Making Change Meaningful

1. Making Change Meaningful A review of paediatric speech and language therapy provision in Dublin South East Rosemary Kavanagh Eilís Dignan Senior Speech and Language Therapists

2. Communication a fundamental human right and need a life-enabling skill Speech, Language and Communication Needs Lifelong Prevalence rate is 7-10% 2 to 3 children in every classroom in the UK Without help a proportion of these children will need therapy for mental health difficulties in adulthood Speech and Language Therapy Department HSE Dublin South East

3. Our Aims Speech and Language Therapy Department HSE Dublin South East

4. HSE Change Model Speech and Language Therapy Department HSE Dublin South East

5. Initiation Speech and Language Therapy Department HSE Dublin South East

6. Solution Focused Approach Strength-based Collaborative Goal-driven Practical Acknowledging difficulties Empowering Listening Speech and Language Therapy Department HSE Dublin South East

7. Planning Speech and Language Therapy Department HSE Dublin South East

8. Implementation How was the session useful? What’s been better since you were last here? Speech and Language Therapy Department HSE Dublin South East

9. Review March 2014 Agree changes Plan for sustaining change Outcome measure Service user experience questionnaire Monthly peer support meetings Mainstreaming Speech and Language Therapy Department HSE Dublin South East

10. Our service is changing…. Speech and Language Therapy Department HSE Dublin South East

11. What parents are saying…… “I feel I have been heard – our needs have been met” “Good to see myself on video even though I wasn’t looking forward to it. The session was really enjoyable” “This approach to therapy, using play and building structures and skills to enable me to work with C at home has had remarkable results” “A is confident now – he used to be very frustrated. At Sport’s Day this year he said “This year I can say my name”” Speech and Language Therapy Department HSE Dublin South East

12. What we are saying… ‘I feel that I am seeing the kids that need to be seen’ ‘It has been really positive to take a step back from the day to day business and really examine what we do and why we do it’ ‘We are really listening to what our stakeholders want and can actually make real change to try to accommodate that’ ‘I think the involvement of team members in the change process has been vital. I’m really glad to have been involved and proud of what we’re doing’

13. Our Vision ‘to deliver a speech and language therapy service that benefits and supports children and young people in their everyday communication and helps them to reach their potential and achieve their goals in life’ Speech and Language Therapy Department HSE Dublin South East

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15. References • Gascoigne, M. (ed). (2012). Better Communication – Shaping Speech, Language and Communication Services for Children and Young People. London. RCSLT. • Gibbon, F et al. (2012). Growing Up in Ireland – National Longitudinal Study of Children – The Prevalence of Speech and Language Impairment among a Nationally Representative Sample of Irish Children. Paper presented at the Growing Up in Ireland Annual Conference. • Kelman, E. & Schneider, C. (1994) Parent child interaction therapy: an alternative approach to the management of children’s language difficulties. Child Language Teaching and Therapy. 10 (1). • Law, J., Garret, Z & Nye, C (2004) The Efficacy of treatment for children with developmental speech and language delay/disorder: a meta analysis. Journal of Speech, Language and Hearing Research. Vol 47. pp 924-943. • Law, J and Garret, z. (2003). Speech and language therapy interventions for children with primary speech and language delay or disorder. Cochrane Database of Systematic Reviews (3). • Law, J et al. (2013). Child speech, language and communication need re-examined in a public health context: a new direction for the speech and language therapy profession. International Journal of Language and Communication Disorders. Vol 48, (5), 486-496. • Mercow et al. (2010). An exploratory trial of the effectiveness of an enhanced consultative approach to delivering speech and language intervention in schools. International Journal of Language and Communication Disorders, 45 (3).

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