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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
Implementati
on
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
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Outcome measure
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Agree changes
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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
References
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