I do have insurance but almost all the places I have gone to dont take insurance. My PPO will reimburse me but only after I meet the deductible. I have done that now, but The nueropsychologist is the same. They want $2500 for all the tests and being a single mom, that is next to impossible. I am going to be looking for grants to see if I can ofset the cost. Also I have included a summary of what I have gone through and all the tests so far.
Summary
DOB: 04/22/00 born 6lbs 12 oz @ 36 weeks.
-Was hospitalized at 18 month due to dehydration from Rotavirus
-Tonsillectomy and anoidectomy performed 05/10/06
-Hearing and speech problems when younger due to allergies that caused tonsils and anoids to swell cutting off Eustachian tubes, leaving fluid in ears.
- After surgery hearing and speech improved dramatically.
- Home schooled in NV for Kindergarten
- History of running
- Never liked homework, even when home schooled
- When we moved to VA, he was obsessed with Super Mario Bros. And would act out scenes and draw characters from the game.
- Aggression and violent behavior started approx a month into the school year. Kicking, screaming, hitting and throwing things.
- Was in ISS twice and once for regular suspension.
- Kaden came up 2 weeks prior to Mom coming to VA to start school at the appropriate time and to shorten the travel time for him.
Time Line
08/23/06- First Day of school
08/24/06- Letter received from principal re: Non-authorized observation. He was observed from 9:27am -9:50am. Principal concluded after 30 minutes that he had aspergers.
09/07/06- Parent/Teacher conference: Re- K running, screaming, playing and talking to himself. Initial testing, he was reading at a 3rd grade level, Math is normal but will not work individually, writing is behind and hard to read, excellent computer skills. Initial hearing and vision testing performed and passed within normal limits. K didnt respect personal space and would chew up pencils, erasers, paper and tear up notebooks. Would speak and act loudly, especially when on the computer. He loses focus easily, babbles incoherently and has poor peer interaction/relationships. School requests observation by school psychologist. Counselor (school) to set up sessions to get K introduced to other new students. K has frequent bathroom visits.
09/13/06- Communication notebook started.
09/26/06- Started hitting the teacher.
09/29/06- Refused to take accelerated reader test.
10/04/06- Difficulty with transition at school.
10/09/06- Removed from class due to bad behavior.
10/10/06- K was defiant, screamed, kicked and hit the teacher.
10/17/06- Parent/ Teacher conference: K needs constant one on one attention, attempts to run away frequently, they have to have an adult on supervision all day. Per the school, he is unable to write a complete sentence, does not initial conversation with students or teachers, takes things without asking, screams when he doesnt get his way, compulsive behavior, calms down when asked to draw. School wants to assess certain components educational, socioculteral, observation, vision, hearing, and psychological. School suggests he may be developmentally delayed.
10/23/06-Hit teacher and another student, tried to run away several times.
10/24/06- Hit teacher and tried to bite, spit on classmate, was placed in in-school suspension twice without my knowledge.
10/25/06- K goes to cafeteria in the morning to get breakfast even though he is fed a large breakfast at home. K was placed on half days till evaluation is done, starting 10/30/06. Mom sent in snacks to help with hunger.
10/26/06- K attempted to hit the Spanish teacher.
11/01/06- Education evaluation test administered:
11/07/06- Social history performed by: Tracy Fissel, MSW, school social worker
11/09/06- Hit classmate with a pencil.
11/15/06- Observed by special education teacher for 40 minutes.
11/27/06- Psychoeducational evaluation performed by Nancy Carrington, EdS
Background information
Behavioral observations
Evaluation instruments
Behavior assessment system for children 2nd edition (both teacher and parent)
Review of school records
Stanford Benet Intelligence scales
Vineland adaptive behavior tests of achievement 3rd edition
Beery Buktenia developmental test of visual/ motor integration
12/10/06- Mom placed K on a sugar free diet to see if that would help his behavior.
12/12/06- Education Evaluation: summary: Reasons for history, Primary caregivers concerns, efforts used to address concerns, cultural concerns, family history, developmental history, medical history, environmental concerns, adaptive behavior educational history, summary of report. Per Tester; K has his own agenda and did what he wanted to do. Tests administered:
Woodcock Johnson tests of achievement III
Developmental test of visual motor integration
Visual perception and motor co-ordination, supplements included
12/12/06- Parent/ Teacher conference to discuss test results. Was informed K was eligible for Developmental delay class (special education) Placed on IEP.
12/13/06- K is paired with a buddy to perform assignments and go to the restroom.
01/03/07- Placed back on full days after initial IEP meeting, annual goals put in place, Special education class 90 minutes per day/ 5 days a week.
01/12/07- K took Milk from cafeteria
01/17/07- Took bottle of water, teacher made him return it to the cafeteria, bade behavior all day.
01/18/07-Screamed at classmates and teacher.
01/23/07-Spit on classroom floor
01/29/07-Took milk without permission.
01/31/07- Complains everyday that he is hungry in the morning.
02/02/07- Ran out of classroom all day
02/12/07- Started a new daycare after he was asked to leave previous one for bad behavior.
02/13/07- IEP meeting: Special education classes increased to 4 hours a day. He is given a visual schedule daily, tasks are simplified, frequent breaks, when making a request, the teacher is to use a light tone and use humor, use a to do and finished folder, so that he can check off completed work, reward good behavior, create a quiet corner to help him regroup when angry or upset. Functional behavior assessment requested.
03/08/07- Evaluation by Child development center;
Comprehensive history
Physical exam
Wechsler intelligence scale for children 4th edition
Berry-Buktenica developmental test for visual-motor integration
Behavior assessment system for children (parent/teacher/self)
Brown ADD scales- parent
Conners teacher rating scale revised
House-tree person
Family drawings, spontaneous drawings
Brief behavior rating inventory of executive function (parent/teacher)
Scales of independent behavior revised
Gilliam aspersers disorder scale
Gilliam autism rating scale
Child behavior checklist for ages 6-18
03/12/07- Asked to leave daycare, offered to pay her double to keep him there, and she accepted.
03/16/07- K was suspended for 3 days for showing and rubbing his privates on another little boy.
03/21/07- Went over results from child development center and school meeting, K placed on a bathroom plan. No longer allowed to go with other kids, only with adult supervision.
03/23/07- IEP meeting, discussed results from child development center.
03/31/07- Initial consult with psychiatrist.
04/10/07- Initial consult with Licensed Clinical Social Worker (LCSW)
04/17/07- Spit on classmates ear and plate at lunch
04/18/07- Counseling session
04/27/07- Counseling session
05/02/07- K got out of bed after mom left for work, before aunt and uncle got up and tried to take his uncles car, when he couldnt start it, he walked to school. Said he didnt want to be late, also told mom, he was trying to come to my work. He made it almost the whole way there when a lady pulled over and took him to the school as he couldnt show her where he lived. Police were called and he acted non chalant. He was never fazed by the questioning or mom crying. No remorse. Took K for an Emergency session with Licensed Clinical Social Worker (LCSW).
05/06/07- K woke up six times during the night due to nightmares and refused to let me go to work the next day without him. (It was a Saturday)
05/08/07-Counseling session
05/11/07- K went into the teachers lounge and got a soda from the soda machine. Ran out of class several times.
05/12/07- Very cranky and argumentative, peed on the bed even though he was awake.
05/17/07- Called the emergency number for the school district during lunch at school.
05/19/07- K was very rude and argumentative to mom today.
05/20/07- K yelled at mom all day and was very belligerent.
05/21/07- Sleep deprived EEG performed. All results were within normal limits.
05/26/07- Psychiatrist consult today. Dr placed K on Celexa 5 mg 1 tab daily for anxiety.
06/04/07- K was talking in his sleep asking for his mom Said he was going to drive a car to moms work, When uncle told him mom was in the next room sleeping, he asked for his teddy and went back to sleep.
06/05/07- Didnt remember saying that last night when questioned by his aunt. Only remembers asking for his bear.
06/08/07- Increased medications to 10 mgs.
06/30/07- Psychiatrist wanted ADHD scales redone. She thought that the anxiety was masking the symptoms.
07/01/07- Went to Fourth of July fair, didnt want to leave to go to the bathroom till the last minute and had accident.
07/02/07- Was lollygagging in the morning, very rude and refused to get up.
07/08/07- Tried to put a pack of bubble tape in his pocket at the store.
07/11/07- Got into trouble for going to someone elses backpack and taking cheetos, Said he found money to buy a candy bar and a package of crackers from the vending machines, brought home a pokemon card that wasnt his, said he traded. Ate his and some other kids nametags.
07/26/07- Pooped and peed all over his bedroom floor and played in it.
07/28/07- Psychiatrist placed K on Risperdal .25mg 1 tab daily.