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Column ‘Therapists are told to prescribe the cheapest equipment’

Ahead of a planned Dáil protest today, mother Lorraine Dempsey describes the daily struggle faced by parents of children with special needs.

Parents, teachers and campaign groups will mass at the gates of Leinster House this afternoon to protest against cuts in the number of Special Needs Assistants in schools.

Here one mother, Lorraine Dempsey, describes her own struggle – and why the cutbacks are hurting everybody.

PREGNANCY CAN BE a time of worry for some, but few can really imagine what it is to have a child with disabilities until it actually happens.

All thoughts of coffee mornings and carefree shopping for cute little outfits can get jettisoned out the window and replaced with a diary full of medical appointments, therapy sessions and moments where you are plunged into a very dark place instead of experiencing all the joy that a new baby normally brings. Parenting soon becomes more akin to being a healthcare professional. Family life can easily be consumed by the needs of one child, and getting those needs met can be more of a battle than most people would anticipate.

Some children, like my own, are born critically ill and have to fight to survive from the outset. Others may have disabilities that only become apparent as the child grows older. Perverse as it may sound, I count myself lucky that my child has a physical disability that fits neatly into a box on HSE and Social Welfare forms, meets all the criteria for Special Needs Assistant (SNA) support in school and is unambiguous in definition. This was the key to my child accessing services and supports without ever encountering any real difficulties. That is, of course, until the recession hit.

As fiscal policy was debated on a nightly basis on TV and radio, I wondered ‘How will this impact on my child?’

‘At least my child still gets therapy’

When the first signs of austerity crept into HSE equipment budgets, bright and child-friendly patterns were no longer allowed on children’s splints. Waiting for an adapted toilet seat now took eight months, and as the economy spiralled further out of control, you would not see sight of a new wheelchair within a year from applying. Now therapists are being told to prescribe the cheapest of equipment and not what might be the best or most cost effective long-term option for my child. But at least my child still gets therapy. This is all minor compared to the battles that I come across everyday with other families.

What I have learnt is that diagnosis is everything. A child with physical disabilities may not have the same struggle to access services and educational supports as a child with intellectual disabilities. Then there is Autism Spectrum Disorder, and children with no real diagnosis who are given a sophisticated label of Global Developmental Delay, which amounts to ‘There is obviously something wrong but we don’t have a name for it.’ These children are like the poor cousins who get thrown the scraps of the health service, and don’t fit neatly into any box on a form created by public or civil servants.

The struggle that these families have, in what claims to be a First World country, is nothing less than sinful. And it is not all down to the economic decline and budget deficits. Even in times of prosperity, services and supports were deeply lacking for this cohort. Divisions even within the HSE have led to ridiculous situations where children cannot get Occupational Therapy or Speech and Language from the Community Teams if they are attending Child and Adolescent Mental Health Services – who themselves often do not have a full team to provide these therapies due to the staff embargo and maternity leave (where therapy staff are not replaced).

‘Poorly funded and mismanaged’

We must work towards a model of special education that is right for Ireland, is recession-proof and works for all children. But without better integration between health and education, schools will be left high and dry when trying to cope without the supports that they have become accustomed to. It is hard to separate the influence of a poorly funded and mismanaged health system from the impact that it has in the special education system. How can we expect a teacher in a class of 32 to manage a pupil with behavioural difficulties arising out of a disability, if the child receives little or no intervention from qualified therapists to improve and manage their behavioural needs on an ongoing basis?

Which would be more cost-effective in the long term? A solid support system for schools and appropriate levels of therapeutic intervention for the child, or children growing up forever dependent on the State because they could not access education in a productive way? Of course, the other factors in terms of cost are parents themselves. Unemployment, marital breakdown and stress-related disorders are all too common among parents of children with special needs, because they continuously feel they have to fight ‘The System’ to get what their children require. Life revolves around sending the next email or letter demanding that something be done for their child.

Ireland cannot ride the wave of pride for hosting the Special Olympics forever. We need to aspire to building an equal and inclusive society where my child, and others, have some chance of becoming more than feel-good tokens. I’d rather my child becomes a productive citizen who has the opportunity to enrich our lives and contribute to the richness of diversity of society. That is what I and other parents are ultimately fighting for and that is what will ease the burden on the State’s empty pockets in the future.

Lorraine Dempsey’s career in nursing was cut short due to having a child with complex needs. She spent eleven months working as a volunteer with children with multiple disabilities in the Children’s Sunshine Home and is currently working in a voluntary capacity as Public Relations Officer and Spokesperson for the Special Needs Parents Association.

Read more: Parents to protest at Dáil over special needs cuts>

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6 Comments
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    Mute Seamus Donoghue
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    Aug 27th 2012, 4:56 PM

    Jesus, it’s getting fairly bad at this stage. RIP.

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    Mute Adam Doherty
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    Aug 27th 2012, 5:02 PM

    He’s not dead thankfully.

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    Mute Joe Shaw
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    Aug 27th 2012, 5:03 PM

    Did he die?

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    Mute Faceless Man
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    Aug 27th 2012, 8:29 PM

    It’s not that it’s getting bad, these spree shootings while dramatic aren’t the biggest problem. On average 85 people die every day from small arms.

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    Mute Matthew Donoghue
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    Aug 27th 2012, 8:56 PM

    no

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    Mute Barro
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    Aug 27th 2012, 5:01 PM

    America, F*ck yeah!!

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    Mute Damocles
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    Aug 27th 2012, 5:14 PM

    Yeah, there’s never any violence anywhere else …

    … no, wait a moment.

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    Mute Mike Paterson
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    Aug 27th 2012, 5:27 PM

    Yeah Damocles there’s loads of shootings in schools and public places all over the world…oh wait…

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    Mute Damocles
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    Aug 27th 2012, 5:28 PM

    There are probably more places that have had public shootings than not.

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    Mute Mike Paterson
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    Aug 27th 2012, 5:33 PM

    Not once a month.

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    Mute censored
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    Aug 27th 2012, 10:02 PM

    twice a month?

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    Mute Jonathan Biggins
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    Aug 28th 2012, 12:11 AM

    Back to sleep Damocles…

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    Mute Dexter Gordon
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    Aug 28th 2012, 12:56 AM

    You ain’t seen nothin’ yet. Wait till the nutty Republicans are elected in November.

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    Mute Jake Behan
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    Aug 27th 2012, 5:05 PM

    And another shooting, look US I know you like your second amendment and all but this is getting crazy. How many random shootings is it so far this this summer? (ignoring the 80+ gun related deaths on average per day)

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    Mute Sean Mc Avinue
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    Aug 27th 2012, 6:56 PM

    I wonder how many of these deaths annually are down to illegally held guns? Or accidental?

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    Mute Noel Murphy
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    Aug 27th 2012, 10:42 PM

    You can pry the guns from their cold dead hands, i think thats the mantra from the NRA….. America will never give up there guns…..

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    Mute Dave Harris
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    Aug 27th 2012, 5:09 PM

    Seriously, what do they need to happen to make them see -get rid of the freakin guns!
    Are they really that stupid?

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    Mute Fae Jitt
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    Aug 27th 2012, 5:12 PM

    Yes
    Yes they are

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    Mute Jake Behan
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    Aug 27th 2012, 5:16 PM

    Its worse, the NRA has all the politicians bought, not one of them will speak out for gun regulation because money speaks more than common sense over there and if you do good luck trying to get reelected. After the Dark Knight shooting Obama said that they’ll continue to enforce existing laws. I.e. not do a damn thing.

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    Mute Bête Noire
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    Aug 27th 2012, 6:10 PM

    Do you understand the difficulty in changing the United States constitution? The cluster f**k of a process? Since 1937, Ireland has been able to pass 25 amendments. The US has passed 17 since 1791. The Bill of Rights, of which the right to bear arms is a part, is culturally sacrosanct. I’m not saying it should be, just that it plays into the lack of a social momentum to change it. And the sad fact is, the deaths from firearms occur disproportionately in minorities.

    There is an unspoken ‘let god sort ‘em out’ lack of compassion when it comes to affecting change for something that may not be in your proverbial backyard. I don’t know what it could possibly take to change this as it appears the ‘unimaginable’ happens with gut-wrenching frequency.

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    Mute censored
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    Aug 27th 2012, 6:33 PM

    Why do people in Ireland (a failed state) feel so superior to Americans?

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    Mute Nuffsaid Thatsall
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    Aug 27th 2012, 7:35 PM

    How is Ireland a ‘failed state’ ??

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    Mute Joan Featherstone
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    Aug 27th 2012, 7:43 PM

    Obviously!

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    Mute Noel Murphy
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    Aug 27th 2012, 10:45 PM

    The NRA regularly respond to these shootings with: if everyone had a gun only the assailant would die…. Classic logic!

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    Mute Marko Burns
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    Aug 27th 2012, 5:33 PM

    School books…check
    Lunch money…..check
    Uzi…check

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    Mute Daithi Homer
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    Aug 27th 2012, 6:33 PM

    They should outlaw hammers in Australia.

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    Mute Daithi Homer
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    Aug 28th 2012, 1:15 AM

    Oh OK, then they should outlaw assults in Cork that involve 6-7 men.

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    Mute Conor Conneally
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    Aug 27th 2012, 5:12 PM

    Another day another shooting.

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    Mute David O Connor
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    Aug 27th 2012, 5:07 PM

    In 2010 – the latest year for which detailed statistics are available – there were 12,996 murders in the US. Of those, 8,775 were caused by firearms.

    http://m.guardian.co.uk/news/datablog/2011/jan/10/gun-crime-us-state?cat=news&type=article

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    Mute James Daly
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    Aug 27th 2012, 5:37 PM

    In 2011 there were 16,799 homicides in the US, of which 11,493 were firearm offences.
    That’s a rate of 5.5 per 100,000 overall (or 3.7 for firearms).

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    Mute Sean Mc Avinue
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    Aug 27th 2012, 7:53 PM

    On the article in the journal a few weeks ago about the man in the US who mistakingly received a gun in the post instead of a TV he ordered, Rather than hand it over to the police, as he rightly did 444 out of 488 thumbs (90%) were in favour of him keeping it. By that stat over 90% agree with the US 2nd amendment. Or would it be the right to illegally keep and bear arms.

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    Mute Vinny Healy
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    Aug 28th 2012, 12:10 AM

    How unlucky are you David, just when you show the “latest” figures some know it all only pull more recent figures out of the bag…..

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    Mute Jonathan Biggins
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    Aug 28th 2012, 12:12 AM

    Leave the room, Vinny, this is a conversation for grown-ups…

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    Mute Vinny Healy
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    Aug 28th 2012, 12:27 AM

    Well Jonathan in a “conversation for grown ups” you’ve told one person to go back to sleep and another person to leave the room!!!!

    At the rate you’re maturing uou’ll soon be able to wear big boy pants! Keep it up

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    Mute Brian Lyons
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    Aug 27th 2012, 6:24 PM

    It’s all in the game yo.

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    Mute Patrick Pollard
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    Aug 27th 2012, 6:36 PM

    5% of the worlds people, 55% of the worlds handguns.

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    Mute Mark
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    Aug 27th 2012, 5:18 PM

    There was a time stories like this were shocking.

    It’s like one eejit sees what another eejit does and tries to out do the other eejit.

    Thankful the kid is still alive.

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    Mute gingerman
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    Aug 27th 2012, 5:38 PM

    Why cant they all be good neighbours and friends to each other like we are here. If Irish people could buy guns in Tesco they would never carry on like this.

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    Mute Andrew Knight
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    Aug 27th 2012, 6:18 PM

    Surely ALL US school kids should be given guns! To protect themselves from the crazy ones.. totes obvious. #packsomeheat

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    Mute Philip Murphy
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    Aug 27th 2012, 8:15 PM

    What episode of The Wire is this from?

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    Mute Declan Mannix
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    Aug 27th 2012, 8:20 PM

    send in McNutty and the lezzer to sort em out.

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    Mute Noel Murphy
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    Aug 27th 2012, 10:48 PM

    Shhhhhiiiiitttttt!

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    Mute James O Donoghue
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    Aug 28th 2012, 12:54 AM

    Think stringer bell had his crew try and take out Omar.

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    Mute Justina Nilsson
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    Aug 27th 2012, 10:01 PM

    I hope killing classmates will not become popular in Europe. Least thing you want to worrie about is weather your child will come home from school or not

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    Mute Liam
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    Aug 27th 2012, 10:45 PM

    Let’s hope the person survives, but on the issue of gun control, banning guns will not solve gun violence, people like the Aurora shooter, the Sikh temple shooter and all the rest, do people think they would obey gun laws if they were introduced? most certainly not. And even if gun laws were somehow established in the U.S. How will the police manage to get all of the guns? Or at least keep tabs on them. Also the people who commit these crimes will think of other ways to carry out violence, Timothy McVeigh for example killed 158 people with a truck bomb in 1995 in Oklahoma, how will we prevent people from making bombs? ban the internet? The instrument itself is not the problem, its the person that is using it.

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    Mute Kevin Hunt
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    Aug 27th 2012, 9:11 PM

    Im not for ordinary citizens having access to guns at all. But in america alot of guns are bought at county fairs etc with no background checks taking place, also sure anyone cud buy a gun and just give it to someone. But the same argument could be used for any weapon, a knife, harpoon, hammer anything, in the wrong hands its going to cause destruction to life, and unfortunately that is life, and always will be, there are just nut jobs out there, and they will always have access to some sort of weapon

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    Mute Noel Murphy
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    Aug 27th 2012, 10:39 PM

    As clay davis would say ssshhhhhiiiiitttttt!

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    Mute Mary Kavanagh
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    Aug 27th 2012, 5:05 PM

    Think “rumours of [his] demise are exaggerated” (Mark Twain). Hopefully that will remain the case. Just crazy stuff happening in the States. Who will bell the cat of gun control?

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    Mute Aonghus O'Flaherty
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    Aug 27th 2012, 8:50 PM

    Get McNulty on this detail!

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    Mute Neal Quinn
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    Aug 27th 2012, 8:37 PM

    Only in America!!

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    Mute Neal Quinn
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    Aug 27th 2012, 8:36 PM

    Only in America

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    Mute Neal Quinn
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    Aug 27th 2012, 8:38 PM

    Only in America!!!

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