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Dáil Éireann debate -
Thursday, 13 Apr 2000

Vol. 518 No. 2

Adjournment Debate. - Speech Therapy Service.

I thank the Chair for giving me the opportunity to raise this issue. I raise it because Roscommon is the only county in the Western Health Board region which does not have a language unit. I previously raised this issue with the former Minister last summer, but he failed to act.

There are language units in every county in the Midland and North Eastern Health Board regions. County Westmeath has three units, County Meath has three units and County Louth has two units. Counties Galway and Mayo in the Western Health Board region are getting additional units, but children from County Roscommon are left with no service.

Approximately 70 children of school going age in County Roscommon are known to have a specific language disorder, or dyspraxia Some pre-school children also have similar disorders. Many of these children are in mainstream schools and receive speech and language therapy in community service clinics. Most are seen approximately once per fortnight if they are lucky, that is if the health board is able to employ a speech therapist to provide such a service. Currently in the county there are a number of vacant speech therapy posts which remain unfilled due to the poor salaries and small number of therapists graduating from Trinity College. Currently, St. Michael's special school in Castlerea and St. Hilda's special school in Athlone are without speech therapists. Does the Minister believe this is acceptable? Because these children cannot shout for themselves, should their cries for help go unheard? The board has further vacancies which remain unfilled.

There is chaos within the health service nationally in relation to the lack of speech therapy services, but this is magnified in counties such as Roscommon. The Minister must immediately review the pay scales of speech therapists. For example, a speech therapist working in a language unit would most probably be on a lower pay scale than that of the teacher in the unit. Is it equitable that while teachers finish at 3 o'clock, speech therapists must continue to work in the community after that time?

There is an urgent need for the establishment of a second degree course in speech therapy. I urge the Minister, in conjunction with the Department of Education and Science, to immediately establish such a school at NUI Galway.

In the longer-term funding must be provided within the next 12 months for a proper language unit in County Roscommon. The geography of the county makes it imperative that two language units are provided, one in the southern and one in the northern part of the county. Children from Roscommon are receiving speech therapy in language units in Counties Galway, Mayo and Westmeath. Why can they not be provided with a service in their own county? The lack of resources for speech therapy is creating serious problems in Roscommon. The available therapists are required to travel unacceptable distances to various clinics and children suffer as a result. We need resources for additional speech therapists locally. We need the provision of two language units and a guarantee that a service will be provided for children in special schools and at local health centres. The provision of language centres in the county would allow children to receive therapy as part of their mainstream edu cation. Is this too much to ask in an economy which is awash with money?

Language units have been seen as successful in many parts of the country, yet Roscommon is only one of three counties with no unit. It is unacceptable that children should receive a second class service because of where they reside. I urge the Minister to immediately approve funding for two language units for County Roscommon.

On behalf of my colleague, the Minister for Health and Children, I am pleased to have this opportunity to clarify the matter of the provision of services, including speech and language therapy services, for children with physical and sensory disabilities.

In the first instance, I must make it clear that the provision of services such as speech and language therapy for children and adults with physical and sensory disabilities is solely the responsibility of the relevant health board, the Western Health Board in the case raised by Deputy Naughten. The Department provides funding to the health boards for the development of such services. Decisions as to the priorities for the allocation of such funding are taken by the health boards in consultation with their regional co-ordinating committees for physical and sensory disabilities. The voluntary sector and people with disabilities are represented on the co-ordinating committees.

A number of health boards, in co-operation with the Department of Education and Science, have developed speech and language therapy units attached to schools for children requiring intensive intervention. Typically, these units are developed so that six to eight children with specific language disorders who would not respond to conventional therapy are given a service on a daily basis over a period of two years after which, ideally, they would be reintegrated into the local primary school with a follow-up service provided by a community therapist.

An additional sum of £7 million ongoing Revenue funding has been provided for the development of services for people with physical and sensory disabilities this year. From this additional funding, the Western Health Board has been allocated a total of £697,000. While the provision of a language unit in County Roscommon has been identified by the co-ordinating committee as a requirement, it has not been prioritised for funding this year. A speech and language unit is currently being developed in Ballinasloe which will provide a service within a 25 mile radius, and some children from County Roscommon may fall within this catchment area.

I suggest that Deputy Naughten raise the issue with the local committee to try to have the matter prioritised.

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