That's b/c MCPS mis-spends it, however the autism designations for IEPs went up along with the funding. From CNN: "As autism diagnoses surged in the early 2000s, so did federal grants for special education – from $5 billion in 2000 to $12 billion just five years later. " http://thechart.blogs.cnn.com/2014/02/11/schools-picking-up-autism-tab/ Also, SLPs have next to zero input at setting an IEP code. The psychologists and school administrators will do that. (I've done the IEP process in MCPS with two kids diagnosed with MERLD. OP, you're not going to get speech impairment for an IEP. This SLP may have worked at MCPS for a long time, but I bet you anything she doesn't have a kid with an IEP at MCPS.) |
Hi- what services have your kids received in mcps for MERLD? I know all kids have their own individual needs, but just curious to see what your kids ended up needing and receiving. |
Hi OP, welcome to the area! I saw that your son already has an IEP, so the services/goals that are current on his IEP are going to drive what happens *to start*. The central IEP team will look at his current IEP and place him in the closest equivalent that MCPS has to meet his current IEP goals while trying to match the services the best that they can. At his age there are a couple of options for a child like yours. The first is Itinerant service. This is where your son would go to his home school, or one very close by, for one-two 45 minute sessions of speech therapy and one-two sessions of OT. If he had an hour a week they would likely just give him an hour, but most pre-k blocks are 45 minutes. If your son doesn't have much service time on his IEP, this is definitely a possibility. Itinerant service can also include a special educator and SLP going to your child's nursery school if they have one and providing services there, but that seems unlikely from what you've described. The next option is PEP. There are 6 or 7 different types of PEP classes, ranging from two days of 2.5 hours per day to 5 days of 5 hours per day. The only reason I wonder about this one is that you didn't mention academic goals. Children in these classes often, but not always, have language and academics/behavior (or both) and then may have other services such as OT or social skills. If your child's IEP has more than language and sensory goals on it, this is a likely placement based on what you described. Each class is taught by a special educator with at least one assistant and speech, OT, PT etc are provided during the child's school day. The other option that the team might consider is a language class. It is taught by a speech pathologist with an assistant and there are two types. One for articulation twice a week for half days, and one for severe receptive and expressive language needs *without* accompanying behavior or major academic needs. It is supposed to be for kids with pure language delays. OT is not a disqualifying factor, but they won't be thrilled. (I've gotten kids in with OT though.) These classes are incredibly difficult to get into, so if they offer, jump on it! There is one in Rockville at Beall ES. Having Beall as your home school does not in any way increase your chances of getting placed in the language class. One more thing to consider, OP. Where your child is initially placed doesn't mean that they will stay there for the year. If after your child is in the class for a few months the teacher finds that he needs more services or that he's too high for the class and needs a less restrictive placement, there will be a meeting to update his IEP to better reflect his current needs and the services/placement that can meet those needs. It's not uncommon to move mid-year to another program that's a better fit. You can also request this meeting, OP, if you find that after giving your child a few months to adapt that he isn't progressing the way you would like. The team would then meet to discuss why he isn't progressing and a change in placement may be recommended then. At your initial meeting with the team I would talk to them about the things that you mentioned-that he needs wait time and prompting and benefits from a prompt hierarchy (starts with visual prompts and then adds verbal if he needs more help) Things like that make a big difference to the team. Some of it may be in his IEP already, but if not, go back to any notes that you have from his old teacher. Does he need visual schedules? Repetition of directions? Checking for understanding? Breaking assignments down into smaller steps? Organizational supports? Knowing this in advance is really beneficial. As to MCPS, in general the county has a great reputation. There are so many families that are happy with the supports that their children receive, especially at the pre-k and elementary level. There are also unhappy families. Some of that is a mis-match in expectations. Some of it is a poor match between a teacher/therapist and student or family. Some of it is pure bureaucracy. (The government mandates least restrictive and families want more intensive, etc) I encourage you to go in with an open mind and communicate often with your child's teachers/therapists. Staying on the same page is really important, and one of the reasons that I think satisfaction sometimes wanes as kids get older and have more teachers. Nobody gets into education for the money. Good luck, OP, I hope this helped! |
You're right, I don't have a child with an IEP in MCPS. I have, however, written hundreds of IEPs and sat in even more meetings and am very much part of the code input at my team meetings. When a team hears Mixed Expressive Receptive *Language* Disorder they're going to look to me to lead the way. Is this a speech kid, or are there other areas of need that can't adequately be described by a code of speech/language impairment? It's my specialty and they treat it as such, and have at all the schools I've been in. Honestly, if a child has a diagnosis of MERLD I'd have to defend why I thought speech was the inappropriate code, but they would listen if I had legitimate reasons. I can't say whether or not the SLPs that you worked with were in disagreement with your diagnosis and thought that the autism code was a better fit (and surely the psychologist returned a finding of autism in their report in order to bring that up at all) or whether their teams have an unusual dynamic, but I am sorry that you've had such a frustrating experience. |
Thank you so much! This is very helpful! I appreciate the time you took to break it all down for me. My son is currently in an integrated preschool class taught by a dual certified spec ed teacher and two assistant teachers. The IEP has language goals, social skills goals, fine motor skills goals, selfcare goals (putting on his jacket and backpack on his own, etc)...I think academic goals too, I need to look. I know in june the teacher was concerned that he has no letter or number recognition at all yet... he will be 4 in a month. Well, thanks again for all the info you provided! |
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I don’t know if it’s really a ST responding to you OP, but most kids with developmental delays often have more than one area affected, e.g., both speech and motor skills:
http://nyulangone.org/conditions/developmental-delays-in-children/types This “just speech” labeling for kids with MERLD sounds bogus. https://www.understood.org/en/learning-attention-issues/child-learning-disabilities/communication-disorders/difference-between-speech-impairment-and-language-disorder Kids with speech issues often have motor skill issues, “Comorbid motor and speech/language impairments in preschool children appear to be a significant clinical condition that requires the attention of the therapeutic community. Manual dexterity, in particular, seems to be an important clue for understanding the shared mechanism of motor and speech/language impairments.” http://www.ncbi.nlm.nih.gov/pubmed/19297128 ADHD is often co-morbid with skill deficits in multiple areas, “According to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), many children with ADHD have also ADHD2experienced speech delays, gross motor delays and fine motor delays. http://ct.counseling.org/2015/01/the-connection-between-adhd-speech-delays-motor-skill-delays-sensory-processing-disorders-and-sleep-issues/ Kids with social communication disorder may have other conditions as well. Doctors refer to this as comorbidity. Here are some conditions that have been linked with SCD: autism, reading issues, ADHD https://www.understood.org/en/learning-attention-issues/child-learning-disabilities/communication-disorders/understanding-social-communication-disorder Some kids with communication disorders also have related conditions. This is referred to as comorbidity. Related conditions include: reading issues, ADHD, https://www.understood.org/en/learning-attention-issues/child-learning-disabilities/communication-disorders/understanding-language-disorders ASHA was very concerned that the DSM V did not adequately reflect the often comorbidity for children with autism and language deficits; http://www.asha.org/uploadedFiles/ASHA-Comments-on-DSM-5-for-NIH.pdf I don’t know if your kid has autism, some other communication disorder, or a developmental delay that will not be a lifelong issue. But remember that FAPE was written 40 years ago and most of the conditions represented in the designations are ones with obvious, physical manifestations. Most kids LDs or neurological issues will have difficulty in more than one area. More often than not, they’ve been designated under “autism.” But whatever gets your kid what he needs is fine. GL. |
I think you mean IDEA, not FAPE. FAPE is the standard for education that needs to be required by the IDEA law. IDEA = Individuals with Disabilities Education Act FAPE = free, appropriate public education |
Just FYI - the Virginia regulations (not sure what Maryland's say) contain a broader definition: “Speech or language impairment” means a communication disorder, such as stuttering, impaired articulation, expressive or receptive language impairment, or voice impairment that adversely affects a child’s educational performance. (34 CFR 300.8(c)(11)) Note that Virginia's regulation is based on the same federal regulation that was cited above. |
| PP here. In other words, MCPS is playing games with the regulation. Speech-language impairment certainly would encompass something like MERLD |
No I meant FAPE; it's part of IDEA. http://www2.ed.gov/about/offices/list/osers/idea40/index.html "On Nov. 29, 1975, the passage of the Education for All Handicapped Children Act, now known as the Individuals with Disabilities Education Act (IDEA), guaranteed access to a free, appropriate, public education (FAPE)." |
That Speech-Language Impairment could encompass something like MERLD, yes. That MCPS won't try to foist an autism educational designation on you--snowball's chance in hell. However, so many kids with speech language delays have other learning issues. When we went to Children's, the developmental pediatrician told us that low tone and speech delays often go together. That's why so many kids who do speech also do OT for things like handwriting. Kids with speech delays are more at risk for language based LDs as well as ADHD. So for many, many kids whether or not it's "MERLD" or "autism" or something else all together, there's more going on than "just speech." In the end it really doesn't matter what the designation is as long as a kid gets the support they need. You know I was loathe to even bring MERLD up b/c I didn't want to start a pointless debate, but if the OP is moving to MCPS, I wanted to share an experience that would be relevant to her. |
Those are huge generalizations of speech kids and MERLD. Not our experience at all. |
No dipsh*t, I didn't generalize about MERLD, I mentioned about SPEECH DELAYS--their co-morbidities with other issues has been well and scientifically documented. Time to get a new diagnosis since yours is 3 years out of date. |
Thanks. Its not just speech issues. Its sensory, fine motor, speech...doesnt impact all areas of his life. Were still learning as we go. |