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Children with speech and language disability: caseload characteristics.

Jan Broomfield1, Barbara Dodd

  • 1Speech and Language Therapy Department, Middlesborough, UK. jan.broomfield@tney.northy.nhs.uk

International Journal of Language & Communication Disorders
|June 19, 2004
PubMed
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This study surveyed children referred for speech and language therapy in the UK, finding a national incidence of 85,000-90,000 cases annually for speech and language disabilities.

Area of Science:

  • Pediatric Speech and Language Pathology
  • Public Health Epidemiology
  • Child Communication Disorders

Background:

  • No prior UK incidence surveys for pediatric speech and language therapy referrals exist.
  • Previous prevalence data on communication difficulties are inconsistent, hindering service planning.
  • Need for reliable data on impairment nature, severity, referral demographics, and socio-cultural factors.

Purpose of the Study:

  • To document referrals to a pediatric speech and language therapy service in a socially deprived UK area (Middlesborough Primary Care Trust).
  • To analyze referral data from January 1999 to April 2000.
  • To establish incidence rates and characteristics of communication disorders in referred children.

Main Methods:

  • All referrals were offered initial assessment within 8 weeks.

Related Experiment Videos

  • Standardized tests and age-appropriate quantitative measures assessed communication difficulties.
  • Demographic data, including population and case history, were collected.

    • Main Results:

    • Annual incidence of referred children attending assessment with speech/language disability was 14.6%.
    • Referral types included dysfluency (5.3%), voice/nasality (2.0%), receptive language (20.4%), expressive language (16.9%), and speech difficulties (29.1%).
    • Most referrals were aged 2-6 years, with more boys than girls; gender and socio-economic status influenced diagnosis.

    Conclusions:

    • Estimated national incidence of referred children with speech and language disability is 85,000-90,000 annually (14.6% of births).
    • Findings from this single trust suggest a significant need for pediatric speech and language therapy services.
    • Data can inform service planning and resource allocation for pediatric speech and language therapy.