Speech and Language therapists in the MidWest have a case load that is four times higher than national guidelines.
The revelation is contained in a new report by Inclusion Ireland which shows there are nearly 4,000 children in Clare, Limerick and North Tipperary that are classified as having complex needs.
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Just 18 therapists are in place to support them, giving them a caseload of 203 children each.
The recommended amount is just 50.