Kein Folientitel - Fondazione Carlo Molo

PROMOTING PARTICIPATION IN PERSONS WITH APHASIA:
A MULTIPROFESSIONAL SOCIAL APPROACH
Muò R.1, Di Pietro M. 2,, Crielesi M.2, Congia A. 3, La Rocca L. 4, Monte S. 2
1 SLP - Rehabilitation Department – ASL TO1, Torino, Italy, 2 Psychologist and Psychotherapist, Centro Afasia CIRP – Fondazione Carlo Molo Onlus, Torino, Italy, 3 Social Worker, Centro Afasia CIRP – Fondazione Carlo Molo Onlus, Torino, Italy, 4
Theater director, Centro Afasia CIRP – Fondazione Carlo Molo Onlus, Torino, Italy.
E-mail: [email protected]
Aims
Background
 Changes in communication abilities and language processing associated with
aphasia can have broad-ranging impact on daily life, affecting the quality and
quantity of everyday interactions and resulting in changed relationships, poor
vocational outcomes, and decreased quality-of-life and psychological wellbeing.
 Aphasia has also an impact on family members, in some instances leading to
depression, restriction in activities and relationships, and heightened
responsibilities.
 Since aphasia has a chronic nature, interventions should aim to enable
individuals to living successfully with aphasia (i.e. live successfully despite
their communication disability).
1) to help persons with aphasia coping with their chronic
disability;
2) to help persons with aphasia starting living successfully
with aphasia;
3) to raise public awareness on aphasia and on persons with
aphasia.
Social theatre groups
“AlfabetoTeatro”
First level social theatre group.
Aims: to help persons with aphasia
• familiarizing with theatre language
• strengthening non verbal
communication abilities.
Co-conducted by an actress and theatre director
specialized in social theatre and non verbal
communication and a psychologist.
Group’s productions are performed outside the
CIRP Aphasia Center in order to spread
group’s messages and are a precious tool to
raise public awareness.
“Teatro Babel”
Second level real theatre group, where
people act and perform a theatre product,
based on both aphasia experience and
perceived emotion linked with aphasia.
It also includes students from
SLT and Nursing Degree.
“Conversazioni Narrative”
Psychological and psychotherapy intervention
Conversational groups are co-conducted by a SLP
and a psychologist.
Aims: to help people with aphasia
• continuing improvement of communication
abilities
• moving from a rehabilitation setting to a more
real life, spontaneous and complex everyday talk
• involving peer support.
Focused on processing the change of living.
Aims: to help people with aphasia
• to improve Self re-organization
• to improve the ability to use remaining
resources.
Traditional SLTs treatment
Social worker’s activities
Aims: to help people with aphasia and their
caregivers
• with legal procedures
• finding relevant recreational activities in their
environment.
All recreational activities suggested are
strongly related to the aphasic person’s
interests and desires.
Provided by Health services SLTs.
Aims: to help people with aphasia
• improving linguistic and cognitive functions
• improving pragmatics
• improving functional communication.
Lecturers for SLP and Nurse
Students in collaboration with
University of Turin.
Structured approach for caregivers
training in Supported Conversation for
Adults with Aphasia (SCA).
Periodic meetings to share knowledge
on aphasia and to raise public awareness on
aphasia and its consequences.
1.
2.
3.
4.
5.
6.
7.
References
Brown K., Worrall L.E., Davidson B., Howe T. Living successfully with aphasia: a qualitative meta-analysis of the perspective of individuals with aphasia, family members, and speech-language pathologists.
Int J Speech Lang Pathol, 2011; Early online, 1-15
Dalemans R.J.P., de Witte L., Wade D., van den Heuvel W. Social participation through the eyes of people with aphasia Int J Lang Comm Dis, 2009, Early online, 1–14
Kagan A., Simmons-Mackie N. Beginning With the End Outcome-Driven Assessment and Intervention With Life Participation in Mind Top Lang Disorders, 2007;27(4):309–317.
World Health Organization International Classification of Functioning, Disability and Health (ICF), 2001.
Pontremoli A., Teorie e tecniche del teatro educativo e sociale, Torino, UTET, 2005.
Bernardi C., Il teatro sociale. L’arte tra disagio e cultura, Roma, Carocci, 2004.
Maguire L., Il lavoro sociale di rete, ed. Erickson