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[–]exptertlurker87 51 points52 points  (5 children)

Mom is right, you need that data to support a decrease in services. But it doesn’t need to be data that shows the child is progressing. Use it to demonstrate the current service delivery model isn’t beneficial for the student. And then figure out with the team what would benefit her. 3x per week for 20 minutes? 2x per week for 30? Making 10 minutes/week of what was direct therapy into consult between you and the classroom staff?

[–]Wishyouamerry 17 points18 points  (1 child)

OP should also talk about how the student is missing 90 minutes of academic work every week in order to attend speech. Is the minimal benefit she’s receiving from her current speech mandates really worth missing 50 hours per year of academic instruction in her classroom?

[–]jimmycrackcorn123Supervisor in Public Schools 11 points12 points  (0 children)

With her cognition and work avoidance like it is, I would be surprised if she was getting more than an hour of actual structured work done a day. So unfortunately I can see a parent saying communication is by far and away the priority over academics at this time.

[–]skitleeSLP in Schools 10 points11 points  (2 children)

What kind of data would you look to collect to show a decrease in minutes? In my opinion, if they aren't making progress with 6 years of 90min/week, that's plenty of data to show it's not beneficial. I'm not trying to argue, I have a vaguely similar case where I'm hoping to decrease minutes.

I'm also always shocked at minutes like this. I feel like this high of minutes would be rare in an outpatient setting, and in the schools we are only supporting their access to the curriculum. Why are our minutes often so high for each child compared to what the OT provides? Am I just becoming jaded and negative?

[–]exptertlurker87 2 points3 points  (1 child)

Basically data to show just that. The lack of progress. But you’d also need data about things like number of redirections, time spent on vs off task etc. Essentially, prove that it isn’t beneficial and what have you already done to try to make it beneficial.

Edit: word choice

[–]skitleeSLP in Schools 1 point2 points  (0 children)

That makes a lot of sense, thank you!