CHC08 Disability Behaviour Support Skill Set Learner Resource ...

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CHC08 Disability Behaviour Support Skill SetLearner Guide Book 2: CommunicationAccording to Speech Pathology Australia, all of those aspects of communication fit into fivemain areas:1. Speech. The physical production of sounds.2. Language. Understanding what words mean, putting sentences together, writingclearly, and understanding written language.3. Pragmatics. The social conventions of how we interact with each other.4. Fluency. The smooth rhythm and pattern of talking.5. Voice. The production of sound by vibrating the vocal cords. iACTIVITY 1.2: What do you think are the most important principles of effectivecommunication?Complex Communication NeedsPeople who have complex communication needs (CCN) are unable to communicateeffectively using speech alone. They and their communication partners may benefit fromusing augmentative and alternative communication (AAC) methods, either temporarily orpermanently.Many people with a disability have complex communication needs which cover a range ofissues in the areas of speech, language, auditory and visual processing. CCN considersreceptive language skills (difficulties understanding spoken language), expressive languageskills (difficulties producing speech), or both. Some general characteristics of CCN are:The inability to follow instructions.Incomprehensible speech.Difficulty in identifying visual cues.Overly slow speech.Trouble with articulation, voice, and fluency.Stuttering.Difficulty in forming sentences (often saying words out of order).ACTIVITY 1.3: Give an example of a client you work with who has complex communicationneeds.© Community Services and Health Industries Skills Council Ltd www.cshisc.com.au Page 5 of 76
CHC08 Disability Behaviour Support Skill SetLearner Guide Book 2: CommunicationHow Many People in Australia Have a CNN?In 2003, the Australian Bureau of Statistics (ABS) reported that 20% of Australians wereliving with a disability. The definition used to identify people with a disability included anyonewith “a limitation, restriction or impairment, which has lasted, or is likely to last, for at least sixmonths and restricts everyday activities.” Additionally a further 21% of Australians werereported as living with a health condition that did not restrict their everyday activities.Reportedly, 86% of people identified as having a disability experienced limitations in selfcare,mobility, communication, or restrictions in schooling or employment, and 76%experienced more than one limitation and/or restriction with communication. People withsevere or profound core activity limitations are at the most severe end of the disabilityspectrum. Specialist disability services have tended to target this group.The ABS does not regard communication disability independently, but rather, regardscommunication as a restriction that is secondary to another disability. A study by Perry,Reilly, Cotton, Bloomberg, and Johnson (2004) reported that 1 in 500 (0.2%) Victorians wereliving with a disability and had complex communication needs (CCN).Areas of severe or profound core activity restriction were identified in a survey conducted in2009 by the Australian Institute of Health and Welfare. Of the 6.6% Australians who hadsevere or profound core restriction, 10% experienced this restriction in the area ofcommunication.The majority of people with a disability have a physical disability. Generally peopleexperience complex communication needs secondary to their physical disability.People with CCN can be of any age, of any culture and from any socio-economicbackground. A substantial proportion of care for people with multiple disabilities is providedby their family members and friends.Other statistics from the 2008 NATSISS of the most common types of disability or long-termhealth conditions for Aboriginal and Torres Strait Islander people include:More than 105,000 people have physical disabilities, such as paraplegia andquadriplegia.More than 79,000 people have disabilities or long-term conditions that restricteveryday activities or require treatment and medication, including Alzheimer'sdisease, dementia, arthritis and heart disease.More than 55,000 people have sensory disabilities, such as visual impairment andhearing impairment.More than 25,000 people have psychological disabilities, such as schizophrenia anddepression.© Community Services and Health Industries Skills Council Ltd www.cshisc.com.au Page 6 of 76
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CHC08 Disability Behaviour Support Skill Set Learner Resource ...

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