Communication disability and communication access
In recent years there have been increasing efforts to raise awareness, and develop programs, resources, standards and guidelines to improve communication access for people with communication disability.
These efforts have effected changes in legislation in some countries to better uphold the human rights of people with communication disability, though legislation in this area in Australia remains limited with ‘access’ tending to focus on physical access, or general access to information and communication technologies.
Despite numerous activities to promote ‘communication access’, there remains lack of clarity and consistency regarding terminology. There is also inconsistency in the existing communication access standards and guidelines. Speech Pathology Australia is working to address this, and it is a founding member of the Communication Access Alliance.
1.2 million Australians#
The Australian Bureau of Statistics has established that 1.2 million Australians have communication disability.
Communication disability affects a person's ability to understand and be understood by others. Levels of limitation range from mild to profound and can be temporary or last a lifetime.
- Children and older people make up the majority of people with communication disability.
- Children are more likely to have profound/severe communication disability than older people.
- People with communication disability are less likely to have a non-school qualification (42%) than people without communication disability (61%).
- Thirty-eight percent of people with communication disability are participating in the labour force compared with 80% of people without communication disability.
- One in 7 people with communication disability need formal assistance with communication.
- Half of all people who need formal assistance with communication have an unmet need for this assistance.
- Three in 5 people who have an unmet need for formal assistance with communication are children.
View either the Australian Bureau of Statistics fact sheet on communication disability in Australia and/or read the ABS profile of people with communication disability in Australia.
#Source: Australian Bureau of Statistics, Profile of people with communication disability in Australia, www.abs.gov.au/
Tips for successful communication*
- Always treat the person with the communication disability with dignity and respect
- Be welcoming and friendly
- Understand there are many ways to communicate
- Ask the person with the disability what will help with communication
- Avoid loud locations, find a quiet place
- Listen carefully
- When you don’t understand, let them know you are having difficulty understanding
- If you think the person has not understood, repeat what you have said or say it a different way
- Try asking the person yes or no questions if you are having difficulty understanding them
- Ask the person to repeat or try another approach if you don’t understand
- To make sure you are understood, check with the person that you have understood them correctly
- If you ask a question, wait for the person to reply
- Allow the person time to respond, so always be patient
- Speak directly to the person and make eye contact. (Though be mindful that there are some people who may not want you to look at them, e.g. some people with autism spectrum disorder)
- Speak normally. There is no need for you to raise your voice or slow your speech.
*Source: Adapted from SCOPE, Communication for All Booklet, www.scopeaust.org.au
Video case studies
In the last few years, as part of Speech Pathology Week, Speech Pathology Australia has produced a range of video case studies to increase awareness of communication disability and role speech pathologist play in ensuring Australians communicate with confidence.
These case studies have involved interviews with speech pathologists and their clients, and highlight the challenges faced every day by Australians with communication disability.
The case studies also highlight the fact that not all communication is speech and why communication access is so important for every Australian.
Speech Pathology Week 2019
Speech Pathology Week 2018
Nicki and Jarrod Speech pathologist Nicki Jackson and Jarrod talk about what communication accessibility looks like in real life.
Amanda, Stacey and Harvey - Speech pathologist Amanda Nugent and Stacey talk about what communication access means for Stacey's son Harvey.
Nadine and Heath - Speech pathologist Nadine Davies and Heath explains how assistive technology is making communication accessibility a reality.
Carly and Imogen - Speech Pathologist Carly Hastie and Imogen are working in partnership to find the best communication technology for Imogen to use.
Louise, Marion and Brandon - Speech Pathologists Louise Hockey and Marion Van Nierop are work colleagues of Brandon Tomlin, who uses a range of means to communicate with his workmates.
Speech Pathology Week 2017
Olga and Margot – Speech pathologist Olga Birchall and Margot (85 years) explain what communication access means in real life.
Victorian Electoral Commission - Sue Lang, the Director of Communication and Engagement at the Victorian Electoral Commission explains how communication access is making the voting experience easier for some voters.
Bethany and John - Speech pathologist Bethany Hanley and John discuss the challenges of communication access when your voice starts to fail you due to Parkinson's disease.
Elizabeth and Kim - Speech pathologist Elizabeth Lea and Kim talk about communication challenges faced by Kim's son and why communication access is so important.
Allana and Graeme - Speech pathologist Allana Bowen and Graeme talk about Graeme's communication skills and challenges following cancer of the larynx.
Annie and Larelle - Speech pathologist Annie O'Connor and Larelle explain how Larelle recovered from her stroke and rediscovered her voice and the power of speech.
Sue, Kelli and Eden - Speech pathologist Sue Cameron and Kelli (mother of Eden) discuss telehealth and how distance is no barrier to the services of a speech pathologists.