基于ICF的听力障碍儿童言语与语言康复服务：理论架构与服务体系

doi:10.3969/j.issn.1006-9771.2024.07.001

Abstract

Abstract:

Objective Based on the bio-psycho-social model of functioning and health of International Classification of Functioning, Disability and Health (ICF) framework, this paper systematically analyzes rehabilitation-related policy documents of the World Health Organization (WHO) to explore the theoretical and policy principles, service systems, priority development areas, and main policy and technical measures for speech and language rehabilitation for children with hearing impairment.
Methods Under literature research and policy analysis methods, this paper systematically reviewed the functioning and health framework of ICF, relevant WHO policy reports and American Speech and Hearing Association technical documents, analyzed the current status and needs of rehabilitation services in China, and proposed a theoretical framework, priority areas, and main policy and technical measures for constructing an ICF-based speech and language rehabilitation service system for children with hearing impairment.
Results There were eight major principles for the development of speech and language rehabilitation for children with hearing impairment: child-centered and respect for individual differences, life-cycle support and promoting continuous development, evidence-based practice, multidisciplinary collaboration, building family participation support networks, promoting integrated education and social participation, focusing on cultural sensitivity, and technology-empowered rehabilitation innovation. Five service systems were elaborated, including comprehensive early screening, diagnosis, and intervention system; family and social support system; multidisciplinary team services system; comprehensive, multi-level speech and language rehabilitation service system; and digitally empowered services to build new rehabilitation service models. The priority development areas, and main policy and technical measures for speech and language rehabilitation for children with hearing impairment were also discussed.
Conclusion Based on the bio-psycho-social model of functioning and health of ICF, comprehensive, personalized, continuous, high-quality and universally accessible speech and language rehabilitation services can be developed by implementing measures, such as strengthening policy support, improving service systems, cultivating multidisciplinary professionals, promoting digital empowerment technologies and enhancing support system, to promote the overall development, social participation and quality of life for children with hearing impairment.

Key words: children, hearing impairment, speech and language rehabilitation, services, International Classification of Functioning, Disability and Health

CLC Number:

R764

ZHOU Jing, YI Ling, CHEN Jianchao, CHEN Xuefen, WEI Xingxing, CHEN Jingjing. Speech and language rehabilitation services for children with hearing impairment based on ICF: theoretical framework and service system[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(7): 745-751.

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Speech and language rehabilitation services for children with hearing impairment based on ICF: theoretical framework and service system

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