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Disorders of speech and language include myriad diagnoses that vary in incidence and prevalence across age span and cultures. Disorders can range from those that do not impinge upon general communication, learning or psychosocial function, such as a mild speech disturbance, like a lisp, to global aphasia with a complete lack of communication ability. The short- and long-term effects of these impairments are often directly related to the age at onset, duration, co-morbidities, access to intervention by qualified professionals, and the societal response to the disability. In cultures that take a dim view of any type of deviation from the norm, there may be less access to diagnosis and treatment, as well as a hesitancy to seek out available options for treatment. Additionally, for those countries in which there are larger issues of general health, economic support, and quality of care, the nature of the disability may receive little or no attention simply due to national priorities or limited access to resources. Although, globally, disorders of speech and language are not exclusively limited to those countries with poorer health outcomes, in general, speech and language services may be less accessible or absent in poverty-stricken nations of the world. In many cases, these countries are at greater risk for many of the disorders simply due to environmental and social conditions, such as lack of early access to health care and preventative interventions. This chapter explores Global Perspectives on Speech and Language Impairments.

Writings about language and speech impairments (SLI) have been present for many centuries (Smith, 2004). Unfortunately, early historical accounts tended to reflect negatively upon individuals with SLI. For example, Van Riper and Erickson (1996) related that during the Roman times, an individual who stuttered was placed into a cage for entertainment purposes. According to these authors, citizens passing would throw coins into the person's cage to get him to talk. During the late 1800s, the profession of speech-language pathology began as an avocation of certain professionals, notably doctors, educators, and elocutionists (public speakers), who were interested in helping others improve their speech. American doctors studied under the auspices of European doctors who treated people with communication disorders. The two most common disorders that were treated then were dysfluency (stuttering) and speech sound errors (articulation) (Duchan, 2002). Treatment was available for the above disorders, however, the programs were not in public schools and the results of intervention were mixed (Smith, 2004).

The purpose of this paper is to identify the severity of certain communication disorders (CD) in a sample of Syrian refugee children. There are a limited number of studies about CD among refugee children.

Over a period of 22 months, 161 cases of CD – not caused by motor or structural disorders – were seen at a Mental Health Clinic in Beqaa, Lebanon. The authors calculated descriptive statistics (frequencies and percentages) and bivariate statistics to identify relationships between CD, demographics and school enrollment among cases.

Ages ranged between 3 and 16 years with a mean of 6.91. Male to female ratio was 1.6:1. The most prevalent category of CD was speech, followed by expressive language, then receptive language. Parents reported behavioral or emotional problems in 38 percent of the cases; emotional problems, mainly anxiety, were much more common than behavioral problems. Enrollment in school was associated with a lower number of impairments and less severe speech and language impairments.

The results highlight the importance of early detection and intervention among Syrian refugee children. Schools can alleviate some psychological issues that compound CD by enhancing resilient behaviors and providing social support. They can also implement measures for detection and intervention.

Students with communication disorders present unique challenges to educators working toward fostering an inclusive classroom. For children with speech/language impairments, expressing themselves either academically or socially may present obstacles requiring communicative support and facilitation. For children with hearing loss, full access to educational material will be difficult without technological and/or visual support. Many children may have a combination of disorders, requiring a team of educators and other professionals to provide educational content and classroom support in the most inclusive way possible. This chapter is intended to provide an overview of variety of communication disorders, along with guidelines for improving student access across educational settings.

Technology is present in classrooms today in many ways that it never has been before. Technology, and more specifically assistive technology, can be used to provide students with visual impairments with equal access and engagement in learning. Best practices for using technology to enhance learning for students with visual impairments includes, but is not limited to, collaboration among all stakeholders involved, individualized instruction, and specialized training on behalf of students with visual impairments and their teachers. The heterogeneity of the population of learners with visual impairments must be explicitly addressed by educational teams taking into account the high prevalence of additional disabilities among students with visual impairments and other unique characteristics of this population. Stakeholders (i.e., students, families, caregivers, educators, administrators, and policymakers) need to work together and continue working together as education evolves to make this access and engagement a reality for all learners including those who are blind or have low vision.

The paper seeks to explore sexual behaviours and reproductive health knowledge among in‐school young people with disabilities (PWD) in Ibadan, Nigeria.

In the paper a structured questionnaire was administered to 103 randomly selected PWD, aged ten to 25, from four integrated secondary schools in Ibadan. The data were collected through face‐to‐face interview. Five categories of disability included were hearing and speech, sight, speech, intellectual, and physical disabilities.

The paper finds that 57 percent of the sample were females and 43 percent were males. Of the 36 (35 percent) respondents who were sexually active, 17 did not give a definite reason for their sexual initiation, nine were influenced by peers, five were “experimenting” with sex, four were raped, while one person began sexual activity for monetary gains. A total of 17 percent of the respondents had either procured abortion or been involved in the procurement of abortion for a sexual partner. In total 28 percent of the sample reported ever being raped. In total, 43 percent had been fondled, kissed, or caressed, against their wishes. Knowledge of contraceptives was reported by 40 percent. A total of 23 percent had never used condoms, while 6 percent were consistent condom users. Half of the respondents had heard about HIV/AIDS, 9 percent had tested for HIV, while 16 percent reported previous episodes of sexually transmitted infections. In total, 70 percent did not know where they could access reproductive health services.

The paper shows that there is an urgent need to develop specific programs for young people with disabilities, especially for those in schools, to address knowledge and behaviour issues regarding reproductive health and HIV/AIDS.

This chapter is structured for teaching young learners with physical (orthopedic) disabilities in special education. Orthopedic impairments encompass a range of disabling conditions. Orthopedic impairments are typically grouped into three main categories: (1) congenital anomalies (CA) such as absence of a member or clubfoot, (2) impairments caused by disease such as bone tuberculosis (TB) or poliomyelitis, or (3) impairments for other causes to include amputations, fractures, cerebral palsy (CP), burns, or fractures. In the chapter, the authors present definitions of various orthopedic impairments and discuss their respective etiologies followed by discussions of specific disabling conditions. Students with orthopedic impairments present both challenges and opportunities to special education teachers as is evident in the following case of Amira, a girl with asthma and CP.

Thorough assessment of communication is of utmost importance for successful working with people with learning disabilities. Indeed, recent legislation now makes it incumbent on professionals working with people with learning disabilities to address issues of communication, both their own communication to clients and that of their clients. There are clear associations between learning disabilities, emotional, behavioural and psychiatric problems, and impaired communication. The nature of the communication impairments experienced by individuals with learning disabilities is likely to be complex, with cumulative and inter‐related features associated with the general developmental delay, the phenotypical presentation in a particular syndrome, the presence of specific linguistic impairments and the indirect impact of other difficulties on communication skills. A number of parameters need to be addressed in a communication assessment in order to take account of the complexity and dynamism of the communication process. They concern not only the underlying developmental and communication impairments affecting particular areas of functioning, but also many aspects of the wider context in which the communication takes place.

This paper describes the development process of a mobile Voice User Interface (VUI) for Korean users with dysarthria with currently available speech recognition technology by conducting systematic user needs analysis and applying usability testing feedback to prototype system designs.

Four usability surveys are conducted for the development of the prototype system. According to the two surveys on user needs and user experiences with existing VUI systems at the stage of the prototype design, the target platforms, and target applications are determined. Furthermore, a set of basic words is selected by the prospective users, which enables the system to be not only custom designed for dysarthric speakers but also individualized for each user. Reflecting the requests relating to general usage of the VUI and the UI design preference of users through evaluation of the initial prototype, we develop the final prototype, which is an individualized voice keyboard for mobile devices based on an isolated word recognition engine with word prediction.

The results of this paper show that target user participation in system development is effective for improving usability and satisfaction of the system, as the system is developed considering various ideas and feedback obtained in each development stage from different prospective users.

We have developed an automatic speech recognition-based mobile VUI system not only custom designed for dysarthric speakers but also individualized for each user, focussing on the usability aspect through four usability surveys. This voice keyboard system has the potential to be an assistive and alternative input method for people with speech impairment, including mild to moderate dysarthria, and people with physical disabilities.

The authors believe that people with cognitive and motor impairments may benefit from using of telepresence robots to engage in social activities. To date, these systems have not been designed for use by people with disabilities as the robot operators. The paper aims to discuss these issues.

The authors conducted two formative evaluations using a participatory action design process. First, the authors conducted a focus group (n=5) to investigate how members of the target audience would want to direct a telepresence robot in a remote environment using speech. The authors then conducted a follow-on experiment in which participants (n=12) used a telepresence robot or directed a human in a scavenger hunt task.

The authors collected a corpus of 312 utterances (first hand as opposed to speculative) relating to spatial navigation. Overall, the analysis of the corpus supported several speculations put forth during the focus group. Further, it showed few statistically significant differences between speech used in the human and robot agent conditions; thus, the authors believe that, for the task of directing a telepresence robot's movements in a remote environment, people will speak to the robot in a manner similar to speaking to another person.

Based upon the two formative evaluations, the authors present four guidelines for designing speech-based interfaces for telepresence robots.

Robot systems designed for general use do not typically consider people with disabilities. The work is a first step towards having our target population take the active role of the telepresence robot operator.