Hello, We just completed Laurens IEP yesterday for her Kindergarten class. That particular class she was in was one regular teacher and no para initially. They did not have a ECD program at that school either. Anyway the result of the IEP obviously touched on laurens left handed fine and gross motor disabilities, fatigueability with the hypotonia but what we were mostly concerned about was the interaction in the class, listening, socialization. Who would of ever thought that this would be our concern after all the years of concern about her walking or talking:-) Expressive language was high, receptive language was low to average, there was a significant gap betweent the two however. They did not feel that there was a auditory or visual perceptive problem but that a spatial awareness problem did exist. For example she may not seem to see or move to make adjustments for people in her way etc. Then there is the general lack of social interaction with her peers. She does well with older children and adults though. The speech language pathologist states that there is no good reason for how expressive language can be so high but receptive so low except for participation error to to attention span and focus. This I feel is that unknown, the intangible that we have struggled with her about. A seemingly bright personable girl who has a distance about, lack of eye contact, a feeling that what was said was not heard or confirmed by traditional cues. They feel that some is selective,but the other is more organic. Since she has been globally delayed in most areas, I cant help but think that her general maturity is low and there for attention is also low. FYI she is 5 yr 3month so she is an early K student. Through recommendation we are going to transfer her to a different school that is only pre and K with ECD focus. She is coming from a class of 28 down to 19. There is gen ed teach, a para, and a special ed teacher that goes back and forth between 2 class next to each other. Now my focus is developing her attention as much as a parent can do. First thing is getting the eye contact then I think alot of the other listening, paying attention, focusing will improve but we will work on them as well. Not sure exactly how but that is our new project. I would be very interested to hear others techniques or anecdotal experiences with attention and focusing problems. I asked if they felt this was attention deficit, aspergers, pdd and they all said strongly that it is NOT, whewwww!! Thanks Jason Kruse Lauren 5 yr 3m, left mild cp, hypotonia, no longer wearing afos per ortho, short attention,global delay Jason Kruse, PA Family Medicine East Heartland Research Associates Kansas PA Temps