1. Speech Language & Literacy Strand
Anne Horgan SLT Manager HSE

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

3. 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 Glen & Mayfield,Happy Talk
Tallaght West CDI 2012,2016
Young Ballymun ; Little Voices Limerick

4. 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.

5. 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

6. 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.

7. 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.

8. 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

9. 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

11. 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

12. 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

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

16. 48 sleeps to Santa

17. 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