Archive for Kathleen Williams

Autism Aging Out: Some Facts to Consider

Autism Living at HomeHere are a few ideas to chew on, after the kids are in bed and American Idol is done for the night:

Autism is a lifelong neurobiological condition.

A 2003 study showed that people with mild/moderate intellectual/developmental impairment live as long as the general population.

By 2020, there will be 4 million Americans with autism.

85% of Americans with autism, right now, are under the age of 21.

All of these children will be adults with autism within 15 years.

By 2020, 500,000 children diagnosed with autism will be adults.

79% of adults with autism live with parents, older relatives or a guardian.

25% of these primary caregivers are over the age of 60.

Right now, with only a few exceptions, the most likely housing scenario for an autistic adult is life in the family home until one or both parents die, followed by life in an institution.

We can do better than this.

The IEP – Lifeline and Funeral

Autism IEP MeetingThe IEP.  It’s a term that will make most people scratch their head.  Is it a rock band?  Another awful group dance like the Macarena?  A new car in the Ford lineup?  No, it’s an “Individual Education Plan” and is the only legally sanctioned torture device designed especially for use on parents.

You never, ever, ever forget your first time.  CJ was getting ready to start kindergarten.  He had been in a PreK class for “varying exceptionalities,” which is a fancy way of saying “really different and we have a bad feeling.”  I, the parent, receive paperwork in the mail.  A meeting has been scheduled on the matter of CJ Williams.  I’m not sure if it’s an invitation or a royal summons.  Still…it’s all about helping CJ find the right combination of people and environment so that he can learn, right?  Maybe it’ll sort of be like being called to the principal’s office, except no one’s done anything wrong…exactly.  We’ll have a nice discussion and sort things out.

So I dutifully took time off of work to show up for the meeting at the school.  I’m welcomed and escorted to a conference room.  Inside, there is a social worker, a guidance counselor, the ESE teacher, a regular teacher, a speech therapist, an occupational therapist, a staffing specialist and several others.  Me and 7 to 10 other people (I can’t remember exactly, sort of like you don’t remember exactly how many cannons are firing at you as you leave your foxhole trench).   They are kind.  They are professional.  They don’t know you.  Some have children.  Some don’t.  They have done this many times before.  They go around the room, and one by one, these nice caring people tell you in no uncertain terms how they have tested your child and compiled a list of everything he “can’t” do.  He can’t do X.  He can’t do Y.  Every “can’t” is the sound of a door slamming shut.  A body blow.  Now I know how the woman being stoned at the gates of village felt (emotionally speaking, of course).

The early meetings are always the biggies, too.  Everything is still completely new.  You walk into a meeting with a rough idea of how your world works and what your hopes for the future of your child are, and you leave with something else.  The amount of mental and emotional processing that goes on in the head of parent after an IEP meeting, if harnessed, could power a city block for a week.  Theoretically, they are throwing you a lifeline, but it feels like a funeral.  After the shock wears off, you cry, you flail, you rage, you curl up, you reject, you bargain, you pray.  What the hell do these people know?  They’re just guessing, every child is different.  Where’s the door?  Where’s the window?  Where’s the way out of this new reality?  How do I even begin to tell anyone this?  How do I go about inflicting this on anyone else who loves CJ?  Who am I kidding?  These people have experience.  They know what they are seeing.  It’s 10 of them and 1 of me.  What do I know?  God, how am I going to make this work?  God, help me.

This is how it goes.

As you get more experienced at this, you begin to build a shell.  You realize that there are easy meetings where there are no conflicts, no new “can’ts,” few people and you are done quickly.  Then there are the hard meetings.  Often, there’s a conflict even before you walk into the room.  You go in wanting something they don’t want to give, or rejecting something they insist is right and necessary.  There are several ways to feel like a jerk here.  You can be a jerk by refusing their wise counsel, experience and advice, or you can be a jerk by demanding something your child needs that might inconvenience the team, make the days awkward, or consume resources they want applied elsewhere.  It took me a while to start believing that my expertise as CJ’s mom, my common sense, powers of observation and time-in-grade in the trenches of daily life were a skill set just as valid as having a Ph.D or 20 years of educator experience.  It took me a while to learn to both respect the team’s skills and my own equally.

Because, see…the first thing no one tells you is that you are actually a member of the team.  (If you are a parent and you’ve read this far, I can’t stress enough…if you take only one thing away from this blog, make it this.)  The other team members can’t just do whatever they want. You have a vote.  You can make requests.  You can veto things.  They can’t just decide to take things away.  While you can’t control the show, you do have leverage, and in a room where it’s a ratio of 8:1 or higher, you need to learn how to use it.

There are what I like to call “Red Siren Words”.  These words are your leverage.  They have power.  They  set off sirens in heads of the professional people in the room during an IEP.  Use them and everyone tends to sit up and get VERY nervous (think “lawsuit” here).  These RSW’s are precise phrases which cue everyone to the codified requirements that schools and teams are required to comply with in the best interests of your child.  Without them, the team is left fairly free to craft a plan to fit their own agenda, be it your child’s best interest, the school budget, or someone’s sabbatical plans.  But use an RSW and instantly everyone in the room understands that a set of expectations has been invoked, that the parent is aware that he or she has the right to expect certain things, and that consequences could result from ignoring this.

Let’s try a few.

“Least restrictive environment.”  This means that the school is required to keep your child with typical kids for as much of the day as possible.  If you are fighting to find a place for all those painfully learned life or social skills to take root and be exercised, rather than have your child restricted to a single room with limited exposure to a neurotypical environment, you might want to trot this phrase out.

“Where’s the data?  Show me the data.”   If you are proposing to make a change in my child’s IEP (usually regarding services they are proposing to stop), I am going to politely demand the data to back up your proposal.   Use this RSW to force the distinction between supported facts about your child vs their educated opinion.

Of course, the down side is that it then becomes adversarial; you against however many other people are in the room.  It’s a lovely feeling.  If you are naturally assertive, you may have to rein yourself in.  If you’re a conflict avoider, you may need to plan to throw up in the bushes outside the school afterwards.  I’ve been lucky.  Most of the time, I’ve worked things out.  But not everyone has been as fortunate as we were.  I know more people who have taken advocates or even attorneys to the meetings with them than people who have not.

All that said, you do have a voice, but you don’t have complete control.  CJ is now 17.  We had our latest meeting last week.  It was one of those meetings where everyone had to come.  We were changing a service…taking away CJ’s occupational therapy.  UGH.  Luckily, I knew most of them and we were all in the know ahead of time.  We all knew each other and knew the drill.  (I did wonder what they would say if I suddenly decided to pitch a fit in the middle of the meeting about taking away CJ’s OT.­­) We go through the meeting and get to the part about removing OT, and they say, “So you agree with this?”  I say, “No.”  Dead silence.  I then say that I don’t agree, but I guess it doesn’t really matter.  I say that I wish that they would continue and it would make a difference, but I don’t really have a choice.  (I did have a choice and could have made a scene, but it wouldn’t make a difference and wouldn’t really fix anything.)

I did remind them of what we are all told.  I reminded them about the “If Onlys.”  If only…if only we had done more therapy…if only we had done different therapy…if only we had tried this diet or that diet…if only, if only, if only.  Whenever you stop a therapy, you re-introduce the “If Onlys.”

But really…If only…If only what??  He would be better?  He would be cured?  They all kind of looked at me and nodded.  I realize almost every time I am in one of these meetings that they forget.  They are these wonderful people doing their jobs and this is our child.  They are telling you all the ways they are “helping.”  But all you can hear is all the things your child can’t do and how your child doesn’t and may never measure up.

When you recover from feeling like you were kicked when you were down, you wonder why they don’t serve drinks at these things.  Really.

I actually said it out loud this time.  They all thought it was a good idea.

If you build it…

Autism Adult Housing blueprint …will they come?

If it’s semi-independent or assisted living for young autistic adults, not only will they come, but apparently they’ll already be lined up around the block, begging, beating the door down.  There is no waiting for anyone to “come”.  People…parents…are desperate. There’s beginning to be a scattering of information on the internet…organizations who advocate for housing, employment opportunities, etc., for these children who soon won’t be children any more.  There are articles with links to other articles, and every so often, a few videos of parents who have seized a circumstance and figured out a house or a job for their child.  One.  One that works for them…their income, their resources, their location, their state funds, their relationships.  It’s amazing and beautiful…but it doesn’t translate to me.  Or CJ.

What are WE going to do?  And if we can figure that out, is there a way to consolidate it?  Box it up?  Strip it down?  Make a master template that will work for anyone?

I met a woman who told me that when her son leaves on the bus for school, she runs out the door to go…anywhere.  Anywhere at all.  She will go sit at Panera by herself so that she can get out of the house.  She is dreading next year when he is too old to go to school and she won’t be able to leave.  While it is not a prison or a sentence, it feels that way.  How, after all this time and work and effort, could it feel like it’s getting worse…not better?

I think the worst part is how much these parents love their kids.  This is not to say in any way, shape or form that other parents do not love their kids as much, but with autism, you have to fight for every little thing with these kids.  The intensity of the love may be similar, but the bonds are shaped sometimes very differently.

Seven years after CJ, my healthy typical daughter was born.  When she started kindergarten, I pulled up to car line to take her into her first day at public school.  800 other parents walked their kids in that special morning, but my daughter had been waiting for so long to get dropped off in car line like her brother that she insisted.

I dropped her off at 8:05AM and came back at 3:05PM and picked her up.  That was it.  What??  What do you mean that is it?  I was confused.  Where is the notebook with the explanation of her day? When are the meetings scheduled?  When do we go over curriculum?  When do I explain to everyone her strengths and weaknesses?  Nope.  Nada.  All we had was curriculum night along with every other kid in her class.

Don’t get me wrong.  She thrived.  She loved school and made tons of friends.  She will go to high school, learn to drive and go to college.  She will eventually get a job and move out.

No one told me it could be like this.

And so….it begins.  CJ needs a place of his own…a place to share with a few friends like him…a place to live with as much dignity and independence as we can find a way to give him.  That place doesn’t exist.  Yet.  So…how to build it?  Where to start?

The first steps are to take everything I can find so far…everyone’s information about everything they have thought of, researched, toured and dreamed of, and then try to sort it out, document it and figure out what will work for us.

I am hoping that this blog will be a guide, a reference and an inspiration to anyone who passes through here.  I don’t have the answers yet, but I’ll try to document our journey every step of the way.  Perhaps the solutions to funding and building a house for CJ will be the prototype for something larger.  I have meetings scheduled, a business plan in the works, an attorney and a CPA lined up, and some good leads on design and funding.  This could be big or it could be really small.  Either way….

It’s all starting with a house.

Autistic Guardianship or The Lid on Pandora’s Box

Autism Adult GuardianWell, I’ve done it now.  I have actually started.  I have a appointment to meet with an attorney about guardianship. I have started the research on a non-profit organization to build a house for CJ, his friends, and hopefully others like him.  And I have let this blog go live.

There is a part of me that is so empowered and excited.  There’s a part of me that is scared to death.  There is a lot riding on this.  My son really does need to “move out” and become more independent.  He is happier when he is with his own friends, doing his own activities.  He loves going to youth group and camp.  He loves going to baseball and football practices and games at school.  I love seeing him happy.  I love the idea of restoring some balance to our lives.

There is a HUGE learning curve with all of this.  There are big questions.  Can I do it by myself?  Do I need an attorney?  Do I need an accountant?  How does it all run?  Will it end up costing more this way?  Will it end up being more work this way?

There are so many unknowns at this point.

Autism-Appropriate?

Mona Lisa grinAs I talk to more people and look over the first entries for my new blog, I’ve started to realize that if you are not in my situation, it may sound like I just want to get rid of my son.  Actually, to some degree. it’s the exact opposite.

Yes, I want him to move out.  I want to make sure that he is taken care of.  I want him to be safe.  But I also want to make him as independent as possible.  I want him to have his own life.

When I read things other people have written, I realize once again, that if you are not in this situation, wanting an autistic child to move out may seem unkind or unloving.

People are so, so careful around me when it comes to stepping outside of the safety of an autism-appropriate serious and supportive attitude.  I understand why…I really do.  But hey!  Come on!  This is me!

I was making jokes while posting on Facebook.  On CJ’s 16th birthday, I posted “Happy 16th Birthday!  Should we get him a car or a truck?”  I thought I was hilarious.  (of course, I usually think I am hilarious)  Most comments I got back were super nice.  “Happy Birthday”  “Hard to believe he is that old”, etc.  A couple of brave people made jokes, but I mean only a couple.  One person told me in person that he thought we should get him a motorcycle.  Now THAT was funny!  I complained to a friend that no one seemed to think I was as funny as I thought I was.  She said that “unless you are in that situation, you are not allowed to make fun of (or joke about) that situation. “  I guess she was right.  That’s kind of depressing.

When they are little you tip toe carefully around trying to figure out diagnosis and treatments for other people’s kids.  It’s such a fragile, delicate time.  When they are older, you just say “what exactly is his diagnosis”?  And funny.  By then, people are usually fine with answering questions and almost relieved to talk about it.  They are often craving information as much as you are.

I have discovered that in this world, people are usually more than willing to share information.  Nothing is sacred. People will discuss doctors, medications, Baker Acts, schools, and Therapists without blinking.

But just try to get them to laugh with you.

It is a strange little world growing all too big, but it is my strange little world.

Autism Kicks Off

Challenger Football-Autism Kicks OffOne of the great joys of CJ’s life is sports.  He helps with the varsity baseball and football teams at high school.  The true love of his life is HIS Challenger baseball team.  He has been in heaven since we discovered Challenger.

With Challenger, for the first time he was allowed to play…really play…with his own peers.  These peers are HIS friends.  He talks about them.  He has photos of them in his room and in his albums.  He talks about them and even hopes to eventually live with some of them.

The biggest difference between Challenger and other leagues is that Challenger lets the kids play.  The kids have buddies, but they are high school kids, not adults.  And the buddies are not allowed to pick up or even touch the ball.  The only exception is if a kid can not physically pick it up.  They will then pick it up, hand it to the kid, and the kid will throw it.

When we started, the kids couldn’t do anything. Balls were going everywhere.  Almost everyone hit off a tee.  It was controlled chaos, and one might think, seemingly pointless.  But now, only a small group hits off the tee.  The kids attempt and often complete plays.  When they are out, they are out!  There is no “everyone gets to run bases”.  It’s the real thing.  They love it!  They love tagging each other out.  They learn to deal with getting thrown out.  It’s real ball with real kids and the only exception to the general rules is that, at the end of the game they all “won”, if you ask them.

The buddies are varsity high school baseball players from the local schools.  We have had buddy players who have gone pro and to college on scholarships.  We have several who come back to visit or participate when they are home.  I have seen times when the buddies were getting more out of this than the kids themselves…more than once.  There is something to be said about arriving, bummed about losing a major game, and then watching these kids and spending a Saturday morning with them.  It puts things in perspective.

I have a couple of things I say over and over.  When you have a child, you have the same dreams for that child as everyone else.  It is a boy!  He will play little league!  If he is good enough, he will play in high school.  He shows some early talent, so who knows?  He may get a college scholarship.  And the ultimate dream for everyone would be to play in the pros. Why not?

Then you get “the news”.  One by one your dreams for your child fall away.  There will be no pros, then no college, then no high school.  Little league?  Maybe a “special” team.  You look, and find that no one will actually let these kids play, though.  And then we found Challenger.  Challenger gave back to all of us a little of what we had started to think he would never have.  He has HIS team with HIS friends.  He gets to really play.  He loves it!

The other thing that I say over and over is that if you think the youth of America are going nowhere good, come out on a Wednesday night or a Saturday morning and sit with us.  The buddy’s teams may play until after 9 PM and then will have practice on Saturday morning.  But they still come out with our kids.  They have jobs, girlfriends and are taking tough classes to get into college.  But here they come.  We have had buddies take off of work to come with us to jamborees.  We have had adults rearrange out of town trips to be back for games or so they don’t miss practices.

There are AMAZING kids all over!  And CJ helped me see that.

Terra Incognita

Autism Guardianship HousingI finally made it to the attorney’s office.  You know those snakes that grab and try to swallow an antelope or a crocodile, and they get stuck trying to swallow it down?  You can see it in their expression:  “Maybe this wasn’t such a great idea…,” but there’s no turning back now.

That was me on a sunny afternoon.

You know what they say:  Bite off more than you can chew.  Then chew.

Guardian Angel?

Autism Mama Bear Have you ever had the feeling that your head was going to explode?  Remember that feeling in school when so much information was being crammed in at such a fast rate and you never had enough time to process it all?  It all begins so innocently.  You have a question.  You ask the question.  You get an answer.  While processing the answer, it creates the need to ask another question, and then to evaluate and process more information as things grow transform and then more questions abound.  Before you know it, you’re eating the cupcakes that were supposed to go in your daughter’s lunch tomorrow and re-watching reruns of Downton Abbey to make the noise in your head just stop.

Today, I asked a question.  Today it all began. Today, I met with an attorney.

There was nothing I didn’t already know.  I like to answer my own questions beforehand, and then compare them to the answers I get from everyone else.  It’s what I do.  If I do it right, there are no surprises.  No big announcements.  It is what it is.  And I get to be right (I love that).

So there it all was…the next steps for us in relation to CJ.  It was all laid out in black and white.  A process.  Specific steps.  The good part — it was all laid out in black and white and it was all very clear.  The bad part — it was all laid out in black and white and all just too real.

CJ is going to turn 18.  And he can’t just do that with a cake and candles and the keys to a new car.  CJ can’t be 18 without us.  The Joan Crawford Institute for the Prevention of Dreadful Parenting says so.  I know.  I checked online.

CJ needs a Guardian.  And apparently, it can’t be us.  And it can’t be just any Guardian.  It has to be a Guardian Advocate.  Okay.

Now…I have a question.  Remember the exploding head?

Who is going to succeed us a Guardian Advocate?  Who is going to do what?  What on earth is the difference between a Guardian Advocate and a Guardian?  The attorney says to me “Guardian Advocate.  ‘GA.’  Think Guardian Angel.”  Helpful.  My normal snappy come back failed me in this moment.  My brain really must have been full at the moment because I just couldn’t come up with anything obnoxious to go with GA. And I really needed to.  (I am guessing that was God’s grace that I didn’t,  so that this guy didn’t think I was a complete lunatic, because I really really need him to confirm what I already know…and I’m still working on my own answer, BTW…I’ll let you know.)

So paperwork and some more paperwork.  Cost is just not even an issue here.  Get it done and get it done RIGHT!  Mistakes can cost you at this point.  (Scary)  Even worse, mistakes can harm your child. (See JCI for Dreadful Parenting, above)  Back to the whole Guardian Angel thing.  Someone else is going to do this instead of me??  You know how they tell you you shouldn’t mess with a Mama Bear….well, don’t even think about messing with a mother of a special needs child!  (There are always snarky postcard things on Facebook about special needs moms…their outlook and attitudes.  They never, ever fail to crack me up, because they are so true.)

The attorney made an interesting comment to me.  “You can read a book about being a parent of an autistic child, but there is no way you will ever understand unless you are one.”  That is true about so many, many things.  There are tons of jokes, funny stories, sad stories, tragic stories, information and events that will just break your heart.  I always say that I can laugh or I can cry.  Sometimes, I just scream.

But today, I exploded.

Tangled Up In Knots

Autism tying shoesFor years we have tried to teach CJ to tie his own shoes.  Therapists have “protocols” with step by step instructions to learn almost anything.  I had no idea that there were so many steps to everyday activities that I do by rote.  I don’t even remember learning most of these things.  I am fairly sure after watching my daughter that you don’t ever “learn” per se, you just know when you are the right age.

Tying someone else’s shoes for 17 years is tiring.  It was nice when my daughter learned to tie shoes.  I could make her tie his shoes.  She is much closer to the ground, after all.  I said in passing something about him not being able to tie shoes.  One of the women asked why I didn’t get him the elastic laces that triathletes wear.  WHAT!!!???!!???  Apparently, athletes use these elastic laces that have to be purchased at a sporting goods store.  They are elastic cording with plastic clips.  The clips move to hold the laces at the appropriate tension for the wearer.  When I went on line, it said “perfect for the elderly and persons with special needs”.  OK.  Why does no one I know with special needs kids know about this, then????

I bought them and put them on his shoes.  He can now put on his own shoes and they stay on.  OMG!  I never knew that the quality of my life would improve with the purchase of a pair of shoe laces.

That Boy’s Not Right

Autism DiagnosisThe first step is to notice that something is not completely “right”.  It is particularly helpful when other people are pointing out everything that your child “can’t do”.  I was told over and over to not worry about some things.  “my son didn’t talk until he was 2, 3, 4”  “boys talk later”  “he is just an active, normal, little boy”.  Then my favorites all about how he “needs a spanking”, “we basically suck as parents” “he does this or that strangely”  “he doesn’t do this or that the way he “should” “

Where do you go from here?  There were not the specialist and the information that there is now.  We had Juno dial up.  Our pediatrician went from telling me something was wrong to insisting that he could not be autistic.  There were two doctors in town who would give a diagnosis.  The one was self pay only.  The other one took our insurance.

By the time we went in I knew the answer.  He spent time talking to us and testing CJ by playing games and asking him to color, etc.  He sat us down, looked at us and said “I guess you already know what I am going to say”?  I liken this moment to a movie when the camera zooms in on a character and you can still hear what is going on in the scene, but the character’s voice is loud over it all as the character looks directly into the camera.  I was the one being sucked away as the doctor spoke.  I was in the camera as the doctor and the noise of the office went off into the background.

He prescribed medication.  Now the real work started.  I was introduced to a mom who had a son a couple years older than mine.  She was a staffing specialist in a neighboring county and had a son in our county who was autistic.  She literally “told” me who to contact and what to do. I took my marching orders seriously.  I never take anything lightly.  I mapped out a plan and started.  I never took no for an answer.  I insisted on being allowed to fill out paper work.  I didn’t ask permission.  I just assumed that since we qualified for services, all I had to do was fill out the paperwork and/or contact the correct person.  Naively, it worked for me.  I wasn’t that thrilled with it taking almost 6 months to get everything into place.  I found out later that there was up to an 8 year waiting list for any services.  He started getting ST and OT at school 2 months after school started, thanks to his teacher’s persistence.  I found out later that there was an 18 month waiting list to get evaluated.

I started navigating the labyrinth of the world of “special needs”.  Everything involves research, paperwork, meetings, numerous phone calls and lots of persistence.

And patience, something usually in short supply.