The Role of the School-Based Speech-Language Pathologist Serving Preschool Children With Dysphagia

Abstract

Increasing numbers of medically complex children are being referred to preschool programs managed by the public school systems. Public school speech-language pathologists have the responsibility of evaluation and intervention in the area of dysphagia. Although the American Speech-Language-Hearing Association's Scope of Practice includes dysphagia, there is some controversy about whether this more traditional medical intervention belongs in the educational model. In the educational setting, information and techniques must be accurately and safely transmitted to the entire team working with the child. Ongoing communication between the medical community and the school staff is crucial. The increased responsibility of the speechlanguage pathologist brings with it a variety of concerns. These include safety, mandatory cardiopulmonary resuscitation training, awareness of dangerous mealtime practices, specific education in pediatric dysphagia intervention, liability, and financial support.