Identifying needs
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Emma's diagnosis2:15Ruth talks about her feelings when her daughter's severe disabilities were diagnosed.
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Premature birth1:33Harvey's father talks about how his twins, Harvey and Lydia, survived birth at 25 weeks.
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About Marley1:41Marley's mother talks about the many disabilities her adoptive son has suffered.
The initial period of finding out about a child’s disability is normally
a highly stressful time for parents. They may be bewildered by what they are being
told by professionals, and have little or no knowledge of what support they and their
child are entitled to. Yet the earlier that a child with disabilities and SEN has access to appropriate support, the better the long
term outcomes are
likely to be.
Legislation may enable provision for identifying and meeting needs to be made, but
in 'real life' there are many reasons that things may not be straightforward. Inconsistency
between authorities and service providers may mean that while a child has certain
legal rights, these may not have been exercised as early as would be desired.
to children
Children with disabilities do not represent a distinct category within legislation and, therefore, are affected by:
- Children's and education statutes; and
- Disability statutes (that apply to adults as well as children).
For a reference list of the key statutes relating to children read UK Child Care Legislation.
Following identification of a child's disability, the main contact for most parents
is with medical and health professionals, although they also may already have contact
with a social worker. Health services, typically through a health visitor, ensure
that local authority children’s services are alerted, since it is that department
that has a legal duty to provide services.
The legal framework for the majority of children's services lies within the Children Act 1989 and the Chronically Sick and Disabled Persons Act 1970. However, other
relevant legislation will be identified within this module.
Regulations and guidance made under these Acts outline the procedures and processes for assessing the needs of children and providing services to meet those needs.
Emerging needs
At the beginning of this section, you heard Marley's mother, Janice, talk about
her son.
In addition to his early disabilities, when Marley was three he had a stroke. Find
out the answers to
these questions:
- At that point, who would be supporting Marley's parents?
- Who would take the lead in reviewing his needs and entitlements?
- What changes in provision would you expect after Marley had a stroke?
- Where would these be recorded?
Some suggestions
Health and medical services are normally the main contacts for families in this
situation, and the health visitor role is central to good co-ordination of services.
A limited number of disabled pre-school children have a social worker as the lead
person co-ordinating assessments and services.
Following such a significant event as a stroke it would be reasonable to expect that
a full reassessment of the needs of the child and their family would be conducted,
with appropriate changes to provision in response to newly identified needs.
Marley's stroke led to the onset of epilepsy which required him to take medication
to control his seizures.This, along with any additional support (such as home adaptations
or respite care), would be recorded within Marley's care plan.
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