Making Change Meaningful A review of paediatric speech

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

Communication a fundamental human right and need ¡ Speech, Language and Communication Needs ¡ ¡ ¡ a life-enabling skill ¡ ¡ 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

Our Aims Positive Communication Environments Build Knowledge and Skills Maximise Communication Speech and Language Therapy Department HSE Dublin South East

HSE Change Model Initiatio n Main Streaming Planning Implementat ion Speech and Language Therapy Department HSE Dublin South East

Initiation Speech and Language Therapy Department HSE Dublin South East

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

Planning Speech and Language Therapy Department HSE Dublin South East

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

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

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

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

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’

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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