Because her diagnosis isn’t relevant. She’s neurotypical except for expressive speech delay. It’s called apraxia and people can’t wrap their head around a smart kind funny child who doesn’t have expressive speech. Her school is concerned that she doest’t take her play to the next level. I’m not. |
But what is the reason for the lack of next level play? Apraxia of speech does not cause that kind of problem in play skills. Does she have a diagnosis related to the play? |
So she's neurotypical except in the ways that she isn't neurotypical? |
We have two speech therapists and an OT but the school is ADAMANT that she has an aide to be one on one. |
| When a school is insisting that parents do something expensive, either the school is hoping the family will leave or the school is trying to wake the parents up to the significance of the issue. Or both. |
| I would offer $20-25 per hour depending on the person's experience and credentials. But it's not just about the hourly rate. Consider things in the contract like what's your plan for sick leave. Does the person still get paid if your daughter doesn't go to school that day for whatever reason. Stuff like that makes a difference. I assume you need a background check as well. |
| I’d find a new preschool. |
| You might need to be paying taxes as well. |
Many kids with apraxia of speech also have motor apraxia which leads to difficulties with play, and with any activity that involves planning. It’s not 100% but it’s not uncommon either. The fact that she qualified for OT indicates that her apraxia likely impacts more than just her mouth. |
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I’m a pre-k teacher in a private school. You may not want to hear it, but your child is doing some other behavior-related things that are diverting too much of the teacher’s 1:1 attention away from the group. There are either safety concerns, behavior concerns, a total lack of following any directions, running away, not socializing at all with the other kids or something else. This isn’t something they would suggest if the issue is minor. I’ve only seen it happen 3 times in 7 years. However, they must think the child could be successful with more support. They are trying to work with you rather than kicking your child out. Be cooperative with the school.
Have you visited a developmental pediatrician? Or do you just have the apraxia diagnosis from a speech therapist? |
Pre-K teacher again. Ask the school if they have any aide suggestions. Sometimes they can bring in a sub or former teacher there that wants hours. A special ed grad student would also be a good choice. $20-25/hr. |
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Two possibilities. 1. The school is completely overreacting and wants only perfect children. Those schools are out there and very toxic. You would need to figure out a different option long-term because it will damage your child to be somewhere they’re barely tolerated. 2. Your child has needs beyond what you’ve seen. Sometimes a child’s performance and behavior is starkly different outside of the home. I wouldn’t rely on an SLP or OT to make a full evaluation. You need a full neuropsych.
To answer your question about an aide, you probably want a former TA, special ed para, preschool teacher, etc. You might have luck calling nanny agencies. Also, plenty of kind but burnt out RBTs who might welcome a change in scenery. |
| What kind of AAC supports does she have in place? |
Why? |
| I agree with the pp who recommended a developmental pediatrician. Speech therapists and OT will work on symptoms, they won’t give you a comprehensive picture of what’s going on. |