Australian SLPs’ knowledge and actions regarding the early signs of autism: When does caution become gatekeeping?

Tracks
Concurrent session M5
Autism
Neuro-developmental disability
Neurodiversity
Service delivery
Monday, May 27, 2024
12:10 PM - 12:25 PM
River View Room 05

Overview

Amber Toms, and Ann Turnbull


Details

⏫ Research insights
📚 Assumed knowledge of attendees: Intermediate (some previous learning/working knowledge of topic e.g. treated a few cases)


Presenter

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Mrs Ann Turnbull
Speech Pathologist
Enunciate Allied Health Services

Australian SLPs’ knowledge and actions regarding the early signs of autism: When does caution become gatekeeping?

12:10 PM - 12:25 PM

Presentation summary

As communication differences are a prominent feature of autism, speech-language pathologists (SLPs) are often a first point of contact for infants and children, before any clinical diagnoses are established. Despite the potentially important role SLPs may play in the journey towards identification of autism, little is known about their knowledge and understanding of autism.

Objectives: This study sought to investigate what Australian SLPs know about autism characteristics, their recognition of early indicators of autism in young, as yet undiagnosed children, and the actions they take when they identify these characteristics.

Method: A 34 question cross-sectional online survey was developed by the research team and in conjunction with an autistic researcher and included true/false knowledge questions, Likert scale questions about their confidence and open questions. Qualitative data was analysed using reflexive thematic analysis (Braun & Clarke, 2022) to analyse open responses in a systematic and rigorous way. The authors collaboratively identified and defined the major themes.

Result: The 70 participating SLPs worked in various contexts around the country. The majority of participants demonstrated sound knowledge of the main characteristics of autism, but there was variation in their knowledge of early indicators of autism. An overarching theme (Speech Language Pathologists are Cautious) was developed, and three broad themes regarding caution, facilitating factors and actions were identified.

Conclusion: Australian SLPs have knowledge of the main characteristics of autism and some early indicators. However, they demonstrate a cautious approach around the subject of autism, with concerns about upsetting parents, and judgements about the readiness of parents to hear about potential autism. It is possible that this caution may cause delays for children requiring diagnostic services. Support and education for speech language pathologists regarding the early indicators of autism and how to have timely and supportive conversations with families may be useful.

Key messages

At the conclusion of this presentation, attendees will take away
1. an understanding of the characteristics and early signs of autism
2. a recognition of the challenges speech pathologists report in discussing autism with families
3. a clear understanding of the crucial role that speech pathologists play in the journey towards autism diagnosis

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Ann has graduated from a Masters of Speech Pathology from the University of Canberra in 2023. Prior to this, she spent 18 years as a primary school teacher in NSW schools where she developed her passion and interest for children with communication difficulties.
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Ms Amber Toms
Final Year Masters Speech Pathology Student

Australian SLPs’ knowledge and actions regarding the early signs of autism: When does caution become gatekeeping?

12:10 PM - 12:25 PM

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Session chair

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Emily Jackson
Lecturer/Researcher
Curtin University


Student volunteer(s)

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Georgia Fitzgerald
Student
Curtin University

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Laura Pitts
Curtin University

The information contained in this program is current at of the time of publishing but is subject to changes made without notice.

Disclaimer: © (2024) The Speech Pathology Association of Australia Limited. All rights reserved.
Important Notice, please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited ("the Association"). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this presentation. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this presentation including in any of the materials referred to or otherwise incorporated into this presentation.

 

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