Guest guest Posted March 16, 2010 Report Share Posted March 16, 2010 We have an IEP meeting tomorrow morning for our 4 year old apraxic son. I have listed the goals from his SLP below, which we don't have issue with. What we do have issue with is that he has only been receiving speech therapy 2 days per week, and we've been providing private therapy 2 days per week (insurance doesn't cover, so not cheap). We really want them to increase Austin to at least 3 sessions per week. When we have brought it up in the past, they said since he had not regressed, they could not offer him any additional therapy. How can we fight/convince them to increase his therapy? Thanks! Language Goals: Austin has continued to make steady gains in the area of articulation. He is now producing early developing sounds(p,b,m,d,n,t,k,g,h,w) at the phrase level in CVC, VCV, VC, and CVCV(with changing vowels only) combinations. He is producing CVCV with changing vowels and consonants at the carrier phrase level(ex: I see, I want) with consistently, but continues to omit the middle sound in 2 syllable words beyond that level. Austin continues to have difficulties with mult-syllable words, as well as, pairing 2 consonants together in words with blends(ie: spoon, star). Austin continues to need modeling for /f/ in the beginning of simple words. He is producing many later developing sounds(sh,s,ch,j,z) in the beginning and end of simple CVC words as well. When the context is not know, it continues to be very difficult at times to understand what Austin's message is. This impacts his ability to share ideas and communicate effectively within his early learning environment at times. #1 Austin will produce all early developing sounds in CVCV(with changing vowels and consonants ie: dirty, muddy, pony) words at the sentence level 90% of the time. #2 Austin will produce early developing sounds in CVCV +CVC words(ie: pony ride, bunny hop) at the phrase level 90% of the time. #3 Austin will produce early developing sounds in 3 syllable words(ie: banana, tornado) at the phrase level 90% of the time. #4 Austin will produce CCVC(ie: spoon, blue) words at the carrier phrase level 90% of the time. #5 Austin will produce all early developing sounds in CVC words at the sentence level 90% of the time. *early developing sounds include: p,m,b,n,t,d,h,w,f,k,g Articulation Goals: Austin has made steady growth in the area of language and communication in his early learning environment at school. He is using language to participate in circle time activities, occasionally needing reminders to use words while singing. He will answer questions consistently(with the exception of 'when' ?'s), make appropriate comments, and is just beginning to share experiences related to the story or activity when prompted. He is able to ask questions and make requests throughout his day. Austin is using many 3-4+ word sentences(ex: hey, that's my chair, I don't wanna hop, He's too heavy, I have muscles, I put pirate in, I want still jump, I want play games). He is consistently using is auxiliary verbs + -ing verb marker, as well as, using I/you, he/she pronouns in his sentences. Austin continues to need modeling for /s/ and /ed/ verb markers, as well as, use of his/her, they/we pronouns in his sentences. Austin is labeling newly presented vocabulary with ease. He is able to label categories that various items belong to. Austin is able to identify objects that are being described to him. He is understanding and labeling a variety of spatial concepts, and is able to follow directions that incorporate those concepts. Austin's delays in language, in conjunction with his articulation, impact his ability to express himself clearly in his early learning environment. #1 Austin will use 4-6 word utterances that include: a)pronouns his/her, they/we b. auxiliary verbs(are,can,do) c. verb endings /ed/ and /s/ 90% of the time #2 Austin will answer when questions 90% of the time. #3 Austin will share an experience related to a story/activity or talk about a remote event(what he did before school/over weekend, etc.) independently 90% of the time. _________________________________________________________________ Hotmail: Trusted email with Microsoft’s powerful SPAM protection. http://clk.atdmt.com/GBL/go/210850552/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2010 Report Share Posted March 16, 2010 am running out but found this one archive to post for now which may help -please do search the archives either here or Big Tent and look a the discussion board at http://www.apraxia.org as well as read The Late Talker book for more information for now. I hope to get more specifically to you to answer this later -Cheryl's at school now so will see if I can reach her later today: Re: IEP meeting for apraxia- (HELP PLEASE) So much of this doesn't sound right. Just hang tight I'm going to get you help from 2 incredible people, award winning educators Cheryl and Kathy (who I copied on here), and for now I have a bunch of archives below. Below are just a few clips from Cheryl- and I'll call her later and see if she can answer...Cheryl is our very shy VP award winning teacher/SLP http://cherab.org/about/cheryl.html and in order for her to answer I have to call her and type what she says which I'll do. and one from our also now mainly not active as her boys are all doing AMAZING (she's been a member since her twins were little and an incredible advocate- and a HUGE fan of ProEFAs and now nutriiveda too) award winning teacher Kathy (I'll see if she can answer this as well as it's so bizarre and Kathy loves the bizzare as you'll see from below) And here's a link when Kathy won " teacher of the year " in Seaside NJ 2006 http://www.ssheights.k12.nj.us/teacher_of_year.html 2007 http://www.ocgazette.com/trschools/4-20-07.swf and I'm sure if I kept searching she's got all the other years too PS -and Kathy's the one in this group that came up with the idea of bringing The Late Talker book and (you sign) the inside as if I signed it and tell them that we are friends- they won't know if I am or not- but many are aware that we were asked to write another book -and if we did we would need more stories which we would (again) pull from here with parent permissions of course. And PPS -there are so many wrongs in the following paragraph alone you wrote I don't know where to start -but won't get Jersey sarcastic (which I do when people say or do things that don't get it) and let the experts handle all that is so wrong in this... but off the top...get all new therapists (Dave Hammer too also said " they'll only offer group " ???? (You say you have an eval from him)...Did they mean " they will ONLY offer group " (translate to me would be don't expect anything else which would be crazy for a professional to say to you) or " they will only OFFER group " (translates to me that to start they'll only offer group and you'll have to advocate for more) and either way - as far as " they'll only offer group " I'd say smile and say (with your tape recorder there of course- let them know you will be bringing it as they need to know) " So you are telling me you will only offer group therapy for my son regardless of the evaluations and expert opinion on what is appropriate for him? That's interesting. Would you mind putting that in writing for me and explain why? " " My current Therapists and my EI Coordinator have all told me that my School District will only offer Group Therapy..... they made it seem like it will not make a difference if I print out articles that support individual vs group therapy in the treatment of Apraxia. I am also worried because an evaluation from Dave Hammer, an Apraxia expert in my area states " SUSPECTED moderate to severe Apraxia " And don't forget this regardless of diagnosis!!! http://www.cherab.org/information/speechlanguage/therapymatrix.html (it's developed for school based SLPs as a model of what's appropriate) and PPP(?)S -It was a Pennsylvania school system that was sued for abuse against our real life little mermaid Ketchum -and it was the Pennsylvania school system that LOST!!!! More about the law suit and educational aspects here http://www.cherab.org/news/.html (the Ketchums have since moved to Georgia) and way more how finally now at 25 the little girl who grew up silent with apraxia in Pennsylvania is finally finding her voice, and her life, thanks to nutriiveda!!!! (in her case that's for SURE as the Ketchums at this point have tried everything else out there under the sun -have seen just about every expert except a few that consider apraxia " childhood apraxia of speech " and said it was too late to help Mel...not kidding -but THEY WERE WRONG!!!!! (boy does it feel good to write that but I won't say anyone's name who said it but some of them are very well known...I guess if Mel's story is out there the world would figure out how horrible and cruel the name childhood apraxia of speech really is huh???) http://littlemermaidmelanie.wordpress.com/about (I'm sure Robin will speak to you!!!!) Anyway -I wasn't going to say anything because stuff like what you are going through does bring out the Jersey in me for sure!!! ~~~~~~~~~~~~~~~~~~~~~~~~ Kayce I know you posted a message after this about what the one special ed attorney said. Just to let you know I informed Cheryl of that as well when I spoke with her today. (and for those that don't know the shy Miss award winning teacher SLP for the state of NJ and VP of CHERAB Cheryl -here's her page http://cherab.org/about/cheryl.html ) Today Cheryl was driving in the car on her way home from the school. She talked just as fast and she's still a wealth of information. Which this grouplist came with a recorder! Notes from Cheryl the best I could keep up with her (I researched the links for ya!) " I suggest you call SPAN and ask for their attorney list of special education lawyers. In addition they offer guidance over the phone. They will not provide an advocate but will tell what the process is so that you can advocate for your child. Also The Education Law Center in Newark NJ http://www.edlawcenter.org/ deals with special education issues and has a list of attorneys. I don't know of any special education attorney that takes cases on contingency and they are all very expensive. Diane Autin http://www.tapartnership.org/consultant_pool/resumes/DAutin.pdf is the co director of SPAN and a special education attorney. " (not sure if this helps but found this person as the Regional Director for NJ from this same site and to everyone else in the US - every state has a coordinator http://www.tapartnership.org/Regions/RegionI/default.asp ) " I would call SPAN http://www.spannj.org/ and ask if she (Diane Autin) is taking on any new private special education cases because she's the best. a Leib is another special education lawyer based out of New Brunswick NJ and call her through the NJ Coalition for Inclusive Education http://njcie.net/ it's a group that wants children that are classified placed in the mainstream with appropriate supports. a used to be an administrative law judge for the state of NJ. Sussan and Greenwald in Spotswood NJ have been a great resource to the CHERAB group http://www.special-ed-law.com/ If you can not afford a special education attorney your best bet is to contact SPAN. SPAN is listed in the education handbook that they received from the school. (973-642-8100) Follow the process that SPAN gives you to fight this. SPAN has the written documents that you can send for for a nominal fee (around 5 dollars?) for that will guide you through the process. Very thorough. And again they will guide you over the phone. " (I asked Cheryl if she is willing to be an advocate but she said due to school she doesn't have time. She said advocates charge around 200 dollars and hour or more. Perhaps if you list the county where you live there is a parent or professional that's in this group willing to help you for free or for a nominal fee?) " Also The Education Law Center in Newark NJ http://www.edlawcenter.org/ provides some special education guidance over the phone. There is a group in Teaneck NJ " (she couldn't remember the name but said there is a huge amount of resources in Bergen County NJ -so when you call SPAN ask them) (For the IEP) " You want to make sure that the words " best practice " are in the IEP and not the words " best method " . If you say " best method " the team realizes that they are dealing with someone that thinks they know all that child needs and it drives the team crazy. Best practice means we have to try this and see if this works and if it doesn't we can try something else. Method limits you but practice opens it up to try different strategies until you find a method that works for that child. You have not decided upon a method yet. For example can insist that the best method for their apraxic child is PROMPT and want that written as best method in the IEP. Using the words " best method " may not open the door to other strategies which best practices does and Prompt can be included in best practice. PROMPT is very good but some children are tactile defensive and it's very difficult if you can't get near the child's face. " (About sign) " Research has shown us that when a child is exposed to gestures along with oral language their spoken speech improves. And ASHA has done numerous research project of gesture language leading to verbal output enhancement. " ~~~~~~~~~~~~~~~~~~~ Again I typed as she spoke so hope I have it all clear: " In order to be qualified for services there needs to be educational impact that greatly impacts his educational experience. The educational impact must affect his reading, writing and speaking. The therapist would have to say that his speech is not affecting his educational impact. The fact that SLP does not have the time to evaluate new children in the first grade is not a valid reason for the child not to be evaluated. All mom has to do is call ASHA and say the SLP doesn't " have time to evaluate my son " to the ASHA school affairs committee and they will " go crazy " because that is not a clinical valid reason. What is the response to intervention? If they don't want to pick him up as IEP classification why didn't the SLP use a consultation model with the parent and classroom teacher as to how to help the child communicate intelligibly. I can't even believe this. As far as what happened in kindergarten some schools do follow the guide that your school was using. If mom didn't agree with that at that time she should have gone due process to secure speech therapy. If the child is unintelligible it can affect self esteem and how he plays and interacts with other children. He may not even want to go to school because the other children don't understand him and mom should have taken him for evaluations at that time. Have mom call her department of special education and begin due process. She'll have to have an independent evaluation first that should cover how often her child needs therapy and what type, individual or group. Who knows if it goes to due process mediation the administrative law judge may decide based on the individual service that the.child is owed additional speech services since he hasn't been receiving either direct or consultative services since kindergarten and he is now 7 years old and unintelligible. She really has a strong case. It's irrelevant whether he has apraxia or not as he is unintelligible. " I then informed Cheryl that I thought you said he is doing well in school. This perplexed her as of course that's not typical. " Have they made accommodations or modifications or for his lack of verbal acuity when grading him? If he is doing well in school and he is given accommodations and modifications so he is grading well in school that may be how the school is getting around providing services. This again is why the mother needs a private evaluation. " She did also say that sadly this may be yet another reason why it would have been best to advocate sooner. If he is doing well in school and his speech does not impacts his educational experience..they may use that as their reason against services for your child. (or try to use that) ~~~~~~~~~~~~~~~~~~~~~~ Re: IEP's Hey Lori! I just left you a message today! Anyway -I was talking to Cheryl tonight -I hadn't seen your post so I didn't ask, but it came up for some other aspect of the IEP and I believe she said that they need to provide you with a written IEP within 10 days of the completion of the evaluations/testing -even if they just provide you with a draft -so ask for that. They need to put it in writing if they say they can't, and you would need to agree with that and sign it for them not to provide it by then -I believe it's one of the laws. If I'm messing this up she'll correct me. I'm sure she'll let you (and us) know! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ One on One Therapy A Review of Apraxia Remediation The Cherab Foundation gratefully acknowledges permission to print the following, cited by Hecker, a parent advocate for her apraxic son, . " The type of treatment appeared to influence whether patients improved. More patients improved and improvement was greater in Group A, individual stimulus-response treatment, than in Group B, group treatment. These result imply the way to treat AOS (Apraxia Of Speech) is to treat is aggressively by direct manipulation and not by general group discussion. This is consistent with what has been recommended (Rosenbek, 1978). The type of treatment appeared to influence whether improvement occurred or not. Four of the five patients who did not improve received group treatment with no direct manipulation of their motor speech deficit. " Apraxia of Speech: Physiology, Acoustics, Linguistics, Management. Rosenbek et al. 1984 " The frequency of professional speech assistance is critical in the habilitation of children with developmental apraxia of speech. This disability call for all-out attention and deserve serious instruction to the limits of the child's attention and motivation. When normal children begin their formal education, they do not go to school two or three times a week for just a half-hour at a time, even in kindergarten. Thus, I do no expect to provide special education for children with developmental apraxia of speech on a cursory basis, for it may be the most important part of the entire education. " Current Therapy of Communication Disorders, Dysarthria and Apraxia. H. Perkins 1984 " They use the term developmental apraxia to describe a disorder that is not confined to the phonologic and motoric aspects of speech production, but includes difficulty in selection and sequencing of syntactic and lexical units during utterance productions. Most clinicians agree that planning the appropriate treatment approach and methods is crucial to the efficacy of intervention. A variety of factors can facilitate treatment of DAS. DAS is often characterized as being resistant to traditional methods of treatment. Group therapy decreases the potential of responses per session for each child and therefore, the motor practice needed by children with apraxia and dysarthria. " Treatment of Motor Speech Disorders in Children by Edythe Strand in " Seminars of Speech and Language " Vol. 16, No. 2. May 1995 " Early stages of treatment need to be carried out on a one-to-one basis for it is only in this way that the patient can learn to develop his own particular strengths and adopt compensatory measures for weaknesses. " Disorders of Articulation, Aspects of Dysarthria and Verbal Apraxia. Margaret 1984 " These children do not seem to make good progress with the usual approaches to clinical treatment of articulation problems. Carefully structures programs that combine muscle movement, speech sound production, and sometimes even work on grammar seem to get better results. " " Developmental Verbal Dyspraxia " on Healthtouch Online, ASHA website " Children must be seen one-on-one, at least in the early stages of treatment. " Kaufman, author of the Kaufman Speech Praxis Test and expert on Apraxia, on The Kaufman Children's Center for Speech and Language Disorders website . " However, many of the theories, principles, and hierarchies described for adult apraxics are potentially helpful to the clinician designing motor-programming remedial program for an individual child. (We stress the word individual since the program development for children with DAS must meet the individual, and often unique, needs of each child.) " " Intensive services are needed for the child with DAS. Children with DAS are reported to make slow progress in the remediation of their speech problems. They seem to require a great deal of professional service, typically done on an individual basis. Therefore, clinicians working with DAS must accommodate this need and schedule as much intervention time with the child as the child and/or his/her schedule can allow. The definition " intensive " varies from clinician to clinician and from work setting to work setting. Rosenbek (1985), when discussing therapy with adult apraxics, defines the word as meaning that the patient and the clinician should have daily sessions: Macaluso Haynes (1978), Haynes (1985), and Blakeley (1983) also advocate daily remediation sessions. " Also, " our experience has been that the overall outcome has been best for those children with DAS who were identified as possibly exhibiting DAS and received services as very young children. " Developmental Apraxia of Speech, Theory and Clinical Practice. Penelope Hall et al. 1994 " We recommend therapy as intensively and as often as possible. Five short sessions (e.g., 30 minutes) a week is better than two 90 minute sessions. Regression will occur if the therapy is discontinued for a long-time (e.g. over the summer). Most of the therapy (2-3/week) must be provided individually. If group therapy is provided, it will not help unless the other children in the group have the same diagnoses and are at the same level phonologically. " Velleman, authority and published author on Apraxia, on her website (velleman.html). " Our clinic has had tremendous success with the half-hour format, we find these session to be very intense, packed with therapy, and have little down time. The earlier and more intensive the intervention, the more successful the therapy. Group therapy can be effective for articulation disorders and some phonological processing disorder, but children with Apraxia really need intensive individual therapy. " Lucker-Lazerson, MA, CCC-SLP, and Clinic Coordinator for the ish Rite Clinic for Childhood Language Disorders San Diego, on the Apraxia Kids website. " A few major principles in particular have direct relevance to the treatment of motor speech disorders. The most obvious, yet surprisingly often disregarded, is that of repetitive practice. Pairing of auditory and visual stimuli is included in most approaches, and intensive, frequent, and systematic practice toward habituation of a particular movement pattern is suggested instead of teaching isolated phonemes. It is important to consider the treatment needs of each child and attempt to find creative solutions that > allow frequent individual treatment for children that will most benefit. " Childhood Motor Speech Disorders Edythe Strand " Given the controlled conditions stipulated in the studies..., it is clear that speech dyspraxia can respond to therapy. All approaches involved an intensive pattern of therapy. Even if not seen daily by a therapist, patients carried out daily practice. " Acquired Speech Dyspraxia, Disorders of Communication: The Science of Intervention. Margaret M. Leahy 1989 " Consistent and frequent therapy sessions are recommended. The intensity and duration of each session will depend on the child. At least three sessions per week are recommended for the child to make consistent progress. " Easy Does it for Apraxia-Preschool, Materials Book. Robin Strode and Chamberlain " In stark contrast, the children with apraxia of speech whose parent stated that three quarters of their child's speech could be understood following treatment, required 151 individual sessions (ranging from 144-168). In other words, the children with apraxia of speech required 81% more individual treatment sessions than the children with severe phonological disorders in order to achieve a similar function outcome. " Functional treatment outcomes for young children with motor-speech disorders by in Clinical Management of Motor Speech Disorders A.J. Caruso and E.A. Strand 1999. (In addition to the information on this page, a great page on 1:1 therapy is at Apraxia-Kids) 1:1 Therapy Question Sent To Children's Apraxia Network: Advice From our nonprofit's SLS/MA/ EDUCATIONAL CONSULTANT, Cheryl - SLS/MA (Hi Cheryl you quiet little cutie you! http://www.cherab.org/about/cheryl.html ) It is interesting to note that when a child is receiving Early Intervention services in the home, therapy is 1:1. It is also interesting to note that children as young as 6 months of age have received 1:1 services. Every apraxic child is different, with a diagnosis of severe apraxia, the child would benefit from 1:1 therapy. What data is the school SLP (Speech Language Pathologist) presenting indicating that the age of 5 is too young for 1:1 services? Remember when a request for services is not given as requested, the denying party must give a written rationale as to why. The IEP (Individualized Education Program) is an individualized Education Program. How will the SLP (Speech & Language Pathologist) address the severe oral motor needs of the child within the group setting? What are the short and long term goals and objectives that are specific to the nature of this child's severe apraxia? Does the SLP plan to devote x amount of minutes providing 1:1 therapy to your child within the group setting? Your child's disability of apraxia affects his involvement and progress in the general curriculum and access to nonacademic and extra curricular activities due to the fact that he is not able to communicate appropriately to school personnel when needed and communicate effectively through speech and/or writing to class- mates and teachers. The severity of his disability warrants 1:1 speech therapy intervention. Your child's disability of apraxia of speech affects his ability to engage in age relevant behaviors that typical students of the same age would be expected to be performing or would have achieved {IDEA-Code of Federal Regulations (C.F.R.): 34 C.F R.300.347 (a)(1)(i) Statue 20 United State Code (U.S.C.) 1414 (d)(1)(A)(i)(1). I am requesting that the parent draft a letter to the Dr. of the Child Study Team including the information listed above. Indicate that you are not in agreement with the type /amount/duration of the speech therapy services that will be provided to your child. State that you are seeking 1:1 therapy services for your child because... Send the letter certified receipt return requested. Send a copy to the SLP, the District Superintendent of Schools, and Board of Education President. Severe Apraxia requires the parent to advocate for 1:1 services in the area of speech therapy. http://www.cherab.org/information/speechlanguage/therapyintensity.html Here's some more from Speechville including one quote from apraxia kids the website that originally built and hosted for over 7 years. http://www.speechville.com/diagnosis-destinations/apraxia/speech-therapy-frequen\ \ cy.html It's also worked for people to bring in The Late Talker book which of course has in it the severity intervention matrix. (we also were granted permission to put this up on the CHERAB and Speechville websites) And as Kathy, a kindergarten teacher; single mom of apraxic twins from this group always says -you can let them know you know the authors and that we are interested in what the outcome for our next book. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ One message from Kathy (single mom of 4 boys including apraxic twins; kindergarten teacher) some IEP mtgs are bizzare TAPE RECORD!!!!! I live in NJ, but assume it is legal everywhere..although we all know that the " CST Professionals " make up their own district laws...(at least mine does)...so after writing this I probably will not have a job... Hey ..maybe Disney needs a tour guide.. I am a teacher and a mom with 3 classified kids..so I sit on both sides of the table. If you are going to tape record I suggest letting them know as I was told (from probably someone on this site) that if I record then of course they do and if they cannot find a tape recorder or cassette then your scheduled mtg could be cancelled...but I have on tape the many idiotic, ridiculous things that if it was not on tape you would not believe me. One example was when I questioned the score that my then 4th grader rec'd on his tri-ennial educational eval...I questioned how we were going to use these results in the IEP..how could be incorporate them so that we could see some success....because in my district they open the drawer and pull out the already made IEPs...(what law is that?)...the LD said to me (on tape) that I really needn't worry as she has many 10th, 11th and 12th graders that cannot read on the 5th grade level....I often think I am on the show Candid Camera...so of course, I told her that that did not make me feel any better...it made no sense..so I guess I was supposed to be happy that my son reached a mark where the kids graduate from... Another time, I asked for a sensory diet to be incorporated during a mtg and they all looked at me and said that we would have to talk about that another time as the SLP would have to be there because she would be the one to talk about FOOD...WHAT?? and I said that it was not about food....blah blah blah My twins are apraxic and their 3 yr eval was months ago..they are classified COMMUNICATION IMPAIRED...so the mtg was to determine what tests they should take...so now that you are still reading and know the kind of district that I am dealing with, I am sure you must know what test they were not considering....they were not going to give them a speech and lang eval...only an educational...so again I questioned their reasoning as that is why they are classified... I think the next book written should be one that could be called " THE RIDICULOUS THINGS SAID AT IEP MEETINGS THAT ARE TOTALLY AGAINST THE LAW. I hate writing, but have tons of things I could add... from not allowing a kid to be OT evaled unless they are classified (against the law) to having kids that are eligible to be classified and not classifying them or classifying them and giving them NO SERVICES!!!! Another mistake on the current Speech and Lang eval that I mentioned above was a paragraph about each twin. It was the teacher interview and consisted of perhaps 4 sentences...the last sentence said that the teacher was concerned about their lack of eye contact...so with the psychologist, SLP, Social Worker (their case mgr), the Resource Room teacher and Regular Ed teacher all present I asked if I could read the paragraph---written by the SLP from what the teacher told her... When I read the part about the teacher's concern, the teacher said " I never said that " ....so with all heads turning, the SLP said oh that must be an error.... I have twins so the next teacher enters and I do the same thing and that twin's teacher says " I never said that " ...again the SLP says " That is an error, I'll fix that " ...that was about the 10th error that I found and I finally kindly pleaded that next time could the " errors " be fixed before I get to the mtg... On a Speech IEP yrs ago for my then 4 th grader, who needed only the R sound " fixed " , the IEP said that he was to learn sign language...another error and changed without a revision mtg.. So for all the parents/ guardians going through mtgs where the " professionals " are clearly not knowledgeable, or are told do say or do things which are clearly not in our children's best interest, don't give up, try not to get upset during the mtgs..(I had to really work on that area....like not saying something that I would truely regret later) and keep learning the laws..which I know we shouldn't have to..and if you stay with a group such as this one, you'll get the support and knowledge needed to keep going and a place to vent... ..kathy..who will probably be in the unemployment line, sleeping in a tent somewhere with my 4 kids .... ~~~~~~~~~~~~~~~~~~~~~~~~ And because I don't want this to be all about " bad " educators Re: problems with " educators " Hi ! As always good and bad in all professions. And I'm sure that as a teacher you are at times horrified by the lack of involvement from some of the parents so it works both ways. I happen to know that you are right in how many teachers do have to buy their own supplies for class. One of my friends, Ann, is a teacher. Ann had a gun pulled on her by a student she had given detention to when she worked in Irvington, NJ !!!! Her immediate response she told us one of anger -she yelled " You put that gun down right this minute young man! " And he did. She said she didn't know it was real. Can you believe that?! That was about 3 or 4 years ago now. So teachers have rights to complain too -don't apologize -if we all share it will lead to understanding. Cheryl , CHERAB's VP and award winning teacher is just one of the many wonderful teachers in this group. http://www.cherab.org/about/cheryl.html And Kathy our resident mom/kindergarten teacher always fills in the other side. I love both Cheryl and Kathy's advice to me to all the stuff that went on with Tanner. Carnell from NC has heard nothing but incredible good things about one of the most famous special ed teachers we all know today - Clay Aiken. You may all want to go out and buy his new CD for two reasons. Number one is here http://www.wral.com/news/2219698/detail.html And number two is that once I told Tanner that Clay is a teacher that teaches children to talk he is Tanner's favorite singer. (the other day we had to drive an hour and Tanner wanted to listen to only Clay Aiken the whole way) ~~~~~~~~~~~~~~~~ and about the positive of being an advocate Re: advice about school and a ? Hi Diane! Actually –just like you being a rebel behind the scenes to protect the parents –there are other school personal that go out of their way to help the parents help the children. I actually have been fortunate to have found a few teachers like this both in my children's teachers as well as in working with CHERAB. I'm one of the parents who has been told " Please don't tell anyone I'm telling you this, I could lose my job, but… " and was informed of information to help my child. Cheryl MA CCC/SLS/Educational Consultant years ago grew tired on sitting in IEP meeting after IEP meeting watching parents cry while their children's services were inappropriately stripped away due to lack of knowledge on the parents part. At first she got in trouble for sticking up for these parent's children –and then she began to receive recognition for it and was asked to give lectures to others. Out of the state of NJ 2 years ago there were 800 teachers nominated for the Award of Excellence in Teaching –and out of that Cheryl was one of the three selected as the recipricant of the Award of Excellence for Teaching in NJ! Cheryl can be seen on commercials still all over NJ representing NJ Education. I don't always bring tape recorders to the IEP meetings –it depends if I believe there is a game going on. I did bring one to Tanner's recent IEP. I not only brought a tape recorder –I also at one point said " I'm here to make a difference and hopefully make things better for my son and others. I mean Florida is 49th in the country in education, so there is room for improvement here. " Then paused a second, and added " well actually –if you think about it –it can't get much worse now can it?! " And I started laughing. Then a few days later a member of the exceptional student services here called me in Florida who was at my recent IEP meeting. I was asked to present at a conference on education here in Florida in November. There will be representatives from the Universities presenting as well and I was told that " most people don't know how to advocate for their child and we want you to talk about what you do " I'll give all of you more information at the conference I'll present at when I have more details! I don't believe I'm hated in the school. I was also elected as the PTO's Director of Fund Raising (without running for it!) I love many of the school personal I've sat in IEP meetings with –and I also realize that much can be a game. I don't go in nasty –but believe me –I do know how to stand up in a professional way to anyone that tries to pull a fast one on my child's future. Good teachers, I've been told by teachers, look for parents like us to help make a difference –because sometimes their hands are tied. In addition-we have many school professionals on this list including Cheryl (who is one of my best friends and also the VP of CHERAB.) I stand by that if they are here –they are awesome. Anyone that is out to learn more how to help our children is –and that includes us, the parents. ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2010 Report Share Posted March 16, 2010 Thanks ! I had read the archives, but find we are a bit in the in-between category. Austin's private SLP did an evaluation in January, and he was at age level for language was 104 (avg 85- 115) or (4 yrs and 5 months), but his articualtion score was 77 (avg 85-115) or age equivalency of 2 yrs 7 months. Any help would be greatly appreciated!!!!! From: kiddietalk@... Date: Tue, 16 Mar 2010 14:28:23 +0000 Subject: [ ] Re: NEED SPEECH IEP HELP ASAP!!!! am running out but found this one archive to post for now which may help -please do search the archives either here or Big Tent and look a the discussion board at http://www.apraxia.org as well as read The Late Talker book for more information for now. I hope to get more specifically to you to answer this later -Cheryl's at school now so will see if I can reach her later today: Re: IEP meeting for apraxia- (HELP PLEASE) So much of this doesn't sound right. Just hang tight I'm going to get you help from 2 incredible people, award winning educators Cheryl and Kathy (who I copied on here), and for now I have a bunch of archives below. Below are just a few clips from Cheryl- and I'll call her later and see if she can answer...Cheryl is our very shy VP award winning teacher/SLP http://cherab.org/about/cheryl.html and in order for her to answer I have to call her and type what she says which I'll do. and one from our also now mainly not active as her boys are all doing AMAZING (she's been a member since her twins were little and an incredible advocate- and a HUGE fan of ProEFAs and now nutriiveda too) award winning teacher Kathy (I'll see if she can answer this as well as it's so bizarre and Kathy loves the bizzare as you'll see from below) And here's a link when Kathy won " teacher of the year " in Seaside NJ 2006 http://www.ssheights.k12.nj.us/teacher_of_year.html 2007 http://www.ocgazette.com/trschools/4-20-07.swf and I'm sure if I kept searching she's got all the other years too PS -and Kathy's the one in this group that came up with the idea of bringing The Late Talker book and (you sign) the inside as if I signed it and tell them that we are friends- they won't know if I am or not- but many are aware that we were asked to write another book -and if we did we would need more stories which we would (again) pull from here with parent permissions of course. And PPS -there are so many wrongs in the following paragraph alone you wrote I don't know where to start -but won't get Jersey sarcastic (which I do when people say or do things that don't get it) and let the experts handle all that is so wrong in this... but off the top...get all new therapists (Dave Hammer too also said " they'll only offer group " ???? (You say you have an eval from him)...Did they mean " they will ONLY offer group " (translate to me would be don't expect anything else which would be crazy for a professional to say to you) or " they will only OFFER group " (translates to me that to start they'll only offer group and you'll have to advocate for more) and either way - as far as " they'll only offer group " I'd say smile and say (with your tape recorder there of course- let them know you will be bringing it as they need to know) " So you are telling me you will only offer group therapy for my son regardless of the evaluations and expert opinion on what is appropriate for him? That's interesting. Would you mind putting that in writing for me and explain why? " " My current Therapists and my EI Coordinator have all told me that my School District will only offer Group Therapy..... they made it seem like it will not make a difference if I print out articles that support individual vs group therapy in the treatment of Apraxia. I am also worried because an evaluation from Dave Hammer, an Apraxia expert in my area states " SUSPECTED moderate to severe Apraxia " And don't forget this regardless of diagnosis!!! http://www.cherab.org/information/speechlanguage/therapymatrix.html (it's developed for school based SLPs as a model of what's appropriate) and PPP(?)S -It was a Pennsylvania school system that was sued for abuse against our real life little mermaid Ketchum -and it was the Pennsylvania school system that LOST!!!! More about the law suit and educational aspects here http://www.cherab.org/news/.html (the Ketchums have since moved to Georgia) and way more how finally now at 25 the little girl who grew up silent with apraxia in Pennsylvania is finally finding her voice, and her life, thanks to nutriiveda!!!! (in her case that's for SURE as the Ketchums at this point have tried everything else out there under the sun -have seen just about every expert except a few that consider apraxia " childhood apraxia of speech " and said it was too late to help Mel...not kidding -but THEY WERE WRONG!!!!! (boy does it feel good to write that but I won't say anyone's name who said it but some of them are very well known...I guess if Mel's story is out there the world would figure out how horrible and cruel the name childhood apraxia of speech really is huh???) http://littlemermaidmelanie.wordpress.com/about (I'm sure Robin will speak to you!!!!) Anyway -I wasn't going to say anything because stuff like what you are going through does bring out the Jersey in me for sure!!! ~~~~~~~~~~~~~~~~~~~~~~~~ Kayce I know you posted a message after this about what the one special ed attorney said. Just to let you know I informed Cheryl of that as well when I spoke with her today. (and for those that don't know the shy Miss award winning teacher SLP for the state of NJ and VP of CHERAB Cheryl -here's her page http://cherab.org/about/cheryl.html ) Today Cheryl was driving in the car on her way home from the school. She talked just as fast and she's still a wealth of information. Which this grouplist came with a recorder! Notes from Cheryl the best I could keep up with her (I researched the links for ya!) " I suggest you call SPAN and ask for their attorney list of special education lawyers. In addition they offer guidance over the phone. They will not provide an advocate but will tell what the process is so that you can advocate for your child. Also The Education Law Center in Newark NJ http://www.edlawcenter.org/ deals with special education issues and has a list of attorneys. I don't know of any special education attorney that takes cases on contingency and they are all very expensive. Diane Autin http://www.tapartnership.org/consultant_pool/resumes/DAutin.pdf is the co director of SPAN and a special education attorney. " (not sure if this helps but found this person as the Regional Director for NJ from this same site and to everyone else in the US - every state has a coordinator http://www.tapartnership.org/Regions/RegionI/default.asp ) " I would call SPAN http://www.spannj.org/ and ask if she (Diane Autin) is taking on any new private special education cases because she's the best. a Leib is another special education lawyer based out of New Brunswick NJ and call her through the NJ Coalition for Inclusive Education http://njcie.net/ it's a group that wants children that are classified placed in the mainstream with appropriate supports. a used to be an administrative law judge for the state of NJ. Sussan and Greenwald in Spotswood NJ have been a great resource to the CHERAB group http://www.special-ed-law.com/ If you can not afford a special education attorney your best bet is to contact SPAN. SPAN is listed in the education handbook that they received from the school. (973-642-8100) Follow the process that SPAN gives you to fight this. SPAN has the written documents that you can send for for a nominal fee (around 5 dollars?) for that will guide you through the process. Very thorough. And again they will guide you over the phone. " (I asked Cheryl if she is willing to be an advocate but she said due to school she doesn't have time. She said advocates charge around 200 dollars and hour or more. Perhaps if you list the county where you live there is a parent or professional that's in this group willing to help you for free or for a nominal fee?) " Also The Education Law Center in Newark NJ http://www.edlawcenter.org/ provides some special education guidance over the phone. There is a group in Teaneck NJ " (she couldn't remember the name but said there is a huge amount of resources in Bergen County NJ -so when you call SPAN ask them) (For the IEP) " You want to make sure that the words " best practice " are in the IEP and not the words " best method " . If you say " best method " the team realizes that they are dealing with someone that thinks they know all that child needs and it drives the team crazy. Best practice means we have to try this and see if this works and if it doesn't we can try something else. Method limits you but practice opens it up to try different strategies until you find a method that works for that child. You have not decided upon a method yet. For example can insist that the best method for their apraxic child is PROMPT and want that written as best method in the IEP. Using the words " best method " may not open the door to other strategies which best practices does and Prompt can be included in best practice. PROMPT is very good but some children are tactile defensive and it's very difficult if you can't get near the child's face. " (About sign) " Research has shown us that when a child is exposed to gestures along with oral language their spoken speech improves. And ASHA has done numerous research project of gesture language leading to verbal output enhancement. " ~~~~~~~~~~~~~~~~~~~ Again I typed as she spoke so hope I have it all clear: " In order to be qualified for services there needs to be educational impact that greatly impacts his educational experience. The educational impact must affect his reading, writing and speaking. The therapist would have to say that his speech is not affecting his educational impact. The fact that SLP does not have the time to evaluate new children in the first grade is not a valid reason for the child not to be evaluated. All mom has to do is call ASHA and say the SLP doesn't " have time to evaluate my son " to the ASHA school affairs committee and they will " go crazy " because that is not a clinical valid reason. What is the response to intervention? If they don't want to pick him up as IEP classification why didn't the SLP use a consultation model with the parent and classroom teacher as to how to help the child communicate intelligibly. I can't even believe this. As far as what happened in kindergarten some schools do follow the guide that your school was using. If mom didn't agree with that at that time she should have gone due process to secure speech therapy. If the child is unintelligible it can affect self esteem and how he plays and interacts with other children. He may not even want to go to school because the other children don't understand him and mom should have taken him for evaluations at that time. Have mom call her department of special education and begin due process. She'll have to have an independent evaluation first that should cover how often her child needs therapy and what type, individual or group. Who knows if it goes to due process mediation the administrative law judge may decide based on the individual service that the.child is owed additional speech services since he hasn't been receiving either direct or consultative services since kindergarten and he is now 7 years old and unintelligible. She really has a strong case. It's irrelevant whether he has apraxia or not as he is unintelligible. " I then informed Cheryl that I thought you said he is doing well in school. This perplexed her as of course that's not typical. " Have they made accommodations or modifications or for his lack of verbal acuity when grading him? If he is doing well in school and he is given accommodations and modifications so he is grading well in school that may be how the school is getting around providing services. This again is why the mother needs a private evaluation. " She did also say that sadly this may be yet another reason why it would have been best to advocate sooner. If he is doing well in school and his speech does not impacts his educational experience..they may use that as their reason against services for your child. (or try to use that) ~~~~~~~~~~~~~~~~~~~~~~ Re: IEP's Hey Lori! I just left you a message today! Anyway -I was talking to Cheryl tonight -I hadn't seen your post so I didn't ask, but it came up for some other aspect of the IEP and I believe she said that they need to provide you with a written IEP within 10 days of the completion of the evaluations/testing -even if they just provide you with a draft -so ask for that. They need to put it in writing if they say they can't, and you would need to agree with that and sign it for them not to provide it by then -I believe it's one of the laws. If I'm messing this up she'll correct me. I'm sure she'll let you (and us) know! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ One on One Therapy A Review of Apraxia Remediation The Cherab Foundation gratefully acknowledges permission to print the following, cited by Hecker, a parent advocate for her apraxic son, . " The type of treatment appeared to influence whether patients improved. More patients improved and improvement was greater in Group A, individual stimulus-response treatment, than in Group B, group treatment. These result imply the way to treat AOS (Apraxia Of Speech) is to treat is aggressively by direct manipulation and not by general group discussion. This is consistent with what has been recommended (Rosenbek, 1978). The type of treatment appeared to influence whether improvement occurred or not. Four of the five patients who did not improve received group treatment with no direct manipulation of their motor speech deficit. " Apraxia of Speech: Physiology, Acoustics, Linguistics, Management. Rosenbek et al. 1984 " The frequency of professional speech assistance is critical in the habilitation of children with developmental apraxia of speech. This disability call for all-out attention and deserve serious instruction to the limits of the child's attention and motivation. When normal children begin their formal education, they do not go to school two or three times a week for just a half-hour at a time, even in kindergarten. Thus, I do no expect to provide special education for children with developmental apraxia of speech on a cursory basis, for it may be the most important part of the entire education. " Current Therapy of Communication Disorders, Dysarthria and Apraxia. H. Perkins 1984 " They use the term developmental apraxia to describe a disorder that is not confined to the phonologic and motoric aspects of speech production, but includes difficulty in selection and sequencing of syntactic and lexical units during utterance productions. Most clinicians agree that planning the appropriate treatment approach and methods is crucial to the efficacy of intervention. A variety of factors can facilitate treatment of DAS. DAS is often characterized as being resistant to traditional methods of treatment. Group therapy decreases the potential of responses per session for each child and therefore, the motor practice needed by children with apraxia and dysarthria. " Treatment of Motor Speech Disorders in Children by Edythe Strand in " Seminars of Speech and Language " Vol. 16, No. 2. May 1995 " Early stages of treatment need to be carried out on a one-to-one basis for it is only in this way that the patient can learn to develop his own particular strengths and adopt compensatory measures for weaknesses. " Disorders of Articulation, Aspects of Dysarthria and Verbal Apraxia. Margaret 1984 " These children do not seem to make good progress with the usual approaches to clinical treatment of articulation problems. Carefully structures programs that combine muscle movement, speech sound production, and sometimes even work on grammar seem to get better results. " " Developmental Verbal Dyspraxia " on Healthtouch Online, ASHA website " Children must be seen one-on-one, at least in the early stages of treatment. " Kaufman, author of the Kaufman Speech Praxis Test and expert on Apraxia, on The Kaufman Children's Center for Speech and Language Disorders website . " However, many of the theories, principles, and hierarchies described for adult apraxics are potentially helpful to the clinician designing motor-programming remedial program for an individual child. (We stress the word individual since the program development for children with DAS must meet the individual, and often unique, needs of each child.) " " Intensive services are needed for the child with DAS. Children with DAS are reported to make slow progress in the remediation of their speech problems. They seem to require a great deal of professional service, typically done on an individual basis. Therefore, clinicians working with DAS must accommodate this need and schedule as much intervention time with the child as the child and/or his/her schedule can allow. The definition " intensive " varies from clinician to clinician and from work setting to work setting. Rosenbek (1985), when discussing therapy with adult apraxics, defines the word as meaning that the patient and the clinician should have daily sessions: Macaluso Haynes (1978), Haynes (1985), and Blakeley (1983) also advocate daily remediation sessions. " Also, " our experience has been that the overall outcome has been best for those children with DAS who were identified as possibly exhibiting DAS and received services as very young children. " Developmental Apraxia of Speech, Theory and Clinical Practice. Penelope Hall et al. 1994 " We recommend therapy as intensively and as often as possible. Five short sessions (e.g., 30 minutes) a week is better than two 90 minute sessions. Regression will occur if the therapy is discontinued for a long-time (e.g. over the summer). Most of the therapy (2-3/week) must be provided individually. If group therapy is provided, it will not help unless the other children in the group have the same diagnoses and are at the same level phonologically. " Velleman, authority and published author on Apraxia, on her website (velleman.html). " Our clinic has had tremendous success with the half-hour format, we find these session to be very intense, packed with therapy, and have little down time. The earlier and more intensive the intervention, the more successful the therapy. Group therapy can be effective for articulation disorders and some phonological processing disorder, but children with Apraxia really need intensive individual therapy. " Lucker-Lazerson, MA, CCC-SLP, and Clinic Coordinator for the ish Rite Clinic for Childhood Language Disorders San Diego, on the Apraxia Kids website. " A few major principles in particular have direct relevance to the treatment of motor speech disorders. The most obvious, yet surprisingly often disregarded, is that of repetitive practice. Pairing of auditory and visual stimuli is included in most approaches, and intensive, frequent, and systematic practice toward habituation of a particular movement pattern is suggested instead of teaching isolated phonemes. It is important to consider the treatment needs of each child and attempt to find creative solutions that > allow frequent individual treatment for children that will most benefit. " Childhood Motor Speech Disorders Edythe Strand " Given the controlled conditions stipulated in the studies..., it is clear that speech dyspraxia can respond to therapy. All approaches involved an intensive pattern of therapy. Even if not seen daily by a therapist, patients carried out daily practice. " Acquired Speech Dyspraxia, Disorders of Communication: The Science of Intervention. Margaret M. Leahy 1989 " Consistent and frequent therapy sessions are recommended. The intensity and duration of each session will depend on the child. At least three sessions per week are recommended for the child to make consistent progress. " Easy Does it for Apraxia-Preschool, Materials Book. Robin Strode and Chamberlain " In stark contrast, the children with apraxia of speech whose parent stated that three quarters of their child's speech could be understood following treatment, required 151 individual sessions (ranging from 144-168). In other words, the children with apraxia of speech required 81% more individual treatment sessions than the children with severe phonological disorders in order to achieve a similar function outcome. " Functional treatment outcomes for young children with motor-speech disorders by in Clinical Management of Motor Speech Disorders A.J. Caruso and E.A. Strand 1999. (In addition to the information on this page, a great page on 1:1 therapy is at Apraxia-Kids) 1:1 Therapy Question Sent To Children's Apraxia Network: Advice From our nonprofit's SLS/MA/ EDUCATIONAL CONSULTANT, Cheryl - SLS/MA (Hi Cheryl you quiet little cutie you! http://www.cherab.org/about/cheryl.html ) It is interesting to note that when a child is receiving Early Intervention services in the home, therapy is 1:1. It is also interesting to note that children as young as 6 months of age have received 1:1 services. Every apraxic child is different, with a diagnosis of severe apraxia, the child would benefit from 1:1 therapy. What data is the school SLP (Speech Language Pathologist) presenting indicating that the age of 5 is too young for 1:1 services? Remember when a request for services is not given as requested, the denying party must give a written rationale as to why. The IEP (Individualized Education Program) is an individualized Education Program. How will the SLP (Speech & Language Pathologist) address the severe oral motor needs of the child within the group setting? What are the short and long term goals and objectives that are specific to the nature of this child's severe apraxia? Does the SLP plan to devote x amount of minutes providing 1:1 therapy to your child within the group setting? Your child's disability of apraxia affects his involvement and progress in the general curriculum and access to nonacademic and extra curricular activities due to the fact that he is not able to communicate appropriately to school personnel when needed and communicate effectively through speech and/or writing to class- mates and teachers. The severity of his disability warrants 1:1 speech therapy intervention. Your child's disability of apraxia of speech affects his ability to engage in age relevant behaviors that typical students of the same age would be expected to be performing or would have achieved {IDEA-Code of Federal Regulations (C.F.R.): 34 C.F R.300.347 (a)(1)(i) Statue 20 United State Code (U.S.C.) 1414 (d)(1)(A)(i)(1). I am requesting that the parent draft a letter to the Dr. of the Child Study Team including the information listed above. Indicate that you are not in agreement with the type /amount/duration of the speech therapy services that will be provided to your child. State that you are seeking 1:1 therapy services for your child because... Send the letter certified receipt return requested. Send a copy to the SLP, the District Superintendent of Schools, and Board of Education President. Severe Apraxia requires the parent to advocate for 1:1 services in the area of speech therapy. http://www.cherab.org/information/speechlanguage/therapyintensity.html Here's some more from Speechville including one quote from apraxia kids the website that originally built and hosted for over 7 years. http://www.speechville.com/diagnosis-destinations/apraxia/speech-therapy-frequen\ \ cy.html It's also worked for people to bring in The Late Talker book which of course has in it the severity intervention matrix. (we also were granted permission to put this up on the CHERAB and Speechville websites) And as Kathy, a kindergarten teacher; single mom of apraxic twins from this group always says -you can let them know you know the authors and that we are interested in what the outcome for our next book. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ One message from Kathy (single mom of 4 boys including apraxic twins; kindergarten teacher) some IEP mtgs are bizzare TAPE RECORD!!!!! I live in NJ, but assume it is legal everywhere..although we all know that the " CST Professionals " make up their own district laws...(at least mine does)...so after writing this I probably will not have a job... Hey ..maybe Disney needs a tour guide.. I am a teacher and a mom with 3 classified kids..so I sit on both sides of the table. If you are going to tape record I suggest letting them know as I was told (from probably someone on this site) that if I record then of course they do and if they cannot find a tape recorder or cassette then your scheduled mtg could be cancelled...but I have on tape the many idiotic, ridiculous things that if it was not on tape you would not believe me. One example was when I questioned the score that my then 4th grader rec'd on his tri-ennial educational eval...I questioned how we were going to use these results in the IEP..how could be incorporate them so that we could see some success....because in my district they open the drawer and pull out the already made IEPs...(what law is that?)...the LD said to me (on tape) that I really needn't worry as she has many 10th, 11th and 12th graders that cannot read on the 5th grade level....I often think I am on the show Candid Camera...so of course, I told her that that did not make me feel any better...it made no sense..so I guess I was supposed to be happy that my son reached a mark where the kids graduate from... Another time, I asked for a sensory diet to be incorporated during a mtg and they all looked at me and said that we would have to talk about that another time as the SLP would have to be there because she would be the one to talk about FOOD...WHAT?? and I said that it was not about food....blah blah blah My twins are apraxic and their 3 yr eval was months ago..they are classified COMMUNICATION IMPAIRED...so the mtg was to determine what tests they should take...so now that you are still reading and know the kind of district that I am dealing with, I am sure you must know what test they were not considering....they were not going to give them a speech and lang eval...only an educational...so again I questioned their reasoning as that is why they are classified... I think the next book written should be one that could be called " THE RIDICULOUS THINGS SAID AT IEP MEETINGS THAT ARE TOTALLY AGAINST THE LAW. I hate writing, but have tons of things I could add... from not allowing a kid to be OT evaled unless they are classified (against the law) to having kids that are eligible to be classified and not classifying them or classifying them and giving them NO SERVICES!!!! Another mistake on the current Speech and Lang eval that I mentioned above was a paragraph about each twin. It was the teacher interview and consisted of perhaps 4 sentences...the last sentence said that the teacher was concerned about their lack of eye contact...so with the psychologist, SLP, Social Worker (their case mgr), the Resource Room teacher and Regular Ed teacher all present I asked if I could read the paragraph---written by the SLP from what the teacher told her... When I read the part about the teacher's concern, the teacher said " I never said that " ....so with all heads turning, the SLP said oh that must be an error.... I have twins so the next teacher enters and I do the same thing and that twin's teacher says " I never said that " ...again the SLP says " That is an error, I'll fix that " ...that was about the 10th error that I found and I finally kindly pleaded that next time could the " errors " be fixed before I get to the mtg... On a Speech IEP yrs ago for my then 4 th grader, who needed only the R sound " fixed " , the IEP said that he was to learn sign language...another error and changed without a revision mtg.. So for all the parents/ guardians going through mtgs where the " professionals " are clearly not knowledgeable, or are told do say or do things which are clearly not in our children's best interest, don't give up, try not to get upset during the mtgs..(I had to really work on that area....like not saying something that I would truely regret later) and keep learning the laws..which I know we shouldn't have to..and if you stay with a group such as this one, you'll get the support and knowledge needed to keep going and a place to vent... ..kathy..who will probably be in the unemployment line, sleeping in a tent somewhere with my 4 kids .... ~~~~~~~~~~~~~~~~~~~~~~~~ And because I don't want this to be all about " bad " educators Re: problems with " educators " Hi ! As always good and bad in all professions. And I'm sure that as a teacher you are at times horrified by the lack of involvement from some of the parents so it works both ways. I happen to know that you are right in how many teachers do have to buy their own supplies for class. One of my friends, Ann, is a teacher. Ann had a gun pulled on her by a student she had given detention to when she worked in Irvington, NJ !!!! Her immediate response she told us one of anger -she yelled " You put that gun down right this minute young man! " And he did. She said she didn't know it was real. Can you believe that?! That was about 3 or 4 years ago now. So teachers have rights to complain too -don't apologize -if we all share it will lead to understanding. Cheryl , CHERAB's VP and award winning teacher is just one of the many wonderful teachers in this group. http://www.cherab.org/about/cheryl.html And Kathy our resident mom/kindergarten teacher always fills in the other side. I love both Cheryl and Kathy's advice to me to all the stuff that went on with Tanner. Carnell from NC has heard nothing but incredible good things about one of the most famous special ed teachers we all know today - Clay Aiken. You may all want to go out and buy his new CD for two reasons. Number one is here http://www.wral.com/news/2219698/detail.html And number two is that once I told Tanner that Clay is a teacher that teaches children to talk he is Tanner's favorite singer. (the other day we had to drive an hour and Tanner wanted to listen to only Clay Aiken the whole way) ~~~~~~~~~~~~~~~~ and about the positive of being an advocate Re: advice about school and a ? Hi Diane! Actually –just like you being a rebel behind the scenes to protect the parents –there are other school personal that go out of their way to help the parents help the children. I actually have been fortunate to have found a few teachers like this both in my children's teachers as well as in working with CHERAB. I'm one of the parents who has been told " Please don't tell anyone I'm telling you this, I could lose my job, but… " and was informed of information to help my child. Cheryl MA CCC/SLS/Educational Consultant years ago grew tired on sitting in IEP meeting after IEP meeting watching parents cry while their children's services were inappropriately stripped away due to lack of knowledge on the parents part. At first she got in trouble for sticking up for these parent's children –and then she began to receive recognition for it and was asked to give lectures to others. Out of the state of NJ 2 years ago there were 800 teachers nominated for the Award of Excellence in Teaching –and out of that Cheryl was one of the three selected as the recipricant of the Award of Excellence for Teaching in NJ! Cheryl can be seen on commercials still all over NJ representing NJ Education. I don't always bring tape recorders to the IEP meetings –it depends if I believe there is a game going on. I did bring one to Tanner's recent IEP. I not only brought a tape recorder –I also at one point said " I'm here to make a difference and hopefully make things better for my son and others. I mean Florida is 49th in the country in education, so there is room for improvement here. " Then paused a second, and added " well actually –if you think about it –it can't get much worse now can it?! " And I started laughing. Then a few days later a member of the exceptional student services here called me in Florida who was at my recent IEP meeting. I was asked to present at a conference on education here in Florida in November. There will be representatives from the Universities presenting as well and I was told that " most people don't know how to advocate for their child and we want you to talk about what you do " I'll give all of you more information at the conference I'll present at when I have more details! I don't believe I'm hated in the school. I was also elected as the PTO's Director of Fund Raising (without running for it!) I love many of the school personal I've sat in IEP meetings with –and I also realize that much can be a game. I don't go in nasty –but believe me –I do know how to stand up in a professional way to anyone that tries to pull a fast one on my child's future. Good teachers, I've been told by teachers, look for parents like us to help make a difference –because sometimes their hands are tied. In addition-we have many school professionals on this list including Cheryl (who is one of my best friends and also the VP of CHERAB.) I stand by that if they are here –they are awesome. Anyone that is out to learn more how to help our children is –and that includes us, the parents. ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2010 Report Share Posted March 16, 2010 If they accepted the private evaluation did the slp make any recommendations as to how many times and quantity he required in the educational setting. It is a long shot but if she happens to have had experience working in the educational setting youmight be able to pull it off this way. If not take him to his behavioral pediatrician or reg. pediatrician and ask them for a script of medical necessity for the amount and time of services they recommend in the educational setting along with what he receives privately so that he can make meaningful progress. Also I dont see these goals as being annual and measurable. What is the criteria mastery listed on the iep. I hope it is not teacher/and slp observations. I would ask for the therapist notes every grading period along with the iep progress goals to see how, when, and when she has worked on the goals and to see if she truly has. I would also ask for work samples. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2010 Report Share Posted March 16, 2010 Language Goals: Austin has continued to make steady gains in the area of articulation. He is now producing early developing sounds(p,b,m,Austin hasAustin has continued to make steady gains in the area of articulation. He is now producing early developing sounds(p,b,m,<WBR>d,n,t,k,g,<WBR>h,w) at the phrase level in CVC, VCV, VC, and CVCV(with changing vowels (HOW MANY TIMES IN EACH THERAPY SESSION? 2 , 3 OR 4? but continues to omit the middle sound in 2 syllable words beyond that level. WOULD THIS NOT BE A REASON TO INCREASE SPEECH THERAPY SINCE HE IS CONTINUING TO HAVE DIFFICULTY? Austin continues to need modeling for /f/ in the beginning of simple words. He is producing many later developing sounds(sh,s,Austin continues to need modeling for /f/ in the beginning of simple words. He is producing many later developing sounds(sh,s,<WBR>ch,j,z) in the beginning and end of simple CVC words as well. When the context is not know, it continues to be very difficult at times to understand what Austin's message is. This impacts his ability to share ideas and communicate effective #1 Austin will produce all early developing sounds in CVCV(with changing vowels and consonants ie: dirty, muddy, pony) words at the sentence level 90% of the time. HOW MANY EARLY DEVELOPING SOUNDS PER EACH GRADING PERIOD, WHAT IS THE CRITERIA FOR MASTERY LEVEL? #2 Austin will produce early developing sounds in CVCV +CVC words(ie: pony ride, bunny hop) at the phrase level 90% of the time. (90% OF THE TIME FOR THE ENTIRE SCHOOL YEAR, HOW MANY EARLY DEVELOPING SOUNDS IS HE SUPPOSED TO PRODUCE FOR EACH GRADING PERIOD WHEN YOU RECEIVE THE IEP PROGRESS REPORT? #3 Austin will produce early developing sounds in 3 syllable words(ie: banana, tornado) at the phrase level 90% of the time. HOW MANY EARLY DEVELOPING SOUNDS? 1, 2, or 3 for the whole school year or each grading period? #4 Austin will produce CCVC(ie: spoon, blue) words at the carrier phrase level 90% of the time.ONCE AGAIN HOW MANY CCVC WORDS AT THE CARRIER PERIOD PER EACH GRADING PERIOD? #5 Austin will produce all early developing sounds in CVC words at the sentence level 90% of the time. *early developing sounds include: p,m,b,n,t,d,*early deve Articulation Goals: Austin has made steady growth in the area of language and communication in his early learning environment at school. He is using language to participate in circle time activities, occasionally needing reminders to use words while singing. He will answer questions consistently(Austin has made steady growth in),( WHY NOT ADD IN WHAT, WHERE, WHEN AND WHY QUESTIONS AS WELL? HOW MANY QUESTIONS PER EACH GRADING PERIOD? make appropriate comments, and is just beginning to share experiences related to the story or activity when prompted.(WHAT TYPEAND HOW MANY TYPES OF APPROPIATE COMMENTS, TWO SENTENCE WORDS , THREE? HOW MANY PER EACH GRADING PERIOD? He is able to ask questions and make requests throughout his day. Austin is using many 3-4+ word sentences(ex: hey, that's my chair, I don't wanna hop, He's too heavy, I have muscles, I put pirate in, I want still jump, I want play games). (I WOULD WONDER HERE WHAT TYPES OF SPEECH EVALUATIONS HE HAS HAD AND IF HE HAS BEEN TESTED IN THE AREA OF SYNTAX AND SOCIAL LANGUAGE PRAGMATIC SKILLS WITH AN EVAL SUCH AS THE CASL)He is consistently using is auxiliary verbs + -ing verb marker, as well as, using I/you, he/she pronouns in his sentences. ( HOW MANY TIMES, ASK FOR EXAMPLES FROM HER THERAPIST NOTES)Austin continues to need modeling for /s/ and /ed/ verb markers, as well as, use of his/her, they/we pronouns in his sentences.(IF HE CONTINUES TO NEED MODELING, HOW ARE THEY DOING THIS, HOW MANY PROMPTS AND MODELING DOES HE NEED, WOULD THIS NOT BE ANOTHER REASON TO INCREASE SPEECH SERVICE S AMOUNT? Austin is labeling newly presented vocabulary with ease. He is able to label categories that various items belong to.(WHAT TYPES OF CATEGORIES AND HOW MANY PER EACH GRADING PERIOD?) Austin is able to identify objects that are being described to him. He is understanding and labeling a variety of spatial concepts, and is able to follow directions that incorporate those concepts.(IF HE IS ABLE TO FOLLOW DIRECTIONS, CAN HE FOLLOW ONE STEP DIRECTIONS, TWO STEP AND THREE STEP DIRECTIONS? Austin's delays in language, in conjunction with his articulation, impact his ability to express himself clearly in his early learning environment. #1 Austin will use 4-6 word utterances that include: a)pronouns his/her, they/we b. auxiliary verbs(are,can,#1 Austin will use 4-6 word utterances that incl(ONCE AGAIN HOW MANY FOUR TO SIX WORD UTTERANCE WORDS PER EACH GRADING PERIOD ONE OR TWO OR MORE? #2 Austin will answer when questions 90% of the time. #3 Austin will share an experience related to a story/activity or talk about a remote event(what he did before school/over weekend, etc.) independently 90% of the time. MY FINAL QUESTION WOULD BE THIS 90% OF THE TIME IS PRETTY VAGUE, WHAT EXACTLY IS NINETY PERCENT OF THE TIME? WHEN HE IS SPEECH THERAPY? IS HE DOING IT ACROSS ALL CLASSROOM AND EDUCAITONAL SETTINGS? ARE THESE SKILLS TRANSFERRING AND BEING OBSERVED IN THE HOME AND COMMUNITY SETTING? Just my Humble Thoughts, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2010 Report Share Posted March 16, 2010 Hi , My name is and I was wondering if you could offer some suggestions to me. My son is 2 weeks shy of 3 y.o. Sounds very similar to your son. We were evaluated by speech today through school and SLP says she doesn't believe he has apraxia (in spite of the fact that private SLP and pediatric neurologist Dx him in December) She says he just has " atypical " speech patten delays. I am taking this as just another way to aviod giving him what he needs. Kinda interferes with my argument for 1 on 1 ST due to apraxic needs. I'm just so frustrated right now. It took 9mo. to get a Dx and now this lady doesn't agree with it. What do I do? Thanks ________________________________ From: michelle yates <michelle_yates@...> Sent: Tue, March 16, 2010 9:13:45 AMnow this Subject: [ ] NEED SPEECH IEP HELP ASAP!!!! We have an IEP meeting tomorrow morning for our 4 year old apraxic son. I have listed the goals from his SLP below, which we don't have issue with. What we do have issue with is that he has only been receiving speech therapy 2 days per week, and we've been providing private therapy 2 days per week (insurance doesn't cover, so not cheap). We really want them to increase Austin to at least 3 sessions per week. When we have brought it up in the past, they said since he had not regressed, they could not offer him any additional therapy. How can we fight/convince them to increase his therapy? Thanks! Language Goals: Austin has continued to make steady gains in the area of articulation. He is now producing early developing sounds(p,b,m,d,n,t,k,g,h,w) at the phrase level in CVC, VCV, VC, and CVCV(with changing vowels only) combinations. He is producing CVCV with changing vowels and consonants at the carrier phrase level(ex: I see, I want) with consistently, but continues to omit the middle sound in 2 syllable words beyond that level. Austin continues to have difficulties with mult-syllable words, as well as, pairing 2 consonants together in words with blends(ie: spoon, star). Austin continues to need modeling for /f/ in the beginning of simple words. He is producing many later developing sounds(sh,s,ch,j,z) in the beginning and end of simple CVC words as well. When the context is not know, it continues to be very difficult at times to understand what Austin's message is. This impacts his ability to share ideas and communicate effectively within his early learning environment at times. #1 Austin will produce all early developing sounds in CVCV(with changing vowels and consonants ie: dirty, muddy, pony) words at the sentence level 90% of the time. #2 Austin will produce early developing sounds in CVCV +CVC words(ie: pony ride, bunny hop) at the phrase level 90% of the time. #3 Austin will produce early developing sounds in 3 syllable words(ie: banana, tornado) at the phrase level 90% of the time. #4 Austin will produce CCVC(ie: spoon, blue) words at the carrier phrase level 90% of the time. #5 Austin will produce all early developing sounds in CVC words at the sentence level 90% of the time. *early developing sounds include: p,m,b,n,t,d,h,w,f,k,g Articulation Goals: Austin has made steady growth in the area of language and communication in his early learning environment at school. He is using language to participate in circle time activities, occasionally needing reminders to use words while singing. He will answer questions consistently(with the exception of 'when' ?'s), make appropriate comments, and is just beginning to share experiences related to the story or activity when prompted. He is able to ask questions and make requests throughout his day. Austin is using many 3-4+ word sentences(ex: hey, that's my chair, I don't wanna hop, He's too heavy, I have muscles, I put pirate in, I want still jump, I want play games). He is consistently using is auxiliary verbs + -ing verb marker, as well as, using I/you, he/she pronouns in his sentences. Austin continues to need modeling for /s/ and /ed/ verb markers, as well as, use of his/her, they/we pronouns in his sentences. Austin is labeling newly presented vocabulary with ease. He is able to label categories that various items belong to. Austin is able to identify objects that are being described to him. He is understanding and labeling a variety of spatial concepts, and is able to follow directions that incorporate those concepts. Austin's delays in language, in conjunction with his articulation, impact his ability to express himself clearly in his early learning environment. #1 Austin will use 4-6 word utterances that include: a)pronouns his/her, they/we b. auxiliary verbs(are,can,do) c. verb endings /ed/ and /s/ 90% of the time #2 Austin will answer when questions 90% of the time. #3 Austin will share an experience related to a story/activity or talk about a remote event(what he did before school/over weekend, etc.) independently 90% of the time. _________________________________________________________________ Hotmail: Trusted email with Microsoft’s powerful SPAM protection. http://clk.atdmt.com/GBL/go/210850552/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2010 Report Share Posted March 17, 2010 Good luck tomorrow. We have an IEP on Monday for our 3-3/4 year old son. We are going to try to argue that the school has a duty to provide necessary services, and that if you can prove that the outside speech therapy is necessary, then they are obligated to pay for it. Of course, they will fight you all the way and say that the services aren't necessary. But in essence, you have been paying a significant portion of the services that he is currently receiving. We just did a 10 day notice (we are in California), so that we are will take them to a due process hearing if they don't cover our outside speech therapist. She is appearing by telephone on Monday as well. I wish you well. The issue is not whether he has regressed, but whether he is receiving a necessary services (I have been told not to use the word " best services " ), I think to provide a measurable (rather than trivial or slight) benefit. I don't have the exact standard with me right now. Check slaw if you have time to see what they have listed. It seems that you have to have a private speech therapist that is willing to advocate for you...because your word against the school district may not carry the day. Barbara > > > > We have an IEP meeting tomorrow morning for our 4 year old apraxic son. I have listed the goals from his SLP below, which we don't have issue with. What we do have issue with is that he has only been receiving speech therapy 2 days per week, and we've been providing private therapy 2 days per week (insurance doesn't cover, so not cheap). We really want them to increase Austin to at least 3 sessions per week. When we have brought it up in the past, they said since he had not regressed, they could not offer him any additional therapy. How can we fight/convince them to increase his therapy? Thanks! > > > > > > > > > > Language Goals: > > Austin has continued to make steady gains in the area of articulation. He is now producing early developing sounds(p,b,m,d,n,t,k,g,h,w) at the phrase level in CVC, VCV, VC, and CVCV(with changing vowels only) combinations. He is producing CVCV with changing vowels and consonants at the carrier phrase level(ex: I see, I want) with consistently, but continues to omit the middle sound in 2 syllable words beyond that level. Austin continues to have difficulties with mult-syllable words, as well as, pairing 2 consonants together in words with blends(ie: spoon, star). Austin continues to need modeling for /f/ in the beginning of simple words. He is producing many later developing sounds(sh,s,ch,j,z) in the beginning and end of simple CVC words as well. When the context is not know, it continues to be very difficult at times to understand what Austin's message is. This impacts his ability to share ideas and communicate effectively within his early learning environment at times. > > > > #1 Austin will produce all early developing sounds in CVCV(with changing vowels and consonants ie: dirty, muddy, pony) words at the sentence level 90% of the time. > #2 Austin will produce early developing sounds in CVCV +CVC words(ie: pony ride, bunny hop) at the phrase level 90% of the time. > #3 Austin will produce early developing sounds in 3 syllable words(ie: banana, tornado) at the phrase level 90% of the time. > #4 Austin will produce CCVC(ie: spoon, blue) words at the carrier phrase level 90% of the time. > #5 Austin will produce all early developing sounds in CVC words at the sentence level 90% of the time. > > *early developing sounds include: p,m,b,n,t,d,h,w,f,k,g > > > > Articulation Goals: > > Austin has made steady growth in the area of language and communication in his early learning environment at school. He is using language to participate in circle time activities, occasionally needing reminders to use words while singing. He will answer questions consistently(with the exception of 'when' ?'s), make appropriate comments, and is just beginning to share experiences related to the story or activity when prompted. He is able to ask questions and make requests throughout his day. Austin is using many 3-4+ word sentences(ex: hey, that's my chair, I don't wanna hop, He's too heavy, I have muscles, I put pirate in, I want still jump, I want play games). He is consistently using is auxiliary verbs + -ing verb marker, as well as, using I/you, he/she pronouns in his sentences. Austin continues to need modeling for /s/ and /ed/ verb markers, as well as, use of his/her, they/we pronouns in his sentences. Austin is labeling newly presented vocabulary with ease. He is able to label categories that various items belong to. Austin is able to identify objects that are being described to him. He is understanding and labeling a variety of spatial concepts, and is able to follow directions that incorporate those concepts. Austin's delays in language, in conjunction with his articulation, impact his ability to express himself clearly in his early learning environment. > > > > #1 Austin will use 4-6 word utterances that include: a)pronouns his/her, they/we b. auxiliary verbs(are,can,do) c. verb endings /ed/ and /s/ 90% of the time > #2 Austin will answer when questions 90% of the time. > #3 Austin will share an experience related to a story/activity or talk about a remote event(what he did before school/over weekend, etc.) independently 90% of the time. > > > > _________________________________________________________________ > Hotmail: Trusted email with Microsoft & #65533; powerful SPAM protection. > http://clk.atdmt.com/GBL/go/210850552/direct/01/ > > Quote Link to comment Share on other sites More sharing options...
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