When a Child with Special Needs Leaves Home

I am a big believer that time heals all wounds, or at least makes them bearable.  It is not just time — it is the fact that every day we are adjusting to the new reality, and finding new ways to feel both joy and a sense of purpose.

That sense of purpose is a big thing for me. I spent 24 years of my life taking care of our severely autistic, “high needs,” non-verbal 28-year-old son named Billy. I was fully engaged, doing everything I could to help him be educated to the extent of his abilities, and also caring for our two other younger children. Thankfully I also had my law practice, another outlet for my efforts when nothing seemed to not work out for Billy.  He has a low IQ, and each time he was tested the outlook seemed worse. He also had behaviors. Every phone call from school was to report another incident — I never, not once, got a call about something good. Sigh.

Yet Billy was not prioritized for housing by DDS, which means that the state will not fund his housing, and if we want him to live outside our family home, we have to pay for it. In fact DDS told me we were not even close to being prioritized, because my husband and I were able to keep Bill home safely, without a staff.  

The majority of parents of special needs children keep their kids at home with them through the parents’ 40s, 50s, or even longer. Only about 15 percent of  Department of Developmental Services (DDS) clients receive housing from the state when they turn 22, and those tend to be the most difficult cases – where the person cannot live safely on his own or with his parents. The rest are left to their own resources when it comes to housing. Their parents need to know their options and think creatively about how best to provide for their loved ones as they age.

But piecing the financing together is only part of the problem. Having Billy leave home is one of the most difficult things I have gone through as a parent. Billy’s group home opened on June 10, 2016, and the initial roll-out was an emotional roller coaster. Some days I was happy, enjoying my freedom, and thrilled that he is doing so well. Other days I got myself completely worked up over some issue, didn’t sleep, and forgot to be thrilled at how well he was doing. In between these extremes I was living with constant anxiety, wondering how things are going, and just worried. There are so many things that can go wrong.

But then I would see him, and instantly feel better. He looked great, well cared for, and HAPPY. Here’s a picture from his first year at the residence:

Now what was I so worried about?

But nothing about this has been easy. You might think that it would be nice for me to not have to take care of him after all those years, and for my husband and I to finally have an empty nest and be able to do what we want. Of course this is true, and part of the reason we did it. But I had been his eyes, ears, and voice for 24 years, and I didn’t really understand how he could function without me. I wanted to know what is happening with him, and whether he needed anything. If something went wrong, I wanted to take care of it. At home. With our family. Where he belongs.

(That last bit came from my heart, not my head – these two were constantly doing battle those days.)

This is a life-long journey we are on. Finding the money and government supports to help pay for everything is only part of the problem. That Billy had this opportunity was actually a miracle, made possible by wonderful friends, years of planning and hard work, excellent caregivers and agency support, and the stars aligning. But that doesn’t mean this it wasn’t hard.

So why did we do it? Why did we have him leave home, at such a relatively young age (24)? Don’t think I didn’t ask myself that. But not when we saw him. He comes home once or twice a week, and every time he has looked great, seems to be proud of his new-found independence, and says he wants to go back. That is worth its weight in gold. We did it for him. 

But we also did it for us.  Now that it has been four years, I have grown comfortable with the new reality.  My internal low-level stress about him has decreased so much that I go for hours, maybe even days, without worrying about what is happening with him.  I still spike when I get a text from the caregiver — that is just my PTSD talking — but it is always just some routine question, never (so far!) anything terrible. And my husband loves the freedom.  We know that any day this could fall apart, but we are starting to relax, and can now say that Billy’s new home actually seems to be working out. 

Time heals, but a small hole is still there. I have to remind myself to be grateful for that hole, because it means the kids are doing what they should be doing, and because it is how love feels.

Special Needs Parenting: It Changes You

We parents of children with severe impairments have a unique parenting journey, and it is not a side gig that can be done casually. It virtually takes up our lives, for years. For me, on some days (months/years), parenting Billy was just too hard. I didn’t see how I could go on. I did it because I had no choice.

It changed me, in good ways and bad. Now that Billy is 28 and a sweet and dear young man, I can look back and think about what happened. Such an intense experience must, by definition, leave a mark. For me I think I am both stronger and more grateful. To have Billy in a stable place, where he is not acting out, is such an amazing gift. That Billy is calm and happy after so many years is something I never expected, and I am vividly aware of how lucky this is. I do not take this new easy life for granted.

I also have some remnants of PTSD. When certain triggers occur, I can feel my stress go through the roof.  This seems to be decreasing through the years, but it is still there.

In his wonderful book on parenting special children, Far From the Tree, https://www.amazon.com/Far-Tree-Parents-Children-Identity/dp/0743236726 Andrew Solomon explains that having a severely disabled child intensifies life. We go from the depths of despair to feelings of great joy that are all out of proportion. This is no ordinary life we have led.

Solomon describes how some parents of profoundly disabled children grow stronger and more resilient, for those that allow that to happen:

“It takes an act of will to grow from loss: the disruption provides the opportunity for growth, not the growth itself. Constant high levels of stress may age parents of profoundly disabled children, making them crankier and more vulnerable, yet some cultivate a deep and abiding resilience. It turns out they have grown more skilled at handling other life stresses. Even as the downside wears you thin, the upside keeps on giving. The more difficult the problem, the more profound these positives may be.”

This growth doesn’t necessarily happen with milder cases, he explains:

“Mothers reporting higher levels of caregiving demands for their child with intellectual disability also reported more personal growth and maturity,” the Canadian scholar Dick Sobsey, himself the father of a disabled child, and his colleague Kate Scorgic write. “Parents of children with relatively mild disabilities may be more likely to adjust or accommodate by making minor or superficial changes. Conversely, parents of children with more severe disabilities may find it more difficult or impossible to go on with their lives as before and, as a result, may be more likely to undergo transformations.”

As I often see with my clients, what doesn’t kill you makes you stronger. If you would like to share your insights into how your parenting journey has changed you, for better or worse, please email me at Karen@Mariscallaw.com.

Autism-Friendly Broadway Shows: An Honor to Attend

Broadway has announced a new season of autism-friendly shows in NYC — exciting!!Here

This reminds me of when Billy and I were able to attend The Lion King, one of the best shows ever produced, without any worry that his rocking or singing would disturb anyone. In fact every other person in the audience seemed to be rocking or talking or singing or clapping or standing up at inopportune times (Autism Speaks was the sponsor).

And what a show it was. I cried at the opening Circle of Life, which is so overwhelming anyway with elephants and zebras coming down the aisles. I looked at the mom next to me, who also had a young adult son with her, and she was crying too. To think that we could have our 20-something sons finally attend a Broadway show was just too much.

My husband and I took our two other sons to see The Lion King five years ago, without Billy. Billy was at summer camp and it was our chance to do things like that, but I never forgave myself. Because it was Billy who really loved The Lion King, and it was because of Billy that each of us knew every line of the show – he had literally played the Lion King DVD hundreds of times. We all still love the DVD.

The show was just incredible, from beginning to end. The children in the audience were well behaved and engaged. Excellent people watching, I must say, and an unforgettable amount of love in the room. It was one of the few times when I felt truly privileged to be an autism mom, and part of something so wonderful.

Needless to say, we are hoping for more performances that are autism-friendly in the future. The world is a different place than it was in 1994 when Billy was first diagnosed. Billy has made great strides to try to fit into our world, and now it seems that our world is trying to meet him half-way. Amazing.

Not Even Close – My Story

I came by my work as a special needs lawyer naturally, in that my husband and I have a severely autistic son, our first child, who is now a young adult, age 26. We have navigated the educational system and the transition years, and Billy is now attending a community day program at Advocates, in Ashland. When he was 24 he moved out to a private group home that we created in Framingham, the development of which required a lot of blood, sweat and tears. He is happy there, and although non-verbal, still maturing and growing – our own personal miracle. Here is my story.

Not even close.

Those words changed my life forever. They came out of my own mouth, but I knew without a doubt the minute I uttered them that my life would be changed forever. I would be transformed from a mother of a happy healthy baby to a mother of an intellectually handicapped child.

Not even close.
This is what I said to my pediatrician when she asked me the very simple yet profound question, “What does he do when you ask him to go get his shoes?”

Not even close.

Our first child Billy was 15 months old when I said those words back in 1993, and at that point I had barely heard the word “autism,” much less understood what it meant. To the extent I was aware of it at all, I would picture someone sitting in a corner, playing with a ball of string, never interacting with the world. This is certainly not something that could happen to a child of mine – that was the kind of thing that only happened to other people.

So my journey into the strange world of autism began with a question about retrieving shoes. As a first time mother, I had no idea that a 15-month-old should be understanding language by then, and even maybe saying a few words. My baby crawled and walked on time and was beautiful – how could there be anything wrong?

In fact our pediatrician already had us on a watch list because there were physical signs that Billy’s brain had failed to grow normally. When I uttered those words, she immediately started calling pediatric neurologists to try to get me an appointment. We were in New York City, and she had good connections, but her phone calls had a touch of desperation about them. She finally told me that the only person who could see us was the head pediatric neurologist for a very prestigious New York hospital.
I said why was this bad? The top doctor at a top teaching hospital? Sounded good to me. She explained that he had a poor bedside manner, and she was trying to find someone who would treat me more kindly, but no one else was available.

The months that followed were the worst of my life. The doctor was all that he was said to be, and the only thing positive thing I can say is that by seeing the head of pediatric neurology, I am comfortable that we didn’t miss anything medically that could have fixed the problem. He was unable to give Billy a diagnosis at that point, other than developmentally delayed. He didn’t know how Billy was going to develop because of his brain growth problem, which is not usually a symptom of autism. In fact he never even mentioned the word autism to us. He said “Take him home and love him; there is nothing I can do for you.” So that is what we did.

Also we got connected with Early Intervention, where Billy had a full evaluation of his many deficits, and speech therapists started coming to our house. I remember talking to the first one about the situation, and saying “You mean there are people out there that don’t talk?” I had never encountered such a person, and seriously had no idea such a person existed.

She said, very gently, “Yes.”

I said, disbelievingly, “Why haven’t I ever met any?”

She said I probably hadn’t noticed them because they are usually with their parents. That statement should have been quite foreboding, but again, that is something that certainly would not happen to me.

The pain in finding out that my child was not normal was quickly surpassed by the difficulties we experienced in raising a severely autistic child. It a 24/7 job that requires a team of people – in my experience, no one person can successfully do it alone. There were plenty of times that I regretted having Billy. I clearly remember thinking: “If there was a button I could push that could make him go away, with no ramifications or guilt, as if he had never existed, I would push that button.” For us the problem was not that he was developmentally delayed, the problem was that he was always in motion and always into trouble – particularly with water, he always wanted to pour water on the floor or wherever, making a flood. To this day, my husband and I are physically incapable of letting the water run in our kitchen sink – after all these years of trying to get Billy to stop turning the faucet on, the noise drives us absolutely crazy.

For years of our lives, our main goal was to make it through the day. We had two other children following Billy, who were easy to raise, relatively speaking, but still added to the load. Billy did not always sleep well, and we all know that caring for little children with no sleep is no fun. I remember talking to my sister on the phone at 9:30 a.m. one Sunday, and saying, “I have been up since 6 a.m. and I am completely exhausted. I am done for the day. I can’t believe I have another 11 hours to go, just today.” And that was how I felt every day for a while. (I HATED weekends; loved going to work.)

Billy is now in his mid-20s. He has grown into a fine young man – we never thought he would be able to settle down and participate in ordinary life like he can now. We thank the Wellesley school system, the LABBB collaborative program in Lexington, DDS, the Charles River Center, Advocates, Inc., Camp Starfish, Camp Horizons, and most of all our family and friends for their love and support through this process. It certainly takes a village.

Now if you were to ask me if I regret having Billy, or would like to give him back, I would have to answer:

Not even close.