Saturday, November 17, 2012

Open Letter to Sammie's Loved Ones


This letter was drafted after much consideration and discussion between Jason and Zita about how to best introduce the programming, steps and expectations that we are following to best support Sammie in finding his voice.  It will be sent to the entirety of his "social circle" including all potential Allies and Hindrances.  


We have defined Allies and Hindrances as the following: 
Allies: Those who are actively engaged, interested, and supportive of Sammie's unique needs and are prepared to take the necessary steps to ensure that he reaches his full potential. This includes adopting all the recommendations provided, refraining from presenting labelling behaviours, and actively engaging with him in ways that encourage his growth and development. 


Hindrances: Those who, directly or indirectly, act in opposition to the best interests of Sammie's needs by either:
a) attempting to "define" Sammie in terms of his challenges instead of his strengths, and/or focusing excessively on his delays. 
b) ignoring (deliberately or inadvertently) his needs and refusing to engage in activities that will assist in his development.  
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Dear Loved One,

If you are reading this letter, it is because of the love you have shown us and the positive impact you have had on our lives and on the life of our son, Sammie.

First, we would like to take a moment to thank you for your ongoing love, support, friendship and commitment to our family. We feel extremely blessed to be surrounded by such a wonderful community of friends and family, and we want you to know that you have all touched our lives in special and important ways. We are better parents, and people, for having you in our lives.

As was suggested by our Early Intervention Counsellor, we would like to take a moment to explain to you a few updates on Sammie's development, as well as to share with you some of the directions that we, as a family, will be taking in addressing his unique needs. We would also like to clearly outline for you some ways that you can help support us on this journey, as well as identifying some behaviours that we are asking you to avoid. We would like to ensure that our expectations and needs are as clearly laid out as possible, so that we are all on the same page. 

As many of you know, Sammie is blonde.  Some children are born blonde. Others become blonde throughout their lives.  Sammie happens to be one of the former; it is something that we’ve been closely observing for a long time.  Sammie’s blonde hair makes him sometimes stand out from his peers.  Not everyone has blond hair, and it can seem a little unusual to people who are more used to brunettes or redheads.

Being blonde presents some unique challenges. Sammie has to be careful in the sunlight since he is particularly prone to burning and he has more sensitive skin and scalp. Sammie is also at a higher risk for skin cancer and other dermatological conditions. We are working with specialists to determine which of these risks are the most important to focus on right now.

Of course, Sammie is so much more than just a hair colour! He is a funny, charming, radiant and enchanting boy who loves to laugh, smile, build things, run, jump, swim, and dance, read books, and snuggle. In most ways, Sammie is a completely “normal” little boy. In some ways, he is exceptionally advanced.  In others, he has some growing and catching up to do.

The most important thing to note is that we do not want to define Sammie by his hair colour. This would deprive him of all the traits that make him a remarkable boy.  This doesn’t mean that we are ignoring his hair colour, or the risks that may be associated with it.  It simply means that we are focusing on his best traits, while still working on how to overcome the everyday challenges that he will face.

As I’m sure you’ve all figured out by this point, Sammie’s hair colour is an analogy. But it speaks to the heart of the issue.  As you all know, Sammie is experiencing some delays in communication and social development that we have been addressing for the past several months. Already, Sammie is showing massive improvements and we are extremely confident that he will continue to overcome his obstacles one day at a time.  However, to quote our wise sister, Heidi, “it’s a marathon, not a sprint”.  It will take a lot of work, patience and time before Sammie is at the level of his peers in these ways.  And yes, there is a possibility that he will always present some delays. 

We know that you love Sammie and want to see him succeed to the fullest of his ability.  We share that desire, ten-fold!  At this time, Sammie is working with an Early Intervention Counselor.  He will also be seeing a Speech Language Pathologist, an Occupational Therapist, and many other professionals who are both highly educated and experienced child-development experts. We attend several activities, playgroups and seminars to best learn how to address Sammie's needs,  and we have already begun to see enormous changes in Sammie’s receptive and expressive communication, as well as his social integration. We are reading many books, and have consulted specialists in almost every field of Early Childhood Development.

Sammie’s development is in exceptionally good, caring and committed hands. 

Many of you have shown a specific interest in Sammie’s development by asking questions and offering advice and opinions on the matter. Please know that you are always welcome to share your thoughts and points of view with us, especially when you are commenting on how much improvement you have seen! We are so thrilled to know that you are noticing the remarkable changes and growth that Sammie is exhibiting. We are exceptionally proud of him, and sharing praise with him- and with us- is very beneficial to our process!

If you are looking for other ways to help, we would also like to suggest the following:

               Play with him, on his level, and let him show you what he is interested in and what he is good at. Make sure to talk to him as often as you can, and give him a chance to respond (verbally or non-verbally). Get down on the floor, play with what he wants to play with, and relish in watching him enjoy it. Some of his favourite activities are trains, blocks, lego, climbing/running, playing with puzzles and balls, and reading books. Don’t try to overly “direct” him- instead let him lead the activities. The is the single most important thing you can do to help him grow.

               When you are speaking to Sammie, please keep your sentences short, sweet and to the point.  His receptive skills are very good, but sometimes the point gets lost if there are too many words.  Two word phrases are ideal for language development because children are more likely to repeat the second word of a phrase.  So instead of saying “Sammie, would you like some lunch?” which is long and advanced for him, trying saying “Is Sam hungry? Want food?”  Here, the emphasis and learning will be on hungry and food, the two key words we really want to convey to him.  If you are comfortable with simple sign language, feel free to use these as well. If you would like to learn a few signs, we would be happy to show them to you. 

               Sammie is still learning about “give and take” play. This is when two or more people take their turns, and interact with each other. A good way to initiate this type of play is by copying his actions. Try mimicking what he is doing. If Sammie places a block, try saying “Good job! My turn!” and also placing a block. Then say “Your turn!” and see how he reacts. This is called a "non-verbal conversation" and is the very first step to understanding and achieving language. Sammie loves this type of play but may take a few minutes to understand what you are doing.
               Give your praise actively and enthusiastically! When Sammie does something that is especially good, clap your hands and say “Yay!” When he finds something funny, laugh along with him and say “Good joke, Sam!” Show him that you are watching and engaged with him. 

               Be clear and consistent with rules and expectations. Sammie may need things repeated more often than once before he understands and is able to follow your instructions. Routines and consistency are critical for him.

               Be patient! It’s going to take a while before Sammie fully masters all the new skills we are working on. Sammie is extremely sensitive to tone and responds very strongly to anger- please be mindful of this when coaching his behavior and remember that he is still very young, and this can be an overwhelming process for all of us.

There are also several things that we are going to request that you work hard at avoiding.  Some of these types of behaviours may seem helpful at first, but ultimately can results in derailing our process. It is extremely important that every in Sammie's life ensure that they are treating him and his unique needs in positive ways.  

               Pretending that he is “fine” or ignoring his unique needs. This is not going to help Sammie, and instead may make him feel ashamed.  We speak very openly with Sammie about his growth, the same way you would with any other child. Sammie is aware that he is non-verbal; pretending that he isn't will not help him. 

               Using “negative” language when talking about Sammie’s challenges, especially when he is present. Remember: there is nothing “wrong” with Sammie; just like his blonde hair, these delays are part of who he is and who he has always been.   Despite his communication delays, Sammie’s understanding is very strong and he is listening to every word we use, so please only use positive language when he is in the room. (Examples of negative language to be avoided at all costs: "Have they figured out wrong with him?", "Sammie isn't normal", "When is he going to talk?", "He must have (insert medical condition here)" or otherwise referring to Sammie's "problem".)

               Please refrain from attempting to “diagnose” or otherwise label Sammie’s behaviour.  We are working with a full team of experts and specialists, and at this point in time they do not feel it is appropriate to qualify Sammie’s delays under any label.  Significant observation is still required before we are at the point of using terminology beyond “developmental delay”. In fact, most of the kids in the Early Intervention Program never receive “diagnoses” because they are able to overcome their challenges and never fit into a clear “box”. The only people who are qualified to fully diagnose a child with a learning disability are doctors. As such, please do not attempt to ascribe to him any conditions that have not been diagnosed, including but not limited to “autism/ autism spectrum disorder”, “ADHD”, “Mental Retardation Syndrome”, Sensory Processing Disorder, etc.

               Related to this point, different symptoms have very clearly defined medical definitions. Again, please do not attempt to identify any “symptoms” including Repetitive Stereotyped Behaviour (RSBs or Stimming), hyperactivity, attention deficits, learning disabilities, fine or gross motor skill delays, etc. If these symptoms are present, someone on our team will identify them. At this point, none of these symptoms have been identified by any of our experts.


Unless you have our explicit permission to do so, please refrain from discussing in depth Sammie's development with others as it is possible that your information is incomplete, not up to date, or inaccurately represented. While you are welcome to share the basics, including the fact that Sammie is non-verbal and is working with a team of professionals, going beyond this could result in very negative consequences including 
          a) adding confusion to an already complex issue,  
b) incorrectly assigning labels and- subsequently- behavior patterns to Sammie, 
c) negatively impacting how others perceive him, and- subsequently- how he is treated, 
d) negatively impacting how he perceives himself, thus delaying his ability to grow and learn,
 e) negatively impacting how Jason and I perceive those around him, making it harder for us as caregivers to give Sammie the tools that he needs, 
f) negatively impacting how Jason and I perceive you, and your relationship with Sammie. 
The important thing to remember is that we are all on the same side when it comes to our children. We all want the best for them, and we all want to share and show our love as best as we can.  We also want to protect them from things that could hurt them, and want to ensure that they have all the tools and support they need to succeed in their lives.

The greatest mistake anyone could make would be to focus on and define Sammie by the fact that he is non-verbal or that he engages differently than other kids. This not only deprives him of the opportunity to show us just how awesome he is, it also deprives us of the sheer joy of watching him grow and flourish.  Every day, Sammie shows us more and more of the beautiful, amazing, intelligent, charming, sweet, funny and loving little boy that he is.  Focusing on anything other than all of his strengths is doing yourself- and him- a great disservice. 

And remember, Sammie is most affectionate and loving to people who are openly and outwardly affectionate and loving towards him.  To love him is not to judge him or to try to change him; it is to support him, encourage him and engage with him on his level. Then you will truly begin to see the unbelievable person that he really is.

With love and sincere respect,

Jason and Zita

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