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Children with Learning Disabilities AND Other Issues...

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During my years directing Admissions at a boarding school for adolescents with Learning Differences (LD), I received hundreds of frantic calls from parents whose children had just been diagnosed with LD and were looking for an immediate school placement. Yet, as I started to ask more questions, I often found that a good portion of these children also presented with clinical levels of depression, anxiety, substance abuse, and behavioral problems.

It was with a heavy heart that I had to tell the parents of these students that, although the school that I represented was designed to assist adolescents with LD, but due to their child's additional emotional/behavioral issues, I could not offer admission.

These parents would immediately respond...

"You don't understand, Mr. Doyle!!!! The Psychologists told us that our child's situation is a direct result from the frustration suffered from not getting the help needed to deal with their LD. If we get our child into your school, they will get the help that they need and everything will be fine."

Knowing the raw emotions behind their pleas, it would have been of no help to engage them in a spirited debate. I had to stay firm and explain that we, as a school, would be doing a disservice to their family if we enrolled their child because we did not have the expertise, nor the appropriate resources, to address all of their child's needs. Despite my best efforts, the phone calls often ended with tearful, enraged, defeated-feeling parents.

Countless studies have shown that individuals with LD are at an elevated risk for substance abuse, depression, and delinquency in comparison with their non-LD peers. In more cases than not, many of these LD individuals in crisis did not know they had LD until they were backed into some corner.

When a student acknowledges the existence of LD, it can bring to light a lot of the frustrations experienced over the years. Unfortunately, this new realization cannot turn back the clock and immediately provide relief from other coexisting issues. The emotional/behavioral problems have migrated to the forefront one way or another and now need to become the primary focus of treatment.

Private boarding and day schools for students with LD offer a supportive and nurturing environment that can often help a "fragile" child or adolescent to remain emotionally and behavioral intact. However, this nature and intensity of support and nurturance is not enough to address emergent emotional/behavioral issues. In most of these types of cases, LD Boarding and Day schools for adolescents with co-morbid issues are often not appropriate settings.

Therapeutic Boarding Schools and Residential Treatment Centers can often make academic accommodations for students with LD. However, these accommodations are often not nearly as effective as the academic programming in LD school settings. In some cases, students who attend these therapeutic settings can later attend a specialized school in order to then address the underlying LD issues, but by then they have typically lost a lot of opportunity in the developmental cycle.

So, where does this leave you as a concerned parent? Damned if you do, damned if you don't? Fear not, there are steps you can take; they just need to be more deliberate, more calculated at this stage. You don't have much room for error.

Some Suggestions:

1. If at all possible, do not wait to intervene. Time is not on your side. There are resources you should access whether or not you are planning on changing schools. All research studies show that the earlier the intervention, the better. LD issues do NOT go away on their own.

2. Evaluate or re-evaluate your child ASAP, so you can distill the extent of the emotional/behavioral issues that have manifested alongside the LD. You will need to have a testing practitioner (neuropsychologist/psychologist) administer specific assessments that probe for emotional/behavioral issues.

3. Stop blaming one set of issues on the other. The bottom line is that both exist and need to be addressed as soon as possible.

4. If you are even considering changing schools, make sure you open your scope to those that can work effectively within both issues - the LD and emotional/behavioral struggles. BUT, you also want to keep the balance in check so as to avoid the "catchall" options that claim to treat anything and everything. There are some wonderfully targeted options that achieve the right balance for you.


Comments

Nice blog Josh!
Posted @ Thursday, June 11, 2009 3:12 PM by Sharon
These parents would immediately respond..."You don't understand, Mr. Doyle!!!!" 
 
 
 
But, in fact, you DO understand, Mr. Doyle :) 
 
Posted @ Thursday, June 18, 2009 6:38 PM by Bonnie
Excellent Blog, Josh...some really helpful information for parents. Thanks for sharing.
Posted @ Monday, August 10, 2009 2:50 PM by Dr. Robert L. Kemper
Really good article . Thanks for the honesty. As a parent I do get it (finally). I have done all that you have mentioned. Early intervention, early IEP(Kindergarten), testing numerous times. I knew that my child would eventually go to a therapeutic school. He is now in a therapeutic, relationship based boarding school and the anxiety and externalizing behaviors are seemingly much improved. But the LD issues are still and will continue to be an issue. He will be ready to "graduate" at age 14 , 8th gr. (no drug issues etc) 
So what will the next step be. What type of school profile? It will be a critical age and time and I believe we still "have time". But the next step and placement must be right in order to continue our emotional progress yet be able to address the LD academic issues more aggressively.(my words and current strategy). Thanks for any tips.
Posted @ Sunday, March 07, 2010 12:15 AM by Barbara
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