An Encompass Family Thriving through Love, Compassion, Support & Dedication

therayfamStaci and Sean Ray were brave enough to share their Encompass journey at our annual Autumn Gala and now we would like to share it with you. Please keep in mind that the Rays are just one of many families that need the critical support provided by Encompass.

Feeling defeated by the loss of a baby girl born at 20 weeks and another at full term, Staci and Sean began researching adoption in 2011. Soon after becoming foster care certified, they brought Abigail, two years old, and Liam, seven weeks old, into their home. Both children had been neglected, abused, malnourished and infected with scabies and MRSA from head to toe. They were both also struggling with developmental delays.

Because Staci and Sean were deeply rooted in the Snoqualmie Valley, they knew exactly where to turn and made their first of many calls to Encompass. Within less than a year, Abigail and Liam were thriving with the feeding, speech, motor and mental therapy support they received from Encompass. Having developed an unbreakable bond, Staci and Sean officially adopted Abigail and Liam!

On October 2, 2013 Abigail and Liam’s biological mother gave birth to another baby boy. After careful consideration, the Rays were thrilled to bring him into their home and unite the siblings. But, there was one more surprise around the corner… a few weeks later, Staci found out she was pregnant with a perfectly healthy baby girl!

In just two years, the Ray family grew from a family of two to a healthy family of six. Dedication and support from eleven Encompass services combined with powerful love and compassion from Staci and Sean has led to an inspiring success story in our community.

As we approach the season of giving, will you join us as we continue to make it possible for children and families to thrive? Please select “Annual Campaign” in the “Apply my gift to” menu when making your donation.

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Encompass Helps Teachers and Students Learn Skills to Better Succeed in School and Life Through an Innovative Curriculum

Encompass is a leader in supporting the development of executive function skills across its programs and among local early learning professionals. ss_102245243

What a child learns before the age of 5 can directly impact his or her ability to hold a job, develop healthy relationships and deal with stress later in life—major factors that contribute to the overall health of a community.

This is one reason the quality of early learning programs is significant. For example, between the first day of preschool and the first day of kindergarten, young children are expected to learn how to focus on a task, control impulses and ask for help when needed. These are examples of executive function skills—the abilities that serve as the foundation all children need to succeed in school and life.

sidebarChildren don’t naturally develop executive function skills. These abilities must be nurtured by parents, teachers and caregivers during the earliest years. Research shows that fostering these abilities in young children improves academic performance, increases high school graduation and college completion rates—helping build a more productive workforce for our community.

>>click here for the science of executive function<<   

Executive Function Development in Our Community Right Now

Encompass is a leader in supporting the development of executive function skills across its programs in education and pediatric therapy—and also coordinating a curriculum for local early learning professionals to improve the executive function skills of their students.

As the only organization in King County (and 1 of only 6 in Washington) to be selected to participate in a pilot program known as “Executive Function Learning Communities”, Encompass trained members of its staff and local early learning professionals in January 2014 using a professional curriculum to build knowledge of executive function and to support executive function in an early learning setting.

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“Encompass strives to be on the cutting edge when it comes to research related to early childhood development, so imagine my excitement when we were invited to participate in a state-wide research study on the development and role of executive function skills in young children,” said Kerry Beymer, parenting support and education manager at Encompass.

>>click here for the full details of how Encompass participated in the study<< 

The expertise and leadership in executive function skill development Encompass offers means the children in our community—especially those participating in Encompass programs—have the opportunity to be better prepared for school in terms of making good decisions, participating successfully in the classroom and adapting well to changing situations.

50 acti efResults of the Executive Function Curriculum
Preschool students in our local executive function Early Learning Community were given a pre-test to benchmark executive function and a post-test approximately 100 days later to assess how intentional executive function skill development activities in the classroom affected students (this test is called the Minnesota Executive Function Scale).

Children’s scores improved over 100 days, and this was equally true for all age groups (3, 4, and 5 years).

“That means that researchers can say a real change has occurred; the difference was not just due to chance. We also can conclude that the improvements were genuine and not just due to teachers’ beliefs about the children. Gains in executive function mean that children will be better able to benefit from the lessons teachers give, and to manage their emotions and reactions when they play with their peers. This is an exciting first step in creating a program to help children learn self-control skills, which are crucially important for learning,” states Stephanie M. Carlson, Professor Institute of Child Development University of Minnesota, in a letter to participating professionals.

As we close 2014, phase 2 of this executive function skill development curriculum begins—and the focus is on “teaching the teachers” and more widely sharing the curriculum to help more early learning programs increase potential in the classroom.

“I’m recruiting all local early learning professionals to participate in this year’s Early Learning Communities,” says Beymer. “The curriculum has been edited down to just 9 weeks (from 20) and the testing administered to children has been streamlined with an automated tablet version of the test (versus manually giving it and scoring it).”

GET INVOLVED NOW
Parents and early learning professionals can get involved in developing executive function skills in the children of our community.

Parent education is a pillar of Encompass programming—the organization believes knowledge of executive function should be shared with parents and is leading a FREE Executive Function Parenting Workshop on Thursday, December 4th from 5:30-7pm at Virginia Mason in Issaquah. Walk away with information and resources to develop your child’s executive function skills now.

On December 3rd from 6:30-8:30, early learning professionals can join Kerry Beymer for a workshop on Supporting Learning in the Classroom through Play to earn STARS credits (discussion on how play builds executive function skills included).

For more information and to register for either workshop, contact Kerry Beymer, the parenting education and support manager at Encompass (425.888.2777 or Kerry.beymer@encompassnw.org).

 

 

Early Intervention in Action: The Story of Sara and Paisley Rae

asideOctober was Rett Syndrome Awareness Month. Rett Syndrome is not rare, (it’s the leading cause of severe impairment among girls) but few people have heard about it. There are only a handful of girls in the Snoqualmie Valley who are diagnosed with Rett Syndrome—and it’s unlikely your daughter is one of them—but we wanted to share the story of Sara and Paisley Rae, clients at Encompass, to illustrate the significance of early intervention pediatric therapies that improve futures for children and also strengthen bonds between family members.

V__2FFEPR smileI have the pleasure of telling this story because Sara is my friend. We met through a moms’ group and she reached out to me recently because she knew my 4-year old was diagnosed with autism spectrum disorder the same month her daughter, Paisley Rae, was diagnosed with Rett Syndrome and that my family was making immense progress through Encompass. As she told me her story, many things struck me—most of all, how proud I am of her for advocating for her daughter and finding early intervention options; how bravely she faces the diagnosis; how much we have in common as parents—and how thankful I am to be a part of the Encompass support group for moms of children with special needs (named Mom’s Moment)—because camaraderie and support is essential to reaching your fullest potential (Encompass also has a support group for all mothers, called Moms).

Sara and Paisley Rae’s Story
When I met Sara and Paisley Rae at a mom’s group in 2012, I couldn’t believe how absolutely tiny her newborn was! Paisley Rae was born 4 weeks early and she peeked out from her pink blankets with the most adorably-perfect face I’d ever seen.

As the weeks went on, Sara felt something was off with her daughter. Feeding and sleeping were incredibly difficult—but her pediatrician did not find this immediately problematic. I distinctly remember discussing it within our group and the answer seemed straightforward—Paisley Rae was so premature that she just needed to catch up—surely things would iron out.

The Decision to Get a Developmental Screening and Evaluation
Over time, the effort to keep weight on Paisley Rae and stay rested took its toll. “I just felt crazy and needed help”, Sara recalls. One of the other members of our mom’s group suggested a developmental screening. When Paisley Rae was 8 months old, Sara took Paisley to the Center on Human Development and Disability (CHDD) at the University of Washington for an evaluation.

Early Intervention at Encompass
CHDD referred Sara and her daughter to Encompass for early intervention services, which they began in August 2013—Paisley Rae was 13 months old. At this time, Rett was not suspected and they began occupational therapy (OT) with Nan Kreuger and speech therapy with Jen Cramlet.

“I started working with Paisley right after she was initially evaluated. At that time, we knew that Paisley was delayed with her motor skills but we didn’t know why. Regardless, we met Paisley where she was at and worked toward the next motor milestones—sitting up without support, transitioning to the floor from sitting and working on strengthening her upper body by working on the stairs on hands and knees,” remembers Nan, Paisley Rae’s occupational therapist.

swingAt 18 months old, Paisley Rae began to regress and lose skills. With Rett, early developmental milestones appear normal, but between 6-18 months of age there is a delay or regression in development, particularly affecting speech, hand skills and gait. A hallmark of Rett syndrome is repetitive hand movements that may become almost constant while awake. While Paisley Rae had never hit developmental milestones on a “typical” schedule, her regressions in speech and dexterity were hard to miss—she also had started wringing her hands. So, in January 2014, they began physical therapy with Nicole Demetrescu and special education with Sally Rasmussen.

“Our goals were social-emotional development, understanding cues and preschool readiness—these were determined through a consult with Sara,” says Sally.

PR gait trainerPhysical therapy began with work on rolling, crawling on her hands and knees as well as up the stairs. “I taught Sara some strategies for full-body massage to help Paisley develop body awareness, as well as help her tummy digest! Over time she grew stronger, so we progressed to more activities in supported standing and on transitions (e.g. pulling-to-stand). We ordered her a gait trainer to support her body as she grows in strength and to practice the reciprocal motion necessary to walk,” adds Nicole. “Paisley Rae really responds to Sara’s voice, which is soft and warm, and to Sara’s encouraging demeanor. Paisley Rae surprised us all with four beautiful steps in her gait trainer. It was a really special moment for Sara—and one I’ll always remember!”

“I started working with the team again to focus on fine motor skills with Paisley, allowing Nicole (physical therapist) time to focus on her gross motor skills. We will focus on how best to handle her loss of hand function (how will she activate toys, feed herself etc.) and explore, with Paisley Rae’s parents, what the priorities are for her therapy,” says Nan.

Receiving a Diagnosis
Sara took her to a neurologist in the spring of 2014 and they began the challenging process of getting the evaluation (the genetic testing has to be pre-approved). Although the doctor said the results of the evaluation and testing would take a few weeks, Sara’s instinct as a mom knew it was Rett.

“Getting a diagnosis was a relief. Now I know how to help her,” says Sara.

Building a Relationship
Although Paisley Rae has spoken and taken a step, it’s not consistent. Some days she is too fatigued to even eat. As her mother, Sara struggled with Paisley Rae not being able to speak and voice her feelings, especially when she is upset or ill (95% of girls with Rett never speak). One solution that has helped immensely is having Sally record them interacting. Sally can see the subtle non-verbal communication cues Paisley Rae gives, such as arching her back (“I’m done”).

V__A8F7sara and pr“Sara has become an expert reader of Paisley Rae’s subtle and often non-traditional cues. A shift in her eyes, shaking in her arms and the tipping of her head are all distinct forms of communication that Sara can interpret and give voice to,” comments Sally.

“She’s [Sally] taught me so much about my daughter,” Sara says.

Cognitive assessment in children with Rett syndrome is complicated, but they understand far more than they can communicate, evidenced by their bright and attentive eyes, and their ability to express a wide spectrum of moods and emotions.

What’s Next for Sara and Paisley Rae?
They will continue working with their pediatric therapy team at Encompass—and because Encompass encourages families to join in therapy, it is also a way to bond with Paisley Rae in a fun environment. Her family has been extraordinary in embracing the therapy routine.

“Paisley Rae’s parents are the real therapists here—they are so committed to her and follow through on suggestions and recommendations,” Nan commented.

Sara also is building a network of support with other Rett moms nationwide via the Internet and with local moms of children with special needs through the Encompass Mom’s Moment group. Mom’s Moment meets on the first Monday morning of every month and schedules additional evenings out to establish camaraderie for moms on a different developmental road with their children.

Despite its multiple handicaps, Rett syndrome is not a degenerative disease. Many individuals with Rett syndrome live long into adulthood.

More About Early Intervention
The first years in a child’s life are a time of rapid brain development that will never be matched again. Parents can help their children take full advantage of this rich growth period by connecting with Encompass and prioritizing developmental screenings and early intervention pediatric therapies to make major leaps forward in everything from language and speech development to interpersonal interaction. Children whose delays are caught during this time see much better long-term progress results than those who are treated later.

Encompass Offers:
Developmental Screenings
Early Intervention Services (0-3) – these are often in home or childcare settings
Speech therapy
Occupational therapy
Physical therapy
Feeding therapy
Social skills classes
Wired for Reading

Call 425.888.3347 if you have questions about your child’s developmental progress—you can schedule a private and free developmental screening.

Why Getting Involved in Rett Syndrome Awareness Helps Find a Cure
Today, there is no cure for Rett. However, the good news is research has proven Rett Syndrome is reversible—awareness is required to make this scientific finding a reality in the lives of millions of girls. For more information about Rett Syndrome and how to get involved (connect, advocate, donate, participate), visit: http://www.rettsyndrome.org/

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ABOUT THE AUTHOR Colleen Burin is a mother to two boys under the age of 5. Both her son on the spectrum and her neuro-typical son are active in the Encompass Early Learning Program. She lives in North Bend and works for Microsoft and Encompass.

Decrease Parental Stress and Target Challenging Behavior

By Kerry Beymer

PFP_WashingtonColorEach April, people across the country join forces to raise awareness of the terrible tragedy of child abuse and neglect for National Child Abuse Prevention Month. At Encompass, we know that parenting can be difficult – especially when kids have challenging behaviors. Parenting is the most challenging yet most important job we do and in those challenging times parental stress runs high. Parental stress levels can be a predictor of child abuse.

There is no single known cause of child maltreatment. Nor is there any single description that captures all families in which children are victims of abuse and neglect. Child abuse occurs across all socio-economic, religious, cultural, racial, and ethnic groups. No one is immune. It must be emphasized, however, that while certain factors often are present among families where maltreatment occurs, this does not mean that the presence of these factors will always result in child abuse and neglect.

In 2011, Child Protective Services (CPS) accepted referrals for 46,636 individual children, equaling a rate of 30 per 1,000 children under age 18. Bear in mind that only a portion of child maltreatment is reported to CPS, and not all referrals are investigated.

To reduce child abuse and neglect in our community, Encompass offers a host of programing that can help decrease the parental stress and help parents sort through their children’s challenging behaviors, including:

Each of us can make a difference preventing child abuse and neglect. There are a few ways for you to get involved:

  • Educate yourself and others about child abuse and its prevention by visiting http://www.childwelfare.gov or http://www.preventchildabuse.org.
  • Build a support network by increasing your involvement in your community. Getting involved with Encompass programs, community center groups, or library programs is a good start.
  • Volunteer for organizations serving children and families.
  • Contribute to organizations working to prevent child abuse. At Encompass, your contribution will go a long way at helping to develop healthy children and create strong families – two critical components of child abuse prevention. To donate, click here.

With your support, we can to increase child abuse prevention efforts in our community.

To report child (or adult) abuse, call 866-ENDHARM in Washington State.

“TherAPPy”: Encompass uses technology in pediatric therapy

Example of an app Encompass uses: Handwriting Without Tears.

Example of an app Encompass uses: Handwriting Without Tears.

Tablets (like iPads and the Microsoft Surface) are increasingly used by Occupational Therapists and Encompass has integrated the use of tablets and apps into working on specific skills with our patients. Megan Daniels, a Certified Occupational Therapist Assistant at Encompass, told us about how she uses apps to assist in promoting age-appropriate skills.

Skills that can be developed through apps:

  • Fine motor skills for dexterity, finger isolation, strength, grading movement and pressure when using stylus to promote correct pencil grip. Also correct letter formation with specific apps.

Below are examples of the skills and apps that many children could benefit from using!

  • Visual motor skills for tracking, eye convergence/divergence, eye-hand coordination, foreground and background, bilateral integration and crossing midline
  • Self-regulation and impulse control
  • Sequencing and following directions
  • Social interactions and turn taking

Examples of the types of apps that are used for fine motor and visual motor skills are mazes, matching, puzzles, memory, and handwriting. Other apps that assist with visual motor are hidden pictures, word searches, popping/catching moving objects across the screen and finding the differences between pictures. Apps that are used for self-regulation and impulse control include metronome, music, interactive books and visual stimuli. Many app examples listed above can be graded to include (or already include) promotion of sequencing, direction following, social interactions and turn taking.

Encompass Occupational Therapists also use their tablets to record and take pictures for consults with colleagues, demonstrations for parents, baseline data and video modeling.

There are many great opportunities to incorporate apps in assisting your child’s development and improving age-appropriate skills!

Here are the apps Encompass Occupational Therapists currently use (new ones launch every day—check out our Pinterest board dedicated to apps for therapy & education, including how to CHILDPROOF your tablet — http://ow.ly/vWZ5S ):

  • Handwriting Without Tears (Occupational Therapist-based program that has the letters in a specific order that is easier for kids to build their skills on).
  • Sam Phibian
  • Trainyard EX
  • Alien Buddies
  • Flow Free
  • Highlights Countdown (hidden pictures)
  • iMazing
  • Lego Juniors
  • Metronome
  • Even Monsters get sick (interactive book)
  • Nighty Night (interactive book)
  • Pandora