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Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
Supporting Communication Access of People With Communication Disabilities and Communication Differences in
Áine Kearns1,2, Caroline Jagoe3,4, Rachael Stockdale5
1School of Allied Health, University of Limerick, Limerick, Ireland.
Communication accessibility is a human right, yet barriers persist for individuals with communication disabilities. This review maps policies and practices in English-speaking nations, highlighting the need for better implementation of communication access rights.
Area of Science:
- Speech and Language Therapy
- Disability Studies
- Human Rights Law
Background:
- Communication accessibility is recognized as a fundamental human right under the UNCRPD.
- Effective communication is vital for social participation, well-being, and identity formation.
- Barriers to communication access can lead to social exclusion and financial disadvantages for individuals with communication disabilities.
Purpose of the Study:
- To explore policies, practices, and guidelines supporting communication access for adults with communication disabilities.
- To examine these in English-speaking countries that have ratified the UNCRPD and possess established speech and language therapy services.
Main Methods:
- An integrative literature review was conducted, combining systematic searches for empirical research with manual searches for policy, practice, and guidelines.
- A multi-scalar approach was used, analyzing findings within international law, national legislation, professional guidelines, and local/national projects.
Main Results:
- Communication accessibility is acknowledged as a human right, but signatory states must actively ensure information and communication access for persons with disabilities.
- A multi-scalar map revealed variations in the explicit focus on the right to communication across different countries and contexts.
- A lack of shared understanding regarding communication access was identified across empirical research, policy, and guidelines in the studied nations.
Conclusions:
- This review provides a comprehensive examination of communication access for individuals with communication disabilities and differences.
- Findings can inform and shape clinical practice, support advocacy efforts, and guide future research in communication accessibility.
- Multimodal communication and co-design approaches are highlighted as key strategies for enhancing communication access.
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