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Communication Impairments in Children


 

Does your child have trouble talking or understanding other people? Are you concerned about the effect this is having or may have on your child's education?

Is your child getting help to overcome communication difficulties?

The speech and language therapist is one of the team of people who have a duty to ensure that your child has help.

 

Contents

1 Referral to NHS Speech and Language Therapy
2 Assessment
3 Therapy
4 Second Opinion
5 The Specialist
6 Special Educational Needs
7 Statement of Special Educational Needs
8 Not Enough Help? What You Can Do
9 Speech and Language Therapy and the Law
10 Organisations That Can Give You Advice

 

1 Referral to NHS Speech and Language Therapy

Ask your GP, health visitor, playgroup leader, or school to refer your child or ring the local speech and language therapy service yourself.

You should receive an appointment within eight weeks of the referral.

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2 Assessment

The therapist will ask for information from you, and carry out a screening assessment of all aspects of your child's communication skills. The therapist should look in more detail into areas of concern and should discuss the findings with you. If your child needs therapy, you should be told what the problem is, what therapy is needed, when it will be offered and the timescale.

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3 Therapy

Therapy may involve individual sessions with you and your child, a group for parents and children, or parents only. It may be taken by a speech and language therapist, or by an assistant supervised by the therapist.

It may include advice and/or training for the playgroup or school, and will involve you in learning to help and to practise new skills with your child. You should be sure you are clear and agree about the aims and the results of each phase of therapy.

If your child is placed 'on review' you should be told the reason and what you should be doing during the review period.

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4 Second Opinion

There are many specialist areas within speech and language therapy. Ask your therapist if they are a specialist in the specific difficulties which your child has. If you have concerns, ask to see the specialist therapist in your area.

If there is no specialist, or you are not satisfied, you have the right to a second opinion. Ask the therapist or your GP to arrange this, or ring one of these organisations or helplines.

If you want more information about what is happening for your child, ask the therapist or the local speech and language therapy manager. Put any concerns in writing.

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5 The Specialist

When you see the specialist, ask whether your child's speech and language difficulties will have a significant effect on their education. If the answer is 'Yes', ask:-

  • who else needs to be involved?
  • what is the procedure?
  • what is the timescale?
  • what do I need to do?

Some children may need extra help because they have a learning difficulty, or a severe speech and language difficulty which hinders them from accessing the curriculum, or making use of educational facilities generally provided in schools for children of their age.

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6 Special Educational Needs

'Special educational needs - a guide for parents' is produced by the Department for Education and Skills. 

Under the 1996 Education Act and the Code of Practice issued by the Department for Education and Skills, parents are entitled to request an assessment to determine if their child has special educational needs (SEN). This assessment is co-ordinated by your local education authority (LEA) and involves parents, and professionals who will advise your LEA what your child's needs are and what provision is required to meet those needs.

This assessment may lead to a 'Statement of Special Educational Needs' which is a legally binding contract between the LEA and the child's parents. This process is usually referred to as 'statementing'.

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7 Statement of Special Educational Needs

You should be sent a proposed Statement, with all but Part 4 completed. At this stage you will have the right to see all the reports, comment on the content of the Statement, and if you disagree with anything, ask to discuss changes to be made. The final statement is set out in 6 parts:-

Part 1 Gives basic information on the child and carers including names and addresses

Part 2 Describes your child's difficulties (needs)

Part 3 Sets out all the special educational provision required to meet those needs (including speech and language therapy)

Part 4 Names the school or other provision

Part 5 Sets out your child's non-educational needs

Part 6 Sets out your child's non-educational provision

Your LEA must arrange the provision set out in Part 3 of the statement, but it has no duty to arrange provision in Part 6 - nor does anyone else.

Usually, if a child needs speech and language therapy this will be an educational need. Only rarely will it be non-educational.

As an educational need, speech and language difficulties should appear in Part 2 of the statement. The educational provision to meet them should appear in Part 3.

The regulations state that Part 3 should be set out in three subsections:-

  • objectives - the long term aims of the provision to meet your child's need
  • educational provision - setting out the educational provision that your LEA consider appropriate for all the learning difficulties identified in Part 2. This applies both to provision made by direct intervention on the part of the authority and that made by your child's school within its own resources
  • monitoring - the arrangements for reviewing progress, targets and objectives

THE CODE OF PRACTICE is the handbook which explains in detail how under the Act the whole legal process of identifying and managing the needs of children with special educational needs is to work. It says the special educational provision in a Statement should be 'SPECIFIC, DETAILED AND QUANTIFIED', for example, in terms of hours of ancillary or specialist teaching support.

If you need more information about statementing, please contact one of these organisations

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8 Not Enough Help? What You Can Do:

If your child is not getting the speech and language therapy described in Part 3 of the statement:-

  • write to the speech and language therapy manager
  • write to your LEA
  • see what the law says
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9 Speech and Language Therapy and the Law

"We do not see how to teach a child to communicate by speech can be any different from teaching him to communicate by writing; both are clearly educational." The Lancashire Judgement (R v Lancashire County Council ex parte CM, 1989).

The NHS has a primary responsibility to provide a speech and language therapy service to the LEA. However where a child's speech and language therapy provision is specified in Part 3 of their Statement the LEA has an ultimate responsibility to arrange this provision. Case law confirmed this in the judgement: R vs Harrow London Borough Council ex parte M (1996).

"The LEA will be responsible for arranging all the special educational provision specified in (Part 3 of) the Statement". Code of Practice para 4:28.

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10 These Organisations Will Be Able to Give You Advice

In addition to the specialist organisations listed here, the following organisations offer help:-

ACE (Advisory Centre for Education)
1 Aberdeen Studios, 22-24 Highbury Grove, London N5 2EA
Tel: 020 7354 8321 (2-5pm)

Children's Legal Centre
University of Essex, Wivenhoe Park, Colchester, Essex CO4 3SG
Advice line: 01206 873820 (10-12, 2-5pm)

Department for Education and Skills Publications Unit
Tel: 0845 602 2260 (for England)

Scottish Executive - information on Additional Support for Learning [ASL]
Information for Parents on the ASL Bill can be found here

Wales: please check the Welsh Code of Practice for Special Educational Needs

IPSEA (Independent Panel for Special Educational Advice)
22 Warren Hill Road, Woodbridge, Suffolk IP12 4DU
Freephone 0800 0184016

Network 81 (a national network of parents of children with special educational needs)
1-7 Woodfield Terrace, Stansted, Essex CM24 8AJ
Tel: 0870 770 3306 (Mon-Fri 10am to 2pm)



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