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Sometimes Funny is All We’ve Got

August 3, 2011 in Featured, From Julia by Julia Roberts

When our first child was diagnosed with  developmental delays we didn’t know what hit us. We’d gone from having a perfectly healthy 8 month only child to one that was in 7 therapy appointments and “at risk” as defined by the state’s early intervention program.

Those were not fun times. While we were still acting as a regular family, we were focusing on getting used to our new normal. Which turned out to be not very easy. It did happen eventually and we were happy again.

But we didn’t know what we didn’t know.

A little over a year later we were faced with our new baby’s diagnosis of a life-threatening kidney disease and 3 months later our son’s diagnosis came. It was not a happy time in our house. In fact, I clearly remember doing anything but laughing or having fun…for a very long time.

That was the year I refer to as “The Fog” and I remember it well. Back then, before I was blogging at Kidneys and Eyes to release some of the pain and hurt and experience, I would send out batch emails to close family and friends to give them updates. Those emails were excruciating to send because I didn’t want to sound too depressing, but honestly? Things were depressing around our house. We were still getting our special needs parents legs firmly planted on the ground. So while I was kind of pretending to be okay, things became okay. It was a “fake it til you make it” kind of thing.

During that time my beloved and I would test out our funny bone on each other. We’d say something totally inappropriate outside the walls of our brick ranch home and slowly but surely we started to believe. We started to believe in humor again. It didn’t happen all at once; it slowly crept back into our lives.

Over the years as we cried about the progressing symptoms of kidney failure, developmental delays and bad reports all around us, we learned that we could laugh. I remember the night when I got a call on my cellphone telling me it was time to get our son in to talk about a kidney transplant; his lab numbers had taken a turn for the worse and stayed there. When I got home my husband took one look at me and he knew something was wrong.

The kids were eating dinner at the kitchen counter and while I was crying they were screaming for milk (or goldfish or yogurt) and we were both trying to hid our tears. I am fairly certain I sighed heavily and rolled my eyes because the kids have the audacity to ask for more to eat or drink and I said something like, “Ugh! We can’t even talk for one minute about dialysis and kidney failure!” My husband looked up at me and said, “What, don’t you think mortality and milk mix well?”

I agree, it’s not THAT funny, but it did come at a good time. We talked about how life just keeps moving on; the kids still have to eat. So, we just moved on through two kidney transplants (mixed in with dialysis, depression, mental health issues and trauma) and here we are, trying to get ready for the next crisis (which we know will always come).

Sometimes we make fun of our life and our kids to left off steam. Sometimes it’s because we need a laugh. Sometimes it is because some of the things they do because of their disabilities are really funny. Sometimes it is because if we didn’t we would cry.

I like to make fun of what we say and I chronicle it on my blog by titling certain posts with “Spoken in the Mutant Family Household” because it’s my way of embracing our inner (inappropriate) funniness (Sometimes about the kids! And their disease!) and our outward mutantness.

There’s hardly a better way to live this life than to laugh at it and that includes laughing with (and at) my mutant children. I have to admit some days it is the only way we can live this life.

Does humor get your through the day sometimes?

What NOT to Say to Special Need Parents

July 27, 2011 in Featured, From Julia by Julia Roberts

While we’re preparing for the BlogHer Special Needs Mini-Con, we’re dipping back and running posts from our archives. This one in particular got a lot of play around the internet when it when live, but recently was brought back into the forefront because a person in the comments. Read those comments. It is true people will always sit in judgment for parents of kids with special needs as well as parents of typical kids. But bullying? Attacking? It seems, well, that sometimes we have to do more than protect our kids; we even have to protect what we think and feel to be our experience.

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Recently a thread started on Support for Special Needs about what we wish people didn’t say to us. Given that we’re all different I’m sure not everyone will agree with each mention on this list but many of the items that people wrote in about resonated with other community members. A lot of the items resonated with me.

While we all agree we have the one or few that really bug us, most of us agree that most people who say these things aren’t mean spirited people. They simply don’t understand what they are saying is hurtful, annoying or bothersome. Maybe if we share this post with people in  each of our lives, we’ll educate people on what we’d find helpful NOT to say to us…

- God only gives us what we can handle; He must think you two are special parents

- Using the word “Austistics” to describe people on the spectrum.

- Remember, you have to take care of yourself, so you can take care of them.

- He’ll speak when he’s ready to.

- When looking at my son using a reverse walker, “Wow, we need to get one of those for my (typical) 10 mo old so he/she can walk better!”

- They’ll EAT when they’re ready. They’re not going to starve to death.

- You are so much stronger than me… I don’t know how you do it

- Pointing out that my non-walker shouldn’t be in a stroller, not knowing he can’t walk.

- That my child is just playing us.

- They just need discipline.

- You two are amazing for adopting two special-needs children. They are SO LUCKY.”

- Family and friends that downplay a diagnosis.

- For a child that has tics, saying, “Do you think she is doing it for attention?”

- Anything that implies that sensory issues are not real or that we’re playing into their “fear.”

- When people say they are sorry or offer condolences for a child with disabilities.

- Any comment that starts with “If you would just…”

- What’s wrong with her?

- Don’t worry she’ll catch up.

- She’ll grow out of it.

- Is your other son/daughter “normal”? or “Are your other kids ok? (As if to imply the child with the disability is not?)

- You are so much stronger than me and/or I don’t know how you do it.

I thought I would end this with a paragraph about the well-intentioned people and go into something about the people who talk without thinking, obviously, we think to ourselves. But I decided to open up a thread on what we’d like to hear from people. So here is the YES! SAY THIS! Instead list…

- I’ll be over on Saturday to help do laundry/wash dishes/scrub floors!

- I don’t know what to say to you, but I love you.

- How are you doing? (and actually listen to the answer)

- Quote from Elaine Hall: “How Can I Help?”

- Just wanted you to know I was thinking about you.

- I just made an extra dinner when I was cooking for us, can I drop it by now?

-  I know you had an appointment yesterday, how did it go?

- Want to drop your kids off with us for an hour or so?  (Because people are afraid to take care of my kids, when this happens, it feels like acceptance and support.)

- I’m on my way to the store, want me to grab you some milk or bread?

- Need any help at bedtime with the kids?

- I’m coming over to watch the kids right now for an hour so you can take a nap.

- We’re on our way to take care of the yard work.

- Sounds like you’re doing a great job.

- Here’s some things that worked for us. (preferably from people who “get it.”)

These are just a sampling of what some Support for Special Needs community members preferred…obviously, we’re all different and some on either list may or may not resonate with a particular parent of kids with special needs. Again, for me, I never got mad about kids asking questions or parents helping their child ask a respectful question. I always minded rude adults who encouraged rudeness in their kids. I never minded any of the items on the NOT list from people who cared about me because I knew their intentions were good. As the years go on I am better about saying why something bothers to the person so they understand.

One thing seems to be across the board though; special needs parents would like people to think before they speak, especially in front of their children. We’d like people to see our kids as people, with feelings. I’d like people to know that when they see what they perceive as a negative is not necessarily a negative. A woman once said to me, “She’s just walking? How old is she?” On a strong parenting day, as I like to call them, I excitedly said, “Yes! She’s young! I think it’s absolutely fabulous she’s walking!” Not sure when my daughter would take her first steps we were thrilled she was walking independently by age three.

Autism Awareness Month: If I only knew…

April 25, 2011 in Featured by Jennifer King

It’s April. Autism Awareness Month, and the month is almost over. As the mother of a seven (almost 8 year old son) on the spectrum, I felt like I should say something. In fact it’s been weighing on me greatly, just what I should say.

The truth is I have written and re-written this post what feels like a million times and was never happy with it. I wanted to say something, but I’m no expert of any kind. I’m just a mom, not even one of those Autism Warrior Moms you hear tell about. I’m just an ordinary mom of two regular type kids, one of whom happens to have autism.

So then I started over from scratch. I thought, if there was one thing I wish someone could have told me about autism before my son was diagnosed, what would it be?

So here goes…

There is a saying you may or may not have heard, ”If you’ve met one person with autism, you’ve met one person with autism.” It’s seems sort of obvious doesn’t it? Not all typical people are exactly the same, why would those with autism be. But it’s a truth that I think many people don’t fully grasp. Before my son was diagnosed, I didn’t get it. Not at all.

I thought I knew a fair amount about autism. I’d read a couple of books. I’d met a handful of people who’d been diagnosed with it. I knew about Temple Grandin from when I was taking animal husbandry courses in jr. high and high school.

But the truth is the image I had in my mind was a very stereotyped one, and it was an image that did not match up with my son. Even when family members suggested I look into it, I just couldn’t see it. I did mention it to the pediatrician who didn’t see it either. She saw some delays, as did I, but not autism. If I’d known, I mean really known? I don’t think I would have left it at that.

I’d wish I’d known that kids with autism can be goofy, and silly and giggly and cuddly. I wish I’d known just how smart and talented and loving and amazing children with autism can be.

I wish I’d known all that, I mean really known that, when Max was little and first showing the signs. Would an earlier diagnosis have made much of a difference for him? It’s hard to say, but at least I would have known I had done my best for him from the start.

I would have understood why he struggled with things that other children seemed to sail through. I like to think I would have been more patient with him. A lot more patient.

And maybe… just maybe… I wouldn’t have felt so alone.

Because there are so many of us. Not just parents of children with autism, but all of us parents of children with special needs, children who struggle to fit in a world not made for them. We are not alone.

We don’t have to be.

Community member Jenny who blogs as Jittery PlanetSingle mom to two boys, one with autism and one neurotypical, starting over again smack dab in the middle Minnesota.

Adjustments in Special Needs

February 23, 2011 in Featured, From Julia by Julia Roberts

We’ve recently been trying to figure out what we’ll do with our son for 6th grade. Well, that’s not exactly true, we’ve been thinking about it for about a year. Sixth grade is still month away but with private schools needing to know by April 1ish we needed to start looking in January.

We have a good option for our public school. It’s large though. The director of special ed is a lovely woman who came to our elementary school to meet with us and discuss our son’s IEP/needs. She didn’t see any reason why they couldn’t serve him there. We also visited a private school (to the tune of $22,500/year) that is for students with learning differences. My son had a lot of anxiety over our discussions and it manifested itself in self hatred talk and thoughts of harming himself. It was with 100% certainty that I knew the root of the anxiety.

Anxiety is a tricky thing in our world. With delays, mental health issues and the fine balance of keeping things from exploding at any given time I thought it’d be good for get him over to the middle school to see what it was like. He was  resistant to going to a private school away from kids he’d know but after visiting the large school he’s open to another school choice. When we left the building he said, “No, it’s too confusing.” When I told him one of the schools we are looking at has just 8 kids in the 6th grade he smiled and said, “Yeah, I’d like a small class like that.”

He obviously needed to see it to adjust his thinking he had to go to the school where most of his friends will go. I still think he could but I’m not sure he’d flourish. He’d survive it but not without unique challenges of being different in a school of 400+ 6th graders. We’re still searching and I’m sure we’ll come up with something because we just will.

We’re a resourceful bunch, special needs parents are, aren’t we?

We have a world of adjustments we make from the second we hear of an issue/diagnosis to selecting where we’ll live to making decisions of what to push for and let go of with educators, friends and family. We’re constantly making adjustments. I know when you have kids you know you’ll have adjustments. Add in the special needs factor and it just makes things more complicated.

I am not sure when I realized my life would be about making adjustments about everything…including a style of parenting that isn’t necessarily 2nd nature, maybe a year into learning about the kids recessive polycystic kidney disease. When things are stable and moving along I forget the amount of adjustments we have to make nearly everyday. Adjustments have become so much a part of what I do, it hits me when we have a big adjustment.

Like middle school. Middle School + Special Needs = ADJUSTMENT. In a big way. I’m not ready for it but with special needs we don’t really have time to get ready, do we?

What’s your latest adjustment relating to special needs?

A Tribute to Mothers and Fathers of Bipolar Children

January 24, 2011 in Featured, Insider Insight by Admin Dawn

by Janice Papolos and Demitri F. Papolos, M.D.

In our book, The Bipolar Child, we talk constantly about the burdens that parents of children with bipolar disorder must shoulder and overcome, all the while attempting to make decisions with the clinicians who work in an area of medicine that is still in its infancy.

But we’ve never composed a stand-alone list that lets others look at what the parents must grapple with and withstand — in all its stark and disturbing reality.

This list, sadly, cannot even be described as “exhaustive or complete,” but the parents coping with a child (or children) with bipolar disorder deserve special recognition and honor for their enormous valor as they:

  • Look at a very young and much-loved child with a nagging fear that something is seriously wrong.
  • Feel the external world bearing down on them, advising them to take multiple parenting classes or to tune into Nanny 911. Feel infantilized and ashamed as people offer up criticism and advice.
  • Accept that they need help from a professional, but feel a stranglehold of fear.
  • Come to learn that there are only 4,101 child psychiatrists in the entire United States–many wary of making this diagnosis.
  • Watch their child and other siblings besieged by an illness for which there is little diagnostic or treatment consensus in the field of psychiatry.
  • Receive multiple diagnoses such as ADHD, OCD, ODD, PDD, anxiety disorder, or simple depression.
  • Come to accept that the child has a very serious psychiatric illness and make the agonizing decision to begin a trial of medications (if they can find a psychiatrist who can treat their child, or who has open hours).
  • Read the package inserts of medications which list possible side effects, as well as frightening black-box labels, and watch apprehensively for any signs of serious trouble such as lithium toxicity, tardive dyskinesia, Stevens-Johnson syndrome, new-onset type-II diabetes, or pancreatitis.
  • Attempt to explain to a child how the doctor is trying to help and what the medications are going to do; subsequently they watch their child experience distressing early side effects that include nausea and diarrhea and severe drowsiness; or worse, the paradoxical effects that produce the opposite reaction of what the drug is being used to treat.
  • Deal with the disillusionment of a failed medication trial and explain to that child why those pills didn’t work and tell him or her: “We’re going to try something else,” knowing that they may have to repeat that phrase a number of times and thus begin a new round of side effects.
  • Have to get a child who has a needle phobia to a lab for a blood draw to determine drug levels. (This experience alone could turn one’s hair grey.)
  • Watch children’s weight balloon upward and their self-esteem plummet as they take certain medications that can be very effective, but that may also cause weight gain.
  • Become an all too familiar face at the pharmacy, experiencing shock at the cost of each prescription.
  • Have to suffer the ignorance of people in the media, who–in a cavalier manner–discuss over-diagnosis and over-medication. Moreover, these parents hear certain clinicians in the field publicly utter insulting sound bites such as: “This is an easy way for parents to let themselves off the hook;” or “This is simply the diagnosis du jour.”
  • Have to listen to the word “No!” from a child one hundred times each morning, but be unable to assert the parental “No” as it will predictably trigger a meltdown.
  • Suffer the physical abuse of a child raging out of control, and experience crippling shame because they can’t manage their own child.
  • Are set adrift in a house that has become a war zone.
  • Deal with feelings that alternate from extreme anger at the child to the most unbelievable yearning to help that child, from anger at the outside world for failing to realize what is happening to them, to exhaustion in trying to deal with the child with some modicum of equanimity.
  • Become perplexed that their child often does well in the outside world, only to return to the safe harbor of home to rage at a parent (most often the mother), leading to the suspicions of outsiders that “Something must be going on in that household, and with that woman;” or “She seems so nice, but you never really know people;” or “He can keep it together at school, so he must be a very manipulative kid.
  • Have to mount a siege each school-day morning simply to get a child suffering a sleep/wake reversal up and out to school.
  • Hesitate to answer a phone, afraid that it will be the vice-principal in charge of disciplinary action calling to report an “incident” at school.
  • Come close to earning a degree in educational law so as to work with the school system. Keep in constant contact with the teachers and psychologist or aide in order to assess what’s working and where yet another accommodation may help.
  • Waylay careers and reduce household income so a parent can stay at home to deal with the child and spend hours at doctors’ and therapists’ and tutors’ offices.
  • Experience the heartbreak of knowing that their child is rarely invited to birthday parties. Conversely, if he or she is invited, the event might be overstimulating thus provoking some kind of meltdown, and effectively putting an end to any such celebrations in the future.
  • Fear that their child will become aggressive with kids on the playground or in the neighborhood, thus earning disdain and a cold shoulder from the other parents.
  • Want the world to understand, but fear that the stigma will further isolate the child and their family.
  • Attempt to explain the almost inexplicable to the siblings, and to help them cope with the chaos in the household. Feel overwhelming guilt that the family is always fractured as one parent goes to a soccer game while the other stays home with the unstable child; or that a rare dinner at a restaurant devolves into an embarrassing, abruptly-ended event as parents race the child and siblings home and away from disapproving diners.
  • Are paralyzed if a child becomes manic and hypersexual and says inappropriate things or makes inappropriate gestures.
  • See their marriages become shaky as the stress of coping with this illness leaves parents little time to relate to each other and most conversations begin to center around the problems of their ill child.
  • Listen with horror as their child screams, “I don’t want to live anymore;” or “I’d be better off dead.”

It is hard to fathom how these parents get through a day. Their reality is simply unimaginable to the outside world, and their lives–until their children are stable–are a virtual stew of guilt and powerlessness, anxiety, fear, uncertainty, confusion, blame, and shame. These are feelings that most of us would do anything to avoid, but all are feelings that a family who lives with bipolar disorder must endure for months and years at a time.

And yet, we see family after family find the help, learn to cope, steady their footing, and move on with their lives. And then we see them turn around and offer a lifeline of information and support to others who must walk the same path, only now no longer alone.

We celebrate these parents: their grit and their commitment, their love and their humanity….Parents who have never stopped trying to help their children — against seemingly overwhelming odds.

Demitri Papolos, M.D. is an associate professor of psychiatry at the Albert Einstein College of Medicine in New York City, where he is the co-director of the Program in Behavioral Genetics. In 2001, Dr. Papolos became the director of research of the Juvenile Bipolar Research Foundation (JBRF) where he established a consortium of clinical and basic researchers from medical centers across the country in order to focus on the root causes of childhood-onset bipolar disorder. 

Demitri F. Papolos, M.D. is one of a handful of psychiatrists in the world who began to see and to speak out about the possible deleterious effects of antidepressants and stimulants in the population of children within the bipolar spectrum. His extensive work with youngsters with the condition and their families, led him to team with his author wife, Janice Papolos, to write the first book ever published on the subject of early-onset bipolar disorder, The Bipolar Child. In its first and second editions, the book returned to press 23 times and third edition was published in 2006.

Dr. Papolos earned his undergraduate degree at Harvard and completed his medical training at New York Medical College and the New York State Psychiatric Institute at Columbia Presbyterian. He is in private practice in New York City and Westport, Connecticut.

This article originally appeared in his online newsletter, which you can subscribe to at his website BipolarChild.com.

Special Needs, Special Holidays

December 8, 2010 in Featured Member by Sylvia Ross

Ahhh, the holidays. Time to relax and enjoy having family gathered around you, eating delicious, fattening food before renewing your annual resolution to lose weight, right? Sadly, when you have someone in your life with special needs, it doesn’t always work out that way.

Two days before Thanksgiving 2008, our family received a crushing blow. The baby we were expecting in April was diagnosed with what has been described as “the most devastating congenital defect compatible with life”. Spina bifida. My husband didn’t understand what the doctor was saying. As a nurse, I did. A pall had been cast on the whole holiday season. I had to get through it while worrying about how much it would affect the lives of our entire family. I had to explain to family and friends that we didn’t know how Micah would be affected until he was here and even then we would still have to watch and wait to see what he could do as he grew.

I wanted to hide. But I had a toddler who needed her Mummy to share the excitement of the season and the coming baby. I didn’t want there to be an “elephant in the room” at family gatherings. You know, the thing that is so overwhelmingly big that you can’t help but notice it, and wonder why no one else is talking about it? I didn’t know how friends would accept a “disabled” child. We don’t have family close by and didn’t really have any good friends either, having relocated to Ohio only a year before. My husband works for a school district and shared Micah’s diagnosis with a few of his colleagues. One of the librarians learned of it and after hearing that we didn’t have plans for Thanksgiving, insisted that we come to dinner at her home. I didn’t want to. Our daughter was young enough that she wouldn’t know she was missing out on anything, so why not stay home and not have to talk to anyone? Why not hide from the questions of well meaning strangers? But we didn’t.

I wish I could say I knew we needed to get out and live our lives as usual, but that’s not why we went. We went because my husband, an Aussie, has grown to love turkey drumsticks. And stuffing. And mashed potatoes. And pie. Any excuse to make a pig of himself with unlimited access to food? He’s there. So we went. And I’m glad we did. Yes, it was difficult. Vickie, his colleague, was kind enough to ask her questions about Micah’s health in private, and didn’t share with the rest of the group, so as far as they knew, I was just your average pregnant woman. It helped to know that I didn’t have it written across my face “I HAVE A CHILD WITH SPECIAL NEEDS!” It helped me realize that we will have lots of holidays to celebrate with both kids. Even though Micah has a disability, he has a right to celebrate like everyone else! Christmas was a blur spent with family and friends out of state. I went through the motions, and tried to just concentrate on my daughter’s pure joy over all the pretty presents, lights and fun.

It’s nearly two years later–and Micah has surprised us all. We didn’t know if he would even be able to stand on his own. He not only stands, he loves using his walker to chase his big sister. It has not been easy, though. So far, we’ve been through 7 surgeries and spent our 9th wedding anniversary, Palm Sunday, Easter, the 4th of July, and my birthday in the hospital, courtesy of those surgeries. How do we handle it? Honestly, first I cry. Then, I try to replace the tears with laughter. I bring in treats for the nurses who have to work those days. They don’t exactly want to be there either. My husband brings us food from our favorite restaurant since we can’t get there. Our favorite drinks taste just as good from a disposable plastic cup as they would from an expensive crystal goblet, right? When friends and family offer to help out, I try to find some way to let them help–accepting help is so important when you have a special needs child! One friend in particular brought me a pint of my favorite sorbet when I had to spend my birthday on the rehab floor with Micah, who was recovering from spinal cord surgery. She sat there and enjoyed her own pint of sorbet with me, since my husband was on a business trip. Was it how I wanted to spend my birthday? Oh heck no! I would have chosen to spend it at a fabulous spa being pampered and massaged and treated like a queen! But my little man needed me, so there I was. Sitting on the pull-out couch eating sorbet with a plastic spoon and laughing with a friend.

What have I learned from having kids with special needs? You really have to be flexible in every area of your life. If something isn’t going the way you wanted it to, don’t fight it. Accept it, and make the best of it. Celebrate, no matter what blow you’ve been dealt. As a youth pastor of mine used to say… fake it ’til you feel it. You’ll get there. And your family will thank you.”

Assessments In the Driver’s Seat

November 3, 2010 in Ask the Special Ed Lawyer, Insider Insight by dianaglick

The most important thing to remember about assessments is that they not only determine eligibility — they also drive placement and services.

A good and appropriate initial assessment can be used by the IEP team to determine whether a child is eligible for special education. My prior articles have described the requirements for eligibility, in short: a qualifying disability and a showing that the disability interferes with a student’s ability to access his or her education. However, that initial assessment will also set the stage for the placement and services offered by the district. While the eligibility category (such as autism, specific learning disability, or a speech/language impairment) will signal the main interventions to be provided, an IEP should include services necessary to address all of your child’s areas of need.

For example, if a child is eligible for special education as a student with Other Health Impairment because of a diagnosis of ADHD, he should receive services designed specifically to address the challenges arising from attention deficit. However, it is possible that in the scope of the assessment, the evaluator also identifies some problems with social/emotional functioning, such as withdrawal, anxiety or depression. These issues should be addressed as well, usually by an initial offer of school-based counseling, or a social skills groups for students.

When Assessments Steer You Wrong

Clearly, when an assessment is used to conclude that a child is not eligible for special education or not eligible under a certain category that you may be seeking, this can be a frustrating setback in your advocacy efforts. However, the worst assessments are the ones that provide absolutely no useful information about a child. Even if you disagree with a particular recommendation or conclusion that the district may have drawn from an assessment, the data itself can still be very helpful in understanding your child’s educational strengths and deficits.

Some of the more common issues that that arise with assessments are when the district fails to use an appropriate testing instrument, fails to properly score a test, or fails to administer or conduct any testing in an area that is a known issue with the child. To expand upon the example above with the child who suffers from ADHD, if that child’s teachers have noted troubling behaviors in the classroom that they believe could be emotionally-based, or if his parents are raising concerns about his mental health status, this would be considered an additional area of suspected disability. When his triennial re-evaluation rolls around, the district should absolutely include some kind of assessment to address these concerns.

Federal law sets forth several requirements for evaluations, including that they be conducted at least every three years, but not more than once per year unless agreed upon by the IEP team. A full assessment should include a variety of testing instruments and tools, so as not to rely on a single measurement of a child’s ability. In addition, standardized tests should be administered in accordance with the publisher’s instructions by knowledgeable and qualified personnel, should be given in the language of the student and should not be racially or culturally discriminatory. One key requirement is that the child must be assessed in all areas of suspected disability.

Getting Back on Track

A major part of my practice involves helping parents navigate a situation in which their child has not been appropriately assessed. The law allows parents to obtain an independent educational evaluation (IEE) at public expense when they disagree with a district assessment. A key point to note: there generally must be an assessment with which to disagree. While there are exceptions to every rule, if the district simply fails to assess and you take them to court, they will likely be given an opportunity to conduct an evaluation before having to pay for a private one.

If you request an independent educational evaluation, federal regulations provide the district with two choices: they can either agree to your request or they can file for due process to establish that their assessment was appropriate. In most cases, the district will determine that it is more cost-effective to pay for an independent assessment than to incur the expense of a due process hearing against the parents. However, it is important to know that the district may file for due process in response to a request for an IEE.

Many times, a district will deny the parents the requested IEE, but fail to bring due process. In this situation, parents often seek out a private assessment themselves and then request that the district reimburse them. They may have to file for due process against the district in order to obtain this reimbursement.

If the district agrees to fund an IEE, parents should be given the opportunity to negotiate with them regarding the independent professional who will conduct the evaluation. It is important to go with an assessor who is truly independent of both the parents and the district so that all sides feel they are getting an objective opinion. Ask other parents in your community for references in order to identify the good assessors in your area.

Once an independent assessment has been conducted, the district should convene an IEP meeting to consider the results of that assessment. If the independent assessor draws different conclusions than the district, this may strengthen the parents’ argument for a particular category of eligibility, a particular placement or additional or different services. Parents may use the independent assessment in a due process hearing against the district to establish that the district’s assessment was inappropriate or that the child has been denied services because of the district’s failure to identify his or her needs.

While trying to obtain an appropriate assessment of your child can be a frustrating experience, the law has built in a mechanism for a second opinion, which in most cases I recommend pursuing. Having more information about the student’s strengths and deficits leads to better team decision-making, better educational planning and better outcomes for the child.

Choosing hope: Terri Hart-Ellis

September 23, 2010 in Around the Web by Terri Hart-Ellis

Can you tell us a little bit about yourself and how you got involved with Hopeful Parents?

I came upon Hopeful Parents over a year ago as I was blog hopping, searching for similar perspectives. At the time I was in a spiral of exposure to other parents with similar disability concerns, but who chose bitterness and inertia over hope and action. I don’t recall the first Hopeful Parents entry I read, but I know I finally felt like I was “home.” Helping moderate the online forum and then writing for HP as insideout 510 followed shortly after.

I live in the Midwest with my husband and 2 daughters. I had worked in a global company in marketing, traveling overseas and juggling motherhood at the same time. While we knew our younger daughter was developing exceptionally, we reined our thoughts in, keeping our vision of the future expanded only by days, weeks, or months at the most, contracting to moments when troubling delays became obvious. Once we determined Addie’s diagnosis of Rubinstein-Taybi Syndrome, it freed us to finally cede the knowledge that yes, our lives would be different from here on out, we’d have more to learn to inform our vision for Addie. That was both liberating and motivating. So I quit my job to focus on my family and laying the foundation for fruitful futures for both of my daughters.
As it turns out, though there are behavioral, cognitive and communicative impacts on my younger daughter with RTS that require their own addendums to the Book of Mom, she does not have the intense feeding and medical involvements that many with her diagnosis have at this point. This has allowed me a bit of leeway to apply my stored energy – time and motivation displaced by leaving a somewhat intense job – to undertake more universal projects and roles that have a positive impact on the individuals and families affected by disabilities in my community.

And I am both grateful for, and saved by, this usefulness I have come by.

What is that you hope parents get out of what you write there?

Resonance is the main thing, I think. I myself feel somehow unburdened when something I struggle with is articulated by another human being, whether that human is on the other side of the struggle or still in the thick of it. I spend a lot of time watching and a lot of time thinking about what I see, hear and feel. My writing has allowed me to scaffold these seemingly passing moments into something that someone else might recognize, might be able to take something from. Perhaps that person will be able to augment their default perspective of a given passing moment with alternatives as a result. Maybe that is too much to expect. If someone is inclined to read to the end (for I am not conservative with description), that is enough. That much will serve as diversion and distraction. A need I am content to satisfy.

What are some of the benefits you’ve found in writing your story?

For me there are many benefits. Not the least of which is helping others to see the value of my clever girl more clearly. It is almost a reflex for people to underestimate a non-verbal child with differing cognitive machinery. Often, when they see her, she collapses into a one dimensional thing, a smiling head of blond curls who will live with mama forever. Writing about Addie’s string of tiny to towering victories allows me to draw attention to her cleverness, her complex thoughts and emotions, her fierce pride and sly humor, to her interest in staking a claim in her community, to her natural desire to make contributions that mean something, to not always be the receiver, but to be the one who gives.

Writing – even when things are not so bright and rosy – helps me to keep focus on the priorities and let go of the trivial. Documenting the smallest bit of generosity or understanding from a stranger nourishes my faith in humans, my faith that as they grow, people will recognize and value the power and beauty that I see when I look at both of my children.

Stay or Go from Terri’s post at Hopeful Parents (You can also find her personal blog at Farmer John Cheese and Other Joy)

It’s like watching a choppy slow motion silent film. It’s not exactly silent – the water rushing from varied spouts and spigots provides constant white noise, while the shouts and screeches of kids, their splashing and the sporadic mother-calls from the lounge chairs rimming the pool offer peaks and valleys of volume on top .

If she could talk, if she were inclined to call to me, I would not hear it. She does not speak, she signs and uses an electronic communication device, which is null and void in watery situations like these. I keep my eyes locked on her. Only Addie and the traveling small space around her are in focus. Everything in my peripheral vision out paces us both in a fuzzy blur. Here, as in most places, we both operate on a different time/space plane.

She grabs the rail of the play structure growing from the middle of the shallow area of the pool. Up until now, she has been content to watch kids on it or take the rare foray up with her dad. Today I see her foot lift. She will climb the first set of stairs. Toddlers and bigger kids swoosh by her, her body wavers just from the warmth of the bodies passing by. I lean forward and clench – the precursor to standing and running to bridge a gap, smooth a rough edge, and pick up safety slack – as has been my main occupation at this pool for the past 3 summers. Mostly I am moving, if I am recognized it must be by the top of my head as I lean over my girl. But this time I freeze where I am when I see she has made it to the first step. She is not facing me, but I can see shoulders hunch and her muscles quiver. I know there is a smile on her face.

She is happy with herself.

Let her be.

Her foot finds purchase on the next wet stair. She has to consider her hands now – they must move to the next bars up for her to be able to maintain balance. Cognitive mysteries and snafus in motor planning make this an unlikely possibility.

Now? Do I run now?

As I sit, my own hands reach to the side as I grab my own vicarious next bars up. But I don’t stand up. She wraps one hand around the next bar, then the other. She stops. I presume she is relishing her success once again briefly before she lifts her body to the top of the first batch of stairs.

She turns around at the top. Her arms straighten and fling back behind her, her knees bend slightly as her back curves. To most, it would look like she was about to launch herself back down the height she just climbed. She isn’t. She is looking back at how far she’s come. Her eyes are nearly jammed shut from the pressure of her upturned mouth corners. She smiles fiercely, only showing her bottom teeth. She did it. I am still seated. She does not look for me. She stamps her feet a few times, a variation of the Tarzan chest beat.

Children scale the same stairs and pass her at speeds she does not have in her repertoire. One of them brushes her ever so slightly, which on dry land, would result in cut cleanings, Neosporin and band aids for Addie. But not today. She shoots one arm out to the side and lifts one foot in response. She steadies herself.

Herself.

I am still seated.

I can decipher by the sudden relaxing of her expression and arms that she decides it’s time to approach the next set of stairs. The next few have even more water shooting down. This one will make it harder for me to see because of the mist around the water spouts. I should get closer. But she is not looking for me; she is turning towards her next pursuit.

My back is straight and leaning forward. My teeth pin my lips between them. My hands are back in my lap, laced together.

I stay.

These stairs don’t take as long as the first did. She does not have to stop and consider her hands, they move on ahead of her feet, messages coordinated. It does not occur to me until later, but the true enterprise is within sight as she raises herself each step on this level.

I am certain she will celebrate her victory for a few minutes and then attack the same feat in reverse, descending the stairs. The way she holds the rail now, it looks like she’s to do just that. Internally, I tell myself that I have made it half way. If I can remain where I am until she reaches the bottom, we’ll stamp our feet together.

But she lets go. She turns. She approaches the opening of the covered water slide. Someone gasps loudly. I look around. No one is stunned. No one is even watching. It must have been me who gasped. It is up to me to stay or go.

I stand. And I reproach myself immediately. I sit.

She puts one hand on the bar above the slide. Another child scurries up. Addie backs up and puts her hand on the back of the child. She means “your turn” but it might be taken as pushing. I need to go. I need to remind her to use signs and not put her hands on others.

I still don’t move. Somehow.

The child shrugs slightly and takes his turn. Addie bends to watch him go and shakes in near hysterics when she sees him through the tube splashing at the landing pad. She has always enjoyed watching others slide down slides at the park, so of course – this would be even more fun in water.

This happens again with another child, but this time she does not put her hands on the girl. She very subtly signs “your turn” as she backs up to give the girl room. Again, the laughing fit.

I relax a little; sure that she just wanted this perspective of the water sliders. She’ll come back down when it gets old. When no kids are coming, she goes back to the opening and puts her hands on the bar. She looks into the slide. She lets go, backs up and looks out for more kids in the direction of the stairs, now comfortable at this level.

No more sliders come. She circles back to the pinnacle of the water slide and holds on. Her shoulders lower and her elbows straighten. Her wet blond head rises by a hair and then lowers in the smooth arc. Simultaneously her feet step up to the slide launch swiftly one by one, her knees bend in graceful coordination with the lowering of the rest of her controlled body. After this short and beautiful display of discipline, she is squatting inside the slide, still holding the bar. She is days away from turning 6, many mistake her for a 3 or 4 year old, but to me she ages a few years in these 3 or 4 seconds.

Do I run to the top where she is or the bottom where she just may end up?

If she sees me, what will the impact be?

Will she stay or will she go?

The lounge chair under me tips forward suddenly. I am sitting too far on the end of it; my weight causes it to lift from behind. I move back as little as possible slamming the metal frame on the cement.

I look up again; there are no hands on the bar of the water slide. I see a blue patch of suit and soggy blond curls for a brief second before the opening empties to a bright, solid yellow.

She is gone. And I am still on my chair.

My frantic gaze rushes to the landing pad of the slide and waits for what feels like minutes, but could only have been seconds. I see a splash and a water shoe that I put on hours earlier. It’s attached to a leg I slathered with sunscreen, which leads to a suit that I pulled up. Under the suit is a body and a mind that decided today was the day to conquer the water slide. That body comes out of the landing pad and dance steps around the play structure back towards the base of the stairs. I see in her grin, in her wiggly shimmy back around that she is celebrating the teamwork of her own mind and body. She will do it again, I know.

I clap and I scream. My chair smacks the cement again. But I keep my booty affixed. Addie doesn’t hear the clap, she doesn’t hear the scream. She doesn’t need it. She’s headed back up to the slide again.

I stand to take my towel out. I arrange it on the lounge chair, even looking away from the structure for brief moments. I set the pitch of the chair back where I want it and sit all the way back, lowering my shoulders, unclenching, leveling my chin. I have my shades on so no one can see my filled eyes as I watch Addie scale and descend again and again and again. Sitting in the sun, I look like any other mom watching their child have fun from afar.

They got nothing to stamp their feet about, though.

Meet Christina: Founder of Hopeful Parents

September 20, 2010 in Around the Web, Resources by Admin Dawn

When we first started this site we looked around at the landscape of special needs support sites and we were excited to find Hopeful Parents early in our search. We love what Hopeful Parents does and feel like their mission complements ours so we wanted to celebrate them by making them this month’s featured organization. We’re starting off with an interview with Christina Shaver, very humble founder of Hopeful Parents!

How were you inspired to start the site?

In 2008 my four-year old was admitted to the psych unit for the first time. I was scared and had all these images (thanks to the movies) of what the inside of a psych unit looked like. I wanted to find someone, anyone else whose child had been admitted so young…and I couldn’t.

A few months later, as my son’s psychiatric condition deteriorated, I felt very alone and isolated. There were other families I knew whose children had ADHD like my son and had an autism spectrum diagnosis like my son and had anxiety like my son — but no one who had all three and no one who had the additional and very severe diagnosis of psychosis.

At the time, I hadn’t found “my tribe” of parents with young children who suffer from psychotic episodes (it’s so rare). What I did find is my journey paralleled those of that other parents of children with different disabilities. So many of us experience grief and isolation; we feel overwhelmed; and on some level, we may sometimes even laugh at our situation (because sometimes it’s easier to do that than cry). Regardless of someone’s perspective, though, I think we all seek hope for our children and families wherever we can and in whatever small or significant ways it turned up.

But to 2008 — I was in counseling. The thing about having a child with a psychiatric condition is that one of the more immediate questions the specialists ask is what kind of support we’re getting as parents. I don’t know that this happens for a child with other disabilities — and being in counseling now for four years has been has helped me beyond measure.

One of the themes that arises in counseling is self-care. I think so often we as parents lose ourselves as we parent. We sacrifice ourselves on behalf of our children. The problem is that when you’re raising a child with special needs, as a parent, you have to be completely and totally engaged and available. There are so many decisions to be made, appointments to keep, care to give. If we, ourselves, feel lost or overwhelmed or depressed or anxious, it confounds our ability to provide for our fragile children.

And so, after all that — feeling isolated, yearning for connection, and a desire to help other parents remember to care for themselves — I started Hopeful Parents.

How did your vision change as you went?

Believe it or not, my vision has been pretty steadfast — to help parents of special needs children remember to care for themselves and support each other.

I’ve always had this very grand idea of finding every parent of a child with special needs, so that together, with one enormous voice, we can advocate for ourselves and for our children.

As a group, we struggle with anxiety and depression, with finances, with health insurance, with awareness and sensitivity. Society doesn’t take us into account much — and, at this time, why should it? We are the minority. The only way any minority has ever changed society is by coming together with one voice and advocating for themselves. I have this bold vision that someday, we Hopeful Parents are able to do just that.

How did you choose the first contributors?

Choosing the first contributors for the site was the hardest process. It took me about a month to compile a list of parents who have children with special needs. Maybe I wasn’t good at Google searches back then, but I kept coming up pretty empty on my searches. I did find a few that way, though.

In addition to those I found through Google, the first contributors I asked were people I knew “in real life” and through blogs. But I think there were only 10 or so. I asked them who they knew, and found a few more contributors that way. By the time the site was ready to go up, we had 30 writers!

Now, we get writer requests all the time. I wish we had the space to accept every one. Honestly, we do accept nearly every writer request at some point when space becomes available.

In fact, in August, we expanded the writing pool to two posts per day (instead of one). Prior to August, I had this growing waiting list of writers that was stagnating. If that list grows in that way again, we will consider increasing the posts to three a day.

I’ve made a conscious choice to include anyone who wants a voice here, regardless of their writing capability. This isn’t a literary site or a news site or an information site. Hopeful Parents is a place for parents to express their raw emotion — and very often, raw emotion is scattered and messy.

What are your long term goals for the site?

I don’t think of Hopeful Parents as a site, really. I think of it as a community. And truthfully, I don’t feel it’s my place to determine what we do long term. I may have helped us find each other, but the community should really set the goals.

In fact, this spring our board of directors incorporated Hopeful Parents as a non-profit organization. So major changes within Hopeful Parents are now no longer at my sole discretion.

That said, there are some activities that our board of directors and board committees are looking to establish including getting our community offline and in person. We’ve launching a membership campaign that will not only drive resources into Hopeful Parents so that we can continue our search of every parent of a child with special needs, but will also allow us the ability to meet each other.

We’d like to reach a critical mass so that we can start groups of Hopeful Parents around the country. These groups could meet for coffee and in an informal way to start, gain support from each other.

The board has also discussed the idea of doing some kind of retreat, which would give all of us a good reason to find a few days respite from our role as caregivers and be with others who understand life’s intensities.

Further down the road, our community has enormous interest in advocating for ourselves and our children and in creating awareness and sensitivity around special needs. Again, though, we will need far greater numbers than what we have today.

We’re only gaining momentum, though, and I do see all of these activities materializing in the future.

Can you share one of your success stories of the site? One of the times your vision was truly realized?
Success stories happen all the time at Hopeful Parents. What we consider success doesn’t happen at an organizational level, but happens at a very deep, introspective personal level.

The stuff of life is made by all the little things, and all those little things are happening all the time within our community.

Success for Hopeful Parents means making individual connections with others to whom we can relate and it happens all the time in the blog posts, comments and community forum.

So often, people tell me that they can’t believe they only just found Hopeful Parents and wished it had been there for them all along — to me, this is the true testament of our success: that we have become a foothold for someone on their journey.

What do you look for in a contributor?

I would say our guideline is that there is no guideline. We honor everyone’s individual journeys. As long as someone is willing and able to post on their assigned day, they are welcome.

While we will always welcome new writers, the focus of Hopeful Parents is finding every parent of a child with special needs. Parents can find out more about membership at http://hopefulparents.org/membership.

What frustrates me?

September 8, 2010 in Ask the Occupational Therapist, Insider Insight by Dr. Tiffany Showalter

As someone who works with children with special needs on a daily basis, I can only imagine how difficult it is to have a child or children at home with these needs. Doing everything you can for your child and keeping sanity in your house must be extremely difficult, resulting in many frustrations of your own. What I want to discuss are my frustrations from the other side, in an attempt to help you as the parent understand where we are coming from.Frustration

1. I enjoy frequent communication with you about your child and enjoy even more trying to help you problem solve an issue your child might be having at home or at school. What frustrates me is when I put forth great effort to help you with suggestions and activities for you to do at home and find out later that you haven’t even tried any of them and are still asking for help.

2. What frustrates me is when a parent expects me to fix their child. You have a wonderful child with both strengths and weaknesses. My role as your child’s therapist is to help your child participate and be successful with completing certain skills that they are having difficulty doing within his/her abilities. It is like the saying; “there is more than one way to get a job done”. In many cases, my job is to find that other way.

3. I know parents are often not experts when it comes to child development and developmental milestones. I can help you there and provide tables. What frustrates me is when you are expecting skills beyond your child’s developmental level. A simple web search can yield what is appropriate or ask me for that information…I am happy to provide you with it.

4. As a parent of one child with another one on the way, I am sure there will be many days when I compare my girls. What frustrates me is when you compare the skills of one child to the next. Even if your children were the same age, had the same abilities and disabilities, and participated in the same programs, there are still countless factors that contribute to your child’s development. It is unfair to compare them.

5. I haven’t had to deal with developmental pediatricians or other medical personnel explaining my child’s diagnosis to me, but what frustrates me is when I have to explain something essential to your child’s prognosis with you when you should have been made aware long before ever meeting me. For example, I have had to explain tone at least 4 times this school year. These were all situations where the children were receiving ongoing medical interventions to address such tone. The parents asked me what we could do to “fix” the tone. I am writing an article on tone itself but in a nut shell here it is. Tone is neurological and can only be permanently “fixed” with surgery or medicines. Various techniques including tendon tapping, casting, icing, vibration, and gentle rocking to mention a few can only temporarily affect tone. More appropriately would be to modify the task that the tone is impacting to increase your child’s success. In two of these four conversations, the parent was brought to tears in learning this information. I think knowledge is power and am happy to provide you with such, but how frustrating that the doctor did not explain this to you. I would cry too.

Just letting off a little steam! I really do love my job!

Disclaimer: I hope you enjoyed reading this article. Please remember you are reading this information of your own free will and are taking the information at your own risk. The author is the legal copyright holder of this material it may not be used, reprinted, or published without my written consent. This information is for entertainment and informational purposes only and is not intended to provide or circumvent medical, legal or other professional advice.

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