That Look - The PPT

I think that there comes a time when your savings account of experience--your training on dealing with parents; your knowledge of special education law; every lesson you have learned about dealing with the mentally ill, and whatever moxie you have that keeps you from curling up into a ball and crying--has to be drained in order to survive a meeting. I had one of those meetings yesterday. This has preoccupied my attention so much that I neglected to show for a PPT for an interdistrict student on Friday, oops. My team prepared for this meeting by discussing who was going to say what during the PPT. Our lineup included the school nurse (who talked about the need for medication management), the special education teacher (who had good news because his academics are really strong) the social worker (who interviewed the parents extensively) and me. We decided to go in this order, school nurse, special ed teacher, school psychologist and social worker.

I couldn't eat my lunch. Most people thought I was really nervous, but I wasn't that nervous. It was the nervousness I usually feel before a performance. It was a good kind of nervous, I knew that it would help me raise my game to the appropriate level. The meeting was in the afternoon, and I only took a couple of bites of my sandwich before I knew it was futile to try and eat. As I made my way to the conference room I had a worrisome thought: What if the parents didn't show? I hadn't considered that. They could have just blown us off and I would have prepared for nothing.

But, they did show and the show went on. I don't mind being the meeting coordinator, except for the fact that I have to wear 2 hats during the meeting: coordinator and school psychologist. For this meeting I had to talk about my evaluation results, so I was doing double duty. I'm not sure if people appreciate how stressful that can be. Well, I presented my results and I felt that my role was to present a dose of reality: the child is emotionally disturbed. He has a past of aggressive behaviors towards peers and adults, and suicidal thoughts. After the results were presented, I had to tell the parents that their son was eligible for special education services for Emotional Disturbance. Actually, it didn't go that smoothly. I think I actually said, "Emotionally Disturbed. That's such an awful term. If we can change Mental Retardation to Intellectual Disability, then we should be able to do something about Emotional Disturbance.

In the end, the parents took the news well, I think. The father remarked that they had heard the news before, and after hearing it from so many different people, there must be some truth to it. The team recommended the student enroll in a therapeutic school. The parents seemed more receptive to the idea of an alternative setting, but we shall see.

BBC

Making the Rounds

(Disclaimer - I know I failed on my mission of a new post every Tuesday, but I did start writing this post on Tuesday. It's taken me this long to finish it.)

First day back after a nice holiday. For some reason, I feel that MLK day has been downplayed. I don't think it's as big a deal now as it was when I was a kid. That could be because I grew up in the South, but it could be because of the multicultural society that we live in today. Maybe people feel as if they don't necessarily have to stress it anymore. I'm not even sure if it was mentioned in my building last week. There's a chance that kindergarten and maybe first grade talked about it, but they may have been the only one's to discuss it. My principal made a point of reminding the kids before they left on Friday to reflect on why they had Monday off.

Maybe that's where we are in 2010. We have a Black (Biracial) president, there are more opportunities for African-Americans, albeit a limited few have access to those opportunities, and there are few incidents of blatant racism. Maybe we've moved beyond addressing MLK in school. I remember asking an African-American teacher in my building what she was doing for African-American History Month. She told me that she wasn't doing anything special because she incorporated the information throughout the year.

Today, I went to two different schools to observe students that I am evaluating. These are both alternative schools, specializing in behavioral and emotionally-challenged students. I was impressed by the atmosphere in each building. On paper, these schools seem like they would be awful places to attend. In actuality, this couldn't be farther from the truth. Both schools--one an elementary school, the other a high school--seem very therapeutic. Each had a very welcoming main office, which is key to establishing a warm environment because it puts one at ease. And I met both principals as I explained that I was there to observe students.

In the elementary school I observed a student that seemed pretty well-behaved. I know that I was only getting a snapshot, but it was promising. It reminded me that his apparent success is the reason why we refer some students to these types of schools. Obviously, this was an appropriate placement for him. While I was observing him, I saw a former student of mine. It was bit depressing to see that he hadn't changed much. He was still rail-thin, his head riddled with bald patches from ripping out his hair during anxiety attacks. He was very meek and looked like he would fold into himself it it was possible. I had hoped that this school would have produced results for him, but it looks like he is pretty much the same. Unfortunately a lot of his psychological inertia stems from the fact that his parents are mentally ill with bouts of depression, paranoia, and anxiety. I'm supposed to reevaluate him before the end of the year, so this will give me more information on how he is really doing. I don't know if he recognized me. Hopefully he just didn't see me. Of all the kids that I saw in this school, he was the one that stuck out to me as being a child that seemed in critical need.

BBC

That Look

"He just had that look in his eyes." The words from my principal as we debriefed on what had been an absolutely crazy 2 hours.

It all began innocently when a new student began his first day of school. What began innocently as a chld with some social anxiety saying he didn't want to eat lunch in the cafeteria, quickly turned into me slow-chasing this child around my building, while preventing him from climbing over the stair railings.

First, he refused to leave his classroom because he didn't want to eat lunch. The social worker convinced him to come to her office. He then ate lunch in the main office, which seemed to be working. I was in meetings all day so I didn't know that he spent a part of that lunch period roaming the hallway in front of the office. Someone asked me who his teacher was, because he was a new student, no one recognized him and, oh yes, he was refusing to talk. I jumped in and tried to talk to him, but that didn't work. That's when my adventure began.

I'm in an elementary school that has 3 floors. I never really thought having 3 floors in an elementary school would be cause for alarm. That is until I met this kid, Elijah (name changed for anonymity). So I was in slow pursuit up the stairs, because I knew that he had some anxiety issues, and I didn't want to make him more anxious. But he was raising my anxiety level by trying to climb onto the railings. To make matters worse, when I told him to get down, he refused, and he wasn't talking-just grunting and gesturing. The only time he spoke was when he told me he wanted to play the drums. I followed this kid around from about 20 minutes. When he tried to squeeze in between the railings that's when my principal stepped in (a little bit scared at this point) and told him he had to go downstairs. After a few minutes of "chasing" him around the office, he finally settled in the copy room. Of course to get there he had to break the sanctity of the teachers lounge. The teachers that were in there were alarmed and flabbergasted to see a kid traipse through the lounge. When he found the piano, it had a soothing effect and it pacified him. And that's where he stayed until his mother arrived to pick him up. He was immediately suspended.

The next day, his mother provided a stack of paperwork from his psychiatric intake, hospitalizations, school suspensions, and other mental health matters that occurred since last April. This would have been handy to know the day before. I immediately set up a PPT because this kid came with mental diagnosis and had a full evaluation. The report was pending at the time of our meeting.

My director did not like the idea of this student being in my building. He is too much of a risk, especially to himself. My director immediately suggested outplacement into a therapeutic school, that specializes in problem behaviors and emotionally disturbed children. I was shocked because this happened so quickly, usually this kind of outplacement takes months. It's not cheap. But I guess it's cheaper than having a possible suicide on your hands. The mom agreed to having her son attend the school while we complete an evaluation. The child has not enrolled yet, nor has the mom gone to the school for the intake interview. The child has been on homebound (receiving lessons at home) in the meantime. It will be interesting to see where this ends.

BBC

ED not only means Erectile Dysfunction

Recently I was part of my first evaluation for a student with Emotional Disturbance. As I told the parent that her son qualified for services under Emotional Disturbance, the words sounded really awful coming out of my mouth. The mental health field has made tremendous strides by changing mental retardation into intellectual disability. Why hasn't there been a similar change in Emotional Disturbance? The term sounds very negative and contributes to the stigma of being in special education. Hearing that a student is ED conjures up images of the worst kind of student in the classroom. No one hears ED and has pleasant thoughts.

The student was the subject of my last post, "Stuck in a Corner." He's definitely ED, no question. His inability to regulate his emotions prevent him from meeting success in the classroom. In the PPT I described him as having 3 sides, 1 side is jovial and compliant, 1 side requires constant prodding to motivate him to perform, and 1 side is completely non-compliant. I have seen these different sides of him during the evaluation and observations. Now that he has been identified I hope that his new program for next year will help him find success.

BBC