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Image of a couple with disabilities and a quote from Sarah LaFerriere

How We Teach Sexual Health Education at NESCA

By | NESCA Notes 2025

Image of a couple with disabilities and a quote from Sarah LaFerriereBy: Sarah LaFerriere, M.Ed.
Transition Specialist & Special Educator, NESCA

Sexual health education is often overlooked when it comes to students with disabilities—but it’s one of the most important subjects we can offer. In my last blog post, “Why Sexual Education is Crucial,” I explored the reasons why this kind of instruction is essential for adolescents and young adults with learning, developmental, and emotional challenges.

Today, I want to take that conversation further by sharing what sexual health instruction looks like in practice and how NESCA is helping students gain the knowledge, skills, and confidence they need to navigate relationships and their own well-being.

Meeting Students Where They Are

Sexual health education isn’t “one-size-fits-all,” especially for students with disabilities. Many of the individuals I work with have had limited or no access to comprehensive sexual health instruction. Some have received fragmented or confusing messages about consent, safety, or their own bodies. Others are at a developmental stage where typical school-based programming doesn’t match their learning profile.

At NESCA, our goal is to meet each student exactly where they are intellectually, socially, and emotionally. That’s why our sexual health instruction is individualized, paced appropriately, and rooted in respect and inclusion.

Using the Elevatus Curriculum

At NESCA, we use the Elevatus curriculum, a nationally respected sexual health education program designed specifically for individuals with disabilities. The curriculum offers two levels of instruction:

  • One for students with moderate support needs
  • Another for students with high support needs

This allows us to tailor content to the cognitive and communication levels of each learner. The curriculum emphasizes concrete language, repetition, and visual supports, making it accessible and meaningful for a wide range of students.

Instruction is available in-person or virtually, and we can modify both format and pacing to fit your student’s specific needs. Whether your child thrives in one-on-one sessions or small groups, we’ll work with you to design a program that supports learning and comfort.

What the Curriculum Covers

The Elevatus curriculum spans 22 lessons and includes topics such as:

  • Anatomy and puberty
  • Consent and personal boundaries
  • Healthy vs. unhealthy relationships
  • Online safety and media literacy
  • Understanding feelings and attraction
  • Decision-making and communication

Lessons are engaging and interactive, using visuals, stories, discussions, and role-play activities. We also incorporate functional goals, like understanding personal space on public transportation or recognizing signs of coercion in online messages.

Collaborating with Families and Schools

Sexual health instruction doesn’t exist in a vacuum; it works best when it’s integrated into a student’s broader learning and transition planning. At NESCA, we collaborate with families, educators, and support staff to align lessons with IEP goals, social-emotional supports, and the student’s overall educational plan.

We also guide families on how to reinforce learning at home, answer questions in developmentally appropriate ways, and create an open, respectful dialogue.

Why It Matters

At the core of sexual health education is empowerment. When students understand their bodies, their rights, and their choices, they’re safer, more confident, and more connected to others. This kind of instruction isn’t just about preventing risk it’s about promoting dignity, autonomy, and well-being.

If you’re interested in learning more about our sexual health instruction services, or want to explore whether it’s a fit for your child or student, please reach out to us here at NESCA via our Inquiry/Intake Form and visit our page about our Sexual Health Education Services.

About the AuthorHeadshot of Sarah LaFerriere, M.Ed.

Sarah LaFerriere, M.Ed., is a transition specialist and special educator who has nearly a decade of experience working with transition aged students in public schools, college, and home-based settings. She provides transition assessment, consultation, and coaching services to a wide range of clients, and specializes in supporting students with autism, intellectual disabilities, developmental disabilities, mental health conditions, and medical conditions.

To book a consultation with Sarah LaFerriere or one of our many other expert transition specialists, neuropsychologists, or other clinicians, complete NESCA’s online intake form.

NESCA is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Plainville, and Hingham, Massachusetts; Londonderry, New Hampshire; the greater Burlington, Vermont region; and Brooklyn, New York (coaching services only) serving clients from infancy through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

Couple with disabilities

Why Sexual Education is Crucial

By | NESCA Notes 2024

Couple with disabilitiesBy: Sarah LaFerriere, M.Ed.
Transition Specialist & Special Educator, NESCA

Empowering Students with Disabilities Through Comprehensive Sexual Education

Sexual education is more than a curriculum; it’s a vital tool for personal empowerment, safety, and self-advocacy. For students with disabilities, access to meaningful sexual education can address unique challenges while fostering independence, confidence, and dignity. Here’s why this education is critical and how it can change lives.

Sexual education is not about encouraging students to have sex. It is about equipping them with the knowledge to make informed choices, understand healthy relationships, respect boundaries, and advocate for themselves. While some parents and educators worry that discussing these topics might “give students ideas about sex,” the reality is that comprehensive sexual education empowers students with the tools they need to stay safe and navigate their lives with confidence.

Addressing Sexual Health Disparities

Research has shown that students with developmental disabilities face disproportionate risks in sexual health outcomes. These include higher rates of unplanned pregnancies, sexually transmitted infections (STIs), and sexual abuse. For instance, young women with cognitive impairments are significantly more likely to experience early pregnancy and STIs compared to their peers without disabilities​.

These disparities stem in part from barriers to education and healthcare access, as well as stigmatization and misconceptions about the sexuality of individuals with disabilities. By integrating tailored sexual education into their learning experience, we can close these gaps and provide tools for informed decision-making.

Reducing Vulnerability to Abuse

One of the concerning issues is the heightened vulnerability of individuals with disabilities to sexual abuse. Studies indicate that people with developmental disabilities are up to four times more likely to experience sexual assault than their peers​​. A lack of understanding about healthy boundaries, consent, and their rights can leave these individuals at greater risk.

Comprehensive sexual education teaches students to recognize inappropriate behavior, understand consent, and advocate for their rights. Lessons on distinguishing between public and private spaces, understanding healthy relationships, and asserting boundaries equip students to protect themselves and seek help when needed.

Fostering Healthy Relationships and Self-Advocacy

Everyone has the right to form relationships based on respect, trust, and mutual understanding. For students with disabilities, sexual education can provide a framework to navigate these connections safely. It’s not just about teaching anatomy and reproduction, it’s about addressing intimacy, connection, and communication​.

Self-advocates emphasize the importance of this knowledge, stating they want to learn how to make informed choices, build lasting relationships, and advocate for their desires and boundaries. Teaching sexual self-advocacy encourages independence and fosters a sense of agency.

Combating Stigma and Promoting Inclusion

Historically, people with disabilities have been desexualized or unfairly stereotyped. These harmful narratives contribute to exclusion and limit access to essential education. Providing comprehensive sexual education helps dismantle these misconceptions and affirms that individuals with disabilities are entitled to the same rights, relationships, and respect as anyone else.

Building a Safer, More Inclusive Future

Sexual education for students with disabilities isn’t just about reducing risks—it’s about empowerment. It’s about teaching young people to take ownership of their choices, advocate for themselves, and lead fulfilling lives. When we provide these students with the knowledge and necessary tools, we’re investing in their safety, dignity, and future.

As a special education teacher and advocate trained in sexual education for students with disabilities, I’ve witnessed firsthand the transformative impact of these lessons. Let’s continue to advocate for inclusive, comprehensive sexual education for all students and schools, ensuring that no student is left behind.

NESCA’s Sarah LaFerriere is trained in providing sexual education coaching to groups and schools. For more information, please visit our page about our Sexual Health Education Services complete our Intake Form.

Sexual Health Education Webinar Registration Page

If you are eager to learn more about Sexual Health Education, please register for our upcoming webinar on this topic at: https://nesca-newton.zoom.us/webinar/register/WN_XQN-heyzR8iS2_Kp8ZQLNQ

About the AuthorHeadshot of Sarah LaFerriere, M.Ed.

Sarah LaFerriere, M.Ed., is a transition specialist and special educator who has nearly a decade of experience working with transition aged students in public schools, college, and home-based settings. She provides transition assessment, consultation, and coaching services to a wide range of clients, and specializes in supporting students with autism, intellectual disabilities, developmental disabilities, mental health conditions, and medical conditions.

To book a consultation with Sarah LaFerriere or one of our many other expert transition specialists, neuropsychologists, or other clinicians, complete NESCA’s online intake form.

NESCA is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Plainville, and Hingham, Massachusetts; Londonderry, New Hampshire; the greater Burlington, Vermont region; and Brooklyn, New York (coaching services only) serving clients from infancy through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

dictionary entry with the word ready and its definition

Is Your Teen Ready for College? Key Skills for a Smooth Transition

By | NESCA Notes 2024

dictionary entry with the word ready and its definitionBy: Kristen Simon, M.Ed, Ed.S
Transition Specialist; Psychoeducational Counselor

As the school year picks up momentum, many parents of 12th-grade students find themselves wondering if their students will be truly ready to take the plunge into college life. Parents of younger students may also be noticing academic or social challenges and wondering how to ensure their teens are on the right path to college readiness. These are normal concerns, and they often require a closer look.

Transitioning from high school to higher education is a significant step, and it’s essential to gauge your child’s readiness to determine whether college is the right next step or if additional supports will be needed during the transition. While academic abilities that match the rigor of college are essential, there are many practical, non-academic skills that are just as vital for college success.

Below are some important academic and non-academic skills necessary for a smooth transition to higher education. Focusing on these abilities can help you assess whether a student is prepared for this new chapter.

  1. Academic Preparedness
  • Engagement with coursework: Ability to read high volumes of text, think critically about the content and produce organized written work
  • Study habits: Prepare for assessments effectively and in a timely manner
  • Note-taking: Ability to take effective notes during class
  • Executive functioning: Track and manage assignments and grades, plan for future goals, break down long-term assignments and meet deadlines, absorb and follow multiple syllabi, manage significant free time, follow their individualized schedule
  1. Independent Living skills
  • Getting up: Wake up at a designated time without parent support
  • Managing medications: Taking them at the appropriate time, managing refills, and tracking side effects
  • Self-care: An independent hygiene routine (showers, haircuts, brushing teeth) they can follow on their own
  • Health: Ability to treat a cold or minor illness; Can the student identify when an ailment is something more serious? Can they head to the health center independently?
  • Maintain a living space: Room organization, keeping up with laundry, vacuuming, taking out the trash
  • Maintain a basic healthy lifestyle: Nutrition choices, sleep hygiene, regular movement or exercise, coping skills
  1. Self-determination
  • Disclosure: Describe their disability or diagnosis and the accommodations they require
  • Asking for Help: Recognize when they need help and ask for it
  • Self-advocacy: Advocate for accommodations with their college professor
  • Goal setting: Is your adolescent able to make, set, and attain realistic goals?
  • Self-awareness: Identify clear interests, preferences and strengths
  • Career Awareness: Explored career paths based on preferences and strengths; Linked potential careers to college degrees or areas of study
  1. Social/Emotional skills
  • Conflict resolution: Manage social conflict
  • Community engagement: Find a community of peers
  • Self-regulation: Regulate emotions under increased stress
  • Teamwork: Work in a group effectively

Determining if your 12th grader is ready for college involves more than just evaluating their academic skills. Readiness looks different for every student, and knowing which of these areas your 12th grader has not yet mastered allows for skill building prior to college as well as setting them up with some supports to bolster this area as they transition.

Resources:

Landmark College: A guide to assessing college readiness for Parents of College Bound Children with Learning disabilities or ADHD.

College Freshman and Executive Function: The Often Unexpected Demands by Dr. Sophie Bellenis.

 

If you are interested in taking a deeper dive into the questions and concerns around college readiness and have the opportunity to ask questions in a live Q&A to NESCA’s Transition Services experts, register today for our upcoming free webinar on November 6, 2024 at 11:00 AM ET.

Description of a college readiness webinar with registration information on it and an image of a college applicationRegister here: https://nesca-newton.zoom.us/webinar/register/WN_VVXHZBSESCaHAksfl_5oKg

NESCA offers many services designed to help students bridge the transition from high school to college, including executive function coaching, pre-college coaching, transition planning, and neuropsychological evaluation. To learn more specifically about our coaching services, visit: https://nesca-newton.com/coaching-services/ . To schedule an appointment with one of our expert clinicians or coaches, please complete our intake at: https://nesca-newton.com/intake/ .

 

About the Author

Kristen Simon, M.Ed, Ed.S, has worked with transition-aged youth as a licensed School Psychologist for more than a decade. She has extensive experience working with children and adolescents with a range of learning and social/emotional abilities. Kristen’s strengths lie in her communication and advocacy skills as well as her strengths-based approach. She is passionate about developing students’ self-awareness, goal-setting abilities, and vision through student-centered counseling, psychoeducation, social skills instruction, and executive functioning coaching. Mrs. Simon has particular interests working with children and adolescents on the Autism spectrum as well as individuals working to manage stress or anxiety-related challenges.

Mrs. Simon is an expert evaluator and observer who has extensive working knowledge of the special education process and school-based special education services, particularly in Massachusetts. She has been an integral part of hundreds of IEP teams and has helped to coordinate care, develop goals, and guide students and their families through the transition planning process. Mrs. Simon further has special expertise helping students to learn about their diagnoses and testing and the IEP process in general. She enjoys assisting students, families, and educators in understanding a student’s disability-related needs as well as the strategies that can help the student to be successful in both academic and nonacademic settings. Mrs. Simon has often been a part of teams in the years when students are initially participating in transition services, and she has helped countless students to build the skills necessary to be part of their first team meetings. She is committed to teaching students—as well as parents and educators—how to participate in student-centered team meetings and the IEP processes.

At NESCA, Mrs. Simon works as a transition specialist and psychoeducational counselor. She works with adolescents, their families, and their school communities to identify and build the skills necessary to achieve their postsecondary goals. Mrs. Simon provides transition assessment (including testing, functional evaluations, and observations), program observations and evaluations, case management and consultation, and individualized counseling and skills coaching.

 

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

 

NESCA is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Plainville, and Hingham, Massachusetts; Londonderry, New Hampshire; the greater Burlington, Vermont region; and Brooklyn, New York (coaching services only) serving clients from infancy through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

Filled backpack ready for the first day of school

How to Prepare Students with Autism for the New School Year

By | NESCA Notes 2024

Filled backpack ready for the first day of schoolBy: Renee Cutiongco Folsom, Ph.D.
Pediatric Neuropsychologist

I know that summer is about to end here in New England when I see posts on Facebook from my West Coast friends about their children’s first day of school and when every other commercial on TV is heralding back-to-school sales. A little sense of panic sets in, because of all the preparations needed for children going back to school. In my work with children with special needs, one group that often struggles with transitions such as these is children with Autism Spectrum Disorder.

Autism Spectrum Disorder (ASD) is a developmental disorder that manifests in challenges with social communication and interaction, and in the presence of repetitive, restricted behaviors that significantly impact functioning. One of the symptoms of ASD is difficulty with transitions. Some children with ASD get really upset with even slight changes in routines or plans. This is the reason why the start and end of the school year is often difficult for them. Here are some strategies for helping children with ASD transition back to school. They can also be used for any child to prepare for any transition, major or minor.

Visit the new school/classroom – A lot of schools are already doing this, but a visit to a new school or classroom a few days before the official start of school could help your child get acclimated to their new environment or teacher. Teachers usually report for work the week before the first day of school to prepare their rooms. Set a time to meet with the new teacher and let them provide your child with a tour of the room and other areas, such as the library or cafeteria. Show the child their desk and cubby. Tell them about the schedule posted on the board. This will ease some of your child’s fears and anxieties about the first day of school.

Use social stories – Social stories are written or illustrated stories that present information about social situations. Developed by educational consultant, Carol Gray, they instruct students about what to do or say in social situations, for example, the first day of school, together with information about other people’s motives or expectations. Using pictures from the school visit above, you can create a social story about the first day of school that talks about what to expect, directives about what your child can do or say, and the reason behind these actions. Here is an example of part of a social story for the first day of school:

  • This is Ms. Smith, my new teacher. She is very nice.
  • My mom and I walk to my classroom.
  • Smith is there to greet me. I look at her and smile.
  • I say goodbye to my mom and give her a big hug. She will come back at the end of the day to pick me up.
  • I enter the room and place my bag in my cubby. I find my desk and take my seat.
  • I look at the kid next to me and say, “Hi.” I want other kids to like me.

For help with creating social stories, you can go to https://carolgraysocialstories.com/social-stories/what-is-it/ or https://www.autismspeaks.org/templates-personalized-teaching-stories.

Use video modeling – In my work with children with autism, I often find that they are visual learners; they have better developed abilities in thinking and reasoning with pictures. And with the popularity of technology, such as iPads and smartphones, they are usually attracted to videos. Speech and language pathologist Linda Hodgdon, M.Ed., CCC-SLP (www.usevisualstrategies.com) has developed a strategy of using videos to teach skills/competencies for children and adolescents with ASD. In video modeling, you can bring your child to the new school/classroom a few days early with a video camera. You can record walking the hallways from class to class, opening the locker, going to the cafeteria or the gym, and other things they would need to do when school is in session. While you are filming, you can add dialogue explaining each item or place of interest. Then, your child/teenager can watch the video at home to prepare for the first real day of school when students will be there. Video modeling can also be used to prepare for other transitions/novel situations, such as preparing for a holiday or a new experience (e.g., riding a train, watching a movie, visiting a new restaurant).

Transitions are difficult because they require us to leave a place or state that we have been accustomed to and enter something that is unknown or unpredictable. Preparing ourselves for transitions by demystifying some of the unknowns can help us cope better with the anxiety that is inherent in these situations. I hope the suggestions above can help you and your child transition back to school.

 

About the Author

Dr. Renee Cutiongco Folsom, Ph.D. has been working with families in the greater Boston area since 2015. Prior to this, she was on staff at Johns Hopkins University and trained at the University of California, Los Angeles (UCLA). She provides comprehensive neuropsychological evaluations of children, adolescents, and young adults who have learning, behavioral, and socio-emotional challenges. Her areas of expertise include Autism Spectrum Disorder and other conditions that usually co-occur with this diagnosis; Attention-Deficit/Hyperactivity Disorder; Dyslexia and other Specific Learning Disabilities; and Anxiety/Depression. She thinks that the best part of being a pediatric neuropsychologist is helping change the trajectory of children’s lives.

To schedule an appointment with one of NESCA’s pediatric neuropsychologists, please complete our online intake form

NESCA is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Plainville, and Hingham, Massachusetts; Londonderry, New Hampshire; the greater Burlington, Vermont region, and Brooklyn, NY, serving clients from infancy through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

Technology Tools to Boost Your Productivity Part 3

By | NESCA Notes 2024

By: Lyndsay Wood, OTD, OTR/L
NESCA Executive Function and Real-life Skills Program Manager

Summer is coming! We are finally feeling that sunshine on our skin. You may be noticing your motivation increasing as you thaw from your winter hibernation. A lot of people find that this is a great time to start tackling those goals and projects you have been putting off through the dark days of winter. Perhaps now it is time to do that thorough spring clean, or maybe you want to meet a new fitness goal. No matter what you are trying to do, there are technology tools that can help. Below is a list of apps that can help kickstart that renewed sense of motivation you may be feeling. These are just a few tools, but please feel free to check out my previous two blogs on this topic to find even more helpful tools and apps.

  1. Todoist: Todoist is a task management app that helps you organize and prioritize your tasks effectively. Through this app, you can create to-do lists, set deadlines, and manage your activities. Todoist integrates with various other apps and platforms, making it easier to keep track of your tasks across all your devices.
  2. TickTick: No, I do not mean TikTok, which typically has the opposite effect on productivity and motivation! TickTick combines a to-do list and a calendar. It allows you to create tasks, set reminders, and even track your habits.
  3. Shmoody: Shmoody is an app designed to help improve your mood and overall mental health. Whether you’re dealing with stress, anxiety, or just feeling down, Shmoody offers practical activities and tools to boost your spirits. The app provides daily mood check-ins, gratitude journaling, and guided exercises to help you develop a positive mindset. It also allows you to set goals and objectives for the day.
  4. Remove Distracting Apps: Perhaps it is time for a social media detox. Are you finding yourself scrolling endlessly through TikTok, Instagram, etc.? Discover which app you are using the most and take a break. Maybe it is just for the afternoon, or maybe a whole month. See how your productivity, mood, and motivation change when you step away from the scroll. Use built-in features on your smartphone, like Screen Time on iOS or Digital Wellbeing on Android, to track your app usage and set limits. Taking a break from distracting apps can free up your time and mental space, allowing you to focus on more meaningful activities and goals.

Embrace the summer energy and make the most of these tools to boost your motivation and productivity. Whether you’re aiming to improve your mental health, get organized, or eliminate distractions, these apps can help you achieve your summer goals. Happy summer!

 

About Lyndsay Wood, OTD, OTR/L

Lyndsay Wood, OTD, OTR/L, Vermont-based Executive Function and Real-life Skills Program Manager, is an occupational therapist who focuses on helping students and young adults with disabilities to build meaningful skills in order to reach their goals. She has spent the majority of her career working in a private school for students with ASD. She has also spent some time working in an inpatient mental health setting. Lyndsay uses occupation-based interventions and strategies to develop life skills, executive functioning, and emotional regulation. While completely her doctoral degree at MGH Institute of Health Professions, Lyndsay worked with the Boston Center for Independent Living to evaluate transition age services. She uses the results from her research to deliver services in a way that is most beneficial for clients. Specifically, she focuses on hands-on, occupation-based learning that is tailored the client’s goals and interests.

Dr. Wood accepts Vermont- and Massachusetts-based transition and occupational therapy assessments. Her in-home and community-based coaching services are available in the greater Burlington, Vermont area. Dr. Wood can accept virtual coaching clients from both Massachusetts and Vermont.

 

To book coaching and transition services at NESCA, complete NESCA’s online intake form

 

NESCA is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Plainville, and Hingham, Massachusetts; Londonderry, New Hampshire; the greater Burlington, Vermont region; and Brooklyn, New York (coaching services only) serving clients from infancy through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

If My Child Attends a Residential School, Will the State Pay for Housing When They Graduate?

By | NESCA Notes 2024

By: Kelley Challen, Ed.M., CAS
Director of Transition Services, NESCA

The goal of transition services is to help students who are on IEPs to progress toward their measurable postsecondary goals. This includes planning for future learning and work situations, and also planning for future living—as independently as possible. An enormous challenge that comes up in this planning process is that families (and sometimes the professionals supporting them) do not fully understand the realities of housing for adults who have exited public education.

There is a common misconception that if your child has qualified for residential special education programming, that will mean that your child will qualify for residential support as an adult. However, adult human service supports are not an entitlement like special education—these services are voted on by state legislature. The truth is that adult services and benefits are built to fill in the gaps of what you cannot physically or financially do to support your child. If you are alive and you can reasonably take care of your child, even with support, that is what you will be expected to do. If, instead, you want your child to be able to live in their own home or a shared home, then you and your child will be responsible for figuring out how to find and fund that living situation.

Hopefully, this data, shared by Cathy Boyle of Autism Housing Pathways in a January presentation, titled “Thinking About Housing,” will help to hammer home this point. Cathy shared numbers from fiscal year 2021 which quantified some of the residential supports awarded to young adults in Massachusetts who turned 22 during that fiscal year. Specifically, there were 1,233 students turning 22 who were served by the Department of Developmental Services (DDS) in Massachusetts. Of that number, only 263 received “residential supports.” However, the majority of those “residential supports” were provided in shared living situations where the housing was not being funded by DDS. It was only about 100 individuals statewide who turned 22 and entered into brick-and-mortar homes funded by DDS.

Regarding who is able to secure DDS housing in Massachusetts, it is typically only available to individuals who have an intellectual disability that was diagnosed before age 18 and (1) are a danger to themselves, and/or (2) are a danger to others, and/or (3) have pica (a condition in which a person eats items not usually considered food). There are some other criteria considered, including whether the caregiver can keep the individual healthy and safe (based on caregiver criteria, such as age, health, employment) and the judgment of the evaluator from the state. But, as previously described, housing is reserved for individuals with the most significant needs. Also, while there is funding through DDS for day services for adults with autism in Massachusetts, this budget explicitly does not cover residential services or housing. Only individuals with autism who also meet the intellectual disability criteria are eligible for housing under standard criteria.

If your child has a mental health condition, you may wonder about housing through Department of Mental Health (DMH). While it’s difficult to find current statistics on the number of young adults turning 22 and receiving group home services, there is a limited number of beds, and eligibility criteria for DMH services specifies that you can only be eligible for services if they are actually available. Also, the criterion for housing is quite similar to DDS in that an individual has to be entirely unable to live at home even with intensive in-home support. This often equates to the same variable of whether your child is actively at risk of harming themselves or another person.

While I’m providing data from Massachusetts in order to exemplify these housing challenges, the struggles are similar, if not more difficult, across the United States. The reality is that if you have a child with a disability, you and your child are more than likely going to have to plan for and figure out how to pay for their housing in adulthood. This is one of the ways that our children are treated 100% similarly to nondisabled adults. Although having a disability may help your child to qualify for accommodations in adulthood, living accommodations are most often not part of that right.

Resources:

NESCA offers many services designed to help students bridge the transition from high school to college including executive function coaching, pre-college coaching, transition planning, and neuropsychological evaluation. To learn more specifically about our transition planning services, visit https://nesca-newton.com/transition/. To learn about other coaching services, visit: https://nesca-newton.com/coaching-services/. To schedule an appointment with one of our expert clinicians or coaches, please complete our intake at: https://nesca-newton.com/intake/.

 

About the Author
Kelley Challen, Ed.M., CAS, is an expert transition specialist and national speaker who has been engaged in evaluation, development, and direction of transition-focused programming for teenagers and young adults with a wide array of developmental and learning abilities since 2004. While Ms. Challen has special expertise in working with youth with autism, she enjoys working with students with a range of cognitive, learning, communication, social, emotional and/or behavioral needs.

Ms. Challen joined NESCA as Director of Transition Services in 2013. She believes that the transition to postsecondary adulthood activities such as learning, living, and working is an ongoing process–and that there is no age too early or too late to begin planning. Moreover, any transition plan should be person-centered, individualized and include steps beyond the completion of secondary school.

Through her role at NESCA, Ms. Challen provides a wide array of services including individualized transition assessment, planning, consultation, training, and program development services, as well as pre-college coaching. She is particularly skilled in providing transition assessment and consultation aimed at determining optimal timing for a student’s transition to college, technical training, adult learning, and/or employment as well as identifying and developing appropriate programs and services necessary for minimizing critical skill gaps.

Ms. Challen is one of the only professionals in New England who specializes in assisting families in selecting or developing programming as a steppingstone between special education and college participation and has a unique understanding of local postgraduate, pre-college, college support, college transition, postsecondary transition, and 18-22 programs. She is additionally familiar with a great number of approved high school and postsecondary special education placements for students from Massachusetts including public, collaborative, and private programs.

Ms. Challen enjoys the creative and collaborative problem-solving process necessary for successfully transitioning students with complex profiles toward independent adulthood. As such, she is regularly engaged in IEP Team Meetings, program consultations, and case management or student coaching as part of individualized post-12th grade programming. Moreover, she continually works to enhance and expand NESCA’s service offerings in order to meet the growing needs of the families, schools and communities we serve.

When appropriate, Ms. Challen has additionally provided expert witness testimony for families and school districts engaged in due process hearings or engaged in legal proceedings centering on transition assessment, services and/or programming—locally and nationally.

Nearly two decades ago, Ms. Challen began her work with youth with special needs working as a counselor for children and adolescents at Camp Good Times, a former program of Milestones Day School. She then spent several years at the Aspire Program (a Mass General for Children program; formerly YouthCare) where she founded an array of social, life and career skill development programs for teens and young adults with Asperger’s Syndrome and related profiles. Also, she worked at the Northeast Arc as Program Director for the Spotlight Program, a drama-based social pragmatics program, serving youth with a wide range of diagnoses and collaborating with several school districts to design in-house social skill and transition programs.

Ms. Challen received her Master’s Degree and Certificate of Advanced Graduate Study in Risk and Prevention Counseling from the Harvard University Graduate School of Education. While training and obtaining certification as a school guidance counselor, she completed her practicum work at Boston Latin School focusing on competitive college counseling.

Ms. Challen has worked on multiple committees involved in the Massachusetts DESE IEP Improvement Project, served as a Mentor for the Transition Leadership Program at UMass Boston, participated as a member of B-SET Boston Workforce Development Task Force, been an ongoing member of the Program Committee for the Association for Autism and Neurodiversity (AANE), and is a member of the New Hampshire Transition State Community of Practice (COP).

She is also co-author of the chapter, “Technologies to Support Interventions for Social-Emotional Intelligence, Self-Awareness, Personality Style, and Self-Regulation,” for the book Technology Tools for Students with Autism: Innovations that Enhance Independence and Learning.

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

NESCA is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Plainville, and Hingham, Massachusetts; Londonderry, New Hampshire; the greater Burlington, Vermont region; and Brooklyn, NY (coaching services only) serving clients from infancy through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

Preparing for a College Visit

By | NESCA Notes 2024

By: Kelley Challen, Ed.M., CAS
Director of Transition Services, NESCA

With vacation weeks coming up in Massachusetts and New Hampshire, many local families—especially those with juniors in high school—are contemplating visits to college campuses. School vacation weeks in the spring are a great time to visit colleges because you can tour the campus at a point in time when students are engaged in a typical flurry of academic and extracurricular activities. Summer may allow for more convenient or peaceful tours, but it is not a time of year when the happenings on campus accurately reflect student life (unless there is a very active summer session). Instead, spring and fall are often considered the optimal seasons for campus visits. For those of you planning upcoming visits, here are a few tips to consider—especially if you are a student with a learning disability, autism, or a mental health diagnosis.

  • Sign up ahead of time for the tour through the college’s web site. Even if a college does not require registration, potential students should go ahead and register for the college tour so that they get “credit” for their visit. There are lots of metrics that count as part of the college admissions process, and one of these important variables is literally the number of times that a potential student makes contact with the college. Things like registering for a tour, emailing admissions, following the college on social media, visiting with college representatives at college fairs, and signing up to receive materials by mail or email can all be considered “points of contact” with the college and may help students to ultimately be accepted.
  • Be prepared to answer a few questions about yourself. Most college information sessions or tours will start with the admissions staff and/or tour guide introducing themself and asking a few questions about the students in the group. Students should be prepared to share things like their name, hometown, grade, potential major, and clubs or activities they might want to participate in during college. Not all of this information will be requested outright, but some will typically be part of introductions and more may be asked during a presentation or tour. For students who have a hard time answering questions on the spot, they will feel much more comfortable if they have thought about—and practiced—answering these questions before the tour. They can also be more actively involved. Terms like undergraduate, graduate, first-year, and transfer may also come up when visiting colleges, and it can be helpful to review some college vocabulary ahead of time so that students are not flustered in the moment.
  • Ask questions of your own! (But make sure you are asking the right people your questions.) Information sessions and college tours are typically facilitated by admissions staff and college students. These are the times when you are learning about the college in general and getting a sense of campus culture, facilities, and services available to all students on the campus. For legal reasons, college admissions and college disability supports are notably separate entities. This means that college information sessions and tours are not typically the time and place for accommodation- and disability-specific questions. So, what questions should you ask? Well, there are plenty of web-based resources that you can look to in order to create your own personal list of tour questions. Here are just a few you might find interesting:

Even if you have done online research about a college, it’s a good idea to ask a few questions about items that are important to you to see if things on campus are really as described. Also, if you are a student with a disability, you might ask some of the questions that get at culture and inclusion: What’s it like to be a new student on campus? How do you see the college demonstrate commitment to diversity and inclusion? What controversial issues have come up on campus?

  • Don’t panic if you don’t see yourself or your student in the tour guide. College tour guides are typically some of the highest performing, actively involved students at the college and are usually representative of an extreme rather than the “average” student. While these students are certainly a part of the campus and culture, it is important to get a sense of who else is on the campus. Take time to observe and talk with other students you see walking around on campus. If you can, circle back to an academic building in an area of interest and find a student to talk to there. Or just stop a few students around campus and ask informal questions (e.g., Why did you pick this college? What do you wish you could change? What do you do like about being a student here? What do you wish you knew before you started college here?).
  • Take time to eat on campus. Make time before or after your tour to eat in a main cafeteria or campus center. If you are going to be eating three meals a day on campus, its important to know what that experience will be like. Certainly, the food is important. You need to know if there are a variety of food options and that there is something you would be comfortable eating for all meals. Also, you want to get a sense of the atmosphere, including how crowded it is and how easy it is to find a table.
  • If you are just getting started on your college search process and do not have a set list of schools yet, don’t worry. You can still get out and visit schools. I often suggest starting with different college archetypes (e.g., big school, little school, school spread out in a city, school with more defined campus, private, public, community, etc.). It can be good to just pick a few different school types, visit the colleges, and then do some real downloading of information and preferences immediately after the visits. I often ask students to do some ratings of colleges as they leave the schools so that they can quantify their “gut feeling” about a school and use that for comparison even if they aren’t sure exactly what it was that they liked or disliked. Even a bad college visit can help to determine some of the things that are most important about the college search process!

Embarking on college campus visits is a bit of a house hunting process—you are looking at potential academic homes. It can definitely be overwhelming, especially when it’s a process that you have not been through before and you may not know exactly what you want or what’s worth looking at. But you have to start somewhere. Following these suggestions should allow you to get a true sense of campus life and culture while also learning about yourself and your own preferences and values. Be prepared, but also trust yourself, and let each experience help you learn who you want to be as a future college student.

 

NESCA offers many services designed to help students bridge the transition from high school to college, work, and more independent adult life. Such services include executive function coaching, pre-college coaching, transition planning, and neuropsychological evaluation. To learn more specifically about our coaching services, visit: https://nesca-newton.com/coaching-services/ . NESCA also offers postsecondary transition consultation to families who want support identifying whether students are ready for college transition, or they may need a step in between or a scaffolded transition: https://nesca-newton.com/transition/#planning. To schedule an appointment with one of our expert clinicians or coaches, please complete our intake at: https://nesca-newton.com/intake/.

 

About the Author
Kelley Challen, Ed.M., CAS, is an expert transition specialist and national speaker who has been engaged in evaluation, development, and direction of transition-focused programming for teenagers and young adults with a wide array of developmental and learning abilities since 2004. While Ms. Challen has special expertise in working with youth with autism, she enjoys working with students with a range of cognitive, learning, communication, social, emotional and/or behavioral needs.

Ms. Challen joined NESCA as Director of Transition Services in 2013. She believes that the transition to postsecondary adulthood activities such as learning, living, and working is an ongoing process–and that there is no age too early or too late to begin planning. Moreover, any transition plan should be person-centered, individualized and include steps beyond the completion of secondary school.

Through her role at NESCA, Ms. Challen provides a wide array of services including individualized transition assessment, planning, consultation, training, and program development services, as well as pre-college coaching. She is particularly skilled in providing transition assessment and consultation aimed at determining optimal timing for a student’s transition to college, technical training, adult learning, and/or employment as well as identifying and developing appropriate programs and services necessary for minimizing critical skill gaps.

Ms. Challen is one of the only professionals in New England who specializes in assisting families in selecting or developing programming as a steppingstone between special education and college participation and has a unique understanding of local postgraduate, pre-college, college support, college transition, postsecondary transition, and 18-22 programs. She is additionally familiar with a great number of approved high school and postsecondary special education placements for students from Massachusetts including public, collaborative, and private programs.

Ms. Challen enjoys the creative and collaborative problem-solving process necessary for successfully transitioning students with complex profiles toward independent adulthood. As such, she is regularly engaged in IEP Team Meetings, program consultations, and case management or student coaching as part of individualized post-12th grade programming. Moreover, she continually works to enhance and expand NESCA’s service offerings in order to meet the growing needs of the families, schools and communities we serve.

When appropriate, Ms. Challen has additionally provided expert witness testimony for families and school districts engaged in due process hearings or engaged in legal proceedings centering on transition assessment, services and/or programming—locally and nationally.

Nearly two decades ago, Ms. Challen began her work with youth with special needs working as a counselor for children and adolescents at Camp Good Times, a former program of Milestones Day School. She then spent several years at the Aspire Program (a Mass General for Children program; formerly YouthCare) where she founded an array of social, life and career skill development programs for teens and young adults with Asperger’s Syndrome and related profiles. Also, she worked at the Northeast Arc as Program Director for the Spotlight Program, a drama-based social pragmatics program, serving youth with a wide range of diagnoses and collaborating with several school districts to design in-house social skill and transition programs.

Ms. Challen received her Master’s Degree and Certificate of Advanced Graduate Study in Risk and Prevention Counseling from the Harvard University Graduate School of Education. While training and obtaining certification as a school guidance counselor, she completed her practicum work at Boston Latin School focusing on competitive college counseling.

Ms. Challen has worked on multiple committees involved in the Massachusetts DESE IEP Improvement Project, served as a Mentor for the Transition Leadership Program at UMass Boston, participated as a member of B-SET Boston Workforce Development Task Force, been an ongoing member of the Program Committee for the Association for Autism and Neurodiversity (AANE), and is a member of the New Hampshire Transition State Community of Practice (COP).

She is also co-author of the chapter, “Technologies to Support Interventions for Social-Emotional Intelligence, Self-Awareness, Personality Style, and Self-Regulation,” for the book Technology Tools for Students with Autism: Innovations that Enhance Independence and Learning.

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

NESCA is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Plainville, and Hingham, Massachusetts; Londonderry, New Hampshire; the greater Burlington, Vermont region; and Brooklyn, NY (coaching services only) serving clients from infancy through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

Summer Planning for Teenagers

By | NESCA Notes 2024

By: Kelley Challen, Ed.M., CAS
Director of Transition Services, NESCA

March is an incredibly busy time in my household. Three out of four of our family members celebrate birthdays, winter sports turn into playoffs, and school events seem to pop up every week. March is also the time when we finalize our “summer camp plan” and manage lengthy online registration processes. If you have a teenager in the household, particularly a teen with a disability, you may also be thinking about summer and feeling particular pressure to “make the most” of the time while your child is still in high school. In case you are still scrambling for your own summer plan, I wanted to offer up several activities that are worth considering as part of your teen’s summer plan.

Get a paid summer job! Time and time again, research indicates that individuals who have paid employment in high school are more successful college students and more successful in obtaining employment as adults. If your child is college bound, having a paid work experience among their high school activities is a huge boost to their college applications. And, if not, paid work experiences teach soft skills for employment, help students figure out more about their career interests and preferences, and help to build meaningful resumes. Being able to do work that meets someone else’s standards is a vital life skill, and summer is an optimal time to build that skill.

Gain overnight experience. Students who plan to go to college but have never spent a night away from home need to know how they are going to handle that experience. There are all sorts of summer programs where students can spend time overnight, away from home, among peers. Overnight programs vary in length. Students who are just venturing out for the first time may feel most comfortable in a program that lasts a week or less, whereas other students may want a 3-week or 6-week experience. For college-bound students, I often recommend taking advantage of programs that happen right on college campuses in dorms. But there are also great programs outdoors or even travel programs in the United States or overseas. Knowing that you can spend the night away from family (and knowing what it’s like to “live” among a whole group of young people) is often a critical step in setting post-high school goals.

Use the time to build new executive functioning or emotional regulation skills. Students who struggle with executive functioning or emotional regulation often need coaching or therapy during the school year, just to keep up with school activities. However, students and families often reach out for these resources because they are already in crisis. A student will seek out an executive function coach when a student is already behind with assigned work or grades. Families often seek out therapy when an emotional crisis has occurred. School provides a number of executive functioning and emotional demands, so it can be hard for a coach or therapist to build new skills with a student while the student is also meeting those demands. Summer can be an optimal time to work more intensively to build new skills, strategies, and systems because it is a time when other demands are reduced. If your teen has a therapist, tutor, executive function coach, social pragmatic coach, or other support person who is helping them to tread water during the school year, it’s definitely worth asking whether intensive services over the summer might help the student to build skills that will last long-term and help the student be better prepared for the following school year.

Summer can also be a great time to tackle time-consuming activities, like completing the college application, drafting a college essay or two, cleaning out a bedroom or reorganizing study space, or building a new life skill, like driving, cooking, or mastering a laundry routine.

March is a great time to take stock of what your teenager wants to do after high school, what challenges might impede them smoothly transitioning to those activities, and thinking about how summer might be the perfect time to eliminate some of those challenges!

NESCA offers many services designed to help students bridge the transition from high school to college, work, and more independent adult life. Such services include executive function coaching, pre-college coaching, transition planning, and neuropsychological evaluation. To learn more specifically about our coaching services, visit: https://nesca-newton.com/coaching-services/. NESCA also offers postsecondary transition consultation to families who want support identifying the most meaningful ways for their student to spend the summer: https://nesca-newton.com/transition/#planning. To schedule an appointment with one of our expert clinicians or coaches, please complete our intake at: https://nesca-newton.com/intake/.

 

 

About the Author
Kelley Challen, Ed.M., CAS, is an expert transition specialist and national speaker who has been engaged in evaluation, development, and direction of transition-focused programming for teenagers and young adults with a wide array of developmental and learning abilities since 2004. While Ms. Challen has special expertise in working with youth with autism, she enjoys working with students with a range of cognitive, learning, communication, social, emotional and/or behavioral needs.

Ms. Challen joined NESCA as Director of Transition Services in 2013. She believes that the transition to postsecondary adulthood activities such as learning, living, and working is an ongoing process–and that there is no age too early or too late to begin planning. Moreover, any transition plan should be person-centered, individualized and include steps beyond the completion of secondary school.

Through her role at NESCA, Ms. Challen provides a wide array of services including individualized transition assessment, planning, consultation, training, and program development services, as well as pre-college coaching. She is particularly skilled in providing transition assessment and consultation aimed at determining optimal timing for a student’s transition to college, technical training, adult learning, and/or employment as well as identifying and developing appropriate programs and services necessary for minimizing critical skill gaps.

Ms. Challen is one of the only professionals in New England who specializes in assisting families in selecting or developing programming as a steppingstone between special education and college participation and has a unique understanding of local postgraduate, pre-college, college support, college transition, postsecondary transition, and 18-22 programs. She is additionally familiar with a great number of approved high school and postsecondary special education placements for students from Massachusetts including public, collaborative, and private programs.

Ms. Challen enjoys the creative and collaborative problem-solving process necessary for successfully transitioning students with complex profiles toward independent adulthood. As such, she is regularly engaged in IEP Team Meetings, program consultations, and case management or student coaching as part of individualized post-12th grade programming. Moreover, she continually works to enhance and expand NESCA’s service offerings in order to meet the growing needs of the families, schools and communities we serve.

When appropriate, Ms. Challen has additionally provided expert witness testimony for families and school districts engaged in due process hearings or engaged in legal proceedings centering on transition assessment, services and/or programming—locally and nationally.

Nearly two decades ago, Ms. Challen began her work with youth with special needs working as a counselor for children and adolescents at Camp Good Times, a former program of Milestones Day School. She then spent several years at the Aspire Program (a Mass General for Children program; formerly YouthCare) where she founded an array of social, life and career skill development programs for teens and young adults with Asperger’s Syndrome and related profiles. Also, she worked at the Northeast Arc as Program Director for the Spotlight Program, a drama-based social pragmatics program, serving youth with a wide range of diagnoses and collaborating with several school districts to design in-house social skill and transition programs.

Ms. Challen received her Master’s Degree and Certificate of Advanced Graduate Study in Risk and Prevention Counseling from the Harvard University Graduate School of Education. While training and obtaining certification as a school guidance counselor, she completed her practicum work at Boston Latin School focusing on competitive college counseling.

Ms. Challen has worked on multiple committees involved in the Massachusetts DESE IEP Improvement Project, served as a Mentor for the Transition Leadership Program at UMass Boston, participated as a member of B-SET Boston Workforce Development Task Force, been an ongoing member of the Program Committee for the Association for Autism and Neurodiversity (AANE), and is a member of the New Hampshire Transition State Community of Practice (COP).

She is also co-author of the chapter, “Technologies to Support Interventions for Social-Emotional Intelligence, Self-Awareness, Personality Style, and Self-Regulation,” for the book Technology Tools for Students with Autism: Innovations that Enhance Independence and Learning.

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

NESCA is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Plainville, and Hingham, Massachusetts; Londonderry, New Hampshire; the greater Burlington, Vermont region; and Brooklyn, NY (coaching services only) serving clients from infancy through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

Technology Tools to Boost Your Productivity Part 2

By | NESCA Notes 2024

By: Lyndsay Wood, OTD, OTR/L
NESCA Executive Function and Real-life Skills Program Manager

As winter envelops us in its chilly embrace, it’s easy to feel the drag on our productivity. The cold, dark days can sap our motivation, making it challenging to tackle our to-do lists. But fear not! In this second part of our series on technology tools to enhance productivity, we’ll explore five more applications designed to support you through the winter slump.

Before diving into these tools, remember to be kind to yourself. It’s normal to experience dips in productivity, especially during the winter months. These apps are here to provide an extra boost for those who may need it.

  1. Finch: Finch is a self-care app used to build healthy habits and routines. Within this app you will be given a virtual pet bird. As you set, meet, and reach your goals, you will boost your pet’s energy so that it is able to go out on adventures. You will earn coins to buy your pet new outfits, home décor, and flights to new destinations. This app helps gamify the process of building healthy habits by creating fun incentives to get your tasks done.
  2. Forest App: Spending too much time on your phone or computer can contribute to feelings of lethargy and distraction, especially during the winter months. Forest is a clever app that encourages you to put down your device and focus on what’s important. Simply set a timer, plant a virtual tree, and watch it grow while you work. If you succumb to the temptation of checking your phone or browsing the web, your tree will wither and die. With Forest, you can cultivate healthier digital habits and reclaim your productivity.
  3. Cozi: Cozi is a family organizer app designed to streamline your household routines. From managing schedules and appointments to coordinating grocery lists and meal plans, Cozi helps keep your family on track during the hectic winter months. With shared calendars and reminders, everyone stays in sync, reducing stress and ensuring that nothing falls through the cracks.
  4. Streaks: Forming good habits is essential for maintaining productivity, especially when the days are short and the nights are long. Streaks is a habit-tracking app that helps you establish and maintain positive routines. Whether you want to exercise more, drink more water, or practice mindfulness, Streaks makes it easy to track your progress and stay motivated. Streaks empowers you to build habits that stick, even when the winter weather tempts you to hibernate.
  5. Headspace: Taking care of your mental well-being is crucial, especially during the darker days of winter. Headspace is a meditation app that offers guided mindfulness exercises to help you reduce stress, improve focus, and cultivate a sense of calm. Whether you’re struggling with seasonal affective disorder or simply feeling overwhelmed by winter blues, Headspace can provide the support you need to prioritize your mental health and boost your productivity.

The winter months can be challenging, but with the right technology tools at your disposal, you can stay focused, organized, and productive. Whether you’re building healthy habits and routines, reducing screen time, coordinating family schedules, or prioritizing mental health, these apps are here to support you every step of the way. So don’t let the winter blues hold you back—embrace the power of technology and conquer your to-do list!

 

About Lyndsay Wood, OTD, OTR/L

Lyndsay Wood, OTD, OTR/L, Vermont-based Executive Function and Real-life Skills Program Manager, is an occupational therapist who focuses on helping students and young adults with disabilities to build meaningful skills in order to reach their goals. She has spent the majority of her career working in a private school for students with ASD. She has also spent some time working in an inpatient mental health setting. Lyndsay uses occupation-based interventions and strategies to develop life skills, executive functioning, and emotional regulation. While completely her doctoral degree at MGH Institute of Health Professions, Lyndsay worked with the Boston Center for Independent Living to evaluate transition age services. She uses the results from her research to deliver services in a way that is most beneficial for clients. Specifically, she focuses on hands-on, occupation-based learning that is tailored the client’s goals and interests.

Dr. Wood accepts Vermont- and Massachusetts-based transition and occupational therapy assessments. Her in-home and community-based coaching services are available in the greater Burlington, Vermont area. Dr. Wood can accept virtual coaching clients from both Massachusetts and Vermont.

 

To book coaching and transition services at NESCA, complete NESCA’s online intake form

 

NESCA is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Plainville, and Hingham, Massachusetts; Londonderry, New Hampshire; the greater Burlington, Vermont region; and Brooklyn, New York (coaching services only) serving clients from infancy through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

Why is it so hard to develop Executive Function skills for college as a high school student?

By | NESCA Notes 2024

By: Kelley Challen, Ed.M., CAS
Director of Transition Services, NESCA

Students with disabilities often have challenges with executive function skills. These may include difficulties with organization, planning and prioritization, time management, task initiation, attention and effort, working memory, self-regulation, self-monitoring, and mental flexibility. Being successful as a college student often depends on using and integrating these skills. Therefore, it’s no surprise that most of the IEPs I read when working with teenage and young adult students have goals or objectives aimed at remediating executive function (EF) skills. However, many students on IEPs have these “EF” goals for years and still don’t effectively develop the skills they need to successfully manage executive functioning tasks as college students.

One of the reasons for the remaining skill gap when students matriculate to college is because high school student responsibilities are pretty radically different from college student responsibilities. While research indicates that individuals can continue developing executive function skills throughout the lifespan, this requires a very particular set of activities. Executive function skills develop through a combination of direct instruction and opportunities to practice using the learned skills with and without support. But there often are not opportunities for practicing the skills needed for college as a high school student.

Below is a list of executive function supports that exist in high school, but often disappear in college:

  • Classes are small and always taught by teachers
  • Class material is centralized in books or on the board in the classroom
  • Time is structured by the school
  • Students are told what they need to learn from homework
  • Students are reminded of assignments and due dates
  • Completed homework is checked by teachers
  • Reading is discussed in classes
  • Studying is limited to a few hours per week
  • Testing is frequent and covers small amounts of material
  • Teachers approach students who need help
  • Schools are required to find students with disabilities who need specialized instruction and accommodations
  • Parents and teachers will remind students of their responsibilities
  • Parents and teachers will help to set priorities (or simply set them for the student)
  • Parents and teachers will correct students when behavior is unexpected

In college, students may have large classes taught by other students or experts in their fields who aren’t experts on teaching. They have to use syllabi, manage their own schedules (with large swaths of unscheduled time), integrate academic materials from a wide range of sources, and self-direct long hours of reading and studying. They also have to be responsible for advocating for themselves, knowing when they need help, and knowing what they are responsible for (academically, socially, and in their dorms) and getting those things done without parent and teacher reminders. For students who have strengths with executive functioning, often the transition to college still presents a steep learning curve. But for those who have vulnerabilities in these areas, it can be critical to recognize that the gaps are large between these two learning environments, and sometimes additional support and instruction is necessary while students are taking college classes. Some students will still need to build effective academic and executive function skills, and practice and master those executive function skills, while they are in college and managing this new set of demands.

NESCA offers many services designed to help students bridge the transition from high school to college, including executive function coaching, pre-college coaching, transition planning, and neuropsychological evaluation. To learn more specifically about our coaching services, visit: https://nesca-newton.com/coaching-services/ . To schedule an appointment with one of our expert clinicians or coaches, please complete our intake at: https://nesca-newton.com/intake/ .

Reference:

Many of the bulleted items of executive function supports that exist in high school are adapted from this high school versus college comparison by King’s College: https://www.kings.edu/admissions/high_school_vs_college

 

About the Author
Kelley Challen, Ed.M., CAS, is an expert transition specialist and national speaker who has been engaged in evaluation, development, and direction of transition-focused programming for teenagers and young adults with a wide array of developmental and learning abilities since 2004. While Ms. Challen has special expertise in working with youth with autism, she enjoys working with students with a range of cognitive, learning, communication, social, emotional and/or behavioral needs.

Ms. Challen joined NESCA as Director of Transition Services in 2013. She believes that the transition to postsecondary adulthood activities such as learning, living, and working is an ongoing process–and that there is no age too early or too late to begin planning. Moreover, any transition plan should be person-centered, individualized and include steps beyond the completion of secondary school.

Through her role at NESCA, Ms. Challen provides a wide array of services including individualized transition assessment, planning, consultation, training, and program development services, as well as pre-college coaching. She is particularly skilled in providing transition assessment and consultation aimed at determining optimal timing for a student’s transition to college, technical training, adult learning, and/or employment as well as identifying and developing appropriate programs and services necessary for minimizing critical skill gaps.

Ms. Challen is one of the only professionals in New England who specializes in assisting families in selecting or developing programming as a steppingstone between special education and college participation and has a unique understanding of local postgraduate, pre-college, college support, college transition, postsecondary transition, and 18-22 programs. She is additionally familiar with a great number of approved high school and postsecondary special education placements for students from Massachusetts including public, collaborative, and private programs.

Ms. Challen enjoys the creative and collaborative problem-solving process necessary for successfully transitioning students with complex profiles toward independent adulthood. As such, she is regularly engaged in IEP Team Meetings, program consultations, and case management or student coaching as part of individualized post-12th grade programming. Moreover, she continually works to enhance and expand NESCA’s service offerings in order to meet the growing needs of the families, schools and communities we serve.

When appropriate, Ms. Challen has additionally provided expert witness testimony for families and school districts engaged in due process hearings or engaged in legal proceedings centering on transition assessment, services and/or programming—locally and nationally.

Nearly two decades ago, Ms. Challen began her work with youth with special needs working as a counselor for children and adolescents at Camp Good Times, a former program of Milestones Day School. She then spent several years at the Aspire Program (a Mass General for Children program; formerly YouthCare) where she founded an array of social, life and career skill development programs for teens and young adults with Asperger’s Syndrome and related profiles. Also, she worked at the Northeast Arc as Program Director for the Spotlight Program, a drama-based social pragmatics program, serving youth with a wide range of diagnoses and collaborating with several school districts to design in-house social skill and transition programs.

Ms. Challen received her Master’s Degree and Certificate of Advanced Graduate Study in Risk and Prevention Counseling from the Harvard University Graduate School of Education. While training and obtaining certification as a school guidance counselor, she completed her practicum work at Boston Latin School focusing on competitive college counseling.

Ms. Challen has worked on multiple committees involved in the Massachusetts DESE IEP Improvement Project, served as a Mentor for the Transition Leadership Program at UMass Boston, participated as a member of B-SET Boston Workforce Development Task Force, been an ongoing member of the Program Committee for the Association for Autism and Neurodiversity (AANE), and is a member of the New Hampshire Transition State Community of Practice (COP).

She is also co-author of the chapter, “Technologies to Support Interventions for Social-Emotional Intelligence, Self-Awareness, Personality Style, and Self-Regulation,” for the book Technology Tools for Students with Autism: Innovations that Enhance Independence and Learning.

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

NESCA is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Plainville, and Hingham, Massachusetts; Londonderry, New Hampshire; the greater Burlington, Vermont region; and Brooklyn, NY (coaching services only) serving clients from infancy through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

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