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Change for children with language and communication needs: creating sustainable integrated services

Marie Gascoigne Associates Ltd, UK, mgascoigne{at}aol.com

This paper takes a `whole system' view of the opportunities and challenges presented to those working to achieve better outcomes for children. Collaboration will be considered from a multi-layered perspective, taking into account practitioner, operational, strategic and national levels of collaboration and the factors which have been identified to be of relevance to outcomes. Policy and legislation will be summarized as applied to the delivery of effective services for children with speech, language and communication needs. The paper will then explore models which are emerging or in development within the new structures resulting from the policy agenda over the past decade. The aim is to provide examples and discussion of novel systems. Consequently the paper does not present retrospective data in terms of evaluation of models as this will require a longitudinal approach as the new structures unfold.

Key Words: collaboration • integrated children's services • policy • service design • speech • language and communication needs

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