Life after language units:

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Presentation transcript:

Life after language units: A three year evaluation of an alternative model Jennie Welton Highly Specialist Speech and Language Therapist Hywel Dda Health Board

Background Information: Closure of an infant and junior Language Unit and the I CAN provision for 3-5 year olds in 3 nurseries: July 2012. How to support children with SLI/SSI in Pembrokeshire? Creation of The Enhanced Provision for Children with Significant Speech and Language Difficulties - September 2012. To provide intensive speech and language therapy support for pupils aged 3-11 years who have significant, specific speech and language difficulties.

Who is eligible? Pupils with SLI/Language disorder /Speech Disorder/Dyspraxia. Attending nursery, infant or junior school in Pembrokeshire. No longer use cognition as criteria. Referred by the Mainstream/Community Speech and Language Therapist. Panel meetings to decide on placements.

How does the Enhanced Provision work? The intensive support is offered in the child’s own school. A speech and Language Therapist and/ or an Advisory Teacher for Speech and Language make weekly/fortnightly visits to the school to work with the child, LSA (Learning Support Assistant) and the Class Teacher. No set time-limit – average 3 terms. The school supports the child’s targets by carrying out daily targets in the class/1:1 with a designated LSA. Training offered in school/in county, eg Elklan, Signalong, Cued Articulation.

The first three years: Three Speech and Language Therapists have been involved in providing the Enhanced Provision, offering a total of 12 sessions per week. The Advisory Teacher offered 5 sessions per week. From September 2012 to July 2015 34 children accessed the Enhanced Provision. The average time that a child spent on the provision was 3.2 terms, with the range being between 1 and 10 terms.

Outcome measures collected: Questionnaire to parents following provision Questionnaire to teachers/LSAs following provision Formal assessments of language– change in Percentile Rank/Standardised scores Nuffield Assessment for speech – change in percentage of C/CV/CVC etc. Yark assessment of literacy

Differential Diagnosis:

Children with Speech Sound Difficulties – Outcomes:

Receptive language difficulties- 5 and under:

Expressive Language Difficulties- 5 and under:

Language Scores - Children aged 6+

Children with Literacy Difficulties:

Parental Questionnaires – progress?

Teacher/LSA Questionnaires:

Teacher and LSA Questionnaire 2:

Summary: Continuing to meet the needs of children with SLI/SSI in Pembrokeshire. Varying abilities of schools to support. Varying demands on SLT Service – now 2 SLTs rather than 3. Empowering schools to manage other children with Speech and Language difficulties within the classroom.