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Rating Scales/Questionnaires – Why Do We Give Them and Why Do They Matter?

By | NESCA Notes 2021

By Yvonne M. Asher, Ph.D. 
Pediatric Neuropsychologist

When you request a neuropsychological evaluation, you are undoubtably inundated with paperwork. Consent forms, confidentiality forms, COVID forms, and credit card forms. Then, to your surprise, you bring your child to their first appointment, and the neuropsychologist hands you…more forms! Why? What are these forms for, and what will you do with the information? These are great questions, and always feel free to ask your neuropsychologist. Here are some answers I give when I am asked:

Why do you need so many forms?

Our goal in completing a neuropsychological evaluation is to have as comprehensive picture of a child as possible. This means gathering information from many sources, including what you and/or others are noticing that is raising concerns (what we discuss in the intake appointment), prior evaluations and documentation (e.g., their IEP, testing done at school), your child’s performance on our assessment measures (what they do when they come to the office), and important people’s perceptions of your child’s functioning in daily settings – this is what we assess through the rating scales (also called questionnaires). The parent/teacher rating scales are an important source of information because they not only capture your concerns, but also show us how your concerns may be similar to or different from parents (or teachers) of same-age children. For example, concerns with “attention and focus” are common for us to hear. Attentional skills develop gradually over time, and having a standardized rating scale that evaluates your concerns (or your child’s teacher’s concerns) with attention helps us understand how far off your child’s skills are from what is expected for their age.

What do the forms ask about?

This depends on why your child is being referred for a neuropsychological evaluation. For example, if your child is referred for a question around autism, you will likely be given forms that ask about their social functioning, such as how they do at playdates, birthday parties, the playground, or other community spaces with peers. Your child’s teacher would also likely be given forms to evaluate how your child interacts with peers at school, such as how they do during lunch, snack, and recess; how well they work in groups; and if they have been successful in forming strong friendships. If the concerns are more related to mental health, you may be given forms that ask about their symptoms of anxiety, depression, etc.

What will you do with the forms?

We will take your ratings (or your child’s teacher’s ratings) and compare them to normative data. This is a fancy way of saying “we will see how your child compares to kids their age.” Then, we will take that information to help us form a more comprehensive picture of your child’s profile and our recommendations for how to best help and support them. For example, something I see often is a concern with kids following directions, remembering what they are told to do, and finishing all the steps necessary for a task or project (e.g., getting ready for school or bed). This can be (though certainly isn’t always) a difficulty with working memory or, holding information in mind. We assess working memory in many ways during testing. However, we can’t always see the deficits that parents and teachers see, because testing is inherently different from “real life.” So, rating scales serve as an important source of information in understanding what is going on day-to-day, which helps us to make more comprehensive recommendations.

How do I fill these out?

Please, please, please – read the directions carefully! Each form is meant to evaluate something different. For example, some ask you about your child’s emotional state “in general,” others ask about how they have been behaving over the last two weeks, and others ask about how well they can complete tasks independently (i.e., without any help or guidance). Do your best to complete each question – skipping questions that seem “irrelevant” or “inappropriate” may impact how well we can use the information later on. We realize that not every question will apply to every child – we are using the best tools we have, and some are designed to assess a wide range of children. If you have questions about the wording or phrasing, please ask your neuropsychologist – we really don’t mind!

I have a teenager. Why don’t you just ask them about how they are feeling?

If your child is old enough, we will absolutely talk to them about their perceptions of what is going on, what their concerns are, and what has been helpful for them. Many rating scales have a “child” or “self-report” version, and we may have them complete those, in addition to talking more conversationally about how they are doing.

 

About the Author

Dr. Yvonne M. Asher enjoys working with a wide range of children and teens, including those with autism spectrum disorder, developmental delays, learning disabilities, attention difficulties and executive functioning challenges. She often works with children whose complex profiles are not easily captured by a single label or diagnosis. She particularly enjoys working with young children and helping parents through their “first touch” with mental health care or developmental concerns.

Dr. Asher’s approach to assessment is gentle and supportive, and recognizes the importance of building rapport and trust. When working with young children, Dr. Asher incorporates play and “games” that allow children to complete standardized assessments in a fun and engaging environment.

Dr. Asher has extensive experience working in public, charter and religious schools, both as a classroom teacher and psychologist. She holds a master’s degree in education and continues to love working with educators. As a psychologist working in public schools, she gained invaluable experience with the IEP process from start to finish. She incorporates both her educational and psychological training when formulating recommendations to school teams.

Dr. Asher attended Swarthmore College and the Jewish Theological Seminary. She completed her doctoral degree at Suffolk University, where her dissertation looked at the impact of starting middle school on children’s social and emotional wellbeing. After graduating, she completed an intensive fellowship at the MGH Lurie Center for Autism, where she worked with a wide range of children, adolescents and young adults with autism and related disorders.

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

To book an appointment with Dr. Yvonne Asher, please complete our Intake Form today. For more information about NESCA, please email info@nesca-newton.com or call 617-658-9800.

 

Dealing with End of the School Year Uncertainty

By | NESCA Notes 2021

By: Angela Currie, Ph.D.
Pediatric Neuropsychologist, NESCA
Director of Training and New Hampshire Operations

The end of the school year can bring a lot of emotions, such as excitement for summer activities, sadness about closing relationships, and anxiety related to change. Often, children are experiencing these mixed emotions without truly understanding them. The end of this particular school year may bring some unique emotions, as it is the second consecutive ending that “looks different,” be it because students were remote for all or some of the year, class parties and field days are not happening, or children cannot give their teacher an end of the year hug. The loss of such traditions may cause kids to feel a lack of closure. Further, this transition is happening at a time when the world is starting to change again. While the loosening of restrictions and return to a semblance of “normal” may be positive for most, children may not know how to cope with all of this simultaneous change.

Here are some tips for things that adults can do to help children cope with what may be a difficult or uncertain end to the current school year:

  • Watch for signs that your child may be struggling with this transition. This may include new sleep difficulties, low frustration tolerance, heightened emotions, meltdowns, reduced appetite, loss of interest, etc.
  • Talk about their feelings related to the end of the year in an open and responsive manner, validating their emotions (e.g., “I can see why that would make you feel sad,” rather than accidentally dismissing them (e.g., “Don’t worry.”).
  • Help provide some closure with their teacher, such as writing a card or letter about what they enjoyed, learned, or overcame together this year.
  • Using artwork or journaling, help your child reflect on their development, accomplishments, and experiences this past year.
  • Create a plan for how they can stay in touch with friends over the summer and schedule some specific playdates or events to reduce worry about losing touch.
  • Maintain your basic schedule, such as morning and bedtime routines.
  • To reduce worry related to uncertainty, provide some age-appropriate opportunities to feel a sense of control, such as allowing your child to design a new daily schedule for “home days,” choose individual or family activities, etc.

The end of any school year provides a great opportunity to teach children about transition and change. We can teach them that it is okay to celebrate their accomplishment while also simultaneously feeling discomfort about what is to come and sadness about saying goodbye. Particularly during a year that has been marked by adversity, learning how to recognize, “sit with,” and manage these mixed emotions will help to build resiliency for the future.

 

About the Author

Dr. Angela Currie is a pediatric neuropsychologist at NESCA. She conducts neuropsychological and psychological evaluations out of our Londonderry, NH office. She specializes in the evaluation of anxious children and teens, working to tease apart the various factors lending to their stress, such as underlying learning, attentional, or emotional challenges. She particularly enjoys working with the seemingly “unmotivated” child, as well as children who have “flown under the radar” for years due to their desire to succeed.

 

To book an evaluation with Dr. Currie or one of our many other expert neuropsychologists, complete NESCA’s online intake form. Indicate whether you are seeking an “evaluation” or “consultation” and your preferred clinician in the referral line.

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Londonderry, NH, Plainville, MA, and Newton, MA serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call (603) 818-8526.

Generalizing Skills from the Classroom to Home and Community – Part 2

By | NESCA Notes 2021

By: Becki Lauzon, M.A., CRC
Transition Specialist and Consultant

Back in my December blog, I delved into the question, “How do I get my students to transfer the skills they are learning in school to the home environment?”.  As I mentioned then – and which is still true now – this is a question that almost every parent thinks and asks about. It still remains that every student and home environment are different, so the first step is to individualize the process and see what works best for both the student and the family in an attempt to generalize those life skills.

In my last blog, I provided suggested activities and resources that focused on the areas of cooking and domestic skills. In this blog, I will share information regarding the areas of financial literacy and community resources. Please note that these are a wide range of activities, and it is important to determine what is most appropriate for your young adult.

Financial Literacy

  • Coin and bill identification with real money. It is important to practice identifying the values of coins and bills with real currency.
  • Set up a store in your home and label items with realistic prices. This can be good practice for identifying how much items cost, budgeting, rounding up to the next dollar, checking for correct change, etc.
  • When you feel they are ready, assist your young adult in opening up their own bank account. Be sure to take them with you and make sure they understand the process and the responsibility that is associated with this (i.e., financial safety).
  • If your young adult has a bank account, you could assign them one household bill to pay per month. This will help them begin to understand of the cost of living, as well as responsibility.
  • If safety is a concern, many parents choose to start their young adults off with the use of gift cards versus a debit/credit card. This could be a grocery store gift card so your young adult can independently shop for their list of items and check out independently.
  • I have had many families look into safer debit card options, such as these (please note that I am not endorsing/NESCA does not endorse any one in particular.
  • Have your young adult perform basic chores within the home and provide them with compensation. This will help build an understanding of working to earn money.
  • Other helpful resources:

Recreation and Leisure

 

About the Author

Becki Lauzon, M.A., CRC, works with teens, young adults and their families out of the Newton, MA and Plainville, MA offices. Lauzon has unparalleled experience as a Transition Specialist, Transition Consultant and Vocational Program Coordinator. Lauzon will be providing transition assessment (including testing, functional evaluations and observations) consultation, case management, training and professional development for schools; and transition planning, consultation and coaching for transition-aged students and their parents.

 

To schedule an appointment with one of NESCA’s expert transition specialists or neuropsychologists, please complete our online intake form

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton and Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

Generalizing Skills from the Classroom to Home and Community – Part 1

By | NESCA Notes 2020

By: Becki Lauzon, M.A., CRC
Transition Specialist and Consultant

“How do I get my student to transfer the skills they are learning in school to the home environment?” This is a question that almost every parent thinks about and asks for suggestions on. I wish I had a simple answer and something that could solve this for each and every student that I have worked with over the years. As you know, every student and home environment are different, so the first step is to individualize the process and see what works best for both the student and the family. Below are some suggestions for two transition areas that have worked, including some resources.

Domestic Skills

Cooking

  • If your student uses a visual recipe in the classroom to learn how to cook, ask the teacher for copies of the exact recipe after it has been mastered in the classroom.
  • Try to have similar cooking tools in the home kitchen that your student uses at school.
  • Start with something basic and that your student likes. It is more of an incentive if they will enjoy eating the end product!
  • Some families choose one night a week that their student cooks with the family or by themselves. This will help build a routine, as well as having your student contribute as an active member of the household.
  • Another motivator for some students is to have a family member take a short video or photo of them cooking (or the final product) so it can be shared with their teacher or other family members. I can’t tell you how much of a confidence booster this has been for students who I have worked with!
  • Other helpful resources:

 

About the Author

Becki Lauzon, M.A., CRC, works with teens, young adults and their families out of the Newton, MA and Plainville, MA offices. Lauzon has unparalleled experience as a Transition Specialist, Transition Consultant and Vocational Program Coordinator. Lauzon will be providing transition assessment (including testing, functional evaluations and observations) consultation, case management, training and professional development for schools; and transition planning, consultation and coaching for transition-aged students and their parents.

 

To schedule an appointment with one of NESCA’s expert transition specialists or neuropsychologists, please complete our online intake form

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton and Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

A Week in the Life of a Transition Teacher During COVID-19

By | NESCA Notes 2020

By: Becki Lauzon, M.A., CRC
Transition Specialist and Consultant

PPE, 6 feet apart, no sharing of materials, remote learning, handwashing, social distancing, hybrid learning…. These are just a few of the thoughts that went through every educator’s mind prior to the start of the 2020 school year. Making a personal decision to go back to teaching in the midst of a pandemic was a no brainer for me. I love teaching, I love helping students and I love working in the field of special education and transition. Once the reality hit that August was just around the corner, I realized that I needed to be even more creative than ever before in providing transition services to my students and their families. COVID-19 was not going to stop students from getting closer to aging out of the special education system and needing to be as prepared as everyone else before they move into the adult world. I began reading blogs, joining Facebook groups, searching for resources and talking with current and former colleagues. As I was doing all of this, I realized that there was no guide for how special educators were supposed to prepare for the upcoming year. It was up to every educator, including myself, to think outside the box and determine what we were all going to do to continue to provide the services that our students have always needed.

When I found out that I would be teaching in-person four days a week and remote once a week, I was relieved, yet nervous at the same time. The students many of us work with need to be taught in-person to best access the curriculum and learn new skills. They require hands-on learning opportunities, community-based instruction and face-to-face interaction. Many people asked how I was going to do this with all of the safety restrictions and regulations. I always found myself saying the same thing, “I will do it how I always have.” Seems easy enough, right?

I went into week one feeling excited to get back to some sense of “normal” and confident with my preparation of schedules, functional academic activities, lesson plans and all of the COVID-19 safety precautions in place. It hasn’t been perfect, and there are many things that we can’t do that we used to be able to, but we are making it work! My students have shown more resilience and adaptability than I ever could have expected. I swear that sometimes they are more resilient than we are as teachers! My goal is to provide some of the ways that we have made this work so others can see that it is doable – and while overwhelming at times – we are indeed all in this together!

The following are suggestions that I have found to be successful:

  • Grocery Shopping: Take a smaller group out and prepare by reviewing COVID-19 safety within the community. There are many free resources out there to help explain how and why we need to wear masks, social distance, follow the arrows in the store aisles, etc.
  • Cooking: Every student has their own “cooking bucket” that allows for safety to be the top priority. This can include individual measuring cups, a cutting board, spatula, mixing bowl, oven mitts, baking sheet, etc. The dollar store is a great option for these items!
  • Social Skills: We are learning new ways of greeting others and having conversations. The days of fist bumps, handshakes and high-fives are now replaced with “air high-fives,” waves and elbow bumps. Everyone is learning that they have to speak louder and clearer to be heard through masks. It takes practice, but over time it will work!
  • College Exploration: Many colleges are offering virtual tours!
  • Career Exploration: If you are not able to get out and participate in informational interviews or job shadowing, there are virtual ways of exploring different jobs and work environments, such as: https://www.careeronestop.org/Videos/CareerVideos/career-videos.aspx or https://www.candidcareer.com/.
  • Community Access: It is Fall in New England and a great time to explore your community! If you are not within walking distance to places, you could possibly try public transportation (with COVID-19 precautions and parent approval) or have a school bus (if available) drive you to local town centers. Spend time having students use Google Maps prior to going and map out where you will visit, what local businesses do and how they can be used, etc. There are still options for outdoor dining, Dunkin’® trips, bringing a bagged lunch to an area with distanced picnic tables, etc.
  • Let’s not forget about the new skills that all of us are learning! There are many opportunities to teach students about resources and options during our “new normal,” including:
    • Zoom, Google Meet, FaceTime
    • Virtual recreation and leisure activities
    • Ordering food from delivery services that offer contactless delivery, such as DoorDash® or Grubhub
    • Using grocery delivery services
    • Online banking
    • Virtual scavenger hunts

 

About the Author

Becki Lauzon, M.A., CRC, works with teens, young adults and their families out of the Newton, MA and Plainville, MA offices. Lauzon has unparalleled experience as a Transition Specialist, Transition Consultant and Vocational Program Coordinator. Lauzon will be providing transition assessment (including testing, functional evaluations and observations) consultation, case management, training and professional development for schools; and transition planning, consultation and coaching for transition-aged students and their parents.

 

To schedule an appointment with one of NESCA’s expert transition specialists or neuropsychologists, please complete our online intake form

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton and Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

Compensatory Services for Transition-aged Individuals

By | NESCA Notes 2020

By: Becki Lauzon, M.A., CRC
Transition Specialist and Consultant

Since the start of COVID, a top concern for many parents and guardians of students who receive IEP services, such as Occupational Therapy, Physical Therapy, Speech and Language, etc., has been how to make up for those services that were missed during school closures and remote learning. One group of parents and guardians who have been especially worried are those who support students who turned 22 and aged out of special education services or will be aging out in the near future.

As we near the end of summer, the Department of Elementary and Secondary Education (DESE) recently released important guidance for schools and families on this topic. Below you will find the links to specific resources, including the presentation from DESE that was given on August 20th during the Special Education Leaders’ Meeting, the official guidance on compensatory services that was shared on August 17th, as well as a very informative article from the Boston Globe that highlights all reopening models.

There is a lot of important information in these documents. To assist with everyone’s busy lives, I have opted to point out some of the key pieces of information.

Helpful Links:

Zoom Meeting Presentation for Special Education Directors on August 20, 2020

Coronavirus (COVID-19) Special Education Technical Assistance Advisory 2021-1: COVID-19 Compensatory Services and Recovery Support for Students with IEPs

List of Reopening Models by District for Fall 2020 (as of noon, August 18, 2020

Boston Globe Reopening Plan Tracker

Important Information:

  • When a student with services and/or related services on their IEP has not been afforded those services due to a failure on the school’s part, compensatory services (i.e., services to make up for something missed) are a consideration by the IEP team through an IEP team process.
  • “COVID-19 Compensatory Services” (CCS) refers to services that a student’s IEP Team determines are needed to remedy a student’s skill or knowledge loss, or lack of effective progress, that resulted from delayed, interrupted, suspended, or inaccessible IEP services because of the emergency suspension of in-person education related to the COVID-19 pandemic.”
  • COVID-19 Compensatory services are NOT the same as typical compensatory services. These services are for students who are on IEPs that have had a lack of effective progress related to changes in service delivery during the COVID-19 pandemic.
  • “Students with disabilities who did not receive or were unable to access any special education services during the suspension of in-person education are likely to require CCS and should be prioritized. Other students with IEPs, including students with significant and complex needs,1 are also likely to require CCS and should be prioritized for consideration.”
  • The Department recommends prioritizing the scheduling of IEP meetings to discuss CCS for several student populations, including “students who turned 22 during the suspension of in-person education or who will turn 22 during the first three months of the 2020-21 school year, and whose transition programs were interrupted or suspended before they aged out.”1
  • For priority populations, the Department recommends that CCS determinations be made as soon as possible but not later than December 15, 2020.
  • Schools and districts are urged to use ongoing parental engagement along with their own judgment when determining which IEP meetings to prioritize this fall.
  • Appendix B Questions and Answers on the Transition to Adult Life for Students Turning 22 between March 17 and December 23, 2020 (pages 14-17 of the Special Education Technical Assistance Advisory)1 has detailed information regarding students turning 22 during COVID.

Transition COVID-19 Compensatory Examples:

There are several examples in the DESE document regarding types of compensatory services that an IEP team might consider providing for transition-aged individuals. I have listed many of the DESE examples below. I have also added some ideas and suggestions in smaller bullets that further break down the examples, which may be helpful for families and teams.

  • Accessing agency/community resources and services
    • Looking at adult resources, such as DDS, DMH, MRC, Centers for Independent Living
  • Instruction in activities for daily living, including personal finance and accessing healthcare
    • Cooking and domestic skills
    • Opening a bank account
    • Learning online banking
    • Make a monthly budget
    • Practice making change
  • Continue specialized instruction for the completion of an MCAS portfolio appeal for students who are seeking to earn a high school diploma
  • Community-based instruction
    • This can still occur!
  • Community participation
    • Accessing local outdoor parks, hiking trails, etc.
    • Grocery shopping
    • Identifying virtual offerings within your community
  • Health and safety
    • COVID safety
    • Learning how to order medication and organize it for the week
  • Pre-vocational/employment support services
    • As the job market has changed for the time being, this may be an opportunity for informational interviews
  • Job search and retention skills
    • Individuals who lost their job due to COVID may need assistance in returning to that place of employment if they are hiring again
  • Job coaching/training opportunities
  • Preparation for college and/or postsecondary training
    • Virtual college tours
    • Making a list of pros and cons for schools
  • Related services, e.g., counseling, occupational therapy, physical therapy, speech-language services
  • Self-advocacy skills
  • Social skills
  • Travel Training
    • Obtaining your Charlie Card
    • Filling out the application for The Ride
    • Studying the driver’s ed manual and taking free online tests
    • Using Google maps to identify distances to and from common places

Our transition team at NESCA is always here to offer consultation and creative options for families and school teams if you find that you and your student are having a difficult time finding ways to make up for lost transition services or implement current transition services.

 

References

1.      Massachusetts Department of Education. Coronavirus (COVID-19) Special Education Technical Assistance Advisory 2021-1: COVID-19 Compensatory Services and Recovery Support for Students with IEPs; Accessed on August 26, 2020.

 

About the Author

Becki Lauzon, M.A., CRC, works with teens, young adults and their families out of the Newton, MA and Plainville, MA offices. Lauzon has unparalleled experience as a Transition Specialist, Transition Consultant and Vocational Program Coordinator. Lauzon will be providing transition assessment (including testing, functional evaluations and observations) consultation, case management, training and professional development for schools; and transition planning, consultation and coaching for transition-aged students and their parents.

 

To schedule an appointment with one of NESCA’s expert transition specialists or neuropsychologists, please complete our online intake form

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton and Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

There Is No Wrong Decision

By | NESCA Notes 2020

By:  Alissa Talamo, Ph.D.
Pediatric Neuropsychologist

We are living in an unprecedented time. As such, parents are faced with decisions that they have never faced before. For example, families are facing the challenging decision about whether or not to send their children back to school for in-person classes in the middle of the COVID-19 pandemic. Parents have to wrestle with the idea that, on the one hand, sending children to school could increase the risk of COVID-19 among children and family members; while on the other hand, children who don’t return to in-person school may experience disruptions in their education and may miss out on the social interaction and community feeling within the school building. In addition, some families simply don’t have a choice because they need to go to work or a family member at home is immunocompromised.

What is most important is to recognize is that whether or not to send a child to school in the fall means something different to everybody. It is imperative that, as parents, you give yourself permission to feel whatever it is that you are feeling, and that you do what feels right for you and your family. It may be difficult to accept, but we have little control over much of what is happening around us right now. While it is important to acknowledge how you are feeling, it is equally important to remember that, in fact, any reactions are normal under the current circumstances.

How you respond to stress during the COVID-19 pandemic can depend on your background, your financial situation, your health and emotional background, your social support system, the community you live in and many other factors. When it comes to parenting, every day can be a challenge, and the coronavirus has made an already scary world feel even more menacing.  Remember to “ignore the noise” and give yourself credit for taking care of yourself and your family.

 

 

About the Author:

With NESCA since its inception in 2007, Dr. Talamo had previously practiced for many years as a child and adolescent clinical psychologist before completing postdoctoral re-training in pediatric neuropsychology at the Children’s Evaluation Center.

After receiving her undergraduate degree from Columbia University, Dr. Talamo earned her doctorate in clinical health psychology from Ferkauf Graduate School of Psychology and the Albert Einstein College of Medicine at Yeshiva University.

She has given a number of presentations, most recently on “How to Recognize a Struggling Reader,” “Supporting Students with Working Memory Limitations,” (with Bonnie Singer, Ph.D., CCC-SLP of Architects for Learning), and “Executive Function in Elementary and Middle School Students.”

Dr. Talamo specializes in working with children and adolescents with language-based learning disabilities including dyslexia, attentional disorders, and emotional issues. She is also interested in working with highly gifted children.

Her professional memberships include MAGE (Massachusetts Association for Gifted Education), IDA (International Dyslexia Association), MABIDA (the Massachusetts division of IDA) and MNS (the Massachusetts Neuropsychological Society).

She is the mother of one teenage girl.

To book a consultation with Dr. Talamo or one of our many other expert neuropsychologists, complete NESCA’s online intake form.

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

What Will Transition Services Look Like in the Fall?

By | NESCA Notes 2020

By: Becki Lauzon, M.A., CRC
Transition Specialist and Consultant

Many parents, educators and students are wondering what school will look like in the fall. This is especially important for those students who are receiving community-based transition services. The Massachusetts Department of Elementary & Secondary Education’s (DESE) Senior Associate Commissioner and State Director of Special Education Russell Johnston released a document on July 9th, that provides information regarding the “Guidance on Fall 2020 Special Education Services.” As many of you have heard, there are several options for models for schooling this fall, which include full-time, in-person learning, remote learning and a hybrid model that includes both. The following statement regarding Transition Services was included in this newly released document:

“Although in-person participation in community-based programs and inclusive concurrent enrollment programs at institutions of higher education may be limited at this time, schools and districts should make best efforts to develop plans collaboratively with community-based providers, colleges, parents/guardians, and students in order for students to access as much transition programming as possible. Current health and safety requirements must remain a priority when making decisions as to the extent that transition services are able to be accessed in community-based settings; however, it is highly recommended that in-person transition services resume as soon as it is safe to do so with the proper health and safety measures in place.”

As you can see, it is recommended that in-person transition services begin as soon as it is considered safe to do so. Many educators, families and students rely on schedules to be drafted and/or completed prior to the start of a new school year. In our COVID world that we are currently living in, this is a much harder task to accomplish with there being so many unknowns.

Thinking outside the box when it comes to delivering transition services has always been important. Now, it feels like this needs to be the top priority when planning. Below are some basic ideas around how to continue developing transition skills if community-based options are not available.

Independent Living:

  • Practice using Peapod or other online grocery delivery services
  • Cooking within the school building
  • Research how to order prescriptions online or over the phone
  • Practice mock phone calls to order food, make a medical appointment, etc.
  • Review public transportation schedules and research how long it takes to get from one place to another

Vocational:

  • Folding clothes or stocking shelves in the school store
  • Learn how to use Microsoft Word, Excel, PowerPoint, etc.
  • Practice mock interviews
  • Use free online resources to watch short career videos and start a binder of what you like and don’t like about each job
  • Identify places you might like to work once they are hiring again

Functional Academics:

  • Access your bank account online and see where you spend your money
  • Use mock online banking resources to understand the do’s and don’ts
  • Practice ordering at a restaurant by using an online menu

 

About the Author

Becki Lauzon, M.A., CRC, works with teens, young adults and their families out of the Newton, MA and Plainville, MA offices. Lauzon has unparalleled experience as a Transition Specialist, Transition Consultant and Vocational Program Coordinator. Lauzon will be providing transition assessment (including testing, functional evaluations and observations) consultation, case management, training and professional development for schools; and transition planning, consultation and coaching for transition-aged students and their parents.

 

To schedule an appointment with one of NESCA’s expert transition specialists or neuropsychologists, please complete our online intake form

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton and Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

School to Summer Transitions

By | NESCA Notes 2019

By: Ann-Noelle McCowan, M.S, RYT
Guidance Counselor; Yoga Specialist

For many children and adults, the end of the school year and the start of summer is an eagerly awaited transition. In schools the days are counted down, final assignments handed in, lockers cleaned out and yearbooks signed. Kids imagine the freedom of more sleep and play, and a reduction in work and stress. During the school year, kids operate under routines and schedules that dictate many aspects of their life. What time to rest and what time to rise, predictability with where they will be each day, who they might encounter, and what their afternoons and evenings will entail. Kids of all ages feel safe and secure when they have clear routines and expectations. With some simple tips, families can help kids of all ages have an enjoyable summer and a smooth transition between school and summer and back into the school.

  1. Reflection: With my NESCA clients and school students, I work towards building and strengthening children and teens’ ability to self-reflect. Self-awareness and curiosity are crucial skills to manage life’s ups and downs and be our best selves. Encourage your child to look back over their year and think about something they enjoyed, learned, worked hard on, or experienced. Have them think about issues that were difficult but are no longer triggers for them (such as a friendship struggle or challenging assignment). This can be a verbal discussion, journal writing, drawing, family share or even acted out. Helping kids look back over their successes and struggles, and talking about what occurred, and could have been done differently allows reflection during a safer, less charged time. It also subtly practices executive function skills such as working memory, problem solving, cognitive flexibility, perspective taking, emotional regulation, and holding and shifting focus.
  2. Setting Goals: The longer, sunny days of summer allow different opportunities for goal setting. It may be swimming out to the dock, adding to a sea glass collection, making a new level in a game, getting through a favorite book series or teaching the dog a new trick. This discussion could also explore ways to break down that goal into achievable steps over time, or what the back-up plan may be if there are unforeseen road blocks (e.g. collecting white rocks if no sea glass is found or conducting research on where to find sea glass) and when the goal will be reviewed or if there will be some family competition involved. Optional: talk out loud about these being brain-strengthening practices of building executive function skills in the areas of action, focus and effort.
  3. Routine: While summer is a time to relax many routines, routines are stabilizing and comforting for children. If your family has Taco Tuesdays, FaceTiming with grandparents on Sundays or soccer practice on Thursday, creatively incorporate these familiar routines to help smooth the start and end of summer. Maybe it’s Tacos Tuesdays on the family vacation week, or a family soccer scrimmage or watching World Cup highlights on Thursdays. You might just find a summer routine that could be added to the school year as well (Sundae Sundays anyone?).

 

About the Author:

Ann-Noelle provides therapeutic yoga-counseling sessions individually designed for each child. NESCA therapeutic yoga establishes a safe space for a child to face their challenges while nourishing their innate strengths using the threefold combination of yoga movement, yoga breath and yoga thinking.

Ann-Noelle has worked with children and adolescents since 2001 and practiced yoga and meditation since 2005. Since 2003 she has been employed full time as a school counselor in a local high performing school district, and prior to that was employed in the San Francisco Public Schools. Ann-Noelle received her dual Masters Degree (MS) in Marriage, Family and Child Therapy (MFCC), and School Counseling from San Francisco State University in 2002, her BA from Union College in New York, and her 200 hour-Registered Yoga Credential (RYT) from Shri Yoga. Ann-Noelle completed additional Yoga training including the Kid Asana Program in 2014, Trauma in Children in 2016 and Adaptive yoga for Parkinson’s in 2014.

 

If you are interested in therapeutic yoga with Ms. McCowan,  please complete NESCA’s intake form today and indicate interest in “Yoga”

 

For more information on the therapeutic yoga at NESCA, please visit  https://nesca-newton.com/yoga/

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.