Allocation and funding of Speech and Language Therapy for children with Developmental Language Disorders across Europe and beyond

Hanne B.Søndergaard Knudsen; Niloufar Jalali-Moghadam; Silvia Nieva; Ewa Czaplewska; Marja Laasonen; Ellen Gerrits; Cristina McKean; James Law

doi:10.1016/j.ridd.2021.104139

Allocation and funding of Speech and Language Therapy for children with Developmental Language Disorders across Europe and beyond

Hanne B.Søndergaard Knudsen^*
, Niloufar Jalali-Moghadam
, Silvia Nieva
, Ewa Czaplewska
, Marja Laasonen
, Ellen Gerrits
, Cristina McKean
, James Law

^*Corresponding author for this work

ILS - Language acquisition, processing and disorders

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background: Children with Developmental Language Disorder (DLD) have a significant deficit in spoken language ability which affects their communication skills, education, mental health, employment and social inclusion. Aim: The present study reports findings from a survey by EU network COST ACTION 1406 and aims to explore differences in service delivery and funding of SLT services for children with DLD across Europe and beyond. Methods and procedures: The survey was completed by 5024 European professionals. COST countries were grouped into Nordic, Anglo-Saxon, Continental, Mediterranean, Central/Eastern and Non-European categories. The use of direct, indirect and mixed interventions, and their relationship to funding available (public, private or mixed) were considered for further analysis. Outcomes and results: The results revealed that for direct therapy, there were more cases than expected receiving private funding. For indirect therapy, fewer than expected received private and more than expected public funding. For mixed therapy, fewer cases than expected received private funding. Conclusions and implications: The results implies that other factors than evidence-based practices, practitioners experience, and patient preferences, drive choices in therapy. More research is needed to gain a better understanding of factors affecting the choice of therapy.

Original language	English
Article number	104139
Number of pages	11
Journal	Research in Developmental Disabilities
Volume	121
DOIs	https://doi.org/10.1016/j.ridd.2021.104139
Publication status	Published - Feb 2022

Bibliographical note

Funding Information:
The data for this study were derived from the Practitioner Survey which was part of the work of Cost Action 1406 entitled: Enhancing children’s oral language skills across Europe and beyond, a collaboration focusing on interventions for children with difficulties learning their first language. The Cost Action was funded by the European Union . We are grateful to the over a hundred members of the Action who contributed to the development of the questionnaire and, of course, to those who completed it.

Publisher Copyright:
© 2021 The Authors

Funding

The data for this study were derived from the Practitioner Survey which was part of the work of Cost Action 1406 entitled: Enhancing children’s oral language skills across Europe and beyond, a collaboration focusing on interventions for children with difficulties learning their first language. The Cost Action was funded by the European Union . We are grateful to the over a hundred members of the Action who contributed to the development of the questionnaire and, of course, to those who completed it.

Keywords

Developmental Language Disorder
Direct therapy
Funding policy
Implementation
Indirect therapy
Mixed therapy
Speech and language therapy

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.ridd.2021.104139Licence: CC BY-NC-ND

1-s2.0-S0891422221002882-mainFinal published version, 904 KBLicence: CC BY-NC-ND

Cite this

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title = "Allocation and funding of Speech and Language Therapy for children with Developmental Language Disorders across Europe and beyond",

abstract = "Background: Children with Developmental Language Disorder (DLD) have a significant deficit in spoken language ability which affects their communication skills, education, mental health, employment and social inclusion. Aim: The present study reports findings from a survey by EU network COST ACTION 1406 and aims to explore differences in service delivery and funding of SLT services for children with DLD across Europe and beyond. Methods and procedures: The survey was completed by 5024 European professionals. COST countries were grouped into Nordic, Anglo-Saxon, Continental, Mediterranean, Central/Eastern and Non-European categories. The use of direct, indirect and mixed interventions, and their relationship to funding available (public, private or mixed) were considered for further analysis. Outcomes and results: The results revealed that for direct therapy, there were more cases than expected receiving private funding. For indirect therapy, fewer than expected received private and more than expected public funding. For mixed therapy, fewer cases than expected received private funding. Conclusions and implications: The results implies that other factors than evidence-based practices, practitioners experience, and patient preferences, drive choices in therapy. More research is needed to gain a better understanding of factors affecting the choice of therapy.",

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note = "Funding Information: The data for this study were derived from the Practitioner Survey which was part of the work of Cost Action 1406 entitled: Enhancing children{\textquoteright}s oral language skills across Europe and beyond, a collaboration focusing on interventions for children with difficulties learning their first language. The Cost Action was funded by the European Union . We are grateful to the over a hundred members of the Action who contributed to the development of the questionnaire and, of course, to those who completed it. Publisher Copyright: {\textcopyright} 2021 The Authors",

year = "2022",

month = feb,

doi = "10.1016/j.ridd.2021.104139",

language = "English",

volume = "121",

journal = "Research in Developmental Disabilities",

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AU - Knudsen, Hanne B.Søndergaard

AU - Jalali-Moghadam, Niloufar

AU - Nieva, Silvia

AU - Czaplewska, Ewa

AU - Laasonen, Marja

AU - Gerrits, Ellen

AU - McKean, Cristina

AU - Law, James

N1 - Funding Information: The data for this study were derived from the Practitioner Survey which was part of the work of Cost Action 1406 entitled: Enhancing children’s oral language skills across Europe and beyond, a collaboration focusing on interventions for children with difficulties learning their first language. The Cost Action was funded by the European Union . We are grateful to the over a hundred members of the Action who contributed to the development of the questionnaire and, of course, to those who completed it. Publisher Copyright: © 2021 The Authors

PY - 2022/2

Y1 - 2022/2

N2 - Background: Children with Developmental Language Disorder (DLD) have a significant deficit in spoken language ability which affects their communication skills, education, mental health, employment and social inclusion. Aim: The present study reports findings from a survey by EU network COST ACTION 1406 and aims to explore differences in service delivery and funding of SLT services for children with DLD across Europe and beyond. Methods and procedures: The survey was completed by 5024 European professionals. COST countries were grouped into Nordic, Anglo-Saxon, Continental, Mediterranean, Central/Eastern and Non-European categories. The use of direct, indirect and mixed interventions, and their relationship to funding available (public, private or mixed) were considered for further analysis. Outcomes and results: The results revealed that for direct therapy, there were more cases than expected receiving private funding. For indirect therapy, fewer than expected received private and more than expected public funding. For mixed therapy, fewer cases than expected received private funding. Conclusions and implications: The results implies that other factors than evidence-based practices, practitioners experience, and patient preferences, drive choices in therapy. More research is needed to gain a better understanding of factors affecting the choice of therapy.

AB - Background: Children with Developmental Language Disorder (DLD) have a significant deficit in spoken language ability which affects their communication skills, education, mental health, employment and social inclusion. Aim: The present study reports findings from a survey by EU network COST ACTION 1406 and aims to explore differences in service delivery and funding of SLT services for children with DLD across Europe and beyond. Methods and procedures: The survey was completed by 5024 European professionals. COST countries were grouped into Nordic, Anglo-Saxon, Continental, Mediterranean, Central/Eastern and Non-European categories. The use of direct, indirect and mixed interventions, and their relationship to funding available (public, private or mixed) were considered for further analysis. Outcomes and results: The results revealed that for direct therapy, there were more cases than expected receiving private funding. For indirect therapy, fewer than expected received private and more than expected public funding. For mixed therapy, fewer cases than expected received private funding. Conclusions and implications: The results implies that other factors than evidence-based practices, practitioners experience, and patient preferences, drive choices in therapy. More research is needed to gain a better understanding of factors affecting the choice of therapy.

KW - Developmental Language Disorder

KW - Direct therapy

KW - Funding policy

KW - Implementation

KW - Indirect therapy

KW - Mixed therapy

KW - Speech and language therapy

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SN - 0891-4222

VL - 121

JO - Research in Developmental Disabilities

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M1 - 104139

ER -

Allocation and funding of Speech and Language Therapy for children with Developmental Language Disorders across Europe and beyond

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

Access to Document

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Cite this