Helpline: 1‑267‑338‑4262 | helpline@genetic.org
AXYS - The Association for X&Y Chromosome Variations
Helpline: 1‑267‑338‑4262 | info@genetic.org

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How AXYS accomplishes our mission: introducing the 2019 AXYS Committees

Much of the work AXYS does is handled by our committees.  The AXYS Executive Committee:
Gary Glissman (Chair)
Larry Rakowski (Vice-chair)
Erin Frith (Secretary)
Myra Byrd (Past-chair)

serves as the main body responsible for fiscal oversight, governance and nominations. They meet monthly and email frequently. We’re grateful for their hard work and dedication that furthers our mission every day.

The AXYS Programs & Services Oversight Committee helps create, monitor, evaluate and prioritize AXYS programs and services designed to assist families and individuals impacted by X & Y variations, and the professionals who serve them. The committee ensures that our programs and services are comprehensive, family-friendly, address all variations and are sensitive to the needs and wants of individuals with a variation.

We thank:
Hannah Acevedo, chair of In-Person Support Group Sub-Committee
Ginnie Cover
Erin Frith, chair of Online Support Group Sub-Committee
Carrie Riby

for their work in this area.

The AXYS Research Oversight Committee apprises the full board of research related to X & Y variations, seeks out and/or recommends ways for AXYS to become involved in or support research, reviews and approves requests by researchers who wish to recruit for research and/or promote their research findings, and monitors the organization’s role in any research.

We thank:
Sheryl Kelly (committee chair)
Sharron Close
Gary Glissman
Susan Howell
Larry Rakowski

for their work in this area.

The AXYS Fundraising and Development Committee assists the AXYS Board and Executive Director in fundraising activities. The committee helps identify, recommend, plan, execute and monitor fundraising opportunities.  This includes working with fellow board members, members of the support group network, major donors and the X & Y variation community at-large. The committees identify and recommends tools and techniques to help maximize fundraising results. The committee regularly apprises the board of opportunities, progress and challenges related to fundraising revenue.

Myra Byrd
Gail Decker

The board welcomes volunteers who wish to assist on these committees. We have opportunities of all sizes from a one-time task to ongoing planning. Send an email to our Executive Director and let her know how you can help. She will connect you with the committee leader that best matches your talents and the time you can offer.

2024-06-26T14:09:16-04:00Categories: All Variations|Tags: |

Autism Spectrum Disorder in Males with Sex Chromosome Aneuploidy: XXY/Klinefelter syndrome, XYY, and XXYY

Article Title: Autism Spectrum Disorder in Males with Sex Chromosome Aneuploidy: XXY/Klinefelter syndrome, XYY, and XXYY

Authors: Nicole R Tartaglia, MD, Rebecca Wilson, PsyD, Judith S. Miller, PhD, Jessica Rafalko, Lisa Cordeiro, MS, Shanlee Davis, MD, David Hessl, PhD, and Judith Ross, MD

Date of Publication: April 2017

“The rate of ASD in children with SCA in this study was higher than expected compared to the general population. Males with Y chromosome aneuploidy (XYY and XXYY) were 4.8 times more likely to have a diagnosis of ASD than the XXY/KS group, and 20 times more likely than males in the general population based on the 2010 Centers for Disease Control (CDC) estimate of 1 in 42 males. ASD is an important consideration when evaluating social difficulties for children with SCA. Studies of males with SCA and Y-chromosome genes may provide insight into idiopathic ASD and male predominance in ASD.”

Read more

2019-02-21T11:15:50-05:00Categories: 47,XXY (Klinefelter), 47,XYY, 48,XXYY|

2019 AXYS Family Conference T-Shirts

2019 AXYS Family Conference T-ShirtT-shirts are white Hanes Tagless tees with the conference logo. T-shirt sizes Youth Extra Small to Adult XL are $10 each. T-shirt sizes Adult 2XL to 3XL are $12 each.

T-shirts will be delivered to the conference and you will be able to pick them up during check-in.

Orders are now closed for t-shirts.

If you have any questions please email Gail Decker.

2019-06-02T17:47:34-04:00

Characterization of Autism Spectrum Disorder and Neurodevelopmental Profiles in Youth with XYY Syndrome

Article Title: Characterization of autism spectrum disorder and neurodevelopmental profiles in youth with XYY syndrome

Authors: Lisa Joseph, Cristan Farmer, Colby Chlebowski, Laura Henry, Ari Fish, Catherine Makiw, Anastasia Xenophontos, Liv Clasen, Bethany Saul, Jakob Seidlitz, Jonathan Blumenthal, Erin Torres, Audrey Thurm, and Armin Raznahan

Date of Publication: October 22, 2018

“XYY syndrome is a sex chromosome aneuploidy that occurs in ~ 1/850 male births and is associated with increased risk for neurodevelopmental difficulties. However, the profile of neurodevelopmental impairments, including symptoms of autism spectrum disorder (ASD) in XYY remains poorly understood. This gap in knowledge has persisted in part due to lack of access to patient cohorts with dense and homogeneous phenotypic data.”

Read more

2018-11-05T21:04:17-05:00Categories: 47,XYY|

Testosterone Early Use – Ross, Davis, 2016

Article Title: Oxandrolone yields short-term benefits in treating Klinefelter’s syndrome

Authors: S.M. Davis, M. Cox-Martin, M. Bardsley, K. Kowal, P.S. Zeitler, and J.L. Ross

Date of Publication: November 14, 2016

” ‘The result of a 2-year, double blind, placebo-controlled trial of oxandrolone in boys with Klinefelter’s syndrome yields modest benefits in some cardiometabolic markers, including percent body fat SDS and fasting triglycerides; however, oxandrolone notably decreased HDL cholesterol and results in mild bone age advancement,’ the researchers wrote. ‘Overall, the short-term cardiometabolic effects of oxandrolone in prepubertal boys with Klinefelter’s syndrome are beneficial; however, additional studies are needed to understand the effect of oxandrolone on long-term cardiometabolic health.’ ”

Read more

2019 AXYS Family Conference

2019 AXYS Family Conference

2019 AXYS Family Conference | Atlanta, Georgia | June 28-30

Emory Conference Center Hotel
1615 Clifton Road NE Atlanta, GA 30329

This will be our best conference yet. Top researchers and clinicians will share the latest knowledge so you gain a greater understanding of X and Y conditions and take home practical information about the conditions and how they affect all ages. No matter which condition exists in your family, we have the information you seek.

This amazing conference includes:

  • Informative sessions with researchers, clinicians, experts and advocates. Check out the full agenda. Check back often as we add speakers and topics.
  • Social time to meet other families and get to know them. Often the most impactful conversations and connections happen at the pool or during a meal.
  • A warm, welcoming facility with indoor and outdoor spaces for both large gatherings and small quiet conversations.
  • A space for teens and adults with conditions that includes a bowling alley, pool tables and games.
  • Two days of sessions, conference materials and a delicious buffet lunch Saturday and Sunday.

New this year:

  • Be rewarded with FREE conference registration, hotel accommodations or both when reaching the reward level you choose in our new Road to Atlanta “rewards” program. If you are participating in the program and achieve your goal, AXYS will handle your registration and hotel room so no need to register or book your room beforehand. Sign up and start fundraising today. (The Road to Atlanta fundraiser deadline is May 31.)
  • Conference t-shirts. Don’t forget to pre-order during registration, as shirts will not be available for purchase at the conference.

Conference pricing:

Adult$325
Adult/Teen with Condition$225
Child (under 18)$225
Student/Poster Presenter
(Graduate students and trainees in related field of study)
$225
Conference Hotel RoomsFor current pricing, please contact Emory Conference Center Hotel at:
1-800-933-6679

About registration

Registration is a two-step process. In the first step, you will provide AXYS with important information for the conference such as the information that will appear on your conference badge and your childcare needs, if any. Upon completion of this step, you will be redirected to a page where you will select your ticket type and quantity, then enter your payment information.

Please be aware that if you do not complete the entire process before closing or navigating away from any of the registration pages, you will not be able to resume where you left off and will have to enter all information again.

2025-01-17T16:16:45-05:00Tags: |

New Research Project: How Families Experience an X & Y Chromosome Variation Diagnosis

The Family Experiences and Attitudes on Diagnosis and Support (FEADS) Study is STILL OPEN!

This study is open to individuals and parents of individuals who have received a diagnosis of an X & Y Chromosome Variation, before birth or as a child or adult. If you haven’t done so already, please consider sharing your experience with researchers from Mayo Clinic and Emory University. We hope that these results will help us improve the diagnosis process.

The study involves answering questions in an online survey that will take approximately 15-20 minutes of your time.

Megan Allyse, PhD from The Mayo Clinic in collaboration with Sharron Close, PhD from Emory University are recruiting volunteers from the X & Y Chromosome Variation Community to participate in this study.

Participate in the study

2018-10-15T12:07:35-04:00Categories: All Variations|

Mid-Atlantic Support Group Social Brings Families Together

AXYS Mid Atlantic Support Group Summer Social group photoOn August 11th, the Mid-Atlantic Support Group held a summer social get together in Chadds Ford, PA. The gathering consisted of 22 families, 21 individuals with a variation, and over 50 attendees total.  Families came from Massachusetts, New York, New Jersey, Pennsylvania, Maryland, Delaware and California. Children and adults representing XXY, XYY, XXYY and Trisomy X enjoyed a cook-out and various indoor and outdoor games. For some, it was the first time ever meeting someone else with their condition. For others, it was an opportunity to catch up with friends.

Ryan Bregante, who started the group Living with XXY, attended after having spent the week participating in a study at the NIH. He shared his positive experience with everyone interested, encouraging them to participate in research studies if they could. A number of the young adults were excited to have the opportunity to talk with Ryan face-to-face. It was also educational for Ryan to meet those with other conditions.

Mostly, it was an opportunity for people to talk and interact in a social environment with others just like them. Both parents and individuals with one of the conditions, found the afternoon to be an opportunity to learn new things, make new friends, and leave the rigors of daily life behind for a few hours.

This comment from one parent perhaps captures the essence of the day best of all. “I got very emotional watching Violet speak, for the first time ever in person, with another girl with Trisomy X. I remember being so scared when we first found out her diagnosis, not knowing anything about it and feeling so alone. Having the opportunity to watch her play with another girl with her condition was incredibly moving. They seemed to have an immediate connection with each other. Violet said on the way home that they “just started talking and were friends right away.”

Sometimes navigating through the ‘regular world’ can be challenging when people don’t understand why Violet acts the way she does. Being with a group of people who understand is very comforting. These kinds of meetings are so valuable both for opportunities like Violet’s, and also for the relationships built between parents with shared experiences.”

Another parent had this to say, “It was life changing for us as a family, and it will be an incredible support system for Carlos as he grows up.  We are so grateful for all of you and what you do; for providing this platform to interact and support one another. Thank you so much for having us.  Carlos is still talking about it.”

AXYS Mid Atlantic Support Group Summer Social group photoAnd this from a teen, “I went to a meet and greet, where I could meet other men that can relate with me. I met a guy named Ryan who has a YouTube channel and explains what living with XXY is like. Even though I have XYY and most of the men at the meet and greet have XXY we all have experienced similar events in our lifetime. This has changed the way that I see myself, knowing that someone else understands how I feel. It was a moving experience for me.”

And from his mom, “Me as a parent for the first time got to meet other parents with X and Y chromosome variations. It makes me feel like I’m not alone and we have so many similar stories, struggles, triumphs and love for our children. We can only move forward to help our children as a larger voice and making a person living with these variations feel valued and not ashamed for being different. This meeting was amazing to see how far awareness has come but we have so much more to do. Thanks for making the gathering possible. I will be at many more….”

As an added bonus, those attending contributed $300 towards food costs, which has been donated to AXYS on behalf of the group.

2018-10-26T12:52:30-04:00Categories: All Variations|

Early Intervention for Infants and Toddlers with X & Y Variations

The Early Intervention Process

The Early Intervention Program for Infants and Toddlers with Disabilities is the program known as Part C of the Individuals with Disabilities Education Act (IDEA). It is also known as Child Find.

Part C is a federal grant program that encourages states to set up programs for young children with disabilities and their families. Currently, every state has a Part C program.

To find a program near you, talk to your child’s doctor or call your local public school.

For more information, please see these Federal Technical Assistance for Early Learning resources from the U.S. Department of Education.

Referral to Part C

Parents can request a free evaluation if they are concerned about their child’s development. Other people can also make this request on behalf of parents, but no evaluation or services can take place without parental consent. This aspect is optional for states.

Screening of the Child

This is a quick look at how your child is developing. Your child’s doctor can do this. This is an optional activity for states.

Assignment of a Service Coordinator

The service coordinator is responsible for implementing the IFSP and will work with the family while they receive Part C services.

The Multidisciplinary Evaluation and Assessment

The evaluation and the assessment are often done at the same time.

The Multidisciplinary Evaluation

  • In order to determine the child’s eligibility for services, a multidisciplinary evaluation takes place by a team that may include speech-language pathologists, audiologists, occupational therapists, physical therapists, psychologists, social workers, and early intervention specialists.
  • A variety of procedures are used to determine if the child is eligible for services. They include observations, tests, interviews, play-based assessments, checklists, and other items.
  • A diagnosis of an X and Y variation may enable the child to receive services without an evaluation.

The Multidisciplinary Assessment

  • Once eligibility is determined, a multidisciplinary assessment is completed that may include the same people who did the evaluation.
  • An audiologist may perform a hearing test, as ear infections are common in this population.
  • Occupational therapists may observe fine motor areas such as the grasp, states of alertness and overload, reactions to sound, light, and touch, and other sensory-motor areas.
  • Physical therapists may watch for balance, gait, posture and movement issues.
  • Speech pathologists attempt to determine both receptive (listening) and expressive (speaking) language levels. If the child is not yet talking, the speech pathologist may try to determine language comprehension using augmentative language devices (picture boards, etc.).

Parent Preparation

  • Parents are an integral part of the team, and their input is vital. Parents need to make the team aware of conditions that will help lessen anxiety— such as making the environment calm and free of distractions and sensory overload.
  • The assessment may take place in the child’s home, where the team member brings toys and test materials for administration in a familiar environment. It can also take place in a school or special education center, with the parents and professional team members participating.
  • Parents can prepare for the process by learning as much as they can about unfamiliar concepts and terminology, talking to other parents about the process, and writing down their questions and concerns.
  • It is important for parents to realize that they know the most about their own child and may know more about X and Y variations than some of the professionals on the team. Parents may wish to bring brochures about X and Y variations, the website address of AXYS, and other materials to share with and educate team members.

Questions to consider prior to the assessment

  • What time of day is your child at his or her best?
  • Will your child be overwhelmed by strangers in strange places? Might it be preferable to conduct the assessment in your home?
  • Who will be conducting the procedures, and what are their roles?
  • What types of tests will they use, and what do they measure?
  • Are formal tests the best way to determine your child’s strengths and weaknesses? Would more informal, play-based assessments be more effective?
  • How long will the assessment take?
  • What helps calm your child to ensure his or her participation?
  • What should you bring with you? Favorite foods, toys, videos of your child in various situations?

The Individualized Family Service Plan (IFSP)

This is a written plan that details the early intervention services.

  • The IFSP must be created within 45 days of the referral, be reviewed every six months or more often if needed, and formally evaluated on an annual basis.
  • No services are provided without the written consent of the parents.

Preparing the IFSP

  • After the assessment, a meeting is held with the parents and all the professionals involved. The team will present test results, including scores, observations, and recommendations for services.
  • Parents may be surrounded by a variety of special educators and may be intimidated and hesitant to contribute to the discussion. However, given that parents know their own child better than anyone and may extensive knowledge of X and Y variations, should approach the meeting as partners in decision-making, not as recipients of the special education team’s decisions.
  • Parents should also bring their lists of concerns for their child and ideas for goals.
  • The team, including the parents, will write a plan for addressing the unique needs of the child and family. This document is the Individualized Family Service Plan.

IFSP Content

  • Description of the child’s current development.
  • The family’s resources, priorities, and concerns.
  • Outcomes expected, and how the family might make progress toward reaching them.
  • Services needed to help the child and family reach the outcomes discussed, including length, duration, frequency, intensity, and method of delivering the recommended services.
  • Statement that the service is provided in the natural environment to the extent possible.

Possible Early Intervention Services

  • Assistive Technology
  • Audiology
  • Family Training, Counseling, and Home Visits
  • Health Services
  • Medical/Nursing Services
  • Nutrition Services
  • Occupational Therapy (OT)
  • Physical Therapy (PT)
  • Psychological Services
  • Respite Care
  • Service Coordination
  • Social Work
  • Special Instruction
  • Speech-Language Pathology (SLP) Services
  • Transportation
  • Vision Services

Types of Goals for Infants and Toddlers

  • Physical therapy goals might include those that help with low muscle tone, including posture and feeding.
  • Speech-language pathologists will help with receptive and expressive language goals, working on comprehension of language and means of expression, whether verbally or with augmentative devices (such as pictures, language boards, or signs).
  • Occupational therapists help with a variety of sensory issues such as over- sensitivity to touch, noise, crowded rooms, and certain lights. They can also help with sleep issues.
  • Occupational therapists and speech-language pathologists may contribute ideas for oral-motor stimulation to help sucking, chewing, and swallowing.
  • Early intervention specialists can help design goals to stimulate early play and cognitive development.
  • Social workers and psychologists should be available to help the family cope with the diagnosis and intervention needs.

Where Services Are Provided

  • The services should be provided in the child’s natural environment, including the home and community environments that are typical for infants and toddlers of the same age who do not have a disability.
  • The family can provide information where their everyday activities occur. For example, natural environments can include the home, neighborhood, parks and recreation centers.
  • When services are offered in the home, various professionals can teach activities to parents and/or caregivers and have them practice with the child between sessions (speech games, feeding ideas, massage, exercises, etc.).
  • For services not provided in natural environments, the IFSP must state why.

How Services May Be Provided

  • Speech pathologists need to work with occupational therapists to ensure that the child’s sensory needs are considered when addressing feeding and talking.
  • Speech therapists and early intervention specialists may work together to create augmentative communication devices (picture boards, etc.) for children who are delayed in learning to talk.
  • For children with X and Y variations, it is important to establish a routine with all provided services. This helps greatly in reducing their anxiety.
  • The various therapists and teachers should also provide visual cues to help children anticipate and follow the sequence of their visits. If the speech/language pathologist comes to the home every week, it can be helpful if she or he always brings a bag of toys or a certain stuffed animal. This helps your child identify and anticipate the visit. When the therapist maintains a specific visual schedule, the child learns to adapt and participate more readily.

Family Rights

  • Parents should be provided with written copies of their rights under Part C.
  • Parents should receive copies of all written reports and records.
  • Parents must give written consent for the child’s evaluation and prior to the child receiving services.
  • If parents have a concern or complaint, they should talk to their service coordinator and the service provider.
  • If resolution cannot be reached at the informal level of discussion, then the parents or professional involved have formal remedies of mediation, including the filing of complaints and an administrative hearing, if needed.

Additional Information

Download the model IFSP form published by the U.S. Department of Education.

Model IFSP Form

Transition Plan at Age 3

Requirements

  • A transition plan must be developed for the child as part of the IFSP no later than 90 days prior to the child’s third birthday to ensure the smooth transition into Part B services.
  • At age 3 the services a child with a disability receives are provided by the preschool programs through the local school district—also known as Part B of IDEA. There is also an eligibility process at this stage if parents want their child to start or continue receiving services.

Ideas for Parents

  • At the time of this transition, families need to explore and visit available options for their child’s educational services. School systems may offer a variety of services for preschoolers with special needs. They may offer some special education within a regular preschool class. They may also have early childhood special education classes, where all of the children have some type of developmental delay or disability.
  • For the child with FXS, parents need to look at the setting, services, and personnel involved in the early childhood program. Multidisciplinary services offered in a structured, calm setting, with an established routine, many visual cues, and provision for calming places and activities are all important for the preschooler with FXS.

Website Resources

Thank you to the National Fragile X Foundation for allowing AXYS to use this content.

2021-03-16T15:00:29-04:00

OT, SLP, AT & The IEP… Making Sense of the Alphabet Soup

Creating an IEP – or Individualized Educational Program – can be an incredibly confusing and daunting experience. The “alphabet soup” of acronyms and legalese often increases the anxiety and uneasiness for families. There are often many professionals in the room, some just popping in and out during the meeting, and families can feel isolated and not fully part of the process. One way to offset these feelings is to prepare ahead of time.

We’ve designed this article to be an at-a-glance format, combining our professional expertise and some handy resources. This information is presented via FAQs (more alphabet soup for frequently asked questions) and IEP insider tips. In addition, we have included voices and insights of families from the NFXF community and their perspectives based on personal, first-hand experiences about the IEP process. We’ve kept the families anonymous and sincerely thank them for their valuable comments and suggestions. All family contributions are italicized so you can quickly find them.

Be sure to check out the many handy resources at the end. It is our sincere hope that families can find some helpful information to aid them in confidently participating in your child’s IEP as a key member of the team.

Frequently Asked Questions

What is IDEA – Individuals with Disabilities Education Act? And Now IDEIA – Individuals with Disabilities Education Improvement Act?

IDEA / IDEIA is the federal law that makes special education available for students with special needs.

What are FAPE (Free and Appropriate Public Education) and LRE (Least Restrictive Environment)?

FAPE – Free and Appropriate Public Education: FAPE is central to the federal law and is a protected right of children eligible for special education. Just like all other children, students with special needs have the right to a free public education.

LRE – Least Restrictive Environment: This means that schools must consider teaching a child with special needs in general education whenever possible. There is a continuum of “restrictiveness” ranging from the most restrictive of residential placements, to special education centers where all children on the campus have special needs, to special education classrooms on general education campuses, to resource style classes where students spend parts of a day in special education and parts of the day in general education and full inclusion in general education settings. The graphic is a representation of “restrictiveness”.

Least restrictive environment chart

What is an IEP – Individualized Educational Plan or Program?

An IEP is a written statement for each child with a disability, and it is developed, reviewed and revised according to the requirements of IDEA.

IEPs are typically held once per year, but the timing may vary depending on the needs of your child.

Tip: You can call an IEP meeting any time.

IEPs typically have a flow of how things will proceed. Each team is different, but generally the team should use the following flow for discussing the student’s educational program.

  1. IEP team must collaboratively brainstorm to identify needs within the PRESENT LEVELS OF PERFORMANCE.
  2. areas of identified need, the team must develop GOALS AND OBJECTIVES.
  3. Once completed, THERAPY SUPPORTS are discussed and documented that may be necessary in order to meet the agreed upon goals and objectives.

What is Speech Language Pathology (SLP)? Is that the same as Speech Therapy (ST)? What is a Language, Speech and Hearing Specialist (LSH)? What do I need to know about Speech and Language?

Often in schools, SLP, LSH and ST are used interchangeably – BUT the training and degree are the same. Typically LSH is only used in school settings.

Communication is an UMBRELLA that includes many concepts. Here is a breakdown that we find helpful.

What is Speech?

Speech includes: production of phonemes (sounds), voice and fluency. In other words, articulation.Communication umbrella

What is Language?

Language is the area of functioning that is most crucial for all aspects of cognitive and social development. Language is comprised of Receptive Language and Expressive Language.

  • Receptive Language: The understanding – or what the individual receives via communication in the environment. Receptive Language includes both verbal and visual input.
  • Expressive Language: Ability to communicate – express – wants and needs. Expressive Language includes both verbal and visual input.

What are Pragmatics?

Pragmatics: The use of language or may be referred to as, “social language” (e.g. taking turns, waiting, sharing, eye contact, facial expressions). Pragmatics also includes flexibility of thought and language use depending upon the situation.

What are Speech Therapy services in schools most concerned with?

  • Socialization /Pragmatics
  • Design of a Language Rich Environment
  • Emphasis is to encourage language through various modalities on an everyday basis.

LSH therapists are support staff who can assist in the development of communication tools, which should be used on a consistent basis and embedded into the IEP.

What is Occupational Therapy?

  • The term “occupation” comes from how we “occupy” our time. Our daily life’s roles and activities including self-care, play, work, social engagement, leisure, and learning are all daily “occupations”.
  • OT services are provided to a student if those supports are needed to meet annual goals as outlined in the IEP. In school settings, OT’s support student learning, access to and overall participation in educational settings and routines including academic and non-academic domains.
  • Sensory Processing differences often greatly impact one’s fulfillment of daily occupations.

What is Sensory Integration (SI)?

  • Sensory Integration (SI) is defined as:
    The organization of sensation for use.{{1}}
  • SI issues also known as sensory processing differences impact:
    • Attention and focus
    • Behavior
    • Language processing
    • Learning
    • Overall functioning
  • Research has well documented SI issues in many individuals with FXS.

What is Assisted Technology (AT)?

  • According to IDEA 2004, AT is defined as:
    Any item, piece of equipment, or product system, whether acquired commercially off the shelf, modified, or customized that is used to increase, maintain, or improve functional capabilities of children with disabilities.
  • AT must be considered on EVERY IEP.

What is Augmentative and Alternative Communication (AAC)?

  • AAC is part of AT that focuses on communication.
  • AAC is not just a “device that talks” but includes a broad spectrum of applications including symbols, gestures, pictures, icons to enhance communication.
  • Use of AAC applications will NOT stop someone from talking.

BEFORE the IEP Meeting

What to ask for in advance:

  1. Ask for an IEP agenda.
  2. Ask for draft copy of the IEP in advance including present levels and proposed goals.
  3. Ask for assessment reports in advance.

*NOTE* Requests for present levels, goals and assessments prior to the meeting may need to be in writing. This can often be done via email and/or by dropping off a note at the school. Be sure to find out how much advance notice is required in order to have your requests honored and to allow the school team to adequately prepare your drafts. This can vary by district (e.g. 3 days, 1 week).

Prepare your own thoughts about your child’s present levels. Have strengths and areas of concern in mind. Consider bringing this information in a handy note format that is comfortable for you to share with the team. (See Positive Student Profile – below)

DURING the IEP Meeting

Go in as a collaborator not as an adversary.

YOU are the best source of information on your child and his/her best advocate

  • Begin with your child as an individual who has strengths and gifts

Ask to have the IEP notes read aloud at the end of meeting with ALL team members present. This helps to make sure the team is all in agreement about what was discussed and will help to clarify any issues.

Pointedly discuss collaboration DURING the IEP meeting. Put it ON the IEP as part of the service delivery. For example:

  • Schedule team meetings monthly or quarterly.
  • Define expectations for team communication (e.g. logs in notebooks or email).
  • Many therapists & teachers have good intentions, but unless we have formal COLLABORATION SPACES, TIME and PLACES, it may not actually happen in the way we all want it to happen.

You do NOT need to sign the IEP right away at the end of the meeting

  • You can take it home, review it, share with partner/family and sign later

Many families make this their regular practice, not just when things are contentious}.

Positive Student Profile Examples

         Positive Student Profile

Tips from Parents on Meetings

  • My input as a parent is really important in the IEP. So, I always write a detailed page for the “Parent Concerns” section. All year long I add bullet points to a document I keep on my computer. When something comes to mind – a particular challenge, a great success, a dream for him – I type a bullet point. Then when it’s time to write my part of the IEP, I have my bullets to refer to. I try to do my piece well in advance of the meeting in hopes that his teacher might use some of my thoughts to form the goals.
  • I always tried to act as another part of the whole team. I did things, I volunteered to provide things, and expected others to do the same. I never went in just pounding my fist and requesting unrealistic things. It has to be cohesive!
  • It never hurts to ask for something, the worst they can say is “No”.
  • Trust your gut.
  • Educate the IEP team on FXS and what you as the parent know about FXS learning styles each year.

Goals

Questions to ask about goals

  • Ask what the goal will “look like” during the school day.
    • Provides context.
  • Ask about how skills will be generalized.
  • Ask about how/when progress will be updated and what the parent – school communication piece will be.
  • Ask about how the goal will be measured AND how that data will be collected and shared.

Goals should be

  • Interdisciplinary
    • Not just a “speech goal” or “OT goal”.
  • Functional, measurable and data driven.
  • The measured behavior should be clear so anyone reading the goal knows what it is.
  • HIGHLY individualized to your child.
  • For more information, please read Preparing for Your Child’s Individual Education Program (IEP).

Tips from Parents: Food and IEPs are a great pairing!

  • For every meeting (monthly or IEP) we bring food. Muffins, scones, cut up fruit-yogurt and paper bowls since we usually meet in the early morning. We know their dietary needs as well and provide something healthy. It lets them know that we care about them and appreciate their help.
  • I believe it’s a nice gesture AND it’s harder to say no with a bagel in your mouth. Pete suggests bringing enough so there is extra. Then when it’s in the teachers’ lounge and someone says, “Where’s this from?” The answer shows your generous parents as opposed to the talk in the teachers’ lounge being about your list of demands. We bring food in as well. I always come in a few minutes early and stop in the front office and make sure the secretary and principal have some as well as anyone else on the team who may not be at the meeting (like the paraprofessionals!). These small gestures have always helped not just with IEP’s but also throughout the year because they all KNOW me so when we have had to be firm about a decision they understand a little better. They are also more likely to go out of their way for us. 😊

AFTER the IEP

  • COLLABORATE and follow through!
  • Actively engage in the agreed upon team communication strategies – you are a key team member!
  • Don’t hesitate to ask follow up questions. Remember, you can call an IEP meeting at any time, so if you want to meet again with the team, that is your prerogative.

Resources

IEP Information – www.understood.org (previously known as the National Center for Learning Disabilities, NCLD)

IEP Headquarters

IDEA Parent Guide

IDEIA info

Chapter 7: IEPs – Developing Your Child’s Education Plan

SMART IEPs

Center for Parent Information and Resources (includes Spanish translation)

Raising Special Kids

American Speech & Hearing Association (ASHA)

American Occupational Therapy Association (AOTA)

Assistive Technology

Authors

Laura Greiss Hess & Kerrie Lemons ChitwoodLaura Greiss Hess, PhD, OTR/L
is an assistant professor in the department of occupational therapy at Dominican University of California. She began her career as a special education teacher in 1992 and then became a school-based occupational therapist in 1998. She worked at the UC Davis MIND Institute for 12 years on the FXS team under the mentorship of Randi Hagerman. Laura’s research and practice interests include: neurodevelopmental disorders such as Fragile X syndrome and autism, examining intervention outcomes as measured in daily life contexts with schools and families, interdisciplinary team collaboration, sensory processing and assistive technology applications.
Kerrie Lemons Chitwood, PhD, CCC-SLP
is a licensed speech language pathologist with 18 years of clinical and research experience. Kerrie currently is an adjunct professor in the Education Department at California State University, Monterey Bay (CSUMB). In addition, she is the program coordinator for the Masters of Arts in Education at CSUMB. Previously, from 2002-2012, Kerrie worked at the UC Davis MIND Institute, where she was part of the Fragile X team. She values intervention research and has extensive experience working as an integral member of a collaborative interdisciplinary team. She is committed to translational research and thrives to bridge the gap between research and practice specifically as it pertains to students and families with FXS and other neurodevelopmental disorders in various educational settings.

We’d like to thank the Murphy family, Holly Roos, the Welin family and Jayne Dixon Weber for their contributions to this article!

[[1]]This definition was conceptualized by Jean Ayres (1979) an OT and scholar who pioneered what we understand SI to be today.[[1]] [[2]]From Wright’s Law: IDEA does not require parents to “sign” an IEP. Threatening to not sign an IEP does not really mean much. Also, if you do not sign the IEP, others may think you agree to it. You have an absolute right to disagree with the IEP. Do not sit on that right. If you disagree with the IEP, go ahead and sign it, but put a note below or to the side of your name saying that your signature does not mean that you agree with the IEP. – See more at: www.wrightslaw.com/howey/iep.sign.htm[[2]]

Thank you to the National Fragile X Foundation for allowing AXYS to use this content.

2022-05-12T14:22:25-04:00
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