Before I give the rundown of our assessment yesterday, I want to mention a few things.
1) Thank you thank you thank you to everyone for your love/support/concern/prayers/fasting in our behalf. The initial response to our last post was overwhelming and I can’t even put a number on how many texts, calls, emails, Facebook messages, etc I received expressing love to our family.
Will is a really easy kid to want to rally around. He’s pretty much the coolest kid around and if there were a smile contest between him and Magic Johnson, Will would win in a landslide.
But that aside, I want everyone to know that I can feel your prayers. I used to question people that said that, but I can honestly say there have been more than a few times when I have contemplated our situation and then remember that there are literally hundreds of people praying for our son, and our family, and it really is humbling. Thank you.
2) I feel like I was prepared for this struggle a long time ago. In my iPhone contacts I have three social workers, two speech therapists, and two Psychology PhD—all friends I have accumulated over the years. As I pause to think about it, I really can’t think of any other kind of issue my kids could have that I would have more resources at my fingertips, just through my friends.
Those of you in this “circle” know who you are and Cortney and I refer to you as Will’s “Dream Team”. I only hope my friendship has been/can be as comforting to you as yours has been to me over the last month.
3) Many expressed that they felt Will’s change in behavior over the last month is him reacting to the move. We feel the same way, and I guess I didn’t mention that. But had his behavior not been as drastic as it was over the course of last month, I don’t think we would be as aggressive about pursuing therapy as we are now. It was a wakeup call for us and that was when we started noticing more patterns about his processing issues because we were watch him so intently, out of concern.
4) One of the reasons I wanted to write this series was because of the blog Steven Battles Cancer. Steven (age 9) and his family used to be in our ward in Columbus and have since moved to Utah where he later was diagnosed with cancer. I started to read this blog about 6 months ago and I’ve followed it closely because of the way it makes me feel when I read it. His mother, Sonja, has kept track of all his chemo, medications, surgeries, and the impact this situation has made on their family from diagnosis to now, where Steven is in remission. It’s so moving and uplifting and in general, so relatable because it’s written from a mother’s perspective. I love how honest and real and funny and empathetic it is.
Very few processes are completely documented from beginning to end, and I thought this was a perfect opportunity to do just that. This won’t be the last and it more than likely will not be the most difficult challenge I face as a mother, but I hope my family’s experiences over the course of diagnosis and therapy will be one of hope, humor, and unity.
And if nothing else, when Will is being a punk teenager I can show him this series and yell in his face, “Look, you are the product of hundreds of peoples’ prayers and faith. Now get your crap together and act like you deserve it!!”
Alright, on to the real reason for the post. The assessment.
Our appointment was at 9:30, which we were on time for. But no one really started talking to us until 10:30. Luckily, Will was able to keep busy in the playroom and the wait didn’t seem unbearable, even though it seemed ridiculous to wait that long for an appointment that was relatively early in the day.
At 10:30, a sweet social worker names Doreen came out to talk to us. No one else was in the waiting room at that point, so we sat on the floor and talked about everything. I told her about Will developing slowly in speech since his birth, his recent behavior issues, recommendations from his teacher, theory on processing problems, etc. She was so wonderful in the way she listened and validated my concerns, I almost wanted to hug her. I knew we were on the same page and I thought, “Ok, we can do this! They’re going to be all over helping Will.”
She documented everything we talked about and at the end said, “Ok, so just to be clear, your biggest concern is Will’s speech delay and possible processing issues?” Yes, absolutely.
She took us into another room to meet with Lindsay, the psychologist. Will thought it was pretty cool that whenever he went into a new room he had new toys to play with, so he immediately sat down at the table and was ready to play with her. She explained that she would be using the Batelle test to assess his motor and social skills. She started by hiding a ball under a cup and switching it with another cup to see if Will could figure out which cup the ball was under. After a few times, he started figuring it out and she moved on to the next test of giving Will a picture of a zoo and asking him to point out different things in the picture from flashcards she put in front of him. It took him a little while, but he got them all. Then she asked him to repeat several words, which he did fine (he can repeat anything, but most words he would never repeat on his own, let alone understand what they mean). Then she asked him a few questions that went like this:
Lindsay: “Will, who do you play with?”
Will: “fjdksafjdks fdjskafjds fjdskfjewjrek Mommy afjdshfieow fjhieownf nioewf Duke fhwefnj fnwoiwfe trains.
Lindsay: What do you play with?
Will: vvnreiovnr reeiergnir greirebner erigerner trains.
At this point Lindsay (she’s a psychologist, remember) puts down her pencil and says, “Well, he’s testing at or above normal range in every category, so we usually stop the assessment at that point because I don’t think there are any services we can offer him.
My jaw dropped.
Mind: Did you listen to what the kid just said?? You really want to tell me that an almost four year-old just blurted out 4 audible words in 2 sentences and you think that’s normal??
I was so shocked that I felt intimated and wasn’t sure how to respond. The analysis took a grand total of 15 minutes and she was telling me that the assessment was over and he was fine, or at least not impaired enough for them to look at him any further.
I expressed that I didn’t feel like this was a good assessment because Will can understand much more verbal commands when you’re right in front of him. His biggest problem was that he couldn’t understand verbal instructions in a group—a vital skill to succeed in school—and there was no way this assessment could test for that since he was the only kid in the room, but the psychologist didn’t seem amused by my explanation. She wasn’t mean or rude about it, but didn’t think it was worth her time to keep looking at him.
Doreen, the sweet social worker, was in the room during this so-called psychological assessment and when I seemed unhappy (read: on the verge of tears) about their assessment findings, she said, “Well, his speech was really hard to understand and his mother has noted that even she can only understand 50% of his speech. Maybe we can pull in a speech therapist to take a quick look at him.”
Mind: Wasn’t that the freaking reason I came to you in the first place?? I know a normal psychologist should be able to detect a speech delay, but when a mother says that HER BIGGEST CONCERN is a speech impairment, shouldn’t he been seen by speech therapist no matter what? From the way they handled it, I don’t think they were planning on having him assessed by a speech professional at all.
Doreen went and found the speech therapist, Kathy, and brought her in and she talked to Will for a little bit asking him about pictures in a book and other small talk questions. She said, “Well, he mixes his word order around a little bit, so it might be a good idea to take a closer look.”
Mind: Oh my gosh, are you serious? Who even cares about his word order! What about the fact that my kid is almost four and can’t speak a complete sentence?!? But whatever, at least you’re willing to take a second look at him.
Everyone leaves the room except for Doreen, Will and I and she explained that she is now going to write up a summary combining the background information I gave her about Will, and the referral from the speech therapist to be assessed further for speech problems. This summary will have to be presented to a committee and they will decide whether or not to go forward with assessments. I wasn’t sure whether to be nervous or to laugh. Do really have a committee that decides these things?!
We walked into a room that looked like a board room with four women sitting at the long table—a principle, a social worker (different than Doreen), a psychologist (different than Lindsay), and a special ed teacher. Doreen and I presented our case and why they should take Will on and they seemed completely indifferent, but conceded. They scheduled Will for a hearing test and a second speech assessment (at the end of February), I signed a bunch of papers, and we were on our way. From the time Doreen started talking to us to when we were walking out the door was about 45 minutes—far too short in my opinion. However, I left in complete disbelief of what had just happened and the only way to even begin to explain it was to say that the two hours prior had been a complete emotional roller coaster.
For two people like Cort and I, who believe so strongly in education and the lifelong pursuit of learning, to know that our son has a serious problem that can drastically hinder his ability to learn in the classroom, is heart breaking. But its nowhere near the heartbreak of feeling that no one at the district level is very concerned about helping him (besides the lovely Doreen, of course). I learned a lot of things today. First is that I need to have “the best offense is a good defense” strategy. We have already started contacting private speech therapists to do evaluations on Will to help prove to the district that he needs help. And I’ll go to multiple other “specialists” to have them do the same thing. Second, trying to find help through the government for a special needs child is a full-time job. I have spent many hours on the phone/internet in the last week contacting doctors, therapists, insurance companies, the school district, etc. It really consumes all of my free time, but like I really have a lot of that anyway. Third, to really be an advocate for your special needs child, you have to be assertive, and do a lot of homework. Luckily, I’m good at both.
Above all, Will is so happy and when I picked him up from school today, I could hear all the kids in the class saying, “Goodbye Will! Bye Will! See you later!” to which Will waved back at all of them. Mr. Popularity.
*After talking to a close friend today (Psychology PhD), she told me the Batelle assessment is outdated and not very accurate. Add those in with the thoroughness of Miss Lindsay and we were destined to have a crappy assessment.
* I think we found a really great speech therapist. I found her from a referral from our pediatrician (whom I’ve only seen once for Duke’s 18 mos check up) and she is a stay at home mom who schedules therapy while her kids are at school. I love that she is a mom first and I want to support her in her endeavors to be at home with her kids. Plus, she has such a small case load, I think she can give us really good service. And (the coolest part) she has a home gym and you can work out while your kid is in therapy. She said that as a mother, she knows that could be the only time mothers have to exercise is while their kids are in therapy. Holy crap! This lady gets it! Will is scheduled to be evaluated at the end of the month with her. When I described the situation with the assessment at the district to her (Kathryn), she said, “We’re going to sit down and we’re going to be a team and we’re going to make a plan so that Will can get all the help he can get.” Cool, I love her already. But she also delivered some bad news…Due to budget cuts, Will has to score in the 7th percentile or below to qualify for any services. Ouch. Next time Will goes to the district for an assessment, he’ll be coming in on 5 hours of sleep, and having a coke for breakfast to put a few more eggs in our basket. A mother’s gotta do what a mother’s gotta do