Islington Additional Needs and Disability Service IANDS Therapies

Islington Additional Needs and Disability Service (IANDS) Therapies Sally Fraser: Clinical Lead Speech & Language Therapist in Mainstream Schools Shonali Sullivan: Senior Occupational Therapist Isey Lane: Senior Physiotherapist

What do we do? IANDS helps children and young people who have additional health needs or disabilities and their families, e. g. : • Physical disability • Learning disability • Speech, language and communication needs • Social communication difficulties (e. g. ASD) • Difficulties with development • Difficulties with coordination • Disorders that affect the body's muscles, joints, nerves, etc

Who are we? • • • Speech and Language Therapists Occupational Therapists Physiotherapists Clinical Psychologists Community Paediatricians

Who are we? • Early Years (under 5 yrs old) – Social Communication Team – Early Years Development Team – Musculoskeletal Service (PT only) • Over 5 yrs old – Mainstream Schools – Special Schools – Musculoskeletal Service (PT only)

How do we do it? Speech & Language Therapy • We work across primary and secondary mainstream schools with children from Reception through to College. • Schools each have an ‘allocation’ of visits, which can vary depending on the needs of the school and its pupils. AREAS WE WORK WITH: • Language needs • Speech needs • Social communication needs WE DON’T WORK WITH: • Voice • Fluency (stammering)

How do we do it? Speech & Language Therapy We offer: • Initial assessments of a child’s speech, language and communication skills followed by a report and recommendations • Continuous blocks of therapy for some individual children throughout the term • Consultative support for some children, where we can give targeted advice and recommendations • Whole-school support, which is aimed at developing the school’s ability to develop the speech, language and communication skills of all pupils • Support to parents to help language and communication needs at home

How do we do it? Speech & Language Therapy Whole-school support Supporting schools to: • identify pupils who may require additional support with speech, language and communication • run language and communication groups and put in place communication-friendly strategies and approaches in classes We do this by: • Offering training to school staff in schools on a wide range of communication topics. • Giving advice, activities, ideas, and resources for school staff to use with pupils • Working jointly with school staff in small groups and in the classroom to model ideas

How do we do it? Occupational Therapy • Referrals accepted for generalised functional difficulties e. g. dressing, eating, P. E. , handwriting AREAS WE WORK WITH: • Co-ordination difficulties (particularly fine motor coordination), including developmental coordination disorder (DCD) • Sensory processing difficulties • Seating and specialist equipment • Splinting for chronic conditions

How do we do it? Occupational Therapy WHAT WE DON’T DO: • Wheelchair assessment/ prescription Camden and Islington Wheelchair Service Redcross • Sensory Integration Therapy College of Occupational Therapists • Handwriting Skills Schools • Diagnosis of conditions (Developmental Coordination Disorder; Dyspraxia; Dyslexia) Paediatrician (joint clinics); Educational Psychologists

How do we do it? Occupational Therapy Intervention can include: • Advice and strategies to address the identified areas of difficulty • Programmes for home / school to implement • Advice on suitable equipment/ resources for home or school to purchase. Provision of specialist equipment for home • Training in schools • Goal directed treatment sessions at home/school/clinic – Ongoing direct treatment sessions are not offered • Involvement of carers and school is integral

How do we do it? Physiotherapy • Primary and secondary mainstream schools AREAS WE WORK WITH: • Developmental Co-ordination Disorder (DCD) / Global developmental delay • Complex rheumatology (when MSK service not appropriate) • Complex orthopaedic (when MSK service not appropriate) • Oncology • Neurological disorders • Chronic pain • Chronic Fatigue Syndrome WE DON’T WORK WITH: • General fitness (sports clubs, school PE) • People with no functional goal

How do we do it? Physiotherapy Primary aim is to enable and empower children, young people and their families. Intervention can include: • Advice and strategies to address the identified areas of difficulty • Programmes for home/school to implement • Advice on suitable equipment/resources • Goal directed treatment sessions at home/school/clinic/hydro – (ongoing direct treatment sessions are not offered) • Involvement of carers and school is integral

How can you access us? • One referral form for IANDS • The central referral team will triage all referrals through a single point into the most appropriate service • Most referrals are made by SENCOs, GPs, paediatricians and hospital ward staff • Parents and clients are not able to self-refer

How can you access us? Speech and Language Therapy • Majority of referrals to our service come from the school – School complete a ‘Quick Communication Checklist’ which helps us identify specifically the concerns – School discuss the potential referral with their link SLT – The link SLT then advises whether a referral is indicated. There may be times where the SLT suggests alternative action (i. e. referral to another agency, suggestions for school-based support) • We do sometimes receive referrals from other professionals, such as GP, Paediatrician, health visitor, OT etc – In these instances, we make contact with the school to gather information regarding the child’s communication skills in the school context.

When do you leave us? • Children will be discharged from the service for the following reasons: – Therapy goals are achieved – Ongoing support can be carried out at home/school independently – Transition to adult services – Transition to another service – Non-attendance of appointments – Non-response to request for further information • Families and GP will receive a discharge letter with summary of intervention, advice and re-referral details if necessary

How do you contact us? • Mainstream SLT – 020 7527 5674 • Mainstream OT and PT – 020 3316 1892 • Central Referrals – 020 3316 1877

Questions