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The right to choose: the how-to of practicable supports

Providing all practicable supports to enable a person to participate in decision-making is one of the five key principles of the English and Welsh Mental Capacity Act 2005. This article (set in the Canadian legal framework, which has many similarities...

How long is too long? Waiting times for speech and language therapy

Waiting lists are a reality of clinical practice, and many health and social care professionals become used to having to cope with this. The authors of this paper addressed this issue by examining written submissions to the 2014 Senate Inquiry...

Mental practice could be a great COVID-19 solution for delivering swallow rehab

Motor imagery is defined as the process of voluntarily generating a mental image of a motor function without actually doing said function. Mental practice (MP) is the process of doing this repeatedly; practising it. There is some evidence that this...

What do SLTs do in palliative care?

The authors of this article highlight that the number of older people has increased significantly in the last two decades, and the number of people over 85 has doubled in Australia since 1996. They attribute this to improved lifestyle factors...

Swallow this: management of dysphagia post-stroke

We know that between 50% and 80% of people who have had a stroke present with swallowing difficulties that may be associated with even a small lesion of the cortical or subcortical brain regions. This article provides an up-to-date overview...

People with dementia and their families want to see speech and language therapists!

Language and communication difficulties are common in Alzheimer’s disease and, of course, language-led dementia (primary progressive aphasia). Communication difficulties are highlighted as one of the biggest burdens for family members caring for loved ones with dementia. This is often associated...

Do you feel me? Emotional processing post-traumatic brain injury

Traumatic brain injury (TBI) accounted for just under three million accident and emergency admissions in the US in 2013, with common causes including falls, traffic accidents and assaults. Difficulties processing and expressing affective communication is a common sequela of TBI...

Children like to talk

When a health professional, including speech and language therapists, treats a child, they will often ask the parent or relative of the child for information on the issue and its impact. Yet children will frequently have an opinion on their...

Justice for all: role of registered intermediaries

The United Nations’ Agenda for Sustainable Development 2015 advocates equal access to justice for all. In recognition of this, a number of countries have introduced a new professional role; a registered intermediary in England, Wales and NI. The registered intermediary...

Does talking better make you feel better?

Interaction-focused therapy for people with language impairment (aphasia) following a stroke or brain injury is routinely used by speech and language therapists in clinical practice. These types of interventions are based on research into the organisation of interactions and interactional...

Swallow assessment: is clinical judgement or objective measurement more reliable?

Swallowing difficulties are life threatening and are the most common referral reason to speech and language therapists working with the adult population. Video fluoroscopic examination is a common instrumental tool used to assist in the assessment of the risk of...

From clinical to academic – intervention research in SLT

There are many different research methods and designs that can be used to test the effectiveness of speech and language interventions. This article aims to describe those methods relevant to speech and language therapists working with a range of clients....