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The Things That Matter

May 20, 2013 in Community Wisdom, Featured by Robert Rummel-Hudson

image[1]I take a lot of things for granted.

Looking back on what was undeniably a bad week, there were many elements I wasn’t feeling very good about. I was already feeling low myself, even before Schuyler’s Miracle League baseball situation went entirely off the rails. As is usually the case with youth sports, it happened for reasons that had nothing to do with the players but which ended up screwing things up for all the kids. Schuyler also had a small seizure, not a bad one but the first in many months, as far as we know. And of course, we’re preparing for the bad part of Schuyler’s IEP, the one that got kicked down the road until this week because of pieces that we objected to a few weeks ago. I have every reason to believe we’re going to object to them all over again on Wednesday.

So it wasn’t a great week. And as I said, I take a great many things for granted.

Until I received the email.

It wasn’t from anyone I knew very closely, and it wasn’t loaded with details so there’s no way to know what was missing from the story, what extenuating circumstances make this story different from my daughter’s. But it said enough. He was a little boy a couple of years younger than Schuyler with polymicrogyria, Schuyler’s monster. This boy had a history of small seizures that were identified as absence seizures in the email, but which sounded, judging from the aftereffects, like the partial complex seizures that Schuyler sometimes has, according to her neurologist. The boy had no history of grand mal seizures, not until the day last week when he had his first.

His first, and his last.

It’s easy to get lost in the world in which we live. It’s so easy to forget how quickly things can change. It’s not hard to miss how what seems like a quirk of development, an unusual manifestation of the architecture of a child’s brain, can turn into epic loss with one unfortunate firing of electricity. The world we live in can feel comfortable, even when it’s grey. We think about a future that might have color, but we sometimes allow ourselves to forget, for hours or days at a time, that the future could also contain bitter darkness, and that today’s manageable monster may grow fierce and hungry in an instant.

Would we live our lives differently if we thought about those monsters all the time? I don’t know, and I’m not sure I like the sound of that life, the one lived under threat. But I imagine how we might behave if we really considered the impermanence of things, and if we considered the things that matter. Happiness, fulfillment, lives that thunder and shimmer and take our breaths away. And love, the kind that makes us whole.

You have to ask yourself important questions, in the face of the sudden and the monstrous. If you knew it would all end next week, in a quick and awful electrical storm, or because of a tragic and random accident, or in any of the million ways the universe has devised to devour us, what would you do with the ones you loved? How would you live?

And if you can, if it is within your power to do so, you live your life that way.

Tooth and Claw (and an IEP)

May 6, 2013 in Community Wisdom, Featured by Robert Rummel-Hudson

photo[1]What to say this morning, in the aftermath of Schuyler’s IEP meeting last Friday?

It was the best of times, it was the worst of times.

I thought it might be a bad one going in, actually, one in which we were going to have to fight tooth and claw for what we wanted for Schuyler. It has become more and more clear that Schuyler’s assistive speech technology use has been neglected, a fault for which I take as much blame as anyone. Her special education team has been doing fantastic work, but a kind of dependence on Schuyler’s verbal speech had made all of us a little lazy.

Schuyler using verbal speech sounds like a good thing, a great thing, even. Almost a decade ago (God, has it been that long), when she was diagnosed, the idea that she might one day verbally communicate in school would have felt miraculous. But there’s a tough reality. Schuyler’s verbal speech can usually be deciphered when it’s in the context of a conversation where her responses can be anticipated. In reactionary situations, Schuyler does pretty well. But when she wants to express a thought that is independent, or which is complex, her verbal speech fails her, badly.

The problem with school is simply that almost all of her conversations now are contextual. For her teachers, that means that she can go all year using nothing but her verbal speech and do pretty well. For her classmates, however, it means that for Schuyler to be comprehended verbally, she has to speak in very simple sentences. Schuyler dumbs it down so that she can be understood. It’s easy to miss that she’s not doing very much in the way of independently generated, complex communication.

Schuyler is finishing seventh grade. The days where that kind of communication will adequately serve her are critically numbered. I’d argue that they’ve probably been over already for some time.

We went into this IEP meeting asking for a lot, requesting no less than a total shift in the philosophy behind her AAC usage. The benchmark for success would no longer be that she managed to convey her simplest points through verbal speech, or that she could use her iPad to clarify when that speech failed her. Her iPad would no longer be a parachute. Schuyler would be encouraged, by all her teachers, to use AAC as a primary mode of communication. And we requested an outside consultant with whom we have been very successfully working for the past few weeks, to facilitate a workshop and to help lead this sea change in AAC philosophy, not just for Schuyler but possibly for those who come after her.

As we discussed the way that the iPad provides an opportunity for comprehensive communication that is impossible for Schuyler when she uses her simplified verbal communication, I handed out copies of a poem (with Schuyler’s permission) that Schuyler had written two days before. Her band director and I had discussed possible ways to get Schuyler to embrace her creativity, and the suggestion was made that if Schuyler could write a poem (something she’d toyed with before), the director would turn it into a song for her. When I floated this idea to Schuyler, she pounced on it.

This is what she created as a result.

When I shared the poem, I asked the rest of her team if they thought Schuyler could ever communicate the things in this poem using just her verbal speech. I asked if they’d known such a poem was even in her. I think Schuyler’s words had an impact, much more than anything we said. In her way, she self-advocated like a pro.

So we knocked all this around the meeting, and we came away with what felt like small victories at the time. We rejected the speech therapist and assistive technology team’s goals for language and speech, and set a date for another meeting later this month to amend them further into something comprehensive and measurable. So essentially we punted on the hard stuff. And our request for a consultant-led workshop is going to be considered, which might be a polite way of saying that they’re going to spend the next two weeks coming up with a solid way to say no. I think we’re going to have to fight hard for this one, in no small part because there’s a perception that we’re asking for someone to come in from the outside to facilitate something that the assistive technology team should have been doing.

Which might be true enough. Toes might be stepped on, I concede that. It just can’t be our problem if they are.

Overall, it wasn’t a bad IEP meeting. Most of the team was very responsive to the philosophical shift we asked for, and they seem eager to find a way to engage with Schuyler in a more comprehensive way. It did feel a little like IEP meetings of old, where we fought tooth and claw for what we felt our daughter needed. It was emotionally exhausting, like being attacked by vampires and bled dry,and we both felt like we’d resorted to becoming Those Parents for the first time in years. Not a great feeling, but a necessary one, I guess.

Did we achieve what we needed to? We’ll find out soon enough. Teeth to remain bared a little longer; claws to remain sharp.

Alone on a Crowded Sea

February 18, 2013 in Community Wisdom, Featured by Robert Rummel-Hudson

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I can remember the first time the Internet became part of my life as a special needs parent.

The afternoon that Schuyler was finally diagnosed with polymicrogyria, her neurologist warned us. “I know when you get home, the first thing you’re going to do is go online and look this up,” she said. “I just want you to be ready. It’s going to be pretty rough.” She wasn’t kidding. At that time, the only information online was very clinical. Most of it was written in that horrible medical moon-man language, but the parts that were comprehensible were very scary boo. Worst case scenarios, mostly.

If Schuyler had been diagnosed a few years later, I might have found the world to be a little more comforting, and informative. I would have found at least one support group LISTSERV, and a few years after that, I would have found groups for polymicrogyria families and groups for apraxia and other related neurological disorders on Facebook. Most of all, I would have discovered other parents sharing their experiences.

I would have found what would feel very much like community.

I can also remember, all too vividly, when I discovered how fragile that sense of community can be, and how quickly it could devolve into factionalism and tribalism. I learned how extreme the disability community can be, and how eager it can be to devour its own. How it’s often much less a community and much more a collection of interests, self-protective and nearsighted.

It’s a lesson that many of us discover, whether we are parents or family or persons with disabilities. We find that the idea of community means very different things to different people, and that it is much easier to insist on our positions and to shout down those with other perspectives, ones that we don’t share and therefore don’t value.

I remember when I learned that the disability community can be so insular, so walled off, so protective of its spot on a perceived high ground that it’s honestly not much of a community at all.

I’ve been watching that community eat itself again recently, although honestly, it’s never hard to find a fight. In the past year, I’ve retreated from that larger community, and have stayed away from the parts that don’t concern me or my daughter. If it were just me, that would be fine, I’d write it off as a product of my own bad personality or whatever. But when I talk to the friends I’ve made in that community, I find the same observation, the same retreat. And among both parents and persons with disabilities, I’ve found something very much like a commonality, small but real.

When enough people feel that they are alone again, alone in the midst of a large and diverse community that is hell bent on self-immolation, then I’m not sure that “community” is still the correct term to use.

But here’s the thing that has happened, for myself and others, and if I were advising parents who are new to this whole world, it’s the thing I would advise them to concentrate on. Even as I’ve discovered how isolating the larger disability community can be, I’ve found that the individual friends I’ve made have become stones on which I can build something. We’ve also found real lasting value in those communities that have very real connections to my own family, in our case those built around assistive communication technology and neurological conditions like polymicrogyria and microcephaly.

Mostly I’ve come to realize that the individual advocacy in which I engage on on my daughter’s behalf is the most important work I can set myself to. More than that, it is through that small advocacy that I can build something larger, something better and more lasting.

I once believed that a larger sense of community would benefit us all, that the rising tide raises all the boats, etc. I don’t think I believe that anymore, not entirely. The Internet makes it feel like there are a lot of us in the same boat, but perhaps it’s more like there are a great many little boats bobbing around in the same dark sea. And perhaps that’s the best we can hope for. Tend your little boat, and find the friends with whom you can tie onto for a time and help each other.

And remember that we really aren’t alone. Not entirely, and not in the ways that matter.

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“Once more unto the breach…”

January 7, 2013 in Community Wisdom, Featured by Robert Rummel-Hudson

Schuyler returns to school tomorrow. Well. I guess it had to happen sooner or later.

I suppose every parent has mixed feelings about their kids’ return to class after the holiday break. Unless your kid is perfectly delightful all the time (in which case you’re either lying, delusional, or most likely not paying very close attention) or is a rotten pain in the ass (I think I might have met your child before, sorry), the return is bittersweet. It’s a little like the ending of Polar Express, when Santa finally stops screwing around and flies off to deliver the toys. There’s a moment of silence where everyone ponders the wonder and the miracle they’ve just witnessed. Then all the elves start screaming and dancing and lighting up.

For parents of kids with special needs, I suppose it might be a little more complicated.

Our family holiday probably wasn’t like yours, not entirely. If we had friends over for New Year’s Eve, it was a low-key affair, because our children don’t usually just go to bed and that’s that, and staying up with the grownups is probably asking too much for many of our kids. (But let’s be frank. We probably didn’t have friends over.) If we had a family Christmas, we endured questions from the more distant family members, smiled without a hint of outer sadness as other parents bragged about their own kids’ academic accomplishments or fretted about problems we’ll never get to worry over, and maybe watched our kids’ interactions with their relatives or monitored their special dietary concerns so closely that we might not have actually eaten much ourselves. (I did not have this problem.) When it was all over, we went home and restored our decked halls to their previous condition, and sighed and kept doing what we do, because we don’t often get the opportunity to not be doing it.

The return to school can feel like a chance to stop for just a moment and not do. For just a moment or two.

But at the same time, the return to school means letting go again. It means sending our kids back into the fray, and even without the specter of Newtown hanging over our psyches, that’s a daunting task for special needs parents. We send our children back, even though we know they’re less safe when they’re not with us, less understood when they are in the care of even the good teachers, less sheltered when they are surrounded by their peers-who-are-not-necessarily-really-peers.

And we do so willingly, even enthusiastically (sort of, maybe), because we know that they’re better off being in the less safe, less understanding world. They are better off stumbling, failing, hurting, learning the hard way, because they’ll never grow with our arms around them. They’ll never thrive without clean air and nurturing sunlight and a fresh breeze to blow them away from us. It’s a hard world for our kids, but it’s theirs, and so we send them back into it with newly organized backpacks and freshly cleaned lunchboxes and new school supplies because what happened to all the stuff we just bought you, for God’s sake?

Tomorrow, Schuyler returns to middle school, and it may be Lord of the Flies, but she’s not Piggy, not just yet. It’s hard, and harder for her than most. If there’s one thing I’d pay real cash money to never hear again, it would be how Schuyler’s middle school challenges are just like those of any other thirteen year-old girl. The people who say this think they’re being comforting, but what they are actually doing is reenforcing a fact that we already know too well. Not very many people understand how this is. Not many people get it. And those who do are almost certainly in The Club.

I’ll put Schuyler on the bus, and I’ll feel relief that she’s going back and fighting the good fight again, and I’ll feel sadness at exactly what’s waiting for her when she gets there and how daunting the odds that are stacked against her really might turn out to be.

And I’ll watch the clock closely, even as I pretend not to, and when it reaches four o’clock, I’ll listen for the PSHHHH! of the bus and try to force myself not to go outside and meet her as she arrives.

I’ll try, but I’ll fail. I’ll be standing there when she steps off. I figure that’s not the worst way I can fail her.

It’s Complicated

November 26, 2012 in Community Wisdom, Featured by Robert Rummel-Hudson

“So, this is my life. And I want you to know that I am both happy and sad and I’m still trying to figure out how that could be.” – Stephen Chbosky, The Perks of Being a Wallflower

It happened again last night. I had the dream I’ve been having for almost a decade now, since the summer of 2003, when Schuyler was diagnosed with Congenital Bilateral Perisylvian Syndrome, now known to the world of medicine as Bilateral Perisylvian Polymicrogyria and to the world of Schuyler as her monster.

I dreamed that Schuyler spoke to me, in a voice as clear as the ringing of a bell, a voice I’ve never quite heard like that but which I suspect I’d recognize in an instant just the same.

I’ve had this dream so many times. I couldn’t begin to count them. They began the very night of her diagnosis, after we’d faced a hard reality, the one in which she would almost certainly never speak, or even come close. In that dream, and in the countless ones that followed, she said the same thing. She told me that everything was going to be okay.

Dream Schuyler was right. Things haven’t been easy, but they’re okay.

As Schuyler has grown older and her prognosis has changed, the dreams have changed, too, The dire predictions about her speech turned out to be only partially correct. Schuyler’s words can still be hard to understand, sometimes impossible, and her consonants haven’t actually improved much over the years. But her inflections are perfect, and she gets by with less trouble than you might imagine. As Real Schuyler’s vocalizations have improved over the years, Dream Schuyler has had more to say, and with a voice that I imagine is fairly close to the one she’s been denied but which she herself probably hears clearly in her head when she speaks.

When I awaken from these dreams, my emotions are… complicated.

There’s a lot about raising Schuyler that is complicated. That’s true of any special needs parent/child relationship. It might be one of the few universal truths in an otherwise ridiculously diverse breadth of experience in the disability community. The discussion of what we want for our kids has been one that has grown incredibly contentious over the past year or so, which is a shame. Anything that causes us to fight with each other makes us smaller and less empowered as a community, at least in my opinion, but it’s an important and emotion-filled topic. I wish it could be more nuanced, but I think I understand why it’s not.

The question is itself complicated. I’ve been asked before; perhaps every parent of a different child has been at some point. If you could take Schuyler’s disability away from her, would you do it? You talk about fighting her monster; what if you could actually defeat it? And if you could give her a life that had never been marked by disability, if you could wish her a neurotypical mind all the way back, would you do so?

The cure question. It’s one that starts a lot of fights, and yet it’s not the same question for everyone. It perhaps feels very different to the parent of an autistic child or a kid with Down syndrome than it does to the mother or father of a child with cerebral palsy or microcephaly, with organ failure or severe epilepsy. And even among these groups, you’ll find no agreement. Some parents accept their children’s disability as an integral part of who they are, even if it threatens their lives. Others hope for a cure that will give their children a shot at a typical life, regardless of the danger or the lethality of those children’s disabilities.

There’s no right or wrong answer. No position of greater love than the other. Like everything else in this alternate world of disability, it’s not that simple. It’s not even remotely so.

As for myself, my own answer to that question should be clear by now. I’d do anything to give Schuyler the thing she wants most of all. I’d sacrifice my own health and my own future to calm her monster, to smooth her far-too-wrinkled brain, to ease her seizures and clear her clouded mind, and most of all to untie her tongue. Schuyler dreams of being like any other girl her age, teetering on the brink of her teen years but occupying a spot in it uniquely her own. She’s ambulatory enough to move in that neurotypical world, and she understands it enough to reach for it. But it eludes her, sometimes with a brush of her fingertips against her goals and dreams. Schuyler reaches for it, but she never quite grasps it, and it breaks her little heart.

So no, I’m not personally a believer in acceptance or neurodiversity, but only for Schuyler. I don’t have an opinion on your relationship with your disabled kids, or your own relationship as a disabled person with your neurotypical parents. And I shouldn’t.

Because yes. It’s complicated. It’s more complicated than I know how to process sometimes, just in the face of my one daughter with her broken but beautiful brain. It’s far too complicated for me to think about where anyone else’s situation is concerned.

When Schuyler awoke this morning, she found me sitting alone, quietly. She climbed in my lap and put her head on my shoulder, and we sat that way for a while in the morning’s gathering light. Not sad. Just quiet. She asked me the same thing she does most mornings.

“What did you dream about, Daddy-o?”

“I dreamed about you,” I said. “I dreamed you were talking to me.”

“What was I talking about?” She asked, her hand moving to her throat as she pondered the idea of speaking.

“Nothing bad,” I said. “You were telling me all about chinchillas!” (We’ve been talking about getting a chinchilla for my birthday, and so our conversations have been pretty much All Things Chinchilla lately.) She liked that.

“Do you ever talk in your dreams?” I asked her.

She gave it some thought. “No,” she finally answered.

“You never talk in your dreams?” I asked.

“No, I don’t think so. But I want to talk like everyone else.”

“I know you do, Scout. I do, too.”

“But I’m okay, Daddy-o!” And with that, she was in her happy place again.

Schuyler knows what she can’t do, and she wishes things were otherwise. I don’t think that’s ever not true, not for a few years now. It is complicated, for her as well. If there’s one way that Schuyler is turning out to be exactly like her father, it might just be her innate understanding that our joy and our anxiety walk together. Not as friends, not exactly. But perhaps as family.

Like I said, it’s complicated.

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Visit Build-A-Workshop’s blog, where co-founder Julia Roberts shares her family’s journey with special needs.

Broken Thanks

November 19, 2012 in Community Wisdom, Featured by Robert Rummel-Hudson

I can’t believe I’m about to do this, the most clichéd topic in all of bloggery. I am actually writing a Thanksgiving post. I’m really going to do it.

Well, perhaps it’s not all that straightforward, at least not for parents of kids with disabilities. For one thing, we’re not all coming at it from the same perspective, or with the same core beliefs. Some of us are in a place of acceptance, and others of us still shake our angry fists at the sky. Some of us embrace neurodiversity, while others fight to bring our kids some measure of the life that their unimpaired peers enjoy without so much as a thought. There are parents who are thankful for every day that their kids are alive, all too aware of how precious those days might be. Others of us are equally thankful for every day that we as their parents can be with them, ever mindful of our own mortality and the burning question, Who will take care of them when we’re gone?

For every disability parent who is thankful that their plane landed in Holland, there’s another of us with a lot of questions about why OUR plane landed in Mogadishu instead, or on Mars.

Of all the things in our lives and the lives of our special needs children that are broken, perhaps our thanks are broken as well. But like so much else in our imperfect lives, our gratitude is sincere, the product of the triumphs and the failures we endure every day.

I can only speak for myself, of course. As an agnostic, I’ve never been a particularly devout believer, but likewise I’ve never written God off as a possibility. My wife once said that I’ll never be an atheist because then I’d never have anyone to blame for Schuyler’s condition, or at least someone to fight with about it. And I suppose there’s some truth to that.

When I talk to God, as I infrequently do, there can be a lot of frustration when things are rough, and perhaps no small measure of inappropriate pride when things go right, when Schuyler lands on her feet despite what seems like divine intervention against her. My inappropriate but heartfelt conversations with God range from “Why are you doing this to her?” to variations on “Nice try, asshole.”

But sometimes, when I’m feeling the high road under my feet, I find myself expressing gratitude for much in our lives. And in this week, as we prepare for Thanksgiving, that most quintessential of American holidays, I suppose I could do worse than to spell them out right here.

Some of the things I’m thankful for are definitely items of old business. I’m thankful that I worked for the Yale School of Medicine during those critical years when we searched for a diagnosis for Schuyler. My health plan was simple: Schuyler’s medical care was provided by the amazing people at the Yale Med School and the Yale New Haven Hospital. She received help and diagnostic care from some of the smartest people on the planet, care that I could never have afforded otherwise.

I’m also thankful that Schuyler found her way to a school district that was capable of helping her, and open to the idea of assistive technology as an integral part of her curriculum. As I speak to other parents around the country, I remain all too aware of how rare that support really can be.

I’m thankful to all the people who gave her such a good start with assistive technology. That extends from the amazing folks at the Prentke-Romich Company to the teachers in the Plano Independent School District. It reaches from the readers who contributed to the purchase of her very first AAC device to the independent developers and therapists out there who are constantly moving the field of assistive technology forward and creating opportunities for communication and inclusion that would have been unthinkable just a few years ago.

I have new gratitudes as well. Over the past few years, I’ve met some extraordinary people in the online community. I’ve met some awful people, too, but it’s funny how they don’t seem to stick around. It’s the ones who really matter who seem omnipresent. I can’t imagine what Schuyler’s life, or mine for that matter, would be like without the larger online world as a part of it. I’m especially thankful for all the people I’ve met while speaking to virtual classrooms or at speech language conferences over the years. I can’t imagine that they’ve gotten as much from the experience as I have. Or as Schuyler has, either.

I am thankful every day to the members of my family, to be sure. But especially of late, I am filled with gratitude and love for those who have become like family to us, to those who have opened up their lives to Schuyler and have become a vital part of her world. Her family is expanding, and her heart continues to show no limits in the amount of love she has to offer in return.

I’m thankful for less tangible things. When I read about the struggles that other families go through, I feel almost guiltily thankful that for the time being, and hopefully for a very long time, Schuyler’s own particular monster doesn’t seem to endanger her life. And while I’m always aware that it is the world that is lacking in its appreciate for her uniqueness, I am nevertheless thankful for the small battles she successfully wages just to feel like a typical twelve year-old girl. I hate that “passing” is so important to her, but I’m thankful for the times that she’s able to do it.

One thing that I am fairly certain is a gratitude reserved for parents like myself is this one, which I don’t write lightly or without hesitation. I’m thankful, perhaps weirdly, for the amount of badness that escapes my daughter because of her disability. She’s without guile, and while she is very sensitive to how she is regarded by others, and is certainly aware of when people are making fun of her, it is nevertheless true that the worst of it probably misses her. She knows what people are saying when they use the word “retarded”, and she has grown almost paranoid about the friendships that she feels slipping away from her as her peers find their cool groups, cliques into which she never easily fits. But I watch as some kids, and some adults, make fun of her in ways subtle enough to escape her notice, and for that, I am oddly (and perhaps a bit shamefully) thankful.

Most of all, especially of late, I’m glad Schuyler is by and large unaware of the darker aspects of the Internet community, and the anonymous cruelty and spiritual bankruptcy infecting so much of it from within.

For myself, I’m thankful for the fact that of all the fathers in the world who could have had Schuyler as their own, God or Fate or random selection (you choose) saw fit to place her with me. I have failed her so many times, and sometimes in ways breathtakingly big, but she has never returned the favor. Schuyler has been the most extraordinary presence in my world, and while I sometimes see grey around me, it is washed away by color and song the moment she enters the room.

I’ve never been thankful for Schuyler’s monster, and I never ever will. But I’m filled with gratitude for the opportunity to help her take arms against it. And no matter how it goes or what strange turns it may take, I am thankful, ever thankful, that her path through this world is mine to share.

Sharing a (Special Needs) Goal

September 18, 2012 in Community Wisdom, Featured by Shelley Mannell

It is a question most parents tell me they dread – heck, it makes me anxious and I’m one of the therapists in the room.  “What are your goals for your child?”  It has always struck me as a strange question; our goals for our children tend to be universal – we want them to be healthy and happy. Beyond that it sometimes gets a little blurry. And when I teach continuing education courses for pediatric therapists we often have long talks about goal setting.  If it’s complicated for therapists, I don’t think it’s something we should be expecting parents to do.

As a parent, if you anticipate this question at an upcoming appointment, there could be a different way to frame it.  What if the question was “What would make your child’s day a little easier?”  I’m sure you would have many answers.  Perhaps it would make mornings smoother if she could put on her shoes without melting down.  Maybe he would like to go down the playground slide with his friends. Or she might wish to be able to stand and sing with the school choir.   Communicate your answer to that question to your child’s therapists. Let them work it into a formal goal and together, you can formulate a plan to accomplish it. If goal setting is a team effort, then your child wins every time.

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Shelley Mannell is a Physical Therapist in St. Catharines, Canada with 25 years of experience supporting children and families on their journey to independence. You can read about HeartSpace Physical Therapy for Children at www.heartspacept.com or follow Shelley on Facebook at HeartSpacePT or on Twitter @heartspacept.

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Be sure to check out site co-founder Julia Roberts’ posts about her daughter and Champerina and about traveling Champ on Build-A-Bear Workshop‘s blog! They are a huge supporter of this special needs community!

Giving

August 14, 2012 in Community Wisdom, Featured by Robert Rummel-Hudson

I’ve been thinking of the things I’ve given my daughter. And of all the things I want to give her, and will give her. And the things I’ll never be able to give her.

I’ve often written here that the only things I can promise to give Schuyler is love and the truth, and that remains true. She can always count on that, no matter how badly I might stumble otherwise. And I will stumble. I’ll make poor choices, and I’ll miss some of the big things. I’ll fail Schuyler, as I’ve failed her so many times before, but she can always count on me to love her, and to tell her the truth. My truth, and the larger truth as far as I’m able.

I try to give her more. I’m not just talking about advocacy, either. Obviously I try to give her a world where she might succeed despite her monster, a way to move through that world with confidence, and with the ability to communicate despite her very different brain and her very broken words. Society isn’t ready for her or the likes of her, so I advocate, I write and try my best to make her real to that world, to show that she’s authentic, a whole person with the same expectations and the same possibilities as any of her neurotypical peers.

But I attempt to give Schuyler some kind of normal, too. I have always tried to give her humor, which isn’t hard to do at all, because she has an easy laugh and is genuinely a very funny person. (Her current favorite is a knock knock joke, but it’s one that we spring on someone else starting their own joke. Question: “Knock knock.” Answer: “Come in!”) I’ve never spoken to her like a child, and I never will.

I try to give Schuyler what she craves the most. New experiences, a break from routine that borders on chaos. I try to introduce her to enough new people and new situations that she might just be distracted from the fact that she doesn’t have friends, that her school and her peers don’t get her, that her community won’t be able to let her live independently. I try to protect her from things that will ultimately be hers and hers alone to face.

I already gave her a genetic gift that turned out to be a gag gift, and despite all that I understand about that, I still feel inexplicably guilty for that. It’s a thing I need to make up to her, and I will spend the rest of my days attempting to do just that. I try to give her the encouragement to be the person she is, regardless of her challenges, which are many, or her difference, which is very great.

What can I give her? What can I as a father, and a friend, give to Schuyler? I honestly don’t know for sure. I’ve failed her so many times, but I’ve gotten it right sometimes, too. We’ve chased schools as we’ve looked for the perfect solution, but we’ve learned the hard way what a fool’s errand that is for a kid like her. Now we’re chasing the right community, looking for a better place, a place she can make her own.

And we’re giving her something like a sibling, and something like an expanded family.

I don’t know what I can give to her. Not a comfortable life of easy living, but then, I’m not sure that’s what she needs anyway. Not a life of unfailing wisdom, but I’d rather her watch me fail and make bad choices and occasionally disappoint, and if she sees all that and knows the person I am, and she loves me anyway, then it’s no longer about what I can give to her.

If she loves me in all my imperfection, than I’m the one who receives a gift. And not a small one, either.

Letting go. Just a little.

August 6, 2012 in Community Wisdom, Featured by Robert Rummel-Hudson

Schuyler had a good week, aside from some seizure activity here and there. I’d say she might have even had the best week of her summer, because she spent the better part of it with her beloved godparents down in San Antonio.

Schuyler is always looking for an upgrade. One day she’ll accept that she’s stuck with the parents she was born with.

The week was a little chaotic because I was out of town and Julie had to work a few shifts. The arrangements I’d made to have Schuyler watched fell through the week before, and her godparents were enjoying their last week of vacation before going back to work, so it worked out nicely for everyone. (Well, it worked out because Schuyler’s godparents are amazing human beings who are willing to drive across a state the size of France in order to spend time with her. She might actually be better off if Julie and I were to perish in a crash or murder each other in a duel.)

But before it worked out, Julie and I had made a choice, one that never actually had to come to fruition. We’d decided that Schuyler would be able to spend some time, a number of hours in fact, at home by herself.

The next time something like this happens, she will likely do so.

Because she can. I think. I believe. I hope.

It’s tricky with any kid her age, and we recognize that Schuyler isn’t your usual twelve year-old girl. And I would be lying to you if I tried to claim that I am 100% on board with the idea of her staying by herself, even with her mother working just minutes away and with her iPad from which she can text us if she needs to. To be honest, the idea scares the hell out of me. It puts a black little pit in the very center of me, into which drain my courage and my belief in my own abilities as a father to protect her, to take care of her.

Independence is hard. It’s probably hard for most parents, but for those of us with kids who have disabilities, kids who are different and for whom the world isn’t always a good fit, it’s incredibly difficult to find the right balance. We work hard to give her the tools to communicate, we teach her how to keep the dangers of the world away as best we can, we show her how to function alone, how to feed herself and keep herself entertained and not to open the door for anyone at all, ever. We instill in her the skills that any twelve year-old should know.

But when the moment arrives, sometimes we blink. Sometimes our belief in our child’s ability to live an independent life, even for a few hours, well, that belief fails us. And I’m not sure about this, but part of me thinks that when it happens, we might just fail her, too, just a bit.

I’m glad that Schuyler got to see her godparents this week, incredibly glad. She loves them beyond measure, and they are probably the closest family she’s got. But when I think about the decision to send her to stay with them for a few days, I hope that I can honestly say that we did it because she would have fun, and because she deserves some summer vacation and deserves to be treated like royalty by two people who love her dearly, and not because we were afraid to let her breathe some independent air.

And the next time the need arrises for her to take care of herself for a few hours, I hope we won’t blink. I hope we’ll give her the room she needs to grow up just a little bit more.

And oh God, if we do, I hope she’ll be okay.

How Important is Your Child’s Designation?

July 17, 2012 in Ask the Special Ed Lawyer, Community Wisdom, Featured by dianaglick

As discussed in previous articles, eligibility is found when a student has one or more qualifying disabilities and the IEP team determines that special education services are necessary for the child to access his or her education. When a student has a single and very obvious disability, this is a very straightforward process and if you are not wondering about the designation (disability category) that will be listed on your child’s IEP, you are probably in one of these straightforward situations.

This discussion is geared towards those families who are struggling to identify an appropriate designation and wondering how the choice of one or another might affect their child’s ability to obtain services.

A Ticket to the Game

From a legal perspective, a designation is simply a “ticket to get into the game” and does not necessarily result in any particular placement or services. Further, students and parents are not legally entitled to any particular designation; rather, the right is to a free appropriate public education (FAPE). This is because special education is “specially designed instruction” that is supposed to focus on the unique needs of the child. If your child needs a specialized reading intervention, he or she can access these things through any of the qualifying disabilities on the list. The law does not assign specific services to certain designations but requires that any condition impeding the child’s access to his or her education be addressed. In other words, a child could have a vision impairment, but have “autism” checked on his IEP. As long as that child receives services to address his vision impairment sufficient to be considered a FAPE, the fact that he has a totally random designation means nothing in the legal world.

Back to Reality…

However, setting aside the legal framework of the IDEA and coming back to the real world, it is highly unlikely that a student who is hard of hearing will automatically be considered for mental health services or any other service that may not necessarily jump to mind when thinking about the needs of students with hearing impairments. It also means that a student who is eligible with a designation of Speech/Language Impairment (SLI) may not be offered more intensive interventions that would be considered for a child with a designation of Autism, even if the student with an SLI requires these services in order to access his education. In reality, some families face an uphill battle in obtaining all the services their children need and in those cases it’s important to have the most accurate designation possible.

In addition, some states have categories of “low incidence” disabilities, which are tied to a certain level of funding based on the ability to access federal funds for these particular disabilities. While in an ideal world, a designation determination would never be driven by the funding or services available, this often ends up being a factor in the IEP team’s decision-making process.

One of the most important things to remember is that designation is an IEP team decision, which means that everyone’s input is important, including that of parents, assessors and teachers. There is also a difference between a medical diagnosis and an educational designation. A doctor’s diagnosis can inform the team, but a student’s designation is determined according to educational criteria.

While there is no set formula for determining the proper designation, there are some key questions that can be posed to the team that will help frame the discussion:

1. What, if any, medical diagnoses does the student have?

➢ While the designation is an educational decision, a medical diagnosis in some situations is an excellent “jumping off point” for the IEP team’s deliberations.

2. What are the key areas of need demonstrated by the student?

➢ You will want to consider needs observed during evaluations, in the classroom and by the parents in the home and school settings

3. Of the challenges and deficits experienced by the student, which is the biggest impediment to his ability to access his education?

As a special education attorney, I saw many families face the “ED or OHI?” conundrum. This occurs when a child has a diagnosis of ADHD, which would usually point towards the Other Health Impairment (OHI) category. However, sometimes students with ADHD also have moderate to severe mental health issues and could also be considered Emotionally Disturbed (ED). There are many factors that go into a decision to opt for one designation or another, including the predominant behavioral challenges experienced by the student, his or her age, and in some cases the student’s preference.

Just When You Thought it Couldn’t Get More Complicated

Some District IEP forms contain spaces for a “primary” and a “secondary” disability category. Just as there is no legal right to a particular designation or a correct designation, the law does not distinguish between primary and secondary designations. In some cases, being able to put down more than one category can help resolve a conundrum, such as determining whether a child should be considered ED or OHI. In other cases, it can lead to more confusion and conflict as IEP teams feel compelled to identify which of two disabilities is primary and which is secondary. If you find yourself being dragged into a conflict about designation, take a step back and look at the big picture: what are my child’s needs as determined by the assessments and parental input and what services are being offered to address these needs?

Despite the fact that eligibility categories do not drive litigation, they can have a significant effect on the way a child and his or her needs are viewed by school professionals. The determination and agreement on a child’s designation is a key part of the IEP team’s process of identifying needs and matching services to satisfy those needs, with the goal of offering the child a free appropriate public education.

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Disclaimer:

This column reflects the views of Diana B. Glick in her individual capacity. Diana represented parents and students as a special education attorney for four years and is now a legislative analyst with the California Assembly.

The purpose of this column is to assist in dissemination of information about federal special education law, but no representation is made about the accuracy of the information. The information contained in this column is provided only as general information for education purposes, and topics may or may not be updated subsequent to their initial posting.

By using this column you understand that this information is not provided in the course of an attorney-client relationship and is not intended to constitute legal advice. This blog site should not be used as a substitute for competent legal advice from a licensed attorney in your state. This column is not intended to be advertising and Diana B. Glick does not seek to represent anyone desiring representation based upon viewing this blog site in a state where this blog site fails to comply with all laws and ethical rules of that state.

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