Expectations and experiences of accessing and participating in services for childhood speech impairment
Open accessAbstract
Speech impairment (speech sound disorder) is a high prevalence condition that responds well to early intervention provided by speech-language pathologists (SLPs). However, not all children in Australia are able to access necessary speech-language pathology services. The aim of this research was to investigate Australian parents' experiences of accessing and engaging in speech-language pathology services for their children with speech impairment. Two studies were conducted to achieve this aim. In Study 1, questionnaires were completed by 109 parents of pre-school children who had been identified with concerns about their speech. Only a third (n = 34, 31.2%) of the parents had previously accessed speech-language pathology services for assessment of their children's speech and just 29 of these (26.6% of the entire sample) reported their children had received intervention. Two thirds (n = 68, 62.4%) of the parents had not sought speech-language pathology services and half of these (n = 35, 32.1% of the entire sample) reported that "services were not needed". There was a small number of parents (n = 7, 6.4%) who had attempted to access services but had been unsuccessful. Parents identified teachers, family, friends, and doctors as important sources of information about their children's speech. In Study 2, interviews were conducted with 13 of the parents to discuss their experiences of speech impairment and service delivery in greater depth. Parents expected that others would make them aware of their child's speech impairment and that they should be able to access speech-language pathology services when required. Consequently, there is a need to raise awareness about speech impairment and speech-language pathology services to ensure appropriate identification, referral, and service provision for children at risk.
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Limited access to practitioners who can provide clinical diagnoses based on LSA outcomes due to costs and poor availability in areas where service does not meet community demand can further drive inequity and discrimination.
“Moreover, limited access to practitioners who can provide clinical diagnoses based on LSA outcomes (e.g., Speech-Language Pathologists [SLPs]) due to costs and poor availability in areas where service does not meet community demand (Lim et al., 2017; McAllister et al., 2011) can further drive inequity and discrimination (O'Callaghan et al., 2005; Verdon et al., 2011).”
From Early Identification of Language Disorders Using Natural Language Processing and Machine Learning: Challenges and Emerging Approaches (2025) · cites this paper as McAllister et al., 2011
The available indexed passages are bibliographic metadata (Abstract listing, no page), including the title and a link to an accepted manuscript, rather than the paper’s discussion. Searches for costs, practitioner availability, waiting lists, and LSA-based diagnoses found no passage addressing the attributed claim. The decisive text may be absent from the indexed copy. (LLM, conf=0.72)
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- Authors
- McAllister, L., McCormack, J., McLeod, S., & Harrison, L. J.
- Affiliations
- The University of Queensland (AU)
- Charles Sturt University (AU)
- Corresponding author
- McAllister, Lindy
- Venue
- International Journal of Speech-Language Pathology
- Publisher
- Informa UK Limited
- Published
- 2011-05-12
- Volume
- 13
- Issue
- 3
- Pages
- 251-267
- ISSN
- 1441-7049 (ISSN-L)
- 1754-9507
- 1754-9515
- OpenAlex
- W2124713527
- Cited by
- 88
- References
- 55
- Citations by year
- 2026: 8 · 2025: 4 · 2024: 8 · 2023: 5 · 2022: 8 · 2021: 4 · 2020: 11 · 2019: 8 · 2018: 7 · 2017: 7 · 2016: 4 · 2015: 4 · 2013: 5 · 2012: 3
- FWCI
- 5.91
- Type
- journal article
- Language
- en
- Open access
- Licence
- other-oa
- Locations
- International Journal of Speech-Language Pathology (publishedVersion)
- PubMed (publishedVersion)
- Charles Sturt University Research Output (CRO) (submittedVersion, other-oa)
- Funders
- Univerzita Karlova v Praze
- Charles Sturt University
- Australian Research Council
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Health Sciences › Medicine › Physiology › Voice and Speech Disorders
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- speech sound disorders, speech-language pathology services, access to services, parental experiences, early intervention, referral, preschool children, service delivery
- MeSH terms
- Australia, Awareness, Child, Child Health Services, Child, Preschool, Female, Health Services Accessibility, Humans, Interviews as Topic, Health Knowledge, Attitudes, Practice, Male, Parents, Patient Acceptance of Health Care, Patient Education as Topic, Surveys and Questionnaires, Speech Disorders, Speech-Language Pathology, Health Care Surveys, Information Seeking Behavior
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