Thursday, April 28, 2016

Confusion Regarding IEPs and 504 plans

WHAT EVERY PARENT NEEDS TO KNOW ABOUT AN IEP and A 504 PLAN

By
Dr Michael Rubino


Parents here is important information about Individualized Education Plans (IEP) and 504 agreements.  Besides ensuring that your child receives a good education, you do not need to pay for items such as special computer programs that the school district should be paying for not you. If your child has an IEP the school district is responsible for most educational expenses even a private school if necessary. Please read this article so you understand your rights and your child's rights.

We are coming to the end of the school year and it is time for the annual review of students IEPs. I am already hearing from parents how school districts are misleading them and pressuring them to sign an agreement for a 504 before the parents clearly understand the difference between an IEP and 504 plan.  The definition for both is further down in this article. An IEP and 504 are not the same. An IEP is legally enforceable and has legal guidelines and time frames. An IEP follows a student from school to school or state to state. A 504 is not legally enforceable and doesn’t follow a child nor are there legal guidelines.

An IEP will not stop your child from getting a job or from getting into college. In fact and college because they still would be entitled to assistance and the State of California may pay for their books. Also educational records are confidential therefore, no one would know your child had an IEP in school.

Many schools say your child must be two grades below in order to qualify for an IEP.  If you said your child had a math or reading disability this is true. However, if they have ADHD, Bipolar, school anxiety etc. they can qualify under OTHER HEALTH IMPAIRMENTS. All your child needs is a diagnosis such as ADHD which would interfere with their ability to fully benefit from their learning experience in the classroom. The 2 grade below level qualification doesn’t apply to this category.

Also if you have a child in private school and they would benefit from additional assistance, contact your child’s public school district. Even though they attend private school the public school district is legally obligated to provide your child with services.

One more issue, never pay for outside testing before the school district tests your child. They have the right not to accept any outside testing until they test the child. If you disagree with the district’s testing then you can request an objective testing from an outside professional and you can request that the school district pays for the testing and you can select the evaluator.

An IEP or an Individualized Education Plan is a document that outlines the specialized education services that a student will receive due to their disability. It ensures the student will receive the assistance necessary so they will receive an education.


When most parents hear disability, they usually think of a person in a wheelchair or a student wIth a learning disability. There are various condItions that can qualify as a disability. Depression, Bipolare Disorder or even diabetes. The disability is any condition that will interfere in the student receiving the same education as other students. The students who qualify for an IEP need accommodations which meet the criteria of needing specialized education. As I stated above their are numerous conditions which may qualify a student for an IEP.


if a student does qualify for an IEP, they also qualify for Special Education. Many parents hear this and are afraid or embassies. There is nothing to be afraid of or embossed about. If a student qualifies for Special Education, if the student needs speech therapy or special computer programs, the school district is obligated to provide the services to the student at no expense to the student’s family.


There is also an option called a 504 Plan. This was established in the Rehabilitation Act of 1973. The 504 plan ensures that a student with a disability will receive accommodations so they will receive the same education as other students. However, the 504 plan does not qualify a student for Special Education services and It is not overseen as closely as an IEP plan.
Currently, many districts are telling parents that their child does not need or qualify for an IEP and a 504 plan is just a good. This is not true. Many school districts are telling parents that their child does not qualify for an IEP because the IEP is more expensive for the district and most districts are trying to save money.The districts take advantage of the fact that as parents, you do not know all the differences between an IEP and a 504 so they can talk a family into a 504 plan easily.


If you find that your child is having difficulties at school due to a learning disability, health issue or emotional issue, consult an outside professional before you automatically assume that the school is giving you the appropriate recommendation.


I see many parents who have been told that their child is better with a 504 plan and that is not the truth. You can consult an educational consultant or a therapist who works with children. You can contact me at drmike@rcs-ca.com. I help many families at their child’s IEP meeting. The main thing is, do not be afraid to ask if your child should have a 504 or an IEP. Also don’t let the district make you feel guilty because you want time to think and investigate the options. This is your child and you should never sign anything until you are sure it is in your child’s best interest.


I have added a link to a chart that will help you compare the two and understand the differences.

504 Plan vs. IEP - Education Centerwww.ed-center.com/504This pages lists the differences between an IEP and a 504 plan.

Dr. Michael Rubino has over 18 years experience working with children and teens. For more information about Dr. Rubino’’s practice visit his web site at www.rcs-ca.com

Wednesday, April 27, 2016

Teenagers Can Make You Feel Crazy

Many parents of teenagers feel like they are going crazy. One day their teen is acting like an adult and like they don’t need a parent and the next their teen is acting like a child and cannot live without parents. It becomes very frustrating to many parents because they never know how their teen will be acting that day. Parents feel like they cannot win because if they treat their teen like an adult that is the day their teen is acting like a child. Besides not knowing what mood their teen will be in parents get tired of their teens being angry at them because their parents guessed the wrong mood. Well parents, you are not crazy and the confusion you are feeling is real. Teens do switch from acting mature to acting child like very quickly and very often. It has nothing to do with how you are parenting your teen, it has to do with their biology. The Prefrontal Cortex in teenagers is not fully developed yet. As a result, you see and experience the mood swings in your teens that we just described. The Prefrontal Cortex is the part of the brain that is responsible for reasoning skills and the ability to make mature consistent decisions. One of the best ways that I have seen to deal with this situation is make no assumptions. When dealing with your teen see what mode they are in and respond accordingly. As your teen is getting older make suggestions how they could have looked at the situation or sit down with them and discuss how they made their decision. The most important thing is to remember they are not doing it on purpose, it is part of the process they need to go through as they become adults. They need to learn how to make rational, mature decisions. Right now when dealing with a teen, the best thing as a parent can do is to take a deep breath and assess the situation. The way you respond to them is modeling how to act like an adult. Also this will reduce fights in the family and improve communication. If you remember back to when they were toddlers you did not expect them to understand everything because they were a little child. Just because physically your teen may look and can physically act like an adult doesn’t mean that emotionally they are adults. Remember they are still maturing and need your help. A little understanding can go a long way.
Dr. Michael Rubino has a private practice in Pleasant Hill and specializes in treating teens. You can learn more about his practice by visiting his web site www.rcs-ca.com or you can email him at DrMike@rcs-ca.com

Cutting A Dangerous Teen Behavior

Suicide is the third leading cause of death in kids 10 to 18 years old. In this article we are going to explore a teen behavior that can result in suicide and that is cutting. This is a very common behavior among teenagers and many parents know little about it. Cutting is usually used as a method to deal with emotions, but it can lead to permanent damage or suicide, if the teen is not aware of what they are doing.
Cutting is any behavior which results in self-mutilating. Therefore it could be cutting oneself, scratching, burning, erasing ones own skin etc. Anything that results in damaging ones own body.
A recent study by Rhode Island hospital found that 46% of high school students admit to engaging in some form of cutting over the past year and 20% of college students admitted to it. ABC news found that 1 in 12 teens engage in cutting. Girls are more likely to cut than boys, but boys still do cut. I have both teenage boys and girls admitting to some form of cutting.
You may ask, why would someone cut themselves? Most teens engage in self-mutilating behavior because they find it easier to deal with the physical pain than the emotional pain they are experiencing. Some teens prefer just to cut and that helps release the pain and others need to watch the blood or watch the act of cutting or erasing as a way to deal with the pain.
This behavior is very common now among teenagers. Most teens have engaged in one form of self-mutilating behavior as a way to deal with their feelings.
What they do not think about when they are engaging in this behavior is the risk. If they cut too deep or in the wrong area they can cut a major artery and bleed to death. They can cut a nerve or tendon and lose control over their arm or leg. The site they cut or erase can become severely infected and lead to a number of medical issues. Most teens who cut are not suicidal but they are looking for a way to cope with their emotional pain.
Signs that your teen may be engaging in cutting are personality changes, where long sleeves or not allowing anyone to see their body. They often cut on their stomachs, chests or thighs because it is easier to hide. Picking at scabs is another sign. Changes in their appetites and sleeping pattern. Also a tendency to withdraw from family and friends. They also have a tendency to act depressed.
If you feel your teen is cutting, don’t be afraid to ask. However, if you do ask don’t act shocked or like they are doing something bizarre. Teens who cut are very afraid of being shamed. If you act like you cannot cope with their behavior they will not tell you.
Obviously if your teen is cutting there are emotional issues going on. The first thing to do is to have them examined by their pedestrian. You want to make sure there are no infections or damage that needs medical attention. The next step is to have them see a therapist who specializes in teenagers and especially one who specializes in cutting. Again if the therapist acts uncomfortable with the subject the teen will not talk. The good news is that with appropriate care most teens learn how to deal with their emotions in a healthy manner and stop cutting.
Dr. Michael Rubino has over 18 years experience working with teens and specializes in cutting and self-mutilating behavior. For more information about Dr Rubino and his private practice visit his website at www.rcs-ca.com

Sunday, April 24, 2016

The Reason Teenage Boys Don't Like Therapy

This link demonstrates what boys hear everyday and what they believe about life. 
https://www.youtube.com/watch?v=hc45-ptHMxo&index=1&list=FLDPVRzM4UJ38pXwwSFRCHzw
May is Men’s health month, so let’s address it. The trailer above contains explicit language, but it is language your third grader hears every day at school, from friends and television. Men and teenage boys are very resistant to taking care of their physical and mental health. The question then becomes, why? If you watched the trailer, you have a very good idea why.
In our society there is a stereotype of what it takes to be a “man.” A man is strong, healthy, can take care of himself, knows everything about sex and is sexually active, has a lot of money and never afraid to fight and never cries. These are a just a few parts of the stereotype. Many parents may be saying, “but I don’t bring up my son like that” You don’t have to it is part of our society. If a little 5 year old boy falls down at school, the staff picks him up and might tell him shake it off, don’t cry, take it like a man. A boy playing soccer or baseball gets hurt during the game, the coach says shake it off, take it like a man. You even saw examples of it recently on Dancing with The Stars. A couple of the men started to get teary eyed and the asked for the camera to be moved because they did not want anyone seeing them cry.
Boys continue to be exposed to the stereotype in high school. There is a major focus on losing their virginity as fast as possible and sleeping with as many girls as possible. They can’t be a man if they are a virgin. Also boys are getting into fights and having a friend record it and post it on YouTube. They want everyone to see how tough they are and it makes them feel like a man. Also in High School boys stop accepting and asking for help, they are a man and they can handle life on their own. Also look at the movies and video games boys play. They have to do with fighting, killing and sex. Emotions are never mentioned and if a boy does he is called a “sissy, a fag” just to list a few.
If men and boys are living with this stereotype going to a physician or a therapist is a very dangerous thing to do. They might have to confront the fact that they are not able to do everything by themselves and they might need help. This would mean they are not the tough guy. Also they know physicians and therapists have treated other men and they are afraid how they might compare to other males. If they are not as tall or as strong or don’t measure up to the other men they are not a man.
Going to a therapist is extremely dangerous for boys and men. Therapists ask you to deal with your feelings. What if they cry or admit they feel overwhelmed by life or inadequate to other men? If they do, they worry about their identity as a man. I have men teenagers and men who cry in my office. They all get really embarrassed, ask me not to tell their family and want to know if other guys cry too. They need reassurance that they are still a man. The truth is it takes more strength to cry than not to cry, but most guys don’t believe this due to the stereotype.
In this month of May when we are supposed to focus on men’s health, the best way for us to help men is to eliminate this stereotype. Parents contact your son’s school and ask them to invite groups to the campus that are trying to eliminate this stereotype; Challenge Day is an excellent organization. Monitor what they watch and how they talk with friends.  Fathers don’t be afraid to cry and go to the doctor regularly and ask for help. Look for movies that show males as men even though they don’t follow the stereotype. This is a problem in our society which leads to crime, killings and needless deaths from heart attacks and strokes. It is going to take all of us to solve the problem.
Dr. Michael Rubino is a local therapist who specializes in treating children and teens. To find out more about Dr. Rubino and his practice or to contact him visit his web site at www.rcs-ca.com.

Saturday, April 23, 2016

Is My Teenager Selfish?

Many times I hear parents ask for help because there teenagers are too self-absorbed. All they do is think about what they want and what they need.  Well, teenagers are supposed to be self-absorbed. Okay yes some teenagers can go overboard, but in general being self-absorbed is part of being a teenager.

Developmentally, teenagers are in the process of defining their own identities and discovering their own value systems.  They are trying to define themselves as young adults and how they are going to relate to people in their lives and what they do and don't believe in.  In order to accomplish this goal, it does require a fair amount of self-reflection and exploring the world. It also requires a great deal of focus on their feeling so they can form their identities and value systems. At times, it may seem like a teenager is self-absorbed and only thinking about themselves.  Externally this is how it may look to parents, but internally it feels very different to the teenager.

Remember when you were a teenager or some of the things your teenager may have said to you. Teens often talk about feeling very confused about their emotions or overwhelmed by their emotions. They often state they are not sure what to feel or think about their emotions.  Also many teens often express feeling overwhelmed by what is happening in the world and are not sure what they should do as an adult or what people expect from them.  It is a very confusing time and requires a fair amount of introspection from the teenager.

Very often in therapy, I serve as a sounding board for teens to sort out the feelings they are having about themselves and the expectations they feel from people in their lives. Also they often  are trying to sort out how they want to act as an adult and they are trying to understand what is expected of them as an adult.

This is a very confusing time and requires a great deal of introspection because no one teaches teenagers about what it takes to be an adult and often no one discusses these issues with them.  Some parents do try to discuss feeling and expectations with teenagers, but often these conversations result in an argument. Remember a teenager's brain is still not fully developed. The prefrontal cortex which handles most of what we are discussing is still developing in a teenager. Because of this many teens may feel like they are being talked down to and they get angry. Parents often forget how teenagers think and don't know how to approach their teenager which can result in an argument. Even though the parent and teen may have the best intention of trying to discuss this turmoil it still can result in an argument.

As I said in the beginning some teenagers are too self-absorbed.  They are not trying to resolve emotional turmoil they are just selfish or spoiled.  If your teenager appears more self-absorbed than they average teenager or if people are commenting on how selfish your teenager is then you need help. At this point I recommend therapy. The teenager won't listen to you because parents know nothing in their opinion. Often in therapy I say the same things as parents and the teen will listen because I am not Dad or Mom and they don't feel like they are admitting they are inadequate accepting my suggestion. The main point is they understand they are too self-absorbed and how to change it.

So if your teen is somewhat self-absorbed, relax it is part of being a teenager. They will out grow it around 17 or 18 years old. In the meantime, work with your teen doing your best to help them sort out the emotional turmoil they are experiencing internally. If you feel lost as a parent or if you see your teenager struggling very hard then you may want to consider having your teenager attend therapy to cope with this emotional turmoil.

Dr. Michael Rubino has over 18 years experience working with teens and parents and is recognized as an expert in this area. For more information regarding Dr. Rubino's work and private practice visit his website at www.rcs-ca.com

Wednesday, April 20, 2016

The Violence Kids See Daily

Parents it's sad to say but in today's world toys can kill.  We would like to assume we still live in a world that is safe for our kids, where they can go outside to play and we know they will be safe. However, this is no longer the truth. The world has changed and kids are no longer just safe to go out and play.

One major change is the increase in violence in our society. Since the year 2000 there have been 160 mass shootings and there have been 56 in this year alone (ABC News).  Because of this law enforcement and people in general are more sensitive to guns and violence.

The problem for our children is a number of toy manufactures are making toy guns that look real.  There was one man selling toy assault weapons on the Internet and he had a waiting list for people wanting to buy these "toys" for their kids. We need to think about the toys kids are playing with.  If they are outside or at school playing with a "toy gun" that looks real they may end up getting killed.  Kids video games have become violent and many involve shooting and killing. If a police officer tells a little child to drop their gun, they may think it is a game and pretend to shot back. What happens, the child gets killed because they thought they were playing a game. One child gets killed by a gun every 30 minutes in the US (CDC). This rate is higher than the Middle East.

Video games and movies have become very violent. In the 1990's a movie received an R rating for swearing. Now those movies are PG. Movies that receive R ratings are very graphic violently and sexually.  Our kids feel this is normal life.  The children I work with are now only interested in watching movies and playing video games that are graphically violent with people getting killed. Remember children don't reason like adults. They can hit the reset button on a game and start over and everyone is a live.

In addition to movies and games becoming violent children today are being exposed to mass shootings all most daily. As a result, children are accepting violence as an everyday fact of life. I do an anger management group for teens. When the topic of caring knifes or guns come up most teens favor the idea. When I asked about being killed accidentally, they don't care.  Most of them feel there is such a big chance already that they could get stabbed or shot that they might as well protect themselves.

Teens are also using guns as an answer to their problems. We have seen news stories where teens have planned and murdered another kid because they did not like the other child.  For teens 10 to 24 suicide is the third leading cause of death and using a gun to commit suicide is one of the top three choices (CDC).

What does this mean to parents? It means when you are buying Holiday gifts or birthday gifts that parents need to think. Do not buy the video games rated mature and deal with killing or raping. Do not allow them to play with realistic toy guns and teach them never to point it at someone. Monitor the movies they watch. Do not allow them to watch movies or television shows that glorify violence. Remember their brains are not totally mature yet, so they need their parents to think for them when it comes to violence.

When the US in ranked number one in kids being killed by guns and are children assume they have a good chance of being killed by a gun, and kids think a video game or movie is good only if there is killing, parents must act. Parents must try to re-educate our children. It's not too late.

Tuesday, April 19, 2016

Children Are Not Bad Our Lack of Love Creates Bad kids

It seems that many adults do not really understand what children want from adults. It also seems from what I have seen and heard that many adults do not understand that children are not bad. Children are not born bad, we make them bad by how we treat them. Yes you do have children with loving parents and families who make very poor choices in their lives. As a result, they end up in jail or hurting people. However, these are the rare cases.

The most important relationships in a child's life is his/her relationship with his/her parents. A child wants love and to feel wanted by their parents. Parents are a child's safety net. As long as Mom and Dad are okay then they are okay. If their parents are not okay, then a child's safety and life is in danger. Children cannot tolerate this fear. Therefore, if their parents have a problem instead of seeing their parents with problems a child changes the situation so their parents are great and the child is bad.

I have seen this many times with foster children. Their parents are usually great people and Social Services are being mean to their parents. They can be living is the best foster home in the world and if you ask them if they want to return to their natural parents, they say yes. They are desperate for that validation from their parents.

The problem is many parents do not know how to express love to their children because they never experienced it themselves as children. Therefore, they do the best they can do and feel they are good parents because they are better than their parents. However, when they hear their children asking for more they get mad at their children. They want their children to validate them for being good parents. They do not understand that a child doesn't have the cognitive abilities to do so.

Therefore, a child tends to feel unloved, unwanted and form a belief they are useless. They tend to hang around people who reinforce this belief. They are afraid of people who might love them. They are afraid these people will discover the truth about them and leave them. They feel safer with the people who tell them they are worthless.

Walking around with this feeling can hurt a great deal.  As a result, kids start to do drugs, alcohol and hang out with gangs. The drugs and alcohol help to numb out the pain of feeling worthless while at the same time it reinforces the belief that they are worthless.

Most often these kids act out at school and tend to get arrested for stealing or drugs. Some people try to help but the child pushes people away. It is better to leave someone than to be left.  Most people get tired and say there is nothing else they can go and give up. Once again, reinforcing the child's belief.

These are the children and teenagers who really need our help. The harder they push us away, the harder we have to say we won't go.  There have been many times that I have hint to Juvenile Hall to do sessions. The teen is shocked! I tell them that I told them they can push as hard as they want, but I won't believe they are bad or walk out. At times this is difficult because they often test me over and over to see if I am for real. If they see I am for real, I am only one person they need other people to stay.

What I have seen in working with teens who act out for over 18 years, is they are looking for someone to say I care and you are important. They prefer that it comes from their biological parents, but once they accept their biological parents cannot provide this, they look to other adults.

Those of us who work with acting out teenagers as therapists, teachers or foster parents need to understand how severely these children have been hurt by their biological parents and the hard work it takes helping them over come that wound.

Extended family such as aunts and uncles, you too need to understand how deep the wound is for these kids. If you are not dealing with your own wounds, they need you to be in it for the long run.

This may seem like I am asking for a great deal, but look at how many teens are dying from suicide, drug overdose, shootings etc. When you see the number of young lives being lost you can see that it is worth the effort.

Yes it takes a great deal of effort but when you communicate to a teen that yes you are worth something, you are love able and I care about you. Watch how they go out into the world and help others and share love with others. So the price is worth seeing a teen full of life and going out and sharing it with the world. Watch some of Challenge Day's videos on YouTube to see the love teens can spread if we give them love.

Dr. Michael Rubino has over 18 years experience working with high risk teenagers & foster children and is an expert in this area. For more information on Dr Rubino visit his website at www.rcs-ca.com or follow him on Twitter @RubinoTherapy.