Special Needs

How many kiddos in a Social Group?

I put lots of paragraphs in to make it easier to read but clearly not grammatically correct- gotta love writing on an iphone. You can skip to the last paragraph if the background isn't needed.

hi ladies, I am trying to get some good activities set up for the summer and one of my goals is to get ds in a social group and in a group speech session to make up for the speech session that will be dropped during the summer (he will be in esy but they cut pull out speech services during summer). He will also have two weeks at the start and two at the end with no school but will stil have four hours of private ABA every week.

Ds is 3 yrs 10 months old, dx PDd-nos, areas of struggle - social, self regulation, quickly mastering, getting bored- and finding a way to make things not so boring (Aka trouble making), and speech.

Speech has improved so much that his struggles with it are mostly with peers. We chose to have a private evaluation to use for placement (in the social group and private speech) rather than use the eval from last July since we knew he had changed so much.

The evaluator was an off duty speech therapist that works for the school district. She did not see the articulation issues that I reported and felt that he was developmentally on target or nearly on target in all categories (a huge change from his last eval where sample sentences we "Look, clock!", now he says some pretty deep things and never shuts up).

She felt his current schedule of therapy at school must be sufficient given his progress and did not anticipate recommending additional therapy. I sort of thought this seemed odd since it is their business to sell therapy but glad to hear she sees such improvement. This was just her impression right after seeing him, she has not delivered the offical report yet and may change her mind after tallying things up. She spent two hours with him and I just got a note she may want to see him for some more testing.

I think she didnt see some of the difficulties we see because he shines in the one to one therapist setting and is mo likely to struggle when generalizing to peer interaction. During his IEP his school speech wants to swap all of his pullouts to group settings bc she is watching him master so quickly and easily in private and not struggle till he is in group. She did not say she felt he was developmental in all categories though she certainly thinks he has progressed mightily- she see,ed to see more of what we see

Other areas of high glossy shining are- academic, one on one drills of any sort, imaginative play, and level of cuteness (no seriously he is crazy cute :)

ok finally for my actual question- the social group they suggested has only two other boys in it- are they usually this small? We were told there would be both typical and peers with asd in the group but that doesn't sound like a lot of peers in there. His aba case manager has not had experience with this place and I am wondering if they are new and don't have tons of people yet or if this is just a normal size. what ratio of typical to delayed peers would be preferable or normal to look for? I'm wondering if I should just drive further for a place that his manager has experience with. We are also signing him up for some group speech to supplement for summer- what is a normal size for that? Thanks for reading thru all that

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Re: How many kiddos in a Social Group?

  • I don't understand the bolded part. Do you mean he learns quickly? Learns what "academics" or the skills being taught around speech and social skills??How is he demonstarting mastery- for social skills, can he retain and globalize to new situations?

    . Poor punctuation on my part. I meant one of his difficulties is that once he masters something he gets bored and starts some trouble. Academic skills are thrones he picks up quickly. Social skills are harder for him .

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  • The never shuts up is actually a speech impairment. It sounds like he's monologuing. Can you give an example of "deep things? Sometimes this is a result of processing the world differently. But I find a lot of kids whose "deep" observations are a function of the brutal honesty that comes with lacking the social filter well developing kids have. Are you hearing any echolalia? Sometimes novel ideas are borrowed.

    . Since he is my first LO I don't know what typical would look like so maybe it's spectrum related and maybe it isn't- I wouldn't know. I have no doubt that he is on the spectrum so I wouldn't be surprised if his speech reflects that in sow ways. Still he has made incredible progress and we are so happy to be having full conversations with him and get to hear what is going on in his head (most of the time, sometimes I just want quiet)

    He doesn't NEVER shut up, that was an overstatement- with two kids it just feels constant. The last few weeks he has been asking "why?" to pretty much everything so it feels like he doesn't stop sometimes. He does have this little humming thing he does that seems atypical and will surely be annoying to peers (I'll admit it annoys me). His "deep thoughts" are more just that we are seeing much more complex thoughts and descriptions than we were 8 months ago. Wish I could come up with an example.

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  • DUH. Given his dx she should have assumed this. It's why his work up should have included observation of peer interactions, especially in less structured settings like the playground.

    . Exactly! Hopefully this will be the additional testing because. I told her he he already knows how to work a single adult. He needs the peer instruction manual!

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  • I'll have to ggole "edging". My little guy wants to interact. When we are in community (park, pottery studio etc) he has started saying hi to other little ones and asking if he can play or what their name is. Sometimes he stalls out after that and sometimes he jumps right in and plays a game with them. He doesn't always pick the most opportune moments though- for instance there's were a couple of boys about 7 yrs old in their soccer jerseys obviously celebrating a win while we were picking up dinner. Ds kept trying to say hi but they were busy bumping chests and slapping backs. He didn't understand why they weren't saying hi back. I don't know if his age should get that or not but certainly it was social awareness that wasn't clicking for him. He is going to need to pick that up or risk annoying the heck out of people down the line. I have also seen him try to say hi to a teenager with an iPod and be frustrated at the lack of response. He will Definitely need more help with this down the line and I have been bringing his private aba therapist in community with us to get some practice in.
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  • I have been wondering how they get NT kids in there. Not to be a brat but of my kid was NT I doubt I would spend my summer carting them to a social skills group when they could be in soccer. Maybe now that I have had this experience I would bring ds2 but that is something I have owned. At school they have a program where they bring slightly older nt kiddos in for at least half of every day.

    . The therapist who runs the social skills group is trained in Michelle Garcia and FloorTime. Glad to hear the size is about right. I'll look up super flex.

    Some googling turned up a school right next to our house "Linda Bell-Mood" or something like that. Sounds like it is more speech and reading than social though. I am also looking into the programs at Rady Children's hospital. It sounds like we could get him into additional hours of aba based preschool there with our insurance. I just am not sure how many hours a day want him to be going going (I will admit I'm not sure how much driving I can do with a toddler, a husband who commutes three hours and goes to law school, plus my own medical issues that are considerable). One of the girls in his class goes to school w him from 8.45- 12.45 then drives thirty minutes to start the rady's afternoon program 2-5. It works for them and she is doing great but it seems like a long day so we have been sticking to school till one plus our in home program and play dates during the afternoon. it's ALS ot overwhelming how many resources I have been finding around here. I am Defintely grateful to see they are there but a job figuring out where to spend the time and resources.

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  • Imaginitove play- again I don't have another child to compare with so I don't consider myself an expert. What I can comment on is that every one of his evaluators from the start of this process has said they never see imaginative play like his when working with kids on the spectrum. They have all said that his IP was shocking to them in that it is totally not what they expect to see from a kid on a spectrum. Not exactly sure what examples to give- today he used Deecorated a cardboard box, put one of my sun hats on and decided he was a pirate "arch". His little brother got in and he pulled him around the house. The recent evaluator mentioned that he put a hat on and asked her to be his assistant while he prepared things in their play kitchen- I don't know if this is the imaginative play she was referring to when she said she was impressed or if this is separate.

    . Is it consisted a "special interest" if they change frequently? He will be really into Thomas one day and lightening McQueen the next. A week later it is dinosaurs and four days after that he is back to Thomas being the coolest thing ever. I can usually get him to swap between things so even if he says Mater is so cool he is my favorite! He will set him down and get interested in let's say a dinosaur book if I ask if he wants to read it- then dinosaurs are cool, or maybe he goes back to mater. He is pretty fluid with that.

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  • With the cute thing I was more just being silly and saying my kid is cute like any parent would. Not sure if he has the perfect symmetry or any of the other things you brought up. What most people comment on are his very big extremely bright blue eyes that are round and framed by long dark lashes (look just like mine save for mine being green and let's face it my lashes aren't as long anymore). Are big eyes a feature associated with asd? As a baby his lashes curled up and hit his lids when he opened s eyes. He also has curly brown hair and beautiful skin.

    . One thing that is interesting is that he has a birth mark a little smaller than a silver dollar on his shoulder. His therapist said that one of her other kids is in a study for kiddos with asd that have a similar birthmark and she has since noticed that about half of her kiddos have one.

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  • One of the things I told the evaluator that I didn't feel like she "got" is that sometimes he sounds like he is speaking English as a second language. Asking questions he puts the "may I" in the wrong place and uses he instead of she. They have given the "excuse" that he probably mostly hears he since I'm the one doing the talking and it is him and his little brother so I am always saying he. Obviously he hears she- my mom is here and we have family dinner with dad at least five days a week. Also when I told her that I feel like he sometimes struggles to find the next word (though lately I am seeing less of this) she said that he is using more complex sentences and is more particular about them than the NT kids I am comparing him to. In other words yes they are speaking with more ease but give him a beak bc he is very particular about how he is saying things and using more words. Again she needs to see him with other kids.

    Example- a little girl was trying to chat with him and he really wanted to interact with her but she w talking circles around him. He just kept asking her ". What's your name?". Being particular with what he says could be something he shares with me or gets from listening to me. I'm sure sometimes as a kid I sounded like a professor and even now I catch myself and try to use less and more common words since people may not understand me otherwise. I can see how this would be seen in kids with asd. He may also get it hearing me. I was dx with add and medicated as a kid, gate/gifted and vocabulary was where I excelled.

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