Friday, March 05, 2010


We've had a few dips in the road lately around here. As we enter IEP season, its always a good idea to up my meds and crack out the wine, keep to the positive and gird ourselves with understanding of Joey's strengths and weaknesses. Since we will be changing schools, it's time to put together another powerpoint about Joey, a solid assessment to present to people who are new to him, new to us, and vice-versa. It's time to lay out those strengths and weaknesses in black and white, to voice concerns and make suggestions. I really do try to keep it positive, or at least even-keel.

But then we have Field Day. It is always a hard day for me, that wake-up spring call to remind me not only how far we've come, but how far we have to go. This year was particularly a shock as I was expecting to see improvement in participation and ability to complete the tasks, and I actually noted there was no progress at all, and even some (dare I say it?) regression. Things he happily did in kindergarden, or at least gave it a good try, this year he tossed aside in frustration and tried to escape the whole scene.

Then came the Special Education Parent Advisory Committee. It was our first one this school year, which is in itself discouraging. That only one other parent showed up didn't really raise my spirits; I'm chair of this thing. Yet again, and by default. Funnily enough, it is really difficult for parents of special ed kids to come to and run meetings; they have these kids with special needs to care for, and respite ain't cheap. That aside, we were getting the rundown of sped numbers, when there was a discussion of three kids with PDD-NOS who weren't going to qualify for service. I blinked, and have been really thinking about that. I remember how close we came to not getting a diagnosis for Joey, even with his communication issues at age 3. He was too social, he was too mobile, etc. etc. etc. All the standard tests were coming back "borderline". It was the doctor, Dr. James Blackman of Kluge Children's Rehab, who looked at those tools, looked at Joey, and said, "These tools are guides and supports, they aren't absolute. This child is autistic." Dr. Blackman also noted that children diagnosed with PDD-NOS tended to be denied service (hence I support the new DSM guidelines of folding the subcategories of the spectrum under one diagnosis: autism spectrum disorder). If we had just gone with the early childhood educator at the center, or any of those tools, would Joey have qualified for service? Would he even have been considered autistic? And yet is it now obvious that he is autistic, there is no going around it with your tools or guides or what have you. The tracking, the clicking, the language issues, the motor issues, the social issues are now clear, far more than that day. We might say we were frightened and had seen the child slipping from us, but in fact, we intervened at the cusp of real manifestation of autism. Joey was born with autism, but we did see the changes that so many parents think herald the beginning of autism. In fact, they just become more obvious, as other children develop other skills, while your own child seems to turn aside from them. He hadn't just started. It just became more visible.

Back to the committee, where they are denying service to kids with PDD-NOS, reminding me that the attitudes of school are something I must reckon with. I have no idea why these kids are being denied service, specifically, but the shock remains. If they are visible enough to have a diagnosis, then it is time for early intervention for functional and social skills at the very least; yet these children's parents will be told the school system is not going to help them. Will they know where to turn next? I'm digressing again. The point is, Joey is more disabled than I ever think he is. Joey is just Joey to me, he is who he is, and he grows and learns, the miracle of a child growing up and becoming an adult, one step at a time. As mild as we might think his autism- and he is constantly described in official paperwork with things like "mild autism" (though when he was four and five, we did see it become "moderate autism"), "high functioning", and other such odd nomenclatures- it affects him in significant ways, in ways that cannot be pushed aside or ignored.

Then came the magic show last night. He sat with another friend from his class, another child described as "mild." The child certainly speaks better than Joey, but has other quirks of manner and coping that are unmistakable to a parent of a spectrum child. That child's mother was concerned about staying for the whole show, and I agreed. Her child made it through, sitting in her lap on the floor. Mine needed two breaks, and was unhappy with the noise and need to focus even with those breaks. The reminder that Joey often needs one-to-one attention and care in group settings- settings where most of the parents just told their kid to go sit on the floor and enjoy the show with their friends, while the parents retreated to the back of the gym to talk amongst themselves- was a stark one; especially since I was a lone parent with two kids. One melted down if we stayed, the other melted down if we left. At least it was balanced, right?

When we put Joey into preschool, we had hopes that he would be "mainstreamed" by kindergarden. That didn't happen. Then there was talk of him being "mainstreamed" by third grade. The problem there was that our idea of "mainstreamed" and the school's definition of "mainstreamed" are two very different things. Except that for services, they want to go with our definition, while for practice, they go with their own. They're going to want to stick him into regular-ed classes, but they aren't going to want to give him an aide or a specialized resource room once he gets there.

Inclusion is a funny thing. That was supposed to be the big topic of the Sped meeting, but there was a hollowness, or perhaps a shallowness, to the whole discussion. School personnel spent a lot of time patting themselves on the back about how wonderful it was that kids could be included, and that inclusion was done on an individual basis. And all I kept thinking was, No kidding! Of course you are going to put for LRE, that's the law. But I want to know what you intend to achieve by pushing these kids out into regular ed. What are they supposed to gain? And do they gain it? Pushing Joey into the mainstream will look great for the paperwork, but what is he gaining? It isn't like peer models mean that much to him in teaching social skills or self-regulation. Is the goal to teach the other children tolerance? We could argue some success on that front, and certainly that is to Joey's benefit as well as the regular ed kids. Academic progress? That would need to be more specific. Some things Joey gains, some things he does not.

And I have other odd details to worry about. Joey is getting older. We are screaming at lightning speed towards middle school. I have to give thought to his social comfort and skills. The Upper Elementary bus is permitted to drop kids off at a designated bus stop without an adult there to meet them. Our stop is two blocks away and not in sight of the house, since the upper elementary bus does not stop at the corner that is half a block away. Would Joey be able to get home safe? Or could he wander off if he's had a bad day? Do I put him on the regular bus and hope the bus environment isn't overwhelming and trust him to walk down the hill and around a corner? Or do I keep him on the special ed bus, which will bring him to my door and requires my presence when he arrives, but begins to run the risk of having him be at the butt of all those "short bus" jokes? How much of a safety risk is it, and is it a good trade-off for his social acceptance?

See, the other thing noted in the meeting was that as the kids hit high school, they often refuse the accommodations they are permitted because they "don't want to be different." And the school personnel permit it. There was no talk of getting these kids counseling, or working to improve attitudes and acceptance among non-disabled peers, or expanding understanding of accommodations and why they might be needed or why it would be inappropriate (or even mean and vicious) to make other feel they needed to refuse the supports they need to be successful and to learn. The balance between needs and realities is one that no one wants to talk about, far less do anything about. What happened to valuing diversity and acceptance? What happened to the dream of Martin Luther King? Is our understanding of these concepts so shallow? Yet this subtle exclusion in the world of "inclusion" is something I must think about now, to help Joey self-advocate later. The idea of balancing safety with social acceptance is absurd, and yet there it is- an issue that must be considered as Joey builds his social foundations.

It takes courage to get through a day. For Joey, it seems to take more than his share, and we must prepare him for the stores of courage he will need to get through puberty. He's only seven, and I have to worry about his life when he turns seventeen. How far will he have come? Will he be able to communicate his triumphs and tribulations effectively? Will he be valued for the beautiful person he is and is learning to be, or scorned for his social, communication, and motor skill challenges? How can I help him?

Wednesday, March 03, 2010

The R-Word

"A long habit of not thinking a thing wrong, gives it a superficial appearance of being right, and raises at first a formidable outcry in defense of custom." - Thomas Paine

I’ve been following closely the comments made after articles about using the word “retard”. They have been disappointing for the most part. The same old arguments are being whipped out.

"I have a right to use this word!”
“If you are so sensitive, do you park in the handicapped spot in the parking lot?”
“Has this word been used toward you or yours? If your loved one wasn’t offended, why should you be?”
“This is thought control!”
“Masking language is just window dressing.”
“It’s just a word!”
“Get over yourself. You just want to control everyone’s speech to gain social power.”
“I’m not insulting special needs people, I am insulting a normal person who is acting like a developmentally disabled person! It’s just a metaphor!”
“Soon we won’t be able to speak!”

Yes, these are all pulled from actual comments, made by actual people, defending the use of the r-word.

Freedom is not free. With every right comes responsibility. Respect is also “just a word.”

Language is a powerful tool, and one that should not be taken lightly. So many not only take language for granted, they judge others by their abilities to use and manipulate it.

Yes, I can fling back platitudes with the rest of them. Just because you can do something, doesn’t mean you should. Metaphors have meaning. Insults cut both ways. If a tree falls in the forest, and no one hears it, does it make a sound?

We are human beings, and many of us are given the gift of speech. Use it wisely. Use it well.

Making a Difference?

Lots of things to do today to make a difference in the world.

Today is Special Olympics' Spread the Word to End the Word. Have you taken the pledge?

Also, we have a local team for ROAR!, the fundraiser for autism research through Kennedy Krieger. You can learn more about ROAR! and how you can support autism research by real scientists!

And one more thing- when you see your kids, give them each a big smile and a big hug, and let them know you love them. You'd be surprised what a big difference that makes.

Tuesday, March 02, 2010

Focus and Concentration

There is no getting around it; Andy has a lot of trouble with focus. The ability to sit and focus on something is a challenge; the only thing I have seem him sit and focus on is a new TV show, when he really, really, really tired. Even then, he likes to wander about the room.

Andy had the stomach ick last week. In fact, we had it together. The result was a day and half of missed school. The result of that was two thick booklets of worksheets to make up in our spare time. Oh, and we had another sheet to make up because one afternoon all he could do was run in circles around the house screaming about how he wanted winter to stay forever and hated the snow melting. It was a little disturbing to see, actually. Oh, and we had the homework sheets regularly sent home, because what is kindergarten without homework? As if I have nothing else to teach the child outside of school!

So over the weekend, we got started. Now instead of 5 minutes (one worksheet), we had 20 minutes to do each day, and I didn't want to miss too many days and have it pile into 30 minutes. Did I mention those "new TV shows" were only 20 minutes long? How long could I get him to focus on a worksheet?

It turns out that we did better than I expected. I mixed the sheets up, so he wasn't doing the whole math packet one day, the whole language arts packet the next. A little of this, a little of that, to hold some interest and break up the tedium. That he found most of the sheets tedious was pretty clear. There was one about money and showing ten cents over and over again, and the question was, "how many cents?" each time, to the point he'd just scream, "TEN CENTS!!!" before writing it down, in an exasperated tone. He liked a sheet that was a color-by number. The writing he finds difficult and tiring. He is still reversing his Gs, and mixing upper and lower case letters. One of the sheets asked him to write a sentence using spelling words, and he seems to like that.

But the fact that I could get him to complete worksheets in ten-minute intervals, twice each afternoon, was incredible. Amazing. Not easy, but amazing. Whatever his teacher is doing at school, it is working.

Monday, March 01, 2010

Adventures Downtown

Living in Fredericksburg, you'd think there was a wealth of things to do. In winter, it is a little harder, as we don't have a lot of indoor stuff. Battlefields are, almost by definition, outdoors. We don't have nature centers or kid-friendly museums or anything like that. We have a lot of old buildings, loosely scattered over town, with various levels of restoration and kid-friendliness. But the boys are getting to the age when I would like to get them familiar with the history we have around us. After all, George Washington grew up here.

So we got out our cameras, and headed out to see some of the sights. I decided on a group of attractions that sit together- the Hugh Mercer Apothecary, the Rising Sun Tavern, and the library. Between attractions, they took a lot of photos of the street and the sidewalk. No, seriously- pavement and concrete are wonderful textures to photograph.

You aren't really supposed to take photos inside, but the ladies there were so nice! We didn't do so well with the tour, especially since there was another family there, so I pulled them back out to the front room, and the other guide let the boys ask questions about what made them curious. Andy wanted to know what was in the jars and wanted to know more about the big specimen jars. Oh, and they got to see leeches. Real leeches.

Joey was a bit out-of-sorts, but managed to show some interest in the jars and labels. He was happy to see one marked "marshmallow", but was confused that it was an herb, not fluffy white lumps of sugar (marsh mallow was used to sooth sore throats).

The tavern part of the adventure was less successful. Th girl there wasn't as creative, and then the other family showed up there (I don't think they were very thrilled to see us, having experienced our presence at the apothecary), and the boys were pretending to be dogs- so we had to move on, and we didn't even get to see the tap room. We grabbed some books at random from the library (no, really- they just kind of picked out two books that had pretty covers. They weren't in a be-quiet-and-focus mood) and headed home. I was hoping to fill up most of the day with our adventuring, but I didn't even have to worry about the two-hour parking limit on the street. We'll try again in a bit; as they become more familiar with the places, they;ll be more comfortable and listen better. But at $9 a pop per building for two kids and a parent, we'll definitely wait a little.