Starting Speech Therapy

This week starts speech therapy for both Kiera and Matteo.  I'm relieved they have finally been evaluated and recommended for therapy because I know they need the extra support.  Too many people have made excuses for them because "they're still learning the language." I think everyone who has interacted with my kids has really low expectations because they can't wrap their minds around these children moving around the world to a new family, language and culture.  And then they see two happy, well-adjusted kids and probably think, what more could I want from them?  

We underestimate being able to communicate, especially in young children who've gotten by so far with a lot of pointing and smiles.  Whether you're deaf and communicate with sign language or are hearing and communicate with spoken language, having the ability to communicate with other human beings impacts our happiness, our friendships and our learning.

While I never lost hope that Kiera and Matteo would experience an English-language explosion, my gut told me ignoring the problem wasn't going to help.  I know that if my children were speaking Chinese, they'd have the ability to learn English, and that they should be able to pick up words in a new language quickly, even if it takes up to two years to catch up to native-speakers.  The reality is that my children spoke no more than five words in Chinese when an almost-three-year-old like Kiera should have been jabbering away.  Some children leave China already speaking a couple words in English, whereas as at five months home, my children don't use more than five words in English to communicate.  We have recently heard them imitate words or randomly say a word, but not in context to communicate a need or want.  

For awhile I tried to stay patient.  Matteo needed surgery on his palate and wasn't physically able to say most sounds without a repaired palate.  Both children were diagnosed with conductive hearing loss, which we addressed through surgery and they passed their repeat audiology test one month later.  It was in the weeks following their surgeries that I really had hope that just any day now their language would come together, but it never did.  

I contacted Help Me Grow, a state-funded program that provides free therapy services for children from birth to age five.  Matteo easily qualified, and starts his first session this week, but since Kiera is over age three, it's harder to qualify for services and we'll need to wait until the fall to have her reevaluated. 

I also asked a fellow China adoptive mom in my area where her boys with cleft lip and palate go for speech therapy, and in addition to working with Help Me Grow, she recommended doubling up on therapy by also working with Gillette Children's Hospital, where Matteo had his palate surgery.  Kiera started her first session this week and we're in the process of scheduling Matteo with a therapist who works specifically with kids with cleft lip and palate.  

Therapists with both programs cautioned me that they're not miracle workers and that speech therapy takes commitment and time.  This is especially true for Matteo since kids with cleft lip and palate typically need years of speech therapy.  But we're now doing something proactive to support their speech development and that makes me feel better than if we were doing nothing at all. 

And that my children are able to attend their recommended appointments I owe all to my mother-in-law, Nan.  Each child will have one to two appointments through Help Me Grow and Gillette's each week, which means there could be some weeks in the fall when we have a total of eight therapy appointments scheduled.  Without Nan's offer to take them, the reality for our two-working-parent household is that we would not be able to pull off that level of therapy.  And that's even though I work ten minutes from home and five minutes from the hospital and have an incredibly flexible workplace.  

In addition to bringing Kiera and Matteo to their appointments, my mother-in-law takes incredible notes.  The evening of Kiera's first appointment, Nan e-mailed Chris, me and our au pair a summary of the session, the ten words in sign language we need to learn and practice with Kiera and links to a website to learn the signs.  (Sign language foster language development by giving non-verbal children a way to communicate.)  Chris and I may not have been able to make the appointment, but Nan made sure we didn't miss a thing.  

Now let's see if we can teach Kiera one more sign before her next appointment.