Speech and Language Care Pathway:

At the Dublin Adult and Child Therapy Centre, children are often referred for assessment when areas of need are seen in areas such as,

  • Understanding and following directions
  • Attention and listening
  • Word finding
  • Describing
  • Formulating sentences
  • Clarity of speech
  • Fluency
  • Constructing stories and narratives
  • Socializing with peers

Some of these children can have issues with literacy and learning, integrating with their peers and can sometimes feel overwhelmed at home and at school. In some instances these “communication” issues can develop into difficulties with confidence and behaviour, the child might withdraw or act out

At the Dublin Adult and Child Therapy Centre, speech and language assessment and therapy can be integral to helping children with attention, behaviour, social interaction, communication and confidence issues. People often believe that speech and language therapy is just for people who “stutter” or children who have a lisp.

The work of a speech and language therapist covers many more areas targeting language and communication as well as social difficulties, and behaviour issues.The speech and language intervention provided by the Dublin Adult and Child Centre aims to help and support people with communication difficulties by providing a streamlined assessment and therapy process that works not only directly on the person’s specific needs, but looks at their home, school or work environment. Intervention aims to empower and educate families, schools and staff living and working with people with difficulties communicating. Intervention not only includes 1:1 sessions, but group based sessions (where appropriate), home, school (or day centre) programs and training programs for parents, family and staff.

When a parent or person first notices difficulties in communication, it can be sometime daunting to seek out help or intervention. At the Dublin Adult and Child Centre we aim to make the process of assessment and intervention stress-free, simple, time-efficient and most importantly effective.

Parent observes difficulties in language, communication, interaction, speech and/or behaviour and contacts clinic with concerns

Intake Meeting

Depending on child’s needs an parental intake meeting will be scheduled with one of the clinic’s psychologists to devise a comprehensive and holistic plan

Initial Speech and Language Therapy Meeting

If the child’s needs are very specific to the speech and language domain, i.e. speech clarity, an initial 30-minute meeting will be scheduled with the speech and language therapist to discuss an assessment/therapy plan moving forward.


Depending on the outcome of the intake/SLT meeting an assessment/screen may be recommended to allow the Speech and Language Therapist determine the specific areas of strength and need from a communication and language point of view.

In some instances, i.e. where an assessment has been conducted previously an assessment/screen may not be warranted and intervention may be immediately recommended.


A report of the assessment/screen will follow the assessment along with feedback from the Speech and Language Therapist (face – to – face meeting/phone call).   Recommendations will be given and an intervention plans if needed.

1:1 Intervention

Based on the assessment and report recommendations a block of therapy (4/6/ongoing) 1:1 therapy may be recommended to work on the areas of need identified. Goals and targets will be identified to be worked on in the child’s “Speech and Language Program”

No intervention needed

Based on the assessment and report recommendations group therapy may be recommended to work on areas of need in a group (i.e. social skills). Group Therapy may be recommended in combination with 1:1 therapy. Goals and targets will be identified at the outset of the group

Home/School Program

Both Home and School Programs will compliment Therapy.

Carry Over Programe

This program will carry over from Group Therapy and will compliment what has been done in the Group Therapy.

Review and Further Recommendations

Following a block of intervention a review will be scheduled to determine progress and make further recommendations

  • Discharge
  • Training (family/staff)
  • Further intervention

Break and another review