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. |
| It sounds like you should pursue a neuropsychological evaluation and a developmental pediatrician. |
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PP here and I’m wondering if it’s our former preschool, and if so my advice changes to GET HER OUT NOW. This is a first step to counseling out but generally making your child miserable enough they want to leave.
Is it located in Potomac? |
I don't see the need to say she is not autistic. "We are seeking a reliable private classroom aide for our 4 yo DD with a significant expressive speech delay (apraxia)." Then say how it impacts her and the support she needs in school. |
You need ABA. |
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OP we were in your exact shoes. You seem to want to stress that she is not autistic. At 4 & 5 my dd was only diagnosed w/ Apraxia, but one of her drs at Georgetown said that often w/ girls that diagnosis becomes an autism one (in addition to the apraxia) down the road. My almost 8-year-old is due for her next evaluation, and I wouldn't be surprised if she now gets an ASD diagnosis as well.
We were in a similar boat for preschool. I think you are putting too much weight on her being new to school. That isn't why she's not taking play to the next level. Many kids join in the 4's, pre-k or even start at K and do not have those issues. For my daughter's year 3, we were able to pay a teacher from the school who only taught in the afternoons to come earlier and be her aide in the am. We paid $30/hr w/ a bonus each semester. After that we started her in intensive ABA but kept her in morning pre-k. We were able to use an ABA therapist from the ABA center, and insurance actually covered it. I didn't realize it is pretty common for ABA centers to also place their therapists in outside settings. If i were you, I'd get her into ABA somewhere and then use a therapist from there as her aide at the pre-k. That way her therapy would be consistent, and the therapist could observe what she needs the most help w/ at pre-k and then use the ABA hours at the center to work on that. |
If you are not worried about it then don't hire someone to help her with it. DS school thought he was behind verbally and in motor skills. We were not worried because he was talking at home and ahead in motor skills at home. He wasn't comfortable in his regular class to talk a ton or move a ton. We would get worried messages from his teachers, then at the middle of the years we would get these messages about how much he has improved, and how great he is doing. Every year for 4 years. He was the kid that needed time to get comfortable before fully engaging. It was the same story through second grade. Your child has a speech issue, that you are addressing. You can choose not to be worried about how she plays. Has the school told you why this is something that they are fixated on? I would ask why that is something that is important enough that they keep mentioning it. Then discuss those concerns with your childs doctor and make a decision based on that conversation. |
We also used an ABA therapist when our DD was in pre-K and it was a very positive experience for all, teachers, DD, and classmates. But in other for ABA to be covered by insurance you need a ASD diagnosis. In this case it appears to me that the OP is in denial about her child’s diagnosis. The school is trying to send her a message that her child has something more than just a speech delay. Thus, they can support her needs and are recommending one-on-one support all the time at school. Something that a kid with only just a speech delay doesn’t need. And since they can’t say “ we think your child might be autistic” thy are giving the OP some hints by making an emphasis on imaginary play. Since poor pretend play skills is something well known to be a red flag for Autism. |
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OP, you'll struggle to recruit anyone who's knowledgeable if you aren't up-front about your daughter's situation. I'm not saying you have to write all of this in the initial advertisement, but you don't want to come across as in denial or avoiding acknowledging a problem. And that's kind of how you're coming across now. Professionals don't want to work for someone who's like that. It's going to be awkward for them if you and the school are not on the same page about what's happening-- and it seems like that's the situation here.
If your evaluations have ruled out autism for now, if you don't have a good understanding of the reason for the delay in play skills, that's fine. You can tell your candidates that. But it *is* a real problem, and it's not because of being at a new school or because of language delay. |
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Does your child have an IEP? What does your case manager say about her social emotional skills?
I have a 4yr old who only has a diagnosis of childhood apraxia of speech. DC has a speech only IEP as speech sound intelligibility is the only concern with no greater expressive language concern and attends a private preschool. However, if we had any other concerns the IEP team would discuss and add services, which can include a special education preschool teacher pushing in at the private preschool to help with things you’re looking for. That’s their job and professional training. If the IEP team determined theirs no needs related to social emotional skills then you should get a new preschool as their expectations aren’t aligned with child development. If you don’t have one already, Start the IEP process to get it set up before kindergarten in any case. |
She’s in private. She may still qualify for IEP services, but the private school doesn’t have to allow those providers in. Not to mention the school has requested a 1:1. The current SLP who is pushing in isn’t sufficient. |