Tuesday, June 9, 2009

Music Therapy--My Personal Experience with Adding Music Therapy into an IEP

Today I will tell you about how Music Therapy was added to my daughters IEP.

Music Therapy is a service that in many schools opinion is a costly add on only reserved for those parents who show a distinct interest and advocate for it. Therefore, rare is the school that will actually come out at a team meeting to recommend it as a related service. Sometimes they will when it is already a service being provided for another child in the classroom.

In this posting I am speaking about the Music Therapy where a teacher who is familiar working with kids with special needs will come into the school to work with a group of kids. Sometimes, the therapy will involve goals in the IEP and others its listed as a additional service somewhere in the IEP.

I am not speaking about Music Therapy provided one to one with a student with direct goals and objectives. This is something I have not seen provided in the schools I've dealt with and is usually covered outside of school by insurance. If someone had an experience getting one to one music therapy in school I would love to post your success and how you went about it.

The Federal Laws Standpoint:

Artistic/cultural programs are specifically mentioned in the federal regulations for IDEA as "other developmental, corrective, or supportive services (such as artistic and cultural programs, art, music, and dance therapy) if they are required to assist a child with a disability to benefit from special education in order for the child to receive FAPE" (U.S. Department of Education, 1999a, p. 12548). Artistic and cultural programs are designed by art therapists, dance therapists, and music therapists to address the individual needs of students with disabilities. These professionals:
assess the functioning of individual students;
design programs appropriate to the needs and abilities of students;
provide services in which music, movement, or art is used in a therapeutic process to further the child's emotional, physical, cognitive, and/or academic development or integration; and
often act as resource persons for classroom teachers.

www.wrightslaw.com


Steps to introduce Music Therapy into your child's class:

1. I found it was easier to obtain the therapy since my child was in a self contained classroom. It gave all the children in class access to the therapy. If your child is integrated you may find that he may be taken out of class with a group of kids that all can benefit. Maybe in a class down the hall a child you don't know about is receiving music therapy. Can your child attend also?

2. You may need to get an evaluation from a music therapist in the area. They can assess your child and write a report to show the school how the child would benefit. You may have to pay for this evaluation but its yours for life. The school may say that they can't find a music therapist. At that point you can say that the person who did the evaluation is available to come into the class once a week for an hour long small group session (you'd have to find this out first of course). That is another reason to seek an evaluation..it gives you a resource to bring to the school. Sometimes the school will agree to hire the person as a consultant for a period of time. Other times they may decide to hire their own Therapist. Sometimes the school may even agree to send your child to the Therapy Center after school.

3. If you live in MA you have even more leverage for Music Therapy if your child has Autism. The MA Autism Bill in 2007 went one step further than the Federal Law to state the the team need to consider other options when providing services to promote Social, Educational opportunities.
You can look this up at:
http://www.massadvocates.org/autism_project/autism-iep-bill-passed

4. If the team refuses to provide music therapy you have a few options. You can call another meeting, gather more information including evaluations and try to work it out. Or, you can sign the IEP but reject the Music Therapy portion. The team will then hold an emergency meeting to try to resolve the issue or you can go to mediation. The third option is Due Process which at that point I always recommend having a Legal Advocate to assist you.


In our case, the school provided music therapy to my daughters class once a week. Everyone benefited from the therapy. Warning: Even though the school did say she would receive it I found that they didn't actually write it in the IEP. You want to make sure its in the IEP with time frames. You don't want to move schools or classrooms someday and find that they won't honor the therapy because its not in the IEP.
Also, if you don't have time frames:i.e. once a week for one hour, they don't have to provide the compensatory time if the therapist is out.


Good Luck!!

Monday, June 1, 2009

What Happens When the School Wants to Cut a Related Service?

Cutting Related Services:


I get this question a lot and I have been through this situation a number of times myself. It seems every meeting the topic comes up to cut back on services. My daughters needs are not changing yet her IEP team tries every year to cut back her number of therapy sessions. My son has less needs and according to my husband: he's low hanging fruit ready to be cut.


How do I go about advocating for not cutting services?


Step 1. I always request that the team provide assessments at least two days prior to the meeting. That way I have time to review their recommendations and see what the reasoning is.


There were times that assessments were not done and services were to be cut. Did you know its your right to make sure they assess your child before cutting services? Did you make sure those evaluations were done by someone trained and qualified to perform testing?



Also, if you don't agree with the teams assessments this is the time to decide if you'd like to request independent evaluation. (independent evaluations will be discussed in a later blog).


Two Personal Scenarios:

One time I requested the team do an assessment before cutting my sons speech. When they went back and did the testing they found that he still needed services. If I had not asked for that assessment he wouldn't have the SPL for the past three years that he really needs.


The second time, in terms of PT, I also asked that he be evaluated before they cut his service. The PT tested him and he was found to be in the normal range in all aspects of the assessment. At that point I agreed with them to discontinue the PT since I had no case and it was apparent that he did come a long way.


Step 2: Try to chart your child's progression/regression on a chart. Someday I will blog about how to do this but if you are in a timely situation there is great book from Wrightslaw that walks you through it.


I never knew how important this two days at Wrightslaw Bootcamp would be. If you don't understand the tests the schools use and how they are interpreted you can make assumptions that are incorrect. Did you know that a 80th %ile sounds good but actually may mean your child is behind the norm? The %ile ranking are totally different than grades we all know and no school is going to explain them to you. If you can go into a meeting and show the school a chart with your child's scores then it becomes up to them to tell you why they no longer need services if they are behind the norm.


Step3: If you feel strongly a service should not be cut look for any way to compromise. Say, can we keep the service and look at this year to see how the child does? A child does not need to keep services only if they are doing poorly. But, if your child really is doing good and doesn't need a modified curriculum than its time for relief and being thankful that the services did their intended job.


Step4: If you feel that a cut in services is really not appropriate you can file for Mediation or Due Process. In this case you want to prepare your case with all documented requests, evaluation reports and any other information that will help the mediator make a decision. You will have a gut feeling if the issue is worth it to you whether or not to file. I always give the school another chance to have an informal emergency meeting before filing for mediation. You can usually tell at that meeting if they are willing to compromise or not.



Overall, services and IEPs are only intended to be for kids who are unable to access the curriculum (meaning: they are falling behind their peers in daily activities). The delays also need to be due to their disability. If this is the case then you have a right to pursue services. It may not be easy but its well worth the work!!