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PS wants OT eval  

post #1 of 11
Thread Starter 
What do you do when you disagree with the director of your preschool? Awhile back she suggested DS needed a speech eval, DH and I hadn't noticed but I'm glad we got it and are doing therapy because DS definitely needs help pronouncing some sounds (his vocab and comprehension are great). Now she thinks he needs an OT eval, based solely on some stumbling and lack of eye contact, and DH and I are just not seeing it. I found a checklist of warning signs here http://www.otawatertown.com/sensintdys.html (bottom left hand corner) and the only item on it that might be relevant is bumping into things, which I would characterize as mild, not severe.

How do I respond to the director?

TIA
post #2 of 11
Can't you just say that you'd like it monitored and documented a little more before pursuing an eval? Turn it back on her and ask her to document, over a period of two weeks or so, specific instances that are of concern to her. If she can produce a list of specific events, maybe you could analyze that for things like specific situations or time of day when he had more difficulty, or maybe you and dh could at the very least get a better idea of where her concerns are arising from.

Aside from your not seeing the warning signs, what are your specific reasons for not wanting an eval? If he didn't qualify, then the OT would make that statement and the director wouldn't bother you about it anymore. And if he did qualify, then he could get started in services early, which could be of great benefit for him. Just a thought...
post #3 of 11
Why not talk it over with your child's hcp? A 'second opinion', so to speak.
post #4 of 11
I would go ahead with the evaluation. If there is no problem, nothing will be found and you can move on with everything being on record. If there is a problem, then your child will be able to get the help needed.
post #5 of 11
I got some OT for my nearly 5 yo when she continued to tantrum and couldn't wear socks and had what seemed to us to be severe sensory issues. It took me awhile to agree to pursue it and then I needed the PCP to OK it.

It all turned out just fine and the sensory issues were actually very mild. The OT could see that right away. We only went to about 6 sessions of OT and she outgrew it or else it actually worked.

I don't think you really need to "do" anything if you disagree with the Directors recommendation. Even if you followed it, she doesn't need to know that. I didn't tell the Director about our OT for the first 2/3 of it. I'm not sure why, I just felt like the school didn't need to know about it right away.

If you feel you need to give the Director some kind of response the documenation is a fine idea. As is, "Thanks. We'll think about it. "
post #6 of 11
I just looked at the checklist - that is a VERY brief overview of what you will get in the screening. For each of those 12 areas, they will ask you 10-20 more detailed questions.

For us, the only issues we saw was difficulty with sleep and prefers to play with adults 2 and 12.

You'll get a sensory profile sheet where you can fill it out and they will do some tests. We had great muscle tone, no clumsiness, no problem with baths etc. There really are many different areas and a spectrum from sensory integration disorder (saw those kids in the waiting room) to some mild tactile defensivness (probably us), to mild proprioceptive difficulties.

It was honestly a very good experience for me. Everything turned out just fine. I don't know if the OT helped or she just outgrew it, but she wears socks now. Still not crazy about droplets of water on her shirt, but transitions are smoother and she brushes her hair on her own.

When I went to the OT they did a very thorough evaluation. I filled out "the long form" and then they tested her in each of those areas. I felt kind of silly given some of the kids who were there, but it became apparent at the end of all the tests that there were some mild tactile issues. Our therapist set-up a plan where we had some goals - brush hair, etc. We went to every other week right away and in within 6 sessions it was all good.
post #7 of 11
Hmmm...have you had his vision screened? In your shoes I'd go for a comprehensive eye exam before an OT evaluation.
post #8 of 11
Thread Starter 
Quote:
Originally Posted by jplain View Post
Hmmm...have you had his vision screened? In your shoes I'd go for a comprehensive eye exam before an OT evaluation.
Thanks. good idea. But he did have a vision exam at his 3 year checkup and his eyes were great. What I think is going on is a transition to a new preschool room (up from the toddler room) and the distractions and excitement related to that. I also wonder if he's ready to move up a size of shoes, he has a tendency to trip when he starts to outgrow his shoes (I haven't actually seen him trip though--just walk into things because he's looking at other things).

While of course the eval would be a lot more detailed than that checklist, I just don't see issues in any other areas. He's social and active and doesn't have issues with any textures or things like that. I hesitate to put all these things on his record (his speech therapy is through the public schools) and set him up to be thought of as having issues he does not. I don't want to risk attaching any more labels to him.

Anyhow, when the director talked to me she did mention wondering if she should wait till I have my baby (in oct) to mention it--so it appears from that she's willing to wait and observe for awhile. She said she'd get back to me with contact info for ot places--when she does my plan is to ask her to observe him for another month, and be prepared to give me some concrete examples of issues that are affecting his PS experience if she still wants an eval.

I was just interested in other people's experiences in dealing with their schools. Frankly I am somewhat suspicious of the school system--I feel about it the way a lot of people on the vax board feel about mainstream docs--I'm not willing to just take their advice because they're "the experts." I expected trouble from the schools at some point, but anticipated them pushing ritalin on us or something. It surprised me that this is coming up this early.
post #9 of 11
I'll jump in on the other end of things. DD and ds have attended preschools and schools where the ideology was a sort of psudo-developmental one. In practice it meant that several children we knew who needed or could have benefitted from evaluations and services were encouraged to let things go and wait until the child matured. In the meantime the children clearly had issues that made things a bit difficult, sometimes more, for them in the school setting. It was common to hear of suspicians of mainstream services, but in most cases you'd be hard pressed to see the drawback. If it were me, I would just acknowledge my anxiety about the situation, but probably OK the eval. There's not a lot to lose.
post #10 of 11
For evals, I like getting a private one done 1st, not by the therapist the school uses. You can read the report, find out what's going on and decide whether or not you want that included in your child's educational record.

If you are trying to get services and the private eval says that there are things going on then it's up to the school and their therapists to say oh no, that Dr or therapist your child went to is wrong... not that they will automatically say sure thing we'll provide therapy... but they will less likely to deny services.

If you find out something you just don't think is any business of the schools, there is nothing out there that says you have to give them your childs in depth medical records, hey can ask, you can say no.

Don't ever fill out a medical release of information for the school to request paperwork, if they want a report, tell them you will get them a copy or write a very specific release... such and such test that was preformed on X date and only allowed to request 1 time and that the request expires on a certain date.

I haven't actually done this but I am planning on giving the school some medical reports that have whole lines and areas blacked out, it's none of their business and it does not affect his education/ability to learn or to function that he has ____ or ____. There are some things too in his medical reports that don't affect his education directly but I will leave them in because those diagnosis are useful in understanding who is is, the other things are just too personal and I don't trust that the school will keep them private.

FWIW, our son did have an OT eval (privately) and I wasn't really asked to fill out a questioneer like the one linked, he has physical hand deformaties and a concreate 'why' behind the reasons he does or doesn't do things like everyone else..... Although it looks very similar to where we were intially susposed to go.... the scheduling lady at our primary docs office had made the referal to a 'developmental' specialist of some sort, when I got his paperwork in the mail to fill out the questions started with behavior and disipline and social stuff... I called that Dr's office because I didn't like the possible path that might lead down (honestly if there is a 'problem' like that going on with him I'm not ready mentally to deal with it right now..... plus I doubt there is.... or is that just denial ) either way I just wanted someone to test his actual abilty to do things physically and show us ways to help him improve the skills he has and work with the function he has.... The developmental place told me I could skip their step (because of the obvious physical deformaties) but that was their office was usually the 1st step in trying to figure things out... not saying that your school may go about it the same way with the developmental eval that leads to the OT... but be prepared just in case and do a little reasearch on what type of testing they want to do before you consent....

All that said I really think evals that aren't invasive physically don't 'hurt' - are positive and a good thing. Having more informaion about something is usually a good thing. It's who has that information and what they do with it that isn't always positive. Get your own elval done.
post #11 of 11
I will also add, FTR that our local public school has no idea DD has ever seen an OT. It's not part of her record at all. I agree that it's none of the school's business.
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