Background: Spoken discourse impairments post-traumatic brain injury (TBI) are well-documented and heterogeneous in nature. These impairments have chronic implications for adults in terms of employment, socializing and community involvement. Intervention delivered by a speech-language pathologist (SLP) is recommended for adults with discourse…

Language and communication improvement approaches designed by SLT services for delivery by early years practitioners can be effective in principle, but what helps or hinders initial and ongoing success? In this implementation study, we investigated the experiences of 10 practitioners who became Language Leads (LLs) and delivered the Language Lead…

Background: Major neurocognitive disorder (MND) alters cognition, memory and language, and consequently affects communication. Speech-language therapy (SLT) may alleviate communication difficulties. Aims: This pilot study explored the effects of intensive SLT emphasizing memory, language, and discourse impairment and complementary communication…

Speech-language pathologists (SLPs) have an important role in supporting the caregivers of persons with dementia from diagnosis through the end of life in 4 major areas: education, training to use effective cognitive communication strategies identified for clients with dementia, psychosocial/emotional support, and counseling. Speech-language…

Children who stutter may experience challenges in their social and emotional development that can lead to academic struggles in school. School counselors and speech-language pathologists (SLPs) are uniquely positioned to collaborate on school-based interventions to help children who stutter. We review common elements of stuttering in children and…

People with communication support needs experience barriers that limit their social inclusion in society. A community approach such as "communication access" that targets changing attitudes, skills, and resources may assist in facilitating community participation. The authors describe the development of communication access from 2008 in…

Researchers and practitioners have found that telepractice is an effective means of increasing access to high-quality services that meet children's unique needs and is a viable mechanism to deliver speech-language services for multiple purposes. We offer a framework to facilitate the implementation of practices that are used in direct…

Purpose: A primary goal of aphasia intervention is to improve everyday communication. Although a large body of research focuses on treatment generalization, transfer of learning to real-world interactions involving discourse does not always occur. The goal of an integrated discourse treatment for aphasia (IDTA) approach is to facilitate such…

Interventions designed for children with disabilities and their families should be socially valid. Parent-implemented Communication Strategies-Storybook (PiCSS) is an intervention package designed to coach parents on shared storybook reading and naturalistic teaching strategies. In PiCSS program, the participating parents used the communication…

Family-centered practices that build caregiver capacity are a central focus of early intervention services for young children with disabilities. The purpose of this study was to evaluate the feasibility of adapting the "Parents Interacting with Infants" (PIWI) facilitated playgroup model to target effective communication strategies for…

This article provides clinicians and educators a useful conceptualization of general instructional strategies often used to promote the performance of requests in children with developmental disabilities, and which can be applied in interventions that utilize augmentative and alternative communication. A case study illustrates the specialized…

Given the linguistic and cognitive demands of communication, adult Augmentative and Alternative Communication (AAC) users with acquired communication disorders may have difficulty using AAC systems consistently and effectively in "real-life" situations. The process of recommending AAC systems and strategies is an area of exploration,…

Purpose: In this study, the authors examined the effects of the Teach-Model-Coach-Review instructional approach on caregivers' use of four enhanced milieu teaching (EMT) language support strategies and on their children's use of expressive language. Method: Four caregiver-child dyads participated in a single-subject, multiple-baseline study.…

Purpose: Vocal, gestural, and graphic communication modes were implemented concurrently with a toddler with Angelman syndrome to identify the most efficiently learned communication mode to emphasize in an initial augmentative communication system. Method: Symbols representing preferred objects were introduced in vocal, gestural, and graphic…

A qualitative study of group therapy for aphasia was undertaken in order to discover interaction patterns and discourse management strategies that help define "social" or "conversation" group therapy for aphasia. Specifically, an analysis of the discourse of clients and therapists was conducted to identify patterns across therapists and settings.…