The mission of Special Needs Kids Info. is to
    provide parents who are new to  the world of
    special needs in the DC, Maryland, Virginia area  
    and in the state of Connecticut a comprehensive
    list of Specialists and services that are most often
    used. This information does not replace the
    Medical advice of doctors.

    This article appeared in the bi-monthly newsletter
    from Arlington, Virginia's ICC & PIE Early
    intervention Programs
    Volume 4, Issue 3

    Why Early Intervention Works

    By Former PIE mom, Kate Moore Patton

    My son Dave, now 3 ½  years old, started
    receiving services from PIE when he was 10
    months old. His life was perfect until he was three
    months old. Dave did what he was supposed to
    do: eat, sleep, and play. Then at three months he
    started to cry a lot, probably due to recurring ear
    infections; and by four months old he was already
    cutting two teeth. Holding him was the only way to
    calm him and the only time he was happy.
    Because my husband Scott and five-year-old
    daughter Erin could not take a crying baby, Dave
    was held 24/7. I either slept in the same room or in
    his bed just to get a few hours of sleep.

    He began to miss all the major milestones. I felt as
    though Dave was trapped in his own little body,
    unable to move or express himself. He had two
    types of communication: crying and screaming.
    Through the PIE program, Dave received therapy,
    which seemed to be a slow and frustrating
    experience. However, the speech, physical, and
    occupational therapists all were very helpful. Dave
    and I would diligently do the exercises that they
    taught us. Most times he couldn’t do them, which
    only frustrated him more and made him cry more.
    “Slow but steady,” I would whisper to him.
    Together, we celebrated each small victory.

    Right before his first birthday he began to turn
    over from his front to his back. I was excited about
    his progress. Unfortunately, this development also
    brought progress in an unwanted area. His
    screaming grew to tantrums. Tantrums increased
    to three or four a day that lasted close to an hour
    at a time. Holding him tightly did slow him down. I
    tried everything the therapists suggested. “Ignore
    him; let him wear himself out,” “talk to him calmly,”
    and “create a ‘safe environment’ for him to go
    when he is tantruming.” He became even more
    frustrated and I became more exhausted.

    Dave upped his behavior. He began by banging
    his head on soft objects like couch cushions and
    pillows, but those were soon replaced by the
    carpet, kitchen floor, tables, and even a glass
    door. Dave was totally out of control. The only
    thing that worked was to pick him up the moment
    he would start and hold him tight. Of course he
    was getting bigger and he started flailing as well. I
    was really in bad shape, physically and mentally.
    Each week I would give a progress report to the
    therapists, except there wasn’t much, if any,
    progress going on. By the end of the year, I was a
    mess and distraught, despite the fact that Dave
    began to walk.

    In between all of this I hired a Marymount sitter so
    that Erin and I would have our Wednesday
    “Mother-Daughter Day” and Scott would have our
    weekly Sunday “Date”. Thankfully, my husband
    was terrific at taking care of our daughter and
    helping around the house, doing errands and
    grocery shopping, but I was on my own when it
    came to Dave. That became a strain on our
    relationship.

    Finally my service coordinator called in a social
    worker/behaviorist for a consultation. I will never
    forget her words after she evaluated Dave: “I have
    seen this before, I know what to do, and things will
    get better!”  Dave not only has low muscle tone
    with developmental delays but he also has an
    immature nervous system, she explained, and
    needs to get regulated. The more deep input he
    can receive the more regulated his nervous
    system will become. It was also then that I was
    reminded of the Parent2Parent support group. I’m
    sure I had heard of it before, but it didn’t sink in
    until then.

    We agreed to meet weekly. Meanwhile, I enrolled
    Dave in a tumbling class and a sensory playgroup
    that my service coordinator suggested, because
    Dave was now two and old enough for these
    classes. Our routine soon became going to
    playgroup on Monday mornings and tumbling
    class on Tuesday, Wednesday, and Thursday
    mornings from January to June. We also did our
    regular therapy in between. After each session we
    would go home to eat lunch, take a 1 ½ hour nap,
    do sensory activities around the house, pick Erin
    up at school, go to a playground, go home to eat
    to a quick dinner before going swimming and then
    finally arrived home two hours later to go to bed.

    I started going to one of the two monthly
    Parent2Parent meetings. After my first one, I
    came home and told Scott, “I don’t care if the kids
    go to sleep or stay up until I get home, but I AM
    going to this meeting one a month and twice if I
    can make it!” He was very supportive and happy
    that I had found the group. He came home early to
    take care of the kids each time I had a meeting.

    I was exhausted, but seeing progress in Dave
    after a few weeks. The tantrums had decreased
    from three or four a day to two or three. It was
    working and Dave was happier, but I was still tired
    and felt that I needed more help. Because we live
    behind Marymount, I walked up to the University
    and started interviewing students. I was
    specifically looking for education and health
    majors. I left with a list of five students.

    I hired most of them to “run Dave and Erin” five
    days a week from 5-7:30 pm. I taught the sitters
    the exercises that my therapists taught me and
    had a list of activities they had to do with Dave. I
    slept while they played. Dave continued to thrive
    and the tantrums decreased. Life was getting
    better. I was less stressed, emotionally and
    physically, and our family was happier. Over the
    next several weeks Dave increasing liked the
    tumbling but consequently his tantrums subsided
    to one a week.

    As the spring ended, Dave was accepted into the
    Special Education preschool class at Jamestown
    Elementary, the school Erin attends. We were all
    thrilled. It was then that I learned about a summer
    speech camp, which was run by Elizabeth
    Vosseller, a GWU professor, and her students.
    The camp was fabulous. It was a six-week
    program from Monday-Thursday from 9:30 am to
    noon. When Dave started he was using three-four
    utterances and didn’t transition well. By the end of
    the second week, Dave was speaking in full
    sentences and loving the camp.

    It was also great for me. It was the first time in 2 ½
    years that I had so much time to myself! After I
    dropped Dave off, Scott and I often played tennis
    or spent the mornings together or I’d go shopping.
    It was great!

    Dave continues to grow and blossom into a
    happy, funny little boy. He can vocalize his needs
    and wants and loves to play. Dave has a beautiful
    relationship with both his dad and sister. I believe
    Dave has made huge strides thanks in part to his
    therapists, but I really attribute his turning point to
    the social worker/behaviorist, as well as to his and
    my commitment to increasing his daily activity and
    to the Parent2Parent support group. The sitters
    come twice a week, on Wednesdays and
    Sundays. Dave’s tantrums still appear, but only
    every few weeks.

    Update: Dave is 4 1/2 yrs old and has improved in
    all areas, but still has a way to go. He loves to talk
    despite significant articulation and pragmatic
    errors. Dave is a happy, sweet, fun little boy. He
    loves having his friends over and going to their
    houses. Dave is thriving in the integrated special
    education program that our County offers. I credit
    his success to all of  the wonderful and dedicated
    specialists and therapists that were willing to work
    with us and teach our family what Dave needed to
    become a happy, healthy little boy. The programs
    and support groups that  were available and that
    we took advantage of  through our County Early
    Intervention Program were invaluable. I can't
    stress the importance of County Intervention
    programs, whether your child is eligible for the
    Birth to Three year old program or the Child Find
    program developed for school age children, their
    experience and expertise are well worth it.

    Update: Dave is 5 1/2 yrs. old and is in integrated
    County preschool. He enjoys his friends in school,
    despite OCD issues that have developed. The OT
    is working on these with him. I worked with the
    County Behaviorist for 6 months to help me deal
    with some areas of concern at home with Dave,
    such as learning to play by himself for more than 5
    mins. He know can play alone for 30 mins. with
    minimal input from me. Dave has met all of his PT
    goals and has been dismissed. He enjoys playing
    at parks, listening to music, looking at and trying
    to read books and swimming.  Dave's speech has
    improved greatly in the area's of articulation and
    pragmatics thanks to the speech therapy he
    receives at school.

    Update: Dave is 6 1/2 yrs. old. He attends a co-
    taught County kindergarten, where he is thriving.
    The OCD issues have decreased and are
    continuing to be worked on with the OT. Dave has
    met his speech goals for now and will be re-
    evaluated again in the Fall. He's a computer
    genius, typing, ripping, burning his own CD's and
    printing out the corresponding cover for it. Dave
    loves his big sister, and wants to do everything
    that she does. He does his own homework each
    day. He has become a good speller, loves word
    search puzzles and is having fun practicing his
    "Math facts" that he's learned at school.
    Kindergarten has been a wonderful experience.
    His teach says, "Dave is a friend to all."

    Update: Dave is 7 1/2 yrs. old. He attends a multi-
    age class made up of 10 first graders and 10
    second graders which he loves! He'll stay in this
    class for 2nd grade and have the same teacher.
    Dave received Speech and OT until this Spring.
    The team decided that he no longer needed it, we
    disagreed and decided to go the private therapy
    root. He's continued to make progress. Dave is a
    good math student. He's reading at a 3rd grade
    level.  He has difficulty with hand writing due to the
    low muscle tone. He's made steady progress
    using the Handwriting With Out Tears curriculum
    at home and in therapy and when he's reminded
    to go slowly. Dave has a few good friends in the
    class and likes having them over and going to
    their house. He's learning how to swim and ride a
    bike without training wheels. We hope to mater
    these along with working on articulation. His
    interests have broadened out to include U.S.
    geography and history. He has a great memory!
    All in all, Dave is doing really well and we're
    extremely proud of his accomplishments.     
                       
    If you are going through something similar and are
    at the end of your rope, please go to the Respite
    Care page on this site. You'll find several options.

    Kate Moore Patton
    www.specialneedskidsinfo.com

    If you like this feature, please contact Julie Katz.
    She is ALWAYS looking for personal stories.
    Please share yours with them! E-mail Julie Katz
    at: juliekatz@comcast.net or mail it to: 2717 S.
    Grant St. , Arlington , VA 22202
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