Friday, September 25, 2015

Angela Hanscom: Stop Blaming Parents (Including Yourself) For Sensory Disorders

It’s one thing to say that play-based learning is great. It is an entirely different thing to say that “We are consistently seeing sensory, motor, and cognitive issues pop up more and more in later childhood, partly because of inadequate opportunities to move and play at an early age.”

I love play. Kids need to play. Play is healthy for kids. Heck, play is healthy for all of us! Play can be excellent therapy for kids with sensory issues.

But for Angela Hanscom to claim that sensory issues (such as Sensory Processing Disorder, commonly seen in developmental disorders such as Autism) can be prevented by age appropriate play is unsupported, at least by any of the links she provides in her Washington Post article "The decline of play in preschoolers - and the rise in sensory issues." Furthermore, it encourages society to blame parents and look down upon children with sensory issues, most recently exemplified in a lawsuit against parents of a child with autism. While this may be a singular example, the blame game becomes systemic where poor families are concerned. Hanscom appropriates data which points to poverty as a primary factor, and inaccurately claims that inadequate play is the cause instead, even for parents such as herself who had the capacity to sign "her up for music lessons, put her in dance, and [drive] her to local museums."

The first link in Hanscom's post is a Psychology Today article which discusses one 2015 report and the results of three studies. It does not mention sensory issues at all. One study was carried out in Germany in 1992, and the other two studied children from poverty. Socioeconomic status plays a huge role in identification of behavior problems. While lack of play could be a component in theory, cultural and environmental factors cannot be ignored. The 2015 report is linked directly by Hanscom, discussed below.

The second link discusses reading education, and is the same 2015 report highlighted by Psychology Today. Again, at no point are sensory issues mentioned. While sensory issues certainly can affect language acquisition and reading, difficulty in reading does not necessarily indicate sensory issues. I do not intend to critique the report here, but suffice it to say that at no point does it suggest correlation (much less causation) between play and sensory issues. Furthermore, it highlights the importance of considering the role of poverty in education:

“A massive amount of research conducted over the past several decades in the United States and in countries throughout the world consistently shows that families’ socioeconomic status is the most powerful correlate of student achievement.”

The third and final link is most contradictory to Hanscom's claims, regardless of socioeconomic conditions. The New York Times article itself states that “an increase in autism diagnoses among children... have grown, at least in part, because of more accurate identifications of the disorder.” Diagnoses have increased because of better diagnostic procedures, willingness of doctors to provide (and families to seek) a diagnosis in order to help patients access support through their insurance or other services, and mounting awareness that Autism is not a simple binary, but an enormous spectrum.

As a parent who has dealt with the uncertainty of undiagnosed delays, my heart goes out to all parents who do not know the source of their children’s sensory issues, including Ms. Hanscom. Self-blame can be the easier way to cope when the alternative is to embrace the unknowable. I wanted to believe that I was at fault for my child’s delays - I thought it would be preferable by far to accepting that something was “wrong” with him; that he might have a permanent disability. Now that we have a genetic diagnosis for a congenital condition, I know: there is nothing wrong with him. I didn’t do anything wrong. I wouldn't change a thing about him. He takes his time, I take mine, and we play. I'm sure play is beneficial for him. But he doesn't experience life the way he does because he didn't play enough, or for any other reason within my control.

Tuesday, July 21, 2015

Not Going BACK to School? A Starting School Survival Guide for Parents of Children With Disabilities

Parents of kids with disabilities face all of the same anxieties that other parents face upon starting pre-school or kindergarten. Will my kid make friends? Will she like her teachers? Am I going to cry before I get back to the privacy of my car?

There are also other concerns, many of which are more abstract and frightening. Are the teachers going to think I’m a neglectful parent? Are they going to understand that pulling my kid out of school for therapies isn’t like pulling them out to go to a movie? I’ve read a dozen articles about special needs children who got locked in a closet all day at school and the parents didn’t find out for weeks, but they wouldn’t do that here... would they?

I’ve been there. I have a few tips based on my experience that might help you navigate the start of school and get the best education for your child.

1) A diagnosis helps build trust with teachers. When my child started at our neighborhood public school, he was on an IEP but didn’t have a diagnosis. He couldn’t put on his shoes and had other delays. We got a diagnosis a few months after school began. With the diagnosis, I found that the teachers were much more eager to work with me. I'm not saying that their change in attitude was right, or fair, or good. It was simply what I observed. I don’t know if they thought I hadn’t tried to teach my kid to don his shoes, or if the diagnosis gave them something they could understand more easily, or something else. It may be that it gave them more confidence that I was advocating for my child in good faith.

2) Be patient. The start of the school year is a whirlwind for everybody, and everyone is stressed out and trying to figure things out at warp speed. Yes, definitely advocate for your child, but you will get better results by saying to the teacher, “I have a question to discuss with you, but I realize now might not be the best time. Is it best to call? Email? Discuss after school?” Different teachers find different communication methods convenient, so you will do best to meet their requests. Always be respectful of teachers’ time, and treat it as more valuable than your own. The dividends of this consideration are enormous. Plus, if you make sure the teacher knows that you are available to them, you may find that you are in a better position to advocate than the other way around.

3) Allow easy communication between all parties. I’m sure this can backfire, but I signed all forms I could get my hands on to allow my child’s teachers to communicate directly with his therapists, and vice versa. I sent an email to the physical education teacher with a brief summary of his history and the contact information for his therapists, and asked her to contact me with any questions. The result, for us, was a strong network of experts who could openly communicate with each other and our family on a moment’s notice. I believe everyone in this network learns from each other and benefits in ways that help not only my child, but other present and future students living with cognitive, developmental, and physical differences.

4) Find your advocates. At one point, I requested a meeting with my son’s school therapist and ended up crying to her about my frustrations. Next thing I knew, she had set up a meeting with the principal and primary teachers so that we could sort things out and reach an understanding. This was very difficult and emotional, but I knew I had found an advocate. This therapist knew how and when to intervene to help a family in distress. Which leads me to:

5) Practice saying, “That won’t work for us. Let’s find a different solution.” You don’t have to be patient forever. If you’ve done your best to accommodate teachers and therapists, it may be necessary to communicate that you will find a different way to get your child’s needs met. You’re told you can’t get an IEP evaluation for six months? “That won’t work for us. Who can I talk to about setting up an evaluation sooner?” You are told that your child doesn’t qualify for individual therapy? “That won’t work for us. Can we get individual therapy half of the time, at least?”  If you feel like you’re beating your head against a wall, that means you haven’t found your advocate yet. That’s the time to say, “This isn’t helping me with my child’s education. Is there someone else I can talk to?” We were fortunate to find lots of support at our neighborhood school, but you may need to search for your advocates at a different school or district.

6) Know your rights. I have the right to see my child at any time, for any reason. If I have fears, rational or irrational, about my child’s well-being at any time, I can check on him. I have the right to keep my child’s diagnosis private, although that is not what I chose to do. I have the right to request a meeting or an IEP review. I’m not an expert on the ADA, IDEA, or other federal laws regarding special needs education, so I can’t say for certain what rights are guaranteed nationwide. Be sure to find out for yourself what applies to your situation. If you are looking for a particular accommodation that doesn’t seem to be available, say it with me, “That won’t work for us. Let’s find a different solution.” Make sure you are 100% confident about your child’s safety and well-being.

Start of school will likely be difficult for your child, too, so don’t forget to give them as much support as you can. Pack all of their favorite snacks. Keep the weekends low-key, or fill them with your child’s favorite outings. Practice a lot of deep breathing together (even if you’re the only one calmed by it).

Show your child with disabilities that you are just as dedicated to supporting her typical siblings every fall. In fact, nearly every tip listed above is just as helpful when advocating for typical children! Build relationships with teachers, and also with other caregivers, coaches, parents, and families. You'll be amazed at the people who already love your children.... ALL of your children.

Remember that special needs education has come a LONG way since we were kids. There will be tough times, but you and your child are about to find some wonderful allies and friends. Let’s make it a great year!

A brief note about nomenclature: I am relatively new to the disabled advocacy community. I understand that words are inherently loaded with various meanings, and I have purposely chosen to use a mixture of the terms "disabled," "with disabilities," "special needs," and "typical," despite the problematic nature of all of them. Context is my (imperfect) guide. Here are a couple of resources for those wishing to learn more:
People First Language (Kathie Snow)
Examined Life (Judith Butler, Sunaura Taylor)
The Significance of Semantics (Lydia Brown)



Thursday, July 16, 2015

Defending My Son Who Wears Skirts While Fighting Victim Blaming and Sexism

My son is four. When he was two, he went through a phase of wearing pink pants to day care for about two weeks.

About four weeks before preschool ended for summer this year, he started wearing skirts, dresses, and flowery shirts to school most days. I felt a little awkward about it for the first couple of days, but I didn’t have any good reason to stop it, and frankly, I had several good reasons to support it.

For one thing, it made the miserable drudgery of convincing him to get dressed for school bearable as summer vacation approached, seemingly at a snail’s pace. Our only hope of getting him to school on time was to let him wear ANYTHING that fit the school dress code. Every parent has heard the advice, “pick your battles.” Each item of clothing he chooses himself increases the likelihood that I’ll get a bite of vegetables in him at dinner, a reasonable bedtime, and the car seat buckled without a scene.

The school responded to his wardrobe choices in exemplary fashion. As he went in, a teacher would ask him, “What are you going to say if someone asks you about your shirt/skirt/dress?” To which he would answer something along the lines of, “It is my concert shirt” or “It makes me happy.” The teacher would then say, “OK, that’s what you say if anyone asks you why you are wearing it!” In he would go, happy as a clam. Out he would come at the end of the day, having raised a few eyebrows and received lots of compliments, still happy as a clam. I was relieved. So I picked up a few items at a thrift store that fit him better (and may eventually be available to my younger child).

During the last week of school, my in-laws very generously offered to watch the kids so I could go out for dinner with friends. Upon my return, I faced a very unusual confrontation. It may not seem confrontational, but trust me, this is as confrontational as my in-laws get.
FIL: “So, what is with the skirts?”
Me: “Well, it is the path of least resistance right now. We would’ve been on time for school this morning if I had known he was willing to wear a skirt. Instead I spent an hour trying to get pants and shorts on him. I don’t know why he didn’t just ask for a skirt…..”
MIL: “Do you think he prefers them?”
Me: “Well, you know, I do — especially when it is hot out like this, skirts are a lot more comfortable and cool. I mean, the Scottish preferred them, too, right?”
FIL: “I just hope he isn’t getting teased too much at school.”
Me: “No, that isn’t a problem. I asked him the other night at dinner if anyone said anything about his dress. He said everyone loved it.”
FIL: “Mmm. I’m not sure how long that is gonna last.”
I’m no idiot. I know that school children can be merciless. However, even in this exceptionally civil conversation, I see a couple of concerning assumptions.

My son isn’t hurting anyone. For whatever reason, he is choosing to wear frills and frocks on occasion. Yet the assumption is that he will be teased for dressing “like a girl,” and that action should be taken to prevent this from happening. There is a simple phrase for this attitude: victim blaming. The implication is that my son, by wearing girls’ clothing, is “asking” to be teased; that he would be the perpetrator of his own [non-existent] torment; that he should conform to societal norms to avoid even the risk of bullying instead of society confronting bullying, in the event that it occurs. If it does occur, why not confront and educate the bully, rather than admonish the victim?

There is also a gender bias here. While girls are often judged for wearing just about anything — be it masculine, feminine, short, or long — I think it is fair to say that societal norms favor girls wearing pants more than boys wearing skirts. Girls are permitted (if not encouraged) to emulate boys, while boys are shunned for emulating girls. This continues into adulthood with serious ramifications for women, men, and families. Women are encouraged to “lean in” to their work while child rearing, but men receive little or no paternity leave and are learning to pass as workaholics so they can spend more time with family. The examples are endless, but suffice to say that just as the opposite of science isn’t girl, the opposite of boy isn’t teacher, nurse, dancer, or homemaker.

My son wore a a flowered shirt, frilly skirt, and leg warmers on the last day of school. I am very proud of who he is and the many wonderful girls and women he may wish to emulate. I am proud of his school, which has accepted and embraced him completely thus far. And I am proud of myself for not caving to my in-laws.

This piece is also published on Medium and Huff Post Parents.