on communicative rates of individuals with severe retardation. Behavioral Residential Treatment, 7, 235–257.
31.
Siegel-CauseyE. & GuessD. (Eds.) (1989). Enhancing nonsymbolic communication among learners with severe handicaps. Baltimore, MD: Brookes.
32.
Siegel-CauseyE. & WetherbyA. M. (1993). Non-symbolic communication. In SnellM. E. (Ed.), Instruction of students with severe disabilities (4th ed., pp. 290–218). New York: Macmillan.
33.
SevickR. A., RomskiM. A., WatkinsR. V., & DeffebachK. P. (1995). Adult partner-augmented communication input to youth with mental retardation using the system for augmenting language (SAL). Journal of Speech and Hearing Research, 38, 902–912.
34.
Snyder-McLeanL. & McLeanJ. E. (1988a). Sociocommunicative competence in the severely/profoundly handicapped child: Management. In YoderD. E. & KentR. D. (Eds.), Decision making in speech-language pathology (p. 64–67). Toronto: B.C. Decker, Inc.
35.
Snyder-McLeanL. & McLeanJ. E. (1988b). Sociocommunicative competence in the severely/profoundly handicapped child: Assessment. In YoderD. E. & KentR. D. (Eds.), Decision making in speech-language pathology (p. 68–71). Toronto: B.С. Decker, Inc.
36.
StillmanR. D. & BattleC. W. (1984). Developing prelanguage communication in the severely handicapped: An interpretation of the van Dijk method. Seminars in Speech and Language, 5, 159–170.
37.
WarrenS. F., YoderP. J., GazdagG. E., KimK., & JonesH. A. (1993). Facilitating prelinguistic communication skills in young children with developmental delay. Journal of Speech and Hearing Research, 36, 83–97.
38.
WriterJ. (1987). A movement-based approach to the education of students who are sensory impaired/multihandicapped. In GoetzL., GuessD., & Stremel-CampbellK. (Eds.), Innovative program design for individuals with dual sensory impairments (pp. 191–223). Baltimore, MD: Brookes.
