Showing posts with label Personal reflection. Show all posts
Showing posts with label Personal reflection. Show all posts

Tuesday, October 18, 2016

Life as an SLP: My Thoughts on "Speechless"

It's been a few weeks since "Speechless" premiered on ABC. In case you've missed the media blitz, it chronicles the journey of a family with a 16-year-old son with cerebral palsy who uses a low-tech AAC device to communicate. The premise is based upon a switch to their son's 6th public high school so that he might finally be in a "regular high school." Because, despite typical cognition, cerebral palsy has kept their son trapped in "special education schools." This new public school, strangely, has never had a single student with disabilities (and thus does not have an SLP... or any other special education staff for that matter).

Ahh, television realism at its finest, am I right?

When I heard about the premise of this show, I said to myself, "I work at a public high school with a teenage student with cerebral palsy who uses an AAC device! I am actually qualified to comment on the quality of this programming!"

I've been following this show since I heard it was in development and I've waited until now to post a review and share my thoughts because I wanted to give the show a few weeks to develop before I passed any serious judgement. ...Perhaps it was just the pilot that was a disaster, right?

Well, it's been a few weeks. And while the show is garnering well-deserved praise for highlighting a family dealing with the realities and challenges that cerebral palsy and AAC bring, I can't help but be frustrated by the portrayal of the special education process.

So What's Bad About The Show?

1) Special education is entirely erased from the show

We live in a world of FAPE (Free and Appropriate Public Education), LRE (Least Restrictive Environment), and so many other acronyms that exist to ensure our students are receiving an education in the setting that will provide them with the most appropriate learning environment. However, for those who do not work in special education, there is still a prevailing attitude that comprehensive high school sites do not provide special education services and the students are shipped off to some different "special education school."

This was the case in the past, and still may be in extreme cases that require Nonpublic Schools or parents who can afford fancy private schools that specialize in services. But for most families with students with special needs... they end up at a comprehensive high school site. And pretty much every public high school today has special education professionals working there (because at the very least there are RSP teachers and I think you would be hard-pressed to find a public high school without at least a Mild/Mod SDC program).

A show like "Speechless" comes along and reinforces the idea that a high school with a planetarium has managed to exclude every student with an IEP from it's school.

Let that sink in for a second.

Yeah. I know it's TV, but this would be as if the hospital in House had literally no anesthesiologists and Doctor House himself put patients under before surgery. Not only is it not realistic, the absence is glaringly obvious to those in the field.

These are damaging stereotypes and missing roles that serve to undermine the extremely arduous efforts that public school special education professionals put in every day.

2) JJ's mother is frightening and encourages frivolous lawsuits.

As an SLP involved in a current legal battle involving a student with cerebral palsy and an AAC device, this show has caused me grief in each of the 4 episodes that have aired to date. Minnie Driver's character, JJ's ferocious helicopter mother, is scarily straight out of real life. We are supposed to chuckle at her over-the-top actions, like when she demands that a groundskeeper with no experience as a paraprofessional be hired as her son's aide.

Yes, we are supposed to think that she is a little crazy, but she is played as very sympathetic and her behavior is supposed to make the average viewer wonder "Gee, why is JJ only attending a "regular high school" just now?"

Which is a ridiculous question, because as we all know, sequestering JJ away in a "special ed school" was denying him FAPE and very illegal. A student with typical cognition would have been in a general education program from the start. But now the general public has the idea that we deny students with disabilities appropriate services.

Let's not even mention the fact that in one episode she literally says something to the effect of, "Don't make me call my lawyers," Uhhhhh... Your son has been denied an appropriate education for approximately 11 years and you're going to call a lawyer because you didn't get the aide you wanted? Where are your priorities, woman?!

The fact that she is played as sympathetic and that the staff cater to her every whim is scary. As special education professionals, we literally cannot bend to insane parental demands unless a student's educational well-being is at stake. Can we consider for a moment that perhaps she's moved her son to 6 different high schools because she is a crazy person expecting unrealistic outcomes? Since the writing team has clearly never heard of FAPE (or even an IEP, for that matter), we get this ridiculous notion that 6 public schools have all woefully failed to provide JJ with what he needs and therefore her behavior is completely justified and acceptable.

And thus we further the public's belief that schools fails children with special needs.

3) Where is his high-tech device?

OK, so according to the creators, they consulted with a woman with cerebral palsy who uses a low-tech system like JJ's. That's cool. From an interview with her, it appears she is older and may not have had access to a high-tech system when she was being served by the schools. The creators say the low-tech device plays better on TV and of course, it's the entire reason JJ requires and aide which is the premise of the show.

But guess what?

Any SLP with a specialty in AAC would take one look at the typically-developing cognitive skills and precise head control he demonstrates in the show and recommend a dynamic display that could be controlled with eye gaze or another means of access (I do not claim to be an expert in this area of the SLP field).

So why would a dynamic device be better?

Well, besides the obvious reasons of high-tech devices having internet access and the ability to use them to complete school work (and you know, access the internet, which he currently can't do), my main reason would be that with a high-tech device, JJ wouldn't need an aide to "speak for him." He would literally have his own voice that he alone controls. On a frequent basis in the show, we see JJ's family and aide censor his voice by choosing to only say what they deem acceptable even though JJ is communicating more. They are essentially denying him the agency that, as a person, he deserves. A dynamic-display device would allow JJ to speak his thoughts completely uncensored and grant him the basic human right of free communication that his family likes to so easily take away from him.

If his mother was truly the lawyered-up advocate she claims to be, why is she not fighting for her son to receive a high-tech device that could be his true voice? Could it be that she just wants to be his voice for him, maintain control over him forever, accept his thoughts only when they are convenient for her, and deny him autonomy (in a kind of sick and twisted way when you think about it)?

Naw, this is primetime television, so it's easier to pretend that such high-tech devices wouldn't be an awesome fit for students with profiles like JJ's.

So What's Good About The Show?

Of course, it's fabulous that students with disabilities are being highlighted on primetime television. JJ's character is amazing - in the 4th episode, his aide forgets his communication board and the sheer terror he experiences at being unable to communicate is so real and human. The daily challenges his family faces at altering their life to accommodate JJ are true and would motivate anyone to imagine how their life would be different if it included a family member with disabilities.

"Speechless" also features an actor who has cerebral palsy in real life, a nice move considering characters with disabilities are sometimes played by actors without those disabilities.

But sadly, in my opinion, JJ's realism and humanity is the show's only saving grace. The downside is that, in order to create a situation where JJ's struggle is most impactful, special education professionals and the work they would do to support JJ are erased from the narrative. The 6 previous schools that JJ's mom "fought with" must look inept and under-prepared to serve JJ in order to make the premise for this show function. And the idea that schools are somehow cheating their students with special needs is how I end up with legal battles over non-issues. I am a huge advocate for students like JJ and of course some schools/educators/programs are failing. No one can deny this, problems exist everywhere. But this show doesn't even have a slight grip on the reality of special education in the public schools, and that's dangerous.

Keep trying, ABC. Maybe for your second season you can actually have someone involved in special education consult with you to highlight the many, many places you got it wrong.
- Jillian, the No-Frills SLP

Wednesday, September 14, 2016

Life as an SLP: Why I Love Working in a High School!!

A lot of my colleagues who work in elementary schools or pre-schools have expressed a level of fear at the idea of working with students 13 and older. I've heard them make comments about teenagers they know (their own kids or otherwise), how dreadful they are, and how they could never deal with teenagers on a daily basis.

My thought? Different strokes for different folks!

Last year, I spent 1 day a week supporting an elementary SLP in my district by taking 10 of her students on my caseload. It's wasn't horrific and I did just fine, but... not my cup of tea. The experience only served to highlight just why I love working with teenagers and all the unique experiences that come with working in a high school!
Higher-Level Language and Pragmatic needs
I'll shout it from a mountain top, I'll say it right now: I think phonological awareness is boring! I think describing the features of items and comparing and contrasting them is boring! Superflex puts me to sleep!!!! Story Grammar Markers? Yawn!

Phew.

I feel much better.

Essentially, those elementary school language goals just don't do it for me.... Higher-level language it is! I enjoy leading activities like this... and this! Like I said, different strokes for different folks.

Transition
Maybe it feels like it's out of your scope of practice to write transition goals and coach students on their post-secondary life, but man is it important! So many of my speech-only students have no path to follow in life, no idea of what they're going to do once they graduate. It's important that there's a reliable adult in their life they can go to to talk about their future. Some students may find this in a teacher they bond with and some definitely connect with me in this way.

And for my Mod/Severe kids, pretty much everything we do is about transition, life skills, and functioning successfully once they graduate from the transition school at age 22. I love it!!

High School Clubs, Sports, ASB, and more!
Maybe my love of high schools stems from my own wonderful high school experience - I was one of those Associated Student Body (ASB) kids who was involved in every event that happened on campus. I planned prom, ran lunchtime activities, decorated the Homecoming float, and ran around with a spirit flag at the football games - the whole 9 yards.

So now as an adult working at a high school, I can still cheer on the football team, chaperone dances, and get involved in clubs and organizations. For example, I volunteered myself to be class adviser for the Class of 2019. Last year was a little rough; as freshmen they weren't really motivated to do anything and I could barely get them to attend weekly meetings. But now, as sophomores, we're planning our homecoming float and fundraising in preparation for prom next year. It's a fun way to meet general education students and stay connected to my school's culture.... and only possible in a high school!!


Circle of Friends!
And on the note of clubs, I'm sure y'all know about my passion for my Circle of Friends clubs by now. I've heard of similar clubs working in elementary schools (and I ran one at the middle school where I interned) but it's just not the same. High school students are old enough to actually have a hand at running the club themselves as an Executive Board and there are fun events like dances and football games to attend as a group. It's just more fun (and, admittedly, more work) in a high school!
Teenage Problems
OK, OK, hear me out on this one. I think the reason that high school scares SLPs is that they don't feel comfortable taking on the "therapist" role. They prefer adorable 5-year-olds who aren't being tempted by drugs, experimenting sexually, cutting class, experiencing drama with friends, and learning to assert themselves.

But me (and hopefully those of you working in high schools)? I love it. Scenarios I have found myself in:

- A student broke down in tears in the middle of an artic session because he felt abandoned by his friends,
- A student broke down in tears in the middle of a fluency session because her mother had been hiding a cancer diagnosis from her and just told her,
-  A different student broke down in tears in the middle of a different artic group because his grandmother was on life support and they were ending her life the next day,
- One of my speech-only students was caught with marijuana on campus... so as case manager, guess who had to deal with that one!
- A different speech-only student decided to start cutting most class periods every day... guess who become BFFs with the attendance officer??
- I had some "Real Talk" with a group of Mild/Mod students about drinking and driving after they started recounting their weekend adventures,
- I witnessed one of my male students essentially sexually harass a female student in the hallway; in our next session, we broke down the idea of consent and why what he thought was OK was absolutely unacceptable.

These are not the easiest conversations to have, by far. But at a school where one counselor manages 400 students and the school psychologists are swamped with IEP testing, sometimes it falls on the nearest adult to step up. Sometimes I look at my students and realize that their speech and language concerns fall at #41 on the list of difficulties in their life. Sometimes other things take priority. We're in such a unique position as SLPs to be a constant force in our students lives... let's do some good with that sway!

How about you? Why do you like working with teenagers with communication needs? I'd love to hear your thoughts in the comments below!

As always, it doesn't have to be fancy, just keep it fun and functional!
  • Jillian, the No-Frills SLP