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CHATTERKIDS LANGUAGE GROUP

CHATTERKIDS LANGUAGE GROUP. MAKING SPEECH EASIER TO REACH An inter-agency format for a diagnostic communication and social skills group supporting children in traditionally ‘hard-to-reach’ families Developed by: Beryl Hylton Downing & Andrea Herron. WHAT WAS CHATTERKIDS DESIGNED TO DO?.

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CHATTERKIDS LANGUAGE GROUP

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  1. CHATTERKIDS LANGUAGE GROUP MAKING SPEECH EASIER TO REACH An inter-agency format for a diagnostic communication and social skills group supporting children in traditionally ‘hard-to-reach’ families Developed by: Beryl Hylton Downing & Andrea Herron

  2. WHAT WAS CHATTERKIDS DESIGNED TO DO? • To preventpreventable communication problems • To minimize impact of non-preventable communication problems • by involving parents and children in mutually enjoyable activities which facilitate communication development • To identify & address difficulties as soon as possible, no need for referral at point of contact • To reach & engagehitherto hard-to-reach families • To improve access to specialised services for those need them and signpost others to general services

  3. WHAT DO WE DO? Chatterkids activities are: • Based on universal practice with young children • Mainly consists of songs & rhymes, interactive narrative & people-games • Enjoyable for children, parents & leaders • Easy to do & non-threatening (no overt pressure on children OR parents) • Highly structured and predictable • Developmentally appropriate

  4. HOW DO WE DO IT? • Runs in a termly cycle • 2 weeks for letters and consultations with parents • Weekly sessions for 5 or 6 weeks • Group leader & SLT meet to view videos & agree recommendations • Parents’ feedback session: group video viewing & brief individual discussion with written advice • Further session with SLT for families if referral required to Child Development Team or other complex circumstances

  5. HOW DID WE GET THEM IN AND KEEP THEM COMING? • No need for formal referral at point of access • Home visit AND/OR phone call prior to start of group • Close-to-home family-friendly setting (not clinic) • Informal multi-pronged support from ANY/ALL practitioners involved with family (as appropriate to agency) - able to offer back-up • Parents see it as a session which entertains chidren • No pressure for parents to ‘perform’ • Weekly contact with workers builds confidence ‘Service Resistant’ operationalised as: • Involvement with Social Services AND/OR • Previously discharged from another service for failing to attend (Home Office Development & Practice Report 15, 2004)

  6. CROSS-AGENCY STRUCTURE Social Services School Nurseries Family Centre Workers Classroom Assistants Family Centres Manager Head Teacher Speech & Language Therapy Therapist & SLTAs Head of Centre Health Visitor Lead Primary Care Trust Children's Centres Nursery Nurses Nursery Nurses

  7. WHO DOES WHAT & WITH WHAT? Meeting mutual targets; doing what you do better; adding value! HOST SETTING PROVIDES: SPEECH & LANGUAGE THERAPIST PROVIDES: • Accommodation • 2 group facilitators • Contact support for families (depending upon nature of host agency remit) Format & documentation, training, consultation, liaison & referral routes to Speech & Language Therapy, Child Development Team, and other services TIME = 2 people x 2 hours per week as part of core duties Core duty in early inter-vention specialist role

  8. FUNDING Social Services School Nurseries from existing resources! Speech & Language Therapy Sure Start Pump-Priming Primary Care Trust Children's Centres

  9. RESEARCH QUESTIONS • Does CK Reach hard-to-reach families? • What difficulties are we identifying? • Does it create a bridge to mainstream services? • Does it lead to accurate identification of need for specialised services? • How do different modes of delivery compare?

  10. DOES CHATTERKIDS REACH THE HARD TO REACH?

  11. NEEDS IDENTIFIED BY CHATTERKIDS ‘DIAGNOSIS’

  12. WERE WE ACCURATE? Validation By Second Opinion:

  13. WHAT NEXT? • Children’s Centre Speech & Language Team posts to be mainstreamed to PCT (business case application has been solicited by Trust) • Develop network and mentoring for workers • Finalise Chatterkids Toolkit • Roll out to new Children’s Centres to cover whole borough (currently available in half) • Ensure balance of host settings to maximise access • Full integration with SLT clinical services

  14. WANT TO TRY THIS AT HOME?Further Details & Help From: • Beryl Hylton Downing, SLT Co-ordinator, Gateshead Children’s Centres • Tel: 0191 433 5577 (Children’s Centre) • Email: BerylHyltonDowning@Gateshead.Gov.UK • Andrea Herron, Family Centre Worker, Gateshead Council • Email: AndreaHerron@Gateshead.Gov.UK .…. We’d be delighted to hear from you!

  15. BABY BITES! COMMUNICATING COMMUNICATION TO NEW PARENTS Message in a feeder cup? An easy-to-do one-off session to help parents solve some everyday conundrums in life with baby. Developed by: Jane Flinn & Sasha Ban, Health Visitors, & Beryl Hylton Downing, Speech & Language Therapist

  16. PERSONAL:People looking for people • Parent and baby anxious to get to grips with mealtimes seeks help from experienced others for one-off session or occasional get-togethers • Health Visitor/Community Practitioner on a mission, G.S.O.H., own bowl & feeding spoon, seeks others with health needs. Enjoys home cooking and good company. • Nursery/Community Café Cook - a whiz at blending - w.l.t.m. others interested in nutrition. • Speech & Language Therapist, failed ‘stand-up’, own bib and hat, seeks others who share interest good food good conversation and laughter. Age no barrier.

  17. Baby Beryl with ‘Mum’

  18. ROLE PLAY: Parents invited to give advice to ‘mother’ in following feeding scenarios: • Mum is having a conversation with friend while feeding baby - no attention or eye-contact - baby cries. • Mum puts on video to amuse baby while feeding - baby distracted - missed opportunity for communication. • Baby is playing with toys on high chair tray - not interested in food or Mum’s chat. • Mum feeds silently. Baby loses interest and cries. • Mum keeps up constant chatter, no opportunity for baby to respond. • Mum in a hurry, feeds too fast, not picking up cues - baby chokes. and finally ...

  19. The Perfect Mealtime ….. • Mum is attentive, attuned, minimises distractions, times feeding well, has a conversation with baby taking turns to talk and listen, is relaxed and is obviously taking pleasure in the experience. • Parents are asked “What was different this time?” and “Did you hear any speech sounds?” • We ask parents’ ideas of ‘the perfect meal’ and relate these to how babies like to be fed • All noted on flip-chart and parents sent home with lots of goodies including Talk to Your Baby Quick Tips and invitation to contact if worried

  20. TRY THIS ONE AT HOME? See Talk To Your Baby website for further details, or contact: • Beryl Hylton Downing, SLT Co-ordinator, Gateshead Children’s Centres • Tel: 0191 433 5577 (Children’s Centre) • Email: BerylHyltonDowning@Gateshead.Gov.UK

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