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A thread on the Assessment of Need: the statutory process by which children whose parents have concerns about potential disability can be assessed.

The process has recently been changed by the HSE in a manner that is frankly appalling.

Explanation: (1/n)


Parents might apply for AoN for a child due to concerns about development- in my clinic, the commonest reason is queried autism.

Previously, the AoN involved a team (usually physio, OT, SLT, psychology) assessing a child to get insight into the nature of their difficulties (2/n)

The team conducted a series of assessments, usually taking several hours each, and produced a report giving a detailed analysis of how a child is doing, what the causes of their difficulties might be, suggesting a diagnosis if appropriate, and giving advice on next steps (3/n)

Based on this, a child might be entitled to additional support in the classroom or financial supports. Medical investigations for individual diagnoses could also be arranged.

Function is more important than diagnosis, but in our system diagnoses get you support.

(4/n)

Legally, the AoN must be completed within 6 months of referral.

In many parts of the country, including Dublin, this almost never happens.

91% of children do not get their assessments on time.