Podcasts about applied behavioral analysis aba

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Best podcasts about applied behavioral analysis aba

Latest podcast episodes about applied behavioral analysis aba

ABA on Tap
Applied Behavior Analysis and Early Childhood Development with Maggie Haraburda, Part II

ABA on Tap

Play Episode Listen Later Apr 27, 2025 53:28 Transcription Available


Send us a textPart 2 of 2ABA on Tap is proud to spend some time with Maggie Haraburda, founder and director of Unfurling Littles, a unique treatment center combining ABA with best practices in Early Childhood Education.  Neurodiversity Affirming and rooted in compassionate care; this center takes an approach to supporting children of all neurotypes that is play-based and child-led. Unfurling Littles was created out of a desire to do better for neurodivergent children and create a model of Applied Behavioral Analysis (ABA) that is not implicated in causing harm. Maggie believes that  "The only way to move forward, is to look back with open eyes. We are a small Autistic owned company and will stay that way. We are not your average agency and we don't intend to be, we are just a group of humans trying to help other humans. " Given recent concerns and criticisms of ABA as presented by members of the neurodivergent community, Maggie promotes an important message of truly collaborative treatment. This is smooth and easy brew. Pour heavy, pour lots and always analyze responsibly.Please find Maggie and her incredible team at:https://www.unfurlinglittles.com/Innovation Moon: ABA Business ConsultingABA OBM business consulting & services | BCBA & autism therapy owners | Proud sponsor of ABA on TapDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.

ABA on Tap
Applied Behavior Analysis and Early Childhood Development with Maggie Haraburda, Part I

ABA on Tap

Play Episode Listen Later Apr 20, 2025 102:47


Send us a textPart 1 of 2ABA on Tap is proud to spend some time with Maggie Haraburda, founder and director of Unfurling Littles, a unique treatment center combining ABA with best practices in Early Childhood Education.  Neurodiversity Affirming and rooted in compassionate care; this center takes an approach to supporting children of all neurotypes that is play-based and child-led. Unfurling Littles was created out of a desire to do better for neurodivergent children and create a model of Applied Behavioral Analysis (ABA) that is not implicated in causing harm. Maggie believes that  "The only way to move forward, is to look back with open eyes. We are a small Autistic owned company and will stay that way. We are not your average agency and we don't intend to be, we are just a group of humans trying to help other humans. " Given recent concerns and criticisms of ABA as presented by members of the neurodivergent community, Maggie promotes an important message of truly collaborative treatment. This is smooth and easy brew. Pour heavy, pour lots and always analyze responsibly.Please find Maggie and her incredible team at:https://www.unfurlinglittles.com/

1 in 59
Jennifer Fitzpatrick - Clinical Practice ABA Conference

1 in 59

Play Episode Listen Later Sep 6, 2024 26:00


This weekend's 1 in 36 guest is Jennifer Fitzpatrick. Jennifer is the Event Specialist for the upcoming Clinical Practice Applied Behavior Analysis (CPABA) Conference. This is the first year the conference is being held, their mission is to bridge the gap between research and clinical practice in Applied Behavioral Analysis (ABA) therapy. The conference is tailored specifically for ABA practitioners in clinical settings and ABA clinical practice owners. The conference will be held on October 11th, and 12th, in 2024, register to attend at: https://behaviorlive.com/conferences/CPABA/home and tune in to learn more!

conference aba clinical practice event specialist jennifer fitzpatrick applied behavioral analysis aba
ADHD Mums
12. Navigating Psychology Assessments: Avoiding Key Mistakes with Marie Camin

ADHD Mums

Play Episode Listen Later Jul 15, 2024 59:59


This episode of ADHD Mums features a deep, insightful conversation with the renowned Autistic and ADHD clinical psychologist, researcher, and advocate, Marie Camin. Jane and Marie dive into a variety of topics including the importance of neurodiverse representation, the challenges of autistic burnout and ADHD, and the intricate dance of balancing motherhood with neurodivergent traits. The discussion moves towards personal experiences with imposter syndrome and the journey to embracing an autism diagnosis. Marie emphasises the importance of diverse representation within the autistic community and the challenges of going public with her diagnosis. They discuss the controversial approach of Applied Behavioral Analysis (ABA) and both Marie and Jane's passionate stance against it, favouring more affirming practices. Marie recounts her early interests in psychology, struggles with undiagnosed neurodivergent traits, and significant challenges in school leading to autistic burnout. The episode covers the unique social dynamics for neurodivergent individuals, including in parenting and professional environments. Jane and Marie discuss the often-overlooked experiences of neurodivergent mothers, including competing sensory and emotional needs between parent and child. Marie wraps up with an empowering message about trusting one's instincts and experiences, especially when navigating life as a neurodivergent individual. Links & Resources Marie Cannon's Professional Website: https://www.mariecamin.com/ - The AS Detect App for Early Autism Identification AS early detection app- Conversation Piece Co-authored by Marie on Early Autism Identification https://www.latrobe.edu.au/news/articles/2022/opinion/discussing-autism-diagnosis-with-kidsSarah Hendrickx channel on Youtube https://www.youtube.com/playlist?list=PLwhwVRXUWw_gi8jjFAbcNxqiU39ajUVB_Don't forget to subscribe, rate, and review this episode on your favorite podcast platform. Share it with friends and family who might benefit from these insights!

Next in Health
Future-proofing behavioral health care: Innovations to ensure no one is left behind

Next in Health

Play Episode Listen Later Nov 14, 2023 14:38


Tune in to hear Chris Barnett, Chris Barnett, CEO of ABA Centers of America, discuss his approach to a comprehensive healthcare system, with a specific emphasis on new models, technologies, and algorithms that promote inclusivity for improved behavioral health care outcomes. Topics include:The origin of Applied Behavioral Analysis (ABA) and how it seek to change lives by helping change behavior of patients on the spectrum, improving their lives and those around them. Examples of offering play-based therapies to achieve better outcomes and experiences for patients that are non-verbalChallenges and issues faced in the behavioral health space and solutions to help prevent workforce burnout and increase benefit options for staffHow ABA is using AI and technology to gain better data and insightsSpeakers:Chris Barnett, CEO, ABA Centers of America Jenny Colapietro, Health Industries Vice Chair, PwCIgor Belokrinitsky, Strategy& Principal, PwCFor more information, please visit us at: https://www.pwc.com/us/en/industries/health-industries/health-research-institute/next-in-health-podcast.html.

Sans The Sugarcoat, Our Autism Journey
S5: Episode 15: Tina Water, M.A., Autism Specialist, Community Transition Academy/Community Connection Project

Sans The Sugarcoat, Our Autism Journey

Play Episode Listen Later Mar 2, 2023 37:28


Community Transition Academy (CTA) is a nonprofit, 501(c)3 charitable organization that focuses on providing individuals with developmental disabilities skills they need to live in a more inclusive community while leading by example, true all-ability community inclusion. The Academy is a community and classroom-based, non-public transition high school (NPS) for teens and emerging young adults with developmental disabilities.  Community Transition Academy offers a uniquely individualized transition curriculum taught both in the classroom and in the community infused with the evidence-based principles of Applied Behavioral Analysis (ABA). CTA's school schedule is unique. CTA operates on a modified year-round school year schedule which includes an Extended School Year (ESY).  Community Connection Project is a community-based adult transition program which focuses on providing supported, integrated, community experiences for individuals with significant communication and behavioral challenges. CCP provides natural opportunities for our program participants to discover what they want to do in their adult lives and develop and practice skills to make these choices a reality.  More information: https://www.communitytransition.org/   ________________________________________ We would love a review on Apple Podcast, Spotify or Audible If you have any question, would like to be a guest: Contact us -  email:  inclusion@autismmastermind.co https://www.autismmastermind.co/ IG, FB, YouTube @autismmastermind

Psykologen
107: Anvendt Adfærdsanalyse (ABA)

Psykologen

Play Episode Listen Later Jan 13, 2023 54:44


I dennes uges episode kommer vi fra B.F. Skinners teorier om operant betingning til en case med adfærdstræning af et barn med infantil autisme og til sidst til den pædogogiske tilgang kaldet “anvendt adfærdsanalyse” eller på engelsk Applied Behavioral Analysis (ABA).

skinners applied behavioral analysis aba
Parenting Impossible – The Special Needs Survival Podcast
Technology and a Neurodiverse Workplace

Parenting Impossible – The Special Needs Survival Podcast

Play Episode Listen Later Aug 25, 2022 43:39


In a time when employers are scrambling to fill empty job posts, imagine having a tool that would enable the ease of hiring neurodiverse individuals with a 90% retention rate to fill those positions.  Our episode guest, Director of avail Support Lisa Marie Clinton explains how the avail® solution provides the one-on-one job support through digitalized tools to provide tailored training and ongoing support.  Avail stands for assisted visuals achieving independent living, which acts as a type of job coach for the individual.  The technology serves companies in various industries including residential living and schools to maximize services for residents and students. The platform uses Applied Behavioral Analysis (ABA) tools to provide tailored training and ongoing support without the need for another person to provide these supports.  If technology can replace a person in the workforce, then it empowers disabled individuals to acquire greater independence and freedom in the community.  Furthermore, workplaces that employ neurodiverse employees enjoy numerous benefits like improved workplace culture, employee retention and development rates, financial benefits and more.   Learn more about avail® and a neurodiverse workplace online:  https://centralreach.com/solutions/neurodiversity-hiring/

Care So Much
Learning to Climb - Mariya Climbs

Care So Much

Play Episode Listen Later Aug 16, 2022 50:04


Learning to climb, feel, and make changes both big and small in your life. Whether you're sending a route or letting yourself be sad, we are all learning new things throughout our lives. Mariya shares her experiences and expertise in Applied Behavioral Analysis. She explains how that helps her get up again when she falls. Mariya Climbs Instagram - https://www.instagram.com/mariyaclimbs/ TikTok - https://www.tiktok.com/@mariyaclimbs North Mass Boulder - Climbing Gym - https://www.northmassboulder.com/ Applied Behavioral Analysis: Relias Learning - https://www.relias.com/blog?_blog_industry=aba-and-autism Trumpet Learning - https://tbh.com/autism-therapy/what-is-aba-therapy/ A brief explanation of what Applied Behavioral Analysis (ABA) is - https://www.youtube.com/watch?v=0OI187Ip4VQ .

tiktok learning climbs applied behavioral analysis aba
Making Special Education Actually Work
Is LAUSD Run by a Fascist Mafia?

Making Special Education Actually Work

Play Episode Listen Later Aug 9, 2022 21:59


LAUSD Main Offices - Downtown Los Angeles   The school year hasn't even started yet and Los Angeles Unified School District (LAUSD), the second-largest school district in the country, has already hit the ground running with illegalities left and right, not the least of which is the systemic policy issue that I'm focusing on in today's post. It's hardly the only violation, but its a systemic one that stands to continue hurting a lot of children with disabilities, particularly our kiddos on the autism spectrum.   What I'm about to tell you would sound far-fetched if it was not for the fact that the United States is currently engaged in a soft civil war in which right-wing extremists are attempting to change us from a democratic republic to a ethno-religious dictatorship. The evidence indicates these decades-long plans were started at the local level in city councils, school districts, and various county agencies, then percolated upward into our federal agencies before culminating in the January 6, 2021 insurrection against our democratic republic.   The reality is that I've been dealing with these kinds of behaviors from local education agencies for the last 31 years, and there is no end in sight for many families in local education agencies as large as LAUSD. It's the Titanic, it's been on a direct course for an iceberg for decades, and it will collapse and sink under its own weight before too much longer at the rate it's currently going.   This is particularly the case as the pro-democracy backlash to recent fascist efforts to overthrow our system of government is gaining momentum as more and more high-ranking fascist individuals at the federal level face the consequences of their actions with the J6 Hearings and related Department of Justice (DOJ) investigations. When the example is finally set at the national level and all of those responsible for J6 are either behind bars or being pursued by the feds and Interpol after fleeing the country, the trickle-down of legal consequences to State and local government agencies that have been engaging in fascist practices all this time will be severe.   But, we're not there, yet. The only way to really get there is to make public what the heck is really going on so that taxpaying registered voters in Los Angeles can make informed decisions about the people they entrust with the responsibility of educating their children, particularly their children with disabilities. So, let me get into the actual issue to which I want to call immediate attention, that being LAUSD's unlawful and unethical method of conducting Functional Behavioral Assessments (FBAs), which it has implemented as a policy, district-wide, according to District personnel.     Title 34, Code of the Federal Regulations (34 CFR) Section 300.304 describes the parameters for how special education assessments are supposed to be conducted. 34 CFR Sec. 300.320(a)(4) mandates the application of the peer-reviewed research to the design and delivery of special education, which includes the assessment process. Taken together, these laws require that competent assessors acting within the scope of their qualifications conduct assessments according to the professional standards that apply to each of the various types of assessments being conducted, in conformity with the peer-reviewed research.   There is no standardized measure, like an IQ test, when conducting an FBA, though there are assessment tools and instruments that can help inform the process. Instead, the applicable science describes the types of critical thinking and lines of inquiry a properly trained behaviorist must apply when determining the function of a maladaptive behavior and the most appropriate ways of responding to it. The science used is referred to as Applied Behavioral Analysis (ABA).   ABA is not a special education service, per se. ABA is the science behind effective behavioral interventions. ABA services requires scientists to think independently in applying the known science to the unique facts of each individual person assessed. It's not a paint-by-numbers, one-size-fits-all measure. It's not psychometrics in the sense that norm-referenced standardized tests will be administered to the student. It requires more thought and higher-level critical thinking skills than that, and the people who are certified to do it must prove their abilities to function that way.   There are no formal criteria for FBAs, specifically, but they are based off the Functional Analysis (FA) procedures developed by Dr. Brian Iwata and his colleagues in their published research. While being certified as a Board Certified Behavior Analyst (BCBA) is supposed to confirm that a behavioral scientist is adequately qualified to analyze behavior, BCBA certification is not required in California for conducting FBAs in the special education context. Anyone who has gone to graduate school for a school psychologist credential should have theoretically been trained on ABA just as a part of their grad school education.   My master's degree is in educational psychology and I had to study ABA more than once during my higher education. It is not typically part of a special education teaching credential program, other than to mention that other professionals are available in the special education context to conduct FBAs and provide ABA-based behavioral interventions.   That is, except, in LAUSD, which is using special education teachers to conduct its FBAs. It will hire Non-Public Agencies (NPAs) that specialize in providing ABA services through and under the supervision of BCBAs, but it will not allow the BCBAs to actually conduct their own FBAs to inform their own Behavior Intervention Design (BID) services, which then compromises the quality of the Behavior Intervention Implementation (BII) services. This is a district policy, according to various LAUSD employees with whom I've been speaking about this since April, and they don't seem to understand why I have such an issue with it.   First, the 8th grade LAUSD student I'm currently representing in which this issue has come up has been "assessed" under this model since the 1st grade and he still has the same behavioral challenges today that he had in 1st grade. He's made no improvements and now he's over 6 feet tall. His toddler-like tantrums result in significant property destruction, which has only gotten worse as he's gotten smarter and bigger over time, and he puts himself and others at risk of injury when he throws them. Not only does LAUSD's method of conducting FBAs fail to comply with the applicable science and law, it does not work!   LAUSD's solution is to offer yet another illegal FBA conducted by an inexpert special education teacher who must then hand off their "data" to a BCBA who is then supposed to somehow magically engage in scientifically valid BID and supervise a Registered Behavior Technician (RBT) who is supposed to provide the BII in conformity with the plan designed by the BCBA. When I point out the epic failure of logic behind this practice to LAUSD personnel, I'm met with the Orwellian Doublespeak of corrupt District administrators and the blank stares of ineptitude and rote recitations of District policy from school-site personnel.   One school site administrator actually tried to get me to lie to the parent and trick him into doing something he otherwise was not inclined to do. I analyzed her behavior according to ABA standards based on what information I could gather and ultimately concluded that she's as stupid as she is corrupt; her behaviors were automatically reinforcing and externally reinforced by her employer, which appears to employ the dumbest people it can find in positions of authority well beyond their critical thinking abilities and professional skills so that they can be the clueless, easily manipulated henchmen of the mafiosos at the main office on Beaudry.   Basically, what we are dealing with here is science denialism and unconstitutional conduct on the part of public officials to the tune of hundreds of millions of taxpayer dollars. LAUSD is the government, regulated by the rule of law and answerable to its local constituency, but the people generally have no voice against this behemoth of a self-serving institution, which is why I'm talking about it, here.   LAUSD is long overdue for a reckoning regarding its systemic illegal conduct across all aspects of special education, and it's probably safe to say that if the District is willing to compromise its most vulnerable constituents, that being children with disabilities, it's likely equally comfortable violating everybody else's rights, as well. I can't speak to the other social justice issues in which the District might be in the wrong, but it has historically failed on the special education front ever since special education and related civil rights laws were first passed in the 1970s.   Disability-related civil rights law is truly the canary in the coal mine for American democracy. The measure of how civilized a society is can be determined by how well it takes care of its most vulnerable members, and children with disabilities are among the most vulnerable humans on Earth. If LAUSD is willing to treat children with disabilities this way, it's top administrators should probably swap out their dress suits for animal pelts so that their lack of civility is adequately conveyed. Otherwise, they're just wolves in sheep's clothing, preying our our most vulnerable children.   The Chanda Smith Consent Decree came after decades of unlawful special education conduct and was in place for decades thereafter in an effort to end the District's unlawful conduct, which it failed to do. The courts attempted to pull LAUSD out of the gutter with the consent decree, but LAUSD just pulled the courts into the gutter with it. An Independent Monitor was hired to oversee the consent decree until such time that LAUSD came into compliance with special education law, but that day never came.   Apparently, presuming that compliance would never happen, the Independent Monitor began engaging in equally corrupt behavior, assuming lifelong job security for so long as LAUSD continued to violate special education law and grifting the system by overpaying consultants who failed to make any kind of perceptible difference with respect to LAUSD's compliance. The Office of the Independent Monitor was shut down and the consent degree was closed out following an audit that revealed excessive unnecessary spending by the Independent Monitor that could not be related to the District's conformity with the consent decree.   Further, while it may be true that the District legitimately improved some of its special education programming, by no means had to come close to a reasonable degree of compliance, as evidenced by the number of families who have still had to file lawsuits to get services, and even that doesn't guarantee they'll get all of the right services for their children. Many get only some of the services their children need, making their IEPs as effective as watered-down penicillin in the face of a raging bacterial infection. For all the services they may actually get that they need, the absence of the other services they also need undermines any successes they may have in the areas in which they've actually received help.   Which circles back around to the question that serves as the title to today's post/podcast, which is, "Is LAUSD Run by a Fascist Mafia?" From the outside looking in, this seems to be a legitimate question.   Let's start with the fact that LAUSD hired computer coders to work with its in-house counsel decades ago to bastardize a piece of insurance software known as Welligent into its IEP software. As a result, LAUSD has basically bureaucratically obligated its school site personnel to break the law because of the software limitations of Welligent, or at least how it has been coded by the District, that fail to even offer compliant options to its users in many areas of special education.   For example, let's look at the assessment plan, redacted for privacy, that was offered to my current LAUSD student, which was generated from Welligent, and compare it to another redacted assessment plan for another student on my caseload in a different school district who also needed an FBA.   Example 1, below, is the assessment plan offered to my LAUSD student, and shows the FBA as an "alternative assessment" to be conducted by a special education teacher. "Alternative assessments" usually refer to non-traditional assessment measures or methods from those typically used in the place of standardized testing.   For example, using curriculum-based assessments in the classroom to gather informal data on actual classroom performance can be a more reliable method of assessing academic achievement than a standardized measure like the WJ-IV or the WIAT-4. None of this assessment plan makes sense with respect to the FBA.   Example 1 - page 1   Looking at the table of "standardized" testing from page 2 of this assessment plan, which is referenced by page 1, FBAs are not listed. Item 7 targets "Adaptive Behavior," but that goes more to independent living skills and self-care, like dressing, toileting, and navigating the school setting. FBAs do not fit that category and the LAUSD assessment plan has no category that FBAs would logically fit. This was a deliberate coding decision made in Welligent by the District that has absolutely nothing to do with adequately assessing children with special needs and offering them appropriate behavioral supports at school.   Example 1 - page 2   Example 2, below, shows a different student's assessment plan from a different school district. This assessment plan offers the student involved an FBA to be performed by the school psychologist in collaboration with a district behaviorist. This actually makes sense.   In this student's case, it turns out the special education teacher was the problem and she got reassigned to a different classroom. This student had gone without behavioral challenges until she was placed in this teacher's class, and the FBA made clear that the teacher was the one provoking the behaviors. Objectivity is one of the most critical aspects of science that must apply to special education assessments. Can you imagine if she had been trusted to conduct the FBA?     I can assure you the quality of the outcomes using appropriately qualified people who actually care makes all the difference in the world. Whereas our LAUSD student has historically been assessed according to plans virtually similar to Example 1, above, and has now gone for over six years with next to no improvements in his behaviors, our student from whose case Example 2 was taken is now thriving in school with no serious behavioral challenges of any kind.   To be clear, it's not like the student in Example 2 has never had issues with this school district. There were problems years ago when she was little that I had to deal with, but it had been smooth sailing until she ended up in that whacko teacher's classroom, last school year.   Because the student's behaviors were interfering with her learning, even though we suspected the teacher was likely the problem, we didn't go in accusing the teacher of anything. We simply asked for an FBA to get to the bottom of the behaviors and the next thing we knew the teacher was gone. The FBA report we got back was very well-written and explained the facts without demeaning the teacher or doing anything else unprofessional.   We hit a huge bump in the road that had the potential to go really badly, but the District in that student's case handled it professionally, compassionately, and responsibly. I've yet to see any of those qualities from anyone I've dealt with from LAUSD regarding my LAUSD student. The difference in handling is night and day, and I've caught both districts messing up before. The difference is that my other student was met with professionalism, while my LAUSD student is being met with science denialism and an utter abandonment of the rule of law.   It is this refusal to abide by science and law on the part of the second largest school district in the nation that raises the specter of fascism. It's all very "Marjorie Taylor Green-ish."   Consider that California has adopted the Common Core as its State Standards. The purpose of these standards is for our public schools in California to teach students how to use academic knowledge and skills to solve real-world problems, yet LAUSD doesn't use academic knowledge and skills to solve problems. It denies science and breaks the law.   How can people who deny science teach our kids to use science to solve problems? How can people who have abandoned the rule of law credibly teach social studies, particularly civics, and educate our kids to become knowledgeable participants in American democracy? How is this anything other than fascism and when are the feds going to do something about it?   I tried filing a complaint with the U.S. Department of Education, Office for Civil Rights (OCR), but it twisted my words into a narrower complaint than what I alleged and then declined to investigate its twisted version of my allegations, which is a first for OCR with me, I have to admit, and it makes me fear for our democracy even more, now.   If OCR is too intimidated by LAUSD to investigate such that it makes up lame excuses as to why it shouldn't have to, how does that not also suggest the presence of organized crime within LAUSD so large and expansive that even the feds won't touch it? DOJ is a little busy with the J6 investigations, but I suspect all of this stuff in inter-related as multiple spokes of a wheel-and-spoke conspiracy to overturn democracy in America.   Remember that Betsy DeVos tried to shut down OCR after she was appointed Secretary of Education by the 45th President until she had the snot sued out of her and subsequently reinstated it. She also admitted that her goal was to abolish USDOE as the Secretary of Education; she took the job with the specific intent of shutting down the entire agency from within.   How many people from the last administration continue to poison the well at USDOE? It's the same question Americans have to ask about every single federal agency, but as pointed out in the above linked-to article from The Root describing DeVos' desire to abolish USDOE altogether also describes the conference at which she recently shared her continued desire to shut down USDOE as teaching far-right parents how to build conservative-dominated school boards in their local communities, ban books, and a host of other undemocratic activities intended to deny the civil rights of children with disabilities, LGBTQ+ students, students of color, and students from other protected classes.   It's an anti-science, anti-democracy approach that includes anti-vax, anti-masking nut-jobs who are too dumb to know how dumb they are and/or are profoundly mentally ill, being manipulated by grifters like DeVos to vote against their own interests in favor of the interests of the grifters. It's the "have-nots" falling for the tricks of the "haves" who know the only way they can have way more than what they actually need is to make sure others don't have enough.   Today's post isn't about documenting how I've figured out a way to overcome whatever fascist mafia might control LAUSD. It's about exposing what I've witnessed and adding my voice and the voices of the LAUSD students who aren't getting what they need to the conversation in the hopes that it will spark others to also help hold LAUSD to account for its egregious violations of special education law.   I'm hoping that voters in LA will learn more about these issues, understand that special education social justice issues cuts across all other demographic groups, and no segment of society is safe for so long as our government is allowed to conduct itself in this way. If you are involved in any type of social justice issue in which LAUSD has engaged in discrimination and withheld services it is legally required to provide, consider getting involved with our Meetup Group, Social Justice Series - Everyday Local Democracy for All.   Our Meetup Group is not limited to people living within the LAUSD attendance area, but we certainly have Angeleños already in the Group. You can comment/DM us directly on Meetup or on our social media, or use our Contact Us form on our site with any questions/feedback. We don't have all the answers, but awareness is the first step to solving a problem, so we're starting there.

Neuroversity
What's Wrong With Applied Behavioral Analysis (ABA) with Mari Cerda, BCBA

Neuroversity

Play Episode Listen Later Apr 29, 2022 51:01


In this episode, Jessica speaks with Mari Cerda, BCBA, who is the co-founder of The Lighthouse Learning Center and The Leap Institute.  What follows is an important and nuanced conversation about:What IS ABA?What is the history of ABA within the autistic community and the field of Behavioral Analysis?How does the concept of "duality" negatively impact our culture, and more specifically the autistic community? How can we increase our own "cultural humility"?What  does the term "neurobilingual" mean?Does the autistic community need to take a hard look at their own ableism within the community?About Mari Cerda:Mari Cerda, an indigenous-Mestiza woman, wife, mom of three, autist, and board certified behavior analyst.  She is the co-founder of  The LEAP Institute (https://www.leapaba.org/ ), a non profit whose mission is to increase equitable access for marginalized groups entering the field of ABA through quality supervision and support.  She is also the founder of The Lighthouse Learning Center (https://www.lighthouselearning.org/ ), a center dedicated to providing a variety of support and services to children and families in the West Texas area. Autistic Community  Content Creators Mentioned in the show:PLEASE FOLLOW AND SUPPORT THEIR WORKTiffany HammondWriterIG: @Fidgets.and.FriesLauren Melissa EllzeyAutistic Self AdvocateIG: @autienelleCamille MorganPodcasterLove, Sex, and Applied Behavioral AnalysisIG: @lovesexaba

Spiritual Media Blog Podcast
Interview with Mandi Freger

Spiritual Media Blog Podcast

Play Episode Listen Later Mar 14, 2022 57:50


Mandi Freger is a professional counselor, consultant, and author of the upcoming book From Exhausted to Energized: The Autism Spectrum Disorder Caregiver's Guide. Mandi is not your typical counselor.  Being in a rare position of gaining experience early on with the first generation of Energy Psychology leaders in the field, Mandi has over 20 years of experience making her a master in the art of using energy therapeutic techniques with her clients. Mandi's counseling approach is truly individualized, typically blending energy therapeutic techniques and principals of Applied Behavioral Analysis (ABA) to treat a rainbow of issues including but not limited to: Autism Spectrum Disorders (ASD) through the lifespan, peak performance, general fatigue, anxiety, depression, trauma, cognitive disorders and managing pain. Her upcoming book From Exhausted to Energized supplies rapid relief tools that are the perfect solution for ASD caregivers! It is the first book to illustrate what hasn't been talked about – the psychoenergetic dynamics that cause and sustain the emotional, mental, and physical drain on family members and guardians. Freger further provides readers with quick energy psychology tools that address trauma, anxiety, depression, and burnout. In our conversation, Mandi shares with me: Why traditional stress management strategies for ASD caregivers don't always work and why her techniques do Specific Energy Psychology breathing techniques caregivers can use to help them manage stress How she combines Energy Psychology and Applied Behavioral Analysis in her counseling and consulting work How to better communicate and understand people who have ASD How she works as a peak performance consultant to help people maintain mind-body wellness and increase performance For more information on Mandi, you can visit her website at: https://mandifreger.com/

guide asd energized energy psychology autism spectrum disorders asd applied behavioral analysis aba
Making Special Education Actually Work
Fecal Smearing, Disability, and the January 6, 2021 Insurrection

Making Special Education Actually Work

Play Episode Listen Later Feb 5, 2022 20:03


This is not a pleasant topic at all, so I want to start out this post/podcast with the understanding that I know this isn't a pleasant topic. That doesn't make it something to avoid, however. Problems aren't solved by pretending they don't exist. For those of us who work with people with significant mental disabilities, fecal smearing, otherwise knows as “scatolia,” is a behavior we usually encounter among individuals with significant developmental disabilities and dementia. These behaviors often happen among these populations very frequently alongside other bowel-related health issues, such as constipation and encopresis. Simply put, constipation is poop not coming out and encopresis is poop not staying in. The function of most fecal smearing behaviors appears to be communicative, especially among individuals who are nonverbal or have limited verbal abilities. In verbal individuals who engage in these behaviors, other significant mental impairments are still present, whether its the loss of mental functioning due to dementia; the failure of mental maturity due to developmental disabilities, such as intellectual disabilities and/or autism; or some forms of mental illness. Fecal throwing and smearing can also be seen among other primates. It's a primitive, infantile behavior. When I was 20 years old, I worked in a nursing home providing hands-on care to medically fragile and/or mentally compromised elderly people. All of us knew who the poop-throwers were. The one on my wing was also an Evangelical Christian who would sing church hymns while throwing her poop at anyone passing by and accusing them of being the Devil. The exception was the visiting Evangelical pastor who would stop by to visit the patients every week, but he would come down the hallway singing a hymn at the top of his lungs so she would know it was him before he walked into her room, or he would get it, too. I encountered fecal smearing behaviors once again when I finished my undergraduate degree and started working as a job coach in the community with adults challenged by developmental disabilities. One of the young men on my caseload was a fairly capable individual with autism who, in spite of his many attributes that made him employable to bus tables, serve drinks, and perform general maintenance in a restaurant, would engage in fecal smearing whenever someone made him upset. What had started as a behavior when he was younger with less language abilities had become a deeply entrenched learned behavior that followed him into adulthood long after he had developed completely intact verbal communication skills. The differences between these two examples from my own life were important to note. In the nursing home, the woman on my wing with fecal throwing behaviors was kept on laxatives so that her feces wasn't solid enough to hold in her hand for throwing. Cleaning up bedpans was infinitely less work and trauma than jumping into the hazmat shower fully clothed and going home in scrubs from the supply closet because our own clothes had been ruined. By comparison, the young man who struggled to hold onto a job and a group home placement because of this behavior was successfully broken of the habit through Applied Behavioral Analysis (ABA), Cognitive Behavioral Therapy (CBT), and psychotropic medication management to address anxiety and depression. Because he was verbal, he was able to talk with his therapist about the feelings he was having when he engaged in these behaviors and we were able to come up with a plan that helped him deal with those feelings appropriately, eventually extinguishing the scatolia altogether. He's been employed every time I've encountered him since, mostly in the community eating at the restaurants where he has worked. What we discovered based on what he was telling us is that, historically, he had found himself in situations where he couldn't tell people what he was thinking for lack of language and, later, as the language started coming on, because he was afraid to complain about certain things for fear of retaliation or punishment. The degree to which he was correct in his perceptions about those past experiences is not as important as the fact that he was afraid to say anything with words, but he could express himself non-verbally through fecal smearing. Fecal smearing behaviors tend to orient around protest, disagreement, and retaliation, based on what little research has been conducted on the topic so far. Most of the available research comes from mental institutions and long-term care facilities. I could find no research about fecal smearing happening in the general community, though such research may exist and I just couldn't find it. So much of the research is hidden behind paywalls that it's not accessible to everyday people, which is a topic of discussion all to itself for another time. I brought this subject up in my book club last night (we're currently reading The Gifts of Imperfection: Let Go of Who You Think You're Supposed to Be and Embrace Who You Are, by Brené Brown, PhD, LMSW). One of the other club members shared that her home had been broken into years ago and robbed. The robbers also pooped on her wooden floors, ruining the finish, and she had to wait for a year-and-a-half to have the time and money to refinish her floors, with the damaged spot where the poop had been, serving as a daily reminder of the sense of violation she had experienced. Now that I think about it, the same thing happened to my grandparents in the 1990s while they were on an RV trip, only the poop was on their walls. My book club friend stated the police officers who had responded to the call advised her that this was a common behavior witnessed among break-in robberies like hers. Law enforcement may be a better source of information about the prevalence of fecal smearing in the general community, which goes to the degree to which we have delegated the responsibilities of our mental health agencies to law enforcement. Behavioral researchers should look there for data about the frequency with which these incidents occur and how they are addressed. Needless to say, there was no scholarly research I could find that was specific to the fecal smearing behaviors that happened during the Insurrection of January 6, 2021, at the Capitol of the United States of America. Only official records from the government and reports in the media capture the incident. I'm quoting the Trial Memorandum of the U.S. House of Representatives from the second impeachment proceedings against the 45th president of the United States, here: Once inside, insurrectionists desecrated and vandalized the Capitol. They ransacked Congressional Leadership offices—breaking windows and furniture, and stealing electronics and other sensitive material. They left bullet marks in the walls, looted art, smeared feces in hallways,and destroyed monuments … [Emphasis added.] This has been bothering me ever since it was first reported shortly after the Insurrection that fecal smearing had occurred during this incident as well. Based on what I already know about fecal smearing behaviors, what that tells me is that at least one person with profound disabilities was among the Insurrectionists. Based on the other overt behaviors of the Insurrectionists, it's safe to say that America's mental health crisis reached an apex of sorts, though it isn't done showing itself, yet, based on the continuing domestic terrorism threats we all still face. It's an Extinction Burst of a sort, and one we cannot afford to reinforce. These individuals are seeking reinforcement for behaviors that were once rewarded and escalating their behaviors when the rewards are not forthcoming. I think they're all cries for help, but the behaviors are so off-putting to most other people that they are disinclined to help and eager to ostracize anyone engaging in them. I think ostracizing these people helps the rest of us avoid the unpleasantness of dealing with these behaviors, but it's not a democratic response, much less an ethical one, We need a plan as a people on how to solve these problems, not punish people for having them. I'm not saying that people who commit crimes shouldn't pay for them. I'm saying that the causes of criminal behaviors have to be addressed so they don't happen in the first place. There is way too much money being made on incarcerating Americans instead of helping them. The bigger concern for me, these days, though, is how many other people in positions of power actually understand the severity of our nation's mental health crisis and choose to exploit these individuals rather than meet their needs, such as the 45th president of the United States, for example. Protest, disagreement, and retaliation are the usual communicative functions of fecal smearing, and the Insurrection-related fecal smearing doesn't appear to be different in that regard. Everyone involved in the Insurrection was there to protest, disagree, and retaliate. What this specific form of communication tells us is that the people who engaged in it felt desperate enough to express their feelings through these actions rather than words, as if words had failed them and/or they didn't feel safe to use them. When people are mentally impaired and don't fully understand everything going on around them, they can easily become confused, misled, and manipulated by others. They are often aware when others are mistreating them even if they don't fully understand the hows and whys. They know when they find themselves in a disadvantaged situation and will harbor valid resentments about it, but they often don't know who did what to make it happen, much less what to do to make things better. When you have a right to be angry but you don't know how to get out of the situation, and no one is stepping up to help you, it's easy to become angry at everyone. You feel like the whole world is against you and there's nothing you can do. At that point, you default to the highest stage of social emotional development you've completely mastered, which may be well below your chronological age depending on the degree to which your social emotional development was healthy or not. Once someone becomes so overwhelmed emotionally in the absence of a solution that they start freaking out, very childlike – even infantile – behaviors are likely to ensue. In the name of “liberty” and “freedom,” we've absolved ourselves of any responsibilities for the welfare of our neighbors. Personal liberty becomes confused with narcissism. People pay lip service to the ideals of the Constitution while exploiting their neighbors for financial gain. Money is an imaginary construct that many people value more than human life. Many of these same people claim to be true believers in Christ, effectively singing church hymns as they sling their poo at everyone else. I don't recall any part of the New Testament encouraging that kind of behavior, but religious scholars who have studied the texts more closely than I have are welcome to correct me if I'm wrong. Most of us understand that the people who got sucked into the 45th president's own mental health crisis are also not well, but they also account for approximately one-third of our population. That makes them a dangerous minority that has now grown into a domestic terrorism problem. It puts the assertions by the majority of Muslims around the world that Islam is not a religion of violence into context, now that we've got our own violent religious radicals here at home calling themselves Christians. The inextricable intertwining of religion and mental health problems in societies is yet another topic for a separate conversation, but I have to point out that there are many responsible faith leaders struggling to lead as many of their congregationalists abandon the teachings of Christ to follow every wolf in sheep's clothing that steps into their path. American commercialism and its own brand of capitalism have created a competitive mindset about everything in our culture. It's “My high school football team is going to crush your high school football team.” It's, “My church is made up of the chosen and all the other churches are full of people going to Hell.” It's, “My neighborhood is the best and everyone else lives in a dump.” Where is this narcissistic drive to be “better” than everyone else coming from in a society that's supposed to be democratic? Why do we feel driven to create a caste of “losers” to make ourselves feel like “winners”? How does hurting other people make someone a “winner”? People have developed brand loyalties around things that aren't actually brands. American consumerism and its obscene obsession with the pursuit of material wealth has grossly undermined the uniform message of every great faith. Wanting more than what one needs while others go without contradicts every pious teaching of every great religious leader the world has ever remembered. We're all supposed to be collaborating with each other, not competing with each other, to survive as a species. Raising children from birth under conditions that deprive them of developmentally necessary opportunities to reach adulthood physically, mentally, emotionally, and spiritually intact, is an uphill battle. The science is clear that the type of family support system an individual has is irrelevant; what matters is whether they have any type of support system at all. Children growing up in homeless shelters with after school tutoring, social services, higher education and job placement services for parents, etc., remain as academically intrinsically motivated as children living in traditional family homes with access to resources. The gender identity and sexual orientations of parents have zero bearing on the quality of their parenting. Parenting becomes poor when it fails to nurture childhood development, regardless of the gender or orientation of the parent. What we can safely deduce from witnessing current events as it relates to the known science is that being raised in economic extremes, whether extreme poverty or extreme wealth, deprives children of developmental opportunities that undermine their mental, emotional, and communicative growth. Extremely wealthy children are at risk of never learning how to do anything for themselves and will implode the minute they have to deal with serious life challenges. Extremely poor children are at risk of malnutrition, homelessness, and other hardships that make mere survival the priority without the opportunities to work on any other part of their development. As the middle class in America continues to disappear, we're at risk of more and more people ending up at one economic extreme or the other and their children growing up thinking that humanity is truly divided as a matter of nature into two classes: the “haves” and the “have nots.” If that's all they see growing up, the divide becomes a hard and fast expected part of society. What do you think happens to a society that is made up entirely of people who failed to reach developmental maturity? It goes Lord of the Flies pretty quickly, after that. In my ever-worried imagination, under such circumstances, humans will return to the trees if we survive as a species at all. I keep thinking, “Maybe the bonobos will have a better go at sentience than we did.” It makes me want to teach them sign language just so I can tell them all the mistakes we've made and what to avoid. The first thing I'll teach them is, “Use your words, not your poop.” Returning the present issue of poop-smeared threats to our democracy wrapped in Confederate flags, I have a theory about one particular aspect of the problem that I haven't seen discussed in the news about the Select Committee's investigation into the Insurrection of January 6, 2021. In my line of work, the Americans with Disabilities Act and Section 504 of the Rehabilitation Act come up quite frequently. When I see things that do not appear to conform with their requirements, they jump out at me. Given that were clearly dealing with people struggling with mental disabilities of one type or another, and given that social media has been instrumental in feeding them misinformation while giving them the tools to organize, it appears to me that the social media algorithms are not coded in a manner that reasonably accommodates users with the types of mental disabilities that make them vulnerable to misinformation and recruiting tactics of foreign adversaries and domestic terrorists. If anything, social media's absence of reasonable accommodations in its coding for users with these types of mental issues is creating more domestic terrorists than we already had in the first place, suddenly taking them from the fringes of our society to a sizable, dangerous minority of violent people bent on overthrowing the government. In the absence of effective mental health interventions, the manipulators swooped in and weaponized our own neglected mentally impaired citizens against us. What we don't take care of will take care of us. That's the whole reason that “being careful” is so important. “Being careful” isn't about avoiding problems, it's about being full of care. Being caring means being responsible for your community as well as yourself and your immediate loved ones. It takes a village, as they say, but if you neglect your village, you cease to be part of it. We're all different for a reason. Whether you're a person of faith and see it as a component of our Creator's Great Plan or you're a secularist who sees it as a function of nature and evolution, or you're like me and think that nature and evolution are parts of the Creator's Great Plan, it's an obvious fact that we're all meant to be different by design. The failure to appreciate the role that diversity serves for the balance of everything has led to efforts by a few unstable individuals who manage to acquire power and try to remake humanity over into a monolith, casting out those who, by design, cannot conform to their invented social hierarchies. This is the essence of discrimination. It's what causes people with disabilities to be regarded as less than human. Anyone who is discriminated against for any other reason should be empathetic to the discrimination experienced by people with mental disabilities that affect their behaviors, but our knee-jerk reaction is to be repulsed by the most extreme behaviors in which we see these people behave. These behaviors, while often intolerable and highly inappropriate, are still cries for help, we need to see them that way, and we need to collectively demand our elected officials to enforce the ADA and Section 504 when it comes to social media algorithms. My theory is that, if we use the existing language of the ADA and, where applicable, Section 504, to compel social media platforms to stop preying on the weakest minds among us, it will not only create jobs for coders knowledgeable of the law, but also enforcement officials knowledgeable of the code. Rather than looking at the daunting task of coding the Code into social media platforms as an insurmountable challenge, it should be seen as a significant step towards true democracy that creates desperately needed jobs. The solution would solve more than one significant problem in this country and serve as an example of adult-level problem-solving for the rest of the world. Marketing research tells us that customer loyalty is greater after a vendor has had to work with a customer to solve a problem than if there was never any problem at all. It's not a source of shame for America to trip over its own feet and experience growing pains as it sheds the hypocrisy and anti-democratic practices of the past; what makes it shameful or not is how we respond. If we can bounce back from the threats our democracy if facing right now with science across the board in every domain of need, including our nation's ongoing mental health crisis, and enforce the ADA and, where appropriate, Section 504, on social media platforms, no additional regulations are necessarily needed. If any other regulations of social media become necessary above and beyond that, so long as the First Amendment is still protected while also preventing troubled people from getting sucked down the rabbit holes of conspiracy theories, we'll redeem ourselves in the eyes of the world. At least, that's my theory.

Making Special Education Actually Work
Mysterious Special Ed Accountability Report Published in California

Making Special Education Actually Work

Play Episode Listen Later Jan 15, 2022 21:55


On January 13, 2022, after staying up late to finish my last post/podcast, I woke up to find a message in my inbox from the CAPCAA listserv that included a very comprehensive-looking report published by a group referring to itself as "The Office of Administrative Hearings Special Education Task Force," with the email address of oahspecialedreport@gmail.com. The members of this task force are not identified in the report. The report identifies its authors as follows: Authors/Contributors: This accountability report is provided by the Office for Administrative Hearings Special Education Task Force, a coalition of concerned attorneys, advocates and parents. Many of these contributors conducted research, collected and organized the information, and assisted in the writing of this report. Bias, Noncompliance and Misconduct In Special Education Due Process: An Accountability Report on the California Office of Administrative Hearings Special Education Division, January 2022 Given the degree of retaliation that anybody calling out the California Office of Administrative Hearings (OAH) could easily face in the current anti-democratic climate of American politics, these days, I can't say I'm entirely surprised that the individuals responsible for this report have not named themselves in it. That could be really a good way to find some "good ol' boys" burning crosses in their yards and planting pipe bombs in their hedges on behalf of some tax-fattened, suit-wearing carpetbaggers. So, I can't discount the report for lack of identified authors. That leaves nothing but the content of the report with which to judge its legitimacy, but that's almost better. It's like a blind audition on The Voice; it doesn't matter what you look like if you have a good voice. What you have to say and how you say it matters more than what your name is or what you look like. So, that's how I'm looking at this report. In these troubling times, I'm willing to accept verifiable facts from anonymous authors truly fearing for their own safety if they dare to speak the truth. I will not accept unverifiable assertions being openly spewed by people saying whatever will get them attention. So, let's examine the assertions being made by this report. This Task Force's report follows a professional format for organization and presentation of its information, but it's not a legal brief or scientific paper. Not every assertion is supported by black-and-white evidence, but the assertions not supported by evidence are nonetheless consistent with those assertions that are supported by evidence. Additionally, because I work extensively in the very areas of concern targeted by this report, all of it rings true with the experiences that I've lived as a professional over the period of time discussed in this report. That which is not outright supported by evidence in this report is nonetheless credible to me given the evidence that is presented and what I already know to be true from real-life experience. While anecdotal accounts were added to the report to bolster the authors' positions, the identity of those offering these accounts are unknown, so verifying them is impossible. Again, concerns about retaliation and privacy are legitimate, so I don't want to discount the privacy concerns of the authors, but one of the first rules of proving the veracity of a document is authenticating its content with its authors. That's just a basic rule of evidence. At some point, for this document to be taken seriously by regulators and/or legislators, its authors will have to reveal themselves. Putting aside the authorship issues for the moment and delving into the actual content of this report, what this report is basically asserting is that OAH, which is a division of the California Department of General Services (DGS), is organizationally compromised relative to its obligations to try special education cases pursuant to the Individuals with Disabilities Education Act (IDEA). The report supports these arguments with references to a collection of publicly available documents. These arguments appear sound and supported by credible evidence, in my opinion. Of particular note to me were its references to the November 15, 2021 study conducted by CDE titled, California Special Education Governance and Accountability Study, as well as news that the courts finally resolved the issue of continued distance learning for medically vulnerable children on IEPs. This latter issue affects one of our families and I've been waiting to hear about this situation. The Task Force's assertions in its report are also consistent with my experiences dealing with OAH since it took over the hearings in 2005. In fact, I first became a paralegal in 2005 and witnessed the very shenanigans reported by the Task Force with the change-over from the Special Education Hearing Office (SEHO) to OAH that same year. It was a dumpster fire inside of a clown car that had crashed into a train wreck, to put it mildly. OAH underbid SEHO in terms of the costs of conducting special education mediations and hearings by failing to include the costs of administrative support and sending mediators and judges around the State to handle each case in its local community, which allowed OAH to come under SEHO's bid by several million dollars, as memory serves. The moment it opened its doors for business, it was already millions of dollars over-budget from what it had bid to get the business from SEHO. The quality of the judges from OAH was atrocious out of the gate. One then-new judge went down in California special education parent/student legal history for the angrily and stupidly stated words, "Ms. [Attorney], what does autism have to do with behavior!?!" When you have people who have no idea what anybody is talking about deciding the futures of children who have no voice of their own in the process, those of us who are trying to protect these children become almost as powerless as the children we're trying to protect. We were, and continue to be, faced with people entrusted with responsibilities that are clearly light years beyond their actual skills and knowledge, and the authorities and powers that go with those responsibilities. What is the point of having the rule of law if the people responsible for enforcing it are personally incentivized to break it or are otherwise too dumb to know how to enforce it? We're paying these people to implement the regulations, not to invent excuses as to why they don't have to and bully the rest of us if we dare to question them. I've been saying for the last 30+ years that special education issues are civil rights issues, and if our babies aren't truly protected, then none of us really are. The national political landscape appears to support my conclusions, not that I'm happy to be right about that. Marginalized groups with specifically identified protected rights are always the first ones targeted by fascists, so special education is really a "canary in the coal mine" when it comes to American democracy. Clearly, we're not doing that well and this Task Force is seeing a lot of the same things I'm seeing. Regardless of the authorship issue, which I suspect will be resolved in due time, the evidence cited in this report and the consistency of what it describes with what I live and breathe everyday inclines me to treat it as credible, though if anyone can find an inaccurate assertion in it, please post a comment and let me know. At minimum, another federal investigation is warranted based on this report, but I don't know that going to the U.S. Department of Education's Office for Civil Rights (OCR) is the right way to go, now. As the report discloses, there was already an OCR investigation in 2014 of the California Department of Education (CDE) as it pertains to making its hearings accessible to individuals with disabilities. I won't repeat the anecdotal account of what that was all about, here; you can read it yourself in the report. But, I warn you, it's upsetting. I wish I could say it was too outlandish to be true, but it sounds just about right for OAH and CDE, based on my own experiences. Last year, just to give you an example from my own caseload, I filed a compliance complaint with CDE against a local school district for failing to implement all of a student's IEP during the pandemic-related shutdown. The most critical element of the complaint was the district's failure to provide in-person 1:1 aide services, as required by the child's IEP. Instead, the district put the aide for this non-verbal, inattentive, prompt-dependent child with autism on Zoom, requiring the child's mother to be the in-person aide helping her child access Zoom, constantly cueing him attend to the online instruction, and prompting him through all of his work tasks to completion. The aide could only sit there, staring at them through the screen, completely useless ... at taxpayer expense. The aide was willing to provide in-person support and the non-public agency (NPA) that employed the aide was ready to send her to the student's house in a mask for in-person services during distance learning, but the district wouldn't permit any in-person services during shutdown. This single parent ended up selling her condo and moving, with her children, in with family friends, in no small part because she couldn't work a paid job while sitting at home serving as the free aide for her child with special needs throughout each school day while the paid aide sat in her own home on Zoom, unable to do her actual job. This was a blatant violation of State and federal law that the district kept blaming on the county's health department. I challenge anybody to find a legal authority that gives a county health department the authority to tell a school district that it doesn't have to abide by the IDEA. After attempting to get the district to do the right thing by way of written correspondence and the IEP process to no avail, I filed a regulatory complaint with CDE. CDE opened an investigation based on what I alleged through its complaint intake unit, but then the investigator subsequently assigned to the complaint materially altered the nature of the investigation and cited the district for a different violation of the law than what I had originally alleged, and failed to issue a finding regarding the original allegation I'd made about the aide. The investigator's findings then went to yet another unit within CDE that developed the order for corrective actions, which included compensatory special education instruction for lost service minutes, but it was silent regarding aide support during those compensatory services. Think about this for a minute. I alleged in my complaint that the district failed to provide aide support during distance learning. The intake unit opened an investigation in response to my complaint based on the allegation of the district's failure to implement the IEP as written, specifically with regard to 1:1 aide support. The investigator found that the district failed to implement all of the instructional minutes in the IEP, but issued no finding regarding the 1:1 aide support. The corrective actions unit ordered compensatory instruction to make up for lost service minutes, but there was no mention of aide support. Once corrective actions have been ordered by CDE and its findings are sent out to the parties, the offending education agency has to provide proof of corrective actions to yet another unit of CDE. When I called that unit to get clarification as to whether the compensatory service minutes were supposed to include the 1:1 aide support called for by the IEP, that unit's response was, "Yes." The offending district's attorneys (definitely of the Rudy Guilliani/Syndey Powell variety), however, said, "No." They then tried to fight with CDE over whether or not the compensatory service minutes had to include the same 1:1 aide support the student required throughout the school day in every other instructional setting, as per his IEP, likely billing the district by the hour the whole time. What ensued turned into an internal feud within CDE. The unit at CDE responsible for collecting proof of corrective action from the district insisted that, because the IEP called for 1:1 aide support during any and all instruction, it was understood that 1:1 aide support also had to be provided during the compensatory services ordered. But, not everybody involved with the investigation at CDE agreed. What I came to suspect was that the investigator and legal department at CDE had deliberately steered my complaint away from its original allegations for presumably fiscal and/or political reasons. It certainly had nothing to do with CDE abiding by its obligations or making the district comply with the law. It had absolutely nothing to do with protecting the educational and civil rights of a little boy with autism who can barely talk and needs an aide to access his education. Reading through this Task Force's report, I'm now seeing that experience again through new eyes. The argument the CDE is fiscally motivated to find it does nothing wrong and neither do its districts, regardless of the facts, as asserted by the Task Force, resonates with me as true. Another compelling argument asserted by this report that also rings true for me is that DGS exists for the purpose of cutting costs, not ensuring the State's compliance with federal mandates or protecting the rights of citizens. The report further argues that, as an integral part of DGS, OAH also exists for no reason other than to control costs and not to protect the rights of California's citizens. As such, the Special Education division of OAH is not organized in a manner consistent with the requirements of the IDEA that special education hearings and mediations be conducted by impartial parties whose only function is to protect the educational and civil rights of students with disabilities. A State employee who is being told their primary function is to save money should not be in charge of making sure the State abides by the IDEA. It's an outright conflict of interest, which this Task Force asserts in its report. This isn't just a philosophical assertion; it's a regulatory requirement. The IDEA requires education agencies to design and implement individualized programs of instruction that confer appropriately ambitious educational benefits upon each student according to his/her/their unique circumstances, regardless of cost. A State agency that exists to cut costs should not be making programming decisions in situations in which it is unlawful for cost considerations to be used to determine who will get what. That, to me, explains a lot of the hyper-Republicanism (in the present-day fascist sense of the term, not the former "Party of Lincoln" sense of it) going on in California's special education system. And, I'm willing to go out on a limb and say that, back in 2005, right-wing grifters were responsible for giving the special education due process business back to OAH. One of the sleaziest special ed law firms there ever was, which happened to be the largest special ed law firm representing school districts in California at the time, was Lozano Smith. It was instrumentally involved in getting the due process hearings switched to OAH in 2005. All of this came on the heels of No Child Left Behind (NCLB) in 2004, which resulted in changes to the IDEA. Those changes created an opportunity for anti-student and anti-parent forces to lobby for changes to how California handled its special education matters, from changes to State law, to changing who enforced the laws from SEHO to OAH. However, in 2005, something else big happened involving Lozano Smith, right after OAH took the special education hearings back over. Lozano Smith will live on in infamy, at least in my mind, for decades to come following two public displays of anti-democratic behavior. The first was its epic 2005 faceplant in the matter of Moser v. Bret Harte Union High Sch. Dist. (366 F. Supp. 2d 944 (E.D. Cal. 2005)), which made the news. The second public example that stands out in my mind was its 2014 amicus brief to the U.S. Supreme Court opposing protections for special education students under the Americans with Disabilities Act (ADA) in the matter of K.M. v. Tustin Unified Sch. Dist., 78 F. Supp. 3d 1289 (C.D. Cal. 2015). This second example didn't steal headlines, but the actual outcome of the case was huge for students with special needs regarding their disability-related communication needs. If special education advocacy has been the "canary in the coal mine" of American democracy, Lozano Smith has been one of the Mitch McConnell-esque specters of obstructive fascism that has been trying to snuff the voices of "canaries" like me for decades. I'm convinced that every single unrepentant person who had a hand in the Bret Harte mess and anything else like it will have a special place waiting for them in Trump Tower Hell, when they die; perhaps it will be named the Lozano Smith Suite. In the present, all of the concerns raised by this Task Force's report are grounded in the realities I deal with every day. The fact that the authors fear to reveal their identities is also grounded in the harsh reality that the fascists aren't even trying to hide the fact that they are coming for us, anymore. Anybody who stands up for civil rights, these days, is a target, and I realize that includes me just by saying so. Here's the thing, though. Those of us accustomed to dealing with special education issues who understand Applied Behavioral Analysis (ABA) also know an Extinction Burst when we see one. So long as those of us who see this Extinction Burst for what it is continue to abide by our professional ethics, stand our ground, and stick to the applicable science and rule of law, none of the self-serving histrionics of those with anti-democratic tendencies within our government will overcome our fact-based arguments. We have to keep acting like we live in a democracy or it stops being one. We may lose battles on occasion, particularly in those States currently permeated by maskless, unvaccinated seditionists spreading COVID as readily as their lies, but the only way we lose the overall initiative is if democracy fully collapses in the United States. All of us "canaries" need to start beating our wings and squawking loudly as the voices of experience when it comes to fighting fascism within America's government, or it's curtains for all of us. It's not shocking news to any of us that the fascists are targeting local government, including school boards, as a means of seizing control of the country. That's nothing new! That's what all of us working in special education advocacy have been up against since the original laws that protect our children were passed in the 1970s. To the rest of the Country, it's unfortunate that it's now happening to you, too, but we welcome you to the front lines and look forward to working with you to win this soft civil war currently being fought over basic rights and the rule of law in America. To our colleagues fighting similar battles on behalf of other marginalized groups, we look to unify with you. When it comes right down to it, those of us who exist in marginalized groups collectively outnumber the few individuals at the center who put us in their margins. In a democracy, majority rules. The minority of individuals who want to rob the rest of us of our rights cannot oppress a unified majority. Special education rights are human rights, just like ethnic rights, gender rights, sexual orientation rights, relationship rights, etc. If all of us whose rights are being infringed upon join forces instead of competing for the crumbs that fall from the would-be oligarchs' tables, we can be sitting at the table eating meals full of freedom with everybody else, instead.

Making Special Education Actually Work
Using ABA Principles to Navigate the IEP Process

Making Special Education Actually Work

Play Episode Listen Later Jul 10, 2021 21:47


Photo credit: Joe Loong   One of the things I've been trying to get across to people for years is the understanding that Applied Behavioral Analysis (ABA) is a science, not a special education service, much less a service specifically for students with Autism Spectrum Disorders (ASDs). The confusion arises from the fact that instructional strategies and behavioral interventions based on the principles of ABA, which work with all learners, just so happen to also work for students with ASDs and often it's the only approach that does. As such, the demand for ABA-based programs for students with ASDs, and the peer-reviewed research around its efficacy with this particular population, has resulted in confusion among the lay public as to what ABA actually is. Because so many people in public education and the families that rely on it only see ABA used with respect to ASDs, they think that's all it's for, and this is a gross failure on the part of the professionals who know otherwise to set things straight. This is why I've been trying to get this point across for so long. Knowledge powers solutions for parents, which is the whole reason our organization exists. The absence of relevant knowledge on behalf of any of the stakeholders in the IEP process can prevent students with disabilities from getting the kinds of help they actually need, so a failure to appreciate that ABA applies to anyone or anything that behaves can have dire consequences for students who would benefit from ABA-based interventions, even if they have conditions other than ASDs that create these needs. That's a whole conversation unto itself, but that's not the focus of this post. Because ABA applies to anyone and anything that behaves, it therefore applies to all the members of a student's IEP team. For parents, the science of ABA can be not only constructive with respect to developing an appropriate IEP for their children, but also in navigating the behaviors of the other IEP team members during IEP meetings and related exchanges with public education agency personnel, which is what I'm focusing on in this post. To be clear, ABA is not a method or strategy. It is a way of describing behaviors according to how they naturally occur. When it is used to make something happen, it's all about how to interact with others in a way that promotes the behaviors we want to see from them. Used ethically in a team context, it keeps conversations productive and collaborative. However, the proverbial snake oil salesman “selling ice cubes to Eskimos” abuses ABA as part of a con to manipulate people's behaviors for personal gain at other people's expense. The thing to understand is that ABA is a reality-based approach to understanding what is going on and planning what to do about it. It isn't an invention; it's simply a tool that measures what already is. That data can then be used to change how things are. So, it's not like I can give you a checklist of things to do, whether you understand them or not, and you're off and running. You need to understand the underlying science, which I'm going to grossly oversimplify here to make the concepts as digestible as possible. Before I launch into what ABA is, I first have to back up and explain the three key tenets of science. Science relies on: Determinism – an understanding that there is a logical, evidence-based explanation for everything in existence. Empiricism – an understanding that every evidence-based explanation can be described in quantifiable terms using fixed increments of measure. Parsimony – the understanding that the simplest explanation that fits the measured evidence is the correct explanation. That's not an ABA-specific thing. That's how all science works, and ABA is a science. Like a financial audit, science renders reality down into measurable bits that can be analyzed for black-and-white, yes/no answers, regardless of what is being discussed. There is a reason that “accounting” and “accountability” share a common root word. Financial audits examine accounting records for accuracy because those records are supposed to account for where money has gone or will go. For this reason, accounting is actually a science. All other forms of science account for things the same way, measuring what is according to fixed increments of measure and giving us an accounting of what is really going on. Such is the case with ABA. The increase of neo-fascism in America, in which science is frequently denied, is really a rejection of accountability and/or a significant detachment from reality consistent with mental illness. It's about skewing numbers (like the 45th President attempting to offload COVID-infected cruise ship passengers at the beginning of the pandemic onto Guantánamo Bay so as to prevent the numbers of infection cases in the United States from going up) or otherwise pretending the numbers are untrue (like “The Big Lie” told by the 45th President regarding the vote count in the 2020 Presidential election), so as to avoid being held accountable. Science is all about explaining reality using numbers, which requires the application of mathematics. There's only one right answer to a math calculation. It never ceases to amaze me the number of people who grasp this concept when it comes to money, but not with anything else. These are generally the kinds of people who own profitable businesses and use their money to hire private jets to fly to Washington, DC, so they can attempt to violently overthrow our government because they fear accountability and equate any perceived loss of privilege or unfair advantage with oppression. Oppressed people can't afford private jets, in case you were wondering. These are also the kinds of people who end up in handcuffs over cooking their companies' books, once the accountability finally catches up with them. When you understand science as a form of accounting for anything that exists in numerical terms, just as with money, it isn't possible to take it as an affront to your belief system, unless you believe things – or are trying to convince other people to believe things – that are not true. There is no rule that says we have to like the truth. An intact person will acknowledge an undesired truth and deal with it. A person engaging in disordered thought will attempt to argue against it and assert beliefs unsupported by evidence as fact, thereby confusing opinion with fact and arguing against what they don't want to be true as though it really isn't. As a parent going into the IEP process, you need to stick to the facts. An IEP is all about measurable annual goals that describe what your child is supposed to be taught and how to measure the degree to which your child learns from that instruction. Services are determined on what is necessary to achieve the degree of success targeted by the goals and placement is determined according to what setting(s) are the least segregated from the general education setting in which the services can be delivered such that the goals are met. The entire process hinges on the appropriate application of the relevant sciences. As a parent, know going into the IEP process that it is scientifically driven and, therefore, relies on measurable facts to inform your child's educational planning, plus it must do so according to the rule of law. The whole system was designed with the education agency's accountability to the individual student and the student's family in mind, which is why it boggles my mind every time I encounter anything but that in the IEP process. Specifically with respect to using ABA to navigate the behaviors of the other team members as a parent attempting to exercise your federally protected right to meaningful participation in the IEP process, there are some ABA-specific concepts you first need to understand. The first concept is that of ABC data collection and the second concept is that of reinforcement. ABC data collection is a process used to determine the function(s) of a specific behavior. The “A” stands for “antecedent,” the “B” stands for “behavior,” and the “C” stands for “consequence.” Each of these has a specific operational definition in ABA, and any deviation from their respective definitions means whoever is taking the data is not actually practicing ABA. An antecedent in ABA is whatever happened right before the behavior that triggered it. When you're talking about students, the presentation of a task demand can be the antecedent to a challenging behavior being addressed by an IEP, for example. When you're talking about corrupt and/or incompetent public agency officials in an IEP meeting, the presentation of a parent request could be the antecedent to some kind of challenging behavior displayed by educational agency personnel, as another example. The behavior in the ABC data collection process is the actual observable behavior being addressed. In the example involving a student just given, let's say the challenging student behavior upon the presentation of a task demand involving a worksheet, is verbal aggression while tearing up the worksheet. In the example of a difficult IEP team member, let's say the challenging behavior upon the presentation of a parent request is a bunch of hyperbolic excuse-making and changing the subject. The consequence in ABA data collection is the immediate outcome produced by the behavior, specifically the pay-off the individual gets by engaging in it. This is an important distinction because it is often inaccurately reported in school-based behavior assessments, where the previous century of relying on a punishment model of behavioral intervention regards “consequence” as something meted out by staff. That is wholly inaccurate. Anything the staff does in response to the behavior, whether it works or not, is a “reactive strategy,” not a “consequence” within the meaning of ABA. The point of identifying the actual consequence achieved by engaging in the behavior is to determine the function served by the behavior for the individual engaging in it. Once the function of the behavior is understood, you can choose how you want to respond to it in a constructive way. When you don't know the actual function of someone else's behavior, you can respond to it in a way that hurts more than helps the situation. Identifying the function of an inappropriate behavior is entirely necessary before an evidence-based approach can be developed to address it. So, using the examples I just gave, let's say that the consequence of the student engaging in verbal aggression and tearing up the worksheet upon the task demand being presented is to escape/avoid the task demand. With respect to an IEP team member engaging in hyperbolic excuse-making and changing the subject when a parent makes a request, the function of the behavior is to escape/avoid addressing, much less honoring, the parent's request. In both of these examples, the function of each of the hypothetical behaviors described were both escape/avoidance, but this is not the only function a behavior can serve. Behaviors happen for only one of two reasons: to get something or get away from something. As such, behaviors can be reduced to a one or a zero, depending on whether its function was to get something (1) or escape something (0). Even the most complex behaviors can thus be reduced down to simple binary code as the most parsimonious way to describe what is happening. In ABA, the functions of a behavior are typically described as access/attainment, escape/avoidance, and automatic. Automatic reinforcement speaks to behaviors that address internal drive states, such as physical wellness and emotionality, but even those are based on access/attainment or escape/avoidance. Sensory-seeking and/or sensory-avoidant behaviors are based on automatic reinforcement for someone with sensory processing issues based on their unique neurology, for example. That leads us to the second key concept of ABA that you need to understand, which is that of reinforcement. A reinforcer is anything that increases the likelihood of an individual engaging in a specific behavior in response to a specific antecedent. If the consequence of the behavior is reinforcing, the individual will continue to engage in it whenever that specific antecedent is presented in order to achieve the reinforcer. For example, if you get hungry (antecedent) and go put money in a vending machine and push the right buttons (behavior), you will get food (consequence). The function of the behavior is access/attainment of food to satisfy your hunger. It's pretty simple. Reinforcement can be positive or negative, but these are not judgments of “good” or “bad.” Just as with magnets, the poles of the Earth, and batteries, the terms “positive” and “negative” have specific meanings within ABA that are also frequently misunderstood in special education behavioral interventions. In reality, when it comes to ABA, “positive” means “to present” and “negative” means “to withdraw.” Positive reinforcement, therefore, is the presentation of something that is likely to reinforce a specific behavior. Negative reinforcement is the removal of something unwanted in order to reinforce a particular behavior. The aforementioned vending machine scenario gives an example of positive reinforcement because food is presented in response to the behavior of putting money into the vending machine and pushing its buttons. Both forms of reinforcement were best explained scientifically back in the early days of behaviorism by B.F. Skinner using what came to be referred to as a “Skinner Box.” In Skinner's positive reinforcement experiments, rats in a cage were taught to pull a lever in order to access food pellets. At first, pulling on the lever was accidental, but as soon as food came out, the rats quickly learned that engaging in the behavior of pulling the lever resulted in the presentation of a food pellet. The presentation of the food pellet reinforced the pulling of the lever. In Skinner's negative reinforcement experiments, rats in a cage with an electrified floor that delivered mild shocks to their feet learned to pull a lever in order to turn off the electrification of the floor. Again, at first, pulling the lever was accidental, but as soon as their feet were no longer getting zapped, the rats quickly learned that engaging in the behavior of pulling the lever resulted in the termination of discomfort caused by the electrified floor of the cage. The removal of the electrification reinforced the pulling of the lever. In both cases, the behavior of pulling the lever was reinforced. It's just that one form of reinforcement provided access to something preferred and the other removed something aversive. Again, this can all be reduced to getting something (1) or getting away from something (0). In the IEP process, you're either getting what you want for your child or you are not. The public education agency personnel are either satisfying their agency's agenda or they are not. The whole situation is riddled with ones and zeros depending on what you are talking about and who is involved. Again, this is all a gross over-simplification of these basic ABA concepts. There are other considerations that have to be taken into account, such as setting events, otherwise known as Motivating Operations (MOs). MOs increase the likelihood of a specific antecedent triggering a specific behavior. In our previous example regarding the student becoming verbally aggressive and tearing up a worksheet upon the task demand being presented, it could be the case that the student normally complied with task demands but, that particular day, the student had a stomach ache and didn't have the concentration and stamina to engage in the task when it was presented. As such, the antecedent was still the presentation of a task demand, but that antecedent occurred in the presence of the MO of a stomach ache, and the consequence was still to escape/avoid the task demand. Similarly, in our example previously regarding education agency personnel engaging in hyperbolic excuse-making and changing the subject in response to a parent request for something, it could be the case that said personnel would have normally agreed to honor the parent's request, but that morning there had been an agency budget meeting in which personnel were told they would be subject to disciplinary action from the agency if they committed the agency to services for students that cost more than a certain amount, which is illegal but nonetheless happens all the time. As such, the antecedent was still the parent request, but it occurred in the presence of the MO of a threat of disciplinary action against agency personnel for committing the agency to costs it didn't want to have to bear, and the consequence was still to escape/avoid honoring the parent's request. Sometimes you don't know what all the MOs are because the education agency personnel won't make them known to you. In many instances, the only way you know something is wrong is because the presentation of an antecedent results in a behavior that produces a consequence that doesn't fit what should be happening. In that case, you know something is wrong because the behavior doesn't fit the situation, at which point you have to ask yourself, “What is the function of this behavior?” It's pretty obvious that any “no” response you receive is an escape/avoidance behavior; it's just sometimes hard to know whether what is being avoided is cost, accountability, or both. For example, data collection practices in special education throughout the country are generally pretty unscientific and shoddy in spite of a federal mandate that special education be delivered according to the peer-reviewed research, which is all scientific, according to measurable annual goals. As black-and-white as the process is supposed to be, it often isn't because school personnel 1) have no idea how to do it correctly, and/or 2) are attempting to avoid accountability. In most cases, it's been my observation that the initial inappropriate behaviors are a consequence of incompetence, which creates a need to pursue accountability, at which point they engage in cover-ups to try to avoid getting into trouble for the errors of their ineptitude. You have to assume as a parent going in that not everybody on your IEP team knows everything they should and that they may respond unethically when they get called out on their errors. In other situations, public education agency personnel are just grifting the system for a government paycheck at taxpayer expense from the outset and see students as a means to their own financial ends, engaging in cover-ups when their self-serving behaviors become exposed. As a parent going into the IEP process, you have to be a shrewd negotiator. If you don't understand the functions of the behaviors of the other IEP team members, you are at risk of being robbed blind by unethical public servants and/or otherwise getting a poorly developed IEP from inept public servants. It's not on you to know all of the science and law that applies to your child's situation, but if you can develop your skills at reading the behaviors of the other IEP team members, you can often figure out whether they are acting according to your child's actual needs or not. At that point, how you respond becomes the next hurdle to clear. Every situation requires its own analysis and there is no way I can give you a one-size-fits-all solution, here. What I can tell you to do is pay attention, try to get a sense of the function of someone's inappropriate behavior as best as possible, and offer reinforcers in order to achieve the behaviors you want to see. For example, send a thank-you card to the school psychologist who actually threw down on an excellent report and you will positively reinforce legally compliant behavior. Or, withdraw a compliance complaint if the agency remedies the problem that compelled you to file it and you will negatively reinforce legally compliant behavior. They can earn a food pellet or stop their feet from getting zapped, metaphorically speaking, but, either way, they're going to have to pull the lever. If you can keep these concepts straight, you will be in a much better position to effectively participate in the IEP process.

The Helping Conversation
Kellie Syfan: Applied Behavior Analysis: Bringing an Evidence Base lens to helping Parents and Children

The Helping Conversation

Play Episode Listen Later Feb 11, 2021 67:28


Episode #215 Kellie Syfan, M.ed., BCBA is a Behavior Analyst, Consultant, Mindset Coach and the owner of Applied Behavioral Happiness which is based in Wake Forest, North CarolinaIn this episode of The Helping Conversation, Kellie shares the science behind and the practice of Applied Behavioral Analysis (ABA). Employing this evidence-based modality that empowers both parents and children to be an active part in behavioral problem solving, Kellie discusses how she utilizes aspects of her unique helping conversation including holding space, treating parents and children as their own best resource, honoring autonomy (including that of children) and always being dedicated to bringing the most recent research and evidence-based finding into her practice.It is Kellie's mission to bring applied behavior analysis to every family struggling with behavioral challenges, and to empower and encourage the mindset of deliberate creativity in the field of behavior analysis.**As a Thank You for listening to this episode of The Helping Conversation, Kellie is offering listeners the following free gift:“THREE DIFFICULT CONVERSATIONS THAT YOU SHOULD HAVE WITH KIDS AND HOW TO START THEM”To download this free gift from Kellie, Simply log onto: 
https://motivated-producer-2796.ck.page/336aaa51f3, For more information on Kellie and Applied Behavioral Happiness, please log onto: www.appliedbehavioralhappiness.com

Beyond the Uniform
BTU #385 - The strongest person I've interviewed (Jessica Swanson)

Beyond the Uniform

Play Episode Listen Later Feb 8, 2021 49:05


Why Listen: In 380 episodes, my guest today - Jess Swanson - is the strongest person I've met. I say that amidst a backdrop of Navy SEALs, Army Rangers, NFL players, UFC Champions and more. At 6 months old, Jess oldest daughter experienced epileptic seizures - usually 8 a day - and shortly after was diagnosed with autism. Rather than letting this derail her life, Jess used it to pave a new path that has helped not only her family, but countless others as well.   She pursued a graduate degree to better understand how to help others like her daughter, became an activist who influenced legislation in congress that helped others like her daughter, and started a company to help other families in her situation.   Jess' story of (1) lessons versus losses, (2) her advice about finding something to appreciate even in areas you might initially deem them a tragedy, and (3) her perspective on controlling what you can and letting go of the rest, these are all incredible lessons borne from enduring unbelievable hardships but choosing to press on for those she loves and to benefit the world around her.   About Jess: Jessica Swanson is the Executive Director and Owner of Summit Health Services, an Applied Behavioral Analysis (ABA) company serving the Monterey Bay and San Diego areas in California. They are an in network Tricare-West provider proudly serving active duty families.  She is a military spouse, her husband having served in the Army for nearly 17 years.   This episode is brought to you by PassLife. Serving in the military is inherently dangerous - are your affairs in order? The grief a service member's family feels upon learning of their passing is difficult enough, but the days, weeks, and months that follow are filled with stressful decisions. PassLife is a single solution, secure cloud-based platform where Funeral Preparations, Last Wishes, Will Information, Financial Assets, Business Continuation Information, Social Media Account info, etc., can be uploaded to recipients of the user's choosing. PassLife allows you to alleviate the stress and lift the fog for your loved ones, preeminently, by giving them a vital trove of information in multiple areas.    Listeners can save 10% by using the code "BTU” at checkout.   Learn more at Pass-Life.com.

Making Special Education Actually Work
School Personnel, Conspiracy Theories, & Child Welfare

Making Special Education Actually Work

Play Episode Listen Later Jan 18, 2021 33:32


Christine Priola, OT, on the right in the Vice President's Office of the Senate during the January 6, 2021 insurrection at the Capitol in Washington, DC   On January 6, 2021, a group of people, radicalized by false propaganda generated by the 45th President of the United States and his co-conspirators, attacked the United States Capitol with the intent to kidnap and/or murder members of Congress and the Vice President. This is an event that will live in infamy for so long as America remains a nation, and be blamed for it if it does not.   I've been working in special education advocacy, helping parents protect their children with disabilities from physical, emotional, and educational abuse/neglect by the public sector, primarily the public school system, since 1991. By now, you would think there's nothing new for me to see when it comes to all the ways that adults can do wrong by those among us with disabilities. Clearly, I was wrong.   These recent events at the national level have left me with a whole new set of concerns that I believe are important to talk about, right now. Not the least of these concerns is the fact that a profoundly mentally ill president, along with his pathologically self-serving sycophants, exploited the suffering of some Americans with mental illness and the unfounded sense of entitlement experienced by other Americans with mental illness.   In the end, it's a bunch of people with mental health issues frenzying like piranha at the smell of blood in the water and taking down the rest of us with them. The inmates are literally running the asylum, right now, and the survival of us all rests on the shoulders of those of us intact enough to realize what is happening, and equipped to deal with it.   For the last 30 years, it's been my observation - and one I've repeatedly shared - that there are individuals employed within the public education system who believe children with disabilities are expendable and unimportant. In a sea of deprived students in general, special education students are uniquely further deprived because of their disabilities.   It's been my observation that these individuals see their constituents - in this case, our children - as a means to their own personal financial ends, and nothing more. When the costs of educating these constituents increases due to disability, they become a hated burden to those looking to profit off them.   It's not like the public education system is doing that great by any of our kids, right now. It's just that problems that impact education in general tend to have a magnified effect on our kids with special needs. Public school officials will say things like, "My heart is bleeding for your child. I wish there was something I could do," when there's totally something they could do. They just don't want to pay for it, which is unlawful.   Special education laws would have not become necessary back in the 1970s if it were not for the fact that people who do not believe in science or law were already employed in positions of authority within the public education system and engaging in unconstitutional conduct towards children with disabilities at that time. The public schools would refuse to enroll these students at all or, even if they did, let them languish in general education classes until they dropped out.   In spite of compulsory education laws, back in the day, it was totally okay to drop out of school if you couldn't keep up with the instruction and nobody would come after you for truancy. This was what happened to a lot of people with relatively mild challenges, like learning disabilities, who ended up reaching adulthood functionally illiterate and unable to find gainful employment except as factory workers, coal miners, and all the other dangerous jobs that don't require academic skills, in spite of their normal intelligence.   I provided adult literacy instruction to this population at a local vocational/technical college as a young adult in Arkansas. I've met these people. I've seen this play out, first hand.   This has led to a class of individuals who have increasingly lost the ability to support themselves, as robots take over dangerous jobs that don't require real thinking. While the laws that passed in the 1970s were the right place to start, it's foolish to think that enough has changed since then that the system isn't still biased against kids with special needs. If things had changed, I'd have worked myself out of a job a long time ago.   The public education system is biased against any kid who isn't white, male, and expected to inherit property upon reaching age of majority. It was created in its present form during the Industrial Revolution and hasn't changed much since.   For the longest time, public education agency administration was male dominated while the teaching staffs were female dominated, putting men in authoritarian control over women employees. Teachers unions grew out of the very real discrimination and abuse of women in the public education workplace by their male "superiors" around the same time that unions gained popularity among the laborers working ot inher dangerous jobs in factories and mines.   Students, however, have no collective bargaining power. Even though they are the reason the system exists, they are the last individuals served by it. They get whatever leftovers are left after public agency administrators bleed their agencies dry with undeserved six-figure annual salaries while teachers are buying classroom supplies with their own money. Students are just an excuse for politicians to pay themselves.   So, the idea that discrimination and abuse do not manifest in the public education sector is plainly inaccurate. There are mountains of evidence to the contrary, my caseload being only one such mountain. The judicial and legislative history of special education law is not the total point, here, but it's relevant in that it establishes that bad actors in public education have made it necessary to regulate public education to control for their inappropriate behaviors.   The evidence of bad faith in public education has been documented in the courts long enough that I don't have argue it, here. That's a done deal. So, when someone tells me they are worried about child welfare at the hands of government officials, I have to say, "Me too! That's why I'm a child and family advocate."   However, now when someone tells me they are worried about pedophiles in public education, I have to do a double-take and ask, "Why?" That's only because of the whacky Q-Anon and similar conspiracy theories, now going around about Satanic cannibals molesting and trafficking children.   It's not that human trafficking isn't real or horrible. It's that there is zero proof that it's being perpetrated by the people these conspiracy theorists are targeting.   There is proof, however, that the 45th President was pals with a known, convicted pedophile and wished this pedophile's co-conspirator well when she, too, got arrested. He's also been accusing of raping a 13-year-old who was made available to him by this same duo of pedophiles, but these conspiracy theorists are not going after him. They think he is the champion of their cause, which defies logic in every possible way.   Even if the allegations of child rape cannot be sustained against #45, he's sexually assaulted plenty of women and bragged about it on the record. How he's become the champion of a human rights cause given his history of sexual assault and his policies regarding the children of lawful asylum-seekers at our borders is beyond me.   We have all seen news stories of the occasional teacher, aide, specialist, or administrator who gets busted for sexual relations with their students. It's not that pedophiles are not employed within public education; we know some have slipped in and we do a poor job of screening them out, often only finding them after the harm has been done.   The more important point is that a ring of cannibalistic pedophiles do not run public education. The average school district administrator doesn't come anywhere near actual children. They don't appear to care for the company of children; they just want to exploit them for public dollars.   While I don't doubt that there are people employed in public education administration who would gladly traffic in humans if they thought they could turn a profit and get away with it, that's a whole lot of work to make happen within the public education system and not get exposed. It's easier to milk the broken system as it is without taking on that risk. They can get rich by lazier means than selling their students into slavery.   As soon as someone gets caught engaging in pedaphilia with students in the public education setting, most school districts are the ones that call the cops. If school district administrators come to an accused educator's defense, it's either because the educator was wrongfully accused or because the administrators don't want to be held accountable for the fact that they let a pedophile come work for their public education agency, so they're trying to convince everyone that they didn't.   It's not that public education isn't being run by a pack of corrupt jackals. By and large, like local police departments, local school districts get away with as much as they do because they only answer to their local constituents, most of whom don't know how to monitor and audit a school district on an ongoing basis for compliance issues. Jackals are in gross abundance.   Even the most ethical educators can be corrupted once they are promoted into administration, and I suspect most of that is economics. Once they start getting that six-figure annual salary, they start buying nice houses and cars, putting their kids through college, and going on expensive vacations. That quickly creates debt.   If you have a six-figure income, you can pay that debt, but if you lose that income and can't replace it fast enough, you're quickly screwed. This is how good educators get pulled into the Dark Side of the Force when they accept promotions into administration. It's the rare pure soul that sees what's really going on and refuses to be manipulated that way before it's too late.   The overarching problems I see in public school administration are about money, not pedophilia or cannibalism. I've yet to encounter cannibalism, actually, but it's only January 2021, so let's see if this year tops last year for the most disgusting conduct to be revealed among public servants for the whole world to see.   What prompts me to discuss this, now, is the recent resignation of Christine Priola, an Occupational Therapist (OT) from Cleveland Metropolitan School District, one day before she participated in the January 6, 2021 insurrection against the American government. Ms. Priola occupied the Capitol building with other insurrectionists and was photographed in the Vice President's office as part of the occupation.   In her resignation letter, Ms. Priola, who is currently out on bail pending trial, stated she was leaving her job as an OT for the District's special education department for three specific reasons:   She refused to take the Corona virus vaccine before returning to in-person learning; She disagreed with paying union dues because she believes that money is funding abortions; and She's embarking upon a fight against child trafficking by government agencies.   So, I'm going to pick these apart one by one, first, and then get into the rest of it.   First, it's unclear if Ms. Priola is an anti-vaxer opposed to vaccines in general, is against the current Corona virus vaccine because it was rushed to market so quickly and she questions its safety and efficacy, or just resents being told she has to take a shot before she can go back to work. Maybe it's a combination of those things.   We don't know why she was opposed to the vaccine, so I can't automatically lump her onto the science-denying anti-vaxer wagon with this limited amount of information, though her overall behaviors incline me to suspect that she could be an anti-vaxer. Because she's an OT, which is a scientific discipline that functions within the medical and educational realms, I don't want to assume too much, here. However, science is a fact-based discipline and Ms. Priola has not be operating according to facts.   When we look at her second objection, the total absence of logic casts an unfavorable light on the first objection, even further. How union dues, which pay for the administrative overhead of each union's operations, somehow funds abortions makes no sense.   The district may withhold those dues from educators' paychecks, but there is an audit trail that shows where that money goes. If you're worried about where the money is going, you do a request for public records asking for the accounting details and turn them over to a grand jury if you find that the money is being misappropriated.   The rule of law already provides a remedy for the misuse of public funds. You don't raid the Capitol with the intent of hanging the Vice President to death to resolve issues such as these.   The idea that the rule of law had collapsed to the point that it was ineffective cannot be argued, here. Ms. Priola did nothing on record to resolve the issue with where her union dues were going before resorting to the violent overthrow of the government and an effort to assassinate the Vice President.   The government already had a legal remedy that she chose not to access and the "remedy" she opted for instead did not fit the situation. This strongly suggests disordered thought. It also, however, goes to the degree to which legitimate remedies to harm done are often inaccessible to everyday Americans because they can't afford to lawyer up every time the government shirks its responsibilities and hurts people. When the appropriate options are closed off to people, they are only left with the inappropriate ones.   This is where peaceful protests for changes to the rules become such an important part of democracy, none of which involves insurrection or execution. Insurrection as a more expedient option to litigation speaks to the degree to which the legal system is often unavailable to most people because of the associated costs, but it's not a valid excuse for what Ms. Priola has done. Ease of access to remedy may have made it less likely that she wouldn't have done something literally insane, but that's speculative at this point.   The third justification for resigning given by Ms. Priola was that she's embarking upon a fight to protect children from abuses by government employees. On it's face, I can't take issue with that because I've been fighting to protect children with disabilities - the same students Ms. Priola served as an OT - from abuses within the public education system for the last 30 years.   Very often, though, I'm protecting them against people like Ms. Priola who are so divorced from science and, therefore, reality that they engage in violations that require me to file complaints with regulators. Again, the rule of law provides a remedy. The difference between Ms. Priola's efforts to protect children and mine is that I use science and law to protect my babies. She's trying to kill the members of Congress most likely to help her protect children from the real predators.   I've never had to violently overthrow a government agency or hang anybody to protect a child from government employees. Has the rule of law let my babies down, before? Yes, in hugely significant ways. Has the rule of law protected my babies when I've pursued enforcement of it? Yes, more often than it has not. It's not a perfect system, but insurrection on behalf of the people responsible for undermining it is not going to fix anything.   And, it's not like I haven't seen evidence of child trafficking in government agencies. I have, just not in public education. Specifically, I've been working on a separate justice project with our organization's founder, Nyanza, to address the egregious over-incarceration of African-Americans in Oklahoma that dovetails with what may be State-sponsored child trafficking.   Based on the publicly available research data we've gathered to date, it appears there may be an orchestrated mechanism in place in which officials in the State of Oklahoma incarcerates people of color and remove their children from their homes through the Child Protective Services (CPS) system, only to place these children in privately owned foster care facilities and/or adoption agencies that operate for profit.   It appears that at least some of the foster care and adoption agencies in Oklahoma that participate in this dynamic are owned, at least in part, by State officials responsible for passing and enforcing the laws of Oklahoma, from which they profit. It should be noted that Oklahoma's CPS system was found to have been responsible for the death, rape, and maiming of many children processed through this system via a federal class action lawsuit that resulted in a consent decree that is not being properly enforced.   CPS employees have come out as whistleblowers to advise that the "proof" of compliance with the consent decree is falsified information and Oklahoma isn't taking this federal court consent decree as anything other than one more thing to lie about. It should also be noted that all of the individuals involved in these behaviors appear to be Republicans, or they were at the time the data we collected were gathered.   From what we've seen so far in our data, it appears that Oklahoma lawmakers and judges are incarcerating people so they can steal their children and sell them for profit. If true, that's a legitimate State-sponsored human trafficking ring that needs to be shut down immediately. But, it isn't a Satanic group of Hollywood actors and Democrats eating and raping children.   While this possible human trafficking ring has not been investigated as such to my knowledge, thus far, it's one of those things that can't last forever without someone getting caught. Nyanza and I are working to get enough evidence together to get the situation investigated, and she's been filing documents this whole time, but that's how you address these things. We are availing ourselves of the mechanisms of our imperfect, but better than anarchy, democracy to fix this heinous problem. Whatever is responsible for Oklahoma's ridiculous incarceration and CPS numbers is a problem that needs to be fixed, regardless of what it is.   This is painful because we know of families suffering horribly because of what is currently happening until this gets resolved, but justice can take time. I've learned that lesson from 30 years of working cases from IEP meetings all the way up to the 9th Circuit Court of Appeals, and you don't always win. But, you always make a difference, even when you lose on some technicality. I've had cases where we lost on an issue, but just barely. The involved districts knew the next time they pulled the same stunt, they wouldn't necessarily get lucky again, and have changed their practices as a result.   What I've learned from relying on the rule of law to address failures of the system is that you have to look at things in the aggregate. It becomes a measure of how many things I've prevailed on versus how many things I have not, and I've prevailed on more things than I haven't. Overall, my work is highly effective. On a day-by-day basis, it's a mixture of resolution and being obstructed by law-breaking public servants.   You have to get to the point where you can identify when it's time to negotiate and when it's time to collect evidence and file a complaint of some kind. We have processes and procedures already to address all of the concerns raised by Ms. Priola's resignation letter, none of which involve insurrection and execution of elected officials.   So, having said all that, now I have to turn to the issue of people who think like Ms. Priola who are still employed in public education. I first have to say that she may be in the minority, but we don't know how large or small that minority is because they have not been outspoken within the public education context, thus far.   Further, because I have been dealing with disordered thought on the part of school district personnel that results in harm to children for the last 30 years, I'm willing to believe that people whose thinking is as impaired as Ms. Priola's appears to be are still deeply rooted in special education, right now. Whether their disordered thought makes them vulnerable to Q-Anon and similar propaganda or not isn't anything I can answer. But, Ms. Priola's departure from science in spite of her scientific training is consistent with much of what I see in special education when things go wrong.   What this really comes down to is a concern that I've had for years and have spoken about with colleagues, but we haven't really figured out the most appropriate way to address it. What is happening now and the national dialogue around it may have finally opened a door to deal with this issue, and that issue is the societal impact of having so many members of our population who are apparently incapable of logical thought when it comes to abstract concepts like justice, democracy, and fascism. And, it circles back around to the quality, or lack thereof, of our public education system.   One of the tools I regularly use, or request that it be used, in special education is a standardized assessment called the Southern California Ordinal Scales of Development (SCOSD). The history of what led to the SCOSD's creation is a story unto itself, but suffice it to say that it is a scientific way of measuring all the different domains of development according to Piaget's stages of development.   The SCOSD breaks development down by subtest into cognition, communication, adaptive abilities, social-affective functioning, and motor skills. It is possible for an individual to function at a higher developmental level in one area than other areas. Each person's outcome on the measure paints a picture of their relative strengths and weaknesses across the developmental domains. When working with children and young adults with developmental disabilities, this becomes important to designing effective programs for each of them.   What I've come to realize from the data I've seen produced by the SCOSD over the years is that it is possible for someone to have age-typical cognitive and communication skills, but then have below age-typical social/emotional functioning. What this means is that their emotional development is delayed while their abilities to acquire academic and job skills are intact. They can emulate adult behavior, but their motivations are child-like because of their delayed social/emotional functioning.   When otherwise intelligent people get whipped up into an emotional frenzy over things not supported by any credible evidence, this disconnect between intelligence and social/emotional functioning is apparent. When otherwise intelligent people argue against evidence that they did something incorrectly, this same disconnect is again apparent.   This disconnect is what I've been fighting over the years more than anything else. Any reasonably intelligent and socially/emotionally intact person would not engage in the kinds of crap I encounter in the public education system. Most of what I encounter in the public education system is the consequence of ineptitude, not a cabal of cannibals.   If any kind of cabal exists in public education, it's the same one currently running the American Presidency into the ground. All of this makes me think of the right-wing folks in Orange County, California, who started a non-profit membership organization, self-described as a "brotherhood," of school district officials who would all pay membership dues and then use that money to finance legal battles against parents of children with disabilities.   It also makes me think of Lozano Smith, a law firm that infamously (within special education circles) got eviscerated by a federal court judge after trying to lie, cheat, and steal in a special education due process appeal. The firm, the responsible attorneys, and the district it was representing all got sanctioned for jerking everybody, especially the court, around with their lies.   All of the firm's attorneys were ordered to participate in additional ethics training, in addition to the reprimand and sanctions meted out by the court. At the time, Lozano Smith had over 200 attorneys on staff statewide throughout California. Shortly thereafter, most of them jumped ship and went to different firms or started their own firms. It's quite reminiscent of what we are seeing in Washington, DC, right now, as cabinet members and other high-ranking personnel turn their backs on the outgoing President in the wake of all the destruction and death he has caused.   Lozano Smith is still around, but I haven't encountered them in the field in several years. The last big thing I saw from them was in 2013 when my colleague, David Grey, prevailed on a case at the 9th Circuit against two school districts engaging in the same violation of the Americans with Disabilities Act (ADA). At least one of the involved districts filed an appeal to the U.S. Supreme Court, but it was shot down; the Supreme Court declined to try the case.   When the Supreme Court appeal was first filed, Lozano Smith, which had been uninvolved at that point, wrote an amicus brief that looked like something that could have been produced by Sidney Powell and Rudy Giuliani. It made nearly hysterical arguments about how the 9th Circuit's interpretation of the ADA would undo decades of precedent within the public education system, as though decades of an established practice of discrimination should be maintained.   The point is that the conservative "fringe" has never been the "fringe." To quote Stephen Colbert, "Lunatic fringe? There were tens of thousands of people in that murderous mob. The day after the riot, a poll found that 45% of Republican voters backed the attack on the capitol building. That's not a fringe! That's almost half the outfit! If you wore a suit that was 45% fringe, you'd be arrested for public indecency! But at least we'd be able to see through your pants to know you don't have any balls!“   Based on how scholars look at the political spectrum, conservatives have gone further and further to the right towards radicalization as the left has remained predominantly centrist. The far right looks at centrist politics and mischaracterizes them as the "radical left." Democracy is not the radical left.   Conservatism is no longer part of democracy in this country; it's become a movement towards dictatorship in which 45% of the population believes it needs to be led by the nose by a demagogue. When left to think for themselves, these individuals run towards authoritarianism, thinking these leaders understand their needs and will fight for them, rather than exploit them to help take over and then kick them to the curb when they no longer serve a useful purpose.   It's my suspicion that, once the people who participated in the insurrection realize that the 45th President will let them rot in jail for taking up his cause while he claims to have nothing to do with any of them, his base will finally get the backstabbing that has been coming their way this entire time and will realize he's not in their corner like they thought. We can at least hope getting stabbed in the back will have this effect.   We're going to have to watch the prosecuted go through this epiphany over time as we try each of their cases one by one. The stories we're going to hear from these people are going to reveal legitimate unmet needs, impaired problem-solving skills, and exploitation of those factors by Republican terrorists looking to radicalize them.   Those of these defendants with the mental wherewithal to realize they've been played and the emotional stability to own it will turn on those who exploited them, as have many former allies of #45, such as Michael Cohen. Those who don't have the emotional stability to own the fact that they made a mistake in judgment will continue to assert they've done nothing wrong and describe themselves as political prisoners rather than criminal insurrectionists and traitors.   In the minds of the insurrectionists, as they've reported themselves, they were responding to the call of their President to defend democracy. If that's what you're really doing, defending democracy isn't bad. But democracy relies on the rule of law. You defend democracy by participating in it and putting its mechanisms into constructive use, not trying to overthrow it.   If our democracy is not working for all of the people - and people of color, indigenous people, LGBTQ+ people, women of all stripes, and people challenged by disability can attest that it has not for a very long time - we need to fix it. What boggles the mind is that now that groups made up mostly of white males in this country are finally beginning to experience the lack of undemocratic entitlement and advantage they've historically known, their response to advocate for themselves is to engage in insurrection. This means that what they want is nothing a true democracy would ever give them, and that tells you all you really need to know about them.   There is absolutely a silver lining in all of this, and I rely on Applied Behavioral Analysis (ABA) to inform that determination. In ABA, there is a term that I've discussed in previous posts called "Extinction Burst," and that's part of what we are looking at with the current state of things. In an Extinction Burst, a behavior that had previously been reinforced is no longer being reinforced, and the organism tries to force reinforcement to come by escalating its behavior.   Think of it this way: If, every day, you put money in a vending machine and a candy bar comes out, the candy bar reinforces the behavior of putting money into the machine. But if, one day, the candy bar gets stuck and won't come out of the machine, what do we do? Walk away sad? No! We beat on the machine in an effort to make the candy bar dislodge and come out.   That's an Extinction Burst. If the candy bar dislodges and comes out, it reinforces the behavior of beating up the machine. If beating the machine doesn't work, then you walk away sad. After than, you're less likely to use the machine again. If you stop using the machine altogether, the behavior of putting money into it becomes extinct.   What is happening in this country with the radicalized right is an Extinction Burst. Behaviors engaged in by the right wing that were previously reinforced are no longer being reinforced. The behaviors of the 45th President, his co-conspirators, and his followers over the last five years, leading up to January 6, 2021, and what may still yet happen as the 46th elected President takes office, have been an extended Extinction Burst.   The most important thing about an Extinction Burst when you're trying to extinguish an inappropriate behavior is that you cannot allow it to produce the reinforcement being sought. If you want someone to give up on the candy machine, there can be no way to beat the machine until candy comes out.   We want the radical right to give up on trying to destroy democracy, so we cannot allow their behaviors to result in the reinforcement they are seeking, which, here, is to remain in power regardless of the will of the people. This includes holding them accountable according to the letter of the law. That's what I've been doing in my niche of governmental accountability for the last 30 years and it's the only way to preserve democracy going forward.   The other silver lining, here, is that in spite of all their efforts to overthrow democracy, it's our democracy that will ultimately prevail. When we apply the rule of law to what they have done, democracy will have the opportunity to defend itself.   What saddens and scares me the most is the number of people whose developmental weaknesses and mental health conditions are being exploited by the right wing to radicalize them into becoming domestic terrorists while convincing them they are upholding American principles through their terrorism. When we talk about the mental health problems in this country, we tend to point to homelessness and addiction issues, like this is the only way they can hurt us.   As an advocate for people with disabilities, I am torn between being sad for and fearful of these individuals. On the one hand, we absolutely need to hold them accountable under the law. But, we prove the point that the system is skewed towards specific demographics when mentally ill right wing radicals suddenly get criminal consequences and nothing to address the real-world problems that they couldn't solve that propelled them into radicalism.   In the end, once again, it's people with disabilities being used as political pawns by self-serving, undeserving, overpaid public officials looking to line their own pockets with taxpayer dollars as part of a grift. This is something I know all too well in special education.   I'm willing to believe, in light of the evidence thus far, that decades of special education failures have produced an entire class of emotionally disturbed adults who are still vulnerable to the manipulations of public officials and that Ms. Priola and many of her compatriots are among them. I'm also willing to believe, in light of the evidence thus far, that the people manipulating them are just as mentally ill; they just have money and power.   I will never pretend to have all the answers, here, but I do know a thing or two that can help. All of us do. We need to weave our efforts together to repair the fabric of our country and make it stronger than it was in the first place. It's not impossible. This country's founding was far more difficult than its current preservation and we can do this.

Giuliana Hazelwood's Bedside Manner
3 // drew belsinger's bedside manner

Giuliana Hazelwood's Bedside Manner

Play Episode Listen Later Oct 26, 2020 56:59


hi my pretty babies. i hope your week was phenomenal on all levels. creatively, romantically, digestively, even! i have wonderful news for you: i've made you a new episode! the *star* of this week's show is Applied Behavioral Analysis (ABA) therapist Drew Belsinger, and i think you'll just love him. honestly, i *know* you will. i had the good fortune of meeting Drew completely by chance at a grocery store while visiting my hometown over the summer, and within minutes i knew he was part of the fam. his honesty, personal integrity, and humility are striking, as is the fact that he remains so supremely chill about his insanely stressful job helping children in schools overcome behavioral challenges. In this episode we discuss: tuning in to many people's needs at once how to set boundaries (he's really good at this) knowing the limits of your job the double-edged sword of working on an interdisciplinary care team building trust with your coworkers the importance of data and framework knowing thyself, taking naps, and crying at work sometimes la résistance, darling recognizing when we don't "need" to change someone the MAGICAL phrase he uses in testy work encounters thanks so much for coming to the show. enjoy *every* minute! ~ SHOW NOTES ~ on Drew's nightstand: Beautiful Humans: The Social ChangeCast Dance Moms ~ CONTACT INFO ~ Drew: dmbelsinger@gmail.com Moi: @bedside.manner // bedsidemanneruniverse.com sign up for the Dispatches from Bedside Manner Universe newsletter here, and please remember that the internet is an illusion and of course -- as always -- let me know if you need anything x

magical dispatches bedside manner applied behavioral analysis aba
The Dream Young Effect
The Truth About Autistic Children and Mental Health!

The Dream Young Effect

Play Episode Listen Later Oct 16, 2020 35:48


Autistic children and their families have a story to tell. Learn what it's like to have an Autistic child in this interview with mom/caregiver Armine Barsegian and daughter Yeva! We learn about Applied Behavioral Analysis (ABA), Physical Therapy, Occupational Therapy, Speech Therapy, and Musical Therapy (Tomatis Method).

Living the Sky Life - Autism Journey
Episode 18 - A helpful overview of ABA therapy - the variations & benefits of the programming w/ Emma Miklinski

Living the Sky Life - Autism Journey

Play Episode Listen Later Mar 11, 2020 50:45


Emma Miklinski is a BCBA who has worked in the field of Applied Behavioral Analysis (ABA) for 2.5 years.  Emma hails from Buffalo, NY and currently lives in the Louisville, KY area.  Emma loves to run (mostly with her dog, Hank) and enjoys reading - both about ABA and other topics! You can stay connected to Emma via:   Instagram: https://www.instagram.com/emmalmiklinski13 Facebook: https://www.facebook.com/emma.miklinski ***************************************** Please stay connected with Living the Sky Life via these formats: FB: https://www.facebook.com/livingtheskylifeautismjourney IG:  https://www.instagram.com/living_the_skylife_autismtrip Email:  livingtheskylife.autismjourney@gmail.com I'd love to hear what you think!  If you are interested in being a guest on the podcast, please contact me!    

Making Special Education Actually Work
IEP Goals Determine Services & Placement

Making Special Education Actually Work

Play Episode Listen Later Mar 7, 2020 13:59


  If you've read or listened to our past posts and podcasts, or have otherwise been educating yourself on the special education process, hopefully by now you understand that special education is supposed to follow a particular procedural flow. This is not only the method supported by best practices, but also the method required by federal law.   To recap, assessment data provides the present levels of performance and baselines necessary to formulate educationally appropriate IEP goals for an individual learner. The goals describe what the IEP is supposed to make happen. Once the enormous milestone of developing the IEP goals has been achieved, then it's time to figure out what services are going to be necessary and where they can be delivered in order for each goal to be met. This is where things can suddenly go off the rails.   It does no good to articulate sensible outcomes in measurable terms if effective services aren't put into place to actually work on them and make them happen. Goals are just hopes if you don't have a plan for the services you will need to meet them, and hope is not a strategy. But, this is often where things can get tricky in developing an IEP.   There are two common reasons for why things can go wrong at this stage: 1) everybody means well, but they don't know what they're doing; or, 2) something fishy is going on. In the first instance, it's usually a matter of training. In the second instance, somebody is gaming the system in pursuit of an agenda in which the student is ancillary, but not the point.   In many instances, where this process gets tripped up actually starts with the development of the IEP goals. When the IEP goals are improperly written and/or necessary goals are excluded altogether, determining what services are necessary to deliver appropriately ambitious educational benefits to each student becomes compromised.   I've had many parents come to me over the years saying things like, "My kid needs more speech and language. He doesn't know word meanings, can't follow instructions, and can't express himself, but he's only getting 20 minutes of speech per week." They look at increasing the service minutes in speech as though that's going to somehow magically translate into working on all areas of his speech/language needs, when the real issue is that there is only one speech goal in the IEP for articulation and the rest of their child's speech/language needs have no goals.   Because there are no goals for anything else, the number of speech/language service minutes is limited to how much time is reasonable to pursue the one goal that is there for articulation. 20 minutes per week to work on nothing but articulation isn't automatically off-base.   What these parents really mean, when they say their kids need more speech and language services, is that the IEP is not targeting all of their speech/language needs. If that's true, then the IEP team has to go back and look at the data to determine what other areas of speech and/or language should also be targeted by explicit intervention, then write goals to those specific areas of intervention need.   Once those new goals are written, the IEP team can then look at how many service minutes will be necessary to meet each goal. In addition to service minutes, which are expressed in terms of frequency and duration, the location of where the services will be delivered has to be determined.   It isn't automatic that related services, like speech/language or occupational therapy (OT), get delivered in a pull-out setting. The location of services, like all other parts of an IEP, must be individualized to the unique needs of the student.   Pull-out services require the student to be removed from the classroom, often during instruction, and can interfere with learning. It's a balancing act to find the right time to pull a student out of the regular class routine to go participate in direct pull-out services.   Push-in services bring the intervention into the student's classroom and make it part of the classroom experience. Sometimes, this can be small group instruction with a reading specialist when the general education class is broken into small reading groups as a normal matter of instruction. This weaves the special education into the general education situation so that students with reading challenges are facilitated in participating with everyone else.   Embedded services are much like push-in, but they are intertwined with the instruction throughout the entire school day as a matter of instructional design for the classroom. An example of this would be embedded speech/language instruction and Applied Behavioral Analysis (ABA) in the program design of a school specifically for students with autism who cannot successfully function and learn on an integrated campus.   In this example, because it can be reasonably expected that all of the students in such a special school will need these supports according to the research and evidence-based practices, they are woven into the instructional design of the program. They are part of how the instruction is delivered on a continual basis.   In such cases, the integration of speech/language and ABA have to be used to describe the placement rather than parsed out as individual related service minutes, because they are part of the placement design that makes that particular placement appropriate for certain students. In this instance, they are not discrete services provided outside of or in addition to what is otherwise happening in the classroom.   Which leads into the next phase of the process, which is placement. Placement is the last decision to be made by the IEP team. There's a really good reason for this. Placement is supposed to be determined by what is the Least Restrictive Environment (LRE) in which the services can be delivered such that the goals are met.   Special education is a service, not a place. The whole point of the IEP is to meet the IEP, but it is discrimination on the basis of handicapping condition to automatically remove kids from the general education setting for instruction just because they have disabilities. Unless removal to a more restrictive setting is the only way for the goals to get met, it's not the LRE.   LRE is relative; what is restrictive for one student may be empowering for another. A student with autism who can nonetheless function in the general education setting with push-in ABA supports, for example, would be inappropriately placed in a school for students with autism.   Sometimes parents mistakenly think a special school is better because it's focused on the specific types of needs their child has. But, it's only better if the student cannot otherwise be successful in a less restrictive setting. Restrictiveness of setting is directly related to the severity of the student's needs and the intensity of instruction necessary to meet the IEP goals.   Sometimes, creating an appropriately hybridized placement offer for a student who needs some pull-out services, but can otherwise participate in general education the rest of the school day, is such a difficult thing to coordinating in a particular school's pre-existing culture that special ed staffs find it more convenient to put kids in more restrictive settings. This gives special ed staffs more control over the quality of the instruction and allows them to prevent their kids from being harmed by discriminatory general education practices, but it segregates their students on the basis of handicapping condition.   Sheltering students with disabilities from abuse by sequestering them from bigots inadvertently reinforces discriminatory practices that keep people with disabilities from equally accessing the world at large. Preventing the abuse of students with disabilities through diversity appreciation instruction, as well as proactive, research-based Positive Behavioral Interventions and Supports (PBIS) on a schoolwide basis, makes far more sense.   The LRE laws exist for this reason. Rather than sequester students with traits in common to prevent them from being bullied by the rest of the students, it is more appropriate to teach all of the students how to get along with each other. Appropriate programming results in general education students looking out for their peers with special needs rather than picking on them and mocking them. It facilitates unity in the school community.   Because LRE is relative to each student, no parent should go into the IEP process demanding a placement because somebody else's kid got it and they're doing great there. Somebody else's kid is not your kid. You don't base IEP placement decisions for your child off of what somebody else needs or gets; you base it on your own child's unique, individual learning needs as targeted by the IEP goals.   Most school districts will tell you that the "continuum of placement" for special education is whatever they already have. That's only partly accurate. What the school district already has is part of the continuum of placement, but if the placement the student needs doesn't already exist within the district, the placement has to be outsourced or created.   It's appropriate for the school district to describe the types of placements it already has. These can include, but are not limited to: general education placement with push-in supports; pull-out to a special education class and/or therapies for part of the school day for targeted specialized support, with placement in general education for the rest of the school day; full-time placement in a special education class; and placement for all or part of the day in a non-public school.   But students are not limited to the types of placements already put in place within a school district. Sometimes, the closest appropriate school is so far away that the child and a family member live in a nearby apartment or other local housing arrangement during the week and go home on weekends, with their local school district funding the housing and travel expenses as related transportation services in the student's IEP. There's caselaw around this issue in favor of students (see, for example, Ojai vs. Jackson).   There is no master list of all the "types" of placements that can be offered to a special education student. Like every other part of an IEP, placement is supposed to be tailored to the student, only with the LRE requirements relative to what services it will take to meet the goals in mind. Sometimes, IEP teams have to get creative to meet highly unique individual student needs.   Other times, the types of supports a student needs are relatively common such that there are entire classrooms that provide those kinds of supports to all of their students. Resource Specialist Program (RSP) services are the most commonly delivered special education services. These are the least intensive forms of special education services provided.   Most students on IEPs have relatively mild learning disabilities that make RSP support a useful tool in helping them maintain grade-level performance. They are usually mostly in the general education setting with some special education supports and plenty of them go on to college and successful careers.   Many of these students glide through the K-12 system with an IEP that no one knows about but their families and teachers. Most of their peers have no idea and their closest friends realize it's no big deal and don't care.   Further, it is becoming less stigmatizing to be on an IEP than it used to be, so students are being more forthcoming with their peers about their special education statuses, just as matters of fact, without judgment entering the picture. If only the adults could follow their lead.

Making Special Education Actually Work
How Parents Can Help Promote the Application of Peer-Reviewed Research to Special Education

Making Special Education Actually Work

Play Episode Listen Later Dec 31, 2019 31:04


Image credit: Elco van Staveren   Special education is heavily regulated to protect the rights of eligible students to individualized educational planning, but complying with the regulations is easier said than done. The operational design of most public schools is over 150 years old and based on the mass production mentality of a factory, having been created during the Industrial Revolution. By contrast, the applicable special education laws were first passed in the 1970s, accounting for only the last 1/3rd of the current American public education system's history.   Trying to implement the individualized educational planning called for by special education law in an environment created for the purpose of mass instruction is like trying to build a custom piece of furniture on a moving assembly line. In the early days of special education, this meant removing students from the general education setting to special education classes, effectively choosing to build a custom piece of furniture in a specialized workshop rather than on the pre-existing assembly line.   The problem, however, is that pieces of furniture do not have civil rights. It's one thing to segregate inanimate objects according to how they are constructed. It's another thing to segregate human beings according to whether they need changes in how they are instructed due to disability.   Because special education students have legal protections against being segregated out of the general education setting simply for having a disability, integrating individualized educational planning into a mass instruction environment becomes that much more complicated for special education students who are educated with their general education peers for all or part of their school days. The complexities of individualizing educational programs for each student are seemingly infinite, given all of the relevant disability-specific considerations plus all of the ecological factors involved in each instructional setting.   However, science - specifically research conducted by educational psychologists and their colleagues - has been attempting to keep up with the demands created by various types of unique student needs, including disabilities of all kinds. While it all hasn't been figured out for every situation by any stretch of the imagination, there is still a wealth of information from education research that never makes its way into the classroom, much less into individual IEPs.   That's a problem because Title 34, Code of the Federal Regulations, Section 300.320(a)(4) mandates the application of peer-reviewed research to the design and delivery of special education on an individualized basis, unless it's not practicable to do so. No one has yet defined what "practicable" actually means, so it's still up for debate.   The history of how all this science ended up being codified within the implementing regulations of the Individuals with Disabilities Education Act (IDEA), has been summarized in our last blog post, "The Fundamental Flow of IEP Creation," so I won't repeat it here. You can review the impact of PARC v. Pennsylvania in that post to inform references to it, here.   The point is that the applicable science has always been written into any serious redress to the educational needs of students with disabilities after having been deprived educational benefits by the public school system. In PARC v. Pennsylvania, a psychologist with extensive experience working with children with intellectual disabilities and an attorney committed to representing the interests of children with intellectual disabilities were jointly appointed by the federal court to serve as special masters to oversee the implementation of appropriate interventions to students with intellectual disabilities in Pennsylvania's public schools as part of the settlement that was negotiated between the parties. The settlement included federal court oversight by way of the court-appointed special masters.   The historical foundations of the requirements for measurable annual goals in IEPs pursuant to 34 CFR Sec. 300.320(a)(2) and the application of the peer-reviewed research to the delivery of special education as mentioned previously can be traced directly back to PARC v. Pennsylvania. There has never been a time when the law did not expect the delivery of special education to be informed by anything other than evidence-based practices developed from the peer-reviewed research.   From the moment the first laws were created to provide special education to all eligible children in the United States, science was built into its design. Federal Supreme Court case law has established that Congress expected procedural compliance with the IDEA to all but guarantee compliance with the substantive requirements of the law when it authored and passed what is now the IDEA. Specifically, the case law states, "...the Act's emphasis on procedural safeguards demonstrates the legislative conviction that adequate compliance with prescribed procedures will in most cases assure much, if not all, of what Congress wished in the way of substantive content in an IEP." (Board of Educ. v. Rowley, 458 U.S. 176 (1982))   Congress intended for the applicable science to guide the special education process for a number of good reasons. First, using science means using what everybody can agree actually works under a given set of unique circumstances, to the degree such is known. There is evidence - proof - that under the explicit conditions that were tested, a particular method of intervention works or doesn't.   Because every special education student presents as a highly unique individual such that their learning needs do not conform to conventional instruction, they require highly individualized instruction that is tailored to each of them, respectively. There is no one-size-fits-all method of intervention proven to work in special education contexts. What is proven to work is writing up a unique program of instruction for each individual student. That is the evidence-based applicable science, that is the bottom line requirement of the applicable federal law, and this has been known and federally regulated since 1975.   This, therefore, begs the question as to why so much of special education is based on subjective opinions, ballpark estimations (often underestimations), and fad theories about learning rather than science. There's been a lot of research into why the research isn't being promulgated for use in public education and politics has a lot to do with it.   Applying the research means upgrading facilities, retraining teachers and their support staffs, buying new materials, and paying for more specialists. Further, it's often necessary to purchase all of the research materials necessary to inform any kind of evidence-based program design and hire someone who knows how to translate the research into a data-driven educational program. For highly paid top agency administrators who get compensated on the basis of how much money they don't spend rather than how many students they do get educated, applying the research means spending money, and that's no way to get a raise in that kind of institutional culture.   Another concern of many public education agencies is accountability. When using evidence-based practices in the delivery of special education, one can't ignore the body of research that supports that the data collection and analysis methods used in Applied Behavioral Analysis (ABA) are the most reliable methods of data collection and analysis used in any special education context (Drasgow, Yell, & Robinson, 2001; Kimball, 2002; Yell & Drasgow, 2000). The problem for some education agencies is that valid data collection means all their missteps will be captured by the data. If they aren't actually implementing the IEP as written, the data will reflect that, exposing the agency to legal consequences.   People often mistake ABA for a treatment for autism, but this is not the case. It is true that behavioral interventions using ABA can be effective at addressing behavioral challenges with students who have autism, as well as any other human beings with behavioral challenges, but it can also be used as an instructional methodology and as a tool to determine if learning has occurred and, if so, how much. That is, it is excellent at measuring progress towards a clearly defined outcome, such as a measurable annual IEP goal.   The Antecedent-Behavior-Consequence (ABC) data collection methods used in ABA naturally lend themselves to measuring progress towards IEP goals. This is how it works: a stimulus (Antecedent) is presented to which the student responds with a specific Behavior, which immediately results in an outcome (Consequence) that either increases the likelihood of of the behavior happening again (reinforcement) or it doesn't (absence of reinforcement or punishment).   Most people in special education are at least familiar somewhat with using this approach to dealing with inappropriate behaviors. You don't want to deliver a reinforcing consequence when an inappropriate behavior occurs. Instead, you want to reinforce a more appropriate replacement behavior that still meets the student's needs; the behavior was happening for a reason and you can't leave its function unaddressed or a new behavior will just develop around it. Treat the cause, not the symptom.   You only resort to punishing the undesired behavior when reinforcing the desired behavior is not sufficient at extinguishing the undesired behavior. Presenting reinforcement for doing what is expected and withholding reinforcement for doing what is not expected is usually a pretty powerful strategy for positive behavioral interventions.   When using ABC data collection and analysis on the fly during instruction, your thought process is a little different. When you're looking at whether a student is learning from the instruction you are providing, especially when working with students who have significant impairments that limit their expressive communication skills, sometimes it's the raise of an eyebrow, the turn of a head towards you with eye contact, or the smile or grin that tells you whether or not you're getting through. There is still an Antecedent (the delivery of your instruction and/or check for understanding), a learning Behavior (the student's response to your instruction and/or check for understanding, whether verbal or not), and a Consequence (praise for learning or encouragement for trying) that increases the likelihood that the student will remain engaged and continue to participate in the instruction.   When using ABA-based data collection methods to measure for IEP goals, so long as the goals are written as math word problems based purely on observable learning behaviors, it's pretty straight forward. Take for example this goal, which is purely made up for illustrative purposes: "By [due date], when given 10 calculation problems using multiplication of double digit numbers per trial, [Student] will calculate the 10 problems with at least 80% accuracy per trial in at least 9 of 10 consecutive trails within a semester, as measured by work samples."   This is easy. There are 10 problems per trial. The student needs to get at least 8 out of 10 problems right per trial (measure of accuracy) in at least 9 out of 10 consecutive trials (measure of consistency) within a semester (measure of time) in order to meet the goal. Nothing is left to guesswork. Everything is represented by an increment of measure.   What ruins a goal out of the gate is basing any part of it on internal thoughts and feelings experienced by the student. Never start a goal with language like, "... when feeling anxious or angry ..." or "... when presented with a non-preferred task ..." You can't trigger the onset of measurement based on something you can't observe. You only know what the student is thinking or feeling once they express it in some way.   There is no way to get in front of the student's expression of their thoughts or feelings to prompt their behavior in an appropriate direction because there is no way to know what the student is thinking or feeling before they act. Other people's thoughts and feelings, including those of special education students, cannot be observed or known by other people. No credential in special education imbues special education personnel with clairvoyance. By the time you know what the student is thinking or feeling, it's too late to influence how they act on those thoughts or feelings; you only know because they've already acted.   The same goes for preference. Preference cannot be observed and it can vary from day to day, or even moment to moment, for a lot of special education students. What is preferred at one time will often not be preferred at others. Eventually it is possible to have a good idea of what is not preferred by a student, but then confirmation bias can enter the picture and you see what you expect to see, not realizing you're prompting it according to your preconceived expectations.   What makes more sense is to write goals that do not target what are referred to in ABA as "private events," but rather to expected behaviors. For example, a common behavior targeted in the IEPs of students with challenging behaviors is work refusal, which is to say non-compliance with task demands. A teacher will assign a task and, if the student is non-compliant, they will either passively sit there and just not perform the task; do something else passive instead, like doodle or read a book; engage in distracting or disruptive behavior, like play on their phone or talk to their neighbors; or engage in outburst behaviors, possibly accompanied by leaving the room (eloping).   It's usually pretty easy to figure out if there is a pattern to the types of tasks assigned and when non-compliance occurs such that preference can seem easy to identify. But, trying to rely on that for the purpose of measurement is like trying build a house on shifting sands because someone's preferences can change so quickly.   The language that I see most commonly used in goals that work around the issue of private events reads more or less like this: "By [due date], when assigned a task, [Student] will either initiate the task, ask for help, or request a 2-minute break within 60 seconds of the task being assigned in at least 8 of 10 consecutive opportunities as measured by data collection."   This makes things easy. Regardless of whether the student has a personal preference or not for the task being assigned, they will either start the task, ask for help with the task, or take a short break and get it together before they come back to the task.   Some students have processing speed delays that interfere with their ability to get started right away. They need extra time to process the instructions so they understand what you want them to do. Sometimes that extra little break is all they need to get there independently. It just takes them a little longer to think it through and make sense of what you want from them before they know what to do and can start. Other students get emotionally overwhelmed and just need to go get a grip before they tackle the expectations being placed on them. Yet others take longer to stop one activity and transition to another one. That short little break can buy them the time they need to process the mental shift of set and orient themselves to the new demands being placed on them. Other times, students just don't understand the expectation being placed on them and need clarification.   In any event, if there's a problem, the goal provides a solution; otherwise, the student just needs to perform the task as assigned. Further, the language of this example goal can be modified for a student to provide for alternative acceptable responses and/or a different response time.   With respect to measurability, there is no guessing about what anybody is thinking or feeling in a goal formatted this way. Measurement is triggered by the delivery of a task demand (the assigned task) and is based on whether any of the described acceptable outcomes occur within 60 seconds. All of the elements of the goal are measurable.   Further, a goal written this way follows the ABC format of ABA. First an Antecedent is presented (the task demand), then one of three acceptable Behaviors (task initiation, request for help, request for break) occurs, then an appropriate Consequence (completion of the task, delivery of help, or receipt of a short break) is immediately forthcoming. Everything that needs to be measured can be observed. The observable criteria are easily represented in increments of measure. It's black-and-white without making any assumptions about a student's thoughts, feelings, or preferences.   So, having said all of this, how does this get us to the point of the article, which is how parents can successfully advocate for the application of the peer-reviewed research to the design and implementation of their children's IEPs? Well, first, I needed to be clear as to what I mean by applying the peer-reviewed research, hence everything I just got through explaining.   Parents first need to understand what they are asking for and how it impacts the design and implementation of their child's IEP. Further, any professionals reading this for the purpose of further developing their skill set may not have all the background information necessary to make sense of all of this, either.   A foundation first had to be laid. Having now done that, parents need to keep the information I've just shared in mind when participating in IEP meetings and reviewing IEP documents for appropriateness.   If you live in a consent state like California, I usually suggest signing only for attendance at the meeting and taking the document home for review before signing agreement to any of it. In California and other states, you can give partial consent to an IEP and the education agency has to implement the consented-to portions without delay while the non-consented-to portions remain subject to IEP team discussion and negotiation.   Anything that can't be resolved via the IEP process must go to due process for resolution, whether you are in a consent state or not. Just because you are not in a consent state doesn't mean that an education agency won't change the language of an IEP at your request. An IEP meeting would likely be called to discuss your concerns and, if you back them up with facts and logic, the education agency isn't going to have a good reason to say, "No." Not everyone is outlandishly unreasonable in special education; there are some definite bad apples, but they don't account for the entire barrel. Due process is your only resort if your efforts to resolve things at the IEP level are not met with success and your child is increasingly compromised because of the unresolved matters.   If you are unfortunate enough to have to rely on due process to see things resolved, the fact that your denied requests were supported by facts and logic will only help your case once you get in front of a hearing officer. Understanding the underlying arguments of what makes something legitimately measurable and the federal requirement that special education be delivered according to what science has already proven works makes you a far more informed IEP participant than at least some of the other people at the table.   As a parent, the more you can support your requests and arguments with peer-reviewed research, the better. Once you frame your requests according to the proven science and make it as black-and-white as possible, you eliminate all kinds of silly arguments. This means not only asking for goals that are truly measurable, though that goes a long way towards solving and preventing a lot of problems, but also understanding the nature of your child's disability(ies) and what the research says can be done to teach to learners with such needs.   Gathering the necessary research data to inform a request for a particular assessment, service, curriculum, methodology, technology, or placement requires accessing the peer-reviewed literature and understanding what it means. A lot of it is really dry and technical, as well as expensive. This isn't a burden parents should have to take on, but if it's one that they can take on, it will only help them become better advocates for their children. Google Scholar can be a good place to start.   In truth, it should be education agency personnel doing this research, but if parents want to see the science applied, they may have to push for it, themselves. Parents can also submit published research articles to their local education agencies that appear to apply to their children's educational needs and request that the approaches used on those articles be used as part of their children's special education programs, including being written into their children's IEPs. If the local education agency declines to honor any request, 34 CFR Sec. 300.503 obligates it to provide Prior Written Notice (PWN) explaining why to the parents.   Conversely, if the education agency proposes a particular approach and the parents are unsure about it, the parents can request an explanation of the peer-reviewed research that underpins the education agency's offer. Either it honors the request or it provides PWN explaining why it won't. If it's the latter, it better be one heck of a good explanation or it will only reveal that the education agency has no research-based explanation for its recommended course of action, giving the parents a good reason to dispute it.   If what you are asking for as the parent is backed up by facts, logic, legitimate measurement, and credible research that all directly apply to your child, and the education agency still says, "No," then you will either end up with no PWN because the agency doesn't want to put the denial in writing, which violates the law and only makes your case stronger in hearing, or you will end up with a PWN full of malarkey that won't stand up in due process. If what you are asking for makes total sense and the education agency won't do it or something else equally or more appropriate, the education agency will have some explaining to do in hearing.   So long as what you are asking for is necessary for your child to receive an appropriately ambitious amount of educational benefits (meaning as close to grade level or developmental norms as possible), there's not a lot of good reasons for a public education agency to turn down your request. It's illegal for the public education system to use fiscal considerations to determine what should be in a special education student's IEP.   Just be sure to submit all of your requests for changes to your child's IEP in writing. It is the education agency's receipt of your written request for changes that triggers the PWN requirement. In the instance of requesting assessments, many states allow for a public education agency to decline to conduct assessments for special education purposes upon parent request, but the agency must provide PWN when doing so. For more information on special education assessments, see our previous post, "The Basics of Special Education Assessments."   If it doesn't decline a parent's written request for assessment, the education agency must provide the parent with an assessment plan to sign that authorizes the agency to conduct the requested assessments. State law regulates the provision of assessment plans; in California, local education agencies have 15 calendar days to get an assessment plan to the parent, regardless of who made the referral for assessment. Submitting the request for assessment in writing is not only important for triggering the PWN requirement if the request is declined, it's also important in establishing when a state-mandated timeline starts counting down.   You as a parent can encourage the application of science in special education by insisting upon it. If you live in California or another consent state, you can use your authority to withhold your consent to anything that looks sketchy in an IEP being given to you for your signature. You can consent to instruction in the areas targeted by IEP goals but not to using the language of the goals for the purpose of measuring progress if they aren't actually written in a measurable way. You can consent to everything in an IEP except a change in placement. If you can't resolve all of the issues you have with an IEP this way, those left unresolved become due process issues.   Even if you are not in a consent state, you can still make the record in writing that you disagree with the sketchy portions of your child's IEP, explain why using math and science, and request appropriate changes. The local education agency will likely call an IEP meeting and change those things it's willing to change and give you PWN on those things it is not willing to change. The things left unresolved at that point are due process issues.   Understanding how to use math and science to solve everyday problems is a solid skill to have, but not everybody has it. It's a skill necessary to developing a sound IEP for any special education student. Parent education can be provided as a related service under a student's IEP if the purpose of the parent education is to help the parents understand their child's disability and/or to help them be equal participants of the IEP team. There is absolutely nothing wrong with parents asking to be trained on how to write measurable annual goals and the IEP process in general as part of parent training as a related service under their child's IEP. Parent training is specifically named as one of many possible related services that can be provided to a student with an IEP by 34 CFR Secs. 300.34(a) and 300.34(c)(8)(i)).   If you're distrustful of the quality of instruction you might get from parent training through your child's IEP, you may have to result to self-education by reading everything you can find about your child's disability, as much of the peer-reviewed research about instructing learners with the types of needs your child has as you can digest, and simplified reports of the research findings in trusted publications from credible sources. You may need to periodically consult with experts for hire, but what you invest in informing yourself you may save many times over by preventing yourself from getting duped.   The bottom line is that parents can protect their children's right to evidence-based special education planning and implementation the more they understand how to use measurement and evidence in the planning and implementation processes. By knowing what to look for, they know what request when they don't see it. Informed parents can monitor the situation for education agency compliance.   In those areas where parents have not yet mastered the knowledge necessary to know whether an approach is appropriate for their child or not, they are encouraged to ask questions like, "Can you explain to me how this fits my child?" and "How can we measure whether this works in a meaningful way?" By shifting the burden back onto the education agency to explain how and why its recommendations are supported by the peer-reviewed research and written in an appropriately measurable manner, parents rightly shift the burden of applying the science to the appropriate party.   Parents are not, and should not, be required to become experts in order to participate in the IEP process. But, for the sake of protecting their children's educational and civil rights, and their own rights to meaningful parent participation in the IEP process, it behooves parents to become as knowledgeable as possible. It's more difficult to get tricked or misled the more you know, and the more dry and technical you can keep things, the less hysterical drama you're likely to experience in dealing with your local education agency.   References:   Drasgow, E., Yell, M.L., & Robinson, T.R. (2001). Developing legally correct and educationally appropriate IEPs. Remedial and Special Education 22(6), 359-373. doi: 10.1177/074193250102200606 Kimball, J. (2002). Behavior-analytic instruction for children with autism: Philosophy matters. Focus on Autism and Other Developmental Disabilities, 17(2), 66-75. https://doi.org/10.1177%2F10883576020170020101 Yell, M. & Drasgow, E. (2000). Litigating a free appropriate public education: The Lovaas hearings and cases. The Journal of Special Education, 33(4), 205-214. doi: 10.1177/002246690003300403

Making Special Education Actually Work
The Fundamental Flow of IEP Creation

Making Special Education Actually Work

Play Episode Listen Later Nov 8, 2019 22:57


Image credit: Justin Lincoln   Trying to piece together the actual special education process from the implementing federal regulations of the Individuals with Disabilities Education Act (IDEA) is a lot like trying to create origami from paper shredder cuttings. However, it's been done and, when laid out in proper order, the special education process totally makes sense.   When followed as intended, the special education regulations are a marriage of law and science. It is further assumed that procedural compliance with the regulations is likely to result in the provision of the Free and Appropriate Public Education (FAPE) promised to each special education student by the IDEA. The specific language comes from what is known in special education circles as "The Rowley Decision," which specifically states, "the Act's emphasis on procedural safeguards demonstrates the legislative conviction that adequate compliance with prescribed procedures will in most cases assure much, if not all, of what Congress wished in the way of substantive content in an IEP. "   In order to understand why the regulations require the things in special education they do, it helps to first understand the history of the language in the regulations. Prior to Congress enacting the Education for All Handicapped Children Act (EAHCA) in 1975, which ultimately became the IDEA during a later reauthorization, there were no laws that specifically promised any kind of education to children with special needs.   Prior to the EAHCA, children with disabilities were routinely denied enrollment into the public schools. In the beginning, it was an accomplishment just to get a public school to open its doors to a child with special needs, and there was nothing that made it mandatory to educate the child according to any particular standards once the doors had been opened.   Then, in 1971, disability advocates took the matter of the Pennsylvania Association for Retarded Citizens (PARC) vs. the Commonwealth of Pennsylvania to the U.S. District Court. The settlement and resulting consent decree produced much of the language that is now found in the implementing regulations of the IDEA, particularly with respect to FAPE and individualized educational program development.   In PARC v. Pennsylvania, a class of individuals who all had intellectual disabilities (IDs), which at the time were described as "mental retardation," were being denied access to public school on the basis of their diagnosed "mental retardation." They were either languishing without any education or receiving privately funded education at their parents' personal expense. PARC filed a class action lawsuit on behalf of itself and the child members of the class, sued for injunctive relief, settled with the Commonwealth of Pennsylvania, and obtained a consent decree overseen by the U.S. District Court, which it later enforced through the Courts to compel Pennsylvania to enroll children with IDs into its public schools and provide them with appropriate programs.   Quoting page 8 of the May 5, 1972 Opinion, Order and Injunction from PARC v. Pennsylvania, "The lengthy Consent Agreement concludes by stating that '[every] retarded person between the ages of six and twenty-one shall be provided access to a free public program of education and training appropriate to his capacities as soon as possible but in no event later than September 1, 1972 ...' To implement the agreed upon relief and assure that it would be extended to all members of this class, Dennis E. Haggerty, Esq., a distinguished member of the Pennsylvania Bar who has devoted much of his energy to the welfare of retarded children, and Dr. Herbert Goldstein, an eminent expert in the education of retarded children who is Professor and Director of the Curriculum Research and Development Center in Mental Retardation at the Ferkaus Graduate School of Humanities and Social Sciences, Yeshiva University, were appointed Masters at the expense of the Commonwealth ... Next, the Consent Agreement charges defendants with the duty within 30 days, to formulate and submit to the Masters a plan to locate, evaluate and give notice to all members of the plaintiff class ... Finally, and perhaps most importantly, the Agreement states that: 'The defendants shall formulate and submit to the Masters for their approval a plan to be effectuated by September 1, 1972, to commence or recommence a free public program of education and training for all mentally retarded persons . . . aged between four and twenty-one years as of the date of this Order, and for all mentally retarded persons of such ages hereafter. The plan shall specify the range of programs of education and training, there [sic] kind and number, necessary to provide an appropriate program of education and training to all mentally retarded children, where they shall be conducted, arrangements for their financing, and, if additional teachers are found to be necessary, the plan shall specify recruitment, hiring, and training arrangements.'" [emphasis added; internal citations omitted]   Here, we see the language of FAPE (34 CFR Sec. 300.17), the marriage of law and science in the creation of the program design, the precursor to the federal "child find" requirements (34 CFR Sec. 300.111), and language that effectively describes creating what amounts to an IEP. PARC v. Pennsylvania laid the foundation for what ultimately became the IDEA, which specifically mandates that the peer-reviewed research be applied to the delivery of special education to the degree it's practicable to do so (34 CFR Sec. 300.320(a)(4)).   The appointment of the masters in PARC v. Pennsylvania is important to note because it marks from the outset the need to combine the efforts of legal professionals and psychologists to come up with evidence-based approaches to special education instruction that conform with the regulations. While there have been many efforts over the years by those of a particular ilk within the public education system to minimize the science and place undue emphasis on legal maneuvering, they have never been successful at eliminating the science.   Now, we are seeing the courts rely more and more on the dry, neutral facts of science rather than the hysterical budget shielding that typically goes on in special education. As more and more people become more fluent with using math and science in everyday life, the public is increasingly expecting to see science rather than politics in the delivery of public instruction.   It has always been the intent of the applicable law to use the applicable science in the delivery of special education. The arguments for relying on facts and evidence in designing and implementing IEPs are too compelling to be overcome by cronyistic politics altogether. Politically speaking, the science has never carried as much weight in special education as it does now, which is tragic in that it's taken this long but it's also inevitable. The truth is the truth and no amount of political spinning changes what a child's unique learning needs actually are or what research has proven actually works.   So, that being the case, when we look at the logical flow of how an IEP is supposed to go together, it's important to understand how the law and science become inextricably intertwined as the IEP process goes forward. To start, a child cannot be found eligible for special education without first being assessed. Assessment determines if the child has a qualifying disability and, if so, what to do about it.   Competent special education assessment is a highly scientific process. People with special credentials and licenses are brought in to collect expert data, analyze it, and provide expert opinions to the IEP team as to why a child is struggling in school and what can be done about it. This process can become compromised by internal public education agency politics, however. See our previous blog post, "The Basics of Special Education Assessments," for more information about this step of the process.   In an ideal world, a child's initial assessment for special education is thorough and competent. It measures all of the student's unique learning needs and assesses in all areas of suspected disability. The data it produces is then used with input from teachers and parents to create an IEP, presuming the child is eligible for an IEP. This is where things can get really messy.   There are two ways things can go badly at this stage:   The assessments were poorly done and now there isn't good data to inform the development of the IEP, or The assessment data is fine but the IEP offered to the student doesn't match what the assessment data says the student needs   Parents need to understand what is supposed to happen at this stage of the process or they can be quickly bamboozled by seasoned bureaucrats with their own agendas. The information gathered by the IEP team about the student's learning strengths and needs is supposed to result in measurable annual goals that describe what the IEP is supposed to make happen in each area of unique learning need.   Where things often break down is in translating all of the baseline data into measurable annual goals that target appropriate learning outcomes in every single area of unique learning need. That's a tall order. It's one thing to measure what already is, but it's another thing to use that data to project where things should be in a year.   IEP teams often struggle to identify all the areas in which goals are needed, much less write the goals they come up with in a measurable manner. In my experience, the average special education professional would fail the 4th grade under the Common Core if their IEP goal-writing skills were used to measure their abilities to apply math and science to solving everyday problems.   A lot of the guidance given to special education professionals during the 1980s and 1990s about IEP goal-writing was a bunch of preemptive legal defense hooey that was utterly devoid of any kind of valid science or math. These approaches provided teachers with formulas and supposed hacks that they usually didn't understand and usually used incorrectly in the field.   There was no sincere effort that I ever observed back in the day to teach special education professionals the technical nuts and bolts of goal-writing, and I still assert now that the training being done is grossly inadequate. A half-day workshop for continuing education units is usually about it for most special ed staffs, and most of what such a workshop instructs is usually garbage.   These are the workshops that taught teachers to write the measurement for every goal as "... with 80% accuracy in 4 out of 5 trials ..." even if it makes no sense. For example, it's highly inappropriate when used here: "By [annual due date], [Student] will cross the street safely with 80% accuracy in 4 out of 5 trials as measured by observation."   First, try to make the math work, which you can't. Then ask yourself what an 80% accuracy rate of crossing the street safely must look like, however it might be calculated, and whether it could possibly be educationally appropriate. It's supposed to be a free and appropriate public education and there's nothing appropriate about being run over in the street like a bug as a result of participating in publicly funded instruction.   My brief advice to school district administrators is to not let your attorneys develop your employee training for any aspect of special education that requires scientific rigor. And, unless you are qualified yourself in the applicable sciences, if you are an administrator, don't think of developing that training yourself, either. Use actual experts; don't be a chump.   Doing sound assessments only to toss the science and math out the window when it comes time to write the IEP makes no sense whatsoever. But, there is a political game that sometimes get played with parents in which public education agencies will deliver a decent assessment, but then offer a garbage IEP and act like the garbage IEP is what the data and law say the agency can do for the student. It's a lie.   In reality, the IEP is based on how much the education agency is willing to spend on the student, but the agency's administrators can't admit that, so they try to run a con on the parents in which they use valid assessment data to argue for a garbage IEP. They're effectively gaslighting the parents because the data doesn't support the IEP at all, but the parents are usually too confused to understand what is really happening and just let it go, thereby allowing the education agency to get away with shortchanging a kid.   The parents get an assessment report that describes their kid, but then they get offered an IEP that is weak relative to the kid's actual needs and they figure that's the most the schools must be able to do for them. In truth, their kid is getting robbed. If the IEP doesn't match the assessment data, something is really wrong. This can be particularly the case with IEP goals.   The data can make clear what the areas are in which goals are needed, but then only a few goals get put into the IEP by school personnel. This is a problem because the services that are offered to a special education student are supposed to be driven by what is necessary to meet the goals. If you don't have goals in each area of need, there's nothing to compel all of the services that are needed. Missing goals mean missing services. Schools that want to prevent spending on services can accomplish this by leaving goals out of IEPs.   Goals describe what the IEP is supposed to make happen. Services describe what it takes to meet the goals. This includes service frequency, duration, and location. For example, a student may receive 30 minutes per week of individual speech/language services to address their communication goals.   Accommodations are tools and strategies that make access to the grade-level content possible for a child with special needs. They are not the same things as modifications. Modifications actually change the learning expectations for the student to something less rigorous than the grade-level standards so that the instruction is accessible to the student.   For example, the accommodation of being able to dictate one's answers rather than write them down doesn't change the nature of the material being studied or the questions that have to be answered. The only thing that changes is how the response is produced, but a grade-level response is still expected.   In another example by contrast, a student with developmental delays may participate part of the time in general education math where students are calculating the hypotenuses of triangles, but the work is modified to cutting out different sized triangles for the student with developmental delays. In this example, the instruction has been scaffolded towards the grade-level expectations by modifying it to the student's level of learning.   Before one can understand what a hypotenuse is, one must first understand what a triangle is, so instruction on triangles in general lays a foundation for the eventual instruction of the calculation of hypotenuses. Scaffolding towards the grade level standards and developmental norms is a critical method used in special education as per the peer-reviewed research to adapt the instruction to learners who cannot perform at grade level because of their disabilities. There still has to be a way to measure their learning and push them as close to grade level as possible.   Once goals, services, and accommodations are identified, the IEP team then determines the student's educational placement. This is usually not a specific classroom or campus; it's the type of classroom and/or campus required. Placement is decided at the end of the process because it is impossible to know where is the best place to deliver the services and accommodations such that the goals are met if the goals haven't been written and services and accommodations haven't yet been determined.   In addition to these critical steps, an IEP can also include an Individualized Transition Plan (ITP), which is basically a plan within a plan that describes what will be done for a teenager or young adult with an IEP to prepare them for life after high school. Students exit special education either by graduating with a regular diploma or aging out, usually at age 21 or 22, The ITP is supposed to be the driving force of their IEPs from at least age 16 forward, though nothing prevents IEP teams from starting younger.   Another component that an IEP may include is some kind of Behavior Intervention Plan (BIP). They can go by a variety of names, but they're all basically the same thing, and usually loosely based on Applied Behavioral Analysis (ABA). This is another science that gets grossly watered down in special education, sometimes to the point of becoming ineffective if not harmful.   Good ABA is a wonderful thing, but there are way too many programs operating these days that are "ABA-based," meaning they aren't fully adhering to the science and only have borrowed those parts from it that they find most easy to use. They take a fluid science, try to turn it into something formulaic, and ruin the whole damn thing. It's right up there with crossing the street safely with 80% accuracy in 4 out of 5 trials.   To be clear, when I talk about ABA in this blog/podcast, I'm talking about the actual science, not some hokey fly-by-night scam trying to take advantage of the autism community. I have plenty of colleagues who operate completely legitimate, scientifically rigorous ABA programs that save and change lives for the better, and they are just as disgusted as I am by the charlatans ruining the good name of a credible science for the sake of making a buck off of autism. These charlatans who have corrupted the legitimate science are the ones with whom the autism community takes such issue when they complain about ABA.   There is no way to have a conversation about the IEP process and the degree to which science plays a role in it without discussing ABA. ABA is the most reliable method of data collection currently used in special education, even when not done that well. This is because the field is dominated with people teaching their students to cross the street safely with 80% accuracy in 4 out of 5 trials as measured by observation. Even shoddily done ABA-type data collection is usually better than that.   It's my argument that, if the science has to be applied to the degree it's practicable to do so, and ABA-type data collection is the most reliable, then IEP goals should be based on ABA-type data collection methods. If IEP goals were actually written according to scientific method like they were supposed to have been from the start, we would naturally default to ABA-type methods of data collection because that's the only thing that will work.   This becomes particularly important for IEPs with BIPs. Real ABA, not the half-baked version that is peddled by some agencies, should be used to develop measurable annual goals and any BIP in an IEP. This will allow for legitimate measurement of actual progress. Here, it's not exactly about the instructional approaches of ABA so much as how to accurately measure learning. By using ABA-based teaching and measuring approaches, it's a lot easier to tell if a student is actually learning anything or not, which is the whole point of measurable annual goals and measurable BIP criteria.   When you understand that there is a logical order to the sequence of the special education process that the law describes from what it has taken from science, the parts of an IEP start to make more sense. An IEP is not an arbitrary document. It's an enforceable contract that describes what a public education agency is supposed to do to tailor the instruction to a student with special needs. It includes what it includes for logical reasons.   Congress organized how IEPs are supposed to go together based on the advice of attorneys and psychologists who worked very hard to come with with a marriage of law and science that will work so long as the public education system pays equal attention to both the science and the law. There needs to be more training for professionals in the special education community as to the scientific origins of IEP design and the scientific rigor actually necessary to deliver special education according to Congress' intent.   Parents need to understand the importance of the science, as well. They are the most important members of any IEP team and if they don't understand what the data means, they can't give informed consent to anything.   Parent education is a related service that can be added to an IEP to help the parents understand their child's special needs as well as help them better participate in the IEP process (34 CFR Sec. 300.34(a)). If you feel as a parent like you don't have enough information to be an equal member of the IEP team, it's your right to request parent training as a related service so that your rights to meaningful parent participation in the IEP process and informed consent are honored.

ReEnvision Health
Dr. Maegan Pisman: ABA Therapy, Access & Tele-Health Tech

ReEnvision Health

Play Episode Listen Later Nov 2, 2019 43:16


In this podcast we speak with Dr. Maegan Pisman who specializes in providing comprehensive- and focused-treatment applied behavioral analysis (ABA) services using a tele-health model for individuals with learning deficits or behavioral challenges.  Demand for ABA therapy services has accelerated rapidly since the early 1990s with much of the increase coming within the realm of interventions for individuals diagnosed with autism spectrum disorder (ASD). Families of people with Autism have played a major role in advocating for public policies and insurance coverage.  There still remains some confusion, misunderstanding, and misrepresentation regarding these services, its applications, and qualifications for practicing ABA professionally. Dr. Pisman who has over 11 years of education, training and research experience in this area.  Her range of study includes work and research in areas including assessment and treatment of severe challenging behaviors, ASD and other disabilities, as well as pediatric feeding disorders.   In this episode, we discuss: Applied Behavioral Analysis (ABA) therapy and its growth within the health field. Why and how tele-health has improved access and outcomes for this therapy. What a tele-health visit “looks” like for her clients. The benefits of engaging with tele-health technology to improve benefits in urban and rural areas. Dr. Pisman's suggestions on how we can begin opening up to alternative access models for our own health. Today's Guest Dr. Maegan Pisman, founder of Imbueity, providing applied behavior analytic (ABA) services for individuals, families, students, and organizations. Website:  www.Imbueity.com Phone:  510-560-6393 Email:  maegan@imbueity.com

Making Special Education Actually Work
Parents Who "School-Hop" Risk Making Things Worse

Making Special Education Actually Work

Play Episode Listen Later Oct 27, 2019 13:45


Image credit: Alan Levine   One of the situations I commonly encounter in working with students with special needs and their families in the public education system is a phenomenon that I've come to refer to as "school-hopping." Sometimes, parents who do not understand why their children are struggling assume that the problem is with the school, and, very often, there is a problem at school. But, quite often, the real issue is that the school is responding poorly to a disability-related need experienced by the student, so it's not just that there is something wrong at the school, there's something wrong with how it is responding to a special need that requires unique accommodations.   Put another way, there are two problems to resolve: 1) how to address the student's unique needs in an educationally appropriate and legally compliant way, and 2) how to address the internal problems at the school that are preventing this from happening. Parents will sometimes jump from a charter school to a district-run independent study program to a home-school group to a ... you name it ... trying to find the right fit for their child.   The problem with doing that is, unless a parent knows what specifically to ask any school to do for their child, they're just rolling the dice with every school change and hoping this one will finally be the one that fits. The whole purpose of special education is to impose structure on how education is tailored to each individual student. That way, it shouldn't matter so much where they are so long as the supports and services described by the student's individualized program are being delivered in that setting.   The guidance to the school site personnel as to how to do this comes in the form of a legally enforceable document called an Individualized Education Program (IEP). An IEP is created by a team of individuals described by federal law (34 CFR Sec. 300.321) according to specific criteria, also described by federal law (34 CFR Sec. 300.324). What the IEP says it what the responsible public education agency must do for the student for whom it is written.   It doesn't matter how many times a student with special needs changes schools if the IEP that follows them is garbage. Even when a student changes to an entirely different public education agency, the incoming IEP is what informs the new school team as to how to support the newly incoming student with special needs. If the IEP does not describe appropriate supports and services, then the new school is legally obligated to implement the garbage that the IEP describes, instead.   My point, here, is that changing schools under these kinds of conditions tends to just make things worse. Every school change means at least some part of a kid's file, if not the whole thing, gets lost in transit between one public education agency and the next. Assessment reports and old IEPs disappear from the record with frequent moves and school changes, so those items aren't there to inform a records review like they normally would as part of a new assessment conducted by a new education agency.   That makes it very hard for the new school to know where to begin with a new student with special needs. The parents are hoping the new school will somehow magically fix everything but each successive new school gets put further and further at a disadvantage as to where to even begin every time a new change in schools happens and records have to be shuffled around again.   I have yet to figure out why so many people start at the end rather than the beginning when it comes to individualized student planning. Placement - that is, the type of classroom setting(s) in which a special education student receives instruction - is determined by the IEP team as the last matter of properly conducted IEP planning for very important, logical reasons. There are a whole lot of other decisions that have to be made, first, before a placement determination can be made.   IEPs start out with identifying a student's present levels of performance, which seek to answer the questions, "What can the student already do?" and "What does the student still need to be taught relative to the grade-level standards and/or developmental norms?" On the basis of the answers to those two questions, goals are written that target measurable, annual outcomes.   The goals describe what the IEP is supposed to make happen. Until you know that, you don't know what all you need to actually educate the student.   For this reason, the IEP team next determines what services are necessary to see the goals met. On the basis of the frequency, duration, and location of the services necessary to meet the goals, in combination with the student's right to experience the least amount of segregation away from the general education population as possible, educational placement is then determined.   Parents who school-hop interfere with how the federally mandated process is supposed to work, usually without realizing the harm they are doing. Until the IEP describes goals in each area of unique student learning need in meaningfully measurable ways, it doesn't matter where the student goes to school; following a bad IEP in a new, good setting will still go wrong.   That said, I've seen plenty of situations where changing schools, even moving to entirely new school districts, has saved a kid's life. The challenge, though, was to get the IEP as good as we could get it before the student changed schools so the new, receiving school had something worth implementing once the student started attending there.   And, in California, where I do most of my work, whether a special education student moves during the school year or summer break has bearing on what is enforceable in terms of a transfer IEP. This added layer of complexity, which isn't the same in all the other States, makes the timing of everything that much more imperative when it comes to changing to a different school district or charter school. Parents who school-hop in California can do even more harm than they realize because of the odd State laws about transfer IEPs.   What's often more heartbreaking are families that are school-hopping because their child has never been offered an IEP and when they've asked about it, they've been shot down by school personnel who insist that their child would never qualify. In reality, it can be the case that the school personnel are just waiting for the family to pick up and move the student, again, at which point whether or not the student needs an IEP won't be that particular school's problem, anymore. There are unfortunately those in public education who will facilitate eliminating a problem rather than solving it, even if it comes at the expense of a child.   Parents who school-hop can call unnecessary attention to themselves as easily exploited by school staffs who would rather see them move along to the next school than stick around and insist that the current school do its job. At some point, school-hopping parents have to figure out that the school-hopping isn't working and, instead, they need to stand in one spot, dig in their heels, and get a decent IEP from whatever agency is responsible right at that moment. That might mean filing a lawsuit just to get an initial assessment, but if that's what it takes, that's what it takes.   Without a legally enforceable IEP document that describes something worth enforcing, no placement can be made to work. Federal law mandates that the education rendered to a special education student be in conformity with that student's IEP (34 CFR Sec. 300.17). If the IEP is garbage, then the school is legally obligated to implement the garbage until such time as the IEP can be made more appropriate.   As a parent, your number one objective when it comes to advocating for your child with special needs is to make sure that the services and supports provided are actually appropriate to your child's needs. Just having a document that says "IEP" at the top of it doesn't magically bestow educational benefits onto anybody. The contents of the document matter and, as a parent, you need to know how to look out for language in an IEP that could undermine your child and any exclusions of language that are important to meeting your child's needs from the IEP. More harm can be done by what is left out of an IEP than what is put into it.   Once you understand why placement is the last decision that should be made by an IEP team, you can understand why changing placement when things aren't going right doesn't always make sense. Unless you've got an amazing IEP and the people at the school site just aren't implementing it as written, there's a really good chance your problem is with the plan more than the placement.   Plans of any kind fail for only one of two reasons: 1) design flaws, or 2) implementation failures. Design flaws can sometimes only be identified when you try to implement the plan and something goes wrong. If you never implement the plan according to its design, you'll never know if the design was flawed or not because you weren't following it in the first place. If the design is great, but no one is following it, what's the point?   This analysis of plan success and failure came to me by way of my training in Applied Behavioral Analysis (ABA), which, by the way, is a science, not a treatment methodology. There are a lot of ABA-based treatment programs out there, but those programs are not what actual ABA is. They are based on ABA, some with more scientific rigor than others. The actual science of ABA can be applied to anything that behaves, including animals, plants, and computers.   From the absolute, parsimonious perspective of ABA as a science, everything is based on objectively identified behaviors, only, which are framed in quantifiable terms and rendered into emotionally neutral pieces of data. Further, not only is data taken on how the individual responds to efforts at changing its behaviors, data is taken on the fidelity with which those implementing the plan are actually adhering to it.   Taking data on the fidelity of the implementation of the program design is one of the most critical pieces of the science that often gets left out of school-based ABA-type programs. It's my assumption that this is for political and/or preemptive legal defense purposes because no school district that I know of wants data taken on the degree to which their staffs are actually adhering to any part of the IEP.   That's way too much accountability on the record and way too much risk of it capturing somebody doing it wrong that could then be used to prove a denial of a Free and Appropriate Public Education (FAPE) in hearing by the parents and achieve an order for compensatory education to make up for the lost instruction. Even though the science is abundantly clear that ABA data collection methods, when followed according to the science, are the most accurate, reliable, and valid data collected in the public education system for special education students (Drasgow, Yell, & Robinson, 2001; Kimball, 2002; Yell & Drasgow, 2000), I have yet to see that degree of scientific rigor applied to any part of a student's IEP in the public schools, whether it's through their measurable annual goals or any behavior plans that their IEP might contain.   As parents, your primary goal has to be the quality of the IEP's design because, if it doesn't describe what your child actually needs, it doesn't matter where you try to implement it and no placement will just magically fall in love with your child and imbue them with knowledge through emotional osmosis. Hope is not a strategy. Pursuing a scientifically informed, legally compliant IEP is a strategy that gives you way more likelihood of having a meaningful say in the quality of your child's education, regardless of where they attend school.   References:   Drasgow, E., Yell, M.L., & Robinson, T.R. (2001). Developing legally correct and educationally appropriate IEPs. Remedial and Special Education 22(6), 359-373. doi: 10.1177/074193250102200606 Kimball, J. (2002). Behavior-analytic instruction for children with autism: Philosophy matters. Focus on Autism and Other Developmental Disabilities, 17(2), 66-75. https://doi.org/10.1177%2F10883576020170020101 Yell, M. & Drasgow, E. (2000). Litigating a free appropriate public education: The Lovaas hearings and cases. The Journal of Special Education, 33(4), 205-214. doi: 10.1177/002246690003300403

The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy

An interview Megan Costello, LMFT on taking the best of Community Mental Health into your private practice. Curt and Katie interview Megan about her very successful private practice that is 100% home and field-based. They talk about how to a field-based practice works, including practical considerations. It’s time to reimagine therapy and what it means to be a therapist. We are human beings who can now present ourselves as whole people, with authenticity, purpose, and connection. Especially now, when therapists must develop a personal brand to market their practices. To support you as a whole person and a therapist, your hosts, Curt Widhalm and Katie Vernoy talk about how to approach the role of therapist in the modern age. Interview with Megan Costello, LMFT Megan Costello, LMFT, is a person-centered behaviorist providing in-home counseling for families in Los Angeles. Megan has provided services to clients in their homes or the community for almost 15 years. Megan started her career as a behavioral technician, providing behavioral therapy under the supervision of Board Certified Behavior Analysts (BCBA) before she moved into a supervisory role for Applied Behavioral Analysis (ABA) cases (both in- home and school-based cases). Megan continued this work as she obtained her Masters of Science in Counseling at California State University, Long Beach. Megan then added clinical work in community mental health, providing specialized support to children on the autism spectrum with trauma histories. When Megan moved into private practice, she incorporated the best of the in-home and behavioral interventions into her treatment model. She brings practical advice and strategies to her clinical work, providing specialized, comprehensive treatment to higher needs or atypical cases.   In this episode we talk about: Megan’s perspective and a new model for private practice How to make applied behavioral analysis more person-centered The value of being relentlessly client-centered and doing the highest impact work, regardless of how convenient to the therapist The types of clients who would benefit more from in-home and school-based therapy The benefits of in-home therapy over in-office therapy The need to price your services accordingly How to create an office in your car How to manage your scheduling The unique challenges of working in the home, looking at confidentiality, family involvement The model that requires family and parent involvement Safety assessments prior to going out to the home How to assess over the phone prior to starting home-based treatment Getting parent buy-in for active involvement in treatment for their child   Relevant Resources: We’ve pulled together any resources mentioned in this episode and put together some handy-dandy links: Megan’s website: https://www.megcostello.com/ Megan’s consultation: https://www.megcostello.com/consulting AND WE HAVE A PICTURE OF MEGAN'S TRUNK ON THE WEBSITE!    The Modern Therapists Group on Facebook Therapy Reimagined 2019 Who we are: Curt Widhalm is a Licensed Marriage & Family Therapist in private practice in the Los Angeles area. He is a Board Member at Large for the California Association of Marriage and Family Therapists, a Subject Matter Expert for the California Board of Behavioral Sciences, Adjunct Faculty at Pepperdine University, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more about Curt at www.curtwidhalm.com. Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant. As a helping professional for two decades, she’s navigated the ups and downs of our unique line of work. She’s run her own solo therapy practice, designed innovative clinical programs, built and managed large, thriving teams of service providers, and consulted hundreds of helping professionals on how to build meaningful AND sustainable practices. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more about Katie at www.katievernoy.com. A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We’re working on it. Our guests are also only speaking for themselves and have their own opinions. We aren’t trying to take their voice, and no one speaks for us either. Mostly because they don’t want to, but hey. Stay in Touch: www.mtsgpodcast.com https://www.facebook.com/therapyreimagined/ https://twitter.com/therapymovement https://www.instagram.com/therapyreimagined/ Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/  

People Processes
People Processes: Deep Dive into Mental Health Parity and Autism Diagnosis

People Processes

Play Episode Listen Later May 18, 2018 18:18


EBSA issues array of guidance on mental health parity EBSA has released an array of guidance on the Mental Health Parity and Addiction Equity Act (MHPAEA), including proposed Frequently Asked Questions, an enforcement fact sheet, a self-compliance tool, and a revised draft disclosure template. In addition, the DOL has released a report to Congress that outlines its current implementation and enforcement actions in furtherance of the MHPAEA. Background. In general, MHPAEA requires that the financial requirements (such as coinsurance and copays) and treatment limitations (such as visit limits) imposed on mental health or substance use disorder (MH/SUD) benefits cannot be more restrictive than the predominant financial requirements and treatment limitations that apply to substantially all medical/surgical benefits in a classification. With regard to any nonquantitative treatment limitation (NQTL), the MHPAEA final regulations provide that a group health plan or health insurance issuer may not impose an NQTL with respect to MH/SUD benefits in any classification unless, under the terms of the plan (or health insurance coverage) as written and in operation, any processes, strategies, evidentiary standards, or other factors used in applying the NQTL to MH/SUD benefits in the classification are comparable to, and are applied no more stringently than the processes, strategies, evidentiary standards, or other factors used in applying the limitation to medical/surgical benefits in the same classification. MHPAEA also imposes certain disclosure requirements on group health plans and health insurance issuers. FAQs on NQTL. The proposed FAQs, which were prepared jointly by the Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (Departments), were developed consistent with Section 13001(b) of the 21st Century Cures Act. Section 13001(b) requires that the Departments issue clarifying information and illustrative examples of methods that a plan or issuer offering group or individual health insurance coverage can use to disclose information in compliance with MHPAEA. Section 13001(b) also directs the Departments to issue clarifying information and illustrative examples of methods, processes, strategies, evidentiary standards, and other factors that plans and issuers may use regarding the development and application of NQTLs. Experimental treatment. The FAQs first address whether it is permissible for a plan to deny claims for Applied Behavioral Analysis (ABA) therapy to treat children with Autism Spectrum Disorder under the rationale that the treatment is experimental or investigative. With respect to medical/surgical conditions, the plan approved treatment when supported by one or more professionally recognized treatment guidelines and two or more controlled randomized trials. A medical management standard limiting or excluding benefits based on whether a treatment is experimental or investigative is an NQTL under MHPAEA. Although the plan as written purports to exclude experimental or investigative treatment for both MH/SUD and medical/surgical benefits using the same standards, in practice, it imposes this exclusion more stringently on MH/SUD benefits, as the plan denies all claims for ABA therapy, despite the fact that professionally recognized treatment guidelines and the requisite number of randomized controlled trials support the use of ABA therapy to treat children with Autism Spectrum Disorder. Accordingly, because the plan applies the NQTL more stringently to mental health benefits than to medical/surgical benefits, the plan’s exclusion of ABA therapy as experimental does not comply with MHPAEA. Likewise, a plan does not comply with the MHPAEA where it defines experimental or investigative treatments as those with a rating below “B” in the Hayes Medical Technology Directory, but the plan reviews and covers certain treatments for medical/surgical conditions that have a rating of...

Motherbirth
A Mother’s Journey With Autism — 052

Motherbirth

Play Episode Listen Later Apr 2, 2018 70:03


After her oldest was conceived during her honeymoon, Ashley struggled with long-term postpartum depression that lasted through her second pregnancy. Despite being caught up in the typical throes of motherhood with 2 kids under 2, they began to notice that their older son wasn’t developing verbal skills, leading to a series of evaluations that resulted in an unexpected autism diagnosis. Through a local Early Start program that offers in-home Applied Behavioral Analysis (ABA) therapy, she and her partner have been able to create and maintain a family environment where both their boys can flourish. Yet, Ashley doesn’t hide the fact that their journey has been incredibly difficult at times. She shares her struggles, her joys, and the contradictions of accepting and synthesizing both so other mothers who may be on a similar journey feel supported and know that they are not alone. She also offers advice on coping strategies, how she takes care of herself and how she and her partner make time for both children. Expectful is a guided meditation app for each stage of the motherhood journey — you can sign up for an exclusive one-month free trial here! In This Episode: ● How she dealt with postpartum depression well into her second pregnancy ● The importance of support during postpartum depression ● Having a son diagnosed with autism but not recognizing any of the signs ● How she and her partner moved forward after receiving their son’s diagnosis ● How it felt to experience the potential loss of her child’s independence ● How everyone becomes an instant expert about your child’s autism ● How she utilized the Early Start program for ABA at-home autism therapy ● The elements of ABA therapy ● The strategies she uses to stay positive about her son’s progress ● How she and her partner find time for both of their children ● The coping mechanisms she uses during stressful situations ● Her advice for moms on a similar journey ● How to get a free one-month trial of guided meditations through Expectful Show Notes: Expectful — One Month Free Trial for MotherBirth Community Members What is Autism? Information on ABA Therapy Finding Your Local Early Start Intervention Services

mother autism aba early start expectful applied behavioral analysis aba
Trial Lawyer Talk
40: Scott Glovsky with Guest Host Kim Savo

Trial Lawyer Talk

Play Episode Listen Later Mar 1, 2018 49:59


Get to know Scott Glovsky with guest host Kim Savo. Scott discusses cases that helped change lives of thousands of people suffering from eating disorders and autism spectrum disorders. He then turns to the importance of storytelling and of integrating all the senses. Kim opens, “Scott has the biggest heart of just about any lawyer I’ve ever known. He fights in every case on behalf of ordinary people who have been harmed or injured by institutions that are bigger and more powerful than they are. In particular, he has a specialty in fighting against health companies that won’t provide medical coverage.” The award winning Law Offices of Scott Glovsky specializes in insurance bad faith, catastrophic personal injury & health-related litigation. Scott Glovsky started the firm to help ordinary people suffering because of the negligent and bad acts of organizations and corporations. The firm’s cases have impacted millions of lives through forcing insurance companies to change their behavior – including their processes of reviewing requests for medically necessary treatment and their medical practices. Scott first discusses a case that taught him the power of caring and connecting. His client, a 26-year-old all-American girl who was close with her family and loved by everyone, had a mental illness – an eating disorder of anorexia and bulimia. She tried to free herself from her hurt, loneliness, pain, and feelings of powerlessness by controlling her food intake. At 68 pounds and needing a feeding tube to stay alive, she was hospitalized. Her insurance company kicked her out of the hospital and days later she committed suicide at home. Scott got to know his client through the unconditional and powerful love and pain of her father.  As they visited her grave and reenacted very painful scenes, he showed Scott tremendous kindness and trust by sharing this incredibly intimate and painful memory. “Part of what made this so meaningful and so special was that he was open with me, and honest with me, and trusted with me, and that developed such a bond between us that ultimately anyone around us could see that level of trust and connection, and we cried together.” As painful as reliving this ordeal was, the father’s goal was to spread the word about what happened to stop this from happening to others. Not only did they win the case and tell the story on Anderson Cooper 360, The Early Show, and in the pages of People Magazine and elsewhere, but Scott was awarded the Consumer Attorneys of California’s (CAOC) “Street Fighter of the Year” Award for his work on this case. Next Scott describes a group of cases he did on behalf of kids with autism spectrum disorders who were denied treatment of Applied Behavioral Analysis (ABA) and speech therapy by their insurance companies. Another lawyer told Scott regarding one of the cases, "You're crazy, you're not going to win that case, and if you do you're going to have to go to the court of appeal, and it's going to take years, and the chances of you winning are slim." Scott felt he had to get involved. “I couldn’t see the situation and not try to help.” Scott was successful – he was instrumental in helping to get the insurance company to stop systemically denying ABA and speech therapy to children with autism spectrum disorders. This decision impacted 45,000 kids with this insurance company and provided a nearly $9.3 million dollar settlement for class members and autism research. “That case is probably the one I'm most proud of because we were able to really make a difference and hopefully changed the course of children’s lives, and their families’ lives, and at least be part of doing something meaningful.” Scott finishes by speaking about storytelling and the need to integrate all the senses. He says, “It's not just about what happened in the past, but how is the defendant acting in the trial, how are their lawyers treating your client, and how are they treating the witnesses?

Special Education Matters
Can a Functional Behavioral Assessment Help Your Child?

Special Education Matters

Play Episode Listen Later Feb 1, 2018 20:25


If you have a child with special needs such as autism, you may quickly start hearing about Applied Behavioral Analysis (ABA) and Verbal Behavior (VB) as therapies that are helpful to children. Today I talk with Dr. Denise Eckman president and executive director of Creative Behavior Interventions. We discuss an overview of what ABA is and which types of children, and even adults, benefit from this type of intervention. We go a little deep and by the end of this show, you will have a functional understanding of behaviors, their antecedents and a breakdown of different types of communication we find in language. In fact, if you listen carefully, you may be able to discuss Mands, Tacts, Intraverbal and Echoic communication!

functional aba help your child mands behavioral assessment applied behavioral analysis aba echoic
Special Education Matters
Understanding ABA and Verbal Behavior

Special Education Matters

Play Episode Listen Later Nov 7, 2017


If you have a child with special needs such as autism, you may quickly start hearing about Applied Behavioral Analysis (ABA) and Verbal Behavior (VB) as therapies that are helpful to children. Today I talk with Dr. Denise Eckman president and executive director of Creative Behavior Interventions. We discuss an overview of what ABA is and which types of children, and even adults, benefit from this type of intervention. We go a little deep and by the end of this show, you will have a functional understanding of behaviors, their antecedents and a breakdown of different types of communication we find in language. In fact, if you listen carefully, you may be able to discuss Mands, Tacts, Intraverbal and Echoic communication!

aba verbal behavior mands applied behavioral analysis aba echoic
Today In Space
TIS#049 09/10/15 3D Printing, ABA & the Mars Generation

Today In Space

Play Episode Listen Later Sep 10, 2015 55:00


WELCOME TO THE SHOW! Alex has Sara on the show this week to discuss 3D Printing, Applied Behavioral Analysis & the problems that could happen when we have Martians and Earthlings living at the same time. Between learning about what Applied Behavioral Analysis (ABA) is to what lies ahead if we create two separate human beings on two planets - get ready to enjoy another great episode of the podcast! Thanks for listening! 3D Printing - Troubleshooting Fix one problem - another one pops up. That's the nature of the game! SPACE LINKS: "New, Gorgeous, Pictures of Pluto" - Phil Plait, Slate.com http://www.slate.com/blogs/bad_astronomy/2015/09/10/pluto_new_images_from_new_horizons.html Pluto Images direct from New Horizons Website http://pluto.jhuapl.edu/Multimedia/Science-Photos/view.php?gallery_id=2