It would be favorable, during the clinical assessment of language in multilingual children, if the speech-language-pathologist (SLP)spoke all the languages of the child. This is, however, not always possible, hence the need for interpreter-mediation. Furthermore, it would be desirable if the interpreters used in clinical assessments of language are specifically trained. There are only a few studies concerning interpreter-mediated clinical assessment of language and cognition using Conversation Analysis as a method, and no studies of interpreter-mediated clinical assessment of language in multilingual children. The purpose of this study was therefore to investigate the interaction between the SLP, interpreter and child, in interpreter-mediated clinical assessments of language in multilingual children, with a specific focus on the SLP and the interpreter. Participants of the study were two licensed S LPs, three interpreters and two multilingual children and their caregivers. The study was based on three video recordings of clinical encounters and four semi-structured interviews. The video recordings were translated, transcribed and analyzed using the theory and method of Conversation Analysis, and the interviews were transcribed and analyzed. Analysis of the video recordings resulted in the discovery of three phenomena; the importance of preunderstanding of the working process of SLP, the importance of responsibility during interpreter-mediated clinical assessment of language, and finally communication and language approach. Analysis of the semi-structured interviews resulted in the discovery of four phenomena, which, in addition to the ones already discovered during the video recordings, also included the importance of dialects. Strategies and challenges that the SLP and interpreter faced could be revealed from the phenomena discovered in the video recordings and the semi-structured interviews. It was suggested in the conclusion that challenges were caused by expectations on the interpreter, a lack of preunderstanding of the working process of the SLP, uncertainty regarding the responsibilities of the interpreter versus the SLP, and finally, the demands of a high level of language competence. Strategies that were used within the discovered phenomena were partially consciously applied by the SLP and interpreter. However, there is a great need for further knowledge and awareness of the processes involved in this clinical context, in order to obtain reliable and satisfactory interpreter-mediated clinical assessments of language. Lastly, it was discussed that the patient safety might be compromised if no consideration is taken regarding the investigated challenges and strategies.

The diploma thesis is oriented on special education. The main goal is to find out and describe whether and how is speech and language therapy established in regular kindergartens at the foothills of Orlické mountains. The work is divided into five chapters, four of them are theoretical and the fifth chapter is a practical one. The first chapter is focused on the way how the preschool education is organised in the Czech Republic. It describes the legislation system, clarifies the system of curricular documents established in our republic and mainly the framework educational program for preschool education. The second chapter describes the preschool-child ontogenesis including all aspects of his/her personality and it also depicts the child-speech ontogenesis. The third chapter is focused on the main types of impaired communication ability of preschool children. The fourth chapter is focused on the speech therapy intervention provided in the Czech Republic. The fifth chapter presents combined research, within which the qualitative method of dialogue and the quantitative method of questionnaire were used, together with non-structured observation and comparative analysis among kindergartens. The chapter defines the research goals and used methods, sets the hypotheses and the research sample. In...

This Masters thesis focuses on issues of Specific Language Impairment - SLI of children of pre-school age. It monitors and evaluates development of their communication and motor skills during their time in kindergarten. The theoretical part focuses on defining basic terms which relate to communication and communication disorder with the emphasis on SLI. The psychomotor and communicational development of child from birth to entering school is described too. Also how this all affected creating the Framework Educational Programme for preschool education. The aim of the empirical part was to observe four children with SLI during their attendance at a pre-school for children with specific needs. Speech and psychomotor development of these children and its changes in connection to their teachers' intervention was observed. Part of the research included interviews with children's parents and those are also evaluated. The survey was done by the qualitative method. We get four case histories. At the end was evaluated the aims of the survey and answered questions asked and summarized the results of my investigation.

The theoretical part of the diploma thesis is characterized by the history of logopaedics in the Czech Republic, the distribution of logopedic intervention and the organization of logopedic workers. The main subject of the thesis is to describe the requirements for the education and professional development of a teacher providing logopedic care both in the education sector and in the private sphere. It is also mentioned the division of logopedic workplaces according to individual spheres of education. The aim of the practical part is to map logopedic care in the South Bohemian Region. There is also a comparison of the current school situation. Further, the practical part is focused on workplaces where logopedic care is performed on children with cochlear implant. The diploma thesis is focused on the area of special education of people with hearing impairment, that is the second sub-focus of the speech therapist.

This thesis deals with children with impaired communication ability who are educated in regular kindergarden we use preschool also. The implementation of the research was selected as the research sample of 5 children with impaired communication abilities, specifically impaired developmental dysphasia. The theoretical part deals with the classification of impaired communication skills and the definition of developmental dysphasia. Comprehensively deals with the integration and education of children with ICA in regular kindergardens, preschool teacher quality and its role in the development of a child with ICA, focused on the development of children with developmental dysphasia. It also monitors the cooperation of kindergarden, parents and experts in the form of a speech therapist, workers SPC and PPC workers. The purpose of the research is based on interviews with parents, teachers, teacher assistants and direct short-term observation of the research sample in the form of 5 children with developmental dysphasia, who are educated in regular kindergarden to explore the learning process of a child with developmental dysphasia in regular kindergarden and map risks and benefits affecting his education.

The topic of this diploma thesis is speech therapy provision for seniors at residential care. The thesis consists of four chapters, three of which are theoretical, the fourth chapter is practical. The first chapter describes the old age, it presents basic terminology and it characterises the old age from the point of view of physical, mental and social development. The second chapter is concentrated on the issue of neurological speech and language disorders, their etiology, symptomatology, diagnostics and therapy. The third theoretical chapter describes the system of health and social care of seniors in the Czech Republic with an accent on the system of speech therapy intervention within the resorts of health care and social care. The fourth chapter is the research one. It is developed as a quantitative descriptive research, using the technique of a questionnaire sent to nursing homes for seniors in the Czech Republic. The research is completed by qualitative analysis of dialogues with speech therapists that provide speech therapy at nursing homes for seniors. The main objective of the research was to find out, whether and how the speech therapy is provided to seniors at nursing homes in the Czech Republic. The subchapters of the practical part present the research goals, set hypotheses and the...

Alla barn i förskolan har en rättighet att få sin röst hörd men denna rättighet är inte i allasituationer vare sig självklar eller enkel att iscensätta. Styrdokument för förskolan lyfter alladenna rättighet men i verksamheten visar sig grupper av barn där denna rättighet är svår attuppfylla. En av dessa grupper är barn i ofrivillig tystnad och det är den grupp barn som dettaarbete kommer att fokusera på.Syftet för denna studie är att inom förskolans kontext undersöka, kartlägga och synliggöra denkompetens yrkesverksamma inom förskolans verksamhet besitter gällande barn i ofrivilligtystnad samt vilka arbetssätt de nyttjar kring barn i ofrivillig tystnad för att gynna derasdelaktighet. Detta syfte ämnade vi att uppnå genom en studie av jämförande karaktär medsemistrukturerade intervjuer som metod för datainsamling. Vi har i denna studie genomfört sexstycken intervjuer med tre olika yrkesgrupper, förskollärare, specialpedagoger och logopeder.Studiens resultat belyser att det finns både kompetens och etablerade arbetssätt i förskolansverksamhet för att stötta barn i ofrivillig tystnad. Resultatet belyser dock även att det hospedagoger råder en osäkerhet kring begreppsförståelse samt om dessa arbetssätt är tillräckliga.De yrkesverksamma lyfter även fram en oro över faktumet att barn i ofrivillig tystnad inte alltidfår det stöd de behöver eller att detta stöd blir fördröjt på grund av att dessa barn beskrivs somblyga barn istället för barn i ofrivillig tystnad. Denna studies resultat visar på förekomsten avdetta, både på grund av kompetensbrist och ett sätt att bortförklara ett barns tystnad, och lyfterfram vikten av att begreppsförståelsen och kompetensen för indikatorer för ofrivillig tystnadbehöver stärkas inom förskolans verksamhet för att barn i ofrivillig tystnad ska möjliggörastillgång till det stöd de behöver och har rätt till. För varje barn har en rättighet att göra sin röst hörd. / To have their voice heard is a right that every child in preschool has but this fundamental rightis not always apparent or easy to realize in every situation or context. Regulatory documentsfor preschool all highlight this right but the preschools establishment however shows a numberof groups of children where this right proves difficult to fulfill. One of these groups is childrenin involuntary silence and it is this group of children this paper will be focusing on.The purpose for this study is to within the preschool context research, map out, and visualizethe competence witch staff within preschool establishments have regarding children ininvoluntary silence as well as the methodology which are being applied with children ininvoluntary silence to benefit their level of participation. This purpose we aim to achieve by themeans of a comparative study with semistructured interviews as its method of data collection.In this study we have done six interviews with three occupational groups, preschool teachers,special educators and speech therapists.The results of this study show that within preschool establishments both competence and wellestablished methodology exist to support children in involuntary silence. However the resultsalso show an insecurity among educators regarding terms and whether or not their methodologyis sufficient. The staff also emphasizes their worry over the fact that children in involuntarysilence far too often don’t receive the support they need or that this support is delayed due toinstances where these children are described as shy instead of as children in involuntarysilence. This study shows the occurrence of this both due to a lack of competence and as a wayto appropriate a child’s silence and thereby raises the importance of a strengthened knowledgeof terms and indicators for involuntary silence in preschool establishments to enable access tothe support these children need and have a fundamental right to. Because every child has a rightto make their voice heard.

Icke-verbal kommunikation är ett viktigt komplement till det verbala språket, inte främst i utbildningsverksamheter med yngre barn. Syftet med studien är att undersöka en logopeds och en specialpedagogs syn på hur och om icke-verbal kommunikation används medvetet som ett pedagogiskt verktyg i flerspråkiga verksamheter för yngre barn och varför det används. För att ta reda på det har vi genomfört kvalitativa semistrukturerade intervjuer med en logoped och en specialpedagog samt utgått från John Deweys pragmatiska perspektiv. Genom arbetet har vi kommit fram till att icke-verbal kommunikation är av vikt för att förstärka och förtydliga det verbala språket och att icke-verbal kommunikation är bra för alla men nödvändigt för vissa. Det är upp till pedagogerna att ha den kunskapen för att använda det med ett tydligt syfte för det individuella barnets skull. Slutsatserna som dras i studien visar bland annat att gester, kroppsspråk och olika former av material används som medveten icke-verbal kommunikation i flerspråkiga verksamheter och detta används i situationer under hela dagen i framför allt samspelssituationer, i interaktion, i situationer där något behöver förtydligas samt när någon kommer till en ny språkig miljö. Detta i syfte att skapa förståelse, göra sig förstådd, förtydliga, kommunicera, uttrycka kommunikation på ett annat sätt och för att fungera språkfrämjande. / Non-verbal communication is an important complement to the verbal language in activities with younger children. The purpose of the study is to investigate the views of a speech therapist and a special education teacher on how and if non-verbal communication is used deliberately as a pedagogical tool in multilingual activities for younger children and why it´s used. To find out, we conducted qualitative semi-structured interviews and based our work on John Deweys pragmatic perspective. We have come to the conclusion that non-verbal communication is important to reinforce and clarify the verbal language and that it´s good for everyone but necessary for some. It´s up to the educators to have knowledge, in order to use it with a clear purpose for the individual child´s sake. Some of the conclusions drawn in the study show that gestures, body language and different types of materials are used as conscious non-verbal communication in multilingual activities and is used in situations throughout the day in mainly interaction situations, in interaction, in situations where something needs to be clarified and when someone comes to a new linguistic environment. This is for the purpose of creating understanding, making oneself understood, clarifying, communicating, expressing communication in a different way and to function as a language promoter.

Normally swallowing occurs completely without effort. Should the act of swallowing for some reason be impaired, it becomes difficult to eat and drink. Dysphagia is the medical term for eating and swallowing disorders. Dysphagia is common in people with dementia, but the prevalence is not yet fully evaluated. The most common cause of death in people with dementia is aspiration pneumonia, which can be caused by dysphagia. In Sweden investigation and treatment of dysphagia are performed by speech and language pathologists (SLPs) but few of them work with dementia care. This study aims to identify the prevalence of dysphagia in people with dementia, living in a nursing home. The screening methods SSA-S and LtL were used to test the swallowing of 38 participants between 68-96 years of age (M = 86 years). To examine the participants’ oral health the risk assessment tool ROAG was used. When tested with the water swallowing test SSA-S 71,1% of the participants showed signs of aspiration, 36,8% had an oral transit time over 5 seconds, measured with LtL and 92% of the participants had an affected oral health, showing one or more symptoms of severity grade 2 according to ROAG. When adding up the results from the two screening tests a total of 86,8% of the participants showed signs of some kind of swallowing difficulty. Correlation analysis did not show any statistically significant correlations between SSA-S, oral transit time, oral health, or age. The present study found that there is a great need for interventions from speech and language pathologists in people with dementia. / Normalt sker sväljning helt utan ansträngning. Skulle sväljningen av någon anledning inte fungera som den ska, blir det svårt att äta och dricka. Den medicinska termen för ät- och sväljsvårigheter är dysfagi. Dysfagi är vanligt hos personer med demens men det är ännu inte helt kartlagt hur vanligt det är. Hos personer med demens är den vanligaste dödsorsaken aspirationspneumoni, vilket kan orsakas av dysfagi. I Sverige är det logopeder som utreder och behandlar dysfagi men det är få som är verksamma inom demensvården. Den här studien syftar till att kartlägga förekomst av dysfagi hos personer med demenssjukdom boende på ett vård- och omsorgsboende. Med screeningmetoderna SSA-S och LtL genomfördes undersökningar av sväljförmågan hos 38 personer mellan 68-96 års ålder (M = 86 år). För att undersöka deltagarnas munhälsa användes riskbedömningsverktyget ROAG. Av deltagarna fick 71,1 % utslag på vattensväljningstestet SSA-S, 36,8 % hade en oral transporttid över 5 sekunder, mätt med LtL och 92 % av deltagarna hade en nedsatt munhälsa med ett eller flera symptom av grad 2 i munhålan, enligt ROAG. Vid sammanräkning av resultaten från de två screeningtesten uppvisade totalt 86,8 % av deltagarna tecken på någon form av sväljsvårighet. Korrelationsberäkningar visade inga statistiskt signifikanta samband mellan resultat på SSA-S, oral transporttid, munhälsa eller ålder. Studien visar på ett stort behov av logopediska insatser hos gruppen personer med demenssjukdom.

Developmental language disorder (DLD) is a communication disorder which can greatly affect a child’s ability to achieve academic goals. In Sweden, all children have the right to receive the support they need in school. To ensure the needs of students with DLD are being met, more studies are needed regarding teachers’ knowledge about DLD as a diagnosis, their experiences related to working with these students, and their experiences of relevant interprofessional teamwork. The purpose of this study is therefore to shed light on the professional situation for teachers of students with DLD. The results of the study are based on focus group interviews with 19 teachers from 17 different counties in Sweden. The interviews were transcribed and then analyzed using content analysis. The study found that the participating teachers experience DLD as a diagnosis which greatly affects students’ goal achievement as well as their socio-emotional well being. The participants also underlined the lack of instruction related to DLD in teacher training programs and described that this lack of instruction sometimes led them to feel unprepared in their work with these students. Interprofessional collaboration was lifted as an especially important aspect of work with children with DLD, but many experienced the circumstances at their workplace as suboptimal for effective teamwork. The teachers specifically expressed a desire for more collaboration with SLPs and highlighted the importance of knowledgeable and competent school leadership. The results of the study indicate a need for children with DLD to be more highly prioritized both in the education of teachers but also in the allocation of resources within schools. Additionally, in order to achieve more equitable access to education for these students, teachers feel that SLPs need to be more closely involved at the school level. / Likvärdig utbildning för barn med språkstörning - En studie om måluppfyllelse, erfarenheter och deltagande