Access for persons with neurogenic communication disorders: Influences of Personal and Environmental Factors of the ICF

Abstract

Background: Access for persons with acquired communication disorders is an important area that has been evaluated and discussed using many different theoretical frameworks. Clinicians and researchers need practical frameworks and more direction to guide specific assessments of the issues influencing access.

Aim: This article discusses the issue of access through the framework of the Personal and Environmental Factors of the World Health Organisation's International Classification of Functioning, Disability, and Health (ICF).

Main Contribution: The ICF's Personal and Environmental Factors are discussed in relationship to access and their interactions with each other. A fuller understanding of the complexities of access issues can be achieved though the ICF framework and this article uses clinical examples to demonstrate this complexity. The clinician's role in promoting or hindering access for their clients is discussed. Lastly, the challenge of evidence‐based practice and research with access issues is addressed.

Conclusions: The Personal and Environmental Factors of the ICF can be used to help elucidate the different aspects and complexity of access issues with persons with acquired aphasia. These areas need further research in order to advance intervention towards improving the lives of this population.