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Articulation Disorder 3.5 Year Old

post #1 of 15
Thread Starter 

Over the past year, I had realized that my daughter had a speech concern. I saw online that a stranger should understand 75% of what was being said. They couldn't. I looked at the sounds she should be able to make, she can't make a lot of them. She has a great vocabulary and once you're around her enough you can make sense of most of what's being said, but I definitely have concerns. She was in Head Start last year in a small town. They said they screened her in April, no concerns. She had a pedi checkup for a physical for school in a new state in May, her doctor said she should be screened for articulation disorder. She had an initial screening in May. They sent us home with two worksheets to do over the summer. (The worksheets basically had pictures and DD had to tell me what they were. If she spoke the word correctly, she got a check and if not she got an X. We had to do it twice a week for six weeks. She never progressed. We had to mail it in, they evaluated it and had a second screening at the beginning of August. They said she "failed" that screening and would be placed in Head Start and whenever the speech therapist had an opening, she would be evaluated again and if she failed she would receive speech services and an IEP. Now, everyone agrees she has an articulation disorder, but she hasn't been formally diagnosed so we can't do anything.

 

What should I be doing at home to help? This seems like a long drawn out process and my daughter deserves some help in the meantime. She is starting to get frustrated at people not understanding her. The only advice the school is giving me is to model the appropriate pronounciation. So, what else? And is there a way to get this speech and IEP sped up?

 

Thanks

post #2 of 15

Can you get a speech evaluation with a private speech language pathologist? Some medical insurance companies will cover it. I got my son a private evaluation so that we were able to go to the school district and say here is his diagnosis, he needs speech therapy. That sped up the process but it still took almost 7 months for him to get in. We also hired an educational advocate.

 

For advocacy and to connect with other parents in your area that can help you navigate the system  http://www.p2pusa.org/p2pusa/sitepages/p2p-home.aspx

 

A good resource for speech issues http://www.asha.org/

post #3 of 15
Thread Starter 
Quote:
Originally Posted by pattimomma View Post
 

Can you get a speech evaluation with a private speech language pathologist? Some medical insurance companies will cover it. I got my son a private evaluation so that we were able to go to the school district and say here is his diagnosis, he needs speech therapy. That sped up the process but it still took almost 7 months for him to get in. We also hired an educational advocate.

 

For advocacy and to connect with other parents in your area that can help you navigate the system  http://www.p2pusa.org/p2pusa/sitepages/p2p-home.aspx

 

A good resource for speech issues http://www.asha.org/

I can get a speech evaluation from a private source, BUT the school system apparently won't honor it for her IEP or "points" to get into Head Start. They're telling me "The only way to get speech through the school is to go through our people." and "Since she's only three, she probably won't get into Head Start without the speech evaluation." She goes to a NAEYC accredited child care, so even though our Head Start program is great here, I wasn't too worried about her getting into Head Start aside from the speech therapy. She's in Head Start now and enjoys it, surely they wouldn't pull her mid-year if we did speech out of school. BUT, as a full-time student who also works part-time, it's going to be much less hectic if she can get services through school.

 

Thanks for the info, I'll check it out!

post #4 of 15

There are state and federal laws: Child Find, FAPE, IDEA, that set time limits on schools to identify, evaluate and begin intervention services. Talk to an educational advocate in your state and the notify the school district by email that you are aware of the legal requirements and expect services to begin by whatever the appropriate date is.

post #5 of 15
Thread Starter 

To your knowledge is a school allowed to say they won't accept an outside evaluation for consideration of an IEP? It would be much quicker to get a speech evaluation through her insurance than to wait for the school, but they are saying they won't accept it.

 

Thanks!

post #6 of 15
Hi,

A medical diagnosis is different from an educational diagnosis - which looks for an impact of the child's condition on his/her ability to receive a FAPE (fair and appropriate public education.).

Many children with a medical diagnosis of one thing or another do not require any special services from the school or qualify for an IEP because their disability doesn't have an impact on their classroom performance.

So the criteria for qualifying for an IEP or Section 504 plan is different to make that determination. And every child must undergo in-school testing to qualify for an IEP even if it's obvious to everyone involve (school, parents, etc.) that the child will definitely qualify (e.g., a nonverbal child with autism).

You may be able to get speech services covered under your health insurance with a medical diagnosis but you will need to contact your district's special education office and request an evaluation for special education services.
post #7 of 15
My son's school accepted all of our outside evaluations.
post #8 of 15

Our school district will not accept outside evals. It is so frustrating because we've traveled extensively for top notch evals but they won't accept them and their evals from a town in the middle of nowhere, don't "show" their true issues so we never get any services that we actually need from the school district. I am forced to go privately. The whole medical diagnosis vs. educational one also does us in for other issues. After 4 kids with speech issues, only one has received actual speech therapy from the school district.

post #9 of 15
Peony, that really stinks.
post #10 of 15

In the districts I've worked in (all NJ and PA) they are required by law to "consider" outside evaluations in the schools but are not required to accept them when making determinations about whether or not a child qualifies for classification or services.  The school is entitled to conduct their own partial or full evaluation (such as to complement some part of the evaluation that was not done by the outside party, or that they want to do alone) or they can accept as-is.  I've seen it go both ways. The school/district is more likely to accept the evaluation when the disability is more "obvious" (for lack of a better term) versus something more open to interpretation (such as articulation disorders, dysgraphia, SPD, or any problem that isn't exactly classified in the same language at school versus in private practice (i.e., dyslexia versus specific learning disability in reading.  Also, it helps if the person evaluating has exactly the certifications at the person who would be doing the testing at the school, or higher, such as a certification in school psych in, the highest SLP cert., etc.  Hope that helps....

post #11 of 15
Thread Starter 

Thanks guys! I'm just getting really frustrated because my daughter is starting to talk less in certain situations because now that she's in school and has been in daycare for a few months, she realizes that she doesn't speak as clearly as other children and that a lot of people don't understand what she's saying. The school district is huge and I'm sure that's part of why they are dragging their feet, but I want her to get the help she needs sooner rather than later.

post #12 of 15
Thread Starter 

So after regularly asking when her speech evaluation would be, I've been getting annoyed because they keep saying "I don't know."

Well, I got a letter on Thursday stating that we had an IEP meeting on this Thursday! So apparently she has had her evaluation, even though I didn't know about it. I'm glad this is finally moving along.

 

Anything I really need to know for an IEP meeting?

 

Thanks!

post #13 of 15
Don't get too excited yet. Have you had an initial meeting with the IEP team to give written permission for a speech evaluation? If not, this meeting may just to get your formal permission. If you have already done that, then they will discuss your concerns and the evaluation results. Go in with a positive attitude. Speech services are usually easy to get. And many areas have intinerant speech teachers who will provide speech services at the children's preschools and child care centers.
post #14 of 15
Thread Starter 
Quote:
Originally Posted by Polliwog View Post

Don't get too excited yet. Have you had an initial meeting with the IEP team to give written permission for a speech evaluation? If not, this meeting may just to get your formal permission. If you have already done that, then they will discuss your concerns and the evaluation results. Go in with a positive attitude. Speech services are usually easy to get. And many areas have intinerant speech teachers who will provide speech services at the children's preschools and child care centers.


8/5/13 I met with a group of school employees and when I left they gave me an "Evaluation Planning Form." The basic info on it says "The Admissions and Release Committee met on 8-5-2013 and has recommended an individual evaluation of: (DD) (DOB)

Current Disability: NA

Suspected Disability: Speech or Language Impairment

The procedures and tests recommended for this evaluation may include screenings and formal and/or informal evaluations in the areas checked below

(Speech Sound Production & Use; Behavioral Observation(s); Child Development History)

Existing data and/or reports which will be used as part of the individual evaluation:

Intervention assessments and data (Response to Intervention)

 

And a copy of a release to evaluate that I signed, they did two initial screenings before this and had me complete interventions at home, so all of that is listed as well as "Documented Parent Concerns and Input"

 

The letter I received last week says:

Notice to Parents - Admissions and Release Committee Meeting

Dear (me)

I would like for you to attend a meeting to discuss the educational needs of (DD) (DOB)

Reason for Meeting:

To develop, review, and/or revise the student's IEP and placement

 

So, yeah I've actually made it to the IEP stage. I'm assuming that means DD "failed"  her evaluation, otherwise they'd probably just send something in the mail saying she passed like they did for her hearing evaluation prior to this.

 

Thank you for the support and advice!

post #15 of 15
Thread Starter 

Went to the meeting today. I'm trying to ignore the fact that I was treated condescendingly throughout the meeting and just celebrate the fact that my daughter received her IEP and starts speech TODAY!

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