Submission 55 — Cora Barclay Centre Attachment 1 — The provision of hearing services under the National Disability Insurance Scheme (NDIS)

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Annual Report

2015

No limits For Children Who Are Deaf

CONTENTS

3 About the Cora Barclay Centre

4 Chairman and CEO report

6 Board Thank You

7 NDIS — New Horizons

8 Early Intervention

10 Student Services

12 Allied Health

13 First Voice

14 Outcomes

18 Supporting Potential

19 70th Year

20 Thank You

22 Financials

Design and Art Direction kindly donated by Brighter Design brighter.com.au

The Cora Barclay Centre (the Centre) is a not-for-profit organisation and has Deductible Gift Recipient (DGR) status with the Australian Tax Office.

185 Melbourne Street North Adelaide SA 5006

08 8267 9200 reception@corabarclay.com.au corabarclay.com.au

NDIS Registered Number 88043740

ABN 44 598 581 496

Vision

No limits for children who are deaf.

Mission

The mission of the Cora Barclay Centre is to help children who are deaf or hearing impaired to learn to speak and reach their full potential through intensive early childhood intervention, school years and early adult support, psycho-social development and ongoing assessments. These outcomes are achieved through family-centred practice and professional expertise in listening and spoken language therapy.

92% of children with permanent hearing loss are born to hearing parents.

Mitchell & Karchmer, 2004

ABOUT THE

CORA BARCLAY

CENTRE

The Cora Barclay Centre is the oldest Services and Programs and most comprehensive dedicated Listening & Spoken Language (LSL) The Cora Barclay Centre has a holistic program in Australia providing intensive, approach which has been developed evidence-based intervention through over 70 years of continuous service Auditory-Verbal Therapy (AVT), delivery to children who are deaf or Student Services, social participation hearing impaired and their families. programs, and ongoing monitoring and This approach includes the following assessment to children from birth to services and programs: 18 years and their families. The aim of the Centre is to help children who are Early Intervention Services hearing impaired achieve life-long social (birth to 5 years) and economic independence.

Auditory-Verbal Therapy

The vast majority of children who attend provided by Listening and Spoken the Cora Barclay Centre (and other First Language Specialists (LSLS) Voice centres), who have no additional Student Services (5-18 years) disabilities, achieve age-appropriate speech, language and comprehension Teaching of the Deaf by the time they go to school. AVT with its foundation in teaching speech Rural and Remote Services and language through listening has been proven to be highly effective in Aboriginal Education Hear to developing the spoken language and Listen Program educational outcomes of children with Peer Support Programs hearing loss.

— WHISPA and CHAMPS

The Cora Barclay Centre provides

Audiology integrated, evidence-based multi disciplinary programs for children

Child and Family Counselling

who are deaf or hearing impaired. Its programs are constantly reviewed in Speech Pathology the light of national and international research and its own program NDIS Case Management evaluations. As part of its evidence based approach, the Cora Barclay Medicare Provider Centre contributes its data to the First

Soundfield Systems

Voice national clinical database, which consolidates data for over 700 children across Australia and New Zealand in early childhood intervention programs provided by First Voice centres.

3

Chairman

and CEO

Report

New Horizons for the             Seventy years ago it was very, very      Notable highlights in

Cora Barclay Centre                    difficult for a deaf child to learn to      2015 include:

speak. Children were diagnosed late

The theme of this year’s Annual Report     (2-3 years of age); hearing aids were       Another year of outstanding outcomes

is ‘New Horizons’ which conveys the         primitive; and the science of teaching       for children in Early Intervention and

Cora Barclay Centre’s commitment         deaf children to talk was in its infancy.       receiving Student Services (see page 14).

to not only doing the utmost that is          Characteristically, deaf children learnt        All 6 of our school leavers successfully

currently possible for each and every       to sign to communicate, attended          completed Year 12 and our congratulations

child who is hearing impaired receiving      special schools for the deaf, and         go to them and their families.

our services, but also to looking beyond faced huge lifelong challenges and

this to future ‘horizons’ in regard to          barriers in education, employment        The construction and commissioning

new services and technologies and        and social inclusion.                        of our wonderful new Westfield

opportunities within the political and SA Resource Centre which proudly Seventy years on - thanks to earlier houses our books, aids, toys and otherfunding environment in which we operate. diagnosis, advances in technology, teaching and associated resources – all

This year marks the 70th anniversary of    and radical developments in early           perfectly catalogued and scientifically

our Centre and its antecedent the South    intervention - children attending our       managed! The Centre was officially

Australian Oral School & Kindergarten.      Centre routinely achieve levels of         opened on 2 November 2015 by our

We have a remarkable, pioneering history.   speech, language and comprehension      Patron the Governor of South Australia

It is a story of the absolute dedication of    that are comparable to children with        His Excellency the Honourable Hieu

families and staff of the Centre working    normal hearing of the same age.          Van Le AO and Mr Peter Allen CEO of

together to achieve the best possible       Furthermore, our Student Services         Scentre Group — Westfield Australia.

communication, education, and life           statistics show that the vast majority      Our sincere thanks to everyone involved

outcomes for South Australian children     of the students we support complete        in the planning, funding and delivery of

who are deaf or hearing impaired.          Year 12 and go on to further education.      this much needed addition to the Cora

Barclay Centre. The Cora Barclay Centre (as the SA One meaning of the word ‘Horizons’

Oral School) was the first centre in the        is ‘the limit of what is possible in a      We are also excited to announce a

southern hemisphere to teach deaf          particular field or activity’. Our field         further continuance of our relationship

children to listen and to speak. It has           is listening, speech and language for        with Westfield SA to build an extension

always been quick to embrace new         children who are hearing impaired          to our building at North Adelaide to

technologies and teaching methods       and our new horizons in 2016 and         house the burgeoning growth of Student

to ensure that each deaf child has the     beyond are:                                  Services, due to demand. Thank you

best chance to learn and improve their Westfield SA and the Scentre Group. hearing and language skills. 1. Identifying and addressing the emerging The continuation of a strong and

There are two fundamental aspects        needs of children who are hearing           positive relationship with the National

of our culture:                            impaired as Australian and international     Disability Insurance Agency (NDIA)

research continues to expose the impact both locally and nationally as together

Firstly, partnering with parents, listening                                            of early childhood hearing loss on       we address unresolved issues in relation

to their ideas for service improvements                                            brain functioning including ‘executive       to eligibility, duration and scope of

and building these into our programs                                          decision-making’ and social and            services under the NDIS, interfaces with

(recent examples include our transition                                          psychological development; and            health and education and other State-

to school program and peer support based services and funding arrangements. groups); and

  1.                                                                  Michael Forwood
    
    Secondly, our total commitment to Optimising services and funding CEO

evidence-based practice, collaborative arrangements for children who are research, continuous improvement hearing impaired under the NDIS and the objective measurement (and to enable children who are hearing publication) of children’s speech, impaired and their families to receive all language and educational outcomes. the services they need to achieve the best possible outcomes for their child.

Board Matters As a small and very highly specialised organisation, with a positive but limited It is now almost 10 years since our balance sheet, we need to be highly Constitution was amended to institute attuned to changes in this new ‘market’ new governance arrangements services environment. including a smaller, business-skills based board and new mechanisms for I would personally like to thank our parent and community involvement in CEO Michael Forwood who continues all aspects of our organisation. During to meet ‘head on’ every challenge the this period we have had two highly Centre faces and together with our accomplished and dedicated Chairs GM Amanda Haskard, they are a truly in John Wicks and Jacqui Tucker who formidable team to have supporting the have guided us through some financially Board and guiding our team forward. challenging times and much-needed During these challenging times, organisational development. After 3 John Bannister Chairman finances are often difficult to budget years in the role, Jacqui has vacated and manage, but when you have a the chair but (to our benefit) has passionate and dedicated Treasurer in happily remained on the board, Andrew Leach, it provides the Board alongside John, providing continuity with confidence to make well-informed and stability. I am honoured to succeed and prudent financial decisions. Jacqui and to take up the challenge of assisting the Board and our senior To my other Board members, I thank management team as we steer our you for your generous support in way through the still evolving NDIS. making your time and expertise available to help build on the Cora To this end we have devoted Barclay Centre’s solid platform and considerable attention in the past 12 continue to provide exceptional to 18 months to understanding the outcomes for children who are deaf new environment and its implications or hearing impaired for our Centre and to clarifying and

communicating our strategic objectives.                                                   Michael Forwood CEO                               John Bannister

Chairman

5

Everything that is reflected in the And finally, a very large thank you following pages of this report is the must go to our Board of Directors for result of a passionate community of their leadership and guidance in 2015. supporters who believe in what we Their time and expertise is invaluable do and who are dedicated to helping to the Cora Barclay Centre. children who are deaf or hearing impaired. Thank you to each of our Thank you! donors, fundraisers, volunteers, supporters, partners and advocates for helping us to achieve all that we Patron do and sharing our vision of no limits

His Excellency the

for children who are deaf.

Honourable Hieu Van Le AO

Governor of South AustraliaThe Centre can only thrive and His Excellency the Honourable succeed with a team of highly qualified, Hieu Van Le AO dedicated and professional staff Ambassador working tirelessly to support the cause. Dr John Rice OAMParticular mention goes to Claire Harris who has moved from the Cora Barclay Centre after 20 years of service. Claire’s Board of Directors contribution to the Centre has been

Mr Michael Forwood Mr Gavin Dew

enormous both in terms of personal

CEO Parent Representative

contribution and the raising of hundreds

of thousands of dollars that in no small    John Bannister (Chairman)                                                                Ms Kay Gerard

part saw the Centre survive through       Development Manager, Burke Urban                                                                       Manager of Development, SAHMRI

difficult times. We wish Claire well in her

Ms Jacqui Tuckerfuture endeavours. Mr Martin Faull

International Executive Services, KPMG Owner/Solicitor, Lindblom Lawyers

Special thanks go to His Excellency the

Mr John WicksHonourable Hieu Van Le AO, Governor Ms Natalie Mudge

Property Developerof South Australia as our Patron as well Parent Representative as our long-term Ambassador, Dr John

Andrew Leach (Treasurer)

Rice OAM, a beacon of courage with Ms Coralie Pratt

Finance Manager, National Wine Centre

the children ever at heart. Your ongoing Consultant support of the Cora Barclay Centre is Ms Sarah Carlson greatly appreciated. Parent Representative

NDIS — New

Horizons

Cora Barclay Centre CEO Michael        Question 2: How is the                in 2014 and 2015. However, the 2016

Forwood responds to some key questions  SA Children’s Trial Site           budget outlook is looking bleak as a

about the National Disability Insurance result of enrolment delays, changes

Scheme (NDIS). Michael has extensive     progressing?                              in NDIS funding levels and the timing

experience in human services policy and of reductions in State grants. We While much has been learnt in the strategy. Over the past 3 years he has are working closely with the State Children’s Trial Site, a significant setback worked closely with the NDIA on policies, Government and the NDIA to address occurred in September when the pricing and operating arrangements for these matters and to ensure that target number of funded participants children who are hearing impaired in the children’s outcomes and the viability was reached 10 months ahead of South Australian NDIS Children’s Trial Site. of specialist service providers such as schedule. This resulted in deferrals of As Chair of First Voice he is responsible ourselves are not jeopardized in the new enrolments and further delays in nationally for ensuring that the NDIS Full short or longer term. At this point the planning, funding approvals and case Scheme delivers optimal communication, Cora Barclay Centre remains less than reviews: in short, a difficult time for education, social and economic outcomes 60% funded by the government with all. Nonetheless, customer satisfaction for children who are hearing impaired the remainder raised from fundraising ratings in SA and elsewhere are high and across Australia. Michael is also a member and other sources. the new Scheme is undeniably superior of the NDIA Expert Reference Group on to its predecessor in every respect. hearing services for children in the NDIS. However, for families and providers, the Question 5: How well NDIS represents a substantial increase advanced are the policy Question 1: How do you think in time spent in planning, reporting, and and pricing arrangements the NDIS is travelling overall? documentation. This is time-consuming and at times confusing for all parties. for children who are The NDIS is a huge and highly complex hearing impaired in the NDIS In December, as part of the Full

undertaking and the National Disability                                        Full Scheme for Australia?                                 Scheme arrangements for SA, theInsurance Agency (NDIA) has done a

Commonwealth and State Governmentstruly remarkable job in setting up and I think it is fair to say that many announced an injection of $10 millionrunning the 9 trial sites, consulting stakeholders in our sector believe into the SA Children’s Trial. This was awith stakeholders, and planning and that there is still some considerable much welcomed decision and outcome.preparing for Full Scheme roll-out way to go to secure the best possible over the next 3 years. That said, operational policy and funding settings

there remains a large amount of        Question 3: How many              for children who are hearing impaired

work to be completed, including                                                under the NDIS Full Scheme. Matters still                           Cora Barclay Centre

some very big ticket items in the in progress include: NDIS eligibility; the

areas of accommodation, employment,    Children are in the Scheme?     scope of services to be funded by the

pricing and market design. Early NDIS; the interface between disability, As at December 2015 the Centre had a childhood intervention policy also education and health i.e. who funds what total of 249 children on service of whom needs further attention. and how will it all be coordinated; age 118 had joined the NDIS; 97 were eligible limits for early childhood intervention;

For me the most refreshing thing         and were not yet enrolled; and 34 were                                                                       and what happens after early childhood

about the NDIA is their willingness         outside the 0-14 years’ age range for                                                                                         intervention funding ceases; and finally,

to listen and unwavering commitment      the Trial and therefore not able to apply                                                                              but importantly, referral arrangements

to improving the lives of people               until 2017. We look forward to everyone                                                                                   – especially as the evidence shows that

with disabilities.                       becoming a participant of the NDIS.                                                                  commencement of early intervention

services is a critical factor in achieving It is also a major achievement for the Question 4: What are the optimal outcomes.Commonwealth Government to have

signed up all states (except Western      financial impacts of the NDIS                                                                           These are New Horizons that bring

Australia as yet) to the Full Scheme.     on the Cora Barclay Centre?      uncertainty but also a great deal of

hope for a better future for children Initially the transition from direct with a hearing loss. government grant funding to individualised funding under the new NDIS went fairly smoothly – as was reflected in our balanced budgets

7

Early

Intervention

The passion of the Early Intervention        Infants diagnosed and engaged           The Early Intervention team continued

team was ignited in 2015 in response        within an early intervention service           to deliver a range of dynamic group

to the diversity of families within the       before they are 6 months of age           programs from birth through to school

Centre. Auditory-Verbal Therapy paired     are more likely to follow the natural            transition, ensuring a continuum of

with the family-centred approach of       developmental sequence of learning.          service. These programs provided

the Cora Barclay Centre ensured that      For those children older than this,             families with opportunities for

programs were tailored to the individual    they are at increased risk of a speech        networking and developmentally

needs of each child and family and        and language delay. In 2015, 65% of          appropriate play activities to promote

guided them towards the common goal    the referrals received by the Cora            learning and positive child/family

of a spoken language outcome.            Barclay Centre were of children older         relationships. The Child and Family

than 12 months of age. This presents Counsellor played a significant role in

In 2015, the Cora Barclay Centre              real challenges for the Clinical team in       the group programs supporting and

Early Intervention Clinical team             achieving age-appropriate outcomes        guiding families.

delivered Auditory-Verbal Therapy and prior to schooling commencing.

supporting group programs to over 87     However it is a scenario that is not new    A highlight for the Clinical team in 2015

children and families from cultural and      to the Centre and the team remains        was the establishment of the Resource

linguistically diverse backgrounds. The      well placed to overcome the challenges      Centre thanks to the generosity of

2015 outcomes for children on service,      of late diagnosis in order for children         Westfield SA. The Resource Centre

who were assessed using standardised      to reach their full potential over time.        houses the important educational

assessments, demonstrate that over      Many new children to the Centre in          toys that are used to enrich learning

70% achieved speech and language        2015 had hearing loss with a range of        experiences in individualised sessions.

outcomes commensurate to their          other needs presenting complex case       The central location and future data

hearing peers. The Cora Barclay Centre    management for the therapy team.         base has improved efficiency allowing

remains committed to evidence-based    Once again, the methodology of AVT        the Clinical team to have increased time

practice and strongly believes in the        allows for continual development for          for therapy.

transparency of results. It is pleasing these children at a rate appropriate

to see the continuation of excellent         to them.                              The Cora Barclay Centre continued its

outcomes throughout the industry dedication to training and mentoring

changes that have occurred since         To further enhance outcomes for all           specialists to become Listening and

the introduction of the NDIS in 2013.        children The Language Environment        Spoken Language, Certified Auditory-

Analysis System (LENA) project was Verbal Therapists (LSLS, Cert AVT).

It is widely accepted within today’s         launched. This system allows clinicians        In 2015 another LSLS completed her

society that the most rapid brain           to get an insight into the language            training and became certified joining

development takes place in the first        environment of the home. It allows             five other LSLS, Cert. AVT’s at the Cora

few years of a child’s life. Children’s          clinicians and families to analyse adult       Barclay Centre.

experiences during this time have word count, child vocalisations, turn

a major influence on life outcomes.          taking, the acoustic environment and       Rachael Ward

For families who desire oral outcomes      to set future goals. This information can      Early Intervention Manager

for their children who are deaf or empower families to make changes to hearing impaired, these early years positively influence their child’s spoken are critical for maximising auditory language outcomes. brain development and setting the foundations for listening and spoken language development. Children at the Centre experience this daily using Auditory-Verbal Therapy (AVT) as their platform for development.

The 2015 outcomes for children on service who were assessed using standardised assessments demonstrate that over 70% achieve speech and language outcomes commensurate to their hearing peers.

9

Student

Services

The Cora Barclay Centre recognises      Partnerships with Parents       Teacher Professional

that a child with a hearing loss often Development requires continued specialised support at The involvement of parents is as

school, particularly in their early years of   important as our work with individual        At the commencement of each

education. The Student Services team at    students. Many families commence           year we offer whole day training for

the Cora Barclay Centre assists students    services with the Cora Barclay Centre         teachers (both private and public

to achieve listening, speech and language  once their child begins school.                schools) educating students with a

skills, self-advocacy and cognition in order  Regular communication between             hearing loss. Assistive technology,

to maximise their opportunities at school.   the family, specialist teacher and              curriculum, classroom adjustments

school is essential for determining and social development and personalised, termly goals that align participation are covered. ClassroomIn 2015, a detailed policy was developed with NDIS goals that continue the teachers are encouraged to seekoutlining the approach the Cora Barclay development of listening, language additional information from theirCentre takes to achieving this outcome and cognition skills. visiting Teacher of the Deaf thatwith specific program definitions, learning intentions and an outline of services relates specifically to the child they

provided. This policy has set clear      Data and Assessment                 are teaching.

expectations for all involved and has

Outcomes

increased consistency within the service.

Graduation from School

In 2015 a new assessment protocol and Cora Barclay Services Transition was developed. Annual assessments are an important tool for evaluating We would like to thank all of those

Children with a hearing loss may face       goals, effectiveness of intervention             families, students and schools who

significant challenges as they transition    and areas to continue explicit              worked so hard to achieve amazing

into school and then continue with their    teaching. Assessment and Progress             results. In 2015, 6 Cora Barclay

schooling education. In 2015, the Student   reports are completed and provided         Centre students completed Year

Services Team met with families with       to families and, with consent, to a              12 and we commend them all on

children transitioning to school to discuss   student’s school. De-identified data            their achievements.

levels of service and our role working from specific assessments is used

in schools. In addition a member of the     to report student outcomes. In 2015       Gabby Aschberger

Student Services Team attended meetings  data results demonstrated that              Student Services Manager

at the child’s school to discuss and plan the majority of students assessed for a smooth transition. It is the aim of have oral language skills within the the Cora Barclay Centre to ensure that average range which continues children get off to a strong start with their to demonstrate the efficacy and education and go on to achieve social and necessity of Cora Barclay Centre economic independence. Student Services for children who are deaf or hearing impaired in school.

Children diagnosed after 12 months of age when provided with ongoing support from the Cora Barclay Centre can achieve outcomes within or above the average range.

11

Allied

Health

In 2015 the auxiliary programs that         to otitis media and/or perforated           that were already being conducted at

are integral to the multi-disciplinary        eardrum(s) were referred to an Ear Nose   the Centre. After a full year in operation

service that is provided at the Cora       and Throat Specialist for management      this service has proven to be of value

Barclay Centre were grouped together    and treatment.                           with a total of 181 speech and language

under Allied Health. These programs assessments conducted in 2015 and with

included the Audiology Program,        Child and Family                     several children and students receiving

Child and Family Counselling, the one-one-one speech therapy in addition Counselling ProgramPeer Support Programs and a new to their Auditory-Verbal Therapy and

Speech Pathology Program. Under          In 2015, the title and role of the            Teacher of the Deaf support.

this structure, the Cora Barclay Centre Family Counsellor was changed to

This Speech Pathology Program also

has been able to offer even more recognise the broadening of the extends into the community and the collaborative and cross-disciplinary Family Counsellor’s scope of practice. Centre now offers speech therapy for services to families and children who Referred to now as the Child and children without hearing loss and adult are deaf or hearing impaired. Family Counselling Program, the Child habilitation to adults who are deaf. and Family Counsellor (CFC) provides These services are offered at a very

Audiology Program               one-to-one counselling with families                                                                      modest fee and may also be billed

and also with children and students on through Medicare or NDIS funding. The Audiology Program continues service. The CFC took an active role to work collaboratively with other in 2015 in the Peer Support Program,

service providers such as those            helping with the WHISPA Retreat and    Peer Support Programs

under the Women’s and Children’s       Camp and working with some of the                                                                                                In 2015, the title of WHISPA Coordinator

Health Network and Australian Hearing.   members from this program one-on-one.                                                                    was change to Peer Support Program

Nearly 300 children had their hearing     The CFC also supports families in          Coordinator to encompass the role of

tested at the Centre in 2015. The            Early Intervention through some of        Coordinator for both WHISPA (Web

children diagnosed with a hearing loss     the group programs in 2015. The CFC       of Hearing Impaired Students Peer

were referred to Australian Hearing.        piloted a new program for parents          Alliance) and CHAMPS (Children with

Hearing impairment Activity, Mentor                                             called Time Out for Parents that wasRegular case conferences are held                                                                       and Peer Support).                                        run during Toddler Talk. Parents couldwith the Audiology Department at the

leave their children in Toddler Talk forWomen’s and Children’s Hospital to The number of members in WHISPA a short period of time and have andiscuss children who are being assessed remained stable in 2015; however opportunity to discuss and share theirfor cochlear implant(s) candidacy there was an increase in the number of experiences with challenging parentingand pre and post cochlear implant(s) members in CHAMPS due to a steady issues such as eating, toilet training, andmanagement for children with cochlear uptake of the program by families tantrums without having to mind theirimplants. In 2015, two children in Early transitioning their child from Early child/children during the discussions.Intervention received a cochlear implant Intervention to Student Services. Resources for parents on the topicsand one student in Student Services discussed were also developed. Some of the highlights for WHISPAreceived a second cochlear implant in in 2015 include hosting their own Arttheir previously non-implanted ear.

Speech Pathology Program Exhibition as part of National Youth

The Audiology Program also provides Week, a two day Retreat in Victor

cochlear implant services for both        With the roll-out of the National          Harbor and a 2 day Camp at the end

children and adults. In 2015, release         Disability Insurance Scheme (NDIS) an      of the year. These and other activities

of the Cochlear Nucleus 6 speech         emerging gap in our services became      fostered self-growth and provided the

processor for Nucleus 22 recipients        apparent in terms of speech therapy      members an opportunity to self-reflect

resulted in several clients receiving an       for specific speech issues such as         and build their self-confidence.

upgrade of their speech processor as articulation and phonology. In particular, Highlights for CHAMPS includeddid the release of the new SONNET some of the students on Student horseback riding, trampolining andspeech processor by MEDEL. Services who needed speech therapy sports games through which lasting had been accessing this service outside

In 2015, the Centre also embarked on                                                   friendships were developed and                                           of the Centre. To meet the needs of

a pilot project working with Aboriginal                                                opportunities were made for the                                        these students and some of the older

students. Part of this program involved                                     members to develop their social                                            children in Early Intervention, the Centre

conducting hearing screening for                                                                     skills and build their self-esteem.                                     implemented a Speech Pathology

Aboriginal students at Maitland Program which also supported the First

Lutheran School. Those that presented                                        Voice speech and language assessments   Cindy Marples

with a conductive hearing loss due Allied Health Manager

First

VOICE

First Voice member organisations lead the world in listening and spoken language therapies for children who are deaf or hearing impaired.

First Voice highlights in 2015 include:

  1.                           3.
    

The launch in February 2015 of The third First Voice ‘Power of Speech’ Sound Outcomes data to a range of event was held in August during stakeholders and media organisations. Hearing Awareness Week in the Sound Outcomes is the consolidated mezzanine auditorium at Parliament and standardised dataset for almost House, Canberra. Once again it was 700 children in the six First Voice attended by our First Voice Patron, the centres early childhood intervention Governor General Sir Peter Cosgrove, programs. The high level analysis Lady Cosgrove and a significant number shows that children who are deaf using of members of the Federal Parliament assistive hearing devices (hearing aids from all parties. This event involves or cochlear implants) and receiving early 2 young children from each of the 6 intervention services develop language, First Voice centres giving a short 3 to 5 vocabulary and speech that are equal minute speech of their own composition to, and in some instances better than, to a large, distinguished audience of children of the same age with typical politicians, bureaucrats, other hearing hearing. The First Voice national study services providers and stakeholders Sound Outcomes can be accessed at and, of course, the children’s own firstvoice.org.au families and friends. The Power of Speech event is an extremely powerful

  1.                             and practical demonstration of the
    

extraordinary command of the English The successful completion of VidKids language, fluency and growing self — a three-year, Commonwealth funded confidence of young children who are collaborative project undertaken hearing impaired in our listening and in conjunction with Vision Australia spoken language early intervention and Deaf Children in Australia.

programs. The two Cora Barclay Centre

VidKids delivered high-quality services representatives were 7 year old Josiah to children who are hearing impaired and 11 year old Abbey, both of who and vision impaired, or both, in regional, performed brilliantly. rural and remote areas of Australia using state-of-the-art audio-visual and First Voice member associated technologies. During its final year, special projects were undertaken organisations include: to secure long-lasting benefits for Cora Barclay Centre (SA) children with sensory needs living in rural and remote areas. These included Hear & Say Centre (QLD) projects to develop special information and training resources for remote Taralye (VIC) families and to adapt diagnostic tools to video conferencing formats. The Cora Telethon Speech & Hearing (WA) Barclay Centre was funded to develop an Aboriginal student support program The Shepherd Centre (NSW & ACT) to up-skill Aboriginal education officers

The Hearing House (NZ)

working in remote communities. This initiative, called Hear to Listen, has attracted strong interest and will be trialled in 2016. 13

Outcomes…

The Cora Barclay Centre is committed 1. Obtain objective measurements of to transparent, evidence-based practice each child’s speech and language and reporting. development to form their individual therapy plan. In 2015 all students on service were assessed using summative assessments at age 5 2. Enable objective comparisons between years, 9 years, and 12 years. Cora Barclay children who are deaf or hearing Centre Programs are continually received in impaired undertaking the Cora Barclay light of national and international research Centre AVT Program and children with and its own program evaluations and uses normal hearing of the same age in order its own assessment data to: to determine if their spoken language skills are equivalent to their hearing peers.

  1. Monitor and evaluate the effectiveness of Cora Barclay Centre therapy programs.

THE KEY ASSESSMENT

TOOLS USED BY THE

CORA BARCLAY CENTRE

Early Intervention Student Services

Pre-School Language Scale Edition The Clinical Evaluation of Language

(PLS-4/PLS-5) Fundamentals Edition 4 (CELF-4)

Peabody Picture Vocabulary Test

Edition 4 (PPVT-4)

Goldman Fristoe Test of Articulation

(GFTA)

Results Of Each

Assessment Tool

Early Intervention

Figure 1: Total Language Standard Scores for children aged between 6 months and 4 years. 1

145 6 mths Pre-School 12 mths Language 24 mths

Scale Edition              115                                                                         3 yrs

4 yrs Score

(PLS-4/PLS-5)

12 mths - late diagnosis

85                                                                         24 mths - late diagnosis                                                                                                                 Standard

3 yrs - late diagnosis 4 yrs - late diagnosis

Average range (85-115) 45

1                            Children Assessed                            42

Figure 2: Standard Scores for children aged 3, 4 and 5 years. 2

125 3 yrs Peabody 4 yrs 115 Picture 5 yrs

Vocabulary                                                                                                     3 yrs - late diagnosis                                                                      Score  95Test Edition 4                                                                             4 yrs - late diagnosis

(PPVT-4)                85                                                                   4 yrs - late diagnosis                                                                                                                 Standard

Average range (85-115)

65

50

1                               Children Assessed                           33

15

These results show that over 70 % of children in early intervention and student services achieved spoken language outcomes commensurate to their hearing peers.

Figure 3: Percentile ranks for children aged 3, 4 and 5 years. 3

100 3 yrs Goldman 4 yrs 84 5 yrs

Fristoe

Rank

Test of 3 yrs - late diagnosis

Articulation           60                                                                   4 yrs - late diagnosis(GFTA)                                                                                   Percentile                                                                       4 yrs - late diagnosis

40

Average range (16-84)

16

0

1                          Children Assessed                             34

Student Services

Figure 3: Total Language Standard Scores for children aged 5, 9 and 12 years. 4

130 5 yrs Clinical 9 yrs

Evaluation                   115                                                                                                12 yrs

110

of Language                    Score                                                                              5 yrs - late diagnosis

Fundamentals 9 yrs - late diagnosis

70               12 yrs - late diagnosisEdition 4                85                                                                                                              Standard

(Celf-4) Average range (85-115) 70

50

1                                Children Assessed                       30

SUMMARY

The results reinforce the critical importance of early diagnosis and early intervention on listening and spoken language outcomes and the continuing need for ongoing intervention at school age to ensure any gaps in language are addressed. The data is demonstrating that a higher percentage of students diagnosed after 12 months of age are now performing with a standard score within or above the average range and the critical importance of ongoing intervention.

These assessment results demonstrate that in 2015:

  1. Over 70% of children in Early The Cora Barclay Centre defines Late Diagnosis as congenital hearing loss

Intervention and Student Services

diagnosed after 12 months of age. achieved spoken language outcomes commensurate to their hearing peers. asha.org/Practice-Portal/Clinical-topics/

Permanent-childhood-Hearing-Loss/

  1. Close to 80% of children in the The Cora Barclay Centre 2015 Outcomes early intervention program achieved document highlights the outcomes for children who are late diagnosed speech outcomes commensurate to with hearing loss. In addition to late their hearing peers. diagnosis other factors can contribute to outcomes below the average range.

  2. The majority of children diagnosed These can include: after the age of 12 months had poorer Consistency of wear of speech and language outcomes amplification device compared to children diagnosed Family engagement to early before 12 months of age. intervention and capacity to implement strategies in all communication settings

  3. Children diagnosed after 12 months English as an additional language of age, when provided with ongoing and or dialect backgrounds support, can continue to improve their Length of time optimally aided with spoken language and achieve outcomes hearing aids or cochlear implants within or above the average range. Presence of an additional disability

Presence of an additional speech and language disorder not related to hearing loss.

The Cora Barclay Centre supports

children who experience one or more of the above factors and their assessment results have been included with the exception of those children who were unable to participate in standardized testing. It is consistently reported that close to 40% of children with hearing loss have an additional disability.

agbell.org/Document.aspx?id=454 17

Supporting

the Potential

Loud Shirt Day 2015             Loud Shirt Day is the biggest             With the funds raised by Westfield SA,

community fundraising event in support the Westfield SA Cora Barclay Resource

2015 was another colourful year for the     of the Cora Barclay Centre and having     Centre was officially opened on

Cora Barclay Centre. On Friday 16th       so many people take part means the      November 2nd 2015 by His Excellency

October 2015 around 300 businesses,      world to us. Thank you to every host,      Hieu Van Le AO, Governor of South

schools and individuals organised         donor and volunteer; we can’t wait to       Australia and Peter Allen. CEO of the

their own Loud Shirt Day events and       get loud with you in 2016.                 Scentre Group.

celebrated in their Hawaiian prints,

polka dot patterns and neon colours.     Grants                            The Westfield SA team raised over

$315,000 to build the Resource Centre.

The Cora Barclay Centre would like        2015 was another year of wonderful            It is now equipped with educational

to thank every Loud Shirt Day host        support with philanthropic funding       and therapy resources supported by

who ‘got loud’ for deaf kids this year,       received from Trusts and Foundations     a library management system.

especially those who went the extra for a range of new resources, equipment

mile and really got creative.             and programs. The Cora Barclay       We would like to especially

acknowledge Westfield SA Regional Centre and its family community are

A big thank you to Divers Delight who                                        Manager Malcolm Creswell and all of his                                             grateful for the support received

hosted their now annual Loud Shirt Day                                                       staff for their passion and commitment                                                  in 2015. Notably: Australian Hotels

Scuba Dive where participants wore                                                  to the children of South Australia who                                            Association, Hotel Care Community,

onesies, loud shirts and all manner                                                   are deaf or hearing impaired. We are                                  Community Benefit S, Morialta Trust,

of wacky clothing while they were                                                        grateful for their support.                                            Ian Potter Foundation, John T Reid

underwater at Noarlunga. Charitable Trust, Variety the Children’s Charity, State Trustees, Community AcknowledgementsAlso, again we’d like to thank the

Sector Social Investment Program,

Department of Planning, Transport

Commonwealth Bank and the Inger In 2015, the world’s first Chocolate and Infrastructure (DPTI) for taking on Rice Foundation. The Centre is very Garden was constructed and displayed

Loud Shirt Day so enthusiastically. DPTI

grateful to the support from all of in Westfield Marion. Edible Blooms once again allowed all bus drivers to these organisations and without them created this masterpiece and donated discard their uniforms for the day and we would not be able to provide the all proceeds from the Garden to the drive in their brightest shirts. For the diverse level of innovative services for Cora Barclay Centre. Not only did this first time ever we also had volunteers children who are deaf and their families. opportunity raise thousands of dollars for collecting funds at bus stops in the City. the Cora Barclay Centre it was the most A big thank you to all those who gave delicious campaign we have ever been their time to do this, including the 501st Westfield South Australia involved in. Thank you Edible Blooms!

Legion Southern Dewback Garrison who

collected dressed as Storm Troopers,      The Cora Barclay Centre continued a                                                                           With a gap of 40% in government

Jedi’s and Darth Vadar.                  second year of Community Partnership                                                                                         funding, the support of the community is

with Westfield SA part of the Scentre vital. From individual donors, corporate Our amazing thanks also go to the Group. This is a very rewarding partners, sponsors, ambassadors, friends highest fundraisers for the year, partnership with two organisations and families of the Centre, every dollar of Australian Leisure and Hospitality Group working together to raise funds for a love helps. Thank you seems a small word who raised over $10,500 through their long term dream of the Clinical team but the gratitude behind it is infinite. 32 hotels in South Australia. to have a dedicated area for therapy resources. Diverse fundraising activities Finally, we need to thank an incredible have occurred over the last two years, group of dedicated and creative with a highlight at the start of each year volunteers in Kadina. The group, led by being the Westfield SA Community Golf

Loud Shirt Day Regional Ambassador Day. Westfield SA is a great supporter

Luke Halls, organised a family day and but they are also supported by their LOUD bowling night in Kadina, raising suppliers, who are many, and we wish over $8,500! to thank them too.

70th Year

The Cora Barclay Centre started its life       The School weathered many changes,          In honour of Cora Barclay a drawing was

as the South Australian Oral Pre-School      however the guiding philosophies of         commissioned and her portrait has been

Group on 8th October 1945 (in 1950 it         excellence in delivering the best outcomes    hung at reception. Many thanks to Brenton

became a School). The Pre-School was        for children who were deaf, remained,         Murray, from Brighter Design, who donated

started by Elizabeth Forwood with the        driven by the untiring efforts of Mrs             his time and artisitic talents to this portrait.

goal of teaching children who were hearing Cora Barclay. She laid the foundation of

impaired to speak and communicate using     principles which are still relevant today. Her  A new logo has been designed to

oral methods of instruction. Elizabeth,          efforts were rewarded with an OBE in 1969.   commemorate the 70th year and in 2016,

driven by her own daughter’s deafness, special events will have a 70th year flavour. as a result of contracting Rubella during In 1990, the School was renamed the Cora

pregnancy, established the school.            Barclay Centre for Children with Hearing      Thank you to everyone along this journey

At the time there were significant            Impairment Inc. in honour of Cora’s        who has helped make the Cora Barclay

numbers of children whose hearing had       outstanding achievements with children      Centre a world leading centre in Auditory-

been affected by the Rubella epidemic      who are deaf or hearing impaired.            Verbal Therapy and helped so many

children who are deaf or hearing impaired in the early 1940’s. Elizabeth, along with learn to listen and to speak. mothers similarly affected by the epidemic, formed a provisional committee on the 8th October 1945 to raise money and put their educational plans for their children into effect.

Elizabeth, like the other mothers, had a very clear vision — she wanted her child to speak. Her single minded focus led her to find out as much as she could about deafness and the educational possibilities available within the state, interstate and overseas.

In honour of Elizabeth’s founding work, the front part of the Centre, which is an original turn of the century villa, is named Elizabeth Forwood House.

Critical to its beginnings, which remains true today, was and is the appointment of quality specialist teaching staff.

In 1952, Mrs Cora Barclay commenced

as Principal of the School. She had been involved with the school as a parent since 1946 and undertook significant overseas training to undertake this role. At the time, this was considered a very progressive move by a mother to train overseas. (no one had the expertise in Australia to train her). She left 2 young children with her husband in Adelaide to do this, which was a testament to her dedication and commitment to the School and its purpose. She was a pioneer of her time and remained at the Centre for 40 years as Principal.

19

Thank you! Our sincere thanks to the following key supporters:

501st Legion Southern         Department of Planning,      Kay Gerard                      Public Trustee

Dewback Garrison Transport and Infrastructure

(DPTI)                           Kelly Baker Jamieson          Range Finance Corporation

Affiliate Super League Pty Ltd

Dewali Mela Kirsten Charitable Trust

ANZ Trustees Foundation Raven Design

Divers Delight KPMG

Adelaide Digital Hearing ReGen Charity Op Shop

Solutions - Kadina             Dr M J L Bean                 Laser Linings

Robert Henshall

Andrash / Mogas              Dr Wai-Sze Wong            Leanne Challans                     - R & C Henshall Foundation

Australian Decorative & Fine     Edible Blooms                 Light City Buses              Roger Grounds

Arts Society Adelaide Inc.

Elizabeth Le Messurier         Lion Hotel, The               Saab Australia

Australian Hotels

Association                    Fyfe Pty Ltd                   Lorraine Albertini           SA Power Networks

Australian Leisure and           Gallagher Bassett             Marble Hill                    Sarah Carlson

Hospitality Group & Precious Cargo

Margaret Freebairn Sarah Constructions

BCA Engineers Gary Wilson

Marian & E H Flak Trust, The Scentre Group

Ben and Brenton Murray Google Adwords

Marino Uniforms Scott Boocock

Beyond India Monthly Greta Kate

Mary-Lou Bishop Shaw Contract Group

BHP Billiton Hanson Construction

Materials Pty Ltd              Michael Forwood              Sims Metal

Bowls SA

Henry Michell                   Morialta Trust                   St Jakobi Lutheran School

Brighter Design

Hungry Hare Cafe, The         National Australia Bank         Studio Tonic

Burke Urban                          - Uniting Church              Adelaide South & East BBC

Topz Shopz Whyalla Stuart

Cherubs                         Ian & Pamela Wall OAM        Neutrog Australia

Variety the Children’s Charity

CJ & ZE Millett                  Inger Rice Foundation      NRM Johnson Pty Ltd
  • EDH Donations Weeks Group

Clubs SA Jacqui Tucker

One Solution Mobile and Weslec Electrical

CMV Foundation              Jo Cooter                   Data

Westfield SA

Commonwealth Bank Staff      John Bricher                Osborne Cogeneration

Community Fund                                            Pty Ltd                      Wicks Wines

Josephine Cooper

Community Sector Social                                 Pamela Wall OAM          Wood Foundation, The

Investment Program Josie & David Hannan

Patrick Aplin Workspace

Cooper Energy Kadina Community and Luke

Halls                            Philippa Righetti              Worldwide Printing

David and Jill Cottrell

Katnich Dodd PHISA

David Roche Foundation

Karen Brown Port Adelaide Football Club

If you would like to donate or assist children who are deaf or hearing impaired please contact the Development Team on 08 82679200, development@corabarclay.com.au or donate online at corabarclay.com.au.

Thank you

Volunteers

Thank You Volunteers        Our Special Cherubs                  library duties, purchasing therapy supplies,

becoming expert ‘stuffers’ prior to a

Volunteers play a vital role in the             Since the inception of the Cora Barclay       mail out, catering for functions, cooking

continued success of the Cora Barclay        Centre, the involvement of friends and        barbecues, rattling collection tins and

Centre. Whether it is assisting in the           families have been instrumental in its           selling raffle tickets at fundraising events

administration area, volunteering at events    growth and success.                     and to-date organising four successful

or helping with clinical programs we ladies fundraising dinners. would not be able to achieve all of our In 2005 the CEO Michael Forwood had

goals without their help. We would like to    a ‘catch up coffee’ with his sister Sharon     The benefits of being involved as a Cherub

say an enormous thank you to all of the      Gray and her friend Lee Sando. As a result,    are two-fold. It is an opportunity to meet

marvellous volunteers who donated their     a number of opportunities were identified     regularly and hear about the Centre’s

time and expertise to the Cora Barclay       where volunteers would be very useful at     progress and areas where volunteer

Centre throughout 2015.                    the Centre. Hence a group of volunteers       assistance is required whilst enjoying

was formed known as ‘The Cherubs’. great company and a coffee with a Special thanks go to Dr Patricia Bishop wonderful group of friends. It is never a

and Dr David Mattison for volunteering        Their tasks during the years have been        task but rather a privilege to be involved

and supervising our audiological services.    many and varied with their aim always       and to help make a difference in any

being to assist with staff requests way possible. whenever possible. Being involved initially with reception desk duties until a full time Lee Sando receptionist was appointed, to assisting Chair, Cherubs with children’s play groups, child minding,

FinancialS

The 2015 near-balanced budget           $24,695. This is a strong result given the   The Cora Barclay Centre continues to

demonstrates the true not-for-profit        uncertainties in our current operational     rely heavily on philanthropic support

nature of the Centre with all income       environment. The financial results         from supporters and donors to provide

earned during the year channelled         reported demonstrate the continued       our world-class services for children

directly into providing support to those     financial strength of the Centre as total   who are deaf or hearing impaired. We

children and families on service.           funds increase each year.                  are truly appreciative to all of those

who contribute to allow us to do so.

With the challenge of inconsistent           In 2015, the Finance and Governance        Particular thanks must go to the Scentre

funding from the National Disability       Committee saw fit to diversify the        Group whose support has enabled the

Insurance Scheme, the Centre managed    growing current asset portfolio of the      addition of the Resource Centre to the

its financial position tightly using solid      Centre. Over half a million dollars was      building and an increase to the capital

income from government, business         diverted into equity investments during    value of the 185 Melbourne Street asset

activities, fundraising and philanthropic    the year in order to spread the liquid       valuation as a result.

sources to continue the implementation assets of the Centre and optimise the of our successful clinical programs returns received. The committee looks while managing some lean operational forward to the Centre reaping the overheads. This approach resulted in rewards of this decision over years a small operating deficit in 2015 of to come.

Financial

Report

Income Expenditure

Total income for 2015 was $2,726,804 up slightly Total Expenses for 2015 were $2,751,499 up 6% from 2014, derived from an increase in NDIS from 2014 largely attributable to the cost of doing participants funding, grants, fundraising, business in our new and evolving NDIS environment. Soundfield sales and other income. The largest expense of the Centre pertains to employee costs, who are vital in providing the world-class service delivery to the children.

State and Commonwealth Service Costs

Government Funding

NDIA Funding

Fundraising

Fundraising

Other

Other Income24+36+19+19+1+1+N 82+10+2+6+N

Interest

Statement of

PROFIT OR LOSS

For the year ended 31 December 2015                                                2015               2014

$ $

Revenue                                                                        2,726,804           2,644,340

Expenditure                                                                           (2,751,499)           (2,599.777)

Operating Surplus/(Deficit)                                                      (24,695)             44,563

Capital Donations and Bequests                                                           171,067             432,927

Total Surplus/(Deficit) including Capital Donations and Bequests                     146,372            477,490

Retained Surplus at the start of the year                                          334,760              290,197

Transfer to Reserve                                                                        (171,067)            (432,927)

Retained Surplus at the end of the year                                          310,065           334,760

23

Statement of

FINANCIAL POSITION

As at 31 December 2015                                                2015                   2014

$ $

ASSETS

Current assets

Cash and cash equivalents                                         524,043                 1,250,077

Trade and other receivables                                          92,645                  72,559

Inventories                                                                5,775                    5,775

Prepayments                                                           7,890                    7,455

Total current assets                                               630,353                1,335,866

Non-current assets

Investments                                                           514,238                                -

Property, plant and equipment                                       2,833,034                2,592,082

Total non-current assets                                              3,347,272               2,592,082

Total assets                                                         3,977,625                3,927,948

Liabilities

Current liabilities

Trade and other payables                                                               151,151                202,462

Grants received in advance                                         64,660                   160,180

Employee Benefit Provisions                                              181,086                  162,993

Total current liabilities                                             396,897                525,635

Non-current liabilities

Borrowings                                                                 21,776                     21,776

Employee Benefit Provisions                                            60,814                 40,346

Total non-current liabilities                                          82,590                    62,122

Total liabilities                                                    479,487                  587,757

Net assets                                                            3,498,138                 3,340,191

Members’ funds

Asset Revaluation Reserve                                               1,240,273                 1,240,273

Investment Revaluation Reserve                                                  11,575                                -

Capital Donations and Bequests                                         1,936,225                   1,764,158

Retained surplus                                                     310,065                334,760

Total Members’ Funds                                                 3,498,138                 3,340,191

Independent

Auditor’s Report

To the members of Cora Barclay Centre Incorporated

Report on the Summary        Board’s Responsibility for      Auditor’s Opinion

Financial Statements the Summary Financial

In our opinion, the summary financial Statements statements derived from the auditedThe accompanying summary financial

statements of Cora Barclay Centre        The Board are responsible for the            financial report of Cora Barclay Centre

Incorporated, which comprises the         preparation of a summary of the           Incorporated for the year ended 31

statement of financial position as at        audited financial report in accordance     December 2015 are consistent, in all

31 December 2015 and the statement       with Australian Accounting Standards       material respects, with that audited

of profit or loss for the year then           to the extent described in Note 1             financial report, in accordance with

ended, are derived from the audited        to the full financial report and the           Australian Accounting Standards to the

financial report of Cora Barclay Centre       financial reporting requirements of         extent described in Note 1 to the full

Incorporated for the year ended 31         the Associations Incorporation Act           financial report and the financial reporting

December 2015. We expressed an                                                  requirements of the Associations                                       (SA) 1985.

unmodified opinion on that financial Incorporation Act (SA) 1985. report in our report dated 21 April 2016.

Auditor’s Responsibility

The summary financial statements do not contain all the disclosures required Our responsibility is to express an by Australian Accounting Standards opinion on the summary financial to the extent described in Note 1 statements based on our procedures,

to the full financial report and the         which were conducted in accordance     BDO Audit (SA) Pty Ltd

financial reporting requirements of the with Auditing Standard ASA 810

Associations Incorporation Act (SA) Engagements to Report on Summary

  1. Reading the summary financial Financial Statements. report, therefore, is not a substitute for reading the audited financial report.

Michael Haydon

Director

Adelaide, 21 April 2016

185 Melbourne Street

North Adelaide SA 5006

08 8267 9200

reception@corabarclay.com.au

corabarclay.com.au