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

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

Dreaming About Work

For the first time I had a dream about work. It started with me working on an evaluation of a child that will likely qualify as Intellectually Disabled (ID) and a mother who is resistant to that label. Everyone on the team knows the history and knows that the mom doesn't want this label. I've been working on building a solid case for having this child properly labeled. He's in middle school and is currently labeled ADHD. I'll admit there is some evidence of attention problems but the child is having all sorts of difficulties. I think his current IEP has close to 10 academic goals alone!

I've been thinking about this for a while because I accepted the challenge of pushing for appropriate services and diagnosis for the child. I just feel that the mother thinks that her child just needs intense instruction and that he's easily distracted. It's so much more than that.

So I was working on scoring adaptive scales before I went to sleep, then I dreamed about the upcoming meeting, and then woke up and continued to think about it. I'll be glad when its over. After checking his records today, I found that a neuropsychologist had made a similar diagnosis years ago, so I know that another qualified person tried to approach the diagnosis. Maybe I could use that to my advantage.

BBC