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A needs analysis for the provision of a speech and language therapy service to adults with mental health disorders

Published online by Cambridge University Press:  13 June 2014

Irene Walsh*
Affiliation:
School of Linguistic, Communication and Speech Sciences, Trinity College Dublin, Ireland
Julie Regan
Affiliation:
Speech & Language Therapy Department, Adelaide and Meath Hospital, Tallaght, Dublin 24, Ireland
Rebecca Sowman
Affiliation:
Speech and Language Therapy Department, Adelaide and Meath Hospital, Tallaght, Dublin 24, Ireland
Brian Parsons
Affiliation:
Liaison Psychiatry on the South Thames (West) & St George's Higher Training Scheme in General Adult & Old Age Psychiatry, London
A. Paula McKay
Affiliation:
Adelaide Meath Hospital, Tallaght, Dublin 24/HSE-South West Area, Ireland
*
Correspondence Email: ipwalsh@tcd.ie

Abstract

Objectives: To examine a sample of adults with mental health disorders attending at an area psychiatric service, for the presence of impairments in language, communication and swallowing, using a test battery administered by speech and language therapists.

Method: The study surveyed a randomly selected sample (n = 60) of patients from an acute psychiatric inpatient unit and associated community services, using several standardised measures of language, communication and swallowing.

Results: On this test battery, over 80% (50/60) of subjects studied demonstrated impairment in language; while over 60% (37/60) presented with impairment in communication and discourse. Over 30% (18/58) of subjects assessed showed some impairment in swallowing.

Conclusion: Use of this test battery confirmed the presence of language, communication and swallowing impairments in many patients in this sample of attenders at a general psychiatry service. We suggest that this study provides evidence for a (currently unmet) need for specialist speech and language therapy assessment and support among this patient population.

Type
Original Papers
Copyright
Copyright © Cambridge University Press 2007

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References

1.Kleist, K.Schizophrenic symptoms and cerebral pathology. J Ment Sci 1960; 106: 246–55.CrossRefGoogle ScholarPubMed
2.Gravell, R, France, J.Mental disorders and speech therapy: An introduction. In: Gravell, R, France, J (eds). Speech and communication problems in psychiatry. London: Chapman & Hall, 1991: 121.CrossRefGoogle Scholar
3.France, J, Muir, N.Speech and language therapy and the mentally ill patient. In: France, J, Muir, N (eds). Communication and the mentally ill patient. London: Jessica Kingsley, 1997:8797.Google Scholar
4.Thomas, P.What can linguistics tell us about thought disorder?In: France, J, Muir, N, (eds). Communication and the Mentally III Patient. London: Jessica Kingsley, 1997: 3042.Google Scholar
5.Regan, J, Sowman, R, Walsh, I.Dysphagia in mental illness. RCSLT Bulletin, 2004; 627: 1617.Google Scholar
6.Kramer, S, Bryan, K, Frith, C.A framework for assessing communication in mental illness. Int J Lang Comm Dis 1998; 33 Suppl: 164–69.CrossRefGoogle ScholarPubMed
7.Walsh, IConversational skills and schizophrenia: An exploration. In: France, J, Muir, N (eds). Communication and the Mentally III Patient. London: Jessica Kingsley, 1997: 98116.Google Scholar
8.World Health Organisation: The ICD-10 Classification of Mental and Behavioural Disorders. WHO: Geneva, 1992.Google Scholar
9.Kay, J, Lesser, R, Coltheart, M.Psycholinguisttc Assessment of Language Processing in Aphasia. East Sussex: Lawrence Erlbaum, 1992.Google Scholar
10.Bryan, K.The Right Hemisphere Language Battery. UK: FAR Communications; 1994.Google Scholar
11.Crockford, C, Smithard, DG. 1997. The Swallow Test. RCSLT Bull 1997; 01: 78.Google Scholar
12.Statistical package for the social sciences (SPSS)[computer programme] Version Rel.10.0.0. Chicago: SPSS Inc; 1999.Google Scholar
13.Bleuler, E.Dementia praecox. Leipzig: Franz Deuticke, 1911.Google Scholar
14.Goffman, E.Asylum: Essays on the Social Situations of Mental Patients and other Inmates. London: Penguin, 1961.Google Scholar
15.Condray, R, Steinhauer, SR, van Kammen, DP, Kasparek, A.The language system in schizophrenia: effects of capacity and linguistic structure. Schizophr Bull 2002; 28(3): 475–90.CrossRefGoogle ScholarPubMed
16.Weisbrod, M, Maier, S, Harig, S, Himmelsbach, U, Spitzer, M.Lateralised semantic and indirect semantic priming effects in people with schizophrenia. Br J Psychiatry 1998 02; 172: 142–6.CrossRefGoogle ScholarPubMed
17.Kramer, S.What is different about the language of persons with mental illness?In: France, J, Kramer, S (eds). Communication and mental illness. London: Jessica Kinglsey, 2001:407–32.Google ScholarPubMed
18.Frith, C.Language and communication in schizophrenia. In: France, J, Muir, N (eds). Communication and the Mentally III Patient. London: Jessica Kingsley, 1997: 1017.Google Scholar
19.McKenna, PJ, Ornstein, T, Baddeley, AD. Schizophrenia. In: Handbook of Memory Disorders. Baddeley, AD, Wilson, BA, Kopelman, M (eds). 2nd ed. New York: Wiley, 2002.Google Scholar
20.McKay, AP, McKenna, PJ, Mortimer, AM, Bentham, P, Hodges, JR. Semantic memory is impaired in schizophrenia. Biological Psychiatry 1996; 39(11): 929–37.CrossRefGoogle ScholarPubMed
21.Faber, R, Abrams, R, Taylor, MA, Kasprison, A, Morris, C, Weisz, R.Comparison of schizophrenic patients with formal thought disorder and neurologically impaired patients with aphasia. Am J Psychiatry 1983; 140: 1348–51.Google ScholarPubMed
22.Andreasen, N.Thought, language and communication disorders: I. Clinical assessment, definition of terms and evaluation of their reliability. Arch Gen Psychiatry 1979; 35: 1315–21.CrossRefGoogle Scholar
23.Walsh, I.Language and communication in schizophrenia: a communication processing model. In: France, J, Kramer, S (eds). Communication and mental illness. London: Jessica Kingsley, 2001: 351–70.Google Scholar
24.Bryan, K, Roach, J.Assessment of speech and language in mental health. In: France, J, Kramer, S (eds). Communication and mental illness. London: Jessica Kingsley, 2001: 110–22.Google Scholar
25.France, J.Depression and other mood disorders. In: France, J, Kramer, S (eds). Communication and mental illness. London: Jessica Kingsley, 2001: 6580.Google Scholar
26.Corcoran, E, Walsh, D.Obstructive asphyxia: a cause of excess mortality in psychiatric patients. Ir J Psych Med 2003; 20(3): 8890.CrossRefGoogle ScholarPubMed
27.Fioretti, A, Glaccotto, L, Melega, V.Choking incidents among psychiatric patients: retrospective analysis of thirty-one cases from the west Bologna psychiatric wards. Can J Psychiatry 1997; 42: 515–20.CrossRefGoogle Scholar
28.Groher, ME, Bukatman, R.Prevalence of swallowing disorders in two teaching hospitals. Dysphagia 1986; 1: 36.CrossRefGoogle Scholar
29.Haugen, RK. The cafe coronary. JAMA 1963; 186: 142143.CrossRefGoogle Scholar
30.Ruschena, Det al.Choking deaths: the role of anti-psychotic medication. Br J Psychiatry 2003; 183: 446–50.CrossRefGoogle Scholar
31.Bazemore, PH, Tonkonogy, J, Ananth, R.Dysphagia in psychiatric patients: Clinical and videofluoroscopic study. Dysphagia 1991; 6: 25.CrossRefGoogle ScholarPubMed
32.Emerson, J, Enderby, RPrevalence of speech and language disorders in a mental health unit. Eur J Dis Communication 1996; 31: 221–36.CrossRefGoogle Scholar
33.Hsieh, HH, Bhatia, SC, Anderson, JM, Cheng, S: Psychotropic medication and nonfatal café coronary. J Clin Psychopharmacol 1986; 6: 101102.CrossRefGoogle ScholarPubMed
34.France, JDisorders of communication and mental illness. In: France, J, Kramer, S (eds). Communication and mental illness. London: Jessica Kingsley, 2001: 1525.Google Scholar
35.McManus, M.Dysphagia in Psychiatric Patients. J Psychosocial Nurs 2001; 39(2): 2430.Google ScholarPubMed