Guiding Principles and Clinical Applications for Speech-Language Pathology Practice in Early Intervention Purpose This article describes guiding principles in early intervention (EI) and demonstrates how speech-language pathologists (SLPs) can apply these principles to best serve infants and toddlers with communication and related problems and their families. Method Four principles guide the implementation of speech-language pathology services. EI services are services ... Clinical Forum
Clinical Forum  |   July 01, 2011
Guiding Principles and Clinical Applications for Speech-Language Pathology Practice in Early Intervention
 
Author Affiliations & Notes
  • Dine Paul
    American Speech-Language-Hearing Association, Rockville, MD
  • Froma P. Roth
    University of Maryland—College Park
  • Correspondence to Diane Paul: dpaul@asha.org
  • Editor: Kenn Apel
    Editor: Kenn Apel×
  • Associate Editor: Donna Boudreau
    Associate Editor: Donna Boudreau×
Article Information
Speech, Voice & Prosodic Disorders / Swallowing, Dysphagia & Feeding Disorders / Special Populations / Early Identification & Intervention / School-Based Settings / Professional Issues & Training / Regulatory, Legislative & Advocacy / Clinical Forum: First Years, First Words—SLPs Providing Early Intervention Services
Clinical Forum   |   July 01, 2011
Guiding Principles and Clinical Applications for Speech-Language Pathology Practice in Early Intervention
Language, Speech, and Hearing Services in Schools, July 2011, Vol. 42, 320-330. doi:10.1044/0161-1461(2010/09-0079)
History: Received November 16, 2009 , Revised April 16, 2010 , Accepted September 18, 2010
 
Language, Speech, and Hearing Services in Schools, July 2011, Vol. 42, 320-330. doi:10.1044/0161-1461(2010/09-0079)
History: Received November 16, 2009; Revised April 16, 2010; Accepted September 18, 2010
Web of Science® Times Cited: 8

Purpose This article describes guiding principles in early intervention (EI) and demonstrates how speech-language pathologists (SLPs) can apply these principles to best serve infants and toddlers with communication and related problems and their families.

Method Four principles guide the implementation of speech-language pathology services. EI services are services that are (a) family centered and culturally and linguistically responsive; (b) developmentally supportive, promoting children’s participation in their natural environments; (c) comprehensive, coordinated, and team based; and (d) based on the highest quality evidence available. Actual clinical scenarios are presented to illustrate each principle.

Results The four principles provide a framework for the wide range of roles and responsibilities assumed by SLPs in EI: (a) screening/evaluation/assessment, (b) goal setting and intervention, (c) consultation with and education for team members, (d) service coordination, (e) transition planning, and (f) advocacy.

Conclusion It is critical that families of infants and toddlers who are at risk for, or who have been diagnosed with, communication disorders receive all necessary services and supports. EI services should be tailored to the individual and the changing needs, preferences, and priorities of each family. The earlier services are provided, the more likely is the child’s chance to develop effective communication.

ACKNOWLEDGMENTS
The authors greatly appreciate the assistance of the following SLPs in providing clinical scenarios or recommending other SLPs: Roseanne Clausen, Elizabeth R. Crais, Amy Faherty, Amy Hasselkus, Marianne Howard, Kathryn Kohnert, Lisa Rai Mabry-Price, Shauna Page, Margaret Rogers, Ellen L. Schaefer, Stacey Thompson, Sharon Willig, and M. Jeanne Wilcox.
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