Allocation and funding of Speech and Language Therapy for children with Developmental Language Disorders across Europe and beyond

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Abstrakt

Background: Children with Developmental Language Disorder (DLD) have a significant deficit in spoken language ability which affects their communication skills, education, mental health, employment and social inclusion. Aim: The present study reports findings from a survey by EU network COST ACTION 1406 and aims to explore differences in service delivery and funding of SLT services for children with DLD across Europe and beyond. Methods and procedures: The survey was completed by 5024 European professionals. COST countries were grouped into Nordic, Anglo-Saxon, Continental, Mediterranean, Central/Eastern and Non-European categories. The use of direct, indirect and mixed interventions, and their relationship to funding available (public, private or mixed) were considered for further analysis. Outcomes and results: The results revealed that direct therapy and public funding was the most prevalent across countries. Significant differences were seen between country categories in funding of services. However, therapy type was predicted by country category but not funding, nor its interaction with the country category. Conclusions and implications: The lack of variation in results implies that other factors than evidence-based practices, practitioners experience, and patient preferences, drive choices in therapy. More research is needed to gain a better understanding of factors affecting the choice of therapy.

OriginalsprogEngelsk
Artikelnummer103936
TidsskriftResearch in Developmental Disabilities
Vol/bind113
ISSN0891-4222
DOI
StatusUdgivet - 2021

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