Intellectual Disability and Communication Essentials - Clinical Opal

Answer

Good communication is circular and starts when you meet the person. It involves a constant cycle of active listening and speaking with care and attention. The four steps include:

• to listen and receive information

• check you understand

• speak and express information

• and check they understand. 

Sometimes the most valuable information isn’t stated upfront for a variety of reasons. The person may think the information is insignificant or unrelated to their current health matter. It can also be helpful to see if the person would like a supporter present to assist them with communication and understanding. 

In James’ case, he may have thought that he already communicated the issue to you. Let James tell his story by using open-ended questions to explore information. If James does not respond to an open question after a long pause for thinking, it may be best to use a closed question with a ‘yes’ or ‘no’ response. 

When using closed questions, limit yourself to one concept at a time to avoid confusing James by asking him about too many things at once. This will reduce the chances of confusion and ambiguous responses. 

Make sure to give James enough time to think before speaking and allow him to finish his own sentences. Sitting with a pause in communication can show James that you respect the time he needs in the conversation.

Further learning

For more information, strategies and to learn about best practice in inclusive care for people with intellectual disability enrol in the online learning module Just Include Me - Inclusive Health Practice brought to you by the Council for Intellectual Disability.