Tuesday, January 31, 2017

You Never Know When

Before having Chelsea, I took so many things for granted. People talk about the grief cycle after a loved one dies, but many people don't realize that special needs parents go through the same process.


The stages are: denial, anger, depression, bargaining, and acceptance. With special needs parenting, it isn't a neat circle. Various stages hit at the most unlikely of times, and repeatedly for your whole life!



Depression: One night, my son came to me and said that he had growing pains and would I please rub his legs. I started crying- how many times was Chelsea having growing pains or headaches and was unable to tell me? What if in those times when she was in pain, I was annoyed at her crying? Does she resent me for not understanding?

Denial: A friend told me that they just knew they could get Chelsea to the point where she could maybe do a sheltered workshop job someday, if we just work hard enough for the next 15 years. Boom, denial. My kid can do more than a sheltered workshop! What are they talking about- she will be fine! Why can't they see her the way I do?

Anger: The school says they can only provide an "educational model" of services, so basically nothing of value to Chelsea. Services are expensive, they say. Kids just don't need as much as you are asking for.

I KNOW Chelsea is a high-dollar student! My husband and I spent every extra penny we had from working 3 jobs for therapy for that little girl, live in a crummy apartment, never eat out, never get new clothes, NOTHING because it all goes to helping her!!! And the school refuses help??? No way!!! Next stop is working yet another job to afford an advocate!
And cue Mama Bear mode!


Bargaining: When planning our summer, there is maybe one or two "relax and have fun" days scheduled in. But I'm sure that if I just work hard enough, maybe she will "get better".

So I plan themed days that incorporate speech therapy, occupational therapy, self-help skills, fine motor work, gross motor activities, reading lessons, math tutoring, writing help, plan educational field trips to have fun and do community learning... Then stay up for until 1 am prepping for the next day...

Maybe if I dedicate my whole life to her, she will make incredible progress! (Which she totally will!)

Acceptance: This is the stage I love the most! When I play princess tea party with Chelsea, or snuggle up with some books, or have my heart BURSTING with pride about every accomplishment, I feel pure happiness, which is what I want for Chelsea! Just to feel loved and have a happy life!




Saturday, January 28, 2017

K-SLP Basics

Recently, I was fortunate enough to attend a speaking event featuring Nancy Kaufman, the speech therapist known around the world for her work with children diagnosed with severe Apraxia of Speech, and who developed the K-SLP method of treating severe speech delays.


I LOVE this lady! She definitely knows how to treat apraxia, and we attended a speech and occupational therapy boot camp at her center in Michigan in 2015. I blogged about the experience here.


I wasn't allowed to take pictures or videos at the lecture, so will just cover 3 main points from her presentation.

1. Make it FUN and REPETITIVE!!!! This is one thing I loved about Nancy when we visited her in 2015. She had a room packed with toys and games and used them constantly in her sessions. There was almost zero quiet time, and it wasn't Nancy talking, it was high reps from the child!

2. Use PIVOT PHRASES!!! This is the way Nancy would get literally hundreds of words out of Chelsea in a half hour session- by using pivot phrases like "Go down _____" and have elmo, nemo, Minnie mouse, puppy, etc. go down a slide. They would all take turns.


Other pivot phrases might be: "_____ go ni-night" or "I like ______" or "_____ is nice". Keep it simple, and something motivating for the child!

3. Approximations are OKAY!!!! What I learned that is pure gold is teaching a consonant-vowel combo first INSTEAD of the consonant alone. Nancy uses these cards to give ideas for developmentally-appropriate sounds:


Meaning: If a child came to you and said a simple "Buh", you might think they want a ball, bus, book, bed, bottle... No limit of options! BUT if they correctly say "Boo", you would probably (correctly) guess "Book".
So teach "Ca...t" instead of "C...at" like most people think, like pictured here

Get the words out there in high volume, articulation will follow (with LOTS of speech therapy for our kiddos to get there, but it will come!)

Friday, January 20, 2017

More Busy Bags

Since my last blog about busy bags, I've been using them every few days- at church, in the car, or I will stick a couple in my purse for waiting in line. I don't want the kids to get bored, so I made a few MORE busy bags!!!


1. I am so beyond proud of how cute this dinosaur busy box turned out! I put a few dinosaurs in there, the blue is a river, and I LOVE the cute volcano! That is the best part, and the kids usually play "the dinosaurs fall into the volcano and die" Sadistic kids... Plus the felt makes the box really quiet!
2. A lego box! This one is super fun for the car because the box does a great job of keeping all the legos contained, and there aren't too many legos.


3. A fishing game! This one is really fun for a quiet place like church, and the kids LOVE playing with magnets!


4. A portable drawing station! Glue a clothespin or similar to hold the paper, then glue in a box of crayons. I liked the triangular ones because they don't roll away AND work on proper grip!

5. A button snake! This is one I had before, but re-did it with a cute ribbon and ice cream buttons on both ends with some  solid colored felt. So I just made it "prettier", and I love it!

6. Felt Christmas Tree Decorating. I made this one around Christmas, and the kids loved it. I saw a big one on Pinterest, but I'm not that fancy, so I made a little one.

7. Ninjas! I loved this- my mom sent my little guy a ninja book "Hello Ninja" and little ninjas with a "dragon" (Randall from Monsters Inc, but they haven't seen that yet!). So I put the book and ninjas into a bag, and they have ninja battles and ride on the dragon, like in the book.

8. Felt Pizza! I like this one a lot because we like doing Build Your Own Pizza dinners at our house, and this one doesn't run the risk of tomato sauce being splattered on the floor!


9. More Dress-Up Princesses! This was another that I already had in my last blog, but Miss Chelsea got several more for Christmas because she loved the ones she had soooo much and they are AMAZING for keeping her occupied!


10. Rubber Band Geo Board. I have had these for a while, but the kids only just started getting interested in them. They are amazing for fine motor control and teaching shapes!


11. Button Chains. This one is similar to the pom pom button chain in my last blog, but is harder because I use large buttons instead of huge pom poms. I am determined that Miss Chelsea is going to learn to button things for herself someday, and what better way to teach than with fun portable games?!






Wednesday, January 18, 2017

IEP Horror Stories

First of all, I hope you have a fantastic IEP team. I really do believe that most people in special education are there because they just love those kids and truly want to help.

HOWEVER, sometimes, there are rotten teams. Crummy administrators. Gatekeepers who care only about reducing cost, no matter what the cost to the child's education is.

So, here are some true stories (names changed) of bad IEP experiences:


1. We moved to a new district and bought a house because the elementary school we were zoned for was supposed to be the best for special needs kids. When my son with autism, Jaden, was enrolled, the school tested him and showed that he miraculously was "all better", and didn't need all the services his IEP required, despite meltdowns and him constantly trying to escape. They told me to read the book "How to Raise a Strong Willed Child". After several months of fighting, we pulled him out and homeschooled.



2. At my son's IEP meeting, the principal (who has never met Levi) was on his phone the whole time, kept referring to Levi as "Thomas", then asked if he really had autism, since he is in regular education, so he couldn't be that affected.


3. We had an occupational therapist who really didn't like Teresa. They didn't connect, and I don't think she liked me (the mom) either. To get us off her caseload, she challenged Teresa's diagnosis ataxia cerebral palsy, and had a neurologist look at her. They changed it to hypotonia, and Teresa was removed from the entire program, and lost weekly OT and PT from a medical unit forever because of that wretched woman.


4. Lydia was given a name stamp so she could "write her name" on her papers at school. When I asked the school to make an IEP goal of helping her learn to write her name, they told me it wasn't educationally necessary, and a rubber stamp was an accommodation. It seemed to me that if she can't even write her name, she isn't getting much of an education at all!


5. Calvin is fluent in sign language, but completely non-verbal, and the school refused an interpreting aide, or to provide training for the staff working with him because it would be too expensive. 




Wednesday, January 4, 2017

Illusions

Just today, I ran across an article about "lifestyle porn", and it made me step back and think. This term refers to people who display a very attractive (but highly unrealistic) life on social media, or their blogs. I had several thoughts on the issue, but particularly related to fitness and body image.



First of all, I'm not talking about a cool tip you found about a new workout to do, or a new veggie wrap that makes you say "Wow, that looks cool, I want to try it." I looooooove getting on pinterest for new ideas, and have a degree in exercise physiology. I love fitness and nutrition! And if what you read is motivating you to be a better person, then by all means, rock on!

HOWEVER, when people look at something and think "I need to be like that- it looks so perfect!", please remember that you don't see what is happening behind the scenes. To illustrate, I have a story!


When I was in high school, I was very fit and thin, and did a little modeling. I worked out 2-4 hours a day, and ate 500-700 Calories a day (everyone say Anorexic!). I remember going to a modeling job, and they had me wear a dress that crushed my already-anorexic waist down to a mere 22 inches, and pushed up my bust a LOT. When I stepped out of the dressing room, the lady in charge called some other models over and told them to try and get a figure like mine, and the other (gorgeous!) models looked ashamed.


I remember thinking in that moment, "Whoa, hold up there! I nearly passed out in the shower this morning because I don't eat enough, and can barely breathe in this dress, and you are telling people to imitate that??" That was the day I threw in the towel for modelling, because that is just ridiculous.

Even now, I have heard women talk about how such-and-such celebrity has a 21 inch waist, and if only they could too. I was curious, so went and measured my daughter Chelsea's waist. It was 20 inches. So then I sat there and scratched my head, thinking, "Why do you want to look like a 35 pound 5 year old??"


I want people to be healthy! But I also want them to realize that those models you see on TV or on the covers of magazines- that isn't "real". I know several models, and went through modeling school. 

Did you know- It usually takes these girls about 6 hours to get ready to go out- 3 hour workout, 1 hour shower with scalp treatment and exfoliation, 1 hour for hair, and another hour for makeup and nails... WAY more than sane people are willing to invest every day- how can you if you have a job other than modeling, or raising small children?


One of the best things I ever heard about confidence in your body was "If you want to know what real women look like, don't look at magazines or movies. Watch your mom, or the lady next door. Those are real women."

Saturday, December 31, 2016

2016 Re-Cap

What a year 2016 has been!!! I am so proud of how far Chelsea has come! Here are some January/ December comparisons from 2016:



Speech:
January 2016- 100 words, 600 word approximations paired with generalized signs. Strangers understand none of her speech other than "mama", "baby", and "Daddy"

December 2016- Says about 400 simple words, about 800 word approximations paired with generalized signs. Strangers understand maybe 75 words


Reading:
January 2016- Knows all uppercase letters, knows 7 lowercase letters. She can recognize her own name.

December 2016- Knows all upper and lower case letters, but sometimes mixes up q, b, p, d. Can identify several sight words and is understanding that the letters on the page mean something! She will sit and independently look through books for extended periods of time (30-60 minutes). Starting to try and read early reader books like "Ham and Jam"
Writing:
January 2016- Sometimes held pencil correctly, can write C and sometimes H. No tracing seen.

December 2016- Can sometimes write her own name in very large letter, and can trace a few letters (O, C, H, L, T) and some basic linear patterns, almost always holds marker/ crayon correctly


Potty Training:
January 2016- In diapers full time, no concept of when she was going, didn't tell me ever that she needed to go.

December 2016- In underwear full time, knows when she is about to go and signs and says "Potty", "pee-pee", and "poop" when asked. Still struggles with wiping and washing hands independently. Mommy nearly lost her mind multiple times this year getting her to this level! I think her record was 28 accidents in a SINGLE DAY!

Self-Help Skills:
January 2016- Usually follows simple, one-step directions (Pick up the ball), no hygiene skills, struggles to get on any clothes, struggles with cleaning up independently

December 2016- Attempts to brush teeth and hair, will usually follow more complex one-step direction (clean up your art project) or simple 2-step directions (get your clothes and bring them to me), puts on underwear and most shirts, skirts, and shoes by herself. Needs help with more difficult clothes- dresses, socks, things with buttons or zippers, helps with chores she has done repeatedly (putting clothes in hamper)
OT Skills:
January 2016- No cutting skills, can draw a "happy" face (with a straight line for the mouth), poor pincer grasp

December 2016- Starting to cut independently by opening and closing scissors, writing more letters and tracing better,
strong pincer grasp and is holding pencil correctly for long periods of time

PT Skills:
January 2016- Can run for 20-30 seconds at a time, and jumps off floor with two feet, Steps off bottom step with one foot, cannot consistently alternate feet on stairs

December 2016- Can run for 1-2 minutes at a time, and can jump from bottom step to the ground with two feet. Alternates steps going up and down stairs regularly.



Monday, December 26, 2016

Therapy with Stickers

One of the things Chelsea loves is stickers! She LOVES doing things with stickers, so several of our therapy activities revolve around them, plus- stickers are AWESOME for pincer grasp, which took Chelsea years to fully master! Some of our favorite activities include:



1. Color matching stickers! One of the Christmas break activities we did this year was making snowmen in several different ways. One of them was doing a matching color snowman, and putting the right colored dots on the outline of a snowman! Then we would draw on features once we were done.


2. Cross midline to peel off stickers! This is SO good for your brain! Often, kids with learning disabilities will switch things from hand to hand in the middle, rather than crossing across their body. My favorite way to combat this is to put stickers on the child's upper arms. That way, they HAVE to cross the opposite arm to reach the stickers!

3. Make designs with circle stickers! This one makes a great busy bag for restaurants or waiting in line- just cut paper or cardstock into fourths, then draw a design or letter out of little circles, and have the child place the stickers to form a letter! This works hand-eye coordination. You can also get super educational and put stickers that start with T (turtle) onto a T outline, etc.


4. Group like stickers! This is especially fun with animals. Classify big/ little, or noisy/ quiet, or farm/ jungle, or colorful/ earth tones... So many choices! I like the Melissa/ Doug re-useable stickers for this activity, which also are amazing because they stick to windows!!!

5. Create a scene and write a story! Let the creative juices flow! I like the paper that is half for drawing/ putting on stickers, half for writing- and write a sentence or two (dictated by Chelsea) that Chelsea then traces, and tells. This works cognitive by thinking of a story, speech- telling the story, fine motor- tracing the words, and then social skills in a show/ tell method.
I just know Chelsea will get to the "Dot on ___" of reading!

6. "Dot on _______" There are SO MANY dot-shaped stickers, and "dot" is easy for Chelsea to say. So an easy go-to speech activity for us is putting dots onto target words and saying "Dot on boat" or "Dot on hummus". It can be easily changed with "Minnie Mouse on _____" or "Mommy on _____", but dot stickers are much cheaper and more common!