Speech and Language Therapy _SLT_ in Sure Start Local

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Speech and Language Therapy _SLT_ in Sure Start Local Powered By Docstoc
					Elaine Duddy
Dr D. Hazlett
Dr J. Lambe
    Project background
    Overall aim of investigation
    Methods employed and associated ethical
   Work to date
    References
   Being healthy

   Staying safe

   Enjoying and achieving

   Making a positive contribution

   Economic wellbeing
   ‘Health is a state of complete physical, mental,
    and social well-being and not merely the
    absence of disease or infirmity.’ (WHO website )
   ‘Wellbeing is broadly conceived to mean the
    ‘level’ of life quality – i.e. The extent to which
    pleasure and satisfaction characterise human
    existence and the extent to which people can
    avoid the various miseries which are potentially
    the lot of each of us’ (Andrews, 1974 , p280)
   Effective speech, language and communication
    development is ‘a strong indicator of successful
    adjustment in a variety of contexts including
    mental health and wellbeing, emotional
    development and educational attainment’
    (Adamson-Macedo et al 2009 p192)
   ‘In many ways our ability to communicate
    defines us, it is one of the ways we are judged
    and measured by others and the means by
    which we forge our relationships’ (ICAN Report 2008
   Speech, language and communication needs
    (SCLN) in the pre-school period constitute a risk
    factor for poor school performance, educational
    attainment and social difficulties in later life (Law et al

   Education is crucial to economic outcomes for
    disadvantaged children in later life (Walker 2006) (cited in
    Fuller 2010)

   ‘51% of preschool providers recently surveyed cite
    Speech and Language difficulties as the most
    common difficulty that is evident in children
    attending preschool provision’ (ETI Review 2007) (cited by NI SLT Task
    Force Report 2008 p30)
   SLTs ideally placed to assess, advise and remediate
    SLCN (Fuller 2010)

   Inclusion within SSLP service provision framework

   Role extended beyond traditional clinical one

   Ecological approach – ‘facilitating children’s
    language development in the wider population’
    (Fuller 2010 p184)

   Collaborative model of service delivery
   Flagship Labour government policy 1998-

    Sure Start Local Programmes (SSLP) - to
    improve the life-chances of children under
    the age of five living in areas of socio-
    economic disadvantage by means of multi-
    agency, multi-disciplinary programme
   SSLPs began in 2000

   Currently 34 Sure Start programmes

   Approximately one-third are rurally based

   For 2008-09 £16 million invested in N I SSLPs

   Accessed by 29,210 children under four years
    and their families (Sure Start 2011)
   No original pilot study carried out
   National Evaluation of Sure Start’s results to date
    indicate modest impact
   SSLP debate dominated by ‘adult concerns’ (Lloyd
   Lack of rigorous evaluation at regional level
   Evaluation and outcome measures used are highly
   Wide variation across the region in services provided
   Current review of SLT service by DHSSPS
   Current review of SSLP SLT service by DE
   To investigate the impact of Speech and
    Language Therapy within the SSLP context
    on the communication wellbeing of service
    users (parents and children) from their
   What evidence is there that Speech and
    Language Therapy offered within the SSLP
    context has impacted on the communication
    skills of service users?

   What is the impact of Speech and Language
    Therapy within SSLPs on the communication
    skills of service users?
   To identify the impact of current policy on SLT service provision
    within SSLPs NI
   To identify the causal relationship between SLT provision and
    communication skills of Service Users
   To identify intervening variables impacting on this causal
   To compare and contrast the ‘communication progress’ of Service
   To relate ‘communication progress’ to parental perception of well-
   To make recommendations
 A policy impact study from the service users
perspective using a…

 2 stages:
Policy content analysis
Thematic content analysis
 Policy content analysis     questionnaire with Sure    Service report analysis
                                Start managers

                                                       Selection of variables for
   Data collection:
                               Stratified sampling     service user interviews &
complete interviews with
                                     process                development of
     service users
                                                           interview outline

   Thematic content           Map themes to ECM
                                                       Make Recommendations
analysis of interview data   definition of wellbeing
 Researcher objectivity
 Reliability & validity
 Awareness of constraints & biases
 Robust sampling framework
 Confidentiality process
 Consent process
 Complaints procedure
 University of Ulster ethical guidelines
Task             F/M   A/M   J/J   A/S O/N   D/J   F/M   A/M   J/J   A/S   O/N   D/J
                 12    12    12    12 12     13    13    13    13    13    13    14
Lit RV

Doc Analysis

Service report
SS Manager

Data Analysis

Write up
   Completed (44 credits):
Introduction to Project Management
Getting Published in the Social Sciences
Building Your Career; Adding Value to your PhD
Writing to Learn: Improving your Writing Skills
Academic Integrity: Avoiding Plagiarism
The Literature Review – Online
An Introduction to Research Skills – Online
Researchers in Residence Programme
Planning your Career
Introduction to the Career Development Centre for first year PhD Research Students
How to be an Effective Researcher
Developing Information Skills for Effective Research
Introduction to Refworks
Appraising Research Quality v2
Policy Evaluation Methods

  Required:
- nVivo
- Statistics
   Literature Review:
- Historical policy context
- Current policy context
- International & national legislation
   Establishing links with services
-   Scoping service
-   Meeting with Childcare Partnership Co-ordinators
-   Meeting with AHP Commissioner
   Working in Partnership with DE project
-   Access to secondary data
-   Demographic information
   Development of Methodology
-   Rationale
-   Design
-   Framework
   Adamson-Macedo, E.N., Patel, R. & Sallah, D.K. (2009) An independent psychometric
    evaluation od a speech and language tool for two-year-old children from a Sure Start
    trailblazer site in the West Midlands. Child Language Teaching and Therapy 25, 191-214.

   Andrews, F.M. (1974) Social indicators of perceived life quality. Social Indicators Research
    2(27) 279-299

   Every Child Matters (ECM) (2010) Department for children, school and families (DfCFS)

   Fuller, A. (2010) Speech and language therapy in Sure Start Local Programmes: a survey-
    based analysis of practice and innovation. International Journal of Language and
    Communication Disorders, 45(2), 182-203

   ICAN (2008) Speech, Language and Communication Needs and Primary School-aged
    Children. I CAN Talk Series – Issue 6

   Law, J., Boyle, J., Harris, F., Harkness, A., and Nye, C. (1998) Screening for speech and
    language delay: a systematic review of the literature. Health Technology Assessment, 2 (9)
    NHS R&D HTA Programme
   Lloyd, E. (2008) The Interface between Childcare, Family Support and Child
    Poverty Strategies Under New Labour: Tensions and Contradictions. Social
    Policy & Society, 7 (4), 479-494
   Northern Ireland Speech and Language Therapy Task Force Report on
    Speech and Language Therapy Services for Children and Young People (2008)
    Improving outcomes for children and young people with speech language
    and communication needs Belfast: DfHSS
   Sure Start (2011) Profile of Sure Start Projects within Northern Ireland July
   Sylva, K., Melhuish, E., Sammons, P., Siraj-Blatchford, I. & Taggart, B. (2004)
    The Effective Provision of Pre-School Education (EPPE) Project: findings
    from Pre-school to end of Key Stage 1. www.dfes.gov.uk
   World Health Organisation (accessed 10/1/12) Definition of health
   Thanks for listening

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