Speech Language & Literacy Strand Anne Horgan SLT Manager HSE

Process to Practice Speech Language Communication Needs Alignment Young Knocknaheeny HSE SLT Public Health Tiered service provision Oral Language Officers Capacity building.

High incidence of Speech Language & Communication Needs SLCN ( Bercow 2008) in areas experiencing disadvantage In line with international research. 50% Locke et al. 2002,Hart & Risley 1995 Local research Glen2007-2008 & Mayfield,Happy Talk 2011-2016 Tallaght West CDI 2012,2016 Young Ballymun ; Little Voices Limerick

SLCN Speech – sounds e.g. b baby Language words used to express an idea e.g. the baby is crying Communication Verbal, nonverbal ,oral language, written language, sign language, fluency, using language socially Language socially, greetings make friendship, at second level also. 80% of children referred to CAMHS have SLCN.

Alignment between YK & HSE SLT Department HSE established PCC SLT clinic in area in mid 80s Niche Speech and Language Pilot Project Sept 2008-Dec 2012 Senior Speech and Language Therapist Clinical Supervision

Language & Literacy Language & literacy foundation of all educational attainment (OECD 1999). Strong link between delayed speech & language skills & literacy skills. Organisation for economic cooperation & development. defines literacy as understanding, using & reflecting on written texts, in order to achieve one’s goals, to develop onus's knowledge & potential, & to participate in society.

Language & Literacy Link between early speech and language development, literacy attainment and academic success for the child (Law, Reilly& Snow, 2013) Snowling et al (2011) show that children with poor language development at 5 years have a risk of low educational achievement by the time they reach 7 years.

PUBLIC HEALTH Historically SLT follows a medical model Law et al. (2013) Child speech, language and communication need re-examined in a public health context. Historically SLT follows a medical model Focus on diagnosing and remediating specific problem Shift emphasis from a clinical ‘within-child focus’ to one grounded in public health principles- following Ottawa Charter for Health Promotion, WHO 1986 8

Models of care in SLT Emphasis on functionality/impact instead of just impairment is widely accepted Activity with regard to preventative programmes and whole population approaches should be increased (Gascoigne 2006; Ready to Act Scottish Government report 2016; Speech, Language and Communication Therapy Action Plan: Improving Services for Children and Young People 2010; Law et al. 2013) 9

Public Health interventions are described as being primary, secondary or tertiary (tiered models) Primary/ Universal- directed at the general population Secondary/ Targeted- directed at those identified as being at risk of SLC problems Tertiary/ Specialist – focus on families where SLCN are persistent

Oral Language Officers Oral Language Officers/SLT Early Intervention, Home visits, Interdisciplinary e.g. PHN Clinics Attend HSE SLT team meetings Clinical Supervision OLOS referrals/links HSE 79 children HSE SLT referrals to YK

Oral Language Officers Capacity building parents CPD Early years services CPD Junior Infants teachers ABC and Beyond Hanen Coaching & mentoring Aistear

48 sleeps to Santa

Scottish Government ( 2016) Ready to Act Law et al. (2010) What Works: Interventions for children and young people with SLCN Scottish Government ( 2016) Ready to Act Department of Health, Social Services and Public Safety (2010) Speech, language and communication action plan: Improving services for children and young people. Consultation Document, Northern Ireland Gascoigne (2006) Supporting Children with speech, language and communication needs within integrated children’s services. Position Paper Commissioning Support Programme (2011). Speech, language and communication needs: Evaluating outcomes  Welsh Government (2015) Flying start – Guidance on speech, language and communication Millar et al (2013) Managing waiting times and providing equitable, family-centred care: a description of four key initiatives. British Journal of Occupational Therapy. 76 (8). Bercow report (2008) Gillam & Gillam (2006) Making evidenced based decisions about child language intervention in schools. Language, Speech and hearing Services in Schools, 37. 17