Student (J) is an 11 year old 5th grader who had
a stroke before he was born. He has no use of his right hand, and limited use
of his right arm. His right leg is also affected. He wears braces on both his
right hand and leg, every day. He wears glasses and has had 2 eye surgeries at
18mo and 7yrs. At 1.5 yrs he started having infantile spasms (a form of
seizures). At 22mo, Mom & Dad spent 2 nights in the hospital with J,
learning how to hold him down (Dad) and stick needles in his little thighs and
push 10ccs of a gel that burned (Mom) into his system, twice a day. Seizures
stopped within a week, but weaning off the drug took another 5 weeks. Were the
seizures not stopped with drug options, J would have had to have a
“hemispherectomy” or removal of the affected part of the brain. J did not walk
until 2.5yrs and did not talk until 3.5yrs. When he was 8 years old, the doctor
gave him Botox injections in his right calf and they casted his leg for 2
weeks, trying to lengthen his calf muscle so that he could walk with his heel
down, instead of on his toes like he was. The Botox worked wonderfully. He was
in the state funded program ECI (Early Childhood Intervention) from around 1yr
to 3yrs, when they help get him into the public school system. He attended PPCD
(Preschool Program for Children with Disabilities) and then a blended PreK, for
2.5 years, and then started Kindergarten at the same school. Within 2 weeks of
starting Kinder, he was having major behavior issues and the teacher kept
writing referrals and sending him to the office. In one incident, the newly
hired Assistant Principal just sent J home for the day. Over the next few
months, J was rapidly slipping through the cracks and learning absolutely nothing.
His behavior at home was also becoming more and more difficult to handle. Mom
& Dad met with school staff, tried to explain J to them, and even showed
them J’s MRI from 6 mo of age which show 60-70% of the left hemisphere of his
brain to be an empty spot. The referrals stopped, but nothing much changed. Mom
felt that J was just being “tolerated”.
Mom & Dad decided to make a big change in May of that school year,
and move J and his two younger brothers to another district, one with a
wonderful reputation, and impressive ratings. Within 2 days, an ARD was called
to discuss J in this new school. The committee met and decided 3 big things: J
would attend summer school that summer, would repeat Kinder at his new school
next year, and Mom & Dad would put him on medicine to deal with his
“attention issues”. Over the next 5 years, with a few bumps in the road here
and there, J flourished. He became quite well known at his school, the children
looked after him, the teachers and staff grew to love him. He learned to read,
and although behind academically, he was learning. His social skills became a
focus starting in 3rd, and everyone worked to help him with that.
Things were going well, and J was thriving. Behavior at home, was still very
difficult at times, squeaking, yelling, banging on things, cussing, and some
things could trigger a “meltdown”, which only Mom could get him out of. The
tradeoff being, he was doing well at school, so the family took the brunt at
home, and decided, fair enough. ARD meetings at this school became a positive
thing, and Mom and Dad always walked away feeling as if they made the best
decision moving here. These teachers and administrators cared about J so much,
and would go above and beyond to do what J needed to be happy and successful. They
found someone to start checking on him at lunch, where they slowly noticed him
talking and laughing with his friends more. Then someone would check on him at
recess, because J would just wander around not talking to anyone or playing
anything. A few times they convinced him to join in a basketball game with his
peers. The counselor created a social skills group for several students so that
they could talk and learn about how to behave with their peers or adults in
certain situations. J really seemed to enjoy those.
The summer before starting 5th, Mom begins to
notice signs of J starting puberty, and the behavior issues increasing. (On
summer vacation, J wakes up the entire family at 7:30am, by letting the very
heavy, very loud, door to outside slam, over and over and over again. Mom got
up and told him to stop, but 30 min later, he was slamming again.) In this
district, Elementary stops at 4th, and the students move to
Intermediate for 5th & 6th. This not only means
switching schools, teachers, staff, administration, but also 8 periods
throughout the day to switch to, and lockers in between. There is apparently no
order in the hallways, the students are free to move about as they please. This
very quickly begins to unnerve J, who says the “kids act like a bunch of
heathens”. There is also a very big change in expectations of the students.
They are “not in Elementary anymore” and it’s time to start “taking
responsibility”. Mom decides to be proactive, and not knowing any of the adults
at this new school, she writes two letters to send to the teachers. One,
explaining J’s history, his likes and dislikes, things that “set him off”, etc.
and the other explaining the J Mom gets at home, and therefore homework is an
issue and organization, etc. A few of the teachers reply, mainly the Special
Education teachers, of which he has 2- Math and Language Arts. Science and
Social Studies are Regular Ed, but we have modifications in his IEP (Individual
Education Plan). The PE teacher is concerned about the noise level in the gym
and where she should place J in line, so Mom talks to J who states he would
like to be up front, because then he can see when the noises (loud music, for
example) are coming, by watching the teacher, and be prepared for them.
So as Mom sees J’s stress level rising, she tries to
communicate as best she can with each teacher, stay on top of J’s work and
organization, and figure out what she can do to minimize his stress. The
biggest issues seem to be Science and Social Studies. Mom thinks that this is
because they are the last two classes of his day, and they are the only ones
full of Reg Ed students, (his Spec Ed classes have only 4 or 5 students) and
that the work is too hard for him. Both teachers report that J is not
participating in class, not “self starting” any work in class, and Social
Studies is unhappy with him not turning in his work on time. J ends up with at
least three 70s on homework because Soc Stud takes off 30 points for being
“late”. Science reports that she asked J to sit at her computer to type his
answers to a modified assignment, he left to use the restroom, and didn’t come
back for a while. She had to send another student to get him. This tells Mom
that things are not going well. J is shutting down, a sure sign of stress and anxiety.
When Mom asks J about this when he gets home, he gets very upset and ends up
crying about the situation. Mom tries to explain that he is not in trouble, but
that she needs to know what is going on so that she can try to fix it. J has a
very hard time communicating, but Mom finally gets out of him that the work is
too hard. Mom asks to meet with Science and Soc Stud and they set up a time.
Before that meeting, Sci calls Mom at home and simply asks, “What can I do to
make J successful in my class?” Mom couldn’t be happier with this call, and
tells Sci her thoughts on it being one of his only Reg Ed classes and that the
work might be too hard. Sci tells Mom about modifications she is going to do to
help J. (One big point to mention, Mom was an Elementary teacher until J was
diagnosed.) So at the meeting with Sci, Soc Stud, and a CM (Content Mastery)
teacher, Mom finds out that there are no goals in J’s IEP for Sci and Soc Stud,
so the teachers can only modify the work, but cannot modify the actual curriculum.
For example, in J’s 4th grade Math (Spec Ed), the teacher taught him
the 4th grade TEKS (Texas Essential Knowledge and Skills- the state
created, state mandated curriculum which lays out each and everything to be
taught in each grade level for each subject) but on a 2nd grade
level so that he could understand and therefore learn. To make these changes in
his IEP, we would need an ARD. At the meeting Mom makes sure it is ok if J
carries only his backpack with some lightweight folders instead of the school
requested huge 3 ring zip-up binder that J has a hard time carrying. Mom also
requests that J be carrying his AlphaSmart (a district supplied lightweight
keyboard J uses to write out some assignments) everywhere he goes. Both are
agreed. Mom then asks if it would be possible for J to leave each class 1 min
early to get to his next class while the “heathens” were not “running and
yelling and pushing” through the halls. Soc Stud says that they “work right up
to the last minute in her class” so that wouldn’t be possible. But, J can hang
back and wait for halls to clear before moving to Sci. Mom decides that this
will work, but wonders how J could be both “not participating” and “working up
to the last minute” at the same time….
So a week or two later, two tests come home from Sci and Soc
Stud, both with 60s and needing to be corrected and returned. Mom sits down to
go over them, and J doesn’t seem to know a thing. Also, an email from Soc Stud
stating that the test needs to be corrected, that he is not turning in his
homework on time, that she has had to “hunt him down” and that it is “hurting
his grade”. She states that she wants to “keep (Mom) in the loop so that we can
keep his grades where (she) knows they should be.” Mom wonders how this teacher
knows where his grades should be… So Mom decides to call an ARD so they can get
the proper goals and modifications in place for J to be successful. Mom also
makes an appointment for J at the Psychology Department at the hospital where J
sees a Neurologist every year. Hopefully they can help with his behavior. The
ARD is set for a little over a week later. Mom does all of the test corrections
with J, stays on top of the homework, and just tries to keep things moving
along. Two days before the ARD, Soc Stud sends an email saying that J lost his
workbook, and that he has an assignment in it due the next day, and 3 more next
week, so he needs to send a check for $10 to replace it. So Mom sends a check.
Dad cannot make the ARD due to work, but Mom assures him
that she will be fine. Mom has a written list of things to address and ideas on
what she wants to say and make sure happens at the meeting. Mom is a little
nervous about how it will go, considering she doesn’t really know any of the
other people very well yet, but they are all there for the same cause, so
things should be fine. J’s Special Ed Math teacher emails goals the day before,
and tells Mom how incredibly proud she is of J. That he has been doing very
well in her class, comes in with a smile and ready to learn. She is sorry that
she won’t be there because she has class at that time. Mom thought schools
usually got subs for that, but I guess not. Special Ed Language Arts also sends
goals via email, and then calls to make sure Mom doesn’t have any questions.
Both of these teachers have been able to get to know J, since they have such
small classes, and they are Special Education teachers, so they know how to
modify things for him. J is doing fine in both of these classes, and says that
he enjoys them. Science and Social Studies are the ones that he says he does
not enjoy.
At the ARD meeting there are 7 people:
Diagnostician (Diag)
Spec Ed Lang Arts (LA)
Content Mastery (CM)
Social Studies (SS)
Science (Sci)
Administrator (Admin)
Mom
They all sit down at a conference table and say hello. The
meeting starts with Diagnostician, which is the usual protocol.
(Diag) “We are here to add goals to J’s IEP for Science and
Social Studies, correct?”
(LA) “I also have some goals, and (Math) sent some too.”
(Diag) “That’s for his Annual, this is just a Review. So why
don’t’ we save that for his Annual? We have to meet twice anyway.”
(LA) Looks down- “Oh.”
(Diag) “Or we could just make this his Annual? Do we want to
do that?”
Looks at Mom.
(Mom) “Yes, I’d like to get as much done today as we can.”
(Diag) Writing- “Ok… So ‘Science’, what issues are you
seeing?”
(Sci) “Well I have here some of the ways I have been
modifying for J. Like only 5 questions at a time, and color coding them.
Yesterday I sat with him and we cut out these three pieces of paper, he told me
what order they went in, and I helped him glue them down to this paper. That
way he got the basic information for the lesson.”
(Diag) “Ok, ‘Social Studies’? What issues have you been
seeing?
(SS) “Well I have to give him constant reminders to get to
work. If I don’t walk by him on a regular basis and tell him to do something,
then he just won’t. I ask him to take things out, like his AlphaSmart, and he
will just sit there. He also doesn’t turn in his work when I ask him to. He
doesn’t seem to ‘self start’ on anything, so I constantly have to walk by him
and tell him exactly what to do. He isn’t turning in his assignments. Even when
I tell him to take it out and turn it in, he doesn’t. I sent home a blank card,
for him to write notes on?”
(Mom) “Oh! Yes, I brought that with me, because I wasn’t
sure what you wanted him to do.” Mom pulls out the card, one piece of paper
with information on it, and a sticky note that reads, ‘write down notes on
here. You can use it on the test.’
During this time, (Admin) hears a little girls voice at the
door. She smiles to everyone and says, “Oh that’s (girl’s name)”. She then gets
up, goes to say ‘Hi’ to the little girl, comes back in the room and gets a
candy bucket out of a cabinet. She walks over to the girl, talks to her, lets
her pick out candy, says goodbye, closes the door, puts the candy bucket back,
and sits back down at the table.
(SS) “Yes, I sent him to Content Mastery to work on it, but
I don’t know what he did.”
(CM) “Well I wasn’t in there at that time, so I don’t know
if anyone worked with him. There was a large group in there though, so that
makes it harder to do one-on-one.”
(Mom)Thinking- What?
Isn’t that what Content Mastery is for?? “I just wasn’t sure how much he
was supposed to write, and since we were meeting today, I thought I would just
bring it with me.”
(SS) “Well there were actually three pages stapled together
that he could use. But the test is today.”
(Mom) “He told me it was tomorrow.”
(SS) Sounding irritated- “No, it’s today.”
(Mom) Feeling irritated- “Well he must have just gotten
mixed up, because he’s not a liar, he just can’t lie. But there’s nothing on
this card, so maybe the work is on his AlphaSmart.”
(SS) “Right. Well the test is today.” She goes on to talk
more about how she has to constantly remind him to do things, and sometimes he
still doesn’t.
(Mom) Really wondering why this teacher won’t cut him some
slack- “He has always been like that. That has been a big part of his goals the
past few years, we’ve talked about it at every ARD, and we have all tried to
work on that with him. If he doesn’t have someone nudging him along, he
struggles with getting things going on his own. Especially in a bigger
classroom like that. The problems I see are that I think the work is too hard
for him. He is in a bigger classroom, it is the end of the day, and the work is
just too hard. I don’t know, if he maybe
had an aide or something?”
(Diag) (interrupting) “Well the problem there is, one day he
is going to have a job. Our goal is to get him there. If we always give him
someone one-on-one, then he will never get there. No one is going to go to work
with him and nudge him along one-on-one so that he can stay employed. Do you
know what I mean? That is the ultimate goal. ”
(Mom) Wait, What?? A
job? He’s in 5th grade! Why would I be concerned with how he will
keep a job one day??
So Mom decides to drop that for now, and talk about her big
concerns right now.
(Mom) “Well my
biggest issue with J right now is his stress level. He was ok the first 6
weeks, although the noise level and changing of classes, and trying to keep
track of everything has him pretty frazzled. He has started doing this thing,
this behavior. He thinks there is constantly
“urine” (his word) on his hand. (All faces in room show surprise or concern.)
If he touches something, there is now urine on that item. The urine stays on
the item permanently. Like his fan in his room he uses to sleep, every night he
turns it on, and has to immediately wash his hand, because there is now urine
on it again. At home, he washes his hand every few minutes. He will not hold my hand, because he will “get
urine” on my hand. Like I said, he compulsively washes his hand, and every time
he gets a new towel out of my kitchen drawer, because the last one he used now
has urine on it. So my kitchen towels stack up all over my counter. There are
mornings that I hear him, as early as 6:30am, closing doors to his bathroom and
turning on the bathtub to wash his feet, because he went outside and got bird
poop or urine on them. Now this has me concerned and I’m pretty sure it’s his
stress level and anxiety causing this behavior. I have made an appointment at
(name of hospital) for their Psychology Department. I was told that they work
with patients on stressors in school.”
(Diag) “Well, we could get a Psych Consult? She would come
out and observe J and decide whether we need a Psych Eval?”
(Mom) “I guess we could do that. Although he probably won’t
tell them much.”
(Diag) “Well she would also be talking to you.” (In what Mom
feels to be a condescending voice.)
(Mom) “Um, ok. That sounds good.”
(Diag) “You would also sign releases so that the district
can communicate with the hospital and vice versa.”
(Mom) “Ok.” (Mom glances at her list.) I just feel like his
anxiety is through the roof. He’s just got so much going on with all of the
changes. The reason I called this was to get the goals for Science and Social
Studies, because I just feel like it’s too hard. His 4th grade Math
teacher taught him the 4th grade concepts on a 2nd grade
level, because there are just some abstract concepts that he just cannot
understand. He doesn’t understand sarcasm, or lying, because why would you say
something that wasn’t true? Or say something happened a certain way, when it
didn’t?”
(Diag) “I looked up his test scores. I have them right here.
I pulled them expecting one thing, but I was surprised.”
She then proceeds to read aloud different tests and the
scores he received. Mom is unsure of what tests those are, or what the scores
even mean, but by the reaction of others in the room, Mom assumes he did ok on
those tests. As she goes down her list, Mom is thinking, those tests have nothing to do with the issues I’m talking about.
(Diag)- Glancing towards (LA)- “You see? I just wonder if
he’s foolin’. See this?” Showing (LA) more scores.
(Mom) – extremely irritated by the ’foolin’ comment- Doesn’t anyone else in here understand him? Am
I really the only one here for his voice to be heard? Is no one else going to
speak on his behalf? Or is this meeting all about what he is NOT doing and how
he could be playing games, or pulling one over on me? “But aren’t those test done in a quiet
environment and one-on-one?”
(Diag) “Well…”
(Mom)” My number one priority with J is his happiness.
Keeping his stress level and anxiety down.
I have been (voice cracking) through so much with that boy in his life,
and I want him to be happy. Of course his academics are important to me, but if
his anxiety gets out of control, then his whole little world will come crashing
down around him. I am concerned with his academics, but we just don’t know what
the future holds for him, or what he will be able to accomplish, so I just want
to make sure he is happy.“
Room goes quiet for a few seconds. Mom doesn’t remember
exactly what all was said, things seemed to go blurry. While the committee
continues to discuss the new goals for Science, Social Studies (which are
exactly the same for both, but do include the teachers accepting ‘verbal’
answers, so Mom likes that. They read aloud and nod in agreement.
(SS) “If he tells me a verbal answer, can I then have him write it?”
(Mom) “That might work, because if he gives you an answer,
and you tell him it’s correct, that would give him the confidence, and he
probably wouldn’t mind writing it.”
All agree. Mom glances over her long list in front of her. Did I cover everything? Am I getting
everything done for him to be successful?
An adult’s face appears in the window in the door. (Admin)
looks at the person and mouths very loudly and sternly, “I’m in an ARD!” The person
mouths, “I know!” (Admin) rolls her eyes, gets up and goes to the door. Mom
can’t hear exactly what is being said, but realizes that it is very
distracting. She does hear (Admin) say a few times, “I don’t know! I don’t
know!” She then closes door again, and walks back to sit down at the table.
Science signs the ARD paperwork and stands to leave.
(Sci) “I have a class.”
(Sci) “I have a class.”
(SS) “I do too.”
(Admin) “Ok.”
Mom glances at list again. Wait, they’re leaving? Are we done? Did we cover everything? Did I get
all my points across to everyone? Do they now understand him better, so that he
will feel less stress? Mom starts frantically crossing things off her list,
trying to see what she hasn’t said yet. (Sci) and (SS) say thank you and
good-bye. Mom realizes that the meeting is over. So she puts her stuff away,
and they all sign and say their pleasantries. (Diag) makes sure to make the
point to Mom one more time that one day J will need to hold down a job. Mom
says good-bye and thank you and leaves. Feeling many emotions, relief?
Confusion? Hope? Frustration? She calls Dad to tell him how it went.
(Mom) “I think it went well.”
Over the next few days, Mom talks to several people in J’s
life. As she tells the story over again, she starts to really feel frustrated.
Why were they talking about J holding down a job? What does that have to do
with 5th grade? Why is SS so hard on him? Does she truly not
understand everything he has been through? Or everything he goes through on a
daily basis? Does she even care? What else can I do? Who can I call? How do I
get at least one more voice in that room for J? Not, Dad, although Dad needs to
be there next time. But someone, who knows J and can make sure we are doing
everything we can. Mom really starts to think about all of her options. She
makes a call to the head of Special Programs for the district, but is told they
will call back after the break happening the next week. Mom knows she needs the
‘teacher scoop’. She needs to find out what the teachers think about the
school, what the teachers think about each other, that kind of thing. There is
something missing here, and Mom needs to find that out.
A few days later, Mom
runs into someone that has more of an ‘inside scoop’. At one point in this conversation, Mom gets to
the bottom of SS. This is Social Studies’ VERY first year of teaching. Now
we’re onto something. Mom being a teacher herself, this is something she can
relate to. This is something she can work with. Not sure why J ended up in a
first year teacher’s classroom at such a transitional time for him, but
nevertheless, this explains a lot.
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