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A Family Systems Approach to Augmentative and Alternative Communication Service Delivery in the Inpatient Setting:

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Family-centered care is crucial for children using augmentative and alternative communication (AAC) in hospitals. Speech-language pathologists (SLPs) can improve outcomes by applying family systems theory to support families during hospitalization.

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Area of Science:

  • Pediatric healthcare
  • Speech-language pathology
  • Family systems theory

Background:

  • Family-centered care is essential for high-quality healthcare.
  • Including families in augmentative and alternative communication (AAC) service provision is critical in inpatient settings.
  • Limited guidance exists for speech-language pathologists (SLPs) on family-centered care for children with limited speech in pediatric inpatient settings.

Purpose of the Study:

  • To apply family systems theory principles to the inpatient pediatric setting.
  • To guide effective family-centered clinical practice for AAC service provision.
  • To improve health care outcomes for children using AAC and their families.

Main Methods:

  • Described a family systems framework for supporting families with hospitalized children using AAC.
  • Utilized two case studies to illustrate the application of a family systems approach.
  • Provided recommendations for SLP service delivery in inpatient settings.

Main Results:

  • Recommendations focus on including primary caregivers in AAC service delivery.
  • Discussed clinical implications and future directions for family-centered AAC care.
  • Highlighted the benefits of a family systems approach for SLPs and families.

Conclusions:

  • Hospitalization of a child using AAC can be stressful for the family system.
  • A family systems framework can enhance AAC service delivery outcomes through collaboration and support.
  • Increased family engagement can lead to better intervention strategy uptake and improved AAC use.