An Unexpected Success

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At the end of the school year, professionals working in education often recount their successes. Oh sure, we have the usual student “graduations” from Speech, a new school assignment,  a hard-won new or improved employee benefit, or maybe even an expanded supplies budget. As long and as hard as I searched through my various sources, though, I just couldn’t find a report similar to one of my most prized successes, parental anger and derision for a job well-done.

My original success story unfolded in a medical setting – a TBI rehabilitation unit. A popular high school sophomore, actively courted by several prestigious universities for his athletic prowess, sustained life-threatening injuries in an accident with a Highway Department snow plow during a blizzard. Comatose for six weeks, a dedicated, organized and skilled treatment team worked diligently to create a new life for Tory and his courageous family whose entire lives were changed in an instant.

But as progress slowed and inpatient care came to an end, Tory still looked different, walked with an unsteady gait, and processed information at a kindergarten level. It was painfully clear to the family that the service team would not return Tory to his prior state of great expectations. It was at this juncture that the family’s grief manifested as anger toward those who failed to reverse the multiple and debilitating effects of his injuries. Though we did the best we knew to do, we just had not met the family’s expectations – we had not answered their most fervent prayers.  The upside to the situation was sharing the experience with my colleagues, all of whom verbalized a conviction that we had served our patient and his family with the utmost professionalism.

But I faced the most recent circumstance with no such loyal and collegial support.

Brittany, a bright, creative 2nd grade student being served in an educational setting, was dubiously identified as suffering from Reactive Attachment Disorder by the age of two. Sadly, Brittany’s adoptive parents were counseled to follow a verbally confrontational and physically coercive treatment regime that has been denounced by all leading medical associations, which they did with vigor and commitment.  Once enrolled in the local school, a timid and ill-informed school team cow-towed to the unusual demands of the parents for unprecedented services and accommodations for Brittany who, quite strangely, was categorized as brain-injured.

Oh, had I known the true folly of contradicting control and fear with reason and evidence!

In both described situations, the emotional discomfort yielded an unexpected sense of success and a renewed commitment to render the best evidence-based, professional service. Our work is a discipline: we do the right thing to do for the right reason. We don’t work to achieve an emotional response.

Have you ever experienced an unexpected success?

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Changing your lot in life: 4 suggestions to impact caseload size

In our first post on caseload manageability, as proposed by Katz, et al (citation below) in a recent article in Language, Speech, and Hearing Services in the Schools, we discussed the identified factors that impact one’s perceptions of her caseload size and those that contribute to job satisfaction. The authors also shared several proposals  to impose some controls on an unrelenting work situation.

Response to Intervention (RTI) – While RTI is in the early stages of implementation, it holds promise for SLPs, especially those with unreasonable caseload sizes. RTI allows special education professionals to use their knowledge and expertise working with students and teachers not only in remediation, but also with prevention in mind.

Negotiate caseload/workload issues with school administrators - Document job responsibilities and share results from the Katz, et al, study and others related to SLP job satisfaction and burnout with your most insightful administrator. Inform administrators about the significant relationship between caseload size and perceived caseload manageability. Doing so might help SLPs make a case for expanded discipline-specific service and time to complete other workload demands in lieu of unskilled responsibilities such as lunch or bus duties.

Inform administrators on the benefits and limitations of team collaboration – Mandated classroom collaboration could impact SLPs’ perceptions of caseload manageability. If an SLP is finding collaboration to be a particularly difficult endeavor in his or her school, based on substantial resistance among teachers, more reasonable and more familiar service options, such as more pullout services, could be proposed.

Alternately, SLPs could lobby for administrators to lend visible support for classroom collaboration by allotting time in SLPs’ and teachers’ schedules for planning meaningful and effective collaboration as well as supporting and encouraging SLPs’ efforts to participate in continuing education in how to create and maintain fulfilling collaborative relationships.

What could you add to the list of proactive solutions to merely succumbing to being perpetually overwhelmed? What has worked for you and your team mates in your district? We’d love to know. Please share!

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Katz LA, Maag A, Fallon KA, Blenkarn K, Smith MK. (2010). What makes a caseload (un)manageable? School-based speech-language pathologists speak. Language Speech and Hearing Services in the Schools, 41(2), 139-151.

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