Swallowing Awareness Day 17th March 2021

Today is swallowing awareness day. This is a day designed to recognise the difficulties children and adults with swallowing difficulties have on a daily basis and to raise awareness.

Additional to all the work Speech and Language Therapists do around communication skills and development, we also work with children and young people who have eating, drinking and swallowing difficulties. The medical word for this is ‘Dysphagia’. Some children may find it difficult to chew, manage food/fluid in their mouths and swallow safely. Swallowing safely requires the use of a number of muscles, structures, senses and messages from the brain to ensure the food/fluid goes the right way when we swallow. It’s a complicated process that many of us take for granted.

Did you know that people swallow approximately 900 times a day, about once per minute whilst we are awake? Each swallow uses 26 muscles. And surprisingly people also swallow about 3 times an hour even when they are sleeping!

Some common signs that eating, drinking or swallowing are difficult during meals are; coughing, gagging, watery eyes, change of colour, wet voice or breath sounds, frequent chest infections and effort to swallow.

Speech and Language Therapy can help children with these difficulties, get in touch if you have concerns.

Sign Language Week 15th-21st March 2021

Happy Sign Language Week from the Hackney Speech and Language Therapy Team! Here’s Martina, our specialist in Deafness explaining her role in Hackney. Martina also explains why we celebrate Sign Language Week in March. If you don’t understand sign, you can add the subtitles by clicking on the CC button. 

Though British Sign Language (BSL) was recognised as an official language back in 2003, there’s still more work to be done in order for the language to have legal status. Legal status would encourage the creation of more inclusive action plans across the UK, to promote, protect and safeguard the language, culture and people within the d/Deaf community.

Engage a little more: Check out this very cool story from Chris Fonseca about BSL and his deaf identity: 

Or here you can see some deaf poetry from Zoe McWhinney, with a really thought-provoking piece called ‘Illegitimacy’, 10 mins in:

Learn:

Do you want to learn British Sign Language? Check out this Deaf-led organisation in London called ‘Remark!’ They have brilliant deaf instructors, teaching all levels: Learn BSL – Remark! 

Perhaps you’d like to download an app to learn a few signs. We recommend these: 

BSL Alphabet  https://www.signsolutions.uk.com/elearning/bsl-alphabet-app/ 

Sign BSL https://play.google.com/store/apps/details?id=com.signbsl.signbsl&hl=en_GB 

BSL Fingerspelling https://apps.apple.com/gb/app/british-sign-language-finger/id389417770

Telepractice and Digital Technologies in Speech and Language Therapy

It was the European Day of Speech and Language Therapy on the 6th March 2021. The theme for this year was Telepractice and Digital Technologies within Speech and Language Therapy.

When the national lockdown began in March 2020, our Hackney SLT team began a careful but swift transition to offering remote services. This involved enlisting a team of teletherapy ‘champions’, creating a webinar series, negotiating with our NHS Trust on use of different platforms, developing and analysing a team survey on our adaptation to virtual practice and setting up a new service delivery approach for virtual sessions.                                      

We continued to work on this aspect of our service through the summer and autumn terms, so were in a position in January to be able to roll out a whole series of virtual group therapy sessions this spring from Shape Coding™ to Zones of Regulation™ to DLD and Me™. We received referrals for 99 children and were able to offer places to 60 across 29 schools, while the remaining children joined a waiting list. Twenty of our SLTs facilitated the groups and were aided by eight student SLTs on placement. Each group involved a careful screening process followed by a 6-12 week block of weekly group therapy.

Positives of running the groups included being able to work with children and young people from multiple settings, parents and family members having an easy opportunity to get involved in therapy, and opportunities for newly qualified SLTs to shadow more experienced colleagues. Challenges included getting to grips with the various platforms and newly acquired tech skills, and dealing with the logistics of group members being both in settings and at home.

We’ve had some really positive parent feedback, for example:

-Parent describing a young person’s response to a virtual DLD and Me group.

We are excited about the continuing development of this new branch of our service, and look forward to exploring ways to best integrate virtual sessions within our existing clinical pathways and service delivery models.

By Speech and Language Therapists Jenny Ray, Lydia Kijowska, Maya Dytch, Frances White and Caroline McCallum.

Children’s Mental Health Awareness Week 1st-7th February 2021

It’s Children’s Mental Health Week from 1st – 7th February.

There are strong links between speech, language and communication skills and mental health.  Communication skills are important for our general well-being and mental health.  If a child or young person struggles to communicate this can affect their quality of life, and impact on their mood and emotions.  Good communication skills are a protective factor against mental health difficulties.

If you are concerned about your child’s speech, language and communication it’s important to seek help early.  This can be through contacting Speech and Language Therapy directly or talking with the Special Educational Needs Co-ordinator for your child’s school.

There are also ways you can support your child to develop their ability to understand and talk about their emotions.  Some top tips include:

  • When you read books or watch a TV programme or film talk about how characters may be feeling.  For example, ‘how do you think X feels? I think he might be feeling worried’.  Draw attention to clues that help you work out how the character is feeling such as their facial expression, what they say or the situation.
  • Help your child to put their feelings into words.  For example, ‘I wonder if you are feeling a bit excited right now’
  • Support your child to extend their use of specific emotion words.  For example, ‘were you feeling sad or disappointed?’
  • Acknowledge your child’s feelings even if you may not agree.  For example, ‘I can see you are feeling angry about this’

The Anna Freud National Centre for Children and Families have produced a short video called ‘We All Have Mental Health’ to help explain mental health to young people:

The Anna Freud National Centre for Children and Families also have a range of useful resources for parents, professionals as well as children and young people.  The ‘Child in Mind’ series contains podcasts to help parents understand and manage various child and family mental health problems:  https://www.annafreud.org/parents-and-carers/child-in-mind/

Holiday Countdown Calendar

The Hackney Speech and Language Therapy team has created a Holiday Countdown Calendar to help your child understand how long the holiday lasts for and when they need to go back to school. It can help prepare your child for starting school again and settle back in to the school routine. You can download the calendar here.

Happy Holidays!

Stammering Awareness Day – Thursday 22nd October

by Jo Lester, Locality Manager (North) and Clinical Lead Specialist Speech and Language Therapist for Children and Young People who stammer in Hackney & The City

Today is International Stammering Awareness Day! I always remind people why sea green is the associated colour: Michael Sugarman the Founder says: “The colour ‘blue’ has traditionally been associated with calm while ‘green’ represents liberty, freedom and justice. The combination of these colours for People who Stutter shows the bond between ‘peace’ and ‘liberation’ when finding support and community with other people who understand and share their experiences. These are reflected in the Bill of Rights and Responsibilities of People who Stutter (link to ISA website)

Here are some things you can do to mark the day:

  • Wear sea green!
  • Watch some brilliant videos of adults who stammer talking about their stammer in the context of their work/job here.
  • Read some blogs, poems and other interesting observations by people who stammer and share with others here.
  • Watch this video of Erin Stoner a pupil performing an AMAZING poem about her experience of having a stammer:
  • Watch this Ted Talk by Singer Megan Washington:.
  • Check out interesting events which you can sign up to here.

Finally, Children’s Integrated Speech and Language Therapy Service for Hackney and the City are delighted to be collaborating with the Michael Palin Centre for Stammering in a feasibility study of a 10-week therapy programme for children aged 8-14 and their parents, called Palin Stammering Therapy for School Children (Palin STSC 8-14). Helping children to be more confident communicators is the main goal. To achieve this, the therapy focuses on three areas: building communication skills; finding ways to manage unhelpful thoughts and emotions; and, speech tools to reduce struggle when speaking. Watch this space!

Happy Stammering Awareness Day everyone!

DLD Awareness Day – 16th October 2020

by Anna Sowerbutts, Highly Specialist Speech and Language Therapist in Hackney & The City

This Friday, 16th October, marks International DLD Awareness Day, when our Speech and Language Therapists, along with those working with children and young people with DLD across the world, will be working to raise awareness of this little-known condition.

DLD – or Developmental Language Disorder – affects around 7% of children, which is around 2 children in every class of 30. DLD is a lifelong condition, affecting understanding and using language. Children and young people with DLD often have difficulties with literacy and learning, and it can also impact on their ability to form and maintain friendships and their emotional well-being.

As we’ve all been getting used to wearing masks this year, we wanted to make a film to highlight that DLD is a hidden condition, which not many people have heard about. Watch our film – ‘DLD Unmasked’ here.

Want to know more about DLD and how you can support the children and young people you work with? We are running CPD sessions for school and setting staff on DLD Awareness Day (Friday 16th October) at 1pm and 4pm. You can contact us to access the sessions live, or watch a recording here afterwards.

You can also find out more information about DLD by speaking to your Link SaLT or contacting us via the website

Back to school support

Over the next two weeks many children will be returning to school for the first time in over five months. Starting a new school year can present challenges at any time but this year children will need to adjust to new safety routines and procedures that schools have worked hard to introduce in response to the government guidelines. Here below are some links to resources that parents might find useful to support their children during this time of transition:

Widgit have produced a free toolkit to help parents support their children returning to school. The pack includes: social stories to help reduce anxiety and prepare children for changes in routine; planners, checklists and reward charts to support structure, routine, behaviour and independence; emotional and well-being supports to help children talk about how they are feeling, and a maths mat and science experiment to ease children back into curriculum learning. You can download the free pack here.

Earlier this summer a useful series of free webinars about preparing children for returning to school was produced by Schudio. The webinars were developed by an autism specialist, but relevant for all children. The webinar include clear explanations about explains how teachers and parents can support transition with some very practical tips and resources. You can access the webinars here