Flash back to the beginning of October and
Jack's 6-Month Review. Jack's service coordinator knew that we had significant out-of-pocket costs for Jack's private therapies and the special instruction that, due to Babies Can't Wait's asinine rules, was now only paid for on a once monthly frequency. She also knew that I had launched a letter-writing campaign to just about every person within BCW with any power, but to no avail. She also knew that I had just turned in our application for a Katie Beckett Deeming Waiver, so I was looking for every funding source I could.
I think she knew that something wasn't right about this, either.
The state's early intervention agencies, under Part C of IDEA, are to provide early intervention and child-find services to identify and treat babies and toddlers with developmental delays and disabilities. Why is this important? Obviously, I'm biased, but the reason why YOU should care is because it costs a lot to provide public school special education services to children aged 3 - 21 under Part B of IDEA. Paying for early intervention lessens the likelihood that children will require intensive services for many, many years to come. So, early intervention saves money. However, if you think past the fiscal aspects of it, early intervention provides something for our children that in decades past would not have been considered possible - a life in which our children can function with as much independence and self-determination as possible.
Not all states provide early intervention the same way. Part C of IDEA is vague, so it's up to the states' interpretation as to how to provide services under Part C. Some states provide extensive services, including therapies, developmental preschool, play groups, and parent training. Others, like GA, provide less.
GA operates under a coaching and primary service provider model. Essentially, what GA argues is that parents can be trained to provide therapies which professionals provide. Also, they argue that having a primary service provider is the way to go, so you get one weekly therapy and all other therapies on a monthly basis. It varies from county-to-county, I think, because I know people who live in other counties who get more services than we do, even though Jack needs the same services. It's interesting, because no one debates that Jack needs ST, OT, PT, and SI, but the state says that it's only their responsibility to pay for one of them.
Herein lies the dilemma. So, our service coordinator went out on a limb and suggested that I attend their upcoming team meeting. She would put Jack on the agenda and I could directly petition for SI to be paid for at a weekly frequency. Perhaps, it would be more difficult for them to turn down a pleading mother to her face.
Flash forward to a week ago. I had not been able to sleep well the night before. I pulled up to the building where the team meeting was to take place. As I arrived, I immediately felt a knot in the pit of my stomach. Why? Because this was the building in which we first heard that Jack's delays were more than just social and communicative. He had motor delays, self-help delays, and cognitive delays. It was Jack's first developmental evaluation. It was the first time I cried because of someone's assessment of my child.
So, I was trying hard not to throw up.
I had one weapon in my arsenal that day, and I pulled it out to help me focus. It was a picture of Jack in my arms, his sweet little face looking up at the camera. He was in the hospital in that picture, but it was the only picture I could put my hands on that morning.
Our service coordinator called me back. The room was filled with far more people than I anticipated. I was introduced. As I scanned the room, the only faces I recognized were those of our service coordinator, our intake coordinator, and Jack's physical therapist. The other 37 people were strangers. I could definitely feel the chunks rising in my throat and the tears burning in the back of my eyes, but I held it together...for Jack.
I held Jack's picture up. Every person in that room needed to see him not as a name, DOB, and diagnosis on a piece of paper, but as a child.
"This is my son Jack. He is an amazing, precious little boy with PDD-NOS, hypotonia, dyspraxia, and dysphagia. Currently, Jack gets private speech and OT, plus aquatic PT and special instruction through Babies Can't Wait. When aquatic PT was added to Jack's therapy regimen, BCW cut Jack's SI frequency down to monthly. I'm here today to ask you all to please increase Jack's frequency to weekly.
"He'll be entering the school system in March. I'm told that with Jack's delays, he'll qualify for special needs pre-K. However, for special needs pre-K to have a maximum benefit, Jack must be able to follow simple one-step commands and attend to an adult. Special instruction helps him with that.
"Additionally, Jack does not follow danger signals. He won't heed a warning to stop and has been known to run from caregivers. Special instruction is helping him learn these danger signals and adhere to them.
"Jack needs weekly special instruction to equip him with skills to help him learn and keep him safe, particularly in the preschool environment in which I will no longer be at his side to protect him at every moment. I'm asking you to please consider approving my request. Thank you."
Several therapists threw questions out. How was he doing in PT? Luckily, Jack's PT answered and read his standardized test results to illustrate how delayed he was. Was he receiving private ST and OT? Yes, he is. How much longer is he in the BCW program? 4 months.
Then, Jack's intake coordinator spoke up. She saw no reason why they couldn't and shouldn't approve our request for full payment of Jack's SI. The therapists and coordinators all nodded in agreement. I'm sure that the smile on my face was very visible at that moment. Jack's PT gave me a thumbs-up, and I said a final "Thank You" before leaving the room. Jack's service coordinator already had the paperwork drawn up in hopes that it would be approved. I signed it, and she headed back to the meeting to, in her words, "receive a likely reprimand". I thanked her for going out on a limb for Jack and she said, "It's my job."
Yes, it is. It's mine, too. I left feeling powerful that I could do something to impact my son's treatment and give him a better shot at success.
I slept well that night.