More or less likely to offend? Young adults with a history of identified developmental language disorders.
Maxine Winstanley, Roger T Webb, Gina Conti-Ramsden
PMID 29159847WHAT IT FOUND
Young adults with a history of identified DLD who had attended language units reported less police contact, less heavy drinking and less drug use than matched peers.
They had higher aggression scores, but not more rule-breaking.
Key findings
01The DLD group reported significantly less trouble with the police and less being told off or asked to move on by the police than peers.
02Peers reported more days drunk and more alcohol units per session than the DLD group, and peers accounted for 13 of 15 reported drug users while the DLD group accounted for 2; current alcohol consumption rates did not differ.
03The DLD group had significantly higher aggressive behaviour raw scores than peers, but rule-breaking scores did not differ and clinical aggression percentages were not significantly different.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
Only 84 of the original 242 children were assessed at age 24, and funding constraints contributed to attrition, so the sample may not represent all children who attended language units. The study did not include a comparison group of young people with DLD who did not receive language-unit intervention, so it cannot separate intervention from identification, selection or other childhood factors. Police contact, alcohol and drug use were self-reported, not checked against records, and the questionnaire used a small number of items under time constraints. Unmeasured variables such as childhood maltreatment, exposure to violence and delayed psychosocial maturity could have contributed to the differences. Language units provided input from speech and language therapists and specialised teachers, so any observed differences cannot be attributed to speech-language therapy alone. The aggression finding was a difference in raw scores, not a significant difference in clinical aggression levels, and rule-breaking did not differ. The study tested several outcomes and did not identify one primary outcome, so the pattern of significant and non-significant findings should be read cautiously.
Declared interests
The supplied text does not include a conflicts of interest or funding declaration. It notes only that funding constraints contributed to attrition.
The easy way to misread this
Do not conclude that speech-language intervention reduced police contact. The DLD group had received language-unit support, which included speech and language therapists and specialised teachers, and was compared with peers without DLD, not with young people with DLD who did not receive intervention. The study cannot separate the contribution of any single component.