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I spent yesterday afternoon with the neuropsych going over Cam's testing results. It was a lot of information to take in - some of it expected - some of it catching me completely off guard. The bottom line? Cam has an interesting mix of gifts and challenges - a mix that really doesn't function well in the traditional school environment, nor does it really fit any label.
The most surprising discovery in all of this is the discrepancy between his math/word reading ability and his reading comprehension. Cam is in 8th grade and he is currently performing at "high average" in word reading and math problem solving (grade equivalent of 11.3 and >12.9 respectively) yet his reading comprehension is at a 3.9 grade equivalency. Yes, you read that right - math/word reading ability is at the junior/senior high school level and his reading comprehension is at the 3rd grade level. That's a problem. A big problem that has been rationalized in the past as Cam just being lazy.
The neuropsych also found some "clinically significant" personality profile issues surrounding impulsive hostility, behavioral and emotional dysregulation, attention difficulties, an angry mistrust of others, self-destructive inclinations, and substance-abuse and delinquency proneness. Ummm ... yeah ... that wasn't what I wanted to hear. It's one of those things that you can either view as a ticking time bomb, or as a motivator to reverse the "proneness." I'm attempting to focus on the latter.
There will be readers who claim these personality profile issues are my fault, and it would be foolish for me not to acknowledge the impact of Cam's environment (an environment I put him in) for the last seven years on how his personality has developed. I do feel guilt and responsibility, but getting stuck in those emotions will not benefit Cam.
So, what now? Well, there are some very definite steps that we need to take.
First and foremost is an appropriate educational placement. No one is sure what that is going to look like. Ideally, it will be a private, "therapeutic" day school that the district funds. Based on current state budget issues, I think that will be a hard sell. The question then becomes how do we get Cam in an appropriate educational placement in the "traditional" public school setting. Cam is an odd mixture of intellect and struggle and doesn't fit well into the "traditional" one-size-fits-all model of special education our district offers.
It looks like we are going to have to revisit the med issue as well. Cam stopped taking the Concerta he was prescribed in December and has been med free for almost six months. The recommendation is that he be evaluated for medications that have an appropriate effect on his mood, behavior, learning, sleep and apathy. This is probably the one recommendation I am struggling with the most. This reeks of mental illness - a stigma I would never wish on anyone.
There are also recommendations for continued individual therapy, social skills group therapy and additional "pro-social opportunities" that increase his exposure to diverse settings (read that as he shouldn't be in a small town, farming community where he is one of only two black kids).
Then there is my part:
In other words, be a better parent.
I'm trying to take this all in, focusing on the positives while addressing the negatives. I am grateful to finally have some answers, and saddened by some of the answers I received. It's just ... well ... icky ...
The most surprising discovery in all of this is the discrepancy between his math/word reading ability and his reading comprehension. Cam is in 8th grade and he is currently performing at "high average" in word reading and math problem solving (grade equivalent of 11.3 and >12.9 respectively) yet his reading comprehension is at a 3.9 grade equivalency. Yes, you read that right - math/word reading ability is at the junior/senior high school level and his reading comprehension is at the 3rd grade level. That's a problem. A big problem that has been rationalized in the past as Cam just being lazy.
The neuropsych also found some "clinically significant" personality profile issues surrounding impulsive hostility, behavioral and emotional dysregulation, attention difficulties, an angry mistrust of others, self-destructive inclinations, and substance-abuse and delinquency proneness. Ummm ... yeah ... that wasn't what I wanted to hear. It's one of those things that you can either view as a ticking time bomb, or as a motivator to reverse the "proneness." I'm attempting to focus on the latter.
There will be readers who claim these personality profile issues are my fault, and it would be foolish for me not to acknowledge the impact of Cam's environment (an environment I put him in) for the last seven years on how his personality has developed. I do feel guilt and responsibility, but getting stuck in those emotions will not benefit Cam.
So, what now? Well, there are some very definite steps that we need to take.
First and foremost is an appropriate educational placement. No one is sure what that is going to look like. Ideally, it will be a private, "therapeutic" day school that the district funds. Based on current state budget issues, I think that will be a hard sell. The question then becomes how do we get Cam in an appropriate educational placement in the "traditional" public school setting. Cam is an odd mixture of intellect and struggle and doesn't fit well into the "traditional" one-size-fits-all model of special education our district offers.
It looks like we are going to have to revisit the med issue as well. Cam stopped taking the Concerta he was prescribed in December and has been med free for almost six months. The recommendation is that he be evaluated for medications that have an appropriate effect on his mood, behavior, learning, sleep and apathy. This is probably the one recommendation I am struggling with the most. This reeks of mental illness - a stigma I would never wish on anyone.
There are also recommendations for continued individual therapy, social skills group therapy and additional "pro-social opportunities" that increase his exposure to diverse settings (read that as he shouldn't be in a small town, farming community where he is one of only two black kids).
Then there is my part:
"Increase structure and responsibility at home to build greater skill in activities of daily living. Incentivize new behavior and skill through positive rewards and reinforcement."
In other words, be a better parent.
I'm trying to take this all in, focusing on the positives while addressing the negatives. I am grateful to finally have some answers, and saddened by some of the answers I received. It's just ... well ... icky ...
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