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“Healing Autism: No Finer a Cause on the Planet”

February 25, 2002        News Archive Search  www.feat.org/search/news.asp

EDUCATION

·        Parents Worry Children Will Suffer If Special Education Is Reformed

·        Dispute Over Son’s Ed Placement Brings New Fight For Mom

·        Special Ed Decisions Raise Racial Imbalance

·        All Autistics Under Six To Get Treatment

 

AWARENESS

·        Dealing With Autism—Every Day

 

CARE

·        Driver Fired After 4-Year-Old Leaves Bus, Walks Into Store

 

PUBLIC HEALTH

·        MMR: Scare-Mongering?

·        After Shaky Start, London Bridge Reopens

 

TREATMENT

·        New Tool Fosters Early Recognition, Better Dx and Rx of Bipolar

Disorder

[By Kristen Mack in HoustonChronicle.com.]

URL: http://www.chron.com/cs/CDA/story.hts/front/1269084

Zachary Petersen would bang his head against the wall and pull the cat’s hair out with his teeth.

At age 3, he was diagnosed with a form of autism that made him eligible for a special-education program for preschoolers. His progress over the next two years was dramatic.

The most tangible evidence was two months ago, when he performed in the school Christmas play. He has done so well that in January, officials at his preschool moved him into regular classes.

“It’s a godsend,” says his mother, Teresa Petersen.

But talk of reform in Washington, D.C., has the Brazoria woman worried

whether Zachary’s development will be affected when the special-education law comes before Congress for reauthorization later this year. She plans to attend meetings of President Bush’s commission on special education that convenes in Houston this week.

Since the U.S. government ordered schools to provide special education in 1975, the number of students has more than doubled, to about 6.5 million, as the number of eligible conditions has expanded. This expansion has helped countless children, including Zachary, who would not have qualified under the original federal guidelines.

But many educators now want either to scale back on services or get the government to contribute more toward paying for them.

Disabilities covered under the law range from speech impediments to severe mental retardation. Over the years, the federal definition has broadened to include attention deficit disorder, autism and traumatic brain injury.

That accounts for only part of the growth, however. Educators say many kids are put in special education simply because they cannot read.

U.S. Secretary of Education Rod Paige is among many calling for reform of the Individuals with Disabilities Education Act, or IDEA, which covers special education.

“Not only does it hurt those children who are misidentified, it also reduces the resources available to serve children with disabilities,” said Paige, who will be in Houston for some of the hearings, which will be held Monday through Wednesday at the Warwick Hotel.

“We also need to look carefully at the disproportionate enrollment of minority kids.”

Of particular concern are disparities in certain categories, like the emotionally disturbed, which carry a greater stigma, according to a study commissioned by The National Academies and released in January.

For example, 2.6 percent of black students have been identified as mentally retarded, compared with 1.2 percent of white students, the study found. And roughly 1.5 percent of black students are labeled as emotionally disturbed, compared with 0.9 percent of whites.

Experts say schools need to consider the differences in learning styles and behavior of minority children. They also want to address the push by some schools to move children who don’t perform well out of regular classes.

In general, special-education students—including those with severe physical disabilities—are about twice as costly to educate as other students.

Last year, lawmakers stripped from their education bill a proposal to boost funding for special education by $172 billion over 10 years. They said the program needed to be reformed before more money is put into it.

The additional money would have fulfilled a 27-year-old promise by Congress to fund at least 40 percent of the cost of special-education programs. Congress pays only about 15 percent, leading some lawmakers to refer to the program as the “granddaddy of unfunded mandates.”

In the Houston Independent School District, the federal portion of special-education funding is 13.75 percent, forcing the district to come up with 39.6 percent, through property taxes. State funding covers the rest.

Roughly 10 percent of HISD’s students, about 22,000 children, are enrolled in special education. That is in line with national averages. The district spends about $80 million annually on personnel—teacher aides, transportation attendants, therapists—and an additional $1.7 million on materials and supplies.

“I don’t think we’re going to get there,” Carolyn Guess, HISD’s assistant superintendent for special-education services, said of the promised federal share. “Even if we don’t get full funding, we need to look at additional sources.”

Educators say that as well-intentioned as IDEA is, it has become unwieldy. The paperwork is so massive, they say, that teachers often have little time to teach.

Schools also are required to create the “least restrictive environment” for students, which leads districts to spend thousands of dollars on occupational therapists, Braille machines and specialized adaptations to desks and tables.

“We shouldn’t have to make choices like, ‘Do I buy a $60,000 piece of equipment or 600 books for other kids in the school?’ “ said Gary Lenley, a special-education administrator in New Caney, who taught special education for 22 years.

“No one wants to make those decisions. The school district has to deal with all of (the children). The parents just deal with one.”

Administrators also complain about a procedural loophole that they say allows parents to circumvent them.

Schools are required to set annual goals for special-education students, sometimes as seemingly simplistic as learning to string beads or tie their shoes. But when parents disagree with these goals, they can go to the Texas Education Agency to challenge them.

Because parents are not required to discuss the situation with them first, administrators say they are often blindsided when they are called to a TEA hearing or mediation.

“Special education was born on the premise of being adversarial,” Guess said. “Because these kids were originally excluded, parents had to fight to get an education for kids.”

These hearings can cost $80,000 to $100,000 each, Guess said.

“Schools are fearful of doing anything wrong, lest they violate the

law,” said Christopher Borreca, an attorney who represents HISD in these hearings.

“Parents fall victim to the formality of the law. It’s counterintuitive to the nurturing relationship children should have.”

Learning the lingo alone can be intimidating for parents. Experts familiar with the law toss around such acronyms as BIP (for Behavioral Intervention Plan), ARD (Admission, Review, Dismissal) and IEP (Individual Education Plans).

“Parents get overwhelmed by the system,” said Petersen, Zachary’s mom.

“There are rules on what to do and how to do it. It’s daunting.” In the early days, all Petersen knew for sure was that rearing her son would be a challenge.

From a young age, he would mimic people’s behaviors to the point of adopting their personalities, and often pace back and forth.

“I couldn’t console him,” she recalled. “I started realizing there was something fragile about my son that I didn’t understand.”

She knew they needed professional help. A couple of years ago, Zachary was diagnosed with “Pervasive Developmental Disorder—not otherwise specified.”

As vague as that sounds, Petersen knew the problem was real.

Zachary’s disorder makes him sensitive to touch and sound. When

everything within a three-block radius sounds the same, there is no such thing as background noise. Even light touches feel like an attack.

Because special education is available from age 3 to 21, Petersen enrolled her son in a preschool program at the local public school. Zachary received therapy and soon was allowing his mother to comb his hair or give him a hug.

“The messages they receive are slower and less clear,” Sue Zapf, the child’s occupational therapist, said of people who suffer from his disorder.  “They are in a different world than we are.”

Using therapy that seems more like play—swinging on his stomach while reaching for Beanie Babies, for instance, or crawling through a tube or jumping into a pen of balls—helps him process where his body is in relation to other things.

Under the initial federal requirements of special education, he would not have been eligible to receive any of this help.

Petersen is wary of what federal reform might mean for her child.

“He’s headed for full inclusion,” she said, “but he’s also headed for

a crack in the system.”

She worries that even though Zachary is doing well enough academically to be placed in a regular classroom, he could be kicked out of school if he acts up too much. She worries that a regular teacher would not understand that his behavior is a byproduct of his disability.

“I know there are going to be some battles,” she said.

 

 

 

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* * *

 

Dispute Over Son’s Ed Placement Brings New Fight For Mom

Suit contests restricting special-ed issues to state lawyers

[By Linda Conner Lambeck.]

http://www.connpost.com/Stories/0,1002,3750%257E419994,00.html

A Connecticut mom fighting for what she considers to be the best placement for her autistic son now finds herself battling the state as well over a new rule that bars her son from being represented by the attorney of her choice.

“If you commit a murder, you can hire a lawyer that comes from anyplace. But if you’re disabled and need a school placement you have to take who they say? That’s not right,” said Mary Ann Lombardi, who, along with New York City attorney Gary S. Mayerson, recently filed a lawsuit in U.S. District Court in Bridgeport.

The lawsuit accuses the state’s 10 special education hearing officers of “hijacking” the due-process system they oversee without any legal authority to do so. It asks the court to grant a permanent injunction against the Connecticut-attorney-only rule.

Officers are appointed by the state to hear special education cases in which parents and school districts cannot agree on a student’s educational placement. About 200 requests are made for such due process hearings each year and about 30 are heard.

Last September, the hearing officers met and adopted a rule that bars anyone who is not a practicing Connecticut attorney from representing anyone at one of their hearings.

A notice the hearing officers sent to parents involved in due process hearings cites a recent Delaware Supreme Court ruling that while special education parents can hire a non-attorney advocate, that person can’t perform tasks typically performed by an attorney. The notice maintains the state Supreme Court would likely rule the same way.

While in most state Superior Court proceedings, out-of-state attorneys can get special permission to represent clients, no such mechanism exists for due process hearings.

Mark Stapleton, chief of legal and governmental affairs for the state Department of Education—whose office selects, trains and assigns hearing officers—called the situation a “gray area” that he’s looking into.

“I know [the hearing officers] had a problem with non-attorneys representing parents, but we’re going to have a conversation with them and hopefully weigh in on this,” Stapleton said.

Attorney General Richard Blumenthal’s office also is examining the matter.

Committees of the Connecticut Bar Association, which met in January, chose not to render an opinion in the case.

The lawsuit charges the new rule is in direct conflict with the federal Individuals with Disabilities Education Act, which guarantees due process hearing participants the right to counsel and individuals who can help them.

The suit also contends hearing officers do not have the power to take any collective action. The action they took belongs in the hands of the Legislature, the suit said.

The hearing for Lombardi’s 10-year-old son, Gianni, meanwhile, is ongoing. He remains in a segregated classroom in Wilton public schools.

Severely autistic, Gianni became so violent last year he had to be hospitalized for five weeks until his medication could be stabilized.

Eventually, he returned to school, but his parents say it’s been a bumpy road.

Gianni still exhibits some highly aggressive behaviors and needs support during his every waking hour, his mother said. She wants her son in a residential placement where he can receive the structure he needs. Wilton school officials want to keep the student in the district.

Lombardi said when the matter was referred to a due process hearing she hired Mayerson because he specializes in defending children diagnosed with autism spectrum disorders. He has testified before Congress on the subject, written guides for parents and has successfully represented children all over the country and in Connecticut.

But hearing officer Christine Spak barred her attorney from speaking at a hearing last fall in Middletown.

Lombardi said she had to hire a Norwalk attorney to sit by Mayerson’s side and do his talking for him. She called the situation silly and awkward.  The lawsuit said it has “poisoned” the proceeding by creating an atmosphere of daily contentiousness and confrontation with the hearing officer.

It’s also adding expense to the Wilton due process proceeding, which is expected to drag on until April.

Neither Spak nor Lawrence Campane, the attorney representing Wilton, could be reached for comment.

Some state officials have suggested privately, however, that Mayerson could correct the situation by simply taking and passing the Connecticut bar.

“If he does this much work in the state, why doesn’t he,” said one state education official who asked not to be named.

 

 

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* * *

 

Special Ed Decisions Raise Racial Imbalance

By Bill Hirschman

http://www.sun-sentinel.com/news/local/southflorida/sfl-ese0224.story Sun-Sentinel: News Local “What persists is the stinging shame. Despite graduating with honors from Suncoast High School, even after earning a master’s degree in electrical engineering, Cleon Davis still recalls being labeled severely learning disabled for four years of elementary school.”...many are intimidated by the educational bureaucracy, say parents of ESE students. Low-income parents may lack the confidence to challenge the judgment of **special education** professionals. “If I hadn’t stood up for my son, they would have just sucked him down the drain,” Debra Robinson said. ...

* * *

 

All Autistics Under Six To Get Treatment

Promise made by lawyer for attorney-general

http://www.canada.com/vancouver/news/story.asp?id={CD5F10F0-0015-4124-8A36-4

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Kim Pemberton

Vancouver Sun

February 22, 2002

All autistic children in B.C. under the age of six will get treatment by the end of the year, a lawyer for the attorney-general’s ministry promised Thursday. But while the government is willing to provide early intervention services it doesn’t believe the courts have the right to mandate such treatment, Lisa Mrozinski said… the province is appealing a ruling by B.C.  Supreme Court Justice Marion Allan that the government is required to provide treatment for autistic children.

 

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AWARENESS

Dealing With Autism—Every Day

http://www.cnn.com/2002/HEALTH/parenting/02/24/life.with.autism.ap/index.htm

l

CNN.com February 24, 2002

“Alex wasn’t like his brother, Willy. When Willy was 2 years old, he was talking, and talking a lot; when Alex was 2 years old, he ... wasn’t.”

Matching text:

 

 

CARE

Driver Fired After 4-Year-Old Leaves Bus, Walks Into Store http://www.columbiatribune.com/2002/Feb/20020223News022.asp ...of the driver, who had no previous mishap during her tenure. Thirty-five to 40 children, 3 to 5 years old, ride buses to attend special education preschool programs...

State’s Cuts Squeeze Out Group Homes For Disabled http://www.chicagotribune.com/news/local/chi-0202230175feb23.story Chicago Tribune As Illinois continues to cut payments to group homes for the developmentally disabled, a company that runs 20 of the homes said it can no longer afford to operate here, leaving dozens of residents and their families wondering about their futures.” ...eight people with disabilities live in each home, with 24-hour supervision. “We have no idea what’s going to happen,” said Cheryl Kinsinger, whose autistic son Lance, 26, lives at one of the homes run by Dungarvin. “But some of these people have no family...

PUBLIC HEALTH

MMR: Scare-Mongering?

[In Private Eye. Not yet available online. Thanks to John Fletcher.]

When, 16 months ago, an “incalculably small risk” was identified in a polio vaccine derived from potentially “mad” British cows, the government withdrew it from the market. At the time chief medical officer Sir Liam Donaldson said: “Public confidence in medicine safety is paramount. We have to approach this from a precautionary principle...”

With public confidence in the MMR triple vaccine now at a critical low and with new research showing there might be a risk, one might have expected similar caution to apply. Even if the government didn’t bow to pressure to withdraw the triple jab, it might have been sympathetic to the overwhelming wish of parents to be offered the choice of single vaccines instead. But no.  Donaldson, along with ministers and other government health advisers, went on a bullyboy offensive instead, accusing those who express doubt or concern of “scare-mongering” and “playing Russian roulette” with children’s lives.

In fact it is the latest research in the MMR-autism controversy - a study that shows the unexplained presence of the measles virus in the guts of vaccinated children who have both serious gut and bowel disease and autism - which has alarmed parents.

The study comes from Dublin-based Prof John O’Leary, and a team including Andrew Wakefield, the gastro-enterologist at the centre of the MMR-autism furore. Again, it does not prove a link and the scientists behind the paper are not claiming that it does. But it does raise serious questions.

What is the virus doing in children who have received either the MMR vaccine or another vaccine containing measles? Everyone knows how potentially damaging measles can be, so is it responsible for the rare gut disease from which they all suffer? Could that in turn trigger autism? Or is it a case of children who are prone to develop autism and gut disease have immune systems which render their bodies unable to properly deal with the measles virus, either from the vaccine or the wild?

These questions need serious investigation. But Sir Liam’s response was to say the paper is “riddled with flaws”. Really? The paper has been fully peer-reviewed and the researchers offered their raw data for scrutiny.

One criticism has been that the team did not do DNA sequencing to find out if the measles virus came from vaccine or the wild. But it would be an amazing coincidence if all the children from different parts of the country had contracted wild measles, when we have relatively few outbreaks. That in any case would raise questions about the efficacy of the jab - something the government might also want to investigate.

Instead, Tony Blair and Co tell parents there is nothing to worry about and the vaccine is safe. But there are hundreds of intelligent and resourceful parents, many of whom have read far more scientific papers on vaccines than any politician, who are convinced their children have been horrifically damaged by the triple vaccine.

They have access to the web and circulate critiques of the latest research almost as soon as it is published. They are not scare-mongering zealots who want to “see a return to the dark ages”, but their children do share a rare combination of conditions that they appeared to develop after receiving MMR. That may eventually prove to be coincidental; but so far nothing the government has said - and none of the studies it has cited as proof that there is no link - has changed their minds. (Indeed, the Institute of Medicine in the US has already conceded that in rare cases there just might be a link.)

Nor did an epidemiological study released last week - the latest from Prof Brent Taylor, head of child health at the Royal Free Hospital in London, and described by Dr David Salisbury, government head of immunology, as a “clean and elegant piece of work” - reassure parents. This study looked at the case papers of 473 children with autism born between 1979 and 1998 and found that the percentage of children who developed regressional autism was no higher before the introduction of MMR in 1988 than it was afterwards.  Nor was there any difference in the frequency of autistic or bowel problems in children who had MMR before their parents became concerned about their development and those who had MMR afterwards or did not have it.

This paper - unlike the O’Leary paper - shows little raw data. It does not show the distribution of the children by year of birth and deals only in percentages, which makes it difficult to interpret because no idea is given of how many children are being dealt with in each year. On the face of it the research shows a straight line for autism and bowel disease across the 20-year period - but we know both have risen dramatically. It is most likely that Taylor has very few children in the early year groups and many more later.

Neither does the paper reveal how many in each group had MMR or what criteria Taylor has used to decide “regressional” autism as against “classic” autism (when the oldest children in his group were diagnosed as autistic, it was a good 15 years before a new variant regressive type had even been identified).

Prof Taylor claimed last week that this paper “should be close to the end game” for the MMR-autism hypothesis, and that MMR has the safest profile of any vaccine. Yet MMR accounts for the largest claims in the US for vaccine damage compensation. Interestingly, to fund this relatively generous scheme (compensation bill to date: US$1.3billion) the vaccine manufacturers pay a tax per vaccine into the communal pot on a sliding scale of risk. MMR was assessed in second place to DPT (diphtheria, whooping cough and tetanus), attracting a tax of US$4.44 per dose compared to just 29 cents for polio, for example. One recognised category for compensation is vaccine-induced measles.

It is no longer enough simply to say that millions of doses have been used in 90 countries as evidence of safety. As Eye readers will recall, early MMR had to be withdrawn after it caused mumps-related meningitis around the world. Other countries, including Finland, Sweden and in particular the US, have recorded unexplained hikes in autism rates. On the other side of the coin, Japan does not use MMR and does experience high rates of measles-related deaths. 17 last year. It, unfortunately, does not record autism rates.

No one in Britain wants to see a re-emergence of measles. But people do want to know why autism rates are growing; and for faith to be restored in our vaccination programme, MMR has to be ruled in or out - or at least an honest assessment has to be made of the relative risks. That requires open research and debate and the choice of single vaccines for parents.

* * *

 

After Shaky Start, London Bridge Reopens http://www.washingtonpost.com/wp-dyn/articles/A55455-2002Feb23.html washingtonpost.com)

…refusing to have their babies inoculated with the standard measles, mumps and rubella vaccine, because of a single doctor’s speculation that it might cause autism. Britain’s Health Ministry has warned that the country faces a potential epidemic of measles as a result. It was that same skeptical mood that...

TREATMENT

New Tool Fosters Early Recognition, Better Dx and Rx of Bipolar Disorder An Often Misdiagnosed Illness http://www.prnewswire.com/cgi-bin/stories.pl?ACCT=104&STORY=/www/story/02-22 -2002/0001674364&EDATE= Bipolar Disorder Kit Available Free From The National Depressive and Manic-Depressive Association… Seven out of 10 people with bipolardisorder (often known as manic depression) receive at least one misdiagnosis,and the average length of time from onset of symptoms to correct diagnosis is10 years.  Delayed diagnosis or misdiagnosis for people with bipolar disordercontributes to 50 percent of this group abusing alcohol or drugs at some pointin their lives.

 

 

 

APRIL 21, 2002 - 12 Noon to 5pm

THIRD NATIONAL AUTISM AWARENESS RALLY:

“The Power of ONE! I.D.E.A.”

FREE and OPEN TO THE PUBLIC

www.unlockingautism.org

 

Lenny Schafer, Editor@feat.org    CALENDAR EVENTS@feat.org Michelle Guppy

Catherine Johnson PhD    Ron Sleith    Kay Stammers    Edward Decelie

UNSUBSCRIBE: FEATNews-signoff-request@LIST.FEAT.ORG

 

ALL INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR LEGAL ADVICE.  THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.