Dolfrog-good point. Many teachers have no training in this filed which should be definition attract the brightest, and most analytical, as it is so challenging.
Star, yes, it's about control.
In defnece of lEAs and PCTs i think it is important to remember that for every paretns who is switched on like you lot, spending hours reading, researchnig and working with their children, there are 99 who fail to turn up to appointments, do not carry out simple tasks requested of them by physios, OTs, s/lts and so on. They either can't be arsed or exp[ect someone to di it for them, Naturally this gives them a somewhat jaundiced view of parental 'engagement' to use one of the dreadful buzzwords in vogue.
What can you do? One or a combination of the below:
- Cut your losses and move away or opt out of state provision
- Follow complaint and litigation procedures throguh to the bitter end (if you have an iron will and a heart of concrete)
- Work on not only your own child but systemic change. Get onto boards and school councils and PTAs and those sorts of things and lobby furiously-if you have the energy
- Continue at every stage to firmly but courteously ask for quantifiable evidence. Ask for or announce that you will be perusing their professional guidelines as you know that all the professionals involved in your child's care have a professional responsibility to pursue evidence based practice.
Stuff like what follows is useful-taken from professional guidelines.
'Evidence-based practice can be described as: the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients? (and) means integrating individual clinical expertise with the best available external clinical evidence from systematic research. (Sackett et al., 1996).
The RCSLT recognises the need for more work in this area (Communicating Quality 5.3.6, 9.2.3 2006). Additionally, it recognises the need for SALTs to access regular professional support and expertise from outside the profession (Communicating Quality 9.5.2, 5.3.3, 2006).
In 2008, the RCSLT stated that: knowledge of research and evaluation plays an essential role in the quality of healthcare. Increased involvement with research institutions is central to improving the evidence base for speech and language therapy in view of the fact that many SALTs have insufficient experience in or knowledge of research methods, evaluating evidence, and incorporating evidence into practice.
There is recognition that within the profession there is insufficient attention to and development of evidence-based practice (The Bercow Report 3.17, 3.45, 3.76, 3.77, 3.78, 3.79, 2009, Resource Manuals for Commissioning and Planning Services for SLCN, RCSLT, 2009, The Darzi Report, 2008). The Cochrane Review (Law & Nye, 2003) concluded that there was an insufficient evidence base for most speech and language therapy interventions used with children with language delays and/or disorders. The most recent edition of the International Journal of Language and Communication Disorders carries a research report into the culture endemic amongst SALTs of using traditional intervention methods over evidence-based practice and considers the perceived barriers to its implementation. Therapists interviewed cite several reasons for the present situation, including lack of support by management and a reluctance by colleagues to work as a team in implementing evidence-based practice.
Following its publication, the Department for Children, Schools and Families conceded also that very few PCTs collect data on efficacy of therapeutic interventions and highlighted the lack of cohesion both across the board and the United Kingdom. It stated that: the existing research literature is insufficient to act as a base for a robust estimation of the costs and benefits of investment in services for children with SL&CN. Far more research is required to understand for whom and under what circumstances treatment is effective.