Communicating with people with learning disabilities

Surrey and Borders Partnership NHS Trust
28 Jan 201905:43

Summary

TLDRThe video script discusses the challenges faced by people with learning disabilities in communication, including comprehension, processing time, expressive language, and articulation. It highlights the importance of the Accessible Communication Standard introduced in 2016, which mandates clear and understandable information for those with learning disabilities. The script also suggests various communication methods such as sign language, pictorial resources, and apps. It advises considering the environment, allowing processing time, speaking slowly, using simple language, avoiding jargon, and employing a total communication approach to ensure effective interaction.

Takeaways

  • 🗣️ Communication for people with disabilities can be challenging due to issues with comprehension, processing time, expressive language, or articulation.
  • 🧐 People often overestimate or underestimate the communicative abilities of individuals with disabilities, leading to misunderstandings.
  • 📈 In 2016, the Accessible Communication Standard was introduced to ensure that healthcare services provide information in an understandable way for people with disabilities.
  • 🏥 The standard applies to various healthcare professionals, including doctors, pharmacists, and social workers.
  • 🤔 Communication methods for individuals with disabilities include sign language, objects of reference, pictorial resources, iPad apps, and interpreting body language.
  • 👂 Consider the environment when communicating, ensuring good lighting, reduced noise, and appropriate distance for visual cues.
  • ⏱️ Allow processing time for individuals with learning disabilities, as they may take longer to understand and respond to information.
  • 🗣️ Speak slowly and clearly, emphasizing key words, to accommodate extended processing times.
  • 🔎 Use simple and short language, avoiding medical jargon and considering the context of words to prevent misunderstandings.
  • 💡 Be aware that abstract or metaphorical language can be confusing; use literal language instead.
  • 📚 Adopt a total communication approach, utilizing various methods such as writing, drawing, signing, and physical objects to enhance understanding.

Q & A

  • What is the basic definition of communication?

    -Communication is the exchange of information from one person to another using any means possible.

  • Why might people with disabilities have difficulty with communication?

    -People with disabilities might have difficulty with comprehension, processing time, expressive language, or articulation, which can affect their communication abilities.

  • How can people's communicative abilities be misjudged?

    -Communicative abilities can be overestimated or underestimated based on physical impairments or verbal abilities, leading to incorrect assumptions about comprehension.

  • What is the Accessible Communication Standard introduced in 2016?

    -The Accessible Communication Standard outlines that all health and social care services should provide information in an easy-to-understand way for people with learning disabilities, impairments, or sensory losses, and it should be followed by law.

  • What is the goal of the Accessible Communication Standard?

    -The goal is to ensure better outcomes and experiences for people with learning disabilities and to make sure everyone understands what's involved in their health.

  • What are some communication methods that people with disabilities might use?

    -Methods include Makaton sign language, objects of reference, pictorial resources, iPad apps, interactive devices, and interpreting body language, gestures, and facial expressions.

  • Why is considering the environment important when communicating with people with disabilities?

    -It's important to ensure the environment is well-lit, has reduced background noise, and allows for clear visibility of facial cues to accommodate for hearing and visual impairments.

  • How can allowing processing time benefit people with learning disabilities?

    -Allowing processing time gives people with learning disabilities the space to understand and respond to information, preventing misinterpretations of their abilities.

  • What is the recommended speaking pace and style when communicating with people who have extended processing time?

    -Speaking in a slow and steady pace, emphasizing key words, and keeping language simple and short is beneficial.

  • Why is it important to use literal language instead of abstract or metaphoric language?

    -People with learning disabilities might take abstract or metaphoric language literally, leading to misunderstandings, so using literal language helps ensure clarity.

  • What is a total communication approach and why is it important?

    -A total communication approach involves considering all possible ways to communicate a message, such as writing, drawing, signing, or using physical objects, to promote understanding for the individual.

Outlines

00:00

🗣️ Communication Challenges and Accessibility

This paragraph discusses the concept of communication, particularly focusing on the challenges faced by individuals with disabilities. It highlights the potential difficulties in comprehension, processing, expressive language, and articulation. The paragraph emphasizes that these abilities are often misjudged, leading to either overestimation or underestimation of a person's communication skills. It also mentions the introduction of the Accessible Communication Standard in 2016, which mandates that health and social care services provide information in an accessible manner for those with learning disabilities, impairments, or sensory losses. The standard aims to improve service outcomes and experiences for individuals with learning disabilities and to ensure clear understanding of health-related matters. The paragraph concludes with various communication methods that can be employed by individuals with disabilities, such as Makaton sign language, objects of reference, pictorial resources, iPad apps, and interpreting body language and facial expressions.

05:02

👥 Enhancing Communication with Learning Disabilities

The second paragraph provides practical advice on how to communicate effectively with individuals who have learning disabilities. It suggests considering the environment by ensuring good lighting, reducing background noise, and maintaining an appropriate distance for non-verbal cues. The paragraph advises allowing processing time for individuals who may take longer to understand and respond to information. It also recommends speaking slowly and clearly, emphasizing key words, and using simple, everyday language to avoid medical jargon and context-specific terms that might be misunderstood. The paragraph concludes by advocating for a total communication approach, which involves using various methods such as writing, drawing, signing, and using physical objects to facilitate understanding.

Mindmap

Keywords

💡Communication

Communication refers to the exchange of information, ideas, or feelings between individuals. In the context of the video, it is emphasized that effective communication is crucial for people with learning disabilities to ensure they can understand and be understood. The script discusses various barriers to communication, such as comprehension difficulties, expressive language challenges, and articulation issues, and how these can lead to misunderstandings or communication breakdowns.

💡Learning Disabilities

Learning disabilities are cognitive challenges that affect a person's ability to acquire and use knowledge effectively. The video script highlights how individuals with learning disabilities may struggle with different aspects of communication, such as understanding complex language or expressing themselves clearly. It also points out the importance of not underestimating or overestimating their abilities, which can impact their motivation to communicate.

💡Expressive Language

Expressive language pertains to a person's ability to articulate thoughts and ideas in speech or writing. The script mentions that people with learning disabilities might have difficulties with expressive language, which could manifest as challenges in forming sentences or choosing the right words to convey their thoughts, affecting their ability to communicate effectively.

💡Articulation

Articulation refers to the clear pronunciation of speech sounds. The video script discusses how articulation problems can lead to speech that is unintelligible or sounds slurred, which can hinder communication for individuals with learning disabilities. It emphasizes the need for communicators to be patient and considerate of these challenges.

💡Accessible Communication Standard

The Accessible Communication Standard is a government-introduced regulation that mandates health and social care services to provide information in a way that is easy for people with learning disabilities, impairments, or sensory losses to understand. The script highlights this standard as a means to improve service outcomes and experiences for individuals with learning disabilities, ensuring they are included and understood in health-related communications.

💡Makaton

Makaton is a language program that uses symbols and signs alongside speech to help people communicate. The script mentions Makaton as one of the communication methods that people with learning disabilities might use, emphasizing the importance of using various communication tools to facilitate understanding.

💡Objects of Reference

Objects of reference involve using physical objects to represent an idea or concept. The video script suggests using objects of reference as a way to aid communication for individuals with learning disabilities, as it provides a tangible way to express abstract ideas and can help in understanding complex concepts.

💡Pictorial Resources

Pictorial resources, such as photographs or symbols, are visual aids used to support communication. The script discusses how these resources can help individuals with learning disabilities to better understand and communicate information, as they provide a visual context that can be easier to process than verbal language.

💡Processing Time

Processing time refers to the duration it takes for an individual to understand and respond to information. The video script emphasizes the need to allow extra processing time for people with learning disabilities, as they may need longer to comprehend messages and formulate responses, which is crucial for effective communication.

💡Total Communication Approach

A total communication approach involves using all possible means to convey a message, such as verbal, written, visual, and physical methods. The script advocates for this approach when communicating with individuals with learning disabilities, suggesting that using multiple modes of communication can enhance understanding and ensure the message is effectively received.

💡Context-Specific Language

Context-specific language refers to words or phrases that have different meanings depending on the situation or setting. The video script warns against using context-specific language with individuals who have learning disabilities, as it can lead to confusion or misunderstandings. It gives the example of the word 'theater' in a hospital context versus a general understanding, highlighting the importance of clarity in communication.

Highlights

Communication is defined as the exchange of information using any means possible.

People with disabilities may have difficulty with comprehension, processing time, or expressive language.

Communicative abilities are often overestimated or underestimated.

Physical impairments might lead to assumptions about a person's comprehension abilities.

People who speak verbally might be overestimated if their comprehension is limited.

The Accessible Communication Standard was introduced in 2016 to ensure clear communication in health and social care services.

The standard aims to improve outcomes and experiences for people with learning disabilities.

Communication methods for people with disabilities include Makaton sign language and objects of reference.

Pictorial resources and iPad apps are used to aid communication.

Interpreting body language, gestures, and facial expressions is important.

Consider the environment for people with hearing and visual impairments.

Ensure the environment is well-lit and reduce background noise.

Allow processing time for people with learning disabilities.

Speak in a slow and steady pace, emphasizing key words.

Use simple and short language, avoiding medical jargon.

Be aware that words can be context-specific and have different meanings.

Avoid abstract phrases or metaphoric language; use literal language instead.

Adopt a total communication approach, using various methods to convey messages.

Have pen and paper available to write down or draw messages.

Transcripts

play00:02

communication in its simplest definition

play00:04

is the exchange of information from one

play00:07

person to another are using any means

play00:09

possible people have learned

play00:11

disabilities will have difficulty with

play00:13

some form of communication whether

play00:15

that's a difficulty with comprehension

play00:17

so that's their understanding of a word

play00:19

or message whether it's their processing

play00:22

time being more delayed or taking them

play00:25

longer to remember and store what has

play00:28

been said whether that's a difficulty

play00:30

with their expressive language so that's

play00:32

how somebody expresses themselves and

play00:34

formulates a word or sentence or whether

play00:38

that's a problem with their articulation

play00:40

so they were thinking about the

play00:41

individual speech sounds so somebody

play00:44

might speak but it would be

play00:45

unintelligible or sound slurred or

play00:48

slightly disordered their communicative

play00:51

abilities are often either overestimated

play00:53

or underestimated and so an example

play00:57

might be that somebody might have a

play00:59

physical impairment so therefore their

play01:01

speech is slightly slurred or disordered

play01:04

and so somebody might assume that their

play01:07

comprehensive ability is also impaired

play01:10

so they might be underestimated

play01:12

and alternatively somebody might speak

play01:15

verbally and appear very able however

play01:19

their comprehension might be limited so

play01:21

therefore they might be overestimated

play01:23

and both of these situations have a

play01:26

negative consequence on somebody's

play01:28

motivation to communicate with health

play01:30

care professionals and can also cause

play01:32

communication breakdown along the way so

play01:35

in 2016 the government introduced the

play01:37

accessible communication standard which

play01:40

outlines that all health and social care

play01:42

services should be providing information

play01:45

in a way that's easy for people to

play01:48

understand that have learning

play01:49

disabilities impairments or sensory

play01:51

losses and this should be followed by

play01:54

law and it aims to make services have

play01:59

better outcomes and experiences for

play02:01

people learn disabilities and make sure

play02:03

that everybody understands what's

play02:06

involved in their health

play02:08

and this applies to doctors pharmacies

play02:10

hospitals social workers and anybody in

play02:15

that field communication methods that

play02:18

people with their disabilities might use

play02:20

are Makaton sign language which is

play02:22

signing whilst you speak objects of

play02:26

reference which is using physical

play02:27

objects to represent an idea or concept

play02:30

using pictorial resources such as

play02:33

photographs or symbols to help

play02:36

communicate and understand also using

play02:39

iPads there's lots of apps you can get

play02:42

available now for communication and also

play02:44

interactive devices and and also

play02:48

interpreting things like body language

play02:49

gesture and facial expression firstly I

play02:54

would say to consider your environment

play02:55

so people own disabilities are more

play02:58

likely to have hearing and visual

play02:59

impairments and so I guess it's making

play03:03

sure that your environment is well-lit

play03:05

that you've reduced background noise and

play03:07

that you're sitting at an appropriate

play03:09

distance for somebody to be able to see

play03:11

your face clearly and read those extra

play03:13

cues that you might give with your face

play03:15

and if they have got a hearing or visual

play03:17

impairment if they do have glasses or

play03:20

hearing aids making sure that they're

play03:22

clean and that they're turned on and

play03:24

also regularly reviewed secondly

play03:27

allowing some processing time so people

play03:30

of learning disabilities may take longer

play03:31

to process the information so it's about

play03:35

making sure that you're giving that

play03:36

space for somebody to process the

play03:39

information but also to respond and so

play03:41

ensuring that if somebody hasn't

play03:43

responded

play03:44

you're not straightaway repeating the

play03:46

message you're allowing that time and

play03:47

not assuming that they haven't heard you

play03:49

or misunderstood you but they might

play03:51

actually still be processing what you

play03:53

said

play03:53

Janee so for people with learning

play03:56

disabilities with that extended

play03:57

processing time it's going to take them

play03:59

longer to register your message so

play04:01

speaking in a slow and steady pace and

play04:04

emphasizing the key words in the

play04:06

center's will be really beneficial keep

play04:09

your language simple and short so when

play04:11

you're speaking and sense of things

play04:12

making sure that they're concise and

play04:14

very clear your choice of language

play04:16

should be everyday words as opposed to

play04:19

medical jargon or terminology an

play04:22

important thing to consider is that

play04:23

words can be context specific as well so

play04:26

something that you might use everyday in

play04:27

the hospital might have a different

play04:29

meaning for somebody with a learning

play04:30

disability that hasn't applied it to a

play04:33

different context so an example could be

play04:35

if he was saying we're about to go into

play04:37

theater in a hospital that would mean

play04:40

that you're going in for an operation

play04:41

but for someone with an any disability

play04:43

their understanding of the word later

play04:45

might be going to see a Western show and

play04:48

so it's very important to make sure

play04:50

we're being very clear and direct with

play04:53

the words that we're using

play04:54

and considering the other meanings that

play04:56

they might have for that person so often

play04:59

we use abstract phrases or metaphoric

play05:02

language in our speech and for example

play05:04

the doctors doing his rounds or you've

play05:06

been through the wars or tournament

play05:09

terminology like that and for people

play05:10

with learning disabilities they might

play05:12

take that literally and so it's

play05:14

important that we instead use literal

play05:17

language instead of more abstract themes

play05:20

lastly using a total communication

play05:22

approach so thinking of all of the

play05:24

different ways that you can communicate

play05:25

that message to the person having a pen

play05:28

and paper available writing it down

play05:30

drawing it signing it getting the

play05:33

physical object and showing somebody

play05:35

really thinking outside the box of all

play05:38

the different ways that we can promote

play05:40

understanding for the individual

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関連タグ
CommunicationLearning DisabilitiesHealthcareAccessibilitySign LanguageMakatonAssistive DevicesInformation ExchangeComprehensionExpressive LanguageInclusive Care
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