An International Service Delivery Model for Sustainable Practices: Insights From Cambodia International speech-language pathology programs aim to provide services that are culturally relevant, holistic, and sustainable within a biopsychosocial model of health care. International settings with limited resources and/or lack of access to trained speech-language pathologists necessitate a service delivery model that involves multiple professionals to identify and reach individuals in ... Article
Article  |   May 29, 2018
An International Service Delivery Model for Sustainable Practices: Insights From Cambodia
Author Affiliations & Notes
  • Melissa Randazzo
    Department of Communication Sciences and Disorders, Adelphi University, Garden City, NY
  • Felicidad García
    Department of Communication Sciences and Disorders, Temple University, Philadelphia, PA
  • Disclosures
    Disclosures ×
  • Financial: Melissa Randazzo has no financial interests to disclose. Felicidad García has no financial interests to disclose.
    Financial: Melissa Randazzo has no financial interests to disclose. Felicidad García has no financial interests to disclose.×
  • Nonfinancial: Melissa Randazzo and Felicidad García have served as volunteers for Safe Haven Medical Outreach as part of the SLP Cambodia Service Program.
    Nonfinancial: Melissa Randazzo and Felicidad García have served as volunteers for Safe Haven Medical Outreach as part of the SLP Cambodia Service Program.×
Article Information
Cultural & Linguistic Diversity / International & Global / Part 1
Article   |   May 29, 2018
An International Service Delivery Model for Sustainable Practices: Insights From Cambodia
Perspectives of the ASHA Special Interest Groups, May 2018, Vol. 3, 4-13. doi:10.1044/persp3.SIG17.4
History: Received July 24, 2017 , Revised March 21, 2018 , Accepted April 28, 2018
Perspectives of the ASHA Special Interest Groups, May 2018, Vol. 3, 4-13. doi:10.1044/persp3.SIG17.4
History: Received July 24, 2017; Revised March 21, 2018; Accepted April 28, 2018

International speech-language pathology programs aim to provide services that are culturally relevant, holistic, and sustainable within a biopsychosocial model of health care. International settings with limited resources and/or lack of access to trained speech-language pathologists necessitate a service delivery model that involves multiple professionals to identify and reach individuals in need, provide comprehensive health care services, and facilitate communication and cultural competence between the patient and the foreign professional. This article describes an interprofessional service delivery model for service provision in a resource-poor environment based on clinical experiences working in rural Cambodia. A case study is provided to illustrate the implementation of each step of the model. The principles of the model may be applied to other international populations with limited resources.

Acknowledgments
The authors would like to gratefully acknowledge the founder of SLP Cambodia, Karen Froud (Teachers College, Columbia University), for her development of the program and her insightful, dedicated mentorship. The authors are also grateful to the other SLP Cambodia team members, Natalia Martínez and Heather Green. This work would not have been possible without the support of the Speech-Language Pathology program at Teachers College, Columbia University, and the staff and families of Safe Haven NGO, Siem Reap, Cambodia.
Order a Subscription
Pay Per View
All Perspectives articles & archives
24-hour access
This Article
24-hour access
We've Changed Our Publication Model...
The 19 individual SIG Perspectives publications have been relaunched as the new, all-in-one Perspectives of the ASHA Special Interest Groups.