The Speech Interpretation Service for Speech Impaired in Finland
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The Speech Interpretation Service for Speech Impaired in
Finland
Terttu Elo, Taina Hissa, Minna Vanhala, Victoria ZilliacusThe Finnish Stroke and Dysphasia AssociationLAPH-seminar in Tallin 28th-30th June 2007
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The Speech Interpretation Service for Speech Impaired
• the speech interpretation service is based on the law in Finland (from the year 1994)
• each municipality has a duty to provide these services
• a person with a severe speech impairment has a right to use the service at least 180 hour per year
• municipalities take care of the payments to the interpreters; the service is free of charge for the users
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• the service can be used as an aid for- going to work
- studying - daily affairs (going shopping, to
bank, to see the doctor etc.) - taking part in hobbies - taking part in seminars and meetings
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Who needs Interpreter Service?
• people with speech impairment who use AAC
• most of the users are adults with CP, mental handicap or aphasia
• in Finland the service is not yet widely enough used– many people who would get use of the
service are not aware that the service exist
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The Aim of the Speech Interpreter Services
• to enable people with speech impairment to take part in everyday life in their community
• to increase their autonomy• to give them the opportunity to
live an equal life in society.
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The Speech and Language therapy vs. Interpretation
Service• speech and language therapy is
rehabilitation where the AAC method is chosen for the client
• the speech interpreter assists the client to interact with other people in everyday communication situation
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• an interpreter can interpret the non-intelligible speech into intelligible speech ; interpret a written message or message produced by BLISS-language into speech
• with aphasic clients the interpreter mostly interprets the messages from single words, symbols, gestures etc into spoken language
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• the interpretation service also includes assistance in writing and reading
• the interpretation service can also include taking care of the communication aids and giving guidance for communication partners how to communicate with the client
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Who Can Work as an Interpreter?
• In Finland there is specialized education for speech interpreters (competence-based qualification)
• in this education, which normally takes 1-2 years, students learn i.e. about communication disorders and AAC
• a person who knows the client can also work as an interpreter if he/she get quidance from a speech and language therapist
• a family member can’t work as an interpreter
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Organization of the Service
• the service is applyed for in social services • the interpreter get to know the client and
his/her communication methods before she/he starts working as an interpreter
• in most municipalties the interpreters get quidance from the speech and language therapist
• the implementation of the service is followed-up by the social security office
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The Use of Service within Aphasic Clients
• most of the aphasic clients uses the service for getting assistance in daily affairs (going shopping, library, pharmacy) and for reading the paper and post
• The interpreter also often updates communication books or aids
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Challenges with Aphasic Clients
- using the service ”feels strange” for them
- ”my spouse is my interpreter”- many clients don’t understand the
content of the service before they test it in practise
- Interpreter versus personal assistant
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Case E.
- the client is a 62-year old man, who suffers from severe aphasia and right-side paralysis due to a right-side stroke in the year 1999
- he has motor aphasia and his speech consists of a few non-words.
- he reads short texts but writing is very limited
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Case E.
- the client started to use the service after his divorce
- he uses the service for taking care of the daily affairs (going shopping, going association for people with stroke etc) and for reading the post
- the interpreter assists him with making reservations through telephone
- the interpreter updates his Imagetalk –device and his Arnit- e-mail programme
- helps him to get to know new people
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Case E.
- nowadays the client has two interpreters and he uses the service a couple of hours/week
- he thinks that the service is very useful for him even though he has very much courage to communicate with strange people without any help