Why It Matters

For families raising children with complex needs, success often depends not on one doctor or therapist, but on the team that surrounds your child. Specialists, therapists, teachers, equipment vendors, and advocates all play a role in helping kids reach their potential. The challenge is making sure those people work together — and that parents aren’t left as the only connection point.

For our family, the choice wasn’t just about therapy and specialists—it was also about where we would live.

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When Seb was born, we moved from New York to Massachusetts to access both top-tier pediatric care at Boston Children’s Hospital and public school systems known for inclusive supports. We’ve been incredibly fortunate to have a strong IEP team at his current school.

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But families often lack that kind of edge. Housing platforms like Zillow rate public schools but don’t capture special education quality. We got a practical tip from a friend who works at a special-needs advocacy legal firm: she told us the names of towns and districts that had made improvements after being challenged legally by families. This insider tip opened our eyes to districts that responded to families' legal pressure with real change.

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Even well-known, high-income towns in Massachusetts—once considered the best for special-needs—have faced special education funding challenges. For instance, the Newton Public Schools system recently grappled with a projected $2.5 million shortfall, putting strain on special ed services, even as demand continues to rise.

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All this matters because where you live can dramatically impact therapy quality, equipment access, care coordination, and school inclusion. Knowing the hidden signals—like legal reforms or budget shifts—can help families make informed choices beyond just sticker school ratings.

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Our Experience

Seb’s care has involved multiple overlapping teams:

• NICU Team (NYU): From the start, Seb’s journey began with an intensive care team who stabilized him and guided us through his first months.
• Early Intervention (EI): From birth to age three, we had EI teams both in New York and Massachusetts. These included physical therapists, occupational therapists, speech-language pathologists, and developmental specialists who came into our home.
• School-Based Team: Once Seb entered school, his IEP team expanded to include PT, OT, SLP, a special education coordinator, psychologist, one-on-one aide, and others. We’ve been fortunate to have a collaborative, proactive group.
• Outpatient Therapy (e.g., NAPA Center): Intensive PT and OT outside of school help Seb build strength and functional skills in concentrated bursts.
• Boston Children’s Hospital Specialists: Neurology, orthopedics, spine, renal, pulmonology, GI, endocrinology, ophthalmology, physiatry, PM&R, and more — each addressing different aspects of his care.
• Orthotics Team: Boston Brace/Boston O&P works with us on AFOs and other orthotic devices we’ve tried (e.g. cranial remolding helmets, DMO) to support his mobility.
• Medical Equipment Vendors: Wheelchairs, standers, seating systems, and other devices come through equipment suppliers, who also service and adjust them. In the U.S., it often seems that one or two vendors (e.g., National Seating & Mobility, NuMotion) work with each hospital system or region, and each of those vendors partners with a relatively small set of manufacturers (such as Ki Mobility).
• Pediatrician: The anchor for day-to-day care and coordination. In some cases, pediatric practices are directly affiliated with hospitals, which can simplify coordination — for example, Longwood Pediatrics’ affiliation with Boston Children’s Hospital (source).

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Tips for Families

Here are some practices that have helped us manage across so many people and moving parts:

• Bundle appointments. Try to schedule multiple specialists or therapies on the same day to cut down on travel and time off work.
• Facilitate communication. With so many providers, messages get lost. Connecting teams directly — even with a simple email chain — saves you from being the go-between.
• Download and share records. Hospital portals often have visit notes, lab reports, and imaging. We regularly download these and, when needed, use AI tools to translate them into plain language and create summaries we can share with school or therapy teams. What may feel like overcommunication sometimes ends up being critical in connecting the dots between providers.
• Use AI for recaps. During appointments, we’ll sometimes record (with permission) or take active notes, then use AI tools to simplify or translate and generate clear steps that are easy to understand and pass along.
• Lean on advocates. Special education lawyers and advocacy groups often know which school districts have improved after lawsuits, giving families an insider view of where systems are strongest.

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Takeaway

A strong care team is more than a collection of specialists — it’s about connection, communication, and making sure everyone is working toward the same goals. For our family, building and maintaining those connections has been as important as the individual therapies themselves.

And while not every family can move states to find care, small steps — like bundling appointments, using digital tools, and asking advocates for advice — can make the system feel more connected and supportive.

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