{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T08:47:20Z","timestamp":1782204440020,"version":"3.54.5"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Research Intellect Disabil"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Effective communication is essential for health, quality of life and social participation. Adults with communication disabilities\u2014particularly those with intellectual disabilities\u2014often face systemic barriers to accessing appropriate support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A retrospective audit of 497 consultations from 276 adults with intellectual disabilities living in Australian group homes (2017\u20132022) was conducted at a private speech pathology clinic. The audit examined the proportion of patients recommended for and receiving a full communication assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A mixed method analysis was conducted and identified that of the 234 patients recommended for assessment, only 93 (39.7%) received one. Thematic analysis found that facilitators included dedicated funding, carer advocacy and multiple clinical contacts. Barriers were primarily related to funding limitations, competing clinical priorities and poor service access.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is a clear gap between recommended and delivered communication assessment. Systemic reform is needed to prioritise communication through improved funding pathways, carer training and access to speech pathology services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jar.70242","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T07:44:24Z","timestamp":1778053464000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Access to Communication Assessment and Intervention for Adults With Intellectual Disabilities"],"prefix":"10.1111","volume":"39","author":[{"given":"Caitlin","family":"Chaney","sequence":"first","affiliation":[{"name":"Hills District Speech Therapy  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann Nguyen","family":"Do","sequence":"additional","affiliation":[{"name":"Hills District Speech Therapy  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Elitawi","sequence":"additional","affiliation":[{"name":"Hills District Speech Therapy  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke","family":"Carrier","sequence":"additional","affiliation":[{"name":"Hills District Speech Therapy  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8246-210X","authenticated-orcid":false,"given":"Emma","family":"Charters","sequence":"additional","affiliation":[{"name":"Hills District Speech Therapy  Sydney Australia"},{"name":"Department of Head and Neck Surgery Chris O'B rien Lifehouse  Sydney Australia"},{"name":"School of Health Sciences, Faculty of Medicine and Health The University of Sydney  Sydney 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Pathology Australia.2020.\u201cSpeech Pathology Australia Professional Standards.\u201dhttps:\/\/www.speechpathologyaustralia.org.au\/Common\/Uploaded%20files\/Smart%20Suite\/Smart%20Library\/386be7e2\u20109872\u20104d51\u2010a0fa\u20104649c740ff1e\/SPA_Professional%20Standards%202020_V3_24062020%20FINAL%20.pdf."},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-018-4625-1"}],"container-title":["Journal of Applied Research in Intellectual 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