Small Talk: Identifying communication problems in maltreated children |
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| Institution: | 1. School of Allied Health, College of Science, Health and Engineering, La Trobe University, Bundoora, 3086, Australia;2. Berry Street 37-41 Elgin Street, Morwell, VIC, 3840, Australia;3. Victorian Aboriginal Child Care Agency, 340 Bell St, Preston, Vic, Australia;4. Berry Street, Take Two. 1 Salisbury Street Richmond, Vic 3121, Australia;5. School of Health and Human Sciences, Southern Cross University, Gold Coast Campus, Southern Cross Drive, Bilinga, QLD, 4225, Australia;1. sdube2@gsu.edu;1. Division of Epidemiology and Biostatistics School of Public Health, Georgia State University, 140 Decatur Street, Urban Life Building, Suite 465, Atlanta, GA, 30303, United States;2. Georgia Department of Education, Twin Towers East, Suite 2053, 205 Jesse Hill Jr. Drive, Atlanta, GA, 30334, United States;1. Department of Pediatrics, Boston University School of Medicine/Boston Medical Center, 88 East Newton Street, Vose Hall 3, Boston, MA, 02118, USA;2. Department of Biostatistics, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown Center, Boston, MA, 02118, USA;3. Department of Epidemiology, Boston University School of Public Health, 715 Albany St. Talbot Building, Boston, MA, 02118, USA;1. School of Psychology and Centre for Research on Educational and Community Services (CRECS), University of Ottawa, 75 Laurier Ave. E, Ottawa, ON, K1N 6N5, Canada;2. Department of Education and REES Centre for Research on Fostering and Education, University of Oxford, 15 Norham Gardens, Oxford, OX2 6PY, UK;1. University of Milano-Bicocca, Milano, Italy;2. Centre for Investigative Interviewing, Griffith Criminology Institute, Griffith University, Brisbane, Australia;3. University of Otago, Dunedin, New Zealand;4. Deakin University, Geelong, Australia;5. La Trobe University, Melbourne, Australia;1. Pennsylvania State University, Department of Sociology and Criminology and the Child Maltreatment Solutions Network, 505 Oswald Tower, University Park, PA, 16801, United States;2. Virginia Commonwealth University, School of Social Work, United States;1. Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, United States;2. The College of Social Work, The Ohio State University, United States;3. Center for Health Care Research and Policy, Case Western Reserve University, United States;4. School of Social Work, Virginia Commonwealth University, United States |
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| Abstract: | Development of speech and language is rapid in early years, yet if developmental problems in speech and language are not addressed they are likely to continue and impact negatively on a child's overall development and their life trajectory. Children who have experienced abuse and or neglect are particularly vulnerable. The aim of this study was to develop a tool to assist in identifying a child's need for assessment by a speech pathologist so that there could be early identification of problems. A culturally sensitive tool was developed to be completed by the child's carer included questions on language, speech and hearing, voice, fluency, understanding sentences, vocabulary and expression. Sixty-five children aged between 4 and 8 years, who had experienced abuse and/or neglect participated in the study. Fourteen percent were Aboriginal. A speech pathologist undertook an assessment for each child and the results were compared with the information on the Small Talk tool. The Tool was found to be high in sensitivity but low in specificity, requiring further refinement. However, it has the potential to assist non speech pathologists to identify a child's need for speech and language assessment with the findings identifying the Tool as promising practice. |
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| Keywords: | Speech and language difficulties Speech and language assessment Aboriginal children Child maltreatment Child protection |
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