Background: Chronic care management (CCM) and community health worker (CHW) interventions hold promise for managing complex chronic conditions such as diabetes and related comorbidities. This qualitative study examines facilitators and barriers to the implementation of an expanded CCM intervention that explicitly incorporated program staff, clinic…

Background: In the UK, people with intellectual disabilities who exhibit aggressive behaviour often receive community-based specialist health services from a community learning disability team (CLDT). Our aim was to estimate costs associated with this provision and to identify predictors of higher costs. Method: Costs were estimated for 60 adults…

Background: The quality of support provided to people with disability who show challenging behaviour could be influenced by the quality of the behaviour support plans (BSPs) on which staff rely for direction. This study investigated the content validity of the Behaviour Support Plan Quality Evaluation tool (BSP-QEII), originally developed to guide…

Background: Having an objective means of evaluating the quality of behaviour support plans (BSPs) could assist service providers and statutory authorities to monitor and improve the quality of support provided to people with intellectual disability (ID) who exhibit challenging behaviour. The Behaviour Support Plan Quality Evaluation Guide II…

Over the last decade, the emerging field of sport-for-development (SFD) has advanced global efforts of related and applied scholarship and programming. While most of the existing SFD body of knowledge addresses social challenges of the "global south", today's economic global recession spreads challenges beyond these regions.…

Purpose: The purpose of this systematic review was to examine the current evidence for the use of oral motor exercises (OMEs) on speech (i.e., speech physiology, speech production, and functional speech outcomes) as a means of supporting further research and clinicians' use of evidence-based practice. Method: The peer-reviewed literature from 1960…

This article discusses the role in the Netherlands of independent regional advisory teams made up of professionals who have experience with individuals who exhibit challenging behaviors. One team's methods are illustrated by describing the case of a completely isolated 24-year-old man who, after a 7-year intervention, was able to fulfill a long…

This article offers guidelines for the evaluation and treatment of the child or adult client with vocal disorders, including the importance of obtaining a thorough history; the physical examination, including use of such technology as video strobolaryngoscopy; and medical, surgical, or rehabilitation treatment. A team effort, involving both…

This article provides a rationale for changing the base upon which healthcare services for individuals with stroke and aphasia can be provided. It summarizes the interaction between the Aphasia Institute and the West Greater Toronto Stroke Network who worked together to effect meaningful change. A set of guidelines is provided. (Contains…

This book provides an overview of the causes and symptoms, and the typical courses, treatments, and outcomes of neurogenic communication disorders. Chapter 1 reviews the human nervous system and neurologic causes of adult communication disorders. Chapter 2 discusses the neurologic assessment and arriving at a diagnosis, including the neurologist's…