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http://www.uhccf.org/

 

 

 

 

 

You might try a grant through United Healthcare.  I think the income limit is

$20K per person in the household??  I can't remember.  We are lucky , our

insurance pays.

 

 

sl

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contact the sender and delete the material from all computers.

Sharon Lang

From: monique57 <monique57cox (DOT) net>

Subject: [childrensapraxiane t] Insurance refusing to cover for Apraxia

@groups. com

Date: Wednesday, January 21, 2009, 8:58 PM

My g.f. has a 3 yr. old boy who has been diagnosed with apraxia and her

Insurance Co. is refusing to cover Speech Therapy services since he did not

" lose " speech (he never developed speech). We are in Ca. --can anyone offer any

advice or suggestions re: this issue please?

TIA,

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Unfortunately, we are going to hear a lot more about denied coverage for apraxia

therapies.  As more and more states pass mandated insurance coverage

specifically for autism and autism spectrum disorders, insurance companies will

pay what is mandated.  Coverage for apraxia is not mandated.  Interesting

enough, under the new state mandates, if your child has apraxia and autism, you

get speech coverage!???!  hhhmmm... talk about lobbying power.

 

We are very lucky as well and have unlimited speech visits/year.

jennifer

From: sharon lang <flipperlang@...>

Subject: Re: [ ] Insurance refusing to cover for Apraxia

grant???

Date: Wednesday, January 21, 2009, 10:26 PM

http://www.uhccf. org/

 

You might try a grant through United Healthcare.  I think the income limit is

$20K per person in the household??  I can't remember.  We are lucky , our

insurance pays.

 

 

sl

The information transmitted is intended only for the person or entity to which

it is addressed and may contain confidential, proprietary, and/or privileged

material. Any review, retransmission, dissemination or other use of, or taking

of any action in reliance upon, this information by persons or entities other

than the intended recipient is prohibited. If you receive this in error, please

contact the sender and delete the material from all computers.

Sharon Lang

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I don't know where people are where 20K would ever be a sufficient amount of

income to survive on-- but here in NJ that's someone's property taxes!!!

I'm thinking that United Healthcare should re-think their income limit--

yikes-- that's crazy

bek

In a message dated 1/21/2009 10:37:51 P.M. Eastern Standard Time,

flipperlang@... writes:

You might try a grant through United Healthcare. I think the income limit

is $20K per person in the household?? I can't remember. We are lucky , our

insurance pays.

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But wait-- if someone has autism coverage-- they should also have the

Apraxia coverage, because Apraxia/Dyspraxia is on the Autism spectrum

Or is that too simplified of a thought for the insurance companies? LOL

bek

In a message dated 1/22/2009 8:10:56 A.M. Eastern Standard Time,

jenfromcinci@... writes:

As more and more states pass mandated insurance coverage specifically for a

utism and autism spectrum disorders, insurance companies will pay what is

mandated. Coverage for apraxia is not mandated. Interesting enough, under the

new state mandates, if your child has apraxia and autism, you get speech

coverage!??? hhhmmm... talk about lobbying power.

**************A Good Credit Score is 700 or Above. See yours in just 2 easy

steps!

(http://pr.atwola.com/promoclk/100000075x1215855013x1201028747/aol?redir=http://\

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As far as I know apraxia is not on the spectrum. ??

From: tbniesh@... <tbniesh@...>

Subject: Re: [ ] Insurance refusing to cover for Apraxia

grant???

Date: Thursday, January 22, 2009, 1:24 PM

But wait-- if someone has autism coverage-- they should also have the

Apraxia coverage, because Apraxia/Dyspraxia is on the Autism spectrum

Or is that too simplified of a thought for the insurance companies? LOL

bek

In a message dated 1/22/2009 8:10:56 A.M. Eastern Standard Time,

jenfromcinci writes:

As more and more states pass mandated insurance coverage specifically for a

utism and autism spectrum disorders, insurance companies will pay what is

mandated. Coverage for apraxia is not mandated. Interesting enough, under the

new state mandates, if your child has apraxia and autism, you get speech

coverage!??? hhhmmm... talk about lobbying power.

************ **A Good Credit Score is 700 or Above. See yours in just 2 easy

steps!

(http://pr.atwola. com/promoclk/ 100000075x121585 5013x1201028747/ aol?redir=

http://www. freecreditreport .com/pm/default. aspx?sc=668072% 26hmpgID=

62%26bcd= De

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there is a correlation but not a causation, right?  i mean one can have autism

and apraxia but not necessarily apraxia and autism.

 

 

sl

The information transmitted is intended only for the person or entity to which

it is addressed and may contain confidential, proprietary, and/or privileged

material. Any review, retransmission, dissemination or other use of, or taking

of any action in reliance upon, this information by persons or entities other

than the intended recipient is prohibited. If you receive this in error, please

contact the sender and delete the material from all computers.

Sharon Lang

From: tbniesh@... <tbniesh@...>

Subject: Re: [ ] Insurance refusing to cover for Apraxia

grant???

Date: Thursday, January 22, 2009, 1:24 PM

But wait-- if someone has autism coverage-- they should also have the

Apraxia coverage, because Apraxia/Dyspraxia is on the Autism spectrum

Or is that too simplified of a thought for the insurance companies? LOL

bek

In a message dated 1/22/2009 8:10:56 A.M. Eastern Standard Time,

jenfromcinci writes:

As more and more states pass mandated insurance coverage specifically for a

utism and autism spectrum disorders, insurance companies will pay what is

mandated. Coverage for apraxia is not mandated. Interesting enough, under the

new state mandates, if your child has apraxia and autism, you get speech

coverage!??? hhhmmm... talk about lobbying power.

************ **A Good Credit Score is 700 or Above. See yours in just 2 easy

steps!

(http://pr.atwola. com/promoclk/ 100000075x121585 5013x1201028747/ aol?redir=

http://www. freecreditreport .com/pm/default. aspx?sc=668072% 26hmpgID=

62%26bcd= De

cemailfooterNO62)

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Jen,

You are correct, Apraxia is not on the spectrum although children who

have autism or fall on the spectrum can also have apraxia with it as

well. Apraxia in of itself is a neurologically based motor planning

speech issue that often presents itself with some form of hypotonia,

some sensory issues and dysarthria. In addition, children with a

number of other disorders can have apraxia alongside other conditions

such as CP, epilepsy, metabolic disorders, genetic disorders and etc.

Lori

>

>

> From: tbniesh@... <tbniesh@...>

> Subject: Re: [ ] Insurance refusing to cover for

Apraxia grant???

>

> Date: Thursday, January 22, 2009, 1:24 PM

>

>

> But wait-- if someone has autism coverage-- they should also have the

> Apraxia coverage, because Apraxia/Dyspraxia is on the Autism spectrum

>

> Or is that too simplified of a thought for the insurance companies? LOL

>

> bek

>

>

> In a message dated 1/22/2009 8:10:56 A.M. Eastern Standard Time,

> jenfromcinci writes:

>

> As more and more states pass mandated insurance coverage

specifically for a

> utism and autism spectrum disorders, insurance companies will pay

what is

> mandated. Coverage for apraxia is not mandated. Interesting enough,

under the

> new state mandates, if your child has apraxia and autism, you get

speech

> coverage!??? hhhmmm... talk about lobbying power.

>

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that's what i thought.  maddy has c.p. and therefore motor planning issues, and

apraxia but is not on the spectrum.

 

 

sl

The information transmitted is intended only for the person or entity to which

it is addressed and may contain confidential, proprietary, and/or privileged

material. Any review, retransmission, dissemination or other use of, or taking

of any action in reliance upon, this information by persons or entities other

than the intended recipient is prohibited. If you receive this in error, please

contact the sender and delete the material from all computers.

Sharon Lang

From: seeramona <lorirosen@...>

Subject: [ ] Re: Insurance refusing to cover for Apraxia

grant???

Date: Thursday, January 22, 2009, 2:41 PM

Jen,

You are correct, Apraxia is not on the spectrum although children who

have autism or fall on the spectrum can also have apraxia with it as

well. Apraxia in of itself is a neurologically based motor planning

speech issue that often presents itself with some form of hypotonia,

some sensory issues and dysarthria. In addition, children with a

number of other disorders can have apraxia alongside other conditions

such as CP, epilepsy, metabolic disorders, genetic disorders and etc.

Lori

>

>

> From: tbniesh@... <tbniesh@... >

> Subject: Re: [childrensapraxiane t] Insurance refusing to cover for

Apraxia grant???

> @groups. com

> Date: Thursday, January 22, 2009, 1:24 PM

>

>

> But wait-- if someone has autism coverage-- they should also have the

> Apraxia coverage, because Apraxia/Dyspraxia is on the Autism spectrum

>

> Or is that too simplified of a thought for the insurance companies? LOL

>

> bek

>

>

> In a message dated 1/22/2009 8:10:56 A.M. Eastern Standard Time,

> jenfromcinci writes:

>

> As more and more states pass mandated insurance coverage

specifically for a

> utism and autism spectrum disorders, insurance companies will pay

what is

> mandated. Coverage for apraxia is not mandated. Interesting enough,

under the

> new state mandates, if your child has apraxia and autism, you get

speech

> coverage!??? hhhmmm... talk about lobbying power.

>

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Bek, as far as I can tell, our doctors can diagnose autism, but they refer to

the regional centers and school districts for services. They offer no services

whatsoever from our healthcare provider. NOW.....some people have sued or

fought it, but it takes a long time, and services are still no guarantee. It's

the conditions of our insurance, which is an incredibly popular one here in the

west. And, as I was saying,,,,,this is according to my understanding. This is

just with autism, and not apraxia. There is very little awareness about apraxia

here in my area.....and my pedi had never heard of it. I see a lot of kids here

with a diagnosis with PDD/NOS when they clearly have apraxia. I'm not saying

they don't have other characteristics of autism/PDD or whatever, but their

apraxia is not being addressed. After my son's IEP, the psychologist mentioned

that the school district was trying to organize a class for local doctors,

because they (the district) is being inundated with non-verbal children at the

age of five.....with no earlier interventions and no formal diagnosis.

I think something was passed in our state recently that speaks of autism

coverage.....but I don't know how far into the process it is, and that doesn't

include apraxia.

You guys on the east coast seem to be a bit more progressive in apraxia

awareness and coverage, etc.....

@...: flipperlang@...: Thu, 22

Jan 2009 11:38:30 -0800Subject: Re: [ ] Insurance refusing to

cover for Apraxia grant???

there is a correlation but not a causation, right? i mean one can have autism

and apraxia but not necessarily apraxia and autism. slThe information

transmitted is intended only for the person or entity to which it is addressed

and may contain confidential, proprietary, and/or privileged material. Any

review, retransmission, dissemination or other use of, or taking of any action

in reliance upon, this information by persons or entities other than the

intended recipient is prohibited. If you receive this in error, please contact

the sender and delete the material from all computers. Sharon LangFrom: tbniesh@...

<tbniesh@...>Subject: Re: [ ] Insurance refusing to cover

for Apraxia grant??? @...: Thursday,

January 22, 2009, 1:24 PMBut wait-- if someone has autism coverage-- they should

also have the Apraxia coverage, because Apraxia/Dyspraxia is on the Autism

spectrumOr is that too simplified of a thought for the insurance companies?

LOLbekIn a message dated 1/22/2009 8:10:56 A.M. Eastern Standard Time,

jenfromcinci writes:As more and more states pass mandated insurance

coverage specifically for autism and autism spectrum disorders, insurance

companies will pay what is mandated. Coverage for apraxia is not mandated.

Interesting enough, under the new state mandates, if your child has apraxia and

autism, you get speech coverage!??? hhhmmm... talk about lobbying

power.************ **A Good Credit Score is 700 or Above. See yours in just 2

easy steps! (http://pr.atwola. com/promoclk/ 100000075x121585 5013x1201028747/

aol?redir= http://www. freecreditreport .com/pm/default. aspx?sc=668072%

26hmpgID= 62%26bcd= DecemailfooterNO62)[Non-text portions of this message have

been removed]

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If the child has low muscle tone, coverage should technically include this

'physical' disorder which can 'cause' apraxia/dysarthria of speech, global

motor issues, etc.

.....and that's what I would go after, the 'physical' label....

Re:

[ ] Insurance refusing to cover for Apraxia grant???To:

@...: Thursday, January 22, 2009, 1:24

PMBut wait-- if someone has autism coverage-- they should also have the

Apraxia coverage, because Apraxia/Dyspraxia is on the Autism spectrumOr is

that too simplified of a thought for the insurance companies? LOLbekIn a

message dated 1/22/2009 8:10:56 A.M. Eastern Standard Time, jenfromcinci@

writes:As more and more states pass mandated insurance coverage

specifically for autism and autism spectrum disorders, insurance companies

will pay what is mandated. Coverage for apraxia is not mandated. Interesting

enough, under the new state mandates, if your child has apraxia and autism,

you get speech coverage!??? hhhmmm... talk about lobbying power.************

**A Good Credit Score is 700 or Above. See yours in just 2 easy steps!

(http://pr.atwola. com/promoclk/ 100000075x121585 5013x1201028747/

aol?redir= http://www. freecreditreport .com/pm/default. aspx?sc=668072%

26hmpgID= 62%26bcd= DecemailfooterNO62)[Non-text portions of this message

have been removed]

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It's $20,000 PER PERSON as flipperlang posted. My family of 6 would

have to make more than $120,000 per year to not qualify. (We make

well below the $20K per person rule.)

This grant is for the underinsured; you have to have insurance to

apply. I got $2800 last year!! You have to pay for therapy first

and then you submit claims to get reimbursed but it's worth the

effort in my opinion. (I kept having to send in proof my insurer

Aetna HMO gave my son 60 LIFETIME visits not 60 visits per year as

many HMO plans offer. Well we all know there's no guarantee to even

get the 60 visits as outlined in your plan but that's another post!)

>

> I don't know where people are where 20K would ever be a sufficient

amount of

> income to survive on-- but here in NJ that's someone's property

taxes!!!

> I'm thinking that United Healthcare should re-think their income

limit--

> yikes-- that's crazy

>

> bek

>

>

> In a message dated 1/21/2009 10:37:51 P.M. Eastern Standard Time,

> flipperlang@... writes:

>

> You might try a grant through United Healthcare. I think the

income limit

> is $20K per person in the household?? I can't remember. We are

lucky , our

> insurance pays.

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hi Bek,

 

Weel your talking to a person who survives on less than 20,000 a year in fact it

is more like 12,000 ayear. No I am not on welfare at all. No food stamps and no

tanf money at all. I get a lousy 50.oo in a month in child suppoer which is only

paid when dad feels like paying it. I support me and my son on this amount of

money. Yes it is very hard to do. Both my dispraxic son and i get SSi benefits

and medicaid. The only therapies my son gets are through the local school

ditrict since we have no other insurance but medicaid. They will not cover any

therapy privatley they pay for it through the school district somehow. At my IEP

meeting they ask my sons Medicaid number so they can bill medicaid for his ST

and OT services. Yes they are actaully billing them for them. Do not ask me how

they do it. I have no idea how theya re doing it. Anyway just thought I would

mention that theere are indeed people living on that much and less.

 

We live very cheaply and  are deeply in debt and live month by montha and go

without a lot

of stuff to just to survive. We only buy the necesscities and budget very

wisely. No extra money at all that is not used for the living expenses.

 

Jeanne

NH

From: tbniesh@... <tbniesh@...>

Subject: Re: [ ] Insurance refusing to cover for Apraxia

grant???

Date: Thursday, January 22, 2009, 1:19 PM

I don't know where people are where 20K would ever be a sufficient amount of

income to survive on-- but here in NJ that's someone's property taxes!!!

I'm thinking that United Healthcare should re-think their income limit--

yikes-- that's crazy

bek

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Well-- I know everyone will have their differences of opinion on this.

I listened to a Neurological Chiropractor with an education seminar, and

what he said was basic common sense, and this is also how I feel.

There are many different neurological issues-- and what seems to be the root

of the problem is that the brain is imbalanced. Meaning-- that the sides of

the brain are not functioning on equal levels with eachother, which causes an

imbalance. The larger the imbalance is, the greater the problem that you'll

see.

The smaller the imbalance-- the problems are lesser etc.

Things that he mentioned are basically all on the spectrum were things such

as

ADHD

Dyspraxia (Apraxia_

Tourette's Syndrome

Aspberger's

Autism ( " full blown " )

and there were a few others that I can't remember. I believe this way also.

Bek

In a message dated 1/22/2009 2:15:31 P.M. Eastern Standard Time,

jenfromcinci@... writes:

As far as I know apraxia is not on the spectrum. ??

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Well, I personally believe that it's all on " the spectrum "

bek

In a message dated 1/22/2009 2:44:22 P.M. Eastern Standard Time,

flipperlang@... writes:

there is a correlation but not a causation, right? i mean one can have

autism and apraxia but not necessarily apraxia and autism.

**************From Wall Street to Main Street and everywhere in between, stay

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WOW Jeanne-- I am very impressed-- God bless you! I don't know how you do

it, but I sincerely hope that you will be blessed by the only one that makes

the difference (I believe that's God, LOL).

Down here in NJ-- this would also be how we have lived, but there's no way

to survive on those finances in this area. I wasn't kidding when I said 20K was

someone's property taxes-- it's just crazy how things are.

Bek

In a message dated 1/22/2009 7:25:57 P.M. Eastern Standard Time,

jamie199866@... writes:

Anyway just thought I would mention that theere are indeed people living on

that much and less.

We live very cheaply and are deeply in debt and live month by montha and go

without a lot

of stuff to just to survive. We only buy the necesscities and budget very

wisely. No extra money at all that is not used for the living expenses.

**************From Wall Street to Main Street and everywhere in between, stay

up-to-date with the latest news. (http://aol.com?ncid=emlcntaolcom00000023)

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OK wait-- When you guys say " APRAXIA " Are you talking about " pure " Apraxia

where it's solely Apraxia of Speech?

Because when I'm referring to Apraxia-- I'm thinking it more along the lines

of the GLOBAL Apraxia, aka DYSPRAXIA, which I believe, yes-- is on the

spectrum

I could be convinced that someone with pure Apraxia of speech isn't on the

spectrum, but you can't convince me that a child with full Dyspraxia is not

Bek

In a message dated 1/22/2009 2:50:06 P.M. Eastern Standard Time,

flipperlang@... writes:

that's what i thought. maddy has c.p. and therefore motor planning issues,

and apraxia but is not on the spectrum.

**************From Wall Street to Main Street and everywhere in between, stay

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Ohhhhhh ok-- I'm getting it now. That makes more sense to me now!

When I think of the wording 20K salary per person-- I was assuming that

every person making a salary, as compared to the overall household income

totaling 20K per person in the household.

so for my household of 10 people, our limit would be $200,000 correct?

Bek

In a message dated 1/22/2009 7:24:06 P.M. Eastern Standard Time,

debjward@... writes:

It's $20,000 PER PERSON as flipperlang posted. My family of 6 would

have to make more than $120,000 per year to not qualify. (We make

well below the $20K per person rule.)

**************From Wall Street to Main Street and everywhere in between, stay

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Actually my son who has both severe verbal and oral dyspraxia of speech is not

on the autism spectrum. His Dev ped keeps telling me that there is no way he is

on the spectrum not even close. The school special ed director also tells me the

same thing child does not meet autism spectrum diagnosis criteria. Yes they can

have full dyspraxia and not have autism or on the spectrum. thats what the NH

specialists are telling me. By the way my son does have sensory integration

disorder. But it is getting better with time. If only i could figure out what it

is about cactuses that gives him a major meltdown. (picture,the actual plant,a

painted statue of one that is either plastic or ceramic that a local restaurant

has outside etc). The strange thing is that in NH we do not actually have

cactuses that are bigger than a few inches and they are sold in stores in a

little tiny flower pot.

Jeanne

NH

From: tbniesh@... <tbniesh@...>

Subject: Re: [ ] Re: Insurance refusing to cover for Apraxia

grant???

Date: Friday, January 23, 2009, 2:44 AM

OK wait-- When you guys say " APRAXIA " Are you talking about " pure " Apraxia

where it's solely Apraxia of Speech?

Because when I'm referring to Apraxia-- I'm thinking it more along the lines

of the GLOBAL Apraxia, aka DYSPRAXIA, which I believe, yes-- is on the

spectrum

I could be convinced that someone with pure Apraxia of speech isn't on the

spectrum, but you can't convince me that a child with full Dyspraxia is not

Bek

In a message dated 1/22/2009 2:50:06 P.M. Eastern Standard Time,

flipperlang writes:

that's what i thought. maddy has c.p. and therefore motor planning issues,

and apraxia but is not on the spectrum.

************ **From Wall Street to Main Street and everywhere in between, stay

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Thank you it is very hard. But here in Nh especially in the city i live in. We

have had some very very bad economic times here. We have hardly any jobs left in

our area due to major mill closings and now stores closing. We have extremely

high rents here and high taxes also. That is how high our property taxes are

here. Rents a month are average 600 amonth and up. Like i mentioned i am very

deeply in debt. However I consider my self fortuante at this point.

Unfortunately our city where I live has had very bad luck the last several years

with very bad fires. Just this week we had four major busineses burn down in a

fire last weekend. Then just yesterday morning we had another horrible fire take

another apartment building that left families homeless.

 

Thank you for the good wishes. I wish you and your family the best also.

 

Jeanne

NH

From: tbniesh@... <tbniesh@...>

Subject: Re: [ ] Insurance refusing to cover for Apraxia

grant???

Date: Friday, January 23, 2009, 2:39 AM

WOW Jeanne-- I am very impressed-- God bless you! I don't know how you do

it, but I sincerely hope that you will be blessed by the only one that makes

the difference (I believe that's God, LOL).

Down here in NJ-- this would also be how we have lived, but there's no way

to survive on those finances in this area. I wasn't kidding when I said 20K was

someone's property taxes-- it's just crazy how things are.

Bek

In a message dated 1/22/2009 7:25:57 P.M. Eastern Standard Time,

jamie199866 writes:

Anyway just thought I would mention that theere are indeed people living on

that much and less.

We live very cheaply and are deeply in debt and live month by montha and go

without a lot

of stuff to just to survive. We only buy the necesscities and budget very

wisely. No extra money at all that is not used for the living expenses.

************ **From Wall Street to Main Street and everywhere in between, stay

up-to-date with the latest news. (http://aol.com? ncid=emlcntaolco m00000023)

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Ok-- I think you're missing what I'm saying though.

I'm not talking about the medical profession's gauge of the autism spectrum.

Think of the neurological disorders and issues as ALL being ONE SPECTRUM.

The problems are all basically the same when you're looking at the neural

issues. The basic thought is that there is a brain imbalance, and on this full

spectrum of neural disorders, ALL OF THESE THINGS are on that spectrum. Do

you know what I'm saying?

Bek

In a message dated 1/23/2009 7:18:32 P.M. Eastern Standard Time,

jamie199866@... writes:

Actually my son who has both severe verbal and oral dyspraxia of speech is

not on the autism spectrum

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I completely agree! And I think that there are a LOT of kids with SPD who

are MISdiagnosed as Autisitic

In a message dated 1/24/2009 1:26:37 A.M. Eastern Standard Time,

kiddietalk@... writes:

I just wish that it was the " communication impaired

spectrum " as I also have been told there are far more children that

are " late talkers " with sensory issues then there are that have autism

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LOL It's because I had a houseful of teens til after midnight and now I

need to unwind

but-- I admit that I'm failing and I'm on my way to bed

bek

In a message dated 1/24/2009 1:26:37 A.M. Eastern Standard Time,

kiddietalk@... writes:

And Becky you are like me -such a night owl!!!

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I agree those children in the dramatic rise today -there must be some

link to what is causing it. There are overlaps nobody can disagree

with that. I just wish that it was the " communication impaired

spectrum " as I also have been told there are far more children that

are " late talkers " with sensory issues then there are that have autism.

Classic autism -isn't that still pretty rare? It seems to me to come

up with the 1 in 150 number they have embraced apraxia in that number.

that would be fine if apraxia had awareness in itself for the therapy

that was appropriate for it -but it's not working like that. Without

funding it's clear children with apraxia are not all being diagnosed

accurately to have their motor planning issues addressed. Some of the

classic autism therapy is highly inappropriate for apraxia -while most

of the classic apraxia therapy may not be most effective for autism

-but it's not detrimental.

Besides it's clear that today's autism -many have underlying and in some cases

undiagnosed speech impairments.

I don't know -I see both sides -if we call apraxia " the spectrum " we

kind of are saying it's OK to say our children are kind of the same- and

in this group it works because we all know the overlaps and the

differences - but in the public it just means one thing...autism.

As I posted a few weeks ago (months ago?) 2 experts told me 30-40 percent of

those they see diagnosed today with autism are misdiagnosed and are actually

apraxic.

To me that's just really sad. We know the history of that road.

http://www.cherab.org/news/.html

And Becky you are like me -such a night owl!!!

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