1 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 1 2 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 Speech, Language and Communication Needs (SLCN) Pathway Context The Speech, Language and Communication needs pathway was devised in the context of Removing Barriers to Achievement, the recommendations of the Bercow Report and the anticipation of the implementation of the outcomes from the report. Introduction One in ten children has difficulty with speech, language and communication. In areas of high deprivation this figure rises to almost two. This has an impact throughout life; communication skills are the most important employability skill and lack of them impacts on later employment. Two thirds of 7 – 14 year olds with serious behaviour problems have language impairment. Only a quarter of children with speech, language and communication needs reach the expected levels for Maths at age 11. Only 6% get good GCSE’s including Maths and English. Two thirds of young offenders have language difficulties. Without effective help, a third of children with speech, language and communication needs will need treatment for mental health problems in adult life. 2 3 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 Vocabulary at age 5 has been found to be the best predictor of whether children who experience social deprivation in childhood were able to “buck the trend” and escape poverty in later adult life. (Source: HELLO literature and www.thecommunicationtrust.org.uk) Objectives of SLCN Provision in Derbyshire To ensure that no child enters school with an unidentified speech, language and communication need. To provide help, advice and therapeutic intervention as appropriate to the child’s needs, stage and phase. To ensure an effective and timely pathway for children with SLCN to access support services across all tiers of service provision to ensure that they experience a seamless service. To use effective preventative strategies to reduce the numbers of children experiencing speech, language and communication difficulties. To ensure that people who care for and work with children have the necessary skills to help children develop speech, language and communication skills. To ensure that all people who care for and work with children are aware that the development of Speech Language and Communication Skills is every bodies business. 3 4 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 Expected / Intended outcomes An increase in the confidence and ability of parents / carers to be able to manage their child’s SLCN. An increase in confidence and ability of children’s workforce to identify and help children with SLCN. That no child enters school with an unidentified SLCN. Where a need is identified a clear pathway of provision is visible. Improvement in school attainment for all young people experiencing SLCN. Reduction in numbers of young people experiencing mental health problems as a result of an unidentified SLCN. Improved behaviour achieved through appropriate early intervention strategies. Reduction in youth offending behaviours. The Role of the Pathway The pathway is designed to act as a tool to support the identification of support already available and the commissioning of both new and continuing services, to improve outcomes for children with Speech, Language and Communication Needs (SLCN), as identified in national and local strategies. 4 5 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 When Pre-birth 8 -12 weeks gestation 20 weeks gestation 35-40 weeks gestation Birth National/DCC Initiatives to support children’s SLCN National Ante-Natal parenting plan Healthy Child Programme Universal Services First ante-natal midwife appointment (‘booking appointment’) – early identification of risk factors. Distribution of pregnancy book to all first-time parents (Ch 13 – enjoying your baby) Midwives meet all pregnant mums → Baby-friendly breast-feeding advice NICE ante and postnatal Mental Health Scan and ‘Talk to your Bump’ leaflet Guidance Access to Children’s Centres (CCs) Children’s Centre services and the language rich core offer as a environment of the local programme minimum requirement Hello Campaign 2011 and materials Newborn Hearing Assessment of home environment & Screening monitoring by midwives Programme EYFS/Inclusion Development Programme (if in setting) Targeted Services Specialist Services 25-30 weeks gestation visit if CAF/Social Care identified as need (S. Derbyshire midwifery pilot in CC) identify vulnerable families using pre Common Assessment Framework (pre CAF)/ notification to Health Visitor (HV) Visit from HV – emphasise importance of early communication Midwife/HV/CC worker in lead professional role Referral of family to adult learning disabilities where required HVs targeting vulnerable families identified by the midwife prior to birth-CAF used to provide support 5 6 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 When National/DCC Initiatives to support children’s SLCN 10-14 days Speech Language (could be up to and Communication 28 days in Framework (SLCN) exceptional (Communication circumstances) Trust) Infant, Toddler Environment Rating Scale (ITERS) in all early years settings (for 0 – 2 ½ yrs) EYFS/Inclusion Development Programme (if in setting) National Literacy Strategy 6 - 8 weeks+ Infant, Toddler Environment Rating Scale (ITERS) in all early years settings (for 0 – 2 ½ year olds) EYFS/Inclusion Development Programme (if in setting) Universal Services Targeted Services Specialist Services HV – Primary Core visit formal hand over of care from midwife to HV. HV gives out Birth to Five book (which includes section on SLC) to all first time mums HV registration with CCs Identifying and targeting vulnerable children and families including the use of a CAF, signposting to CCs and other services. Mother and Baby Unit Social care work with families with Safeguarding issues Children’s Centre worker makes follow-up phone call/visit if required at 8-10 weeks Speech, Language and Communication (SLC) resources and language champion in Children’s Centres (CCs) (aspirational aim) HVs – Core visit – identify low/med/high risk families of children likely to develop poor SLC skills. Parenting support and guidance includes SLC needs of baby HV - Post natal depression monitoring. If Edinburgh scale is more than 10, HV will refer to GP and HV will carry out “listening visits” and refer to CCs/other services as appropriate. Children’s Centre staff give out SLC information as appropriate Drop in sessions in CCs/Child Health clinics – ongoing in some areas PEEP babies (Peers Early Education Programme) at CCs in areas according to need Access to Early Years Foundation Stage (EYFS) through Private Day Social care work with families with Safeguarding issues Referral from HV, GP, acute services to SLT for pre- or peri-natally diagnosed conditions e.g. feeding and drinking difficulties, cleft palate, Down’s syndrome, hearing impairment Specialist support and access to services through Early Years’ panel and appropriate referrals for statutory assessment. Educational Psychology Specialist support and access to services through Early Years’ panel and appropriate referrals for statutory assessment. Educational Psychology BookShine (for Hearing Impaired children) baby pack for 0-2 yrs BookTouch (for Visually Impaired children) baby pack 6 7 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 When 8 – 10 weeks National/DCC Initiatives to support children’s SLCN National Literacy Strategy Infant, Toddler Environment Rating Scale (ITERS) in all early years settings (for 0 – 2 ½ year olds) National Literacy Strategy Universal Services Targeted Services Nurseries/childminders and sessional care – preschools/playgroups Baby Room project for Private Day Nurseries HV registration with CC (if not Social care work with families with completed at 10-14 days handover) Safeguarding issues Children’s Centre worker makes follow-up phone call/visit if required Access to Early Years Foundation Stage (EYFS) through Private Day Nurseries/childminders and sessional care – preschools/playgroups for 0 -2 yrs available from BookStart co-ordinator based at Staveley Library Specialist support and access to services through Early Years’ panel and appropriate referrals for statutory assessment. Educational Psychology BookShine (for Hearing Impaired children) baby pack for 0-2 yrs BookTouch (for Visually Impaired children) baby pack for 0 -2 yrs available from BookStart co-ordinator based at Staveley Library EYFS/Inclusion Development Programme (if in setting) 3 - 4 months Specialist Services Infant, Toddler Environment Rating Scale (ITERS) in all early years settings (for 0 – 2 ½ year olds) HVs – Core visit – identify low/med/high risk families of children likely to develop poor SLC skills. Parenting support and guidance includes communication needs of baby HV - Post natal depression monitoring. If Edinburgh scale is more than 10, HV will refer to GP and HV will carry out “listening visits” and refer to CCs/other services as appropriate. National Literacy Strategy Shirebrook – HV pilot project with BookStart packs given out at 3 - 4 PEEP(Peers Early Education Programme )at CCs in areas Specialist support and access to services through Early Years’ panel and appropriate referrals for statutory assessment. Educational Psychology BookShine (for Hearing 7 8 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 When National/DCC Initiatives to support children’s SLCN EYFS/Inclusion Development Programme (if in setting) 6-11 months Book Start for early literacy/story telling/library membership Infant, Toddler Environment Rating Scale (ITERS) in all early years settings (for 0 – 2 ½ year olds) EYFS/Inclusion Development Programme (if in setting) Universal Services Targeted Services Specialist Services mths rather than 8 mths (Effective evaluation will result in roll out of serv) according to need Impaired children) baby pack for 0-2yrs BookTouch (for Visually Impaired children) baby pack for 0 -2 yrs available from BookStart co-ordinator based at Staveley Library Access to Early Years Foundation Stage (EYFS) through Private Day Nurseries/childminders and sessional care – preschools/playgroups HVs – Core visit including Health Needs Assessment/Developmental review – identify low/med/high risk families of children likely to develop poor SLC skills. Parenting support and guidance includes communication needs of baby Bookstart for Babies given out (by Health Visitor or Library Service) ‘Rhythm and Rhyme’ type sessions at CCs Access to Early Years Foundation Stage (EYFS) through Private Day Nurseries/childminders and sessional care – preschools/playgroups Baby Room project for Private Day Nurseries Social care work with families with Safeguarding issues HV team and Children’s Centre staff engage with other agencies as appropriate in CAF and Team Around the Child (TAC) processes linking in with CC services PEEP(Peers Early Education Programme )at CCs in areas according to need Social care work with families with Safeguarding issues Specialist support and access to services through Early Years’ panel and appropriate referrals for statutory assessment. Educational Psychology BookShine (for Hearing Impaired children) baby pack for 0-2yrs BookTouch (for Visually Impaired children) baby pack for 0 -2 yrs available from BookStart co-ordinator based at Staveley Library 8 9 When 12 – 23 months Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 National/DCC Initiatives to support children’s SLCN Infant, Toddler Environment Rating Scale (ITERS) in all early years settings (for 0 – 2 ½ year olds) Universal Services Targeted Services Specialist Services Access to Early Years Foundation Stage (EYFS) through Private Day Nurseries/childminders and sessional care – preschools/playgroups HV team and CC staff engage with other agencies as appropriate in CAF and Team Around the Child (TAC) linking in with CC services Specialist support and access to services through Early Years’ panel and appropriate referrals for statutory assessment. Educational Psychology EYFS/Inclusion Development Programme (if in setting) ‘Rhythm and Rhyme’ type sessions at CCs Children’s centre services – see local diary of events Targeted SLT sessions in the community in some areas PEEP at CCs in areas according to need - CC services for targeted/outreach families Early Years Action (EYA) and Early Years Action Plus (EYA+) processes in schools Social care work with families with Safeguarding issues BookShine (for Hearing Impaired children) baby pack for 0-2yrs BookTouch (for Visually Impaired children) baby pack for 0 -2 yrs available from BookStart co-ordinator based at Staveley Library 9 10 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 When National/DCC Initiatives to support children’s SLCN 24 - 35 months Early Childhood Environment Rating Scale (ECERS) in all early years settings (for 2 ½ - 5 year olds) Speech and Language Screen ECAT EYFS/Inclusion Development Programme (if in setting) Universal Services Targeted Services Specialist Services HVs – Core contact (2-2½ yrs) HV team carry out developmental assessment using Denver/SLC Scale (Enhanced Denver pilot in South Derbyshire plan to roll out) HVs share screening outcome with Children’s Centre Co-ordinator (with parental consent) Specialist support and If outcome of screening is medium access to services through risk HV signposts to Children’s early Years’ panel and Centre for children identified appropriate referrals for through Denver but below threshold statutory assessment. for special services or not eligible Educational Psychology for 2 year funding SLT assessment, diagnosis, If outcome of screening is high risk report and advice/ HV refers to SLT intervention Bookstart Plus pack invitation given SLTs/SLT assistants support to all families to collect pack from PEEP(Peers Early Education 1)parents/carers at home local library (18-24 months) Programme )at CCs in areas 2)Early Years practitioners according to need and linking with delivering speech and ‘Rhythm and Rhyme’ type sessions ready for nursery/school courses language programmes in at CCs settings Children’s centre services – see local Early Years Improvement Officers Early Years Improvement diary of events (EYIOs) support Early Years Officers (EYIOs) support practitioners delivering speech and Early Years practitioners Access to Early Years Foundation language programmes in settings delivering speech and Stage (EYFS) through Private Day language programmes in Nurseries/childminders and sessional Early Years Action (EYA) and Early settings care – preschools/playgroups Years Action Plus (EYA+) BookShine (for Hearing processes in schools Impaired children) toddler pack for 3-4 yrs Social care work with families with BookTouch (for Visually Safeguarding issues Impaired children) toddler pack for 3-4 yrs available from BookStart co-ordinator based at Staveley Library 10 11 When 36 – 47 months Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 National/DCC Initiatives to support children’s SLCN Nursery Education Grant EYFS/Inclusion Development Programme (IDP) (if in setting) Early Childhood Environment Rating Scale (ECERS) in all early years settings (for 2 ½ - 5 year olds) Early intervention support for children aged 3 to 5 through Temporary Additional Early Years Support (TAEYS) funding Bookstart Universal Services Targeted Services Specialist Services HVs – Core visit – identify low/med/high risk families of children likely to develop poor SLC skills. Parenting support and guidance includes communication needs of baby Specialist support and access to services through early years panel Book Start Treasure Chest given out at Nurseries Settings and Nurseries identify children with speech/language skills below expected outcomes resulting in: 1) Targeted support by setting staff and EYIOs (Early Years Action (EYA) stage) 2) Referral to SLT as appropriate Early Years Action Plus (EYA+) 3) Early Years providers highlight need to school prior to entry ‘Rhythm and Rhyme’ type sessions at CCs Children’s centre services – see local diary of events PEEP(Peers Early Education Programme )at CCs in areas according to need and linking with ready for nursery/school courses Opportunities for speaking and listening at nursery – via free nursery sessions (Nursery Education Grant) Application for Temporary Additional early Years Support (TAEYS) funding Appropriate referrals for statutory assessment. HV team and Children’s Centre staff engage with other agencies as appropriate in CAF and Team Around the Child (TAC) processes linking in with CC services 11 12 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 When 48 months onwards National/DCC Initiatives to support children’s SLCN Nursery Education Grant EYFS/Inclusion Development Programme(IDP) (if in setting) Early Childhood Environment Rating Scale (ECERS) in all early years settings (for 2 ½ - 5 year olds) Speech and Language Link software (in some schools) Universal Services Targeted Services Specialist Services Opportunities for speaking and listening at nursery – via free nursery sessions (Nursery Education Grant) EYA processes in schools EYA+ and SSSEN processes in all schools Access to Early Years Foundation Stage (EYFS) through Private Day Nurseries/childminders and sessional care – preschools/playgroups Foundation Stage Profile (FSP) will identify children not meeting national levels for Communication, Language and Literacy (CLL) Language – friendly schools file in all schools ‘Rhythm and Rhyme’ type sessions at CCs Children’s centre services – see local diary of events School Action (SA) and School Action Plus (SA+) Application for TAEYS funding Targeted support for Communication, Language and Literacy in 12 schools Educational Psychology ECAT work in piloted areas SLT services as appropriate Schools use speech link to assess and provide intervention for children with speech delay BookShine (for Hearing Impaired children) toddler pack for 3-4 yrs BookTouch (for Visually Impaired children) toddler pack for 3-4 yrs available from BookStart co-ordinator based at Staveley Library PEEP(Peers Early Education Programme )at CCs in areas according to need and linking with ready for nursery/school courses HV team and Children’s Centre staff engage with other agencies as appropriate in CAF and Team Around the Child (TAC) processes linking in with CC services Social care work with families with Safeguarding issues 12 13 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 When 5 – 11 years National/DCC Initiatives to support children’s SLCN Statutory schooling Access to teaching and learning experiences through Key Stages 1 and 2 SENCO clusters and accredited SENCO training Universal Services Targeted Services Specialist Services Language friendly files in all schools Opportunities in class for speaking and listening Autism friendly files in all schools Autism friendly files and support documentation Communication Language and Literacy (CLL)strand of National Curriculum Quality First Teaching Differentiated approaches and materials Assessment using P Levels and National Curriculum for speaking and listening at end of Key Stages 1 and 2 School SENCO IDP Speech and Language Link software (in some schools) Children in Care (CIC) – early language development with carers Identification of children with speech/language skills below expected outcomes. School Action (SA) and School Action Plus (SA+) IEP/group IEP Targeted teaching Appropriate use of intervention materials and target setting guidance Appropriate referrals for children with SLCN Outreach support to families available from Children’s Centres Use of language link software to screen classes (in some areas) Education/Health staff refer to SLT services as required Social care work with families with Safeguarding issues Use of speech link to assess and provide intervention for children with speech delay (in some areas) SA+ procedure with appropriate referral to EP Educational Psychology Children with statements have: 1) Statutory reviews 2) Specialist teaching programmes SLT assessment, diagnosis, report and advice and intervention SLT/SLT assistants/practitioners support education staff delivering speech and language programmes in schools and enhancing SLC support in settings Family Learning 13 14 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 When 11-16 years National/DCC Initiatives to support children’s SLCN Access to teaching and learning experiences through key Stages 3&4 Universal Services Targeted Services Specialist Services Opportunities for speaking and listening activities. Language friendly files Education/Health staff refer to SLT services as required Access to tertiary education opportunities School SENCO Quality first teaching – Inclusion Development Plan (ie to improve the quality of teaching for different disabilities in all schools) Differentiation SLT assessment, diagnosis, report and advice and intervention SLT/SLT assistants/practitioners support education staff delivering speech and language programmes in schools and enhancing SLC support in settings YOT CAHMS AAC Inclusion Development Programme Family Learning Identification of children with language skills below expected outcomes. Autism friendly files School Action (SA) and School Action Plus (SA+) IEP/group IEP Targeted teaching Advice available from Bennerley Fields Specialist Speech and Language College to support schools to use appropriate strategies. Social skills training eg Talkabout for Teenagers Appropriate referrals for statutory assessment. Social care work with families with Safeguarding issues Appropriate assessment ay key stage ¾ using benchmarking against national progression guidance SA+ procedure with appropriate referral to EP Educational Psychology Children with statements have: 1) Statutory reviews 2) Specialist teaching programmes Appropriate referrals for children with SLCN to SLT 14 15 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 When National/DCC Initiatives to support children’s SLCN Universal Services Targeted Services Specialist Services service Access to outreach services from Bennerley Fields Specialist Speech and Language College 16-19 years Access to tertiary education opportunities Social care work with families with Safeguarding issues Referrals for services from Youth Offending team Family Learning Services for Teenage parents Key – Red – Social Care; Blue – Health; Green – Education; Brown – Children’s Centres; Black – Library Service Denver Hanen Portage Edinburgh Scale ELKLAN CIC ECAT EYA EYA+ SLT assessment, diagnosis, report and advice and intervention Referrals for services from Youth Offending team Glossary of terms Assessment profile SLT training programme Not an acronym, the name of a training methodology identified through the SLCF Children in Care Every Child a Talker Early Years Action Early Years Action Plus 15 16 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 EYFS EYIO ECERS ITERS IDP IEP PEEP SA SA+ SAMG SENCO SLCN SLT SLCF SSSEN SSPSCSEN TAEYS TAPS Early Years Foundation Stage Early Years Improvement Officer Early Childhood Environment Rating Scale Infant and Toddler Environment Rating Scale Inclusion Development Programme Individual Education Plan School Action School Action Plus Statutory Assessment Moderating Group Special Educational Needs Co-Ordinator Speech Language and Communication Needs Speech and Language Therapy Speech Language and Communication Framework Support Service for Special Educational Needs Support Service for Pre School Children with Special Educational Needs Temporary Additional Early Years Support Temporary Additional Pupil Support 16 17 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 Training available (to be reviewed by group) Type of training Delivered by Attendees Annual professional update of Relevant professional leads SLC needs as part of Healthy Child programme Hanen:’ You Make the Difference’ SLT service programme for parents of children with learning disabilities HVs and Community Nursery Nurses Children’s workforce assess levels of competence in providing SLC using SLCN Framework Line managers Early years staff and CCworkers Multi agency training sessions for Children’s Workforce SLT Baby Room Project EP/SSPSCSEN Early years staff, CCworkers, midwives, HVs and Community NNEBs Early Years staff/CC workers Training available via Derbyshire Community Health Services SLT training prospectus SLT service Any health staff SLT and early years team input to SLT and Early years team children’s workforce professional development re SLCN ELKAN training offered to Early SSPSCSEN/EYIOs/SLT service Years practitioners by Support Service to Pre-schools for Children with Special Educational Needs (SSPSCSEN), Early Years Parents Early years staff and CC workers Early years staff and CC workers 17 18 Planned integrated pathway for supporting children and young people with Speech, Language and Communication Needs (SLCN) February 2011 Type of training Intervention Officers ‘Get Talking’ (and other training) via Derbyshire Community Health Services SLT training prospectus Early Years Foundation Stage staff in schools use language link software to screen classes Training – available via Local Authority Directory and Derbyshire Community Health Services SLT Training Prospectus Delivered by Attendees SLT service Early years staff and CC workers LA/SLT staff Staff working with EYFS Bennerley Fields specialist school SLT and specialist teaching staff for SLC - Speech and language training/ workshops available School staff ‘Supporting Learners with Therapy Needs course for teaching assistants (accredited via Northampton University) Training for language friendly setting status Training for Foster carers/Adoptive parents Northampton University – distance learning? TAs SLT service? EYrs workforce SLT service? Foster carers/Adoptive parents 18