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Children with learning disabilities and related needs placed out of borough: parents’perspective

Enfield Primary CareTrust, Enfield EN2 8JL

Brian Fitzgerald, Consultant Psychiatrist

Learning Difficulties Service, Enfield Primary CareTrust, Enfield EN2 8JL, e-mail: Brian.Fitzgerald{at}enfield.nhs.uk

Carmen Clemente, Consultant Child and Adolescent Psychiatrist and Denny Grant, Service Manager

Child and Adolescent Mental Health Services, Barnet Enfield and Haringey Mental HealthTrust, Enfield

Declaration of interest

None.

AIMS AND METHOD

To investigate parental experience of children with learning disability being placed out of borough. The parents of 70 children were interviewed.

RESULTS

Parents would prefer in-borough provision but 90% were satisfied with the current school. The main problems experienced in-borough were poor advice, delays, lack of information and family stress. After out-of-borough placement there was a reported increase in the use of speech and language therapy, occupational therapy and sensory facilities and a decrease in the use of paediatric services, social services, and mental health services.

CLINICAL IMPLICATIONS

Specialist services should be helpful and reduce family burden by keeping children in-borough.