Speech language pathologists’ responses to the rejection or abandonment of AAC systems

Abstract

Purpose: This study aimed to explore the reported responses of speech-language pathologists (SLPs) to the rejection or abandonment of AAC systems for children with complex communication needs. Methods: Semi-structured in-depth interviews were conducted with 16 SLPs who worked with children with complex communication needs. Interviews were transcribed and coded using thematic analysis. Results: Four themes describing SLPs’ responses were identified: (1) SLPs work with families; (2) SLPs respect families’ wishes; (3) SLPs “push ahead” with AAC irrespective of families’ wishes; and (4) SLPs reflect and acknowledge emotions. Conclusions: SLPs varied in the degree to which they remained family-centred and utilised clinical reflection following the rejection or abandonment of AAC systems for the children they worked with. SLPs also described experiencing a range of negative emotions following the rejection or abandonment of an AAC system, which could impact upon ongoing client care. Implications for Rehabilitation In this research SLPs reported variability in the degree to which they remained family-centred following the rejection or abandonment of an AAC system for the children they worked with. SLPs should reflect on their emotional responses to the rejection or abandonment of AAC systems by their clients. This research suggests that SLP services should consider monitoring the reflective practices of their clinicians to ensure ongoing clinical development and optimisation of client care.