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23 - Equity and Access to Services for Children with Language Difficulties

from Part Three - Impact, Intervention and Equity

Published online by Cambridge University Press:  11 August 2022

James Law
Affiliation:
University of Newcastle upon Tyne
Sheena Reilly
Affiliation:
Griffith University, Queensland
Cristina McKean
Affiliation:
University of Newcastle upon Tyne
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Summary

Care injustice, sometimes termed the ‘postcode lottery’ arises when individuals cannot access services simply because of where they reside. The distribution and access to health and education services for children with language difficulties is explored in this chapter. There is a body of literature demonstrating that service availability and accessibility can differ markedly between metropolitan and rural settings. Here, we draw on available evidence to discuss the relationship between health inequities and inequalities, proposing a place-based approach as a potential solution, which encourages the location and distribution of services based on community need. This chapter also addresses the way in which many services have been historically developed, that is, along the traditional ‘clinical’ model rather than a model which considers and reviews the needs of a community from a population health perspective and likely needs of the child population. We conclude by highlighting some key steps that need to be taken to ensure the design and delivery of services to meet the future needs of the population, and outline some of the challenges in adopting this approach.

Type
Chapter
Information
Language Development
Individual Differences in a Social Context
, pp. 539 - 560
Publisher: Cambridge University Press
Print publication year: 2022

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References

Adler, N. E., Boyce, T., Chesney, M. A., Cohen, S., Folkman, S., Kahn, R. L., & Syme, S. L. (1994). Socioeconomic status and health. The challenge of the gradient. American Psychologist, 49(1), 1524. doi:10.1037//0003-066x.49.1.15CrossRefGoogle ScholarPubMed
Australian Institute of Health and Welfare. (2016). Australia’s health 2016. Canberra: AIHW. www.aihw.gov.au/reports/australias-health/australias-health-2016/contents/summaryGoogle Scholar
Avendano, M., Jurges, H., & Mackenbach, J. P. (2009). Educational level and changes in health across Europe: Longitudinal results from SHARE. Journal of European Social Policy, 19(4), 301316. doi:10.1177/1350506809341512CrossRefGoogle Scholar
Baker, D. P., Leon, J., Smith Greenaway, E. G., Collins, J., & Movit, M. (2011). The education effect on population health: A reassessment. Population and Development Review, 37(2), 307332. doi:10.1111/j.1728-4457.2011.00412.xGoogle Scholar
Barber, R. M., Fullman, N., Sorensen, R. J. D., Bollyky, T., McKee, M., Nolte, E., … Murray, C. J. L. (2017). Healthcare access and quality index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015: A novel analysis from the Global Burden of Disease Study 2015. The Lancet, 390(10091), 231266. doi:10.1016/s0140-6736(17)30818-8CrossRefGoogle Scholar
Barnes, J., Katz, I. B., Korbin, J. E., & O’Brien, M. (2006). Children and families in communities: Theory, research, policy and practice. Chichester and Hoboken, NJ: John Wiley & Sons.Google Scholar
Bercow, J. (2008). The Bercow Report: A review of services for children and young people (0–19) with speech, language and communication needs. Nottingham: DCSF. www.education.gov.uk/publications/eOrderingDownload/Bercow-Report.pdfGoogle Scholar
Berwick, D. M., Kelley, E., Kruk, M. E., Nishtar, S., & Pate, M. A. (2018). Three global health-care quality reports in 2018. Lancet, 392(10143), 194195. doi:10.1016/S0140-6736(18)31430-2Google Scholar
Braubach, M., & Fairburn, J. (2010). Social inequities in environmental risks associated with housing and residential location: A review of evidence. European Journal of Public Health, 20(1), 3642. doi:10.1093/eurpub/ckp221CrossRefGoogle ScholarPubMed
Braveman, P. A., Kumanyika, S., Fielding, J., Laveist, T., Borrell, L. N., Manderscheid, R., & Troutman, A. (2011). Health disparities and health equity: The issue is justice. American Journal of Public Health, 101(S1), S149S155. doi:10.2105/AJPH.2010.300062Google Scholar
Bynner, C. (2016). Rationales for place-based approaches in Scotland. Working paper for What Works Scotland. http://whatworksscotland.ac.uk/publications/rationales-for-place-based-approaches-in-scotland/Google Scholar
Calder, R., Dunkin, R., Rochford, C., & Nichols, T. (2019). Australian health services: Too complex to navigate. Policy issues paper No. 1-2019. Melbourne: Mitchell Institute/Victoria University. www.vu.edu.au/sites/default/files/australian-health-services-too-complex-to-navigate.pdfGoogle Scholar
Care Quality Commission. (2018). The state of health care and adult social care in England 2018/19. Maidstone: CQC. www.cqc.org.uk/news/releases/cqc-warns-growing-care-injusticeGoogle Scholar
Children’s Commissioner. (2019). We need to talk: Access to speech and language therapy. London: Children’s Commissioner for England. www.childrenscommissioner.gov.uk/publication/we-need-to-talk/Google Scholar
Commission on Social Determinants of Health. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Geneva: WHO. https://apps.who.int/iris/bitstream/handle/10665/43943/9789241563703_eng.pdf;jsessionid=00542EE989744E2DE2E9323628D047E1?sequence=1Google Scholar
Commonwealth of Australia. (2014). Prevalence of different types of speech, language and communication disorders and speech pathology services in Australia. Canberra: APH. www.aph.gov.au/parliamentary_business/committees/senate/community_affairs/speech_pathology/reportGoogle Scholar
Commonwealth of Australia. (2018). Australian Early Development Census. www.aedc.gov.au/dataGoogle Scholar
Crimeen, A., Bernstein, M., Zapart, S., & Haigh, F. (2017). Place-based interventions: A realist informed literature review. Liverpool: South Western Sydney Local Health District and UNSW Australia.Google Scholar
Feldman, J. J., Makuc, D. M., Kleinman, J. C., & Cornoni-Huntley, J. (1989). National trends in educational differentials in mortality. American Journal of Epidemiology, 129(5), 919933. doi:10.1093/oxfordjournals.aje.a115225Google Scholar
Fernald, A., Marchman, V. A., & Weisleder, A. (2013). SES differences in language processing skill and vocabulary are evident at 18 months. Developmental Science, 16(2), 234248. doi:10.1111/desc.12019Google Scholar
Ferraro, K. F., Kemp, B. R., & Williams, M. M. (2017). Diverse aging and health inequality by race and ethnicity. Innov Aging, 1(1), igx002. doi:10.1093/geroni/igx002Google Scholar
Graley, C. E., May, K. F., & McCoy, D. C. (2011). Postcode lotteries in public health: The NHS Health Checks Programme in North West London. BMC Public Health, 11(1), 738. doi:10.1186/1471-2458-11-738Google Scholar
Griggs, J., Whitworth, A., Walker, R., McLennan, D., & Noble, M. (2008). Person- or place-based policies to tackle disadvantage? Not knowing what works. York: Joseph Rowntree Foundation. www.sheffield.ac.uk/polopoly_fs/1.282379!/file/JRF-2008-Person-or-place-based-interventions-to-tackle-disadvantage.pdfGoogle ScholarPubMed
Guralnik, J. M., Land, K. C., Blazer, D., Fillenbaum, G. G., & Branch, L. G. (1993). Educational status and active life expectancy among older blacks and whites. New England Journal of Medicine, 329(2), 110116. doi:10.1056/NEJM199307083290208Google Scholar
Hart, J. T. (1971). The inverse care law. Lancet, 1(7696), 405412. doi:10.1016/s0140-6736(71)92410-xCrossRefGoogle ScholarPubMed
Heckman, J. J. (2007). The economics, technology, and neuroscience of human capability formation. Proceedings of the National Academy of Science USA, 104(33), 1325013255. doi:10.1073/pnas.0701362104CrossRefGoogle ScholarPubMed
Klein, H. (2004). Health inequality, social exclusion and neighbourhood renewal: Can place-based renewal improve the health of disadvantaged communities? Australian Journal of Primary Health, 10(3), 110119. doi:10.1071/py04054Google Scholar
Lago, S., Cantarero, D., Rivera, B., Pascual, M., Blazquez-Fernandez, C., Casal, B., & Reyes, F. (2018). Socioeconomic status, health inequalities and non-communicable diseases: A systematic review. Journal of Public Health, 26(1), 114. doi:10.1007/s10389-017-0850-zGoogle Scholar
Law, J., Charlton, J., & Asmussen, K. (2017). Language as a child wellbeing indicator. London: Early Intervention Foundation. www.eif.org.uk/report/language-as-a-child-wellbeing-indicator/Google Scholar
Law, J., Reilly, S., & Snow, P. C. (2013). Child speech, language and communication need re-examined in a public health context: A new direction for the speech and language therapy profession. International Journal of Language and Communication Disorders, 48(5), 486496. doi:10.1111/1460-6984.12027CrossRefGoogle Scholar
Levesque, J. F., Harris, M. F., & Russell, G. (2013). Patient-centred access to health care: Conceptualising access at the interface of health systems and populations. International Journal for Equity in Health, 12(1), 18. doi:10.1186/1475-9276-12-18CrossRefGoogle ScholarPubMed
Logan Together. (2019). Phase 1 progress report for Logan Together 2018. Logan: Logan Together. https://logantogether.org.au/wp-content/uploads/2019/08/Logan-Together-Progress-Report-2018.pdfGoogle Scholar
Marmot, M. (2006). Status syndrome: A challenge to medicine. JAMA, 295(11), 13041307. doi:10.1001/jama.295.11.1304CrossRefGoogle ScholarPubMed
Marmot, M. (2010). Fair society, healthy lives: The Marmot Review 2010. London: Institute of Health Equity. www.instituteofhealthequity.org/resources-reports/fair-society-healthy-lives-the-marmot-review/fair-society-healthy-lives-full-report-pdf.pdfGoogle Scholar
Marmot, M., Allen, J., Boyce, T., Goldblatt, P., & Morrison, J. (2020). Health equity in England: The Marmot Review 10 years on. BMJ, 2020(368), 693. www.bmj.com/content/bmj/368/bmj.m693.full.pdfCrossRefGoogle Scholar
McCartney, G., Popham, F., McMaster, R., & Cumbers, A. (2019). Defining health and health inequalities. Public Health, 172, 2230. doi:10.1016/j.puhe.2019.03.023CrossRefGoogle ScholarPubMed
McCormack, J., & Verdon, S. (2015). Mapping speech pathology services to developmentally vulnerable and at-risk communities using the Australian Early Development Census. International Journal of Speech-Language Pathology, 17(3), 273286. doi:10.3109/17549507.2015.1034175CrossRefGoogle ScholarPubMed
Melhuish, E., Belsky, J., & Barnes, J. (2010). Evaluation and value of Sure Start. Archives of Disease in Childhood, 95(3), 159161. doi:10.1136/adc.2009.161018Google Scholar
Meltzer, H., Vostanis, P., Goodman, R., & Ford, T. (2007). Children’s perceptions of neighbourhood trustworthiness and safety and their mental health. Journal of Child Psychology & Psychiatry, 48(12), 12081213. doi:10.1111/j.1469-7610.2007.01800.xGoogle Scholar
Moore, T., & Fry, R. (2011). Place-based approaches to child and family services: A literature review. Parkville: Royal Children’s Hospital Melbourne. www.rch.org.au/uploadedFiles/Main/Content/ccch/Place_based_services_literature_review.pdfGoogle Scholar
Muir, K., Katz, I., Edwards, B., Gray, M., Wise, S., Hayes, AM, Professor A. & the Stronger Families and Communities Strategy evaluation team. (2010). The national evaluation of the Communities for Children initiative. Family Matters, 84, 35–42.Google Scholar
National Disability Insurance Agency. (2020). What is the NDIS? www.ndis.gov.au/understanding/what-ndisGoogle Scholar
National Research Council and Institute of Medicine. (2000). From neurons to neighborhoods: The science of early childhood development. Washington, DC: National Academy Press.Google Scholar
O’Callaghan, A. M., McAllister, L., & Wilson, L. (2005). Barriers to accessing rural paediatric speech pathology services: Health care consumers’ perspectives. Australian Journal of Rural Health, 13(3), 162171. doi:10.1111/j.1440-1854.2005.00686.xCrossRefGoogle ScholarPubMed
OECD. (2019). Health for everyone? Paris: OECD Publishing.Google Scholar
Page, J., Cock, M. L., Murray, L., Eadie, T., Nikas, F., Scull, J., & Sparling, J. (2019). An Abecedarian approach with Aboriginal families and their young children in Australia: Playgroup participation and developmental outcomes. International Journal of Early Childhood, 51, 233250.CrossRefGoogle Scholar
Rashbrook, E. (2019). Health matters: Prevention – A life course approach. London: PHE. https://publichealthmatters.blog.gov.uk/2019/05/23/health-matters-prevention-a-life-course-approach/Google Scholar
Reilly, S., Harper, M., & Goldfeld, S. (2016). The demand for speech pathology services for children: Do we need more or just different? Journal of Paediatrics and Child Health, 52(12), 10571061. doi:10.1111/jpc.13318Google Scholar
Reilly, S., Wake, M., Ukoumunne, O. C., Bavin, E., Prior, M., Cini, E., … Bretherton, L. (2010). Predicting language outcomes at 4 years of age: Findings from Early Language in Victoria Study. Pediatrics, 126(6), e15301e537. doi:10.1542/peds.2010-0254Google Scholar
Royal College of Speech and Language Therapists. (2016). Stoke speaks out: Pilot return on investment. London: RCSLT. www.rcslt.org/news/stoke-speaks-outGoogle Scholar
Ruggero, L., McCabe, P., Ballard, K. J., & Munro, N. (2012). Paediatric speech-language pathology service delivery: An exploratory survey of Australian parents. International Journal of Speech-Lang Pathology, 14(4), 338350. doi:10.3109/17549507.2011.650213Google Scholar
Starfield, B. (2011). The hidden inequity in health care. International Journal for Equity in Health, 10, 15. doi:10.1186/1475-9276-10-15CrossRefGoogle ScholarPubMed
Verdon, S., Wilson, L., Smith-Tamaray, M., & McAllister, L. (2011). An investigation of equity of rural speech-language pathology services for children: A geographic perspective. International Journal of Speech-Language Pathology, 13(3), 239250. doi:10.3109/17549507.2011.573865Google Scholar

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