关键词: NDIS funding language intervention parent involvement service delivery speech intervention speech-language pathology

来  源:   DOI:10.1080/17549507.2023.2281222

Abstract:
Purpose: There has been concern that a shift in disability funding to the National Disability Insurance Scheme (NDIS) in Australia may have influenced paediatric speech and language intervention to involve parents less in service delivery. This study aimed to describe paediatric speech-language pathologists\' (SLPs) practices and perceptions of parent involvement in NDIS-funded speech and/or language intervention.Method: Seventy-two paediatric SLPs currently practicing in Australia with NDIS-funded speech and/or language clients completed an online survey. The survey assessed SLPs\' self-reported practices supporting parent involvement through Likert scale responses and included open-text questions about perceived barriers and facilitators in NDIS-funded intervention services. Results from the survey were analysed using descriptive statistics, significance testing, and thematic analysis.Result: The majority of SLPs indicated commitment to involving parents in intervention. Experienced SLPs used more family-centred practices and Department of Education (DE)-based SLPs used fewer. Barriers arose from SLP, parent, and workplace characteristics. Facilitators included communication and rapport building, utilising a family-centred model of service delivery, and parent characteristics.Conclusion: This self-selected sample of Australian SLPs utilised many techniques to facilitate parent involvement within NDIS-funded paediatric speech and language intervention. Results indicate NDIS-funded SLP services for families are family focused.
摘要:
目的:有人担心,残疾资金转移到澳大利亚的国家残疾保险计划(NDIS)可能会影响儿科言语和语言干预,使父母较少地参与服务提供。这项研究旨在描述儿科言语语言病理学家(SLP)的做法和父母参与NDIS资助的言语和/或语言干预的看法。方法:目前在澳大利亚使用NDIS资助的语音和/或语言客户的72名儿科SLP完成了一项在线调查。该调查通过Likert量表响应评估了SLP的自我报告实践,以支持父母的参与,并包括有关NDIS资助的干预服务中感知到的障碍和促进者的公开文本问题。调查结果采用描述性统计分析,显著性测试,和专题分析。结果:大多数SLP表示承诺让父母参与干预。经验丰富的SLP使用了更多以家庭为中心的做法,而基于教育部(DE)的SLP使用的较少。障碍来自SLP,父母,和工作场所的特点。促进者包括沟通和融洽的建筑,利用以家庭为中心的服务交付模式,和父母的特点。结论:这种自我选择的澳大利亚SLP样本利用了许多技术来促进父母参与NDIS资助的儿科言语和语言干预。结果表明,NDIS资助的针对家庭的SLP服务以家庭为中心。
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