To help young adults with language disorders gain daily living skills, OTs and SLPs should work together using evidence-based tools

The big picture:

Many young adults with language disorders struggle with activities of daily living, like self-care and money management. These difficulties have been linked to executive functions, receptive and expressive language, and motor skills.

Why it matters:

Daily living skills:

  • are essential for independent living; and
  • affect self-esteem and quality of life.

Zoom in:

Young adults with language disorders may benefit from occupational therapy (OT) and speech-language pathology (SLP) support to improve their independence with daily living skills, including:

  1. meal preparation;
  2. time management;
  3. leisure;
  4. self-care;
  5. housekeeping;
  6. laundry;
  7. food shopping; and
  8. money skills.

New tool:

Check out the terrific WHEEL OF INDEPENDENCE™ Framework: 

  • An online tool developed by researchers at Moor House School & College (currently available only in the UK).
  • Used clinically for years with students with language disorders with good face validity.
  • Tracks and structures intervention for 180 skills grouped around the 8 key areas outlined above, using a 5-stage hierarchy of skills.
  • Peer-reviewed evidence base is growing (e.g. see links below).

Bottom line:

OTs and SLPs should work together to help young adults succeed with daily living tasks by:

  • working with young adults to set goals to increase life skills and independence; 
  • sharing professional expertise with young adults and each other; and 
  • using evidence-informed tools that help to structure and coordinate supports, and to measure functional outcomes.

Go deeper

Burridge D, Hughes L, Titterington J, Dawson N, Ebbels S. Daily living skills in adolescents with and without (developmental) language disorder, measured using the WHEEL OF INDEPENDENCE™ framework. British Journal of Occupational Therapy. 2024;87(12):742-752. doi:10.1177/03080226241280732 (Abstract only)

WHEEL OF INDEPENDENCE™ Framework

™ WHEEL OF INDEPENDENCE is a trademark of Moor House School & College.

Read more:

Focusing speech therapy on functional outcomes: a refresher

Parents of teenagers aged 16-18 years: 11 ideas to increase participation and communication skills


Man with glasses standing in front of a bookcase

Hi there, I’m David Kinnane.

Principal Speech Pathologist, Banter Speech & Language

Our talented team of certified practising speech pathologists provide unhurried, personalised and evidence-based speech pathology care to children and adults in the Inner West of Sydney and beyond, both in our clinic and via telehealth.

David Kinnane
Speech-Language Pathologist. Lawyer. Father. Reader. Writer. Speaker.

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