Family-centred practice in speech-language pathology practice with children and young people in out-of-home care in Australia: A scoping review

Abstract

Purpose: Communication difficulties are more common in children or young people (CYP) who have lived in out-of-home care (OOHC) compared to the general population. Principles of family-centred practice (FCP) are frequently utilised by speech-language pathologists (SLPs) when working with CYP with communication difficulties. The aim of this scoping review was to describe how the principles of FCP are applied in the literature to speech-language pathology practice with CYP aged 0–18 in OOHC in Australia.

Method: A scoping review protocol was applied to identify published literature related to Australian speech-language pathology practice with CYP in OOHC. Four databases were searched with no date limitations and five publications were included after quality appraisal.

Result: Data extraction and thematic analysis identified several major themes: sharing information, liaison and working together, and responding to the CYP’s behaviour as non-verbal communication to inform decision making. However, only one study referenced FCP explicitly.

Conclusion: The review found that Australian SLPs are implementing FCP when working with CYP with communication difficulties in OOHC. However, scope for potential improvement was identified in the application of FCP principles with respect to the CYPs’ birth parents and cultural representatives, as well as the goal setting and evaluation phases of the clinical cycle.

Keywords:

• out-of-home care
• family-centred practice
• speech-language pathology

Acknowledgements

The authors thank Mr. Tim Eggleston (Specialist Research Librarian) for his early assistance in developing the literature search strategy for this review. The authors lso thank the reviewers for their valuable feedback that has strengthened the manuscript.

Disclosure statement

No potential conflict of interest was reported by the authors.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.