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
I should mention, this is why I keep talking about this. Because I know so many people who legally CAN'T.
How do I know they have NDAs, if they can't talk legally about them? Because they trusted me with their secrets... after I said something. That's how they knew I was safe.
Some of the people who have reached out to me privately have been sitting with the pain of what happened to them and the regret that they signed for YEARS. But at the time, it didn't seem like they had any other option BUT to sign.
I do not blame *anyone* for signing an NDA, especially when it's attached to a financial lifeline. When you feel like your family's wellbeing is at stake, you'll do anything -- even sign away your own voice -- to provide for them. That's not a "choice"; that's survival.
And yes, many of the people whose stories I now know were pressured into signing an NDA by my husband's ex-employer. Some of whom I *never* would have guessed. People I thought "left well." Turns out, they've just been *very* good at abiding by the terms of their NDA.
(And others who have reached out had similar experiences with other Christian orgs. Turns out abuse, and the use of NDAs to cover up that abuse, is rampant in a LOT of places.)
How do I know they have NDAs, if they can't talk legally about them? Because they trusted me with their secrets... after I said something. That's how they knew I was safe.
And if the environment at the org was toxic or abusive, it is not uncommon to not realize the extent of that toxicity/abuse until after you're out. But by the time you realize that you signed under duress and presumed good faith where none existed, you're out of options.
— Lauren Thoman (@LaurenThoman) February 16, 2021
Some of the people who have reached out to me privately have been sitting with the pain of what happened to them and the regret that they signed for YEARS. But at the time, it didn't seem like they had any other option BUT to sign.
I do not blame *anyone* for signing an NDA, especially when it's attached to a financial lifeline. When you feel like your family's wellbeing is at stake, you'll do anything -- even sign away your own voice -- to provide for them. That's not a "choice"; that's survival.
And yes, many of the people whose stories I now know were pressured into signing an NDA by my husband's ex-employer. Some of whom I *never* would have guessed. People I thought "left well." Turns out, they've just been *very* good at abiding by the terms of their NDA.
(And others who have reached out had similar experiences with other Christian orgs. Turns out abuse, and the use of NDAs to cover up that abuse, is rampant in a LOT of places.)
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