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What parents need to know about occupational therapy in the school setting

November 6, 2012 in Ask the Occupational Therapist, Featured by Dr. Tiffany Showalter

By:  Dr. Tiffany G. Showalter, OTD, OTR/L

An occupational therapist or OT is a highly trained medical professional who evaluates and treats individuals of any age who have problems engaging in meaningful activities or “occupations” relevant to their everyday lives.  I can’t tell you how many times I have told someone that I am an OT and they want to know about getting someone a job.  In this economy, wouldn’t that be nice if I could get everyone a job?  The “occupation” in occupational therapy actually comes from the word occupy, and means any activity that “occupies” a person’s time.  This may include self-care, play and leisure activities, in addition to, work.  For a child, their job or occupation often involves playing, learning, and going to school.

Children make up a large part of the population receiving OT services and these services may be in the medical clinic setting or in the educational setting.  Not only are the settings different, but the priorities of each are quite different.  There are many children who require medically driven therapy services to participate in their relevant occupations and they can be referred for these services by a physician.  In the schools, children who have a medical need for therapy may or may not require therapy for an educational need. Additionally, a physician’s referral is not required nor does it determine need or amount of services provided.  OT in the school setting supports the student in meeting his/her educational goals; therefore, the level of OT support is driven by the student’s IEP. Educationally relevant therapy services may be indicated if the expertise and knowledge of the skilled professional (OT) is required for the student to meet their established educational goals and objectives.  It is important to understand these differences and why the goals are specific for outcomes related to the setting for which the student participates.

What is educational or school-based OT?

Educational or school-based OT is designed to enhance the student’s ability to fully access and be successful in the learning environment.  This might include:

  • working on handwriting or fine motor skills so the student can complete written assignments
  • addressing oral motor or swallowing concerns for eating while at school
  • helping the student organize himself or herself in the environment so that he/she can attend to activities appropriately and follow directions
  • working with the teacher to modify the classroom
  • adapting learning materials to facilitate successful participation within the school.

School therapy is provided in the natural school environment, meaning treatment and/or evaluation may take place in the classroom, library, cafeteria, playground, or other designated area within the school.

How do I get OT for my child?

Occupational therapy (OT) is considered a related service under Part B of the Individuals with Disabilities Education Improvement Act of 2004 (IDEA), and is provided to help students with disabilities to benefit from special education.  As such, OT is a supportive service.  If your child has a disability, as defined by IDEA, and needs special education and related services to meet their unique learning needs, then he/she might require an OT evaluation or services.

How are therapy services determined?

An OT will evaluate the student using both informal and formalized assessments.  They will also review the student’s current IEP, interview teachers and staff working with the student, review work samples, and/or observe in different school settings.  After completing the evaluation, they will then present the findings to the IEP team.  Next, the IEP team determines whether OT support is educationally necessary based on the evaluation findings and the recommendations of the therapist.  Finally, the team determines the amount, frequency, and duration of OT services.  OT may be provided individually or in groups and may consist of direct treatment, consultation, or monitoring.  Consultation with teachers and school staff is an essential part of occupational therapy services.  By providing information and training, the educational staff can integrate the recommended strategies and techniques with the student everyday.

Who should I contact if I have concerns about my child which I feel may need addressed by OT?

The best place to start is with your child’s teacher.  However, you may also contact your county school system’s special education department or your school’s occupational therapist with your questions.  The American Association of Occupational Therapy is also a useful resource.

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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The Road

October 17, 2011 in Community Wisdom, Featured, Featured Member by Robert Rummel-Hudson

Every morning, a little bus comes and takes away my heart.

It’s the short bus, of course, and while it remains a visible manifestation of all the jokes and the snickering remarks, it is also a very fine bus.  It looks brand new, and I suspect that it’s a more comfortable ride than most of the sun-bleached full-size buses I see rolling around town.  Keeping up with advances in transporting broken children means nice new buses.  It’s one of the few unintentional benefits of disability that my daughter enjoys, and enjoy it she does.

Schuyler loves the bus.  She always has, ever since she first began riding it five years ago.  Every morning, she runs out to her bus without hesitation, and only grudgingly waits long enough for the hugs and kisses that her parents require.  She climbs on board, gives her familiar bus driver a high five or a fist bump, and settles in.  We stand outside, waving to her like fans of a movie star, until the bus fades from our view.  To her credit, Schuyler almost always waves back.

The bus is a constant, from the days when she first began attending school in this town, but this year, it’s one of the few things that haven’t completely changed.  Schuyler has transitioned to middle school, and her world has been turned upside down.  That sounds like a very terrible thing, but it’s not necessarily the case.  Unlike a lot of kids with special needs, Schuyler does not thrive on routine.  Hers is a life in which there are no grooves, only ruts.  Elementary school presented some challenges for her that simply came from the sameness of the hours, hours stretching into long days with little change, years with new teachers of varying ability but similar experiences.  Middle school has changed all that.

Schuyler is enchanted by the newness of the experiences, but she is also in danger of being overwhelmed, like a boat riding out rough seas.  Her new routine requires a great deal of self-direction, which she cherishes but doesn’t quite master.  Accommodations abound.  Her fine motor issues make her locker a challenge that she can overcome but only with difficulty, and requiring more time than she has between classes.  So a teacher rigs the locker so it is always unlocked. When her backpack forces the now unlatchable locker door to fall open, it is arranged that Schuyler will keep the overstuffed pack in the special education director’s office.

The SpEd director understands my little girl.  Over the summer, she read my memoir about Schuyler’s early years, and while the tall, “talkative” (amazingly so for a non-verbal kid) and independent pre-teen who works so hard at “passing” in a neurotypical world bears scant resemblance to the ethereal little girl depicted in the book, it still gives the director a deeper perspective on Schuyler.  I feel as if I’ve written something like an operator’s manual for my daughter, but we live in an Apple world where no one likes to read the manual.  I appreciate the special education director’s effort.  She strikes me as someone who’s going to advocate hard for Schuyler.

Middle school presents a lot of opportunities for teachers to get Schuyler, which of course means an equal number of chances for them not to.  Schuyler has four mainstream class experiences (if you count gym class, which in many ways is probably the most complicated neurotypical science experiment of all for her), and she’s holding her own in them all, although only barely in some.  One teacher works closely with Schuyler’s aide, who is also a certified teacher, and the positive results are clear.  Another teacher actually tells me in a phone conversation that because that other aide is a teacher and not a regular assistant, Schuyler actually has an advantage (the word “unfair” is unspoken but lingers quietly in the air nonetheless) over the other, neurotypical kids in the class.  I don’t mention that these kids have always had and will always have an advantage over her.  Her advantage is created by the school, after all, while theirs is created by an inscrutable God.  And you don’t want to complain about that guy too much.

Schuyler’s in band now.  She plays percussion, mostly because while you don’t see much evidence of it when you look at her, aside from occasional drooling that she hides pretty well with the use of punky skater wristbands, Schuyler has facial muscle issues.  Wind instruments are out of the question because of that, and string instruments are too complicated for her long and delicate but fumbling fingers.  And choir?  Schuyler can’t speak; she depends on a speech device, some sign language, garbled verbalizing and mad miming skills to communicate.  Choir’s out.

So she plays in the band, but it’s becoming a challenge for her.  Schuyler is developmentally disabled, and whether that means she’s a slow learner (as I believe) or has limits that we may reach any day now, the fact remains that her beginning band class moves, by necessity, faster than Schuyler can keep up.  The director seems to really want Schuyler to succeed.  She also seems unsure how to make that happen.

I wish we could help.

The truth is that we know Schuyler best of all, but we don’t always know how to make things work for her.  We overbelieve, but we overworry, too.  And when I allow myself to release my clutching grip on my fear for my little girl, I can see how maybe she’s okay.  Maybe the new faces and the new routines, the hundred little things she’s expected to do and the half or so that she actually manages to remember, the new dedicated teachers and the new distracted ones, all of it; maybe it’s all for the best, and being challenged and stumbling a few times or even a great many times will help her grow into the independent and happy young adult that we can scarcely imagine but continue to give our every ounce of effort to help make real.

In a few minutes, Schuyler will get off that same short bus.  She’ll run excitedly to the door and knock on it, for no other reason than to make her idiot dog bark madly.  She’ll take out her key, the one we gave her in case she ever makes it home before we did (it’s happened twice, and both times, she’s reacted as if she has defeated us in some strange race), and she’ll try the door.  I’ve locked it like I do some days because she loves the feeling of letting herself in.  She craves independence, and so we give her as much as we can.  As much as we dare.

I must go now.  The bus is delivering my heart back to me.  It’s the very best part of my day.

Tides We Shouldn’t Have to Swim Against

August 31, 2011 in Featured, From Julia by Julia Roberts

This post is cross posted. It was originally posted on my blog Kidneys and Eyes in May. The Too Big site was down for a couple of months and I naively thought the site owners rethought their position to continue their judgmental, mean-spirited site but no. The site is up again. I’m hoping some more awareness of this subject will add more pressure.

It’s amazing the issues we face on a daily basis but it stings just a little more when it’s blatantly for disregard for others.

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Sometimes what you don’t know can hurt.

There’s a blog getting some attention because, well, mainly because it’s rude. Too Big For Stroller. It was started by a self-proclaimed “twenty-something,” who likes to take pictures of kids they believe are too old to be pushed, carried or worn. The kids’ faces are hap-haphazardly covered with a humorous “WALK,” so clever. And funny.

Except the humor can be targeted at kids with special needs. I take exception to that, because I have a couple of my own. It’s also pretty judgmental, but I’m just addressing what the blog owner/s don’t realize when they blast a stroller pusher or a kid. I mean, we’ve been putting up with judgmental people for years, as was the case here, when someone questioned why Quinnlin was in a stroller.

I too used to judge people. It was wrong. It was wrong as a fellow parent and person. I blogged last year about an experience several years ago where (to  myself) I judged a parent with a big kid in a stroller. Then I had a couple of kids who couldn’t walk according to baby book schedules and I looked back on the memory and felt shame.

My kids’ muscle tone, medication side effects and slow development made them late walkers/talkers and put them at a disadvantage. It put them at a disadvantage with their peers. It put them at a disadvantage navigating their world. Because, by society’s standards, they look “normal” in every other way people look at them and don’t know anything is different. Here’s the thing. Every single  day my kids have to fight against something. They have to fight against their desire to not be poked and prodded. Their bodies had/have to fight to live. They have to fight against the tide of bullies. They have to fight against their circumstances to find a way to live happy. They have to fight against their own deficits just to have an average chance to find a place to belong.

You want to know why they had to ride in strollers when they looked “too big”?

- Because, while they were ambulatory, they got tired very easily. A chronic disease will do that to you.

- Out in the world, they had hard time seeing curbs and steps and uneven pavement because of their vision issues. Typical kids stop their face from hitting the pavement with their reaction time and their hands, but for my kids a simple fall would result in face plants to the ground. Teeth being knocked out, concussions, pain. ER visits. Trauma.

- The meds they were on to keep their hearts safe from damage due to kidney failure also made them tired so that didn’t help. Hence, the sloppy walking and falling. They also couldn’t play for an entire day; often they’d have to nap in the afternoon. Yes, my 7 year olds had to nap daily.

- If they weren’t in strollers, they didn’t have a chance to last full day out somewhere. If we wanted to give them experiences out in the world we had to help their bodies.

- Kidney failure has the unfortunate side effect of dehydration at the drop of a hat. Which lands us a trip to the ER and a hospital admittance. Time away from school and life, thousands of dollars in co-pays later, it was always our goal to avoid the hospital, the tests, the IVs.

- When my first kid had his kidney transplant he had muscle pain in his hips and couldn’t walk more than about 25 feet without excruciating pain. That lasted for about 8 months. Should I have just kept him away from Disney World? Should I have just made him suck it up and walk because he was 8 at the time?

You know what? It took my kids years to walk. It took work – theirs and ours and the multitude of therapists, not to mention thousands of dollars. It took braces for their feet and walkers to steady them. When someone makes fun of a family’s use of a stroller, it’s insulting. It’s hurtful.

The blog owners claim it’s all in good fun! It’s funny! Relax people! Except they aren’t taking into consideration that they are creating an environment in their corner of the blogosphere that makes it look okay to treat people with judgment. They are making people think, it’s no big deal. It’s all in fun!

campingfall 054 199x300 What You Dont Know Can HurtExcept it is a big deal and it’s not fun to me. My kids go through enough in life with their health, their better than average odds of not living an average lifespan and bullies (both by kids and adults) and their continual hard work to keep up in the world. People don’t know what they’ve been through. My kids shouldn’t have to deal with people judging them for things that, honestly, don’t really matter. It’s just kid in stroller. They hurt no one.

Sites like this tell kids – disabled or not – they aren’t good enough. They tell people my kids aren’t good enough; all in the name of fun. Sites like this tell people they are doing something wrong with their kids; all in the name of fun.

Sometimes people don’t see the harm they are causing, because it’s subtle. Sometimes someone needs to tell them making fun of people – judging them for their choices – isn’t funny. Sometimes people will get it and sometimes they won’t. Our hope is that once people know better, they’ll do better.

Now you know.

Because I had time, just for fun, I started a Facebook page for Just Right for Stroller…hope you’ll “Like” it.

Around the Community

February 18, 2011 in Featured by Admin Dawn

Have you voted for us yet?

Your nominations have been tallied, and five online communities have been selected to vie for a 2011 About.com Readers’ Choice Award. Before you go to the poll, you may want to take a moment to read more about each of the candidates, and review the Readers’ Choice Award FAQ for more information on the awards. You can vote once a day for as many days as you like between now and March 8. Winners will be announced on March 15.

You can vote for us every day until March 8th! Just enter your vote here: Vote for Best Special-Needs Online Community

Remember: Our Valentine What’s in a Name Giveaway is open until midnight PST tonight, February 18th!

Check it out here and then be sure to enter!

Share Your Celebrations

We’ve removed the Achievements plugin that people found confusing and instead we’re going to start featuring your family’s TRUE achievements! Has your child done his homework every single night this week without complaining? Did your daughter wow her physical therapist? Did you reach your own personal goal? We want to know! On the sidebar of our blog posts (see it over there to the left?) we’ve put up a form that lets you submit an entry for our blog under the new Celebrations! category. Once you submit and we approve it it’ll go out to let us all know your good news.

Don’t hold back!

We want to celebrate each other! This is different than our Community News feature. Community News is for news. A great blog post, an event you want us all to know about, something your local newspaper’s web site is featuring. But Celebrate! is for our personal victories. When we start getting submissions we’ll add a Celebrate! link to our navigation menu up there at the top of our site.

Welcome to New Members

Jeni

LoraI am a single mom of a wonderful 5 year old little girl. Jamie has Cerebral Palsy. She was officially diagnosed when she was 1 an half. She has had seizures since day one. In her short but sweet 5 years so far she has had seizures, CVI, lazy eye, dislocated hip, hip surgery(which didn’t work), Sensory disorders, a type of asthma, two brain haemorrhage’s at birth, severe allergies to food drugs and environmental and so much more that I can not begin to think of right off hand. My daughter is my angel. She is such a happy child. She loves the outdoors. She always seems to have a smile on her face no matter what. She hopefully will begin school this fall. I am excited but ever so nervous. As she will be going during the flu season and she can’t have the flu shot. Anyways, to wrap things up I try to do the best that I can for my baby girl and I love her ever so much.

Sue Robinson – Son slowly being diagnosed with Sensory Processing Disorder. Just turned 4 and has been having more of a difficult time. I am trying my best to learn more, be patient, but seem to be losing my cool more often than not.

Vanessa Infanzon – Mom to three boys, wife to husband of 13 years. Our oldest son has a thin corpus callosum and another undefined genetic disorder. He uses a walker to get around and does not talk. I stay at home for now, but look forward to writing more as the kids get older. I also facilitate team building and leadership activities for college age students.

Martin Frantz – For 32 years, I was a career prosecutor where I vigorously defended vulnerable populations like child victims of sexual assault. I retired and started a law practice helping families with special needs children. I was inspired by my son who was born 18 years ago with Down syndrome. As my son approached adulthood, I wrestled with tax laws and state regulations for disabled children. That’s when I decided to put what I learned together with my passion for helping kids.
I provide estate planning that will conserve assets and minimize taxes while maximizing the potential for your disabled son or daughter.

Amy Moss

Christy – I am a mother of 3–a boy and 2 girls. We’ve been on the “journey” since my son was 1 1/2, but he was officially diagnosed with “mild Asperger’s Syndrome” around age 8. He is now 12.

Lisa Noel – Blogger and fulltime working mom of three boys, two of which are dx’d and treated for ADHD.

Gina Gareau-ClarkI have adorable twin daughters with mitochondrial disease, and still testing for other diagnoses. I am the Executive Program Director for the Dare To Hope Foundation, contributor to the Children’s rare Disease Network, and a member of Parent to Parent’s Cobb Navigator Team. I run a small cake decorating business out of my house, http://www.twintierscakery.com

Annette Kay Fortner – I am a mother who has 2 young kids, boy (11) who has ADHD and an Auditory Processing Disorder, and a girl (6) who has developmental delays and has been in therapy for those since she was 9 mos. and that ended, but is continuing because of her motor difficulties. She also has a speech delay. My husband is in the navy and has been in for 19 years now and will soon be retiring. We are young..34 for me and 39 for him. It is very hard dealing with special needs kids and no one understands, so I am here for support.

christine – I’m 31 with 3 kids

coleen shiffert – I am 28 years old and a mother of 6 beautiful children. My 5 year old daughter Shelby was diagnosed with developmental delays and intellectual disabilities when she was about 1-2 years old. She also has failure to thrive (she has a g-tube), Kidney reflux, heart murmurs, growth hormone disorder (at 5 she only weighs 25 pounds), and hypothyroidism. My daughter is my hero for all the obstacles she has overcome and for all the strength she has. I have a wonderful and supportive family who keep me going even when i don’t think i can go on. I am truly blessed!

Rachel

Stephanie

Anne Zachry – I am a pediatric occupational therapist with over 18 years experience providing occupational therapy to children, along with caregiver instruction and support. I have a PhD in Educational Psychology. I’ve had articles published in my profession’s trade magazine and in peer-reviewed journals. I am currently employed as a school OT in Tennessee, working with students having issues ranging from mild fine motor problems to severe physical disabilities. I am certified to administer the Sensory Int System.

Have a blog?

Be sure to send me your link so I can add your feed to our activity stream! That way we can all keep up with your blog posts. Just send it to dawn@supportforspecialneeds.com

Parent Labels

February 16, 2011 in Featured, From Julia by Julia Roberts

Robert Rummel-Hudson (You know him, Author of Schuyler’s Monster: A Father’s Journey with His Wordless Daughter), proud dad to Schuyler, had a post yesterday about a conversation that started because he shared that a music teacher was telling parents they couldn’t attend a demonstration at the middle school Schuyler would be attending. He then sent a note, then she sent a note and well, it felt wrong to him.

Someone made a comment on his Facebook update about hover/helicopter parents and he explains in this post his feeling about it and it hit a nerve with me. I am what could be (and probably have been) called a hover/helicopter parent. He much more eloquently communicates why it’s insulting for people to say this to parents of special needs kids.

He’s claimed this as his one thing NOT to say to parent like us:

The term “helicopter parents” is meaningless, inappropriate and insulting to parents of kids with disabilities. Don’t say it to us. Don’t even think it about us. Save it for Toddlers & Tiaras.”

I’m not going to say anything different really than he shared in that post except to say that in my experience it pays to assume your child is the exception to the rule – as Rob and his wife, Julie often do. It’s mandatory that we go through life doing so in order to make sure our kids are protected, cared for, educated and in environments that help them flourish. If we don’t monitor the people and experiences they are supposed to have to reach their potential – whatever is it – who will?

I can tell you that I treat the kids’ education teams with respect and I expect the same. I can tell you that I expect them to work with me to find ways to reach my hard-to-teach children. No teacher who has the child’s best interest at heart considers over involvement a bad thing. Good teachers welcome us with open minds, hoping to find a nugget of information that will unlock something that is hidden in our kids.

We are the exception to the rule. Very nearly the entire world makes my kids the exception to the rule by placing expectations and standards of “normal” they can’t meet, they are treated differently by family, by friends, by wide groups of people who will never be friends. They are singled out as different and tested and monitored every single day of their lives.

I don’t mind saying we have to do things differently – like we’re the exception to the rule – in order for my kids to have half a chance. I’m so glad to be in a community here that know what this is like.

Welcome to this week’s new members!

January 14, 2011 in Around the Site, Featured by Admin Dawn

Welcome to:

Kathy Costigan: MOM of 3 kid. ages 20/11/10 1 with PDD. I like my life + I know this is a year that will be life changing, in a Good Way.

Elizabeth: Wife and mum of two. My son is 16 and typically developing; my daughter is 13 and has Phelan-McDermid Syndrome, ASD, ataxic-quad CP, kidney disease, seizures, GDD and a host of other diagnoses. I work outside the home PT at a Christian bookstore and am going to schoo full-time to get credentialled as a Special Education Teacher for moderate to severe special needs.

Kerry Murphy: I am the mother of a beautiful, charming and funny little boy with a form of muscular dystrophy. Most days are good, some days are great, and other days are plain horrible. I thought I’d do some writing and share my experiences; the good, the funny, the not so good and the downright ugly. All of us deal with challenging situations in different ways, and I believe that no way is better or worse than another. These observations, stories and hints are I hope helpful, sometimes funny, maybe sad but always honest. You may not have a child with a disability; but my guess is you know and or love someone who does. This blog is for all of us.

Heather Price: First and foremost, I’m a mom of AWESOME four year old twins, both with various special needs. Chananiah has classic autism. His issues are social and communicative. Reena has hypotonia, a speech delay, and probably dyspraxia and ADHD. Her issues are physical and auditory. She’s about two years behind with gross motor skills and wears cute little foot braces. While they’re in preschool or sleeping, I run two businesses (frankly, the stress of making a full time income in part time hours while having two special needs kids is starting to get to me a bit, hence, needing the support of this group!) ARE YOU LOOKING FOR PART OR FULL TIME WORK AT HOME? I am currently interviewing for positions with both companies. Call me at 216-870-3142 to inquire. (I shortened Heather’s bio because it was so long but if you want more info about her, her kids and her businesses, please click through the link!)

Sandi Jardine: I am a 51 yr old mom of 3 kids – my 2 sons are special needs (Aspergers and ADHD) and my husband has Aspergers as well. My adult daughter is NT.

Kelly: http://adventureswithtwoboys.blogspot.com/

Tiffany: Hello! I’m Tiffany. I’m 24, Christian and a SAHM to two boys- ages 4 & 2! I am married and we live in OK! My youngest son, was born with Spina Bifida: Myelomeningocele so I am continuously trying to spread awareness about this disability. My boys are my whole world! I’m into digital scrapbooking, photography & editing. And, I love to read, whenever I find the time to sit down to concentrate!

Kirstine: http://www.anderledesbarn.dk

Carrie M: I’m a SAHM to Maggie (11/08) and Molly (06/10 born with Down Syndrome).

Please head over and introduce yourselves!

The New Year

January 5, 2011 in From Julia by Julia Roberts

I am not a fan of making New Year’s Resolutions. I think they put a lot pressure on us to achieve more, get more and do better.

I am a fan of those things but I really strive for that in my everyday life. I strive to be the best parent I can be to my kids who, frankly, need two kinds of parenting. I strive to be a better advocate for the kids and I am slowly trying to teach them to be their own in the world. I strive to be the partner I want my kids to have one day in their long-term relationships and I try to set a good example of a good friend.

If I’m honest, I also don’t want my kids to see me fail and be upset because I didn’t achieve a goal. I don’t mind them seeing me try and not reach a goal, but I don’t want to set it up so that every bit of my confidence hangs in the balance of achieving the ONE BIG GOAL. And that’s what I think can happen with New Year’s Resolutions; for me anyway. I think it’s the pressure that gets to me.

When I go to bed at night I think about what I want to do the next day and it always involves something to…

  • -          Help my kids reach their potential,
  • -          Teach my kids about advocacy and activism,
  • -          Be nice
  • -          And to make sure the people I love know it.

I don’t proclaim to know how every parent of special needs kids feel about resolutions. But I guess that some feel like they resolve to do things everyday like I do. So even though the New Year allows us to think about it as a fresh start, to me it really is just another day, another resolution.

How do you approach New Years? Official New Year’s resolutions or not?

Happy New Year! My wish is that 2011 is kind to all of us and if it’s not, my wish is that we will find the strength, perseverance and resolve to make it another day.

Kim Stagliano: Mom, writer and autism activist

November 5, 2010 in Book Reviews by Admin Dawn

Can you introduce our community members to your family and tell them about your new book? What’s it about and how did it come to be? Were you a writer before having your girls?

Hi, I’m Kim Stagliano, wife, Mom, writer, tired. My husband and I have three gorgeous girls – who have autism. Kind of impossible, considering autism affects boys 4:1 over girls. Mark and I have learned that impossible is often inescapable though. My book is humorous look at a life that has been anything but ordinary or easy – and yet is full of laughter, joy and love.

I promise, you won’t need a Prozac to read it.

I’m Managing Editor of www.ageofautism.com, the nation’s first daily web newspaper about the autism epidemic. I write for The Huffington Post, The Debutante Ball, The Dallas Morning News Moms Blog and am on the editorial staff of the Autism File Magazine. I speak at national autism conferences, and have appeared on Good Morning America (with the kids!), ABC News, Fox News, in The Chicago Tribune, The National Catholic Register and on blogs around the world.

I was in sales, marketing and advertising (on the account side, not the Don Draper creative side) before I began writing.

Mark and I live in CT with Mia, Gianna and Bella.

How do you juggle your very busy writing life with your family life? What sacrifices have you had to make and what sacrifices do you refuse to make?

I’m fortunate to be able to work from home and they girls are in school. I write when the house is quiet. I tend to my blog, approve comments on Age of Autism, read emails throughout the day from about 5:40am until 9pm at night. My computer is in the eat-in area off my kitchen so I can pop in and out all day without having to leave the girls.

You are very much an activist in your writing work. What have been your greatest professional accomplishments around autism activism? What do you still hope to achieve?

My proudest moments come when another Mom or Dad says, “Thank you, Kim, for saying what I feel and making me feel less alone.” Hands down, those are the best moments. I hope to continue to give people hope and cyber-friendship and to make them laugh. I say at the close of my book, “None of us is Mother Teresa and Lord knows we have all we can handle.” Laughter helps me get through the tough moments. I hope my book does the same for readers.

Age of Autism is unafraid of heading into the fray and confronting the big controversies around autism. Can you speak a little bit about the publication’s philosophies around tackling these hard issues and also how you cope with the inevitable fall out in comments and other blog entries?

I write about that in the book. It’s not easy to develop a thick skin. But as long as I stand behind my words, I know that not everyone will like or love me or agree with me. I’m OK with that. I hope I can at least make people think – even if they think, “Lord, she ‘s a jerk!”

What have you see changed in the past few years that you’ve been writing about autism? And what do you see coming up next? Where do you see autism activism headed?

I see the mainstream community learning that parents of special needs kids deserve an extra hug, a bit of empathy (not necessarily sympathy) and concrete help, in terms of school, respite, community involvement. I love that. Next will be the onslaught of teens on the spectrum aging out of the school system and into…. what? With the leading edge of the epidemic having been born in the early 1990s, schools and families have borne the financial, emotional and physical brunt of caring for the children. At 22, they age out of school and into state programs, which are wholly insufficient. I’m rather fearful of what’s coming in the near term unless we have far more programs available across the nation. Given the state of politics and the economy, I don’t feel confident we’ll have a steady stream of choices for families anytime soon. I think autism activism will focus on two areas: the Alpha and the Omega. Prevention (what is causing the epidemic) and adult-life issues.

What advice would you have for a parent of a child with any kind of special needs who is struggling with making sense of information coming from all sorts of experts? How do parents figure out who to listen to and where to go for help?

I always say “Trust your gut.” A parent knows what feels appropriate for his/her child. And knows her child better than anyone else, doctors included. Also, don’t act out of fear. Like with the quandary of vaccinations, that third rail topic. Some parents know with certainty their child had a vaccine reaction, and so they can not in good conscience, continue vaccination. Other parents whose kids may have a different set of health issues feel strongly that every vaccine helps them keep their child safe, and so they proceed with the schedule, afraid not to do so. Making decisions from a position that lets you sleep at night has worked well for me. As parents, we don’t have to agree on the decision to be able to support one another.

We are giving away a signed copy of Kim’s book! To win, just comment below and let us know you want it — we’ll pick a member at random and announce it next Friday at the end of our Rody Week!

We live this life to experience it

October 28, 2010 in Faith by Janet Callahan

This essay is part of our ongoing Faith series where we ask spiritual leaders and parents to answer the questions: “Do you think God gives some children special needs? Do you think he chooses some parents to have special needs kids?” from their unique spiritual perspective. It is our hope that posting answers will encourage discussion but also comfort families who find an answer that resonates with them. Do you want to contribute? Contact Dawn.

Common wisdom holds that if you ask ten Wiccans a question about Wicca, you’ll get twelve answers. We’re a notoriously hard to pin down group. We don’t have a holy book that informs our practice – we have a tradition of passing information from one to another, and comparing notes about our own experiences when it comes to new traditions and practices. So, with that in mind, what I’m about to say is mostly my belief, and may or may not be shared by other Wiccans.

Wicca is a religion that sees the divine as immanent – the divine is a part of each of us, in each rock, each tree, each blade of grass, each insect, and we and the world around us are a part of the divine. The cycles we see around us – the seasons, the moon phases, day and night – lead us to believe that life, too, is a cycle, of birth, life, death, and rebirth. We live this life to experience it – to learn, to teach, to feel, to love…to experience birth and death, and everything in between, and then to come back and try it all again. Much of the broader Pagan community (though certainly not all) holds similar beliefs.

I’ve had to put a lot of thought into how I, as a Wiccan, view the situation I find myself in from a spiritual perspective, with a toddler who was once a micropreemie, smaller than a soda bottle, with lingering lung issues, a tracheostomy and its resulting severe speech delays, and some motor skill issues. And, by extension, how the Wiccan faith, and the broader Pagan community, view disabilities. After all, I am a part of this community of faith, as is my husband and my child, and that means we have to come to grips with where we fit in, tubes and all.

Beyond all the reincarnation and immanent divinity, I believe that the world is not deterministic – that we have free will, as does every other living thing. Things happen that are random – luck, chance, being in the right or wrong place at the right or wrong time. I also believe that the world, and all in it, while not perfect, are whole. All the variations are just that – variations – neither good nor bad in the big picture. After all, wouldn’t the world be a boring place if we were all alike and all perfect?

But, no matter how things turn out, we are all still children of the God and Goddess – they are still part of us, and we are part of them. And every day, we experience this life, this material world, and if we’re paying attention, we realize how magical and wonderful it really is.

Being a special needs parent has taught me (remember? we’re here to learn!) that I really wasn’t looking at things from that perspective, that I didn’t stop to smell the roses, or watch the sunset, and that I didn’t know what the word miracle meant. I am thankful every day for my son’s existence – for his life, for his improving health, for being able to watch him learn to open his eyes when he was tiny, for all the little things. But mostly, I’m humbled – I’m stronger than I ever thought possible, but my son is even stronger than I am.


Janet is, first and foremost, mom to “Acorn,” a former 27-weeker micropreemie, who at 2 is still sporting a tracheostomy, oxygen, g-tube, and a list of diagnoses a mile long, although many are now hard to see in his behavior and development. In her spare time, Janet works full time as an engineer, and still manages to find time to do some art and some writing. She’s been a seeker for most of the last 15 years, and currently maintains a Wiccan-based practice with her husband and son.

Parents May Have More to Learn About Special Needs Than Kids

August 19, 2010 in Special Needs News by Admin Dawn

When I was a kid, there were no “special needs” kids. There were “handicapped” kids and “retarded” kids, and they were separated from the rest of us in every way possible. They went to different classes in a different part of the school. I felt sorry for them, and when other kids made fun of them on the bus, it broke my heart.

But I didn’t do anything. I was too afraid.

via Maggie Lamond Simone: Parents May Have More to Learn About Special Needs Than Kids.

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