Family and Cultural Issues in a School Swallowing and Feeding Program Purpose This article presents a rationale for speech-language pathologists (SLPs) to provide culturally competent evaluation, diagnostic, and intervention services for children with oral motor, swallowing, and feeding disorders in school settings. There is also a discussion of how changing American public school demographics necessitate the consideration of cultural issues and ... Clinical Forum
Clinical Forum  |   April 01, 2008
Family and Cultural Issues in a School Swallowing and Feeding Program
 
Author Affiliations & Notes
  • Elise Davis-McFarland
    Trident Technical College, Charleston, SC
  • Contact author: Elise Davis-McFarland, 204 Grove Street, Charleston, SC 29403. E-mail: elise.davis-mcfarland@tridenttech.edu.
Article Information
Swallowing, Dysphagia & Feeding Disorders / Cultural & Linguistic Diversity / School-Based Settings / Clinical Forum
Clinical Forum   |   April 01, 2008
Family and Cultural Issues in a School Swallowing and Feeding Program
Language, Speech, and Hearing Services in Schools, April 2008, Vol. 39, 199-213. doi:10.1044/0161-1461(2008/020)
History: Received April 3, 2006 , Revised December 5, 2006 , Accepted July 23, 2007
 
Language, Speech, and Hearing Services in Schools, April 2008, Vol. 39, 199-213. doi:10.1044/0161-1461(2008/020)
History: Received April 3, 2006; Revised December 5, 2006; Accepted July 23, 2007
Web of Science® Times Cited: 3

Purpose This article presents a rationale for speech-language pathologists (SLPs) to provide culturally competent evaluation, diagnostic, and intervention services for children with oral motor, swallowing, and feeding disorders in school settings. There is also a discussion of how changing American public school demographics necessitate the consideration of cultural issues and family-focused approaches to dysphagia services.

Method This article provides an overview of cultural, religious, and health beliefs of several ethnic groups, as well as information on the dynamics and requirements of cultural competence and family-focused intervention. Ethnographic interviewing is presented as a culturally sensitive diagnostic method. Information on structuring a culturally relevant individualized educational program process is provided. Guidance in the use of interpreters and translators is also offered.

Conclusion Attention to cultural and family issues in the diagnosis and treatment of dysphagia in a school setting optimizes the opportunities for successful outcomes and better meets the needs of children and families from culturally/linguistically diverse backgrounds.

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