Child Study Meeting

June 10, 2008

My head is spinning.  I just came back from a “Child Study Meeting” in order to begin the process of trying to receive preschool special education services for my two-year old son.  They did not actually study my child at this Child Study Meeting, they studied me.  BOY did they study me.  Now I know how the bug under the microscope feels.

First of all, I was under the impression that this would be a meeting for 3 people- me, my Early Intervention liaison, and the school’s special education representative.  I arrived and there were two extra women in the room- a speech therapist and a social worker(!).  THAT was unnerving.  Plus they began before my caseworker arrived so I knew no one.  Then after the meeting had already begun a man with a very strong presence (read: intimidating) came in and just started asking all kinds of questions.  I finally asked, “Who ARE you?”, because at first when he walked in I thought he was merely passing through but then he stuck around.  Turns out he was the psychologist.  Oh goody.  I would have had an easier time with all these people had I been emotionally prepared for that.  I thought it was to be a more informal information gathering session and then it would be passed on to the appropriate people.  I didn’t realize that I was going to have them present to immediately evaluate my words.

So I started the meeting a bit uncomfortable and it got worse from there.  They were all very kind and professional but the social worker was right in my line of sight and she had her “serious face” on.  I kept being afraid I was saying something that would make her want to take my child away from me, I swear, she was practically scowling.  Plus the more we talked and the more I learned about the red tape and entering my child into the school system for services the more I felt like I was giving the government way too much involvement in the life of my child.  I reassured myself with the knowledge that I do not have to do this right now and that I was merely in the preliminary phase of deciding what was best for Percy.

They peppered me with all kinds of questions.  “Does he have any unusual behaviors?”  “What made you first think there was a problem?”  “How long ago did you realize that something was unusual?”  I also offered up some unsolicited information that I knew was pertinent:  his excessive temper tantrums,  self-injuring behavior, his zoning out even when I make loud noises, not responding when I call his name, eating non-food items but NOT eating most foods… 

I continued to become more nervous.  I began to realize that what I found unnerving was the fact that they were giving me no feedback whatsoever.  I surmised that they had to be extremely cautious in what they said to me since they were supposed to be simply gathering information.  If they said anything at such an early stage that sounded like an evaluation it could complicate things.  They made sure they said things like, “IF he qualifies for services”.  But I still would have felt better if I had received a bit of human response and affirmation of the struggles I was facing, instead of wondering what they thought of all the things I was telling them.  I especially wondered what they thought when I told them how I have to lie Percy down when he is angry because if I place him in a seated position he hurts his head more when he bangs it on the floor .  And then I said, “I usually let him bang his head on the floor twice, so he learns consequences, and then I pick him up and make him stop.”  I don’t know if they liked that.  I would have loved some helpful suggestions or feedback at that point!      

The Speech Therapist was VERY warm and put me more at ease, but she asked the funniest question.  “What made you first think that your son had a speech disorder?”  I thought about responding, “Uh, he can’t talk!?!”  Instead I said that he babbled very little as a toddler, had limited consonants, and up until recently had only two words.  He also struggles very hard to form sounds, and when he does make an attempt it comes either with great effort as an “Uuuuuuuhhhh” or it sounds absolutely nothing like what he is trying to duplicate.  My first description of it would have been “aphasia”, except that term applies to adults losing the language ability they already had.  I found out later that the term for children is “apraxia”, but I am not sure if that is a proper description of the cause of Percy’s speech difficulties. 

We were nearing the end of our meeting and the social worker noticed that I had begun to have difficulty keeping track of all the information being thrown at me.  I was totally overwhelmed and could barely think.  She gently reminded me that I didn’t have to make any decisions today and affirmed that this is indeed a hard process to go through.  That little bit of human kindness made me lose my composure and my eyes started to mist over. 

At the end I finally just asked flat out what they thought.  The psychologist carefully responded, “He’s worth taking a look at.”  Fair enough, that was the most he could safely say.  At least I felt affirmed that I was in the right place and not wasting their time.  The next step would be an evaluation to asses if he qualifies.  To do that they will perform a speech evaluation, a social evaluation, and a “psych eval”.  They just threw that at me like it was nothing.  A psych eval.  My baby needs a psych eval.  That feels so wrong.  That is what they say in shows like “Law & Order” when they talk about the suspects, “Let’s get him a psych eval”.  But they were talking about my baby.

There is a twist- the evaluation has to be done within six months of when I want him to enter their program, but right now there is not much there for him because he is still young.  I found out the only services available for early 2-s is a playgroup 1 hour a week with a therapist, and to go to that he would have to STOP Early Intervention.  Why would I give up one-on-one Speech Therapy every week and twice a month Occupational Therapy for that?  I think I will wait until he is old enough to be in a classroom setting, hopefully after Christmas, and then proceed.  I think.  It’s a tough call and I walked out of there muddled by all the choices I have to make.  I was glad that I had taken the time beforehand to mentally catalog some of my concerns about Percy so that I would be more prepared.        

It was an important meeting to go to, but it was not easy.  On the way out my caseworker apologized that she forgot to tell me that there would be so many people in the meeting.  She also asked me if I was overwhelmed by all the information.  Yes!  I was mentally and emotionally spent.  So much so that I needed blogging therapy AND chocolate  — I was writing this blog entry in my head the whole way home and had to stop and get a Starbucks Mocha Frappucino and a cookie.  I hate giving Starbucks my money, it feels bad to pay so much for such naughty deliciousness.  But today being bad feels REALLY good.

Entry Filed under: Autism Spectrum Disorders, Early Intervention, Parenting, children, family, special needs. Tags: , , , , , , , .

14 Comments Add your own

  • 1. folkwoman  |  June 10, 2008 at 10:18 pm

    Hey, there. I admire you so much for going through all that and not completely losing it. I’m glad you wrote about it right away, I’m sure it was good “therapy”.
    I’d have to agree on the chocolate therapy too. Boy the mocha and cookie sound good right now, but I’ll have to settle for an Oreo and maybe a nice General Foods International Coffee Suisse Mocha. So I’ll join you!
    Hugs~

    Reply
  • 2. Jayne  |  June 10, 2008 at 10:56 pm

    It’s a minefield and can get the old grey cells having a meltdown, these meetings!
    Take a deep breath and take one meeting at a time.
    If they’re as slow to getting back to you as they are here in Oz, don’t hold your breath waiting…or you’ll turn a nasty shade of blue :P

    Reply
  • 3. barb gabhart  |  June 10, 2008 at 11:22 pm

    I am so proud of you for keeping yourself together and not going off !!!!! I am not sure that I would have had that strength.

    (A mocha frappaccino is the best!! I too use that as one way to de-stress, and always shudder at the price as well, lol)

    Reply
  • 4. feener  |  June 11, 2008 at 1:57 pm

    oh goldie, i am sorry. do you read stimey’s blog ? she just went something as well – you guys should talk. so much of the same concerns and feelings.

    Reply
  • 5. highhopes1  |  June 11, 2008 at 11:20 pm

    Wow Goldie it sounds like the suits were tough. It is too bad your case worker didn’t prepare you a little more. But you handled it beautifully. You are making good decisions and doing everything you think and know intuitively is right.

    Hugs to ya honey and I’m eating some solidarity chocolate right now! As for the frap it will keep me up all night.

    Reply
  • 6. Brian  |  June 12, 2008 at 11:13 am

    Oh, Hugs. That sounds awful.
    It sounds like keeping him in EI is a really good choice right now. Can you observe the classroom he would be in when he’s old enough? If the teachers and program are anything like the Divine Miss M’s in her Early Ed class it will be WONDERFUL for Percy when he’s ready.

    Reply
  • 7. Goldie  |  June 12, 2008 at 2:29 pm

    Hey everyone, thanks for supporting me. It is a really busy week and I am getting ready for a roadtrip so I can’t respond to all comments as I would like, but you all made me smile. ;-)

    I think that the people in the meeting have the luxury of being un-emotional. But they have been doing it for so long that they forget that this is VERY emotional, even crushing, for some parents. It was hard, but even though I was tired I wasn’t wrecked or anything, just overwhelmed. I didn’t mean to make it sound so awful, I just kinda said what happened. Maybe it WAS awful and I am just getting strong? I can see how it would really upset people who aren’t ready for that or if it was their first contact w the system. Coming from a background in church ministry I am used to being in the hot seat and peppered with questions.

    That being said, I don’t want to scare someone off from this process. I would do it again 10 times a day for my son if I had to because I think it will eventually help him. They were very professional and organized and did their job well, just not very warm & fuzzy.

    I think eventually it will be good for him to enter the system because I am finding it hard to give him the structure he needs and incorporate OT like I should, but not yet. he is THRIVING right now and making huge leaps, why change a good thing? so maybe early 2009 I will try to get him in IF he still needs it.

    Reply
  • 8. High Hopes  |  June 12, 2008 at 3:42 pm

    Goldie I think people will realize that everyone will have an emotional reaction like yours, after all you are dealing with your precious child. To the suits they are in a clinical setting and there is a certain amount of detachment used or they would probably go crazy and wouldn’t be able to do their jobs right.

    Reply
  • 9. LarryG  |  June 12, 2008 at 3:48 pm

    Sounds like you did very well.
    It is difficult to face professional who have done these things many times and have “numbed” themselves to the process. It is after all your child.

    My son was developmentally delayed – prematurely born – mild CP – an inherited reflex disorder caused him to walk late to boot.
    We got his initial services through the local Cerebral Palsy center in our north Alabama town. The school system in Alabama did not have a program for him until he was about 4 yo (this was in 99) it’s been awhile.

    Said all that to say – I hope you are dealing with the right organization. Obviously as a mom, your instincts tell you your child is most certainly well worth looking at.

    How did you get involved with this Early Intervention Group? They are most likely funded based on student population, so it is in their interest to “qualify” students when that is appropriate. Is there another agency through United Way that may do something similar (or is better qualified). Schools are not known to be leading the field in these areas, but some may be.

    Just some stuff to ponder.
    I’ll be sure to say a prayer for y’all.

    Hi Larry, nice to meet you and thank you so much for the helpful ideas. I will take a look at what else is available! Thanks for the prayers. I appreciate the support and input from someone who has “been there”.
    I found EI through the local gov’t. They are the first step, and when kids get older they get assistance through the schools. I have been very pleased with them as a whole.

    Reply
  • 10. Goldie  |  June 12, 2008 at 3:49 pm

    yeah, that is so true High Hopes. I am sure they see a lot.
    and honestly they had to be really careful how they worded their questions so as not to be leading me or putting words in my mouth or seem like they were looking for specific responses. they kinda had to be unemotional to study me and get my REAL reaction.

    Reply
  • 11. widdleshamrock  |  June 12, 2008 at 11:10 pm

    ((Hugs))

    It is an uncomfortable situation and I identified with alot of what you wrote there.

    Sadly, it all comes down to funding !!!!! Not always what is best for your child.

    ((Hugs)) again. Hope they are helpful.

    Reply
  • 12. Goldie  |  June 13, 2008 at 7:24 am

    Widdles, I hear all too often of children who really DO need services being turned away because they are too “high-functioning”. I think that if there were more resources available then they would change the standards to accommodate them. Luckily so far I am getting what we need and Percy is making great progress. But I see that when he is older and in the schools he will enter a very clogged and overly busy system. It also shows just how many kids are in need out there!

    Folkie, glad to see you got the choc avatar back. My cookie therapy was not really worth it… it was overcooked. Only the center bite was REALLY good. Of course I still ate the whole thing!

    Ok jayne, breathe in… and out…

    barb, I am so glad you came back. Your comments are so well thought out and really make me think.

    feener, thx. where is that blog, i will go see…

    hh di dyou have some moose tracks for me?

    BRIAN! Hugs back. I would lOVE to get a great school like m’s! we will see…

    Reply
  • 13. High Hopes  |  June 13, 2008 at 2:19 pm

    Yes Goldie I ate the whole dang carton of moose tracks. Sigh.
    But unlike you there are no peanut butter cup carcasses beside the bowl.

    Seriously though you are doing all the right stuff.

    Hugs xo

    H

    Reply
  • 14. Kristin  |  June 19, 2008 at 11:40 am

    You poor thing! I can’t imagine going through all that– I hate those sort of situations. Good job at holding it together. And don’t feel too bad about splurging a little :) Chocolate and coffee make a bad day an awful lot better.

    I love that you were writing your blog in your head durring the whole thing. :)

    Reply

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