American Journal of Speech-Language Pathology最新文献

{"title":"Approaches to Training Speech-Language Pathologists to Work With People With Aphasia: A Systematic Review.","authors":"Imran Musaji, Erin L O'Bryan, Aaron Bowen","doi":"10.1044/2024_AJSLP-24-00350","DOIUrl":"10.1044/2024_AJSLP-24-00350","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this systematic review was to analyze the published research on training approaches for preparing current and future speech-language pathologists (SLPs) to work effectively with people with aphasia (PWA). The review addresses key questions regarding the described training approaches, their key features, research quality, and efficacy.</p><p><strong>Method: </strong>The review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and registered with International Prospective Register of Systematic Reviews (CRD42024453742). The literature search spanned nine databases. Eligibility criteria included peer-reviewed publications in English that reported on training programs involving current or future SLPs working with PWA. Studies were assessed for research quality using the American Speech-Language-Hearing Association's (ASHA's) levels of evidence framework. Narrative synthesis was used to identify key features in the training programs.</p><p><strong>Results: </strong>A total of 920 citations were identified, with 50 studies meeting the inclusion criteria for analysis. Included studies represented a broad range of training approaches, research designs, and research quality. The 50 studies fell into ASHA levels of evidence Ib, IIa, IIb, III, and IV. Statistical meta-analysis was not possible because of variability in research design and outcome measures, but the studies revealed statistically significant findings relevant to the question of what makes training effective for preparing clinicians to work with people with aphasia.</p><p><strong>Conclusions: </strong>The current literature related to training of clinicians to work with PWA is heterogeneous in approach, outcome metrics, and methodological quality. There is evidence supporting several recommendations for training clinicians including integrating direct interactions with PWA during training, combining didactic and experiential learning, and incorporating reflective practices. Overall, the review highlights the need for well-described evidence-based training standards for speech-language pathology students working with PWA. Future research should aim to develop and validate comprehensive training guidelines to improve care quality for individuals with aphasia.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1454-1492"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143575869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowering Language Development: A Comparative Analysis of Parent-Implemented Intervention and Therapist-Implemented Intervention in Preschoolers With Language Delay.","authors":"Mitchell Schertz, Jasmeen Mansour-Adwan, Noa Provizor, Ayelet Haskin, Inbal Ogran, Michal Icht","doi":"10.1044/2025_AJSLP-24-00335","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00335","url":null,"abstract":"<p><strong>Purpose: </strong>Evidence supporting parent-implemented intervention (PII) in treating young children with language delays mostly exists in Indo-European languages. Given the linguistic diversity and cultural differences, the purpose of the study is to examine the efficacy of PII compared to therapist-implemented intervention (TII) in treating Hebrew-speaking preschool children with language delay.</p><p><strong>Method: </strong>In a prospective controlled study using a convenience sample, 40 toddlers with language delays were divided into two intervention groups, PII (<i>N</i> = 19) versus TII (<i>N</i> = 21). Those in the TII group participated in 12 weekly individual speech and language intervention sessions, each lasting 45 min. Participants in the PII groups were the parents of the children and took part in 12 weekly group training sessions, each lasting 90 min. Children's expressive and receptive language abilities were tested before and after the intervention. The outcome measures included vocabulary (using a parental questionnaire), morphology (mean morpheme per utterance), and syntax (number of one-word utterances, two-word utterances, simple sentences, and complex sentences). Statistical analyses using descriptive statistics and analysis of variance compared both interventions across time.</p><p><strong>Results: </strong>Both PII and TII groups demonstrated significant improvement after intervention. Differences between the groups were limited to only one measure, simple sentences, with children in the TII group exhibiting a greater increase in the number of simple sentences compared to those in the PII group.</p><p><strong>Conclusions: </strong>The present study extends knowledge regarding PII in non-Indo-European languages. The results highlight the positive effect of PII on language skills in Hebrew-speaking children with language delay, raising the potential contribution of its implementation in public health centers.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 3","pages":"1352-1365"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitation and Interference Effects During Cognate Retrieval in a Multilingual Person With Aphasia.","authors":"Aviva Lerman, Taryn R Malcolm","doi":"10.1044/2024_AJSLP-24-00233","DOIUrl":"10.1044/2024_AJSLP-24-00233","url":null,"abstract":"<p><strong>Purpose: </strong>In this study, we investigated the phenomenon of cognate status-based picture-naming abilities before and after anomia treatment in a multilingual person with poststroke aphasia whose languages vary in relation to language typology, age of acquisition, proficiency, and exposure/use in the years leading up to the stroke. We examined baseline abilities as well as the efficacy of within- and cross-language generalization.</p><p><strong>Method: </strong>In a multiple-baseline study, we measured cognate versus noncognate picture-based naming in one multilingual person with mixed transcortical aphasia in three of his languages: Swahili, English, and Hebrew. We provided 18 hrs of word retrieval treatment in English and then retested his cognate versus noncognate retrieval in all three languages.</p><p><strong>Results: </strong>At baseline, no cognate advantage was observed in English (high proficiency, early acquisition, high daily use). A cognate advantage was observed for Hebrew (late acquisition, moderate proficiency, oft-used) and potentially for Swahili (high proficiency, early acquisition, rarely used). After treatment in English, our results indicated greater interference effects for cognates relative to noncognates in Hebrew and Swahili, but not English.</p><p><strong>Conclusions: </strong>Retrieval ability may be more influenced by prestroke usage than by age of acquisition or proficiency, with a facilitative cognate advantage for less proficient and/or less used languages. Furthermore, treating a stronger language may result in interference of cognate retrieval more than noncognate retrieval in weaker languages. More studies are needed in this field to better understand the contribution of each factor and how we can manipulate them to our advantage in the aphasia clinic.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28620785.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1005-1022"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Benefits of Conversation Group Treatment for Individuals With Chronic Aphasia: Updated Evidence From a Multisite Randomized Controlled Trial on Measures of Language and Communication.","authors":"Elizabeth Hoover, Gretchen Szabo, Francine Kohen, Sarah Vitale, Nicholas McCloskey, Edwin Maas, Varsha Kulkarni, Gayle DeDe","doi":"10.1044/2025_AJSLP-24-00279","DOIUrl":"10.1044/2025_AJSLP-24-00279","url":null,"abstract":"<p><strong>Purpose: </strong>Aphasia is a communication disorder that affects up to 30% of stroke survivors. Insufficient access to communication services creates personal, social, and financial costs to people with aphasia (PwA), care partners, and the community. Group conversation treatment has the potential to improve communication and reduce social isolation in a cost-effective manner, but little is known about its critical ingredients. This multicenter randomized controlled trial examined the effects of conversation treatment and whether the pattern of changes on outcome measures differed when treatment was delivered in large groups compared to dyads.</p><p><strong>Method: </strong>One hundred four PwA were randomly assigned to a dyad, large group, or delayed control condition. Conversation group treatment was 1 hr, twice weekly, over 10 weeks. Individual communication goals were addressed within thematically oriented conversation treatment. To evaluate treatment effects, primary (Aphasia Communication Outcome Measure [ACOM]) and secondary outcome measures were examined at pretreatment, posttreatment, and 6 weeks posttreatment.</p><p><strong>Results: </strong>The ACOM did not show significant changes in the planned omnibus analyses. Post hoc analyses suggested that the large group, but not dyad, treatment condition showed a treatment effect on the ACOM from pre- to posttreatment. Both treatment conditions showed changes on a measure of naming, and the dyads also showed improvement on a measure of repetition.</p><p><strong>Conclusions: </strong>The study failed to show the effects of conversation treatment in the omnibus analysis, but there was evidence that conversation group treatment, delivered in a large group, is effective for people with chronic aphasia. This study also illustrated how manipulating the size of the group may alter the outcomes for individuals. The results of this study offer support for a <i>cost-effective</i> treatment option for PwA across the continuum of care.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28719578.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 3","pages":"1203-1218"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are Auditory-Perceptual Evaluations of Dysphonia by Experienced Voice Clinicians Affected by Knowledge of Speaker Race?","authors":"Daniel P Buckley, Kimberly L Dahl, Rachel L Norotsky, Cara Sauder, Lauren F Tracy, Cara E Stepp","doi":"10.1044/2025_AJSLP-24-00355","DOIUrl":"10.1044/2025_AJSLP-24-00355","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to investigate implicit racial bias in auditory-perceptual evaluations of dysphonic voices completed by experienced voice-focused speech-language pathologists (SLPs).</p><p><strong>Method: </strong>Thirty SLPs specializing in voice disorders listened to audio files of 20 Black speakers and 20 White speakers of General American English with voice disorders. The SLPs rated the overall severity of dysphonia (OS) of each voice heard using a 100-unit visual analog scale and then completed the Harvard Implicit Association Test (IAT) to estimate their implicit racial bias.</p><p><strong>Results: </strong>There were no significant main effects of speaker race or labeled race on OS ratings; however, there was a small but significant interaction effect between them: Race labeling resulted in a minimizing effect for Black speakers, but not White speakers. No significant relationship was found between Harvard IAT scores and differences in OS ratings by race-labeling condition.</p><p><strong>Conclusions: </strong>These findings suggest that experienced, voice-focused SLPs demonstrated a minimizing bias in their auditory-perceptual ratings of dysphonia of Black speakers. This bias is small and may not be clinically significant but, in some cases, could contribute to worse clinical care of Black people with voice disorders.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 3","pages":"1341-1351"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultivating the Critical Thinking Dispositions of Undergraduate Speech-Language Pathology Students.","authors":"Emma Kate Thome, Patrick Finn, Michael Hogan, Christopher P Dwyer","doi":"10.1044/2025_AJSLP-24-00165","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00165","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined whether a course in critical thinking (CT) facilitates change in undergraduate students' self-reported CT dispositions (CTDs). This study also examined whether students' postcourse CTDs predict real-world outcomes after controlling for students' baseline grade point average, need for cognition, and precourse CTDs.</p><p><strong>Method: </strong>One hundred thirty-eight undergraduate communication sciences and disorders (CSD) students participated in the study. All students were enrolled in a course that applied evidence-based characteristics of an effective CT course. Students completed the Student-Educator Negotiated Critical Thinking Disposition Scale (SENCTDS), Need for Cognition Scale-Short Form, Real-World Outcomes inventory, and CT subscale of the Motivated Strategies for Learning Questionnaire before and after taking the course. Data were analyzed using a paired-samples <i>t</i> test and structural equation modeling.</p><p><strong>Results: </strong>There was a statistically significant difference between pre- and posttest scores on the SENCTDS. After controlling for all sources of influence in the structural model, postcourse CTD scores were significantly related to postcourse RWO scores.</p><p><strong>Conclusions: </strong>The results of the study indicate the CT course may be effective for facilitating change in undergraduate CSD students' CTDs. The results suggest the possibility that students who receive direct instruction related to CT may be more likely to demonstrate reflective, attentive, open-minded, organized, and persistent dispositions and may be more internally motivated to solve complex problems. These findings suggest a robust effect of CTDs on real-world outcomes and that the CT course produced a clear benefit. More research is warranted to identify the active ingredients responsible for the self-reported change in students' CTDs.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28711154.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 3","pages":"1289-1307"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Discourse Measures From the Modern Cookie Theft Picture Description Are Sensitive to Mild Communication Deficits Not Captured by the Western Aphasia Battery-Revised Aphasia Quotient.","authors":"Lisa D Bunker, Shauna K Berube, Voss Neal, Lindsey Kelly, Catherine Kelly, Erin L Meier, Argye E Hillis","doi":"10.1044/2024_AJSLP-24-00322","DOIUrl":"10.1044/2024_AJSLP-24-00322","url":null,"abstract":"<p><strong>Purpose: </strong>The Western Aphasia Battery-Revised (WAB-R) is often used for diagnosis of aphasia. However, persons scoring above the WAB-R diagnostic cutoff may still present with language difficulties indicative of aphasia. Identification of residual language challenges is critical for treatment referral or inclusion in research. We examined differences in discourse following acute left-hemisphere stroke for those above/below the WAB-R diagnostic cutoff compared to healthy controls, as well as recovery during the first year.</p><p><strong>Method: </strong>Sixty-eight participants with acute left-hemisphere stroke completed the WAB-R and were classified as <i>aphasic by WAB-R</i> (ABW; <i>n</i> = 42) or <i>not aphasic by WAB-R</i> (NABW; <i>n</i> = 26). They completed the Modern Cookie Theft (MCT) picture description task at two time points: acute and either 3, 6, or 12 months poststroke. Responses were analyzed for content units, total verbal output, efficiency, and lateralization of content (i.e., right vs. left side of stimulus) and compared to 49 healthy controls. Differences between groups were examined using Wilcoxon rank-sum tests. Change over time was examined using robust linear mixed-effects regression.</p><p><strong>Results: </strong>Wilcoxon tests showed differences between healthy controls and ABW or NABW on all MCT metrics except efficiency for those NABW. Regression models showed no main effects of group or interaction between group and time point.</p><p><strong>Conclusions: </strong>The NABW group showed deficits in verbal output, content production, and laterality on the MCT picture description task, suggesting the presence of possible aphasia and hemispatial neglect. Measures derived from the MCT may be more sensitive to residual language/communication difficulties not captured by the WAB-R. The NABW group also showed similar patterns of recovery as the ABW group, highlighting the MCT task's ability to capture change for those with mild impairments. Results support use of the MCT task in clinical settings, particularly if/when mild deficits are probable/suspected.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28608116.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1100-1120"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dysphagia Symptoms Contribute to Greater Care Partner Burden in Neurodegenerative Disease.","authors":"Lauren Tabor Gray, Samantha Shune, Sarah Perry, Derek Kosty, Ashwini Namasivayam-MacDonald","doi":"10.1044/2025_AJSLP-24-00529","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00529","url":null,"abstract":"<p><strong>Purpose: </strong>Providing care for family members with neurodegenerative diseases entails significant physical and psychosocial costs, increasing caregiver burden. Limited research exists on the factors contributing to dysphagia-related burden, particularly across disease trajectories. This study aimed to (a) determine if dysphagia-related burden predicts general caregiver burden, (b) identify predictors of dysphagia-related burden, and (c) examine relationships between dysphagia severity, disease severity, and dysphagia-related burden.</p><p><strong>Method: </strong>Care partners (<i>N</i> = 211; 80% female; <i>M</i>_age = 60 ± 14 years) from clinics in Canada, New Zealand, and the United States participated. Care recipients included those with amyotrophic lateral sclerosis (ALS; <i>n</i> = 48), dementia (<i>n</i> = 110), and Parkinson's disease (PD; <i>n</i> = 53). General burden was measured using the Zarit Burden Interview, while dysphagia-related burden was assessed via the Caregiver Assessment of Reported Experiences with Swallowing Difficulties. Multiple regression analyses examined predictors of general and dysphagia-related burden and their relationships to dysphagia and disease severity.</p><p><strong>Results: </strong>Higher general burden was associated with female caregivers (β = -.19, <i>p</i> = .05), higher education (β = .16, <i>p</i> = .03), caring for someone with dementia (β = .36, <i>p</i> = .01), and greater dysphagia-related burden (β = .33, <i>p</i> = .01). Predictors of dysphagia-related burden included working caregivers (β = .15, <i>p</i> = .01), increased dysphagia symptoms (β = .77, <i>p</i> < .01), and caring for individuals with ALS or dementia (vs. PD; β = -.16, <i>p</i> = .02). Dysphagia burden varied by disease severity and diet tolerance (<i>p</i> < .01).</p><p><strong>Conclusions: </strong>Managing dysphagia independently contributes to caregiver burden, potentially increasing burnout and nonadherence to clinical recommendations. Early, proactive inquiry about dysphagia-related care partner burden and provision of support to minimize burden should be considered early in disease management.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28843055.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-9"},"PeriodicalIF":2.3,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trait Mindfulness and the Experience of Stuttering.","authors":"Megan Arney, Jason Moser, Bridget Walsh, J Scott Yaruss","doi":"10.1044/2025_AJSLP-24-00295","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00295","url":null,"abstract":"<p><strong>Purpose: </strong>There is minimal literature describing trait mindfulness in people who stutter and how aspects of trait mindfulness might relate to treatment outcomes and the experience of stuttering. The primary aim of this study was to determine whether there are differences in trait mindfulness in people who stutter compared to people who do not stutter to better inform the appropriateness of including mindfulness strategies in a comprehensive stuttering treatment plan.</p><p><strong>Method: </strong>Seventeen adults who stutter and 17 adults who do not stutter completed the Five Facet Mindfulness Questionnaire to measure trait mindfulness as well as either the Overall Assessment of the Speaker's Experience of Stuttering or the Overall Assessment of the Speaker's Experience of Speaking Ability to measure the impact of stuttering or speaking experiences on their lives. A subset of 16 adults who stutter completed a battery of assessments on personal characteristics associated with the experience of stuttering (experiential avoidance, repetitive negative thinking, and inattention characteristics). This allowed for comparisons of trait mindfulness between people who stutter and people who do not stutter as well as for analyses of the potential relationships between trait mindfulness and speaking experience within each population and of various personal characteristics in people who stutter.</p><p><strong>Results: </strong>No significant differences in trait mindfulness were found between people who stutter and people who do not stutter. A strong negative correlation was found between the trait mindfulness facet of nonjudging of inner experiences and experiential avoidance.</p><p><strong>Conclusion: </strong>Findings highlight the necessity of a comprehensive understanding of the specific characteristics of individual speakers when incorporating aspects of mindfulness into stuttering treatment.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening for Brain Injury in Justice-Involved Youth.","authors":"Jessica Salley Riccardi, Angela Hein Ciccia","doi":"10.1044/2025_AJSLP-24-00480","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00480","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this clinical focus article is to describe the development, implementation, and outcomes of a screening process for brain injury and associated symptoms in a juvenile justice setting.</p><p><strong>Method: </strong>Through a collaborative, co-design process, a screening approach was created and implemented with youth intersecting with probation services. The brain injury screening was conducted using the HELPS Traumatic Brain Injury (TBI) Screening Tool and, for youth who screened positive for a likely brain injury on the HELPS TBI Screening Tool, a shortened version of the Juvenile Symptom Questionnaire.</p><p><strong>Results: </strong>In just over 2 years, 119 male youth on probation were screened for brain injury by 17 different probation officers. Of the about 10% of youth who screened positive for a likely brain injury, the greatest number of symptoms with the most impact on daily functioning were in the domains of information processing and emotional problems.</p><p><strong>Conclusions: </strong>The co-design, implementation, and outcomes of this screening process provide foundational knowledge on the prevalence of brain injury in justice-involved youth (JIYs) and associated symptoms that supports the need for continued research and development of clinical assessment and treatment processes. These findings highlight the critical role of speech-language pathologists on research and clinical teams to continue screening for brain injuries and providing brain injury sensitive supports and services to JIYs.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-11"},"PeriodicalIF":2.3,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}