Resource Manual for Commissioning and Planning Services for SLCN (speech, language and communication needs): Aphasia

Royal College of Speech and Language Therapists - RCSLT
Royal College of Speech and Language Therapists
Publication date:
19 February 2014


  • Speech and language therapists play a unique role in identification and assessment of those with aphasia. The ability to identify levels of comprehension and expression as well as retained communication abilities are unique skills of speech and language therapists
  • Difficulties with communication are a predominant feature in reducing access to education, employment and social integration
  • Speech and language therapists should be integral members of services supporting children and adults with aphasia, their families and carers
  • Speech and language therapists have a key role in educating/training, others involved in care of those with aphasia including the family, health, education and social care staff
  • Methods of speech and language therapy, supplemented by supported conversation provided by assistants, lay persons and family members show benefits in improving conversational skills
  • Computer-based therapy directed by a speech and language therapist is beneficial, cost-effective and acceptable
  • Specific speech and language therapy programmes aimed at reducing certain impairments have been found to be effective with some patients
  • Communication aids (AAC), improves communication competence of some persons with aphasia
  • Persons with aphasia remain at risk as defined by the Mental Capacity Act (2005)/ Incapacity Act and speech and language therapists are integral to assessing competence for consenting etc.