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Sources of Evidence

Language disorders are usually managed by a multidisciplinary team. Speech and language therapists usually guide the management and the majority of children in the UK will be under their care. Members of the team that may be able to provide valuable evidence include -:

Sources of Evidence Information Provided Limitation of Evidence
Parent / Carer First source of information about details of GP and Consultant appointments and prescription of medication. Does not have specialist knowledge.
• Speech and language therapist (SALT)

• Paediatrician

• Occupational Therapist

The role of the speech and language therapist is varied, and includes -:

Assessment:

  • Conducting evaluations of children’s speech and language skills within the context of total development,
  • Administer standardised tests and scales, and look for milestones in speech and language development,
  • Identify communication problems and the best way to treat them; and
  • Help teachers and health care professionals identify children who are at risk.

Treatment:

  • Provide therapy to children individually or in a group,
  • Training and advice for parents/carers and other service providers (health, social work, education),
  • Provision of programmes of work and ways of supporting the child in different environments and by different people,
  • Assessment and provision of communication aids and resources; and
  • Involvement with educational and transition planning
It is important to determine who is regularly managing the child’s condition to enable contact with the appropriate healthcare professional.
Educational Psychologist May be a part of multidisciplinary team managing child’s condition. Perform assessments as well as involved in delivering interventions. Same as above
Audiologist May be involved in cases where the language disorder is associated with a hearing problem. Same as above
GP May have been involved at initial referral stages; may be helpful in providing information in cases where the child is no longer under tertiary care. Same as above
School Teachers may have been involved at initial referral stages; often collaboration with SALTs and teachers during assessment/intervention. Particularly helpful in providing information on ongoing academic/social impact or in cases where the child is no longer under tertiary care. Same as above

It is important to determine who is regularly managing the child’s condition to enable contact with the appropriate healthcare professional.