FirstSteps Appreciation Letter

I wrote a letter of appreciation to the head of the FirstSteps program. They asked if I could come to present at Jefferson City to the board of directors, but I was not able to, so I wrote a letter for them to read. Here it is just for my own keepsake...

"My name is Beckie and my husband is Sam. We wanted to send out a big thank you to the FirstSteps’ program, as they were very helpful with our youngest daughter Brooklynn. A little background as to how we got involved in FirstSteps. Since our daughter was a couples months of age, we have been followed by many specialists due to a large head size. Nobody could quite figure out what was wrong, but she kept hitting her milestones on the late side of normal. At our 2 year check up, it was found that she was starting to fall behind in her milestones, mostly her speech. Brooklynn was only able to vocalize about 25 words, and most of these were unclear. When we couldn’t understand what she was trying to say, she was starting to become aggressive by biting.

Our pediatrician recommended we get involved in Hearing and Speech at our local children’s hospital. We did an evaluation, and they found that she had some speech delays, but our insurance would not cover therapy, as she had no neurological diagnosis. At this time, we had no explanation as to why she was having delays, and therefore we struggled with getting her services that she needed. I was informed about the amazing program called FirstSteps. My pediatrician made the referral, and within a month, we were scheduled to meet with Toni Harrison, and our evaluation was completed. Due to her large head size and speech delays, we qualified for services. We were approved for 1 hour of speech therapy a week with Tina Kemp. By July, we were getting weekly therapy sessions in our home. Within a month of therapy, it was discovered that my daughter had some other delays and hypotonia issues that very well could have gone unnoticed until she fell further behind. She discovered that Brooklynn had some upper extremity hypotonia, and had trouble holding her own body weight on her arms, had trouble maintaining a sitting position for long periods of time, and had trouble with her fine motor skills. She had some sensory issues, including having difficulty with working with play-doh, struggled with allowing Tina to touch near her mouth, whether it be with a Z-vibe, a chewy tube, or just hands. She also demonstrated rigidity in her play skills. With the request of Tina, we were able to get special instructor Shannon Crim involved as well.

These 2 amazing women helped to make so many changes to our lives. They taught us skills to help our daughter not only with her speech, but with her strength and her ability to branch out her play skills. We were taught to give her choices, how to word our phrases to help her copy our words, invite ourselves into her world slowly during play so she would allow us to change her play pattern. They gave not only us tips, but also her school tips on how to help her with transitions. They even taught her older sister Isabella ways to interact with Brooklynn to help her, which made my oldest feel like she was an active participant. We utilized songs and timers to help her move on from an activity that before would have caused a meltdown.

We were amazed at the progress our daughter made in the short time we were blessed with FirstSteps. By her third birthday, she was using sentences, able to express her needs, her core strength improved, and her ability to do fine motor tasks such as stringing beads and picking up small objects, improved greatly. Her agility improved along with her strength. Before therapy became involved, Brooklynn fell a lot, and she didn’t have the strength to catch herself, so she hit her head many times. Now, with the help of Tina and the strengthening exercises they taught us to utilize at home, she is able to catch herself when she falls, as well as has much better balance and coordination than before. They helped us in making referrals, such as Physical Therapy at our local hospital to get HotDog inserts for her shoes due to my daughter’s hypotonia in her lower extremities. They helped us in the process of getting the referral to the Early Childhood Center at our school district, where she now gets special education and speech.

In November, we received a diagnosis of PTEN Hamartoma Tumor Syndrome, which explained many of Brooklynn’s issues, including her speech delay, developmental delay, as well as her hypotonia issues. Tina and Shannon helped us through this diagnosis as well, and gave us tools we could use to make sure we provided our daughter with the best support and best possible chance to catch up to her peers, or at least not fall further behind. They gave us an amazing start to getting the services our daughter needs. As a full time working mom, the convenience of having them come to our house for services was undeniable. We will never forget all the FirstSteps program provided us. Your program makes such an amazing difference in so many childrens’ lives in so many ways. Your program gave my daughter the tools to interact with not only us, but other adults and peers. Thank you so much for your program.

Sincerely,
Beckie and Sam Palmer