Inspired by a particularly meaningful sermon at our Unitarian church recently, I made a New Year's Resolution of sorts to take on the occasional pro bono case in my practice.
I already offer a generous sliding scale, so that not all families I work with have to pay a lofty hourly rate. However, I have always been disturbed by the enormous disparty between the haves and have nots when it comes to things like quality therapy services for children. My sliding scale helps, but isn't enough. If you don't have insurance, let alone money to fund private therapy, you will get the free services provided by the public schools. Which
can be high quality but isn't always (which is why I left); and in order to get what your child needs, you - the parent - must advocate for your child and push at least a little to be sure the services being offered are appropriate. And then you must continue to be vigilant to know that they are also being delivered, because it can happen that your child's therapist quits and isn't replaced, and no one tells you. Or some such nonesense.
So if you, the parent, don't have the time, education, or resources to be your child's advocate, the free route is not always in your child's best interest, despite the good intentions of those providing it. Plus, many months are lost between the intial referral and beginning of treatment. This is, obviously, a problem.
This idea to take a pro bono case came to me, as I said, at church a couple weeks ago. I decided to do it soon (because, after all, what a quiet, relaxing time we're having here! it's the perfect time to take on something new and challenging!) and vaguely wondered where to go in search of a family in need of free services. You know how sometimes people say that once you open yourself up to something in life it comes your way naturally? Well, in less than 48 hours I received an email from a preschool teacher here in Chicago, looking for a speech-language pathologist who could evaluate one of her students. A student who is homeless and possibly autistic.
I jumped at the case. And furthermore, an email sent out to my new colleagues here turned up a developmental therapist and occupational therapist who wanted to join me. So here is this 3-year old boy, who is living in a shelter with his young mother and little brother, having recently escaped a domestic abuse situation, who appears to have autism. And, preparing to serve this child, is a team of some of the best, most experienced therapists in the Chicago area - well-known therapists with full caseloads and waiting lists. We are carving time out of thin air for this family, and there is no better feeling.
This afternoon I met with the child's mother and listened for a long time. On Friday, I will go to observe the child himself in preschool for the better part of the morning. After getting the business of the evaluation out of the way, we talked, mother to mother, about the challenges and joys of raising two little boys. We talked about what they needed, her boys, and what I could skim off the top from what my boys have, to share with them. I drove her to a relative's house when I learned that she was intending to walk a great many blocks on this very cold afternoon, and felt embarrassed by my riches: my beat-up station wagon with the crushed tissue boxes and car seats covered in old crumbs suddenly seemed like a Disney princess chariot, heading for the ball. When I came home I felt overwhelmed by the roof over our head, the food on the stove, and the healthy children running to greet me.
This is a journey that will be most enlightening. I am looking forward to it.