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 5yrs old)– Social Communication Team– Early Years Development Team– Musculoskeletal Service (PT only)

• Over 5yrs 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)

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?Speech & Language 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

WHERE ARE WE?• Based at the Northern Health Centre (Holloway

Road)• Work in homes, schools, clinics

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?Occupational Therapy

• 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

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