Like many parents of preemies, I have remained hyper-vigilant about the care and development of my surviving micropreemie triplets. Early on we are taught how important Early Intervention is to ensure our babies hit their milestones as infants and toddlers. My husband and I felt our girls started life with so much stacked against them that we vowed to always advocate for the very best for our girls, well past infancy.
Avery and Lily are now six years old and will start first grade in the fall. Both girls graduated from EI services when they were two years old and neither qualified for services through the school system once they hit age three. As such, we have continued with private Occupational Therapy services for Lily due to Sensory Processing Disorder. She has also been followed by a Developmental Pediatrician for anxiety and OCD tendencies. We truly are thankful that the challenges she has are manageable at home with a sensory diet, but when the girls were about to enter public school for Kindergarten I had some fears of my own.
Without an IEP (Individualized Education Plan), Lily would not be tracked or supported within the school system in terms of Occupational Therapy. The therapists at school wouldn’t be allowed to work with her, nor would there be coordination between the therapists and her teacher to ensure any specific needs would be met. We had to take on the role of advocate and liaison between our private OT, Developmental Pediatrician and the teacher.
Some may say: “What are you complaining about? Be happy she isn’t delayed enough to qualify for services!” But for me, I knew all too well what could happen in the long run if Lily’s needs were not met appropriately. While my younger sister was not a preemie, I watched her struggle in school for years, barely making the grades to advance each year. School mornings were full of drama and tears because of her anxiety and difficulty with clothing or the seams of her socks. Twenty years ago no one knew about SPD and it took my mother years to finally convince the school administrators to test my sister for learning disabilities. Lo and behold at the age of 14, my sister got the help she needed and was on the A/B honor roll! But the damage to her self-esteem and self-confidence had already been done and as a young woman she still wrestles with self-doubt and anxiety. This was my fear for Lily, that she would have a school experience like my sister – not being significantly delayed but needing extra help at the same time.
8 Tips If Your Child is “Not Delayed Enough” To Qualify for Services
- Meet with the principal. I scheduled an appointment over the summer, before classroom assignments were made to ensure the principal knew about Lily, her medical history, and her anxiety & sensory issues. I brought evaluations and reports from her OT and Developmental Pediatrician. It was imperative Lily was matched with the right personality of teacher with the right teaching style for her.
- Meet with the teacher. I had several phone calls and a face-to-face meeting with Mrs. N. before school started. I shared all the information I shared with the principal. This information led to the realization that the seat Mrs. N. assigned (in the back corner of the classroom) to Lily was not in her best interest. We moved her to the front next to the teacher’s table.
- Continued communication with the teacher. Any time I was aware there would be an assembly, program, field trip or other situation that could be overwhelming for Lily I made sure to point this out to Mrs. N. She responded by keeping Lily near her and checking in with her to make sure she was handling the situation well.
- Become involved in the class. I volunteer in the class, read to the class, and attend all school functions. My help was appreciated by the teacher, established a trusting relationship between us, and I always acknowledged and appreciated the extra steps she took to support Lily.
- No concern was too small to point out. I thoroughly reviewed all of Lily’s worksheets that she brought home and could easily identify concepts she was struggling with. I spoke to Mrs. N. to make sure she was aware and asked what I could do at home to help Lily understand.
- Communicated with our OT & Dev Ped. I made sure to keep good notes for our therapy sessions and follow up appointments. After showing a few worksheets to both professionals we realized Lily’s handwriting needed extra attention that couldn’t be given in the classroom. The result of the extra work with the OT was truly amazing! Her penmanship improved dramatically.
- Don’t worry about being a squeaky wheel, and be respectful. Yes, there are 24 other kids in the class. Yes, each child deserves the same attention and instruction. Yes, Mrs. N. has a full plate. But my responsibility is to my child and she’s the one I care most about.
- I kept my multiples together. This is unique and different for every family with multiples and for every child. For Lily and Avery we chose to keep them together in Kindergarten. It was such a huge transition from our little church preschool to a public school with 125 Kindergarten students. With Lily’s history of anxiety and OCD we felt the comfort of having her sister in her classroom would help ease the transition. Mrs. N. rarely had them in the same work group so each would develop independently, this worked very well.
Thankfully we are in an era where SPD is becoming more well-known with research and resources to support parents, their children, and the teachers. If you find yourself in a similar situation, I encourage you to keep communication lines open with the school. Have those conferences, make those calls, share those articles or books. Don’t be shy and stick to your guns. You are your child’s best advocate!