The viewpoint of speech-language-hearing therapists aiming to facilitate speech development of children with intellectual disability or developmental disorder Nobuko Nakagawa 1 Keyword: 乳幼児健診 , ことばの遅れ , 環境調整 , 医学モデルと生活モデル , 多職種との協働 , early childhood health check , speech delay , environment adjustment , medical-oriented model vs. life-oriented model , multi-disciplinary cooperation pp.71-77
Published Date 2015/6/15
DOI https://doi.org/10.11477/mf.6001200037
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 The author has been engaged in supporting 1- to 3-year-old children, who were classified as having speech delay during routine community health checks, but who have not yet been diagnosed specifically as having a "speech disorder." It may well become apparent later that many of them are intellectually disabled or developmentally disordered. The basic support for these children is to adjust their environment to facilitate their speech development. Therefore they need support based on the life-oriented model rather than on the medically-oriented model. Speech-language-hearing therapists(STs)need knowledge on a wide range of topics, including child development and child psychology, as well as an expert knowledge of ST theory and practice. Moreover, STs should work in cooperation with parents and other relevant professionals in the community, such as public health nurses and nursery teachers, and maintain long-term contact with the children during their childhood. In brief, STs' work includes:1)face-to-face training for children with speech problems;2)improvement of the children's environment to facilitate speech development;and 3)public information activities to raise awareness for the profession. It is emphasized that STs need to enhance public understanding regarding their professional role in supporting speech, language and communication development of children.

Copyright © 2015, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.


電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会