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Area of Science:

  • Speech-Language Pathology
  • Disability Studies
  • Health Services Research

Background:

  • Effective communication is vital for health, quality of life, and social participation.
  • Adults with communication disabilities, especially those with intellectual disabilities, encounter significant systemic barriers to accessing support.
  • Intellectual disabilities can exacerbate communication challenges, impacting overall well-being and inclusion.

Purpose of the Study:

  • To audit the delivery of recommended communication assessments for adults with intellectual disabilities.
  • To identify facilitators and barriers to accessing full communication assessments in this population.
  • To inform systemic reforms for improved communication support.

Main Methods:

  • A retrospective audit of 497 consultations involving 276 adults with intellectual disabilities in Australian group homes (2017-2022).
  • Analysis focused on the proportion of patients recommended for, versus those who received, a full communication assessment.
  • Mixed methods, including thematic analysis of facilitators and barriers, were employed.

Main Results:

  • Only 39.7% (93 out of 234) of patients recommended for a communication assessment received one.
  • Facilitators included dedicated funding, carer advocacy, and multiple clinical contacts.
  • Key barriers were funding limitations, competing clinical priorities, and poor service access.

Conclusions:

  • A significant gap exists between recommended and delivered communication assessments for adults with intellectual disabilities.
  • Systemic reform is necessary to prioritize communication support.
  • Recommendations include improved funding pathways, enhanced carer training, and better access to speech pathology services.