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地域の小児科クリニックに言語聴覚士(ST)が配置されてから15年間の受診児の動向と業務実績を分析し，小児科クリニックにおけるST業務とその役割について考察した．
受診児は年々増加傾向にあり，発達障害児の療育ニーズが高まってきた．ST業務として当初は個別療育のみ行っていたが，集団療育や関係機関との連携へと広がった．また，療育以外に，個別健診での発達評価や地域の保育園健診での言語スクリーニングも行うようになった．小児科クリニックにSTが配置されることで，対象児は身近な場所で個別のニーズに合わせた専門的な療育・支援を受け，保護者はより具体的で，きめ細かな育児支援を受けることができるようになった．
今後，さらに小規模医療機関でSTが活躍し，言語聴覚療法や療育の場が地域に広がることが望まれる．
In this paper, we analyze the trends and performance of children visiting a pediatric clinic during a period of 15 years following the introduction of a speech-language-hearing therapist (SLHT) at the clinic, and discuss the roles and work of the SLHT. The number of children, especially those with developmental disorders, receiving evaluation at the clinic has increased year by year. At first, individual intervention within the clinic was the main work for the SLHT;now the work has expanded to include group work and cooperation with other institutions including kindergardens, nursery schools, and primary schools. Our study leads us to hope that more SLHTs will work in small clinics in the regional communities, so that more children with developmental disorders will have the chance to benefit from intervention by SLHTs.
Copyright © 2013, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.
