HEED: How do we engage hard to reach families in early childhood development.

五分之一的儿童通常会在儿童早期经历某种形式的言语和语言延迟。但是，漫长的等待名单，Covid的恶化，以及言语和语言治疗(SLT)工作人员的短缺，意味着成千上万的儿童在他们需要帮助的时候得不到帮助。在经历贫困的儿童中，言语问题尤其严重，包括那些被照顾/被照顾的儿童。像许多其他情况一样，早期干预是解决沟通延迟的关键，而儿童语音实验室正在通过数字技术推动这一点。我们的远程筛查和支持解决方案正被英国的NHS提供商用作补充当前护理途径的一种方式，并在等待临床预约的同时提供早期筛查和家庭干预支持。众所周知，如果辅以有效的家庭干预策略，儿童对临床干预的反应会更快。但我们知道，家庭可能很难在忙碌的生活中适应另一件事情，我们需要开发出能够满足家庭需求的解决方案。我们越容易实施基于家庭的参与，儿童就越不可能受到言语、语言和沟通延迟的长期影响。在这个项目中，我们想深入了解如何提供一种数字模式的照顾和基于家庭/学校的战略，以适应家庭的生活。尤其是那些生活贫困、英语不是他们的第一语言的人。我们将与NSH合作伙伴的家庭一起举办研讨会，了解他们的经验、需求和他们希望看到的东西。我们将制作如何在家中支持家庭的原型方法，并收集有关这些方法的有用和现实程度的反馈。该项目将汇集言语和语言治疗师、来自各种情况的家庭、数字健康解决方案开发人员和用户研究专家，从根本上重新思考我们如何支持家庭，并确保所有儿童都能尽早获得同样的支持

One in five children typically experiences some form of speech and language delay in early childhood. But long waiting lists, exacerbated by Covid, and a shortage of speech and language therapy (SLT) staff, means that many thousands of children are not receiving help when they need it. Speech problems are particularly acute among children experiencing poverty, including those in care/looked after.Like many other conditions, early intervention is key to addressing communication delays, and Kids Speech Labs are driving this is through digital technologies. Our remote screening and support solution is in use by NHS providers in the UK as a way of supplementing the current care pathway and delivering early screening and home-based intervention support while waiting for clinical appointments. It's well known that that children will respond faster to clinical intervention when supplemented by effective home-based intervention strategies.However we know that families can struggle to fit another thing into busy lives and we need to develop solutions that can meet the needs of families. The easier we make it to implement home-based engagement the less likely children are to have longer term impacts from speech, language and communication delays.In this project we want to do a deep dive into understanding how we can deliver a digital model of care and home/schools based strategies that can fit into the lives of families. Particularly those living in poverty and where English is not their first language. We will carry out workshops with families from our NSH partners to understand their experiences, needs and what they would like to see. We will prototype approaches to how we can support families at home and gather feedback on how useful, realistic they are.The project will bring together Speech and language therapists, families from a range of situations, digital health solution developers and user reserach experts to fundamentally rethink how we can support families and ensure all children can have the same access to supports at the earliest opportunity