Pediatric Feeding Disorder and the School-Based Speech-Language Pathologist: An Evidence-Based Update for Clinical Practice.

PURPOSE: This prologue introduces the forum "Pediatric Feeding Disorder and the School-Based SLP: An Evidence-Based Update for Clinical Practice" and informs the reader of the scope of articles presented. METHOD: The guest prologue author provides a brief history of pediatric feeding and swallowing services in the public-school setting, including previous forums on swallowing and feeding services in the schools (Logemann & O'Toole, 2000; McNeilly & Sheppard, 2008). The concepts that have been learned since the 2008 forum are shared. The contributing authors in the forum are introduced, and a summary is provided for each of the articles. CONCLUSIONS: The articles provide evidence-based information on topics that are uniquely of interest to school-based speech-language pathologists managing pediatric feeding and swallowing in their districts. The topics shared in this forum range from relevant information on anatomy, physiology, developmental milestones, and differential diagnosis to therapeutic practice when identifying and treating pediatric feeding and swallowing in the school setting. The forum also includes focused articles on the necessity of collaboration with families during the treatment process, current information on legal parameters dealing with school-based pediatric feeding disorder services, and a framework for assessment and treating pediatric feeding disorder in the school setting.

Examining the Moderating Role of Social Bonds in the Relationship between School Victimization and Educational Attainment.

School victimization affects a relatively small proportion of students each year, but this victimization may have long-term effects on a child's life trajectory, including graduating high school and enrolling in college. Social bond theory posits that bonds - like commitment and involvement - may buffer the harmful effects of victimization. This research uses the Education Longitudinal Study of 2002 (n = 16,197) to examine the moderating role of social bonds between school victimization and these measures of educational attainment. The results of the study using moderation showed that student victimization does not affect graduating high school nor enrolling in college. The relationship between student victimization and these educational outcomes is partially moderated by involvement, but not commitment.

Establishing a public school dysphagia program: a model for administration and service provision.

PURPOSE: Many school-based speech-language pathologists (SLPs) are hampered in participating in managing children with dysphagia by their school systems' lack of supportive policies and procedures. A need exists to better define the dysphagia-trained SLP's role and clarify the district's responsibility. The purpose of this article is to address the critical administrative issues and administrative components surrounding dysphagia in the schools and to offer the SLP some solutions to these problems. METHOD: A narrative review of the relevant literature addresses the following questions that are important for administrative planning and implementation of programs for students with dysphagia in the schools: (a) Should school systems assume responsibility for working with students with dysphagia? (b) Why is a system-supported procedure recommended? (c) What service delivery models can a system use to serve students with dysphagia? (d) What components should be included in a dysphagia procedure? CONCLUSION: SLPs should be proactive in providing dysphagia services to students in the schools. A procedure that is adopted by a school system for all of its employees to follow will offer direction and guidance. This system-supported procedure may provide assurance that dysphagia services are being provided in a professionally acceptable manner. Ongoing staff development and training is essential. A system can implement dysphagia services using existing staff, when possible, and policies and procedures that have been approved by the system.

An interdisciplinary team approach to providing dysphagia treatment in the schools.

The diagnosis and treatment of pediatric dysphagia in school systems are still in the infancy stages. They are being addressed in a variety of ways and by a variety of personnel. Speech-language pathologists (SLPs) in school systems throughout the country are faced with students who exhibit the signs and symptoms of dysphagia; however, there is a lack of organized procedures for the diagnosis and treatment of dysphagia in the schools. In some cases, SLPs are asked to treat a disorder for which they have no training. In both scenarios there are concerns about the services that students are receiving as well as professional liability. The purpose of this article is to address some of the more pressing issues related to the diagnosis and treatment of dysphagia in the schools and to provide the school-based SLP with some solutions to these problems. The question to be answered is, What is the best way to address dysphagia in the schools?

Development of an Interdisciplinary Dysphagia Team in the Public Schools.

This article describes the development of a school-based dysphagia team (swallowing action team [SWAT]) within the St. Tammany Parish School System located in Covington, Louisiana. The team's vision was to ensure safe nutrition and hydration for students at risk for swallowing dysfunction during school hours. This article addresses how the team was initially formed, the process of identifying students who were exhibiting a swallowing disorder, steps taken for staff development, and problems encountered in seeking administrative approval. The current status of the dysphagia program, as well as future plans for further implementation, are also presented.