Wednesday, June 24, 2015

Facing Fears: Going All The Way Under

 
Ben is sitting on the side of the pool, mentally preparing for his turn with swimming lessons.

Unfortunately, fears and anxieties are a part of daily life in Ben’s world. 

He worries about how many minutes he has until bedtime. 

He becomes anxious when a bee gets to close to him when we are playing outside. 

He freaks out when the battery life on his iPad falls below 10 percent.

But, one of Ben’s biggest fears that has persisted over time has been going under water.  When he was little he hated to get his hair wet, even in the bathtub.  I’d use a wet cloth to wash his hair, always keeping a dry towel nearby to catch the remaining drips.  He’d scream if any water got into his nose or eyes.  It goes without saying that he refused to put his head under water at the swimming pool.

It’s not that we didn’t try lessons.  You can read here about one memorable meltdown that happened at the pool.  Last year I even sprung for private lessons.  Still, he refused to put his head under.  He wouldn’t even jump in the water, because he remembered the one time he went under when the instructor was trying to “stretch” his comfort zone.  This boy has a long memory.  If the instructor “forced” him to go under or surprised him by dunking his head during a playful game of "ring around the rosies", he’d scream, cry, and demand to leave the pool.

Ben is now six years old, and I was determined that this would be the summer that he’d learn to swim.  We live in Florida and learning to swim is really a necessity.  And so I took him to the “swimming whisperer” of our area.  Truly, parents talk about this man in near reverent tones.  When someone asks for a swimming teacher, he’s always the first mentioned.  Mr. C.J.”* is an elementary school P.E. coach and teaches private lessons from his home during his summer break.  I don’t know why we waited until this year to try him.  Call me chicken.  Call me crazy.  But, honestly, I’m just glad that I did finally call him.

I could tell right away that this time would be different.  In stark contrast the sweet teenage girls who usually taught Ben’s swimming lessons, Mr. C.J was a middle aged, no-nonsense kind of guy.  After introducing myself on that first day, I took him aside.  I explained Ben’s sensory issues.  I explained Ben’s fear of going under.  Mr. C.J. listened courteously but didn’t look the least bit concerned.  I later realized that he’d heard this same line many times before.  I nervously seated myself in one of Mr. C.J’s patio chairs and prepared to watch.  Ben was up first.

After one or two laps to get him warmed up, Mr. C.J. showed Ben how to make a bubble with his mouth.

And then he counted.

One…two…three….

He told him to take a deep breath….

And then swiftly he pushed his head under the water.

Ben popped up the surface, spluttering, shocked, and surprised.  Ben wanted his towel, as he always does when water gets in his face.  Mr. C.J. was having none of it.  No drying off until we're done.  No crying in his pool.  Ben looked my way, pleadingly, but I tried to maintain my stream of conversation with the mom sitting next to me and remain stoic. 

He was preparing Ben for another go.

One…two…three…deep breath….

…and under…

A moment later, his hand pushed Ben’s head under the water yet again. 

….and again. 

I exhaled each time Ben’s head popped up out of the water. 

After the fifth time, I realized that I was holding my breath too. 

It was tough to watch. 

I’m not honestly sure how I was able to maintain a conversation with the mom next to me. 

My heart was pounding. 

My mouth was dry. 

What was I doing to my child? 

It went against everything I believed- to force him to do something he wasn’t comfortable doing.

But- deep down- I knew that he was ready.  And I knew he had to learn this skill to keep himself safe. 

And so I kept chatting about camps and vacations and kindergarten but in my mind I silently counted as they counted. 

One…two…three…deep breath…

….and under…

After Ben’s initial turn, he sat on the steps while the other children in his group took their turns.  On Ben’s second turn, he knew what was coming.  He tried everything he could to avoid it.  He asked for a drink.  He needed his goggles fixed.  He pleaded for his coach to take him back to the steps.  Again, coach wasn’t buying it. 

One…two…three…deep breath…

…and under….

As Ben’s head popped up to the surface, coach did what he did every time.  He praised Ben effusively.  He showed him the distance he traveled in the water.  I was amazed at how quickly the tears dried up.  By his third turn, Ben wasn’t crying at all and was preparing his body to go under.  After the lessons were done, Ben proclaimed that it was “not too scary”.  He proudly told his Dad that he was a swimmer now.    

I watched Ben face his fear the first day, and each lesson after has gotten progressively easier.  He didn’t cry at all during yesterday’s lesson or today’s.  Each day he has gained a little more confidence, and he swims a little farther on his own.  

I’m not sure if this method would work for every child.  In fact, I’m not sure it would have worked with Ben until this year, when he was mentally ready to learn.  Maybe I’m wrong.  Maybe he would have mastered swimming at six months old if I would have pushed him in this way.  Who knows?  The point is, it’s working for him now. 

I spoke to Ben’s OT about it, and she said the reason she believes that coach’s method works is because the fear is what is holding the child back.  The fear becomes bigger than anything else.  And, as the fear grows, it’s harder and harder for the child to move past it on his own.  Often, he needs a “push” to get past the fear.  And, after this breakthrough happens, then the learning process can begin.

On the second day a new little boy joined the group.  I listened as his mom nervously explained to Mr. C.J. about her son’s sensory issues, that he wouldn’t put his face under the water.  Mr. C.J. smiled at me and pointed to Ben, who had just dunked his head under.  “Ben was the same way yesterday.  Your little boy will be fine.”  And, amazingly, this little boy was.  Oh yes, he cried too.  But, just like Ben, he held his breath and dunked his face under on his own on the second day’s lessons.  And, just like Ben, on the second day he didn’t cry once.  In fact, we saw him pop his head above the water and smile.  And the new mom and I watched and marveled in amazement.


*I’ve changed Mr. CJ’s name to protect his privacy, as I change all names on this blog.  If, however, you know me in the real world and want his contact information, send me a private message and I’m happy to pass it along.  Just bear in mind that this man fills his classes up fast! 

Tuesday, June 9, 2015

An OT’s Tips for Summer #SensoryHop

Heavy work is more fun when you do it with a friend!
Last week, before school let out, I had the chance to sit down with Ben’s occupational therapist to discuss ways that I can reinforce what he has learned in therapy during the summer.  

We talked about lots of things, but she continued to emphasize the importance of including lots of push/pull/lift/carry activities throughout our day.  These are also often referred to as heavy work. 

These activities keep the child calm and organized.  Ben’s emotions tend to swing between the extremes.  He can become over-excited, which can quickly spiral into frustration, anger, and meltdown mode.  Ben calls heavy work tasks “money in the bank” because they can help to “buy” a little calmness for later.  This is especially important to do before a potentially exciting event, such as a birthday party or a trip to the toy store.

Here are a few ways I plan to incorporate heavy work into our summer routine.  I’d love to hear your ideas as well!

1)   Heavy work at the beach
The sand and the surf provide lots of natural opportunities for heavy work.  Carrying a bucket of water to and from the ocean and dumping it into the sand provides a nice heavy weight to lift and carry.  Sometimes Ben digs a hole and fills it with water to make a “pond” for his plastic sea creatures.  Other times he likes to dig a hole and fill it with water to make his own personal pool.  On rainy days we can still dig and mold using kinetic sand.

2)   Walk like an animal
Ben used to HATE it when his OT would ask his group to “bear crawl” to the lobby at the end of a session.  I think the reason may have been because his core muscles weren’t strong enough at that point.  Now he loves animal walks, and they are great heavy work opportunities!  Ben has begun inventing his own variations.  During rainforest night at school, he jumped around his classroom like a red eyed tree frog, slithered like a snake, and walked on all fours like a jaguar.  In addition to the traditional bear crawl, another fun walk to try is the turtle walk.  Put a pillow (aka shell) on the child’s back and have him walk around on all fours.  Ben loves using his imagination so I’m sure we’ll be inventing all kids of new animal (or alien- his new passion) walks this summer.

3)   Help in the garden
Nana and Papa have a garden, and Ben loves to help when he visits them.  There are lots of heavy work opportunities here, such as pushing the wheelbarrow, digging out the weeds, and pouring water from a pitcher onto the plants.  And, of course, picking the produce and carrying the basket proudly to the house is the best part of all!

4)   Books in a Bag
We're planning regular trips to the public library throughout the summer to keep a steady supply of new books in the house.  As we travel to and from the library, Ben can wear a backpack with his books inside to build in some extra heavy work.  Climbing the stairs to the second floor children’s area offers an additional boost of pulling and carrying work.

5)   Shop ‘til you Drop
During trips to our local grocery store, I plan to put Ben to work.  He loves pushing the shopping cart (with assistance), and sometimes I have him carry a basket to fill with certain items.  This has the extra bonus of teaching responsibility during our shopping ventures.

Incorporating heavy work tasks throughout the summer doesn’t have to be a chore.  Finding ways to incorporate it into your daily routine will keep everyone in a great frame of mine. 


Have a fun summer!



Welcome to the Sensory Blog Hop -- a monthly gathering of posts from sensory bloggers hosted by The Sensory Spectrum and The Jenny Evolution. Click on the links below to read stories from other bloggers about what it's like to have Sensory Processing Disorder and to raise a sensory kiddo!Want to join in on next month's Sensory Blog Hop? Click here!



Wednesday, May 13, 2015

Tips for an Effective IEP meeting



*Please keep in mind that the advice and information in this article applies to the specific rules and guidelines for the state of Florida.  You can find out more about Florida law at www.wrightslaw.com.  Rules do vary from state to state and in different countries.

Tomorrow is Ben’s yearly IEP review meeting.  Ben received his autism diagnosis almost two years ago, and not long after, his initial IEP was written prior to him entering prekindergarten.  That IEP was revised at the end of PreK at his kindergarten transition meeting.  Now, as his kindergarten year draws to a close, we are getting ready to review the IEP yet again.

I am no stranger to IEPs.  As an educator I have sat in on many IEP meetings throughout the years.  I was responsible for implementing IEP goals as a classroom teacher and I was a member of a team that helped develop those goals for my students’ IEPs.  In recent years, I’m called upon to sit in on IEP meetings from time to time as a content specialist.

I have learned over these past few years that, despite my years of experience in the school system, it feels very different to be sitting on the parent side of the table.  

My journey into the world of parental advocacy has given me newfound empathy for parents navigating the process, especially those who do not have the resources or the background knowledge of how the system works.  We all want what is best for our child but round table meetings filled with school officials can be intimidating, especially when educational terminology and data begins to get thrown around. 

And, so, as I prepare for tomorrow’s meeting, I decided to take a moment to share five tips to setting the foundation for a successful IEP meeting.  I have been fortunate to have positive, collaborative relationships with all of the educators who have worked with Ben, but I believe that this is more than luck. 

Sometimes I hear parents describing how they prepare for their kid's IEP meeting, but it sounds more like a solider preparing to go into battle.  Personally, I believe this is the wrong approach to take.

Instead, I offer you five tips for setting the groundwork for a successful IEP meeting.

1)   Do your homework first

Make sure you come to the IEP meeting prepared.  This starts with understanding how the IEP works. 

An IEP stands for an Individual Education Plan.  It is a legal document that is developed with a team of people (see #3) that defines the goals and accommodations that your child will receive in the coming year.  It is completely individualized (hence the name) and tailored to your child’s specific needs.  It also describes the setting in which your child will be instructed for the majority of the day and any additional services your child may receive.  To learn more about IEPs and how they work, click here.  

Prior to Ben’s meeting, I reviewed his previous IEP and collected data of my own, noting his progress from my perspective.  I wrote goals that I believed would be appropriate for him (You can research goals on the Internet) and provided each member of the team with a list of my recommendations a few weeks prior to the meeting.

Make sure you know your rights.  You are allowed to bring someone with you to the meeting.  This could be a person with additional knowledge of your child, such as a private OT or SLP, or a person with knowledge of the IEP process, such as an educational advocate.  Or, you could simply bring someone as moral support for you, or a person who can take notes for you so that you can focus on the conversations that are happening at the meeting.  I highly encourage you to bring someone with you to the meeting, because you will feel at ease with more familiar faces at the table.

2)   Start positive

Even if you are unhappy with how the school is handling your child’s services, it is never wise to start the meeting with a negative or hostile tone.  Coming to a meeting with “guns blazing” forces people to take sides, draw lines, and put up walls.  There may come a point when you reach an impasse and cannot agree with what the other members of the team propose, and your procedural safeguards (which are your rights as a parent) highlight what to do to pursue due process and mediation, but it is never wise to start down that road prematurely.  You’ll get a lot farther towards getting help for your child if everyone feels that they are working on the situation together rather than having their hand forced.

It’s nice to bring something to share at the table.  A box of donuts or a bag of chocolates is a nice gesture of goodwill.

Start with an appreciation to the school or your child’s teacher.  Share an anecdote of something that your child did recently that highlighted his progress or surprised you in a good way.  Celebrate a milestone, however small. 

And, as the discussions happen during the meeting, remember to view your child through the lens of his or her strengths and with a growth mindset.  Help guide the conversation around how to build on these strengths rather than focusing on weaknesses.  Weaknesses certainly need to be addressed, but never let the team lose sight that at the center of these conversations is your child.  And no one knows your child better than you.

3)   Remember that we are a team…

It is important to not lose sight of the fact that all decisions that are made at an IEP meeting are team decisions.  And, as a member of the IEP team, your input matters.  Here are a few important things to keep in mind in regards to team dynamics.  First, no decisions about your child should ever be made without your knowledge or consent.  The school is required to send you prior written notice before a meeting occurs.  Meetings happen annually to review your child’s IEP (as in the meeting I’m having tomorrow).  As a team member, you also have the right to request a meeting at any time for any reason.  In addition, if the team plans to change your child’s placement (for example- from a regular education classroom to a self-contained environment of all children with disabilities) you would be invited to attend the meetings and take part in the decision process.  Deciding on a child’s placement prior to a meeting such as this is known as predetermination and is illegal. 

Keep in mind, however, that not every member of the team has to agree.  Certain forms that you sign at these meetings have a place to sign to show whether you agree or disagree with the terms set forth in the IEP.  However, because decisions are team decisions, majority rules, though you do ultimately have the right do withdraw your consent if you are truly unhappy with the team decision.  Just know that there are consequences to this choice and make sure you have fully researched the law before doing so.

The other important factor to remember here is the essence of what the word team means.  Webster’s definition of a team is “a group that comes together to achieve a common goal.”  In this case, the common goal is making decisions that are in the best interest of your child.  While some may disagree on the path to get there, this should always be at the forefront of any decisions that are made.  It’s important to strike a balance between listening to what the other members of the team have to say and being an active contributor to the discussion.

Here are some key players who will most likely take part in your IEP meeting.

*Your child’s classroom teacher-
This person should always be in attendance at any meeting regarding your child because they provide the much-needed classroom perspective.  They work with your child in the classroom every day and know his or her academic needs well.  However, they may not know as much about special education rules and policies or specific rules and regulations as others at the table.

*Your child’s SLP (speech/language pathologist)-
If your child is diagnosed with autism, most likely speech and/or language are an issue for him.  Pragmatics (or social) language are usually a weak area for those on the spectrum.  The SLP will have a good working knowledge of the goals that your child is working towards in the small group, therapeutic environment.  Sometimes SLPs push into the classroom and work directly with the child in that setting.  The SLP can provide valuable input about how your child’s behavior looks in a small group (which may be quite different from the classroom perspective) and provide specific support with writing goals and accommodations for the IEP, including social goals.  They may not have as much in-depth working knowledge of the general education curriculum, but they will provide lots of advice for how to accommodate and support the child within the classroom and throughout the day.  They can work with the classroom teacher to develop interventions, such as picture schedules and facilitate social skills opportunities.

*Your child’s OT (occupational therapist)-
Another vital member of the team is the OT.  Children on the spectrum usually have a variety of sensory needs that can and should be addressed through occupational therapy.  A good OT will work with the child through the therapy setting, but will also work side by side with the classroom teacher to design a sensory diet, which are a set of supports to help a child succeed throughout the school day.  30 minutes of OT twice a week in a pullout sensory gym is not nearly enough sensory support for most of our kids.  It’s important to put interventions in place, such as picture schedules, weighted vests, fidget toys, cool down areas, and whatever else your child may need.  The OT can help orchestrate these things.  OTs also work to help develop fine motor goals, which usually impact a child’s writing most in school. 

*The ESE (exceptional student education) resource teacher-
This person may have different titles in different states and countries, but their role is to support the child’s academic goals as written on the IEP.  If your child is in a regular classroom setting, this person usually works with the child during certain times of the day, and either pulls them into a separate classroom or works directly with the child in the classroom for additional support.  This person is usually the case manager for the child’s IEP, so they are your “go-to” person when you have questions or changes that need to be made (or if you want to call a meeting).  If a child is in a full-time classroom with only other children with disabilities (such as an autism unit), this person may be the child’s primary teacher.  This person has a strong working knowledge of how an IEP works, your child’s goals, and special education law.  They plan with the classroom teacher to make accommodations for your child, such pulling your child into a small group to give him extra time on a test. 

*The school psychologist- 
This person is usually shared between several schools.  Her role is to complete evaluations on your child.  Your child will be evaluated prior to the initial IEP being written, and then evaluated every three years (unless you or another team member feel the need for evaluations to happen sooner).  This person can also be called upon to do behavioral or academic observations in the classroom and explain reports or assessments as needed. 

* The school social worker- 
This is another roving position often shared amongst schools.  This person will do a social work assessment (which is a long question and answer session with the parent) prior the child’s IEP being written in many cases.  This person may do home visits at times and provide suggestions and support for parents on how to support the child at home.  They are often the bridge between the home and the school.

The social worker can also do behavioral observations and provide valuable insights into social and emotional goals.   This person sometimes leads small social skills groups at the school as well.  They have a strong working knowledge in the area of behavior.  Schools sometimes have another team member called the behavior specialist who also specializes in behavior.

*The ESE specialist- 
There are times when the ESE specialist may be invited to attend your child’s meeting.  These roles look different in different places, but in our county this is a district person assigned to a certain set of schools and they oversee decisions that are made at a school and district level.  If you are requesting a major change to the IEP that may be a bit unorthodox or will potentially cost the district money (such as a request for a one on one aide), the ESE specialist will most likely be invited to attend the meeting.  You could request that this person attend your child’s meeting if you feel you need the perspective of a district person but their busy schedules may not always allow them to attend.

*The school administration- 
The principal and assistant principal usually do not attend IEP meetings, but they can also certainly be invited to attend.  If you are requesting accommodations or services that will ultimately cause changes at the school level, then you may want to request that the principal attend the meeting.  The principal provides a school-wide perspective and has knowledge of the school budget and how the master schedules are designed. 

*Other Team Members- Other members who may be present at the IEP team include (but are not limited to) instructional coaches at the school (which is the role that I play at my school) who offer curriculum expertise, ESOL teachers (for students who speak a language other than English.  These teachers can offer translation to parents), the school guidance counselor, and the list goes on an on.

As you can see, the table can quickly fill with lots of people!  The good news is that each person brings his or her own unique perspective and area of expertise.  The key is to get to know each “player” on the team on an individual level if possible.  Reach out to them prior to the meeting.  Find out their area of strengths and seek their support when necessary.  Don’t be afraid to ask for what you need, whether it is a behavioral observation on your child or an explanation of a psychological report. 

If you feel that the meeting is moving too fast and you are getting confused, ask for clarification or for something to be repeated.  Most people are more than happy to help in any way they can.  We educators get used to speaking our own language of alphabet soup and sometimes need to be reminded that others don’t always understand what we mean.  Don’t’ be afraid to ask!

4)   …and be an active member of the team
Come prepared to the meeting.  As I mentioned previously, do your homework before coming.  Remember, others at the table may be able to speak to the curriculum and the technical parts of the IEP, but you know your child best.  No one else has the unique perspective that you bring, and that should be valued in all conversations. 

If you feel in your gut that a decision that is being proposed is wrong for your child, don’t be afraid to respectfully speak up and ask probing questions.  You also don’t have to feel pressured to sign anything at the meeting.  You can always take time to think about something and sign later.  Also, don’t be afraid to ask for data.  All IEP goals should be measurable, and the team should have charts and graphs to share with you.  If not, ask to see them.  Ask how your child performed on recent assessments.  Ask the team to quantify how your child is progressing towards the goals. And if your child is having difficulty with his or her behaviors in school, ask them to be specific about their concerns.  What exactly do these behaviors look like?  When and where do they occur?  With what frequency?  And what interventions are being put into place to address these behaviors?  The more questions you ask, the clearer picture everyone at the table will have about what is happening and what needs to happen.  Just make sure that your questions are worded in a respectful, not accusatory manner. 

5)   Learn the art of respectful advocacy
There will be times when you may feel that your child needs services and supports that he or she is not currently be receiving.  In these cases, it’s important to be ready to be an advocate for your child.  In my experience I have found that the educators who I’ve worked with have the child’s best interest at heart, but district and school policies will usually only allow them to advocate to a certain extent. 

As a parent, it is your job to advocate for your child. 

You cannot leave this to others to do alone, though certainly you can seek the support of members of the team in your pursuit of your child’s needs. 

When you are advocating for a service or support, first make sure that you understand the law.  Know what is within your child’s rights and what you can legally request.  Be prepared to speak, or even quote the law if necessary.  Be ready to bring an advocate to the meeting to speak to these things for you. 

At times you might even want to pay to have an independent evaluation of your child so that you have additional data as support.  I always bring my own data to the meetings so that I can share specifics to support the points that I want to make. 

Above all, seek to negotiate with the members of the team rather than bully them into giving your child what you believe that they deserve. If you find that your child is in a truly toxic environment, surrounded by people who just don’t “get it”, then you need to question whether this school is right for your child to begin with.   

I think it’s important to note that we also need to teach our children to become self-advocates.  When a child reaches high school age, they should begin to attend their own IEP meetings and be part of the process of setting the goals, but I plan to involve Ben long before this.   Ultimately we want to help our child to become independent, confident, and capable adults, and this includes teaching them to become their own advocate.

Some people say that I am lucky to have such a strong, supportive team surrounding my son, but I would argue that luck has nothing to do with it. 

These things are carefully built over time.

I did my research and looked long and hard before placing Ben at the school where he currently attends. 

I work to build relationships with the people at the school who care for my son every day.

I stay in communication with these team members and we discuss his progress regularly.

Luck has no part in building a strong team.


But a little chocolate never hurts.  J