Tensions in Commissioning: Services for Children's Speech, Language and Communication Needs in One English Region

2012 ◽  
Vol 17 (2_suppl) ◽  
pp. 37-44 ◽  
Author(s):  
Karen Davies ◽  
Peter Davies

Objectives To investigate the tensions faced in commissioning services for children's speech, language and communication needs and to identify variation in commissioning practice in response to these tensions. Methods Quantitative and qualitative evidence from a review of speech, language and communication services in one English region, focused on three case studies. Results The case studies reveal variation in practice in relation to commissioning tensions generated by: low incidence/high needs cases, blurred boundaries between health and education, multi-agency working, parental voice and service development. The introduction of commissioning and models of practice such as ‘the commissioning cycle’ has left huge variation between localities in levels and type of provision for these services. Conclusion Large variation in commissioning practice is associated with commissioners' adoption of one of three models: a market model, an integrated model and a top-up model.

2014 ◽  
Vol 23 (1) ◽  
pp. 42-54 ◽  
Author(s):  
Tanya Rose Curtis

As the field of telepractice grows, perceived barriers to service delivery must be anticipated and addressed in order to provide appropriate service delivery to individuals who will benefit from this model. When applying telepractice to the field of AAC, additional barriers are encountered when clients with complex communication needs are unable to speak, often present with severe quadriplegia and are unable to position themselves or access the computer independently, and/or may have cognitive impairments and limited computer experience. Some access methods, such as eye gaze, can also present technological challenges in the telepractice environment. These barriers can be overcome, and telepractice is not only practical and effective, but often a preferred means of service delivery for persons with complex communication needs.


2013 ◽  
Vol 29 (2) ◽  
pp. 182-201 ◽  
Author(s):  
David J. Curtis ◽  
Mark Howden ◽  
Fran Curtis ◽  
Ian McColm ◽  
Juliet Scrine ◽  
...  

AbstractEngaging and exciting students about the environment remains a challenge in contemporary society, even while objective measures show the rapid state of the world's environment declining. To illuminate the integration of drama and environmental education as a means of engaging students in environmental issues, the work of performance companies Evergreen Theatre, Leapfish and Eaton Gorge Theatre Company, the ecological oratorio Plague and the Moonflower, and a school-based trial of play-building were examined through survey data and participant observations. These case studies employed drama in different ways — theatre-in-education, play-building, and large-scale performance event. The four case studies provide quantitative and qualitative evidence for drama-based activities leading to an improvement in knowledge about the environment and understandings about the consequences of one's actions. In observing and participating in these case studies, we reflect that drama is a means of synthesising and presenting scientific research in ways that are creative and multi-layered, and which excite students, helping maintain their attention and facilitating their engagement.


2014 ◽  
Vol 3 (3-4) ◽  
Author(s):  
Nguyen Tai Hung ◽  
Nguyen Huu Thanh ◽  
Julius Mueller

Recently, mobile operators all over the world are facing big challenges on the decreasing of the revenues from its traditional killer-applications like SMS/MMS and even voice services. The challenges come from a new trend of services called OTT (Over The Top). These OTT services provide the mobile users with flexible, convenient and more importantly free means to do their daily multimedia communication needs and seamlessly without any border so that operators couldn’t be just simply block it, but in opposite, need to find solutions to compete against it. Because of that, nowadays, more and more operators choose to deploy the standard RCS (Rich Communication Suite). RCS is a set of rich features communication services developed on top of IMS framework. Although there have been tremendous efforts to develop the architecture and protocols for IMS, which is a key technology of the NGN, it is far from being widely deployed. There are many reasons for that unpopularity (of IMS commercial deployment), namely, the lacking of clear business model for IMS-based services, no big difference between IMS-based services and SOA (Service Oriented Architecture) services, lack of the true demands for features that IMS based services have, etc... However, one of the most important reason that till now not many researchers have pointed out and addressed it, is about the OSS (Operation and Support Subsystem) functions. The lacking of OSS clearly defined functions and interfaces make the difficulties for operators and even equipment manufacturers to collect the pay back for any big scale IMS deployment for their networks. This paper presents our proven that IMS can provide the killer applications with blending features like mash-up and readily equipped with the intelligent charging and policy control functions. That may partly help to speed up the deployment process of IMS in real networking environment.


2021 ◽  
Author(s):  
Hannah Hobson ◽  
Mya Kalsi ◽  
Louise Cotton ◽  
Melanie Forster ◽  
Umar Toseeb

Background & aims: A high rate of children in mental health services have poor language skills, but little evidence exists on how mental health support is delivered to and received by children with language needs. This study looked at parental experiences, asking parents of children speech, language and communication needs (SLCN) about their experiences seeking help for their children’s mental health. We were particularly interested on the experiences of parents of children with Developmental Language Disorder (DLD), a specific SLCN that remains relatively unknown to the general public. Methods: We conducted an online survey of 74 parents of children with speech, language and communication needs (SLCN). Survey respondents included parents of children with a range of difficulties, including DLD, autism, verbal dyspraxia, global intellectual delay, a history of hearing problems, and SLCN without a primary diagnosis. Survey respondents were asked what sources of support they had accessed for their child’s mental health and to provide comments on what was good and what was not good about this support. We then conducted 9 semi-structured interviews of parents of children with DLD about their experiences. These were parents of children with DLD aged 7 to 17 years, from across a range of educational settings, and with a range of present mental health concerns. Results: Content analyses of the survey responses from parents of children with SLCN highlighted three broad factors of importance to parents’ experiences: relational aspects of care, organisational aspects of care, and professionals’ knowledge. Thematic analyses of the interviews of parents of children with DLD identified 5 themes: the effects of language problems on the presentation of distress; the role of the school environment; the role of key professionals; standard approaches to mental health support might not be appropriate; and the role and impact on parents. Parents expressed concerns that their children’s mental health problems and need for support would not be recognised, and felt interventions were not accessible, or delivered in a manner that was not comfortable for their children due to high reliance on oral language skills. Some parents were left feeling that there was no provision suitable for their children.Conclusions: Parents of children with SLCN face barriers accessing support for their children’s mental health, including a lack of professional knowledge about their children’s language needs. Parents argued that language and communication needs can significantly affect the delivery and success of psychological therapies and interventions.


2021 ◽  
pp. 139-165
Author(s):  
Andrew Rudalevige

This chapter examines to another aspect of executive order management. It turns out that the average executive order takes some seventy-five days to move from draft proposal to the Federal Register, with huge variation around that figure. What affects that timing? What makes an executive order take longer to issue? What characteristics of orders and agencies, of interagency interaction and requirements of the management process itself, are associated with delay? Quantitative analysis, elaborated by case studies, helps us explore these questions for the first time as the duration of the formulation process is tested as a proxy for executive collective action problems.


2020 ◽  
pp. 0032258X2096859
Author(s):  
AnneMarie MacRae ◽  
Ann Clark

Around 60% of young people in conflict with the law experience speech, language and communication needs (SLCN). This study investigates Police Scotland officers’ awareness of the SLCN of young offenders, strategies officers use to support SLCN and their interest in further training on SLCN. A majority had worked with young offenders with SLCN and were fairly confident in recognising these needs. The most common support strategy was to involve outside agencies, specifically Appropriate Adults. Increased speech and language therapy services are needed to train Police Officers to recognise and support SLCN without reliance on other agencies.


2019 ◽  
Vol 7 (7) ◽  
pp. 336-340
Author(s):  
David Hancock

An independent review of provision for children and young people with speech, language and communication needs in England was published in March 2018. David Hancock reports on progress with the recommendations


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Linda Biesty ◽  
Pauline Meskell ◽  
Claire Glenton ◽  
Hannah Delaney ◽  
Mike Smalle ◽  
...  

Abstract Background The COVID-19 pandemic has created a sense of urgency in the research community in their bid to contribute to the evidence required for healthcare policy decisions. With such urgency, researchers experience methodological challenges to maintain the rigour and transparency of their work. With this in mind, we offer reflections on our recent experience of undertaking a rapid Cochrane qualitative evidence synthesis (QES). Methods This process paper, using a reflexive approach, describes a rapid QES prepared during, and in response to, the COVID-19 pandemic. Findings This paper reports the methodological decisions we made and the process we undertook. We place our decisions in the context of guidance offered in relation to rapid reviews and previously conducted QESs. We highlight some of the challenges we encountered in finding the balance between the time needed for thoughtfulness and comprehensiveness whilst providing a rapid response to an urgent request for evidence. Conclusion The need for more guidance on rapid QES remains, but such guidance needs to be based on actual worked examples and case studies. This paper and the reflections offered may provide a useful framework for others to use and further develop.


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