Previously, the AoN involved a team (usually physio, OT, SLT, psychology) assessing a child to get insight into the nature of their difficulties (2/n)
A thread on the Assessment of Need: the statutory process by which children whose parents have concerns about potential disability can be assessed.
The process has recently been changed by the HSE in a manner that is frankly appalling.
Explanation: (1/n)
Working with colleagues to finalise report on psychologists experiences of AON PTA
— Mark Smyth (@psychpolis) January 17, 2021
Prelim findings are conclusive & stark but not unexpected
\u27a1\ufe0fDoes not meet children's needs
\u27a1\ufe0fIs not fit for purpose
\u27a1\ufe0fWill result in longer intervention W/L
\u27a1\ufe0fShould be suspended immediately pic.twitter.com/7nP59B4hLP
Previously, the AoN involved a team (usually physio, OT, SLT, psychology) assessing a child to get insight into the nature of their difficulties (2/n)
Function is more important than diagnosis, but in our system diagnoses get you support.
(4/n)
In many parts of the country, including Dublin, this almost never happens.
91% of children do not get their assessments on time. (5/n)
https://t.co/LQseHEWj3u
In Jan 2020, the HSE produced a new Standard Operating Procedure for AoN.
It reduces the previous assessment involving multiple professionals to a single assessment lasting a maximum of 90 minutes, regardless of the child's needs. (6/n)
This is left for community disability teams, whose assessments are not subject to legal time limits (so the HSE cannot be sued).
https://t.co/zp5pgO0AHV
Instead, the HSE have reduced the AoN to a meaningless box ticking exercise which children must go through before being moved to another waiting list with no legal time limit. (9/n)
It is apparently more important that statutory obligations are "met" on paper than that children's needs are actually met in real life.
This is a State apology in waiting.
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