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A Little more Hx on difficult child
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<blockquote data-quote="slsh" data-source="post: 106124" data-attributes="member: 8"><p>Chris,</p><p></p><p>I agree that a developmental pediatrician or neuropsychiatrist at a teaching and/or Children's hospital would be a good place for you guys right now. I'd especially key in on those sensory issues - an Occupational Therapist (OT) evaluation by someone with experience working with sensory issues (not all do) would be valuable I would think. By any chance was he a preemie? The school cannot "diagnose" him, and developmental delay (in my experience anyway) is kind of a catch-all phrase that is commonly used in IEPs for younger kiddos. I do think that psychiatrist, or any other doctor you have evaluate him, should take into consideration previous testing by schools. If you don't have copies of them readily available, you can request copies from the SD. They should have been forwarded from old SD. If you're not sure what you are looking for specifically, you can always request an appointment to review his permanent school file, including any and all evaluations by all SDs.</p><p></p><p>By my count, he will be due for his 3-year re-evaluation in the spring of 2008 with the SD. It might be a good idea to request that they start that process now (multidisciplinary evaluation, ARD, case study - different terms in different states, but they are all full evaluations to determine if the child is still eligible for Special Education, must be done at least every 3 years). I don't know if all states do it, but here in IL we have a "domain mtg" prior to the re-evaluation to determine what "domains" need to be looked at - ST, Occupational Therapist (OT), PT, psychiatric, hearing, social, transition (for older kids), Learning Disability (LD) evaluations, reading, math, etc. Since you're requesting an IEP mtg, that might be a good time to bring it up and to define what specific areas you think need to be evaluated.</p><p></p><p>How is his speech now? What services would you like to see in school, and why? That's always been the most effective way for me to figure out what to ask for in IEP mtgs - what are the problems and how can we address them? Lists, LOL. I make lots of lists. Make sure to put on your list an FBA, and a BIP with *positive* behavioral interventions. </p><p></p><p>I think it may be a rite of passage that parents of difficult children have to go thru when we deal with professionals who chalk up behavior difficulties to parenting skills. :hammer: While we can see clearly that that is not the whole problem, sometimes it takes a while for the professionals to catch on. I do have to grudgingly admit that some of the training that was "suggested" to get our "parenting skills" up to snuff actually was helpful. :wink: Some professionals I've waited out because I thought they would finally get it. Others I've left fast.</p><p></p><p>Again, don't forget to take care of you!</p></blockquote><p></p>
[QUOTE="slsh, post: 106124, member: 8"] Chris, I agree that a developmental pediatrician or neuropsychiatrist at a teaching and/or Children's hospital would be a good place for you guys right now. I'd especially key in on those sensory issues - an Occupational Therapist (OT) evaluation by someone with experience working with sensory issues (not all do) would be valuable I would think. By any chance was he a preemie? The school cannot "diagnose" him, and developmental delay (in my experience anyway) is kind of a catch-all phrase that is commonly used in IEPs for younger kiddos. I do think that psychiatrist, or any other doctor you have evaluate him, should take into consideration previous testing by schools. If you don't have copies of them readily available, you can request copies from the SD. They should have been forwarded from old SD. If you're not sure what you are looking for specifically, you can always request an appointment to review his permanent school file, including any and all evaluations by all SDs. By my count, he will be due for his 3-year re-evaluation in the spring of 2008 with the SD. It might be a good idea to request that they start that process now (multidisciplinary evaluation, ARD, case study - different terms in different states, but they are all full evaluations to determine if the child is still eligible for Special Education, must be done at least every 3 years). I don't know if all states do it, but here in IL we have a "domain mtg" prior to the re-evaluation to determine what "domains" need to be looked at - ST, Occupational Therapist (OT), PT, psychiatric, hearing, social, transition (for older kids), Learning Disability (LD) evaluations, reading, math, etc. Since you're requesting an IEP mtg, that might be a good time to bring it up and to define what specific areas you think need to be evaluated. How is his speech now? What services would you like to see in school, and why? That's always been the most effective way for me to figure out what to ask for in IEP mtgs - what are the problems and how can we address them? Lists, LOL. I make lots of lists. Make sure to put on your list an FBA, and a BIP with *positive* behavioral interventions. I think it may be a rite of passage that parents of difficult children have to go thru when we deal with professionals who chalk up behavior difficulties to parenting skills. [img]:hammer:[/img] While we can see clearly that that is not the whole problem, sometimes it takes a while for the professionals to catch on. I do have to grudgingly admit that some of the training that was "suggested" to get our "parenting skills" up to snuff actually was helpful. [img]:wink:[/img] Some professionals I've waited out because I thought they would finally get it. Others I've left fast. Again, don't forget to take care of you! [/QUOTE]
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