Abstract
An evaluation of the accessibility of the speech and language therapy service within Down Lisburn Trust and a needs assessment of the levels of speech and language difficulties in preschool children was conducted between October 1996 and March 1997. Results highlighted that 42% of preschool children had speech and language difficulties, however only 17.8% were able to access the speech and language therapy service for remediation of their difficulties. A further 2–3 year project is now planned. This aims to tackle the high levels of speech and language difficulties in children through prevention, early identification and remediation programmes. It also aims to ensure equitable access to the speech and language therapy service for all children.