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The Importance of Identifying Children With Brain Injury in Schools: Speech-Language Pathologists as Crucial Partners
Jessica S Riccardi1, Elisabeth D'Angelo2,3, Erika B Hagen4
1Department of Communication Sciences and Disorders, The University of Maine, Orono.
Insights
Identifying traumatic brain injury (TBI) and cognitive-communication disorders (CCDs) in children is crucial for early intervention. Prompt identification and support can improve outcomes for children with TBI and prevent long-term challenges into adulthood.
Area of Science:
- Pediatric neurology
- Developmental psychology
- Speech-language pathology
Background:
- Childhood traumatic brain injury (TBI) can lead to persistent cognitive-communication disorders (CCDs).
- These disorders significantly impact a child's functioning and participation, extending into adulthood.
- Early identification is a key priority for improving long-term outcomes.
Purpose of the Study:
- To highlight the importance of identifying TBI and associated CCDs in children.
- To outline strategies for identifying TBI in educational settings.
- To emphasize the role of early intervention in mitigating adverse effects.
Main Methods:
- Literature review on TBI and CCDs in children.
- Synthesis of recommendations from the Fourth International Cognitive-Communication Disorders Conference.
- Discussion of identification and intervention strategies within schools.
Main Results:
- Identifying TBI in schools is the critical first step for intervention.
- Collaboration between families, medical, and educational professionals is essential.
- Evidence-based interventions and accommodations can be implemented following identification.
Conclusions:
- Effective identification, assessment, and management of TBI-related CCDs in students can reduce negative outcomes.
- Speech-language pathologists play a vital role in assessing and treating these disorders.
- Advocacy for policy changes is needed to improve support for children with TBI.
Purpose:
The purpose of this article is to describe the importance of and strategies to identify traumatic brain injury (TBI) and associated cognitive-communication disorders (CCDs) in children, a priority identified by the attendees at the Fourth International Cognitive-Communication Disorders Conference. Childhood TBI is associated with a range of difficulties, including CCDs, that can adversely impact functioning and participation into adulthood. Identifying a history of TBI in children in schools is the crucial first step to then monitor, assess, and provide evidence-based intervention and accommodations in collaboration with families and medical and educational professionals.
Conclusion:
Given that CCDs are treatable, effective identification, assessment, and management of students with TBI and resulting CCDs can reduce adverse outcomes in adult survivors of childhood TBI. Speech-language pathologists must be aware of their expertise in assessing and treating CCDs in children with TBI and advocate for programmatic and policy changes to better identify and support children with TBI.
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