Family and cultural issues in a school swallowing and feeding program.
OBJECTIVE
This article presents a rationale for speech-language pathologists (SLPs) to provide culturally competent evaluation, diagnostic, and intervention services for children with oral motor, swallowing, and feeding disorders in school settings. There is also a discussion of how changing American public school demographics necessitate the consideration of cultural issues and family-focused approaches to dysphagia services.


METHODS
This article provides an overview of cultural, religious, and health beliefs of several ethnic groups, as well as information on the dynamics and requirements of cultural competence and family-focused intervention. Ethnographic interviewing is presented as a culturally sensitive diagnostic method. Information on structuring a culturally relevant individualized educational program process is provided. Guidance in the use of interpreters and translators is also offered.


CONCLUSIONS
Attention to cultural and family issues in the diagnosis and treatment of dysphagia in a school setting optimizes the opportunities for successful outcomes and better meets the needs of children and families from culturally/linguistically diverse backgrounds.
Davis-McFarland
Elise
E
Trident Technical College, Charleston, SC, USA. elise.davis-mcfarland@tridenttech.edu
D002675:Child, Preschool; D003469:Culture; D003680:Deglutition Disorders / Q000628:therapy*; D005190:Family / Q000523:psychology*; D005247:Feeding Behavior; D005518:Food Preferences; D006801:Humans; D008297:Male; D011368:Professional-Family Relations; D016730:Program Development; D012572:School Health Services / Q000458:organization & administration*; D013066:Speech-Language Pathology / Q000379:methods*