Recommandations pour l'organisation des services d'orthophonie dans un centre de readaptation aupres des jeunes enfants presentant un trouble de langage/Recommendations for Organizing Speech-Language Pathology Services in a Rehabilitation Centre for Young Children With Language Disorders

Dans un processus d'amelioration continue des services en orthophonie offerts aux enfants de quatre et cinq ans presentant un trouble developpemental du langage ou une hypothese de trouble, des orthophonistes du Centre integre universitaire de sante et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke se sont associees a des chercheurs de l'Universite du Quebec a Trois-Rivieres. Cette collaboration avait comme objectif la coconstruction de recommandations portant sur des elements influences par l'organisation des services et basees sur les donnees probantes issues de la litterature et de l'expertise des orthophonistes. Ce projet de recherche-action, dans une procedure de coconstruction collaborative, s'est deroule en trois cycles d'echanges visant le dialogue, l'enrichissement et l'appropriation des recommandations coconstruites. Les echanges ont permis de degager sept recommandations. As part of a continuous improvement process targeting speech-language pathology services offered to 4- and 5-year-old children with developmental language disorders or a hypothese de trouble du langage (hypothesized language disorder), speech-language pathologists from the Centre integre universitaire de sante et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke teamed up with researchers from the Universite du Quebec a Trois-Rivieres to coconstruct recommendations concerning the provision of speech-language pathology services using evidence from literature and the expertise of speech-language pathologists. This collaborative action research project was carried out in three rounds of exchanges whose objectives were to promote dialogue, enrichment, and implementation of the coconstructed recommendations. Seven recommendations emerged from these exchanges. The first four focused on service paths, individualization of interventions, service delivery, and the number of goals to increase the specificity of the services. The other three recommendations focused on standardizing the services offered, increasing the frequency of interventions, and promoting greater involvement of parents to increase the intensity of the services. The barriers and facilitators related to the implementation of each recommendation were documented using the expertise of the participating speech-language pathologists. These recommendations, together with the scientific literature, will guide managers and speech-language pathologists as to which