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32

JCPSLP

Volume 14, Number 1 2012

Journal of Clinical Practice in Speech-Language Pathology

References

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together to improve the health status and health outcomes

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Australian Department of Families, Housing, Community

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time: The longitudinal study of Indigenous children – Key

summary report from wave 1

. Canberra: FaHCSIA.

Butcher, A. (2008). Linguistic aspects of Australian

Aboriginal English.

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R., & Johnson, S. (2010).

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Aboriginal health

(3rd ed.). Sydney: Churchill Livingstone.

Gould, J. (2008). Non-standard assessment practices

in the evaluation of communication in Australian Aboriginal

children.

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Hoy, D., Rickart, K., Durham, J., Puntmetkul, R.,

Mansoor, G., Muijlwijk, A., & Bounnaphol, S. (2010).

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appropriate and sustainable manner.

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McSwan, D., Ruddell, D., & Searston, I. (2001).

A whole

community approach to otitis media: Reducing its incidence

and effects

. Townsville: James Cook University Rural

Education Research and Development Centre.

Nelson, A., & Allison, H. (2004). Visiting occupational

therapy service to Indigenous children in schools: Results of

a pilot project.

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, 55–60.

Philpott, M. (2003).

The Revised Kimberley Early

Language Scales

. Melbourne: Speech Pathology Australia.

Speech Pathology Australia. (2000a).

How do speech

pathologists work in a multilingual and culturally diverse

society?

Fact sheet 4.1. Melbourne: Author.

Speech Pathology Australia (2000b).

Speech

pathologists working in early intervention programs with

Aboriginal Australians

. Fact sheet 2.4. Melbourne: Author.

Speech Pathology Australia. (2009).

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Williams, C., & Masterson, J. (2011). Phonemic

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Language Pathology

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1 Tenet: any opinion, principle, doctrine, dogma, etc., especially

one held as true by members of a profession, group, or

movement

(http://dictionary.reference.com

)

Intervention provided within the existing

community services

These strong relationships allow families to receive services

in an environment that may be perceived as less

threatening than attending a mainstream health or

education service. The Awabakal Cooperative is a well-

established service which caters to the needs of the

Aboriginal people of the Greater Newcastle area, which is

the urban centre of the Hunter Region; one of the services

provided by the Awabakal Cooperative is the Awabakal

Children’s Service. The children attending the Awabakal

Children’s Services come from a variety of linguistic

backgrounds with their main language being Aboriginal

English, ranging along the spectrum of “heavy” to “light”

(Butcher, 2008).

Group intervention to avoid

“Shame” response

The Little Yarns project is funded as a prevention/early

intervention program; as such it services all children

attending the centre, because they are acknowledged to be

at-risk of developing language/literacy impairment, due to

their Aboriginality (Williams & Masterton, 2011). Children are

seen within the regular classroom or playground and small

group intervention activities aim to avoid a Shame response

and benefit target children within the group (Nelson &

Allison, 2004); prevention activities, such as training in

phonemic awareness skills, aim to benefit all the children

attending the service.

Flexible approach in terms of

service delivery

The timeframe for service provision is flexible to suit the

Aboriginal people and, within the scope of the project, the

manner of service delivery is decided in consultation with

the community.

Preliminary findings

The project is currently undergoing an external evaluation

process. Preliminary findings from annual questionnaires

distributed to staff have indicated that families are being

supported to access mainstream services. Aboriginal staff

members also reported increased knowledge about

language impairment and confidence in dealing with

children with language impairment. Little Yarns staff

reported increased awareness of Aboriginal culture and

ways of learning and interacting. Families of children

attending the service are also being interviewed. It is hoped

that the results of this evaluation will indicate the extent to

which the aims of the project are being met.

Summary

The innovative service described here has explored

alternative ways of service delivery to the Aboriginal

population based on literature finding and consultation.

Specifically, some of the aspects which differ from a more

traditional clinical model are the consultation process

involved prior to and throughout the intervention; the

nurturing of relationships on several levels to allow mutual

trust and respect to develop; the provision of services

within an already existing Aboriginal community service; and

the flexible timeframe and manner of service delivery.

Speech pathologists working with Aboriginal clients need to

consider these basic tenets, as well as any local

differences, if they are to intervene successfully with this

population.

Gwendalyn Webb

is a speech pathologist working in the Little Yarns

Program with Firstchance Inc. She is also a conjoint lecturer and

clinical educator for the University of Newcastle.

Correspondence to:

Gwendalyn Webb

Speech Pathologist, MA (Ling)

Firstchance Inc.

48 Corona Street, Hamilton, NSW, 2303

phone: +61 (0)2 4961 5886

mob: 0400 270 174

email:

gwendalynwebb@gmail.com