The Elver Program: Communication disorders in children and young people in NSW OOHC

Tracks
Concurrent session M2
Adolescent
Collaboration
Mental health
Trauma informed practice
Monday, May 27, 2024
1:50 PM - 2:05 PM
Meeting Room 01

Overview

Rosie Russell and Eileen Boyle


Details

⏫ In-practice
📚 Assumed knowledge of attendees: Foundational (new/casual familiarity with the topic e.g. treated a single case)


Presenter

Agenda Item Image
Mrs Rosie Russell
Senior Speech Pathologist, Elver Program
DCJ & SWSLHD

The Elver Program: Communication disorders in children and young people in NSW OOHC

1:50 PM - 2:05 PM

Presentation summary

Children and young people (CYP) living in out of home care (OOHC) face significant barriers when accessing services, and experience poor outcomes across multiple domains. The Elver Program is a New South Wales (NSW) state-wide, multidisciplinary trauma treatment team for CYP in OOHC, funded by DCJ in partnership with Health. Its Model of Care within the mental health space provides unique opportunities for Speech Pathologists to advocate for CYP with communication disorders across their systems.
Objectives – This presentation will identify the presence of communication disorders in CYP in NSW OOHC within the Elver Program.
Methods – Five years of data from private Speech Pathologists, local health services and the Elver Program was retrospectively analysed to quantify the number of CYP in the Elver Program presenting with a communication disorder.
Results – 90% of young people in the Elver Program that were assessed presented with a communication disorder (performance in language, speech, fluency or voice in at least the mild range, -1 to -1.5 standard deviations). The findings were limited by the lack of routine communication skills assessment for CYP in OOHC, with only 52% of in the Elver Program completing a communication assessment. Of those, 44% of assessments were completed in private settings and 42% were completed through the Elver Program.
Conclusions – Most CYP that were assessed presented with communication disorders. However, almost half of the cohort had no documented Speech Pathology assessment. This highlights a gap in service provision for a cohort with known barriers to accessing services. The Elver Program utilises comprehensive Speech Pathology assessment to advocate for CYP in OOHC, support the multidisciplinary team to implement individualised intervention, contribute within a consultative framework and collaborate across agencies to highlight the impact of communication disorders across multiple domains (e.g. functioning, education, mental health, social, welfare).

Key messages

At the end of this presentation, attendees will take away:
1. The number of communication disorders found in young people in the Elver Program, a NSW OOHC initiative.
2. The value of comprehensive speech pathologist assessment in working with children and young people in OOHC.
3. The use of communication assessment to enhance collaborative practice across agencies in the NSW OOHC setting

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Rosie is a senior Speech Pathologist at the Elver Program, a specialist trauma treatment team for children and young people in statutory out of home care in New South Wales. Working towards additional qualifications in Applied Mental Health, she has a particular interest in the relationship between early childhood experiences and the development of language, social and feeding skills. Rosie is passionate about knowledge sharing and clinical education. She has facilitated workshops for speech pathologists, allied health professionals, and child protection and caseworker professionals, and delivered lectures and clinical education at the University of Sydney. Rosie has co-authored two papers on the application of the principles of motor learning to voice therapy.
Agenda Item Image
Ms Eileen Boyle
Senior Speech Pathologist - The Elver Program
DCJ & SWSLHD

The Elver Program: Communication disorders in children and young people in NSW OOHC

1:50 PM - 2:05 PM

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Session chair

Tim Kittel


Student volunteer(s)

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Rania Atee
Curtin University

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Laura Pitts
Curtin University

The information contained in this program is current at of the time of publishing but is subject to changes made without notice.

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