Got the final set of private evaluation results.... Q massively qualified for Occupational Therapist (OT) as well as sp/lang, pt and of course counselling. I let you all know that he told me yesterday that we had to stay and he had to see her (when acting up in the waiting room) because this was his special time to get things turned around and fixed etc. He told me she was going to help him not to say those words etc. Bless his heart, his expectations are high and not gonna happen all in one thing but I rolled with it. so Occupational Therapist (OT) results including the handwriting evaluation... he tested first to fourth percentile. UMMM, I asked her if she (not standardized of course but I do this sometimes) even adjusted for his developmental age would he seem delayed??? oh my gosh yes. So, this kid struggles with anything midline crossing...rt and lt. brain do not communicate well (Duh but it is nice to see it in writing so the school who just said he wont cooperate in evaluations will have the info) he has no ability to judge where his body is in space, does things too hard or too soft, has a terrible time planning things and his fine motor control is the worst. And he has made it clear that he would rather have people think he is doing it all on purpose. Sometimes I wish he was more delayed so it was off his radar. With MN m.a. he can have sensory integration goals (calming goals) and he can get the interactive metronome therapy completely covered! so no need to adjust our waiver plan budget. They write it in a broader goal working on rhythm and coordination so any method is acceptable. YIPEE. Now we just need the final insurance paper when they turn in the goals and then to schedule. We decided to hit Occupational Therapist (OT) more frequent and hard because they (and yipee again for being with a brain injury recovery program) believe and research supports more frequent and intensive therapy results in faster and longer lasting gains (well that has been the age old thing even in schools... the once weekly twenty minute sessions almost seem silly sometimes... I worked in a school where they let us take the artic kids especially... those kids with a sound or two out...and give them three months of quick a day frequent therapy... four to five days a week of ten minutes to really get the sounds remediated and it worked beautifully. many kids were off their IEP's in months!) So I will schedule Occupational Therapist (OT) first, then see if we can piggy back the pt and then will add Speech Language Pathologist (SLP) when it fits, maybe only in summer which is only four months away so??? Sometimes it really hits me how much time we waste talking about behavior when the underlying issues are so profound. Really, what do they expect?