Community-based model for speech therapy in Thailand: implementation.

Area of Science:

• Public Health
• Speech-Language Pathology
• Community-Based Rehabilitation

Background:

• Thailand faces a shortage of speech therapy services for children with cleft lip and palate (CLP).
• Existing healthcare models require adaptation to meet the specific needs of CLP patients.
• Community-based approaches are crucial for extending healthcare access.

Purpose of the Study:

• To establish and implement a Community-Based Model for Speech Therapy in Thailand.
• To improve the identification and management of speech and language disorders in children with CLP.
• To enhance the capacity of healthcare providers in delivering early intervention for CLP.

Main Methods:

• The model was developed based on primary healthcare, community-based rehabilitation, and institutional sharing principles.
• Workshops were conducted for speech-language pathologists (SLPs) and non-specialist healthcare providers (para-SLPs).
• Training included "Training for Trainers," "Smart Smile & Speech" workshops, and speech camps for practical education.

Main Results:

• Standard guidelines for SLPs and intervention manuals for para-SLPs were developed for CLP speech disorders.
• Para-SLPs are better equipped to identify, provide early intervention, and refer CLP cases.
• Agreement rates between SLPs, audiologists, and para-SLPs ranged from 50% to 93.33%.

Conclusions:

• The Community-Based Model for Speech Therapy is an effective approach for addressing speech service gaps in Thailand.
• The model enhances the capability of local healthcare providers to manage speech and language issues in children with CLP.
• This initiative represents a significant step towards equitable access to speech therapy for children with CLP.