Schools

The Importance of SaLT in Schools

By Bhavini Vithlani

Magic Words Speech and Language Therapist



The Importance of SaLT in Schools

As Speech and Language Therapists, we work to identify whether a child or adult has any speech, language, or communication needs (SLCN) which may result in requiring intervention to help improve their skills in various areas and consequently improve their quality of life too. We also check for eating, drinking or swallowing difficulties. As therapists we have a range of skill sets which we can employ in various ways. One of the most beneficial settings we work in is education. From nursery through to college, we will assess, plan intervention and support the pupils who may otherwise struggle to access the curriculum or be severely misunderstood.

“Speech, language and communication needs are the most common type of special educational need in 4-11 year old children” (RCSLT, 2012).

One of the joys in working in a school is sharing our specialist knowledge with the teaching staff. Very often, I have experienced staff questioning whether a child should be referred to a Speech and Language Therapist or not. It gives me great pleasure to be able to guide them in what to look out for and how to support the children with SLCN in school, often resulting in the staff themselves becoming more confident and comfortable working with these children.

Being able to intervene early with children with SLCN generally gives a huge boost to their progress. We educate teaching staff and parents about what to look out for, meaning that there are less children who are likely to go under the radar and struggle for longer and later in life. With regular input, we can track the child’s progress and alter their targets throughout the year using informal and formal assessment. In some instances, the ‘naughty child’ can be acting out as a deflective strategy, so their difficulties in accessing the schoolwork are less apparent as their behaviour becomes the primary concern. We can help children to access the key language in the curriculum, with hopes that this will increase their confidence and self-belief.  

“More than 60% of young offenders can have difficulties with speech, language or communication.” (Bryan, Freer and Furlong, 2007)

Having a Speech and Language Therapist in school regularly allows for a number of pupils to have access to direct or indirect input. Direct therapy involves the child being seen regularly by the therapist, for this we will generally prioritise the children with the most specialist needs. For pupils with more general needs, we offer training or shadowing opportunities to school staff in order to empower them to provide indirect intervention with the continued support of the therapist. Indirect therapy may look like running groups to pre-teach vocabulary to those struggling with language or leading a Lego Therapy group for children with social communication difficulties. We work to support staff and parents to work with the children we don’t see for 1:1 therapy, as regular input is reflected in the rate of progress in most cases.

“In some socially deprived areas upwards of half of children may start school with impoverished speech, language and communication skills.” (Locke, Ginsborg and Peers, 2002).

Research shows that children with SLCN are more at risk of experiencing difficulties with their literacy development, facing lower chances of employment later in life and experiencing poor mental health. Depending on their particular difficulties, it may be hard for them to express their feelings or to form and keep friendships. These are just some of the reasons why having a Speech and Language Therapist is so crucial. Some children can mask their difficulties well and without specialist input their challenges may go unnoticed. We work to give each person a voice, an outlet, a means to be seen and heard and develop an understanding that their difficulties are okay and we are here to help.

So, what is an EHCP anyway?

By Helen Croucher

Magic Words Specialist Speech and Language Therapist

If a professional has said your child may benefit from an EHCP, or if your child has special educational needs (SEN), this post is for you!

The other day I was working with a child with significant speech, language, and communication needs, who has just got an Education and Health Care Plan, or EHCP for short. His Mum told me that now she has the document in her hand, the main thing she feels is relief. Relief that it is done, and reassurance that her child can access the coordinated support they desperately need. She told me with a sigh that it had been a learning curve applying for the EHCP, which was daunting and stressful at times. Now she is at the end of the process, she is still getting to grips with everything involved and learning where to get help when needed. She is not alone in feeling like this. In March 2022, the government’s review of the national SEND provision found that families across the country are finding it challenging to navigate our SEND system. This inspired me to write a post to help families starting their EHCP journey, and hopefully answer some initial questions families may have.

So, what is an EHCP anyway?

An Education and Health Care Plan (EHCP) is a legal document describing the special education, health and care needs of the child or young person relating to their disability or differences. It outlines all the extra help, care and support they will need to access learning.



How do I know if my child needs one?

If your child has significant, long-term difficulties affecting their health and learning and has been assessed as needing additional support, they may meet the criteria for an EHCP. Usually, the child’s education setting or a healthcare professional will discuss with you if they think your child may benefit from one. Your child’s education setting should have tried all available resources to support your child first before considering an EHCP.



What is the benefit of having an EHCP?

An EHCP outlines a child or young person’s current needs and what exactly is needed to meet their needs. It may include specific input, for example, that the child needs 10 hours of direct speech and language therapy a year. It may help inform school placement (e.g.: whether a mainstream or specialist setting is more appropriate). How successful an EHCP is in practice depends on how specific it is regarding the amount of care needed, what the care should look like, what training is needed etc., plus how it is delivered in the setting. It’s important that EHCPs are reviewed regularly to make sure they reflect the child’s changing needs. This is done via annual reviews of their progress every 12 months minimum.

How do I apply for one?

There are 2 ways:

1.  Directly via your local authority: 

https://www.gov.uk/children-with-special-educational-needs/extra-SEN-help

2.     Ask your child’s school or nursery to apply on your behalf

What is the process?

The process may vary slightly from one local authority to another, but the general process is:

1.     Gather evidence and apply it either directly or via your child’s education setting.

2.     Send reports or assessments from your child’s speech and language therapist, education setting, and other professionals involved, plus information from the parent or carer.

3.     The local authority acknowledge receipt and will pass the application to the “panel”. The panel decide if an EHCP will be made for your child. It may include professionals from the following areas.

·       Special Educational Needs (SEN) Team

·       Educational Psychology (EP) Service

·       Specialist Teaching and Advice Service

·       Local mainstream, special schools or further education providers

·       Social care

You should know within 16 weeks if an EHCP will be made for your child. If the application isn’t accepted you can challenge the decision or gather more evidence to reapply.

4.     If accepted, your child will be allocated a SEND caseworker. The SEND caseworker will ask professionals involved to assess your child, outline their strengths and needs, and document the exact care needed to meet these needs.

5.     The SEND caseworker will compile the information and results into a draft document and send this out to you to review around 14 weeks into the process.

6.     Parents and carers need to review the content and respond to the draft within 15 days.

7.     Once parents/carers have approved it, the document will be finalised and distributed to all involved.

How long does it take?

Approximately 20 weeks from application to finalised EHCP.

How can Magic Words Therapy help?

We support hundreds of children with speech and language therapy specified in their EHCPs in a range of settings across London, Hertfordshire, Bedfordshire, Cambridge, Birmingham, and Northamptonshire. We help families by:

-        Helping them navigate the application process

-        Signposting to resources and information

-        Consulting with professionals supporting your child

-        Providing detailed assessments and reports for the application and EHCP writing process

-        Delivering quality and tailored speech and language therapy as specified in individuals EHCPS, when the local authority cannot provide it.

-        Providing second opinions and medico-legal reports for challenges to the EHCP and for tribunals

Contact Magic Words Therapy to discuss your child’s individual needs and how we can help.


Useful links and resources

  • Your local authority website