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[quote=Anonymous][quote=Anonymous]OP here - thank you for the feedback, it's really encouraging. We've had some good progress with speech/OT but the 30-60 mins a week is not enough 1:1 time; but we've struggled to find SLPs/OTs with availability for more.

We are looking into doing home-based services; I'm trying to decide whether to pull DC out of school altogether or try to supplement after school. Thinking it may be too much in one day for a 3 year old though? [/quote]

I’d wait for the intake assessment to be completed and discuss this with your professional team. Until you have assessed strengths and deficits, how school is able to address those, how home based services would look, availability, goals, parent involvement, etc. then it’s impossible to determine what setting would be most beneficial.

It’s more common than not to provide majority of services at home for an age 3 level 2 child, but it’s very child-dependent.  Some parents do preschool or public school for half days. Some might just do recess, lunch, and SLP a few times a week. Many do different peer-aged classes or community outings during ABA hours a few times a week. Very few I’ve met actually do full time public at that age in addition to a focused ABA home program. That doesn’t mean it doesn’t happen but like you said it’s a lot for this age once you add in home-based ABA. Those I’ve seen do full day often sought out very specific ABA based school programs (sometimes even moving into a new district for that program) and created continuity between home and school services. Usually these kids started home based ABA services in the 12-18 month range and had time to prepare for that transition.

I’m just giving some examples, no child or situation is the same, but I wouldn’t pull from school until you have an assessment for home-based ABA services. I would provide that as a possibility though during the assessment so you can obtain professional feedback on that as a possibility. Gather all the current school info you can and provide it to the incoming provider so they can add it to their background review.

Once you have all the information then you can make the decision that’s best for your family and child’s needs.[/quote]

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