Dáil Éireann Debate, Tuesday - 20 September 2022
336. Deputy Carol Nolan asked the Minister for Education if there are plans to draw up a fully-costed plan for the provision of therapeutic supports within schools; and if she will make a statement on the matter. [45704/22]
View answerThe School Inclusion Model (SIM) is based on policy advice from the National Council for Special Education based on the principle of providing the right support at the right time delivered by a range of personnel with relevant qualifications and skill-sets. Its purpose is to help students achieve better outcomes. Independent evaluation is a central part of the project and the outcome will inform future policy on extending the SIM. The project includes a number of elements:
- Provision of in-school therapies (speech and language, occupational)
- Allocation of SNAs on a frontloaded basis
- Training of SNAs
A demonstration project to provide in-school and pre-school therapy services took place over the course of the 2018/19 school year. The project was developed by the Department, the Department of Children, Equality, Disability, Integration and Youth, Department of Health, and the Health Service Executive and managed and co-ordinated by the National Council for Special Education (NCSE).
The purpose of the project was to test a model of tailored therapeutic supports by providing speech and language and occupational therapy within ‘educational settings’. This innovative pilot complemented existing HSE funded provision of essential therapy services.
The project took place in the Health Service Executive (HSE) Community Healthcare Organisation (CHO) 7 Region of South West Dublin, Kildare and West Wicklow. 75 schools (of which includes 22 schools that are in the DEIS programme), including a representative sample of primary, post-primary, and special schools took part. 75 pre-school settings associated with primary schools participating in the project were included. In total 150 settings participated in the demonstration project. Children who require speech and language therapy services on a one-to-one basis continue to access services from the Health Service Executive. The in-school therapy model was designed to supplement, not to replace existing services. The aim of the Demonstration Project was to design a therapeutic support model for the school setting that would lead to better outcomes for the children. It involved the development of a continuum of support, specialist, targeted and universal supports, in line with best practice for students.
The project was evaluated over the course of the 2018/19 school year and this was positively evaluated.
In February 2019, the Government approved the trialling of the Model for the 2019/20 school year. Initially designed as a one year pilot involving up to 75 participating schools in the CH07 region, it was interrupted by Covid-19 with the closure of schools and the diversion of HSE therapists from the project to Covid-19 related work. It was then extended to the 2020/21 school year which has also been interrupted by Covid-19. Progress has been made on aspects of the Model but much remains to be done in terms of in-school implementation and evaluation.
The Pilot has now recommenced in CHO7 and therapists are working within these schools and are providing ongoing support on a responsive basis to deliver therapy-based strategies and tools. Overall there is good engagement by the schools in CHO7. Planning for an expansion is underway. The Department is consulting with relevant Departments including Taoiseach, Heath and Children.
In relation to psychological therapeutic supports, the provision of child and adolescent mental health services lies specifically within the remit of the Department of Health and the HSE. HSE Primary Care Psychology Services and Child and Adolescent Mental Health Services (CAMHS) provide a range of clinical support to children and young people with mental health needs. However, the Department of Education also plays an important role in supporting the wellbeing and mental health of our young people. The Department’s Wellbeing Policy and Framework for practice has given recognition to the importance of promoting wellbeing in education. The approach set out in the Wellbeing Policy is a whole school and preventative approach which has multiple components that include providing children and young people with opportunities to build core social and emotional skills and competencies, experience supportive relationships within the school setting and be part of a school environment and culture that feels both physically and psychologically safe.
It is important that all children and young people feel a sense of belonging and connectedness, that their voice is heard, and they feel supported. Schools are encouraged to use a reflective, school self-evaluation approach to identify and prioritise the needs of its own school community in relation to the promotion of wellbeing and mental health, and to respond to meeting those needs. Embedded in the whole-school approach is the recognition that members of the school community may have different needs at different times and that a continuum of support in relation to wellbeing should be made available.
A broad range of supports, resources and professional learning opportunities are being provided to support schools to promote and support wellbeing and resilience. My Department's National Educational Psychological Service (NEPS) provides a comprehensive psychological service to all primary and post primary schools. NEPS is a school-based service which means that all its psychologists work in schools with children, young people, teachers and parents, and are involved with school-related work, every day. The NEPS psychologist provides a range of services that may include supporting the wellbeing and inclusion of an individual pupil, through assessment and intervention. NEPS supports approximately 8000 individual children annually through this type of work. NEPS work also supports teachers in their work through providing professional learning opportunities, such as about trauma informed approaches, supporting autistic children, or delivering the Friends for Life programmes to help reduce anxiety. NEPS supports an estimated 25,000 teachers annually in this way.
The Department – through NEPS, Student Support Teams, Guidance Counsellors and other services - will also continue to signpost schools and students to the HSE/HSE-funded e-mental health services. The Department has built strong links with the Department of Health and both Departments are exploring ways to improve supports for young people, including around increased awareness, promoting help-seeking behaviour and sign-posting to the wide range of available services.
