There is a history of concern for Ronan's behaviour within home, school and speech therapy contexts. He presents as a head-strong and determined child who can present with significant management difficulties. Within speech therapy contexts, for example, I understand that poor levels of compliance during sessions resulted in his speech and language therapist supporting him in an alternative format for a time, that is through a school based programme. Ronan's history of non-compliant behaviour may be particularly significant in the context of his forthcoming school placement in that difficulties of this nature will significantly impede his ability to access the curriculum.