Introduces six articles which address treatment outcomes and efficacy in audiology and speech-language pathology in the schools. Stresses the importance of practitioners participating in studies of treatment outcomes and efficacy to demonstrate that their evaluations and treatments make a significant difference to individuals served. (DB)

This reaction to Duchan (EC 607 918) warns against a strict dogmatic adherence to either a qualitative or quantitative research approach and argues that far more important than methodology per se are choice of research question and appropriateness of the methodology to the problem under investigation. Examples in speech-language pathology are…

This statement by a committee of the American Speech-Language-Hearing Association defines the scope of practice in speech-language pathology. It covers purpose, a framework for practice, education and qualifications, scope of practice, professional roles and activities, and practice settings. (Contains references.) (DB)

This speech by a researcher into the genetic bases of dyslexia, attention deficit hyperactivity disorder (ADHD), and their etiological overlap, first honors four pioneers in the field (Samuel Orton, Bertil Hallgren, Isabelle Liberman, and Norman Geschwind); then updates knowledge about the genetics of dyslexia and comorbidity with ADHD and certain…

This article reviews the principles and shortcomings associated with the mechanistic and holistic models of teaching and learning. Speech language pathologists and teachers are urged to exploit the plurality of theories available in developing effective interventions. (DB)

A current objective in Canada is a provision of childcare services for all children. This objective has not been achieved as many children, especially those with disabilities, are often denied services from publicly funded daycare centres. The authors argue that policy discussions framed from an inclusive perspective provide a better understanding…

Eight American values/beliefs that affect speech/language service delivery are examined: the importance of time, the need for directness in communication, the appropriateness of informality in communication, the belief in equality, the necessity and efficacy of rehabilitation, the importance of independence, family involvement in rehabilitation,…

This article reviews the legislative/regulatory, societal, professional, and demographic influences that shaped and defined school-based speech-language practice as it is today. Emphasis is on the fundamental elements of contextually based assessments, educationally relevant intervention plans, and increased collaboration/consultation. Strategies…

Research and clinical data regarding concomitant speech and language problems in children who stutter are reviewed, along with theoretical models explaining this interrelationship. A framework is presented for the differential evaluation of children who stutter, involving four areas of assessment: case history, fluency assessment, language skills…

Examines issues related to designing and conducting randomized studies of speech/language treatment effects (clinical trials) in the public school setting and provides suggestions regarding how such studies can be effectively organized and implemented in schools by clinicians. The work of the Communication Sciences and Disorders Research Group in…

This epilogue to a series of articles addressing changes in speech-language pathology practices, discusses the influence of evidence-based approaches to clinical services. A bibliography of readings addressing English and Spanish phonology, spelling, recent regulations and guidelines, and evidence-based research and practices is appended.…

This article urges speech language pathologists (SLPs) to avoid the tutoring role in the effort to provide individualized services to children in regular classroom settings. Suggested alternatives to the tutoring role include acting in a consultative role to help modify classroom practices early in the year and later on providing direct services…

This article summarizes findings of studies on speech-language pathologists with varying levels of clinical experience, presents a working model of clinical expertise, offers comments concerning the development and maintenance of clinical expertise, and identifies some problems with research in this area. An appendix lists knowledge, skills,…

Examines the integration of health care and education in the schools with the advent of managed care. Effects of these changes, such as schools billing health care third-party payors and the expansion of speech language services to areas such as dysphagia and alternative/augmentative communication, are discussed. (DB)

Emphasizes the importance of collecting data on the prevalence of specific communication disorders in children and data on both the short-term and long-term impact of speech/language interventions in the schools. (Author/DB)