Monday, 11 July 2011

Lost for Words: Lost for Life Conference highlights persistent gaps in services for young people with speech, language and communication difficulties

Delegates attending a recent conference, expressed their concern at persistent gaps in services for teenagers and young people with speech, language and communication difficulties and stressed that the proposed NHS reforms could exacerbate the situation. 400 delegates from across the country and overseas met at City University London for the three-day Lost for Words: Lost for Life conference, which was timed to coincide with the National Year of Communication. The event was arranged and hosted by City University London in conjunction with UK charities, I CAN and Afasic, and was opened by the Rt Hon John Bercow MP, Speaker of the House of Commons. 


The conference was unique in bringing together teachers, teaching support staff, speech and language therapists, psychologists, academic researchers, youth workers and Primary Care Trust managers and Commissioners. It also featured talks from young people who have used speech and language services and their families. Dr. Victoria Joffe, Reader in Developmental Speech, Language and Communication Difficulties, City University London, said that despite the 2008 Bercow review highlighting the gap in speech and language services for secondary aged students, delegates were united in their concern about a continued lack of facilities for this group, as well as for young people with speech, language and communication difficulties in further education and into adulthood. “While some improvements have been made and awareness has been raised in some areas, the reality is that particularly for secondary aged students there are still big inconsistencies in terms of local speech and language resources. It really is a postcode lottery with no uniformity across areas and in most cases significant gaps in services.  “Furthermore, there are also virtually no services available for young adults after they have left school. “Research suggests that speech and language problems in secondary school aged children and young adults are more likely to be complex and are associated with other difficulties including memory, attention, behaviour and social and emotional functioning.  “There is also clear evidence that without the right services, young people who don’t have the right access to speech and language services are vulnerable to being left behind and disadvantaged in life, so this is clearly a big issue.” “Research shows that students in secondary schools, who have not been picked up previously in primary school, are showing significant speech, language and communication difficulties which impact on educational attainment and general well being. These students need to be identified as quickly and early as possible in secondary school and a range of appropriate and effective support structures need to be put in place.” Delegates and speakers also expressed their concern that the proposed NHS reforms could worsen the situation, particularly if it results in the further fragmentation of health, education and social services.


“Inconsistency in commissioning, local austerity measures, coupled with the probability that the proposed NHS reforms may result in less integration between health, education and welfare services, means that we are facing a situation where things could get even worse,” said Dr Joffe. Mary Hartshorne, Head of Quality and Outcomes at I CAN, said that the event highlighted the need to move beyond merely identifying the service gaps. 


“Raising awareness of the issues of language and communication in young people at secondary school is not enough. We have to also ensure that there is support in place to ensure these needs are met. Delegates at the conference indicated that more training and support is needed in secondary schools; schools need to have access to programmes and interventions that work for this group. Presenters shared some good examples of the positive impact of this in schools.
“We have come a long way since the last major survey of services to support young people with speech, language and communication needs in 2000. But it is important not to lose this momentum. We know that the relationship between language, literacy skills and learning continues to be important during the secondary years, so a continued focus on supporting young people’s language skills in secondary school is very important, despite increasing pressure on local services.” Linda Lascelles, Afasic Chief Executive, said: “For young people with communication needs, secondary school can be a difficult place. The conference was an opportunity to hear from young people with communication difficulties directly. Young people can have very different perspectives than their teachers or parents on what it is like to be at school and what support they need. Therefore it is imperative that we listen to them. This conference helped to raise these young people’s concerns with a range of practitioners, who will take their messages
back to local schools and service providers.”


The three day conference included a host of keynote talks, symposiums, presentations, workshops and posters which address issues around speech, language and communication, educational attainment, social and emotional functioning, employment and well-being of older children and young people with speech, language and communication needs.

Tuesday, 5 July 2011

Help! Im worried about my child's school report


Many of our children will be receiving their school reports this week or next, so I have included this blog post from the great team at Talking Matters. As they report, there are many reasons why it might not be good including language and communication causes. Read the post and see if it rings any bells:

School reports are coming out at this time of year and sometimes the results are not what parents or children hoped they would be.  Here are some things that might help if you are concerned about your child’s results:
If your child is having difficulties with learning checking your child’s vision and hearing is a good place to start. Make sure your child is assessed by a professional experienced with testing children. Your GP or child health nurse may be able to recommend a good audiologist and optician in your area. For more information about hearing tests log into plus.talkingmatters.com.au and look under “hearing and listening”. Children with a history of ear infections are at a higher risk of learning difficulties. Even a slight hearing loss in one ear can have a significant effect on your child’s learning. Often these can be treated easily so it is important to have these checked.     
Whether your child has a problem with vision or sight or not the next step would be to look at the way your child learns. Even if your child has new glasses or their hearing problem treated they would benefit from further assessment.  There may be other difficulties effecting their learning, they may have developed gaps in their skills and knowledge because of the difficulties they have had and they may need help to catch up.  A child who is one year behind in their school work will have to learn twice as much as other children to catch up by the end of the next year. This is more likely to happen if a child has specialised help targeted directly at the skills they need to develop.
Reading, reading comprehension, spelling and written language are all language based tasks.  A language assessment from a speech pathologist will tell about your child’s ability to understand and use words, sentences, grammar and concepts to communicate; as well as their ability to understand how sounds and letters work when reading and writing.  They can let you know how your child compares to others of the same age; what areas your child needs help in; and how they can get this extra help. Speech pathologists can also help with social skillssuch as understanding and expressing feelings, making friends and communicating with others in social settings.    
If your child has difficulties with handwriting tasks such as forming letter shapes, writing on the lines, writing quickly or neatly without getting tired; an occupational therapy assessment may be useful. OT’s can also help children who have trouble sitting still, keeping on task and concentrating.
If your child is struggling across all areas of learning an intellectual assessment from an educational psychologist can be a good place to start to pin point areas of difficulty and recommend strategies for home and school. Educational psychologists usually do an assessment and make recommendations but don’t usually provide regular ongoing support for a child’s learning; so do ask them to recommend a suitable professional who can do some regular sessions with your child to develop their skills.
If your child is having difficulties with behaviour a child psychologist can be of help to work with you and your child to manage these difficulties and can also provide strategies for school. They will also let you know if further assessment is needed in relation to underlying causes for behavioural issues.  
For more information on learning, literacy and language check our website talkingmatters.com.au  You can also download articles, information and activities at plus.talkingmatters.com.au on a range of topics about children.
www.private-speech-therapy.co.uk

Wednesday, 29 June 2011

Are young offenders really 'born bad'?


A new report by the Children’s Commissioner this week called ‘I think I must have been born bad’, highlights that mental health care for young offenders is ‘lacking’ and called for more to be done to help address and support young people with mental health and behavioural problems.  It hi-lights that 60% of the young people in custody were found to have speech, language and communication difficulties. This is an awful chicken and egg situation and one that has upset me for years. I know some children with ASD and behaviour problems who are now in the justice system because they are quite simply, misunderstood. Now before you jump down my throat with accusations of 'do-gooder' and 'stupid softy', let me explain some of the reasons why some children with communication difficulties may become 'juvenile delinquents':


It is a fact that there is a very close link between behaviour difficulties and an inability to communicate.  Think about:


Speech/expressive difficulties: Imagine you couldn't talk clearly; people wouldn't take you as seriously as the next person, maybe you couldn't get your wants, needs and ideas across. How frustrated would you be? How tolerant could you remain? Can you guarantee you wouldn't lash out?
Receptive language problems: what if it was like being in a  foreign country most of the time so you didn't understand what was going, couldn't follow even simple instructions or tell what people were saying to you? Would it make you stressed & angry with a  short temper threshold?
Social communication difficulties: Any communication problem makes the person isolated. If someone is an outsider they might want to please or to belong so even if they know something was wrong, they might still do it in an effort to 'belong'. That's an inherent human trait. Also with social communication difficulties they may mis-read the subtle signs or have difficulty knowing right from wrong.


Add to the mix such associated behaviour as 'diversion tactics' i.e. I'm going to distract them from asking me questions by doing something which will put them off (this could be kicking the table to kicking others) and a sieve-like learning so they forge what has been said or forbidden!


Also associated with poor communication, is a poor level of self esteem which is always a bad thing!


The best example I saw last year was a 15 year old boy in a residential special school for emotional and behavioural difficulties. He was on the young offenders register but not in custody as his special school was fairly restrictive. He might have had a speech & language therapy assessment when pre-school but there was no record of any input in the last ten years. He needed a SLT assessment for a statement review but the local authority couldn't do it. I was called in.


He had a terrible record of assaulting staff (they didn't tell me beforehand and left me alone with him but hey, I'm a big girl!) and was a persistent liar. When I assessed him I realised the extent of his receptive language difficulty: he had an auditory memory of just 2 items so most of what was being asked of him, just went straight over his head. This must have been very stressful for him so as a way of getting out of situations or making outcomes predictable, he assaulted staff. This meant he could escape the stressful situation and have a safe predictable  knowledge of exactly what would happen next. Being led off into isolation was, to him, preferable as he knew the drill so well it was comfortable even though it wasn't a pleasurable experience.


He had no verbal reasoning skills so couldn't follow the concept of 'if x happens y will follow'. This meant the strictest of instructions were not followed as he just couldn't get the idea of consequences.


The other tactic he had learned to compensate was a fanciful imagination. He had memorised parts of films and told them in a realistic, very believable way as he if was the main player. This also got him into trouble in a big way but was actually a coping strategy.


If you meet him he appears to be very confident but this is just a front; he is a actually a scared boy with little idea of what is going on around him with extremely poor self esteem. He also had an horrendous home life with alcoholic parents who didn't want him. Are you any closer to understand my point now?


This is just one example and I know this is replicated thousands of times over. We need better assessment, better understanding...... earlier so we can prevent this happening. It's almost too late for the young offenders of today but we can help if we can sort the problems pre-school.


For today's young offenders, we need to stop throwing money at vocational, educational training or even anger management classes unless we assess their levels of understanding. There's no point offerring such courses IF they don't have the language levels to access them.


The full report can be found here http://www.childrenscommissioner.gov.uk/content/publications/content_504

 

Sunday, 26 June 2011

Attention & Listening

I spend hours each day working on attention and listening. I cannot stress how important these skills are to learning and to language development. One of the nurseries I visit weekly (I wont say where!) really don't apprecitae this for example, one of the worst listeners in the group keeps wandering off or walking aawy mid-sentence. They keep saying how intelligent he is and cant see whats wrong with him being allowed to do this, but what is the point of being really bright if you cannot attend to a task? The Talking Point Website is excellent and has many resources I can use to help get the message across to them. This one is good:

www.talkingpoint.org.uk

Wednesday, 22 June 2011

BT launch communication triathlon


Openreach logo
BT's Openreach division has fired the starting gun on the UK's first national Communication Triathlon for schools - with support from children's charity I CAN.
The Communication Triathlon is a series of active and fun-filled events for primary schools - intended to boost speaking and listening skills - which can be undertaken by a class, a year group or a whole school over the course of a week or even a day.
The programme encourages children to take part in three London 2012-themed speaking and listening activities around thinking, talking and teamwork, and is split across 4-7 and 7-11-year-olds.
The Communication Triathlon is part of the communication, collaboration and citizenship strand of Get Set - the official London 2012 education programme - and one of three education programmes BT is running as a London 2012 sustainability partner.
Liz Johnson, 100m breaststroke gold medal winner at the 2008 Paralympic Games, helped launch the Communications Triathlon. She said: "Sport has been a big part of my life so it was an honour to help kick-start a programme that uses sport to help children with their communication skills."

Tuesday, 21 June 2011

A happy baby begins with you:it's all about communication... as always!

I've always been  against more harsh forms of parenting and believe that parents should listen to and respond to their little ones. This is a post from Sara Bingham of Wee Hands.


In an effort to provide WeeHands Instructors with opportunities for professional growth and to allow our Instructors to provide value added services to support their work with thie class participants, WeeHands has developed a cross marketing relationship with The Happiest Baby on the Block, Inc.

As many may know, Dr. Harvey Karp created his program to teach parents how to calm and soothe their crying baby in minutes. This revolutionary approach has been endorsed by some of the most influential organizations in the country, such as Prevent Child Abuse America. Dr. Karp's book is the only book endorsed by the American Academy of Pediatrics as a must have for new parents.

In 2005, Dr. Karp introduced a program to certify educators to teach his program in their local communities. Since that time, the program has expanded worldwide and has over 4800 individuals involved, 2800 of them have finished certification. Educators are in hospital settings, military installations, pregnancy programs, state and county health departments and independent educators.

WeeHands has developed a collaborative cross marketing relationship that would allow our licensed and certified WeeHands Instructor to also become a Certified Happiest Baby Educator, at a discounted rate. This will allow the WeeHands members the opportunity to expand their educational expertise and bring more information to the parents you touch each and everyday. This as an excellent opportunity to provide an additional option for teaching and marketing avenue through The Happiest Baby.

In return, WeeHands will be inviting Certified Happiest Baby Educators the opportunity to join our association and expand their educational opportunities as well. This is a win win situation that will benefit both organizations with continue education.

We would like to encourage all of our Instructors to take the time to visit The Happiest Baby website,
www.thehappiestbaby.org for more information on the certification program. The regular cost of the program is $225.00; however WeeHands has negotiated a discount for our Instructors to bring the price to $180.00 plus S/H. If you would like to take advantage of this excellent opportunity, please contact the Happiest Baby Education Department at 888-980-8062. They will be happy and available to answer any questions you may have about the program.
Sara Bingham is the founder of WeeHands and the author of The Baby Signing Book. WeeHands is the world's leading children's sign language and language development program for babies, toddlers and preschool children.
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Monday, 20 June 2011

How to prevent cleft lip and palate



When I worked in Aylesbury in the 1980s, there was a fantastic surgeon at Stoke Mandeville Hospital with a highly skilled team, who operated on new-born babies with cleft lips, usually within 48 hours. Mr Desai felt that there were bonding issues and a need to have the baby looking better before the arrival of the grandparents, which were worth the associated risk. I watched several operations one morning with awe and admiration. He had the cricket on the radio and a tremendous air of respect for the fragile head cradled in his left hand. He operated on their palate at 3 months. This wasn't the case elsewhere in the country who left it  to a much later, safer time. 

I read with interest, therefore, about the recent findings of some American specialists who have decided that early surgery, pre-natal diagnosis and well-coordinated care by a team of specialists is 'vital'.  
Cleft lip and/or palate -- which occur in the first trimester of pregnancy when the roof of the mouth fails to fuse properly -- affects more than 7,000 babies born in the United States each year and is the second most common birth defect. The figures here in the UK are around in 1 in 700 babies.

Dr. Richard Redett, the author, a pediatric plastic and reconstructive surgeon and co-director of the Cleft & Craniofacial Clinic at Johns Hopkins Children's Center offers some tips to help prevent cleft lip/palate:
  • Women planning to become pregnant should take 400 micrograms of folic acid a day.
  • Pregnant women should not smoke and should avoid secondhand smoke.
  • Pregnant women also need to tell their doctors about any prescription or over-the-counter medications they are taking or planning to take, since certain medicines can cause or increase the risk of birth defects.
  • Patients with a family history of cleft palate should talk with their GP about a genetic link.
Parents in the UK are advised to consult the Cleft Lip And Palate Association website