derbyshire county council children and younger adults department innovative ways of engaging with...
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Derbyshire County Council
Children and Younger Adults Department
Innovative ways of engaging with families to develop SLCN
Integrated working in Derbyshire to impact on children at risk of language
delay and their parents
Derbyshire County Council
Children and Younger Adults Department
Proposed Derbyshire definition of early intervention and preventions
“We will identify children and young people who require additional resource and deliver effective intervention at the earliest opportunity”
Derbyshire County Council
Children and Younger Adults Department
The two Graham Allan reports on positive outcomes and cost savings in early intervention and prevention.
Grasping the Nettle-review of key target areas that make the difference
The Kennedy Report on the distribution of health investment into children
The Marmot Report - Healthy Lives, Fair Society –the key public health target areas
The Wave Report analysis of violence escalation in Britain and reduction strategies
The Frank Field report into the Prevention of Child Poverty
The Foundation Years documents – support to families of pre-school children
The Tickell review of the Early Years Foundation curriculum
Recent Key Documents from research organisations and government
Derbyshire County Council
Children and Younger Adults Department
“No Wrong Door” Interagency and Interdisciplinary working
a key concept
Derbyshire County Council
Children and Younger Adults Department
Links to the ‘Five golden threads’
C4EO report:
‘Grasping the nettle:
Early intervention for Children, Families and Communities’
2010
1. The Best Start in life: progressively move resources to Early Years to support crucial developmental windows
2. Language for life: Invest in developing speech, language and communication skills to reduce the likelihood of a young person or adult entering mental health and criminal justice systems
3. Engaging parents: Ensure the causes of poor childhood experiences are addressed i.e engage parents in services and most particularly “hard to reach” parents and those in adverse circumstances
4. Knowledge is power: Understand what works. Different issues at different levels of severity require different interventions
5. Smarter working, better services:
Work together across agencies, disciplines and institutional divisions
What does ECATaim to do?
Raise children’s achievement in early language BY
Develop practitioners’ skills and knowledge SO THEY CAN
Increase parental understanding and involvement in children’s language development
Derbyshire County Council
Children and Younger Adults Department
ECAT in Derbyshire so far
Developing a shared vision across agencies Early Language Consultant (ELC) 45+ schools/settings and Children’s Centres in 3
cohorts so far and a two year roll out to 240 more schools and settings over the next two years
Early Language Lead Practitioners (ELLP) in Children’s Centres as well as schools and settings
Links to Health to support early identification of need using Health Visitors
Derbyshire County Council
Children and Younger Adults Department
Sharing the ECAT message
In a variety of forums: briefings for leaders in schools and
settingsEYFS network events for practitioners meetings between the Early
Language consultant and health visitors/Speech and language therapy team and Children’s Centres
Conferences and workshopsSchool and setting meetings with EY
officers and advisers
Early Language Lead Practitioners in Children’s Centres
Improving the quality of language provision
Supporting the professional development of colleagues
Involving parents in the programme (more about this later)
ELKLAN
Adult –child interaction non verbal
communication
Supporting children who
stammer
Developing play, listening and
attention
What is communication?
Development of vocabulary
Information carrying words
Development of social skills
Understanding and use of sentences
Supporting children with
unclear speech and exploring
the speech reading link
Child monitoring tool – a universal offer
Early identification of children at risk of delay:Listening and attentionUnderstandingTalkingSocial communicationChallenging professionals expectations
of children in deprived communities with age related norms
Derbyshire County Council
Children and Younger Adults Department
Early Intervention Disc
4 fundamental language areas
Working with parents
EAL
Further information
Helping Parents to value and develop talk
Derbyshire County Council
Children and Younger Adults Department
So, does ECAT work?
Increasing practitioner confidence ?
Reducing risk of delay ?Supporting parents?
Practitioner Confidence - July 2010 and March 20111 = Very Confident. 2 = Confident 3 = A Little Unsure 4 = Not at all Confident
JULY 2010
Derbyshire County Council
Children and Younger Adults Department
The Child Monitoring Tool
% at risk of delay
ECaT 1
Attention and Listening: June ‘10: 22% March ‘11: 11%Understanding of Language: June ‘10: 25% March ‘11: 17%Talking/Expressive Language: June ‘10: 34% March ‘11: 22%Social Communication: June ‘10: 36% March ‘11 19%
Derbyshire County Council
Children and Younger Adults Department
ECaT 2
The Child Monitoring Tool
% at risk of delayAttention and listening:Oct 11 21% Jan 12 15%
Understanding:Oct 11 26% Jan 12 21%
Expression:Oct 11 36% Jan 12 26%
Social Communication:Oct 11 38% Jan 12 30%
Innovative Derbyshire practice recognised in the Tickell Review of
EYFS
‘ The outcome of this work was that children with SLCN or at risk of SLCN were being identified earlier and would be having intervention at an earlier stage.’ (page 83)
‘…an excellent example of local leadership at its best.’ p24 Dame Clare
Derbyshire County Council
Children and Younger Adults Department
The Family Reading Strategy
Local research found parents want to support their children’s reading but many need more information about HOW
Some parents worry that if they try they will mess things up – so they don’t
Some wanted professionals to do all the ‘learning’ – so they are waiting
Some wanted information about what they could be doing to come from within their own community – because that’s who they trust.
Derbyshire County Council
Children and Younger Adults Department
Reading works: pass it on.
Someone to model fun with stories and books
A reading buddy - why communication matters
Reading championsThriving baby brains – what’s on
near mePacks of ‘try this at home’ ideasWhole community on message by
‘tweaking’ delivery
Derbyshire County Council
Children and Younger Adults Department
ECAT in Children’s Centres in Erewash
Derbyshire County Council
Children and Younger Adults Department
Why is this approach to integrated working being effective in Derbyshire?
We have a shared passion driven by a group with strategic leadership power
We understand that it is by supporting and training our practitioners that they can help parents more effectively
We take national agendas and use them as levers by tailoring them to local needs (ECAT, Hello! Campaign)
We are supported by our politicians and Senior DCC staff – prioritisation and funding
We have developed a simple common language that all can understand
Derbyshire County Council
Children and Younger Adults Department
Why is this approach to integrated working being effective in Derbyshire?
Our shared vision is communicated widely
There is mutual respect between teams of professionals and we make the best of team skills – a lack of ‘preciousness’
We recognise that things (including relationships) take time to evolve and embed
We use a variety of complementary strategies, including consistent processes and procedures across the County
Derbyshire County Council
Children and Younger Adults Department
What next?
Two year intensive roll out of ECAT programme across Derbyshire to 240 most deprived schools and settings
Roll out to all Children’s Centres Developing stronger links between Children’s
Centres and Health across the whole county to promote early identification of SLC delay so families can be supported by Children’s Centre workers
Promotion of use of Child Monitoring Tool and Early Intervention Disc with all schools and settings
Working out the strategy for children beyond Early Years