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)
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)
Working with colleagues to finalise report on psychologists experiences of AON PTA
— Mark Smyth (@psychpolis) January 17, 2021
Prelim findings are conclusive & stark but not unexpected
\u27a1\ufe0fDoes not meet children's needs
\u27a1\ufe0fIs not fit for purpose
\u27a1\ufe0fWill result in longer intervention W/L
\u27a1\ufe0fShould be suspended immediately pic.twitter.com/7nP59B4hLP
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)
Function is more important than diagnosis, but in our system diagnoses get you support.
(4/n)
In many parts of the country, including Dublin, this almost never happens.
91% of children do not get their assessments on time. (5/n)
https://t.co/LQseHEWj3u
In Jan 2020, the HSE produced a new Standard Operating Procedure for AoN.
It reduces the previous assessment involving multiple professionals to a single assessment lasting a maximum of 90 minutes, regardless of the child's needs. (6/n)
This is left for community disability teams, whose assessments are not subject to legal time limits (so the HSE cannot be sued).
https://t.co/zp5pgO0AHV
Instead, the HSE have reduced the AoN to a meaningless box ticking exercise which children must go through before being moved to another waiting list with no legal time limit. (9/n)
It is apparently more important that statutory obligations are "met" on paper than that children's needs are actually met in real life.
This is a State apology in waiting.
More from For later read
As we see it, there are 3 recent theories that hit on important aspects of the divergence...
1/
New CEPR Discussion Paper - DP15802
— CEPR (@cepr_org) February 14, 2021
Culture, Institutions & the Long Divergence@albertobisin @nyuniversity, Jared Rubin @jaredcrubin @ChapmanU, Avner Seror @SerorAvner @amseaixmars @univamu, Thierry Verdier @PSEinfohttps://t.co/lhs6AJb7jE#CEPR_DE, #CEPR_EH, #CEPR_ITRE pic.twitter.com/FtMzAELljJ
One set of theories focus on the legitimating power of Islam (Rubin, @prof_ahmetkuru, Platteau). This gave religious clerics greater power, which pulled political resources away form those encouraging economic development
But these theories leave some questions unanswered...
2/
Religious legitimacy is only effective if people
care what religious authorities dictate. Given the economic consequences, why do people remain religious, and thereby render religious legitimacy effective? Is religiosity a cause or a consequence of institutional arrangements?
3/
Another set of theories focus on the religious proscriptions of Islam, particular those associated with Islamic law (@timurkuran). These laws were appropriate for the setting they formed but had unforeseeable consequences and failed to change as economic circumstances changed
4/
There are unaddressed questions here, too
Muslim rulers must have understood that Islamic law carried proscriptions that hampered economic development. Why, then, did they continue to use Islamic institutions (like courts) that promoted inefficiencies?
5/
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