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Wednesday, May 05, 2021

SPM and SPM-2 Quick Tips Case Study: What’s Behind Challenging Behaviors in the Classroom?

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    Since the beginning of the COVID-19 pandemic, experts have predicted that the impact of the virus on human heath will reach far beyond that of physical safety. In the wake of social distancing and sheltering-in-place, the need for mental health services will rise sharply and swiftly, according to the experts. The healthcare landscape that has been embattled by efforts to keep infected people alive while keeping healthcare workers safe, will quickly transform into a different type of battlefield – one beleaguered by the effects of mental illness.

    Unfortunately, if history has taught us anything, it has taught us that economic recovery efforts have always sacrificed mental health and social services first, accompanied by decreased funding to departments of education. If this historical trend continues, and there’s no reason to suspect it will not, the services that will be needed the most will once again become the sacrificial lambs of the economy. 

    The impact of economic recovery efforts on mental health services no doubt will be distressing, but the impact it will have on education and on our young people’s social and emotional development will be even more devastating unless we start now to prove the benefits of social and emotional learning (SEL) as a deterrent to mental illness. We must act now to advocate for the adoption of educational standards in social and emotional development in every state legislature and with every state department of education across America. Social and emotional development must take equal, if not greater, priority as children return to school in the wake of the pandemic.

    In homes across the country and indeed around the world, we are just beginning to witness the effects of social isolation and there is increasing concern for the long-term impact this will have on our children. For months now, these children have been isolated from their peers and have been forced to continue their education in a virtual learning environment. Equitable access to educational opportunities and the developmental appropriateness for this type of learning format for some children have generated increasing concerns, along with a host of questions about how this will impact future educational decisions for these students.

    Consider, for example, the story of seven-year-old Kelsi. As a very young second-grade student, her teacher describes her as eager to learn, willing to participate in school activities, and developmentally appropriate in her skill development. She enjoys coming to school and particularly enjoys learning alongside her peers. Like most children her age, she is intrigued by technology and is allowed by her parents to play a limited number of educational games or to watch a few children’s movies on their mobile devices. Kelsi’s interest in technology might be described as ‘typical’ for her developmental age, and her enthusiasm is like any typical seven-year-old, that is, until distance learning became a way of life. Now her parents describe Kelsi as having daily meltdowns and refusing to engage in any schoolwork that requires the use of technology. Kelsi has no desire to use a computer or tablet. She even refuses to ‘attend’ virtual class meetings. She speaks daily of how she misses her teacher and her friends and how the virtual meetings are boring. While her parents are concerned about how this will impact her educational placement for the coming year, they are more concerned for her emotional well-being.  

    Now consider 10-year-old Aiden, whose life circumstances are vastly different from Kelsi’s. As a fourth-grade student, he and his two younger siblings, a brother, age five, and a sister, age seven, attend a school that receives Title I grant funding. Due to their family’s low-income status, Aiden and his siblings are eligible for free and reduced lunches, so they receive breakfast and lunch at school. As for technology, they do not have access to a home computer because the family cannot afford one. Even if they could, they would not be able to afford the internet service. A federal technology grant, however, has allowed the school to purchase Chromebooks for every student on campus, so this is the only technology that is available to Aiden and his siblings.

    Aiden’s mother is the sole caretaker for Aiden and his siblings. They live in a small apartment in a low-income neighborhood. Aiden’s mother has limited proficiency in the English language, so she struggles to communicate with school staff unless there is a translator available. She works full-time as a housekeeper at a local hotel and supplements her income as a part-time cashier for a local restaurant. Following the government’s shelter-in-place order, Aiden’s mother lost access to both sources of income and was forced to file for unemployment. It was four weeks before she received her first payment. Meanwhile, Aiden and his two siblings no longer have access to the meals provided by their school, and without an income, the family is now dependent upon food provided by the local food pantry.

    Aiden and his siblings have been unable to participate in the virtual classroom meetings with their teachers, despite being issued a Chromebook by the school, because they do not have internet service. Their mother has been able to access their weekly lessons through emails she receives on her cell phone, but her language limitations, as well as her limitations in technology skills, make working with her children extremely challenging. She uses her phone to let the children view recorded lessons and other digital resources for their assignments, but her limitations prohibit what they are able to view, let alone accomplish.

    Another complication is the fact that the school has identified the youngest sibling as a child with a learning disability and has been receiving special education services at school. All three children are struggling with the challenges of distance learning and Aiden’s mother reports daily conflicts with getting them to cooperate with her. She also reports increased fighting between the children and daily episodes of emotional outbursts from all three children. Aiden’s mother is concerned about her children’s lack of educational opportunities and emotional well-being.

    There are many different scenarios in which children across the country are struggling with the challenges of distance learning, along with the effects of social isolation brought on by the pandemic. In each case, the life circumstances will vary, as will the access to resources and the availability of a support network. When factors such as homelessness, foster care placement, involvement with juvenile justice, or cultural differences are factored into the mix, the risks for negative impact increase exponentially.

    Regardless of these different circumstances, however, the effects will be observed and manifested in how these children respond socially, emotionally, and behaviorally. The longer the isolation, the greater the likelihood of significant problems. The degree of difficulty will vary. Some will have minimal, if any, problems, while others will react more severely. One thing, however, is for certain: They will return to school, and when they do, schools must be prepared. 

    The adverse impact of the pandemic on the social and emotional development of these children should be of paramount concern to everyone, not just parents and educators but community members and policymakers, as well. How we respond now will determine how these children learn to adapt and cope with life’s future challenges, thus preventing any long-term mental health problems. The social and emotional development of our children must take precedence in all plans for school reunification. We must begin preparing for these challenges by advocating for the adoption of educational standards in the area of social and emotional learning. Only then will children’s social and emotional well-being become as important as their academic development. After all, if their emotions are churning, they can’t be learning.

     

    Donna Black is a WPS Assessment Consultant. To view Donna Black's webinar on SEL in a pandemic click here.

     

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    A child’s self-concept, or view of one’s self and abilities, begins to form shortly after birth and hinges partly on how primary caregivers treat the newborn. As the baby grows into a child, his or her broader environment plays a larger role in helping to develop self-concept.

    Self-concept refers to self-perceptions in relation to important aspects of one’s life, according to the authors of the Piers-Harris Self-Concept Scale, the most widely used psychological assessment measuring self-concept.

    These self-perceptions motivate behavior and generate self-evaluative attitudes and feelings that have important organizing functions.

    A person’s self-concept may change over time in response to environmental or developmental changes, or as a result of changes in priorities or values. However, these changes usually do not occur quickly or because of isolated experiences or interventions, according to the Piers-Harris 3 manual.

    The Piers-Harris 3 can help identify children, adolescents, and young adults with low self-concept experiencing common cognitive distortions, which are inaccurate thought patterns that reinforce negative thinking or emotions. Once such distortions are identified, teachers, therapists, and other professionals can work with students to modify these distortions through cognitive restructuring—a method used in cognitive-behavioral therapy to treat maladaptive thoughts by presenting more accurate and healthy alternatives.

    Below is a list of 10 examples of common cognitive distortion associated with some of the 58 items covering self-concept that comprise the Piers-Harris 3. Each example is listed next to an alternative thought that students can achieve through cognitive restructuring.

     

    Examples of Common Cognitive Distortion

    Alternative Thoughts

    1. My family is disappointed in me.

    1. My family knows I’m not perfect but loves me anyway.

    2. I am not popular.

    2. I have a few close friends.

    3. It is usually my fault when something goes wrong. 3. Sometimes things just don’t go my way. 
    4. I wish I were different.  4. There are some things I like about myself and some things I’d like to change. 
    5. I am nervous. 5. I feel nervous from time to time. 
    6. I do many bad things.  6. I mess up now and then. 
    7. My parents (or caregivers) expect too much of me.  7. My parents (or caregivers) want me to try my best. 
    8. It is hard for me to follow in class.  8. I sometimes get distracted in class. 
    9. I feel alone.  9. I may feel lonely sometimes, but my friends and family are here for me if I need them. 
    10. I forget what I learn. 10. I forget some things I learn but remember a lot of it.

     

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    The rapid transition into remote work has been jarring for all of us. During these unprecedented times, the work of the professionals we serve remains essential to society. At WPS, it is our mission to support practitioners while supplying them with the most accurate and reliable testing methods available. We intend to continue assisting in your ability to unlock the potential of your clients through tele-assessment. Due to coronavirus, many of you may be trying tele-assessment for the first time. Check out the following five tips for transitioning into teletherapy and assessment.

     

    1. Educate Yourself

    Utilize APA’s Telepsychology Best Practice 101 Series which is being offered for free in response to the COVID-19 crisis. The Telepsychology Best Practice 101 is a holistic introduction to the practice of telepsychology. According to the APA website, “Each 2-hour webinar details the competencies needed for tele-practice, including critical ethical, legal, clinical, and technical issues, together with reimbursement strategies. The series discusses practical ways to leverage a variety of technologies with a focus on video conferencing.”  This continuing education course is a good intro for those new to telepsychology. If you are short on time to adjust, check with your professional organization for discipline-specific resources and teletherapy research.

     

    2. Watch for updates: Do your best to keep up with changes in billing practices.

    • The APA has been working hard to get the Centers for Medicare and Medicaid Services (CMS) to expand access to telehealth services. According to a billing update on March 30, psychological assessment, neuropsychological testing, and group psychotherapy can now be billed through telehealth in Medicare during the COVID-19 crisis.
    • The Office of Health Care Financing made an additional announcement on April 6, “Effective March 31, 2020, psychologists providing services through telehealth should use the place of service (POS) that would have been reported if the service had been provided in-person. CMS is making this change to identify when it is appropriate to pay a non-facility fee, rather than a facility fee which would have automatically been included under POS 02.”

    Changes are happening rapidly, so it’s important to be aware of news alerts and messages from professional organizations.

     

    3. Assess your office and technology

    The ability to effectively engage in tele-psychological services relies on your grasp of technology in combination with your ability to adapt these processes to ethical telepsychology. Consider looking over this Office and Technology Checklist for Telepsychological Services provided by the APA before beginning each session. Major points from the checklist are as follows:

    • Consider whether telehealth will work for this client. Assess the client's access to the Internet and webcam technology. Will you be able to evaluate this client effectively over video?
    • Take inventory of the software that you own. Make sure that this technology is HIPAA compliant and secure and that you have reliable internet access.
    • Before each session, prepare for as much as you can. Having plans for technology failures, crisis situations, and billing hiccups can make for a smoother experience overall.

     

    4. Use Best Practices for Assessment

    Adapting assessment services to working remotely has posed a unique challenge for practitioners. Many assessments are standardized using in-person contact, which makes administering them over videoconferencing software a less than ideal endeavor. According to APA guidance, there are a few key principles to be mindful of when conducting telehealth assessments:

    • Avoid sending your client assessment materials that might jeopardize the security of the measure.
    • Do your best. These are novel situations, which require novel solutions. Be considerate of your client’s circumstances (age, mental health condition, physical ability) and ensure that the client's environment is as distraction-free as possible
    • Anticipate a change in data quality. If the validity of the measure being used will be dramatically affected by the remote experience, be sure to adjust. Use your professional judgment to substitute tests and subtests with more accessible measures for the time being. Contact the test publisher for suggestions for suitable substitutions.
    • Widen confidence intervals when interpreting data from tele-assessments. The information provided by these tests should be used as a small piece of a larger clinical picture. Be sure to include any adjustments to the assessment process in your write-up.
    • Uphold the same ethical standards that you would in person.

     

    5. Make Self Care a Priority

    Remember to take time for yourself. Yes, the folks you serve need extra support right now but so do you. You might feel tempted to work longer hours to meet the growing needs of your clients, however, you must remember that it is impossible to pour from an empty cup. Honestly assess your emotional, psychological and spiritual wellbeing on a regular basis. Seek personal psychotherapy and other resources for health as needed. Schedule time for yourself, it can be easy for the work-life balance to be disturbed when there is no physical separation from your workspace and home. Spending time with your kids, going on walks, and speaking with loved ones is especially important right now and can be seen as a benefit of teletherapy. To neglect your self-care is doing a disservice to all those who rely on you both professionally and personally.

    We hear you and are honored to support you in these difficult times. Following these five tips will hopefully ease some of the stress of abruptly adjusting to a new professional landscape. Please do not hesitate to reach out to WPS with questions and concerns about using our assessments remotely. We sincerely hope that you and your family remain safe and healthy. Thank you for all that you do.

    Taryn Thrasher is a research assistant at WPS.

    For more resources regarding teletherapy, assessment, and general information, check out our other content.

     

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  • I long for the days before “Coronavirus” or “COVID-19” was in my vocabulary. However, now that we live in the reality of a Coronavirus pandemic, it is important that we engage in practices that help keep not only our physical but mental health intact. If you suffer from depression or anxiety, this may be an especially triggering time for you. The constant onslaught of information coming at us from all angles can be overwhelming. This nonstop news cycle, coupled with the economic strain that this has brought on, can make it difficult to see the light at the end of the tunnel. However, by taking control of what we can through the following proactive steps, surviving depression while social distancing is a reality.

    You are not alone. It is okay to have moments of fear and confusion with everything going on. However, you deserve to have some level of peace throughout this situation. Let’s explore ways to combat those feelings of loneliness and anxiety.

     

    Setting Boundaries

    According to Joi K. Madison MFT, “Boundary setting can be a key part of maintaining some sense of normalcy while engaging in social distancing.” Madison specifically highlighted two overarching forms of boundaries: personal and digital boundaries.

    Personal Boundaries: If you’re working from home and have other family members/friends there with you, you might find that being together all day requires that you set some specific rules and boundaries for how to approach this new setup.

    Time boundaries: Be clear about the time you need to work, relax, and have time to yourself as opposed to the time you have to chat or eat together. If you take medications, make sure to work that into your daily plan.

    Spatial boundaries: Adjusting to spending 24 hours with your family/roommates, you may find that you need some personal space to be alone. Honor that. There is no need to feel guilty or think it means you don’t like your family. It simply means you can honor your personal needs while supporting others in the way they deserve. I personally take time every day to do a workout at home, and I ask not to be bothered during that time. If you need alone time, say that.

    Material boundaries: If you’re sharing a TV, other devices, and household items, create clarity around who is allowed to use what, how much, for how long, and when. This may be especially true for food rationing and other items that are harder to come by these days (Toilet paper for some reason??).

    Emotional boundaries: Many of us are experiencing heightened anxiety around these circumstances. It could be helpful to set aside time to share feelings collectively as well as make individual requests for comfort and security.

    Digital Boundaries: We are receiving an unprecedented amount of updates from corporate emails, social media posts, and news flashes. Be mindful of what that does to your mood when you open your devices and are flooded with (sensationalized and oftentimes irrelevant) information. Here are 5 ways to set digital boundaries in order to make peace with technology during these times, according to Joi K. Madison, MFT.

    1. Unsubscribe from email lists. It can be overwhelming to keep receiving email updates from companies you’ve forgotten you even subscribed to. Cut out the clutter and unsubscribe.

    2. Minimize social media use. If the information that triggers you is constantly being shared on your social media platforms, make a conscious effort to limit the time you spend checking your phone.

    3. Turn off news notifications. If you want to stay up-to-date, check in after you’ve taken the time to ground yourself and mentally prepare for what you might learn.

    4. Limit where you gather your information about COVID-19. Stick to reputable sources like the Centers for Disease Control and Prevention and the World Health Organization.

    5. Be mindful of the content you consume from streaming services and other entertainment sources (high drama, horror/thriller films, lots of crime/violence can be triggering at a time like this, even if you normally consume those things and are ok). Pay attention to the times you engage with this content, watching the news before bed may contribute to restless sleep.

     

    Overall, Joi urges folks to be mindful of their time spent scrolling. The amount of direct blue light entering your eyes may be throwing off your sleep cycles and affecting your mood because you’re not getting enough rest. Consider purchasing Blue-Light-Blocking glasses like these from Amazon.

     

    Keeping the Faith

    During times like this, it can be beneficial to maintain your spiritual practice if you have one. According to PsychCentral.com, faith can be a source of hope in uncertain times. Maintaining virtual contact with members of your religious community can provide a sense of connection and communal support. If you do not have a religious practice, keeping in touch with a group of friends can have a similar impact. I personally have started using Netflix Party, which allows you to watch Netflix movies and shows at the same time as your friends. It even provides a chat feature, so it feels like you are in the room with your friends. Very fun!

     

    Know yourself and others

    According to CDC.gov, there are a few behaviors to look out for when spotting stress and anxiety related to COVID-19. It is important to learn to recognize these behaviors in yourself and others. If you find yourself in the position of caring for an ill or at-risk loved one, remember to check in with yourself about how all of this is affecting you emotionally.

    Stress during an infectious disease outbreak can include:

    • Fear and worry about your own health and the health of your loved ones

    • Changes in sleep or eating patterns

    • Difficulty sleeping or concentrating

    • Worsening of chronic health problems

    • Increased use of alcohol, tobacco, or other drugs

     

    In closing, remember that Social Distancing does not equal Social Isolation. In fact, this practice should be re-framed as physical distancing. Physical distancing can be defined as keeping physically distant from others while maintaining social closeness through modern technology. Do what you can in order to keep in touch with friends and family. In some cultures, family is a central part of daily life. If that is an area of need for you, be sure to communicate that with your loved ones. Give yourself a schedule, and try to get some exercise by taking a walk outside for a little sunshine in your day. With a lot of patience, we will all get through this time. Follow the CDC’s guidelines for maintaining your physical health and pay attention to how you are feeling. Do not be afraid to reach out for support if you need it. As a crisis counselor for a service called Crisis Text Line, I can assure you that you are not alone in your concerns about the state of the world today. There is always someone who can listen and support you in your time of need.

    If you, or someone you care about, is feeling overwhelmed with emotions like sadness, depression, or anxiety, or if you feel like you want to harm yourself or others, call:

    • 911

    • Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Disaster Distress Helpline: 1-800-985-5990 or text TalkWithUs to 66746. (TTY 1-800-846-8517)

    • Text Connect to 741741 for Crisis Text Line

     

    Taryn Thrasher is a research assistant at WPS. Her post was originally published on the Ayana Therapy blog. WPS is not affiliated with Ayana Therapy, which offers online therapy for marginalized and intersectional communities and matches users with licensed professionals who share their unique traits, values, and sensibilities.

     

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  • A few days ago, I visited with a young teen I’ve been working with over the past year. Despite strong intelligence and achievement, this young man struggles with anxiety and friendships. His mother reported to me that in the past few weeks he had been demonstrating volatile emotional outbursts in response to every day issues at home. This pattern of behavior was very uncharacteristic of this normally calm, quiet young man. Coincidentally his mother reported to me that her husband, this boy’s father, had seemingly become obsessed with the Corona Virus. Days before schools were officially closed, he had his children stop attending school. Days before gatherings were limited, he had the employees in his company begin working from home. According to his wife he sat for days on the couch watching the news. His conversation with family members was focused on the pandemic and the worst possible potential outcomes. My patient’s mother finally asked him to stop, believing her son’s outbursts were in response to the increased stress being caused by his father’s behavior. As I visited with this boy, he acknowledged in response to my questions that he had been having outbursts at home. Surprisingly he told me he wasn’t very worried about the virus or becoming ill. He was stressed by his father’s behavior and worried about what will happen to his family.

    Following the terrible tragedy on September 11, 2001 rates of mental health problems among all ages spiked. Some people however had an extremely difficult time coping with the horrifying news and images. They spent days on end in front of the television or computer digesting every story or piece of news they could find. They ate and slept less. They disregarded their hygiene. The tragedy and a dire future were all they could speak about. Though never formally defined, the mental health field began referring to these people as experiencing Post 9/11 Stress Disorder. Over the coming months some individuals worked through their worries on their own or with the support of family and friends. Some however required mental health treatment and psychiatric care.

    Unlike the 9/11 tragedy, an unexpected, sudden event, the virus pandemic has evolved at a slow creep until critical thresholds were reached and governments began to act. Even then their actions have rolled out slowly over days and weeks until our country is coming to a halt, much like a speeding train trying to slow down before a downed bridge. Further, the rapid growth of technology in the past twenty years is such that nearly every citizen has access to the web and television instantly on their phones. Cable news stations are devoting twenty-four-hour coverage of the pandemic. For better or worse we have truly become a global village. As with this teen’s father I think we are beginning to see some of our children, friends, family and neighbors succumb to these events. I believe it is reasonable to refer to this phenomenon as Corona Virus Stress Syndrome (CoViSS).

    CoViSS is defined by demonstrating many or all of these signs:

    1. Spending hours on end watching news channels.
    2. Spending hours posting and reposting events related to the pandemic.
    3. Buying household products, foods, etc. that far exceed immediate need.
    4. Setting alerts on your phone for every news channel.
    5. Repeatedly texting friends, family and co-workers about related news events.
    6. Repeatedly making dire posts on social media.
    7. Making the pandemic all you can speak about with others.
    8. Ignoring daily responsibilities.
    9. Ignoring hygiene, rest and food.

    Stress and illness have intersecting components. Many studies indicate such a link. Theories of the stress–illness link suggest that both acute and chronic stress can cause illness, and lead to changes in mental and physical health, behavior and in how the body functions. Research indicates the type of stressor, whether it is acute or chronic and individual person characteristics such as age and physical well-being before the onset of the stressor can combine to determine the effect of stress on an individual. A person's personality, genetics, and childhood experiences including possible major stressors and traumas may also predispose their response to an event such as a viral pandemic.

    If these symptoms fit you, a family member or loved one don’t despair. The lesson we learned from 9/11 is that most people over time draw strength from family and friends and eventually return to more normal behavior. However, it never hurts to bring your concerns about yourself to a mental health professional if you experience CoViSS, or speak to a friend or family member in whom you recognize these signs. For all of us I suggest:

    1. Limit your news watching to ½ hour per day.
    2. Turn off all alerts from news channels on your devices.
    3. Exercise.
    4. Attend to daily responsibilities.
    5. Work if you can.
    6. Keep busy with family activities even if restricted to home.
    7. Resist posting or texting bad news.
    8. Reassure your children the world isn’t ending.
    9. Consider a budget for spending if needed over the next 3 months.

    The late singer songwriter Tom Petty wrote in his classic song Crawling Back to You, “Most things I worry about never happen anyway”. Worry is in our genes. It keeps us alert and aware of danger. But worry can also consume us if we are not vigilant and proactive, further complicating challenging situations. But in our genes are also the seeds of hope, optimism, motivation and empathy, the foundations of resilience. Resilience is about functioning adequately under stress. It is a resource we all possess and most certainly must harness in the coming months and years.

    Sam Goldstein, PhD, is a neuropsychologist, author, assessment developer and educator. This article was originally published on his blog. You can view a Dr. Goldstein webinar on CoViSS here.

     

    Related:

    Social-Emotional Learning: Why We Must Act Now

    Webinar: Pandemic Distress: Navigating the Course with Social-Emotional Learning

    Telepractice and COVID-19 resources

    5 Tips for a Smooth Transition into Teletherapy and Assessment

    Webinar: Separating Fact from Fictoin in Online Assessment

    6 Ways WPS Can Help You Right Now

    Surviving Social Distancing with Anxiety and Depression

    Video: Unboxing of RCMAS-2 Assessment

  • I hope this message finds you and your family safe and healthy.

    We have all seen our daily routines upended by COVID-19. Especially in regard to how clinicians manage and deliver their work in this new environment. We are adapting to your changing needs and are here to support you through this disruption.

    We sympathize with how the current situation has changed your practice, and we understand the pressure on you to continue servicing clients despite the limitations. While 95% of our team is working from home, we’re still here for you and ready to go the extra mile.

    We know many clinicians have been forced into a telehealth practice model and we want to help facilitate your transition any way we can.

    This includes the following support:

    • 50% Discount on Online Materials:
      • Until May 31, we are offering 50% OFF all Online Evaluation System (OES) products when you use code OES50 at checkout. Available kits and online forms can be purchased here: wpspublish.com/shop/online-assessment-search
      • You can also purchase online products by calling our customer service team at 800.648.8857
      • To log into the OES platform and use previously purchased online forms, please visit platform.wpspublish.com/account/login.
    • Complimentary Online Access to Test Manuals Published by WPS:
      • Over 20 of our most widely used test manuals are online for you to use free of charge on the WPS OES. Simply create an account and you can access these materials at platform.wpspublish.com/account/login.
    • Complimentary Specialized Order Fulfillment:
      • Should you or your organization place an order and desire individual items shipped to multiple addresses, our team can accommodate those requests.
    • Customer Service and Technical Support Teams are Fully Functional:
      • Representatives are available at 800.648.8857 to assist you between 6 a.m. and 2:30 p.m. PT, Monday through Friday. Please don’t hesitate to reach out with any questions.
    • WPS Fulfillment Center is Open:
      • We continue to ship all orders received. However, we have taken extreme precautions to protect the safety of our shipping staff, so orders may experience a slight delay in anticipated arrival times.
    • Test-Specific Support:
      • Our Product Support Specialists are available for any assessment-specific technical questions. Please contact Customer Service at 800.648.8857 between the hours of 6 a.m. and 2:30 p.m. PT, Monday through Friday. If you call after hours, please choose option 1 and enter extension 5540 to reach the voice mailbox and someone will return your call within 1 business day. For email inquiries, you can reach us at research@wpspublish.com.

    I sincerely hope the accommodations above are helpful to you at this time. The WPS team is doing our best and working diligently to make the most of this new environment. Like many of you, we are making this up as we go, and we have more ideas in the pipeline that we think can support you during this period. We will update you as soon as we can.

    Thank you for your business over the past 72 years. Our outlook remains positive for a productive future as we look forward to our continued collaboration.  

    If you have any comments, questions, or concerns, please reach out to me directly at president@wpspublish.com. I’d love to hear from you.

     

    Jeff Manson is President and CEO of WPS and a third-generation test publisher.

     

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  • As we enter our 72nd year, I think back on how much has changed since our beginning in 1948.

    The world of today is far different from the world of my parents and grandparents.

    Today, with early intervention, we can fundamentally change the trajectory of a child’s life. In just a few short decades, autism and other developmental challenges are far less stigmatized. This is thanks to continued research, a deeper understanding of underlying causes, and the distributed model of care. And yet, there’s still a long way to go.

    In 2020, there’s a healthy debate about the right role of technology and data in our lives.

    At WPS, we believe that when done right, technology creates visibility, transparency, and better decision-making. Technology should make us feel closer to our humanity, not more distant from it. That’s why we’ve continued to invest in innovative technologies, online scoring, and a new web platform. It’s all part of our digital transformation to better serve your needs. And we’re just getting started.

    There’s a lot at stake. As a practitioner, you have mere minutes to evaluate a child and days to report your insights, which will substantially impact the next five years of their life.

    We want to simplify this process with the assistance of technology at its best. Our greatest hope is that technology will reveal the humanity at the heart of your decisions. We’re excited to hear how our investments in technology continue to bring the right change to your practice.

     

    Jeff Manson is President and CEO of WPS and a third-generation test publisher.

     

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  • The Individualized Education Plan (IEP) process determines whether your child qualifies for special education services.

    Make the most of it as a parent and engaged participant. You are an expert on your child, after all. Knowing more about the process can help you better advocate on behalf of your child.

    For this article, we spoke with current and former school psychologists and researched what other experts have said to help you succeed during what many parents consider to be a very stressful time, with lots of new terms and acronyms, deadlines, and opportunities to disagree or appeal—not to mention the extra time parents must take in order to be present during the process and even prepare themselves beforehand.

     

    Know your rights

    According to the Individuals with Disabilities Education Act (IDEA), parents have rights and responsibilities during the process of identifying and providing a Free Appropriate Public Education (FAPE) that is designed for their child’s individual needs.

    Among your rights is the ability to request that your public school evaluate your child to determine if he or she qualifies for special education. Make that request in writing. The date the school district receives the letter begins a 90-day time period during which school officials must hold an initial meeting for special education services.

    Often, a child is placed in a pre-referral process known as Response to Intervention after a teacher or school professional has observed the student struggling academically. If the child does not respond to the intervention, the team might suspect a disability and refer the child to the evaluation process and special education.

     

    Beginning the IEP Process

    At the initial IEP meeting, often called a screening meeting, you and a team of professionals will discuss whether it is suspected that the child has an educational disability by reviewing parental concerns, the academic performance of the child, teacher input, academic history, etc.

    Members of the IEP team often include:

    • the child’s parent or guardian
    • a general education teacher
    • a special education teacher
    • a school district representative
    • a school psychologist
    • other professionals, such as a speech–language pathologist or occupational therapist
    • possibly your child, depending on his or her age.

    This is the parent’s opportunity to ask for individualized academic information, if it is not presented.

    “The parent could request specific data from the school team with regard to the student’s reading, writing, and math skills and whether the student is performing at grade level in these areas,” said Tina De Forge, a school psychologist in Howard County, Maryland.

     

    How best to disagree

    If the team does not suspect the student has a disability, you can disagree. It’s best to use factual statements as to why you disagree and why you believe your child deserves to be evaluated for a disability. Present specific information, if possible, such as notes stating the amount of time your child spends on homework and the grades and feedback received.

    If the child is aware that he or she is struggling, consider talking about that experience in the meeting. If you are comfortable with your child discussing these issues, consider bringing him or her to the meeting to explain for himself/herself that s/he is struggling; this can have an important emotional impact on the proceedings.

    Ultimately, the parent can appeal the team’s decision and take the school district to mediation—if the team agrees not to proceed with an assessment.

    If the team agrees that they suspect the student has an educational disability, then school officials have 90 days from the date the letter was received to conduct the evaluation process and review the results with the parent, although some states complete the process within a shorter timeframe.

    In addition, some states allow schools to skip the screening meeting if the parent grants written permission to have the child evaluated.

     

    Develop relationships

    Because the label of a “difficult parent” can be quickly applied, it’s important to develop good relationships with the school officials who make up the IEP team. Make a sustained effort to set aside emotions and learn their jobs and responsibilities.

    The entire process of evaluation is often a stressful time for families, who can become fearful of mental health stigmas or a change in placement for the child. It can also be a stressful time for the professionals involved when parents resist recommendations.

    Consider bringing an advocate to the initial IEP process meeting and later to the eligibility IEP meeting. Such a professional can translate special education jargon into terms you can easily understand. You can also bring a lawyer, but keep in mind that school officials consider the presence of an attorney to be a prelude to a lawsuit, prohibiting some team members from speaking more freely.

    You don’t need an attorney to do the work of an advocate. But if you do decide to hire a lawyer, make sure to hire an education attorney who is very familiar with the IEP process.

    If you can’t afford to hire such a professional, consider joining a local or online support group whose members have been through the process before and can give you tips. You can also inquire if the school or PTA has information or even an informational session for parents of students with disabilities.

    Whatever you decide to do, stay on top of IEP deadlines.

     

    Eligibility meeting

    After the child has been evaluated, the IEP team meets again, this time in what’s called the eligibility IEP meeting. In this meeting, evaluation findings are presented in reports to the parent.

    In some states, schools are required to make a copy of the report available to parents before the meeting—but that depends on where you live. Many school psychologists will phone parents before the eligibility meeting and inform them about what they plan to discuss. And parents can even submit questions ahead of time.

    Request a draft of the IEP in advance, and request a draft of the evaluation in advance, too. This will allow you to prepare for the meeting with questions based on the reports everyone on the team will review during the meeting.

    If you plan to bring an advocate to the eligibility meeting, let the team members know in advance. Also, if you are so inclined, let them know you intend to record the meeting in order to participate fully without having to take notes.

    At or prior to the IEP meeting, you will be asked to sign a form stating that you understand your rights. The IEP is a legal document that includes:

    • a child’s present level of functioning
    • educational abilities, including strengths and weaknesses
    • areas of eligibility among the 13 disability categories

    Do not allow the meeting to be held in a place where other students can overhear the conversation. At the meeting, the people who conduct the evaluation (e.g., school psychologist, speech–language pathologist, occupational therapist, special education teacher) will make recommendations, and the other team members will either agree or disagree.

     

    Chair has final call

    When parents and school officials disagree, the final decision rests with the chair or his or her designee. The chair is usually a principal, assistant principal, or special education team leader.

    Under the law, parents can challenge a school district’s decision by requesting mediation, filing a complaint with the state, or filing for a due process hearing. If parents disagree with the results of the evaluation, they have a right to request an Independent Educational Evaluation (IEE) at the district’s expense. However, district officials are not obligated to approve such a request.

    If parents object to the report’s findings, it’s important that parents speak up at the eligibility meeting.

    “They need to make sure it’s on the record during the evaluation meeting,” said Stephanie Roberts, a former school psychologist who now works as an Assessment Consultant for WPS.

    “They should say, ‘I want this in the notes: I don’t agree with this because…’ and state why they don’t agree, because the only documentation, the only record is within those notes. That’s important for parents to know.”

    You can privately request that district officials give additional consideration to your suggestions and objections by meeting separately with a special education administrator or a specialist on staff. You also can ask that additional testing be performed.

    If you need more time to reflect upon the findings, request a continuation meeting.

    Lastly, you don’t have to sign the IEP the day of the meeting. Consider taking it home and reviewing it on your own time, but keep in mind the IEP is not enacted until the parent or guardian signs it.

     

    Related Product: (ABSLLS-R) Assessment of Basic Language and Learning Skills, Revised

     

    Further Reading

  • Everyone experiences anxiety—some more than others.

    As many as 25 percent of teens have a diagnosable anxiety disorder, which is now the most common condition in psychiatry.

    Those diagnosed with an anxiety disorder tend to be overly fearful of particular situations. Symptoms often develop in childhood and, without treatment, usually persist into adulthood.

    The different types of anxiety disorders listed below are based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. A similar list appears in the manual of the Revised Children's Manifest Anxiety Scale, Second Edition (RCMAS™-2), a psychological assessment clinicians use to measure the nature and level of anxiety in students.

     

    • Separation anxiety—may be caused by the child’s first day at school, separation from parents, adolescents going away to college, and so on
    • Selective mutism—consistent failure to speak in social situations with an expectation for speaking, even though the child speaks in other situations
    • Specific phobia—anxiety is persistent and out of proportion to actual risk posed, including animal, natural environment, blood-injection-injury, medical care, and other situations, such as fear of heights, enclosed spaces, snakes, flying, and so forth
    • Social anxiety disorder (social phobia)—general anxiety toward crowds, people, parties, or meeting and talking to people
    • Panic disorder—usually a feeling of terror that strikes suddenly and may result in excessive sweating, heart palpitations, or near paralysis of motion
    • Agoraphobia—anxiety of being in a place or situation from which escape may be difficult or embarrassing
    • Generalized anxiety disorder—general worry for at least 6 months duration with at least three of several specified indications of anxiety
    • Substance/medication-induced anxiety disorder—due to intoxication, withdrawal, or a medication treatment
    • Anxiety disorder due to another medical condition—physiological effect of another medical condition
    • Other specified and unspecified anxiety disorderdistress or impairment in social, occupational, or other important areas of functioning that does not meet the full criteria for any of the disorders in the anxiety disorders diagnostic class

     

    No matter the subcategory, stressed children can benefit from an intervention program that addresses the sources of anxiety in context; such intervention often recommends a combination of psychotherapy and psychopharmacological treatment as the best course of action.

    Although they are in their own diagnostic categories, posttraumatic stress disorder and obsessive-compulsive disorder are often associated with anxiety, either as causes or symptoms.

     

    Importance of parental buy-in

    Recognizing an anxiety-producing home environment is often crucial to treating a child with an anxiety disorder. That means gaining the cooperation of parents, which isn’t always easy or possible, especially when the parents themselves are experiencing high anxiety levels.

    The parents may not be aware of their child’s condition or their contributions to the anxiety, so an effort should be made to seek their understanding and cooperation. Besides the home, examining the community and school environment is also necessary, according to the RCMAS-2 manual.

     

    Related Assessments: 

     

    Further Reading:

     

  • Welcome to the New WPS Website

    As you may have noticed, we’ve changed a few things around here—and you might have some questions about our new look.

    Our redesigned website allows us to improve how we deliver product information to our customers. We’ve enriched the site with interviews of assessment authors, videos on how to use our products, better product search functionality, and a simple checkout process.

    The new website is also faster and easier to navigate, especially on a mobile device.

     

    How do I find the products I care about?

    Type the acronym of the product you are looking for into the search bar at the top of the page. We’ve also simplified the categories of assessments that we offer at wpspublish.com, making it easier to find what you are looking for. Navigate to the sections you are interested in by clicking on the category names at the left side of the page.

     

    We group assessments by the following categories:

    Adult Clinical

    Autism Spectrum Disorders

    Child Clinical

    Cognitive, Achievement, & Learning

    Development & Adaptive Behavior

    Industrial-Organization

    Neuropsychology

    Occupational Therapy & Sensory Processing

    Social, Emotional, & Behavioral Issues

    Speech-Language-Hearing

     

    We also have added some new categories:

    Clinical Psychology

    Special Education

    Counseling

    Medical

    Social Work

     

    We group intervention resources by the following:

    ADHD & Behavior

    Autism Spectrum Disorders

    Sensory Tools

    Therapy Accessories

     

    We group all products by age range:

    0 to 5 years

    6 to 12 years

    13 to 18 years

    19 years and up

     

    We also group products by profession:

    Adult Clinical Psychology

    Neuropsychology

    Occupational Therapy (OT)

    School & Child Clinical Psychology

    Speech-Language Pathology (SLP)

     

    Do I need to register again?

    If you’ve already set up your WPS account, you don’t need to register again. You’ll use the same information to log in as usual. If you don’t have an account, you can create one at https://www.wpspublish.com/register.

    If you work with print assessments and haven’t yet set up your Online Evaluation System access, you can do so at https://platform.wpspublish.com/account/login.

     

    Will the emails keep coming?

    Yes, the email alerts you currently receive will keep showing up in your inbox. If you aren’t yet signed up for our email alerts that include new products and discounts, please sign up by clicking the My Account link at the top right corner and edit your contact information to include email alerts.

     

    How can I give you my feedback?

    We are constantly looking to improve your experience as a customer and online user. If you’d like to share your thoughts about the new wpspublish.com, we’d love to hear from you (positive feedback and constructive criticism welcome). Email us at marketing@wpspublish.com.

  • Ben and Sally Tyler’s 5-year-old son often threw temper tantrums and fits that spun their household out of control.

    When their pediatrician raised the possibility of autism, they took Corey to a neurologist who asked a handful of questions and made an incorrect diagnosis on the spot.

    “He asked, ‘Does he have friends at school? Does he play with other kids?’” Sally said. “We answered ‘Yes,’ and he said, ‘Well he’s not autistic then. Autistic kids typically keep to themselves and are more focused on objects than playing and socializing.’”

    The neurologist did correctly diagnose Corey with ADHD, and the Tylers enrolled him in play therapy.

    But Corey’s struggles continued. Although extremely intelligent and gifted academically, Corey would crawl under his desk at school, become easily distracted, and often not pay attention to the teacher. At home, he’d panic and fly off the handle, thinking he was in trouble if his parents asked him to make his bed or brush his teeth while he was busy playing or doing something he enjoyed.

    Corey had also developed some sensory processing issues, such as wearing socks to bed at night because he disliked the texture of the cotton sheets. He felt unable to walk barefoot on the carpeted floor and constantly applied lotion to his hands and feet before getting dressed, protecting himself from the textures of the clothes. He also became resistant to getting off his electronic devices and believed he was drowning in demands from his parents.

    Learn more: The WPS In-Depth Guide to ASD + ADHD

     

    ‘We kept searching’

    The Tylers enrolled Corey in occupational therapy, but they also wondered if he had oppositional defiant disorder (ODD) because of how he’d lash out at them when he felt overwhelmed with requests.

    “We didn’t know the full extent of some of the things he was dealing with,” Ben said.

    “It took us years of watching him going off the deep end, always having fits of rage and tearing things up, being destructive. It just didn’t feel right,” Sally said. “We kept looking for other answers. We kept searching.”

    When Corey was 10, Ben and Sally took him to a different neurologist, who referred them to an ODD specialist. Although Corey was found not to have oppositional defiant disorder, the specialist suspected autism and referred the Tylers to an evaluation expert, Dr. Marilyn Monteiro, PhD.

    Monteiro’s approach was different. She had puzzles and Rubik’s Cubes for Corey to work on because those things interested him. She also engaged him through conversation about why he liked things or reacted in certain ways.

    “She made him feel comfortable and gave him some confidence, and he was able to open up with her,” Sally said. “In a way, she was able to identify with him and help him to understand that what he is feeling is okay because that’s how his brain works—it’s just different than other kids.”

     

    Misunderstood and misdiagnosed

    Monteiro has authored a widely used and recently updated autism evaluation tool, the Monteiro Interview Guidelines for Diagnosing the Autism Spectrum, Second Edition (MIGDAS™-2), as well as the book Autism Conversations: Evaluating Children on the Autism Spectrum through Authentic Conversations. She said students like Corey are often overlooked at schools, which are proficient at identifying children on the autism spectrum when their differences get in the way of learning to a significant degree.

    “But what they’re not as good at doing, and what the tools out there are not as good at picking up on, are children on that milder end of the spectrum who only show some of their differences when the demands of the environment exceed their capabilities,” Monteiro said. “[Corey] is in a category of students that schools miss all the time: High-functioning, smart children who are highly intelligent but socially awkward, do quirky things, and react in intense and inflexible ways to incoming demands.”­

    Officials at Corey’s school thought he had emotional and behavioral problems and were reluctant to place Corey in a 504 plan. But after Monteiro presented her findings and answered their questions, they granted intervention services for Corey, who remains on Clonidine for his ADHD.

    “It wasn’t as if we were battling with them to have accommodations put in place for our son, but it certainly made the whole process much easier,” Ben said.

    Referring to the most recent meeting with the IEP team, Ben said, “The reaction I saw around the room from the principals and teachers who were there was almost like, ‘Why is this kid on a 504 plan? Look, his grades are great. He doesn’t get in trouble, doesn’t miss school, and he doesn’t get in fights.’”

     

    Intervention makes a difference

    Corey, now 13 and in the seventh grade, is considered a twice-exceptional student with autism and a high IQ. He still becomes hyper-focused on things, Ben said, but intervention strategies help.

    For example, Monteiro created a “pause button” by folding a piece of paper and drawing two lines on it. When Corey’s parents hand him the pause button instead of asking him to do something, he simply holds the piece of paper to allow his brain the transition time needed to shift his focus and begin processing their request—and not simply react to what they say.

    Corey continues to earn good grades and enjoys writing music in his free time, but his relationship with his parents and older sister has improved measurably, as has their relationship with him.

    “Once we were able to wrap our arms around what the issue was and what would set him off, it turned our lives around as far as being able to manage him and manage our household,” Ben said. “With this diagnosis, everything in our household has calmed down quite a bit. He feels much better about himself. He’s never done poorly in school, but he seems to have more confidence in himself.”

    “Not only has it given him confidence,” Sally added, “but he’s also got a few more tools as far as how to communicate with us to tell us what he needs or what he is experiencing or feeling and why he may not be able to do what we are asking. So we’re able to kind of compromise a little more."

    “We understand what he is going through, and he kind of understands us a little bit more, so there’s been more give and take than there has ever been in the past. In the past, he threw huge fits, and it could be ugly, but those ugly situations are very, very few and far between now.”

     

    The actual names of Ben and Sally Tyler and Corey have been withheld to protect the identity of their son. The details of their lives are accurate as reported here. Learn more about the MIGDAS-2 and other autism evaluation measures at WPS. 

     

     

    Related:

     

    Further Reading on Autism 

     

    Videos and Webinars on Autism 

     

     

  • Tina Webster figured her young son, Stevie, was just experiencing age-appropriate separation anxiety. Her twins had been born premature—“I didn’t have time to be a nervous mom,” she said.

    But when Stevie curled up in a fetal position at gymnas­tics, Webster mentioned it to their pediatrician, who raised the possibility of autism.

    So Webster spent the next six months closely watching Stevie, who was nearly three years old. He had some rigidity. He had some temper tantrums. But he also was at that age where such behavior is not that unusual. Still, a routine speech screening at preschool had flagged Stevie and his twin sister for needing speech therapy.

    After a developmental pediatrician diagnosed Stevie with level one autism spectrum disorder, Webster was referred to Dr. Marilyn Monteiro, PhD, known for building highly personalized profiles along with customized intervention strategies for individuals on the autism spectrum.

    “It was a really good process,” Webster said. “Dr. Monteiro was very detailed in terms of strengths and differences and things I could do, and that was really important to me because you kind of feel like this has all just been dropped on you and it’s very lonely.”

    The lonely place Webster experienced after Stevie had been diagnosed with ASD is something Monteiro has seen many times.

    “For a typical parent who has a child with differences in development, it’s so confusing to navigate through the process leading up to pursuing a diagnostic evaluation,” Monteiro said. “They will see the child has strengths in some areas, so how do they reconcile that with the fact that the child has reactive, explosive behavior at unpre­dictable times? What does this really mean? What exactly does it mean when a doctor says that your child is on the autism spectrum? The label oftentimes is unsettling for parents and leaves them conflicted about what fits and doesn’t fit when they read lists of autism spectrum behavior characteristics.”

     

    Searching for answers

    Another big struggle many parents experience is trying to decide if their child has oppositional behavior or autism, Monteiro said. Parents often will have multiple professionals evaluate their child.

    “Everyone has a different opinion: ‘Yes, it is. No, it isn’t,’” Monteiro said. “So it’s all label-based and incredibly stressful and confusing for families. The profile of their child as a unique individual isn’t captured by labels.”

    When Monteiro met Stevie and his twin sister Danielle for the first time, she noticed that Stevie struggled to include a play partner with some sensory toys he was given. He was object-focused rather than people-focused. Both chil­dren had social drives, but their autism spectrum brain style differences made it challenging for them to flexibly shift their object-driven focus to include a conversational or play partner. Understanding this duality made sense to Webster and led to the development of practical sup­ports for her twins in the areas of shared conversation and shared play.

    Monteiro also noticed that whereas Stevie was intro­verted, Danielle was extroverted with a lot of energy.

    Although Danielle initiated and shared instinctively, she also did not include a play partner, moving on to the next item of interest in a routine manner.

    After Monteiro visited their school and observed the children in their classrooms and interviewed their teachers, she was able to build a detailed profile of both children.

    By this time, the children were both five, and Monteiro’s work helped Webster obtain the special education services at school that officials had been resisting.

    “Having that level of detail along with the long list of strengths and long list of differences, the various steps that she was suggesting for my kids was something that, frankly, I was able to outline and use in preparing my written submission to my school district for our committee meetings,” Webster said. “I also felt like the ‘open-ended-ness’ of her evaluation questionnaires given to the teachers had really given my preschool teachers a lot of latitude to really communicate and not be pigeonholed, because I do think autism is a spectrum and not everyone is going to present in the same way.”

     

    ABA has been ‘life-changing’

    Her children, now six, both currently have IEPs in place at school. They continue to participate in Applied Behavior Analysis (ABA) and speech therapy services. Stevie, for example, used to avoid eye contact, but “is now fabulous through all the intervention,” Webster said.

    “Even though my [IEP] team of professionals at school weren’t pressing me to do it, I felt like I needed to inquire, and I did enroll them in ABA—and that has been life-changing,” Webster said. “And that wouldn’t have been possible at all without all of Dr. Monteiro’s work and her keen eye and really knowing her field.”

    Among Monteiro’s recommendations for the twins:

    • Because Stevie consistently followed Danielle’s lead, Webster separated them into different preschool class­rooms so he could have the opportunity to use his own social skills and not leverage Danielle’s.
    • Because both children organized their behavior around creating and maintaining predictable routines that centered on visual systems, Webster was encouraged to use visual supports when giving verbal directives and to “show while telling.”
    • In order to generalize their skills, Webster enrolled them in more activities that allowed both children the opportu­nity to apply coping skills in different contexts.
    • In order to allow Danielle to learn to express and under­stand her feelings, Webster enrolled her in drama class to work on role playing and modeling.

    Monteiro said her approach is to produce a framework of understanding the child in positive terms.

    Because each child’s way of organizing is distinctive, the evaluation process is quite detailed. The framework Monteiro uses provides evaluators, teachers, and parents with the language to really talk about how the object-focused brain organizes and regulates.

     

    Differences, not deficits

    Rather than saying the children have deficits or there’s something wrong with them, highlighting the form and function of the child’s routines leads to an under­standing of the child’s areas of strengths and differences, Monteiro said.

    “Children who group objects into lines or categories are using visual, categorical, and three-dimensional thinking. That is the form of the behavior routine,” Monteiro said. “The function of the routine is to organize and regulate the child’s brain, as well as to block out incoming sources of stress. So I use terminology that is purposefully very empowering."

    “This positive, descriptive language and framework helps parents move forward and feel like they’ve got a road map, if you will, to really pursue practical supports and inter­ventions for their children as complex and distinctive individuals, rather than struggling with understanding why the child behaves in unusual or unpredictable ways.”

    Webster said she is grateful for how far her children have grown in just a few years. The proof is in their own accom­plishments. Last month, for example, Stevie was honored with a Global Citizenship Award at school for his model behavior and learning.

    “They’re thriving,” Webster said.

     

    The actual names of Tina Webster and her twins have been changed to protect the identity of the children. The details of their lives as reported here are accurate. Dr. Marilyn Monteiro has developed her process into a widely-used and recently updated autism evaluation method, the Monteiro Interview Guidelines for Diagnosing the Autism Spectrum, Second Edition (MIGDAS™-2), which was released by WPS on Jan. 25, 2018.

     

    Further Reading:

     

    Videos: