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When I read photolistings, I have a different way of doing it.
First, I look for things that the state admits to paying for. The state doesn't like paying for things unless they're obvious. In the list you've provided they list medication, therapeutic services, speach therapy, occupational therapy, and physical therapy. That adds up to one EXPENSIVE bill. Not that the actual money matters, but it matters that the state has actually recognized these issues and considers them severe enough to warrant paying for therapy. That means whatever the issues are, they aren't mild.
Then I compare the warnings with the child's age. The state is NOT going to list anything that is actually age-appropriate for the child. Like someone else said, that means "high energy" means HIGH ENERGY. The kind that is associated with ADHD or regular hyperactivity or the absence of impulse control, for example. Difficulty focusing on one thing at a time could be age-appropriate, too, which means focusing, for them, would be pretty near impossible in order for it to be listed. That could be ADHD, ADD, or an anxiety disorder for starters. It could also be mental retardation, since they don't say it is improving any.
The medication could be for anything, as could the therapeutic services (therapy). They're in the same sentence, though, so chances are they go together. Medication for bipolar, or depression, or PostTraumatic Stress Syndrome, or anxiety would all fit that bill because even young children can do play therapy along with those. Medication for something physical (like asthma) wouldn't be accompanied by therapy, and therapy for some issues (like sexual abuse) wouldn't be accompanied by medication. So if the two go together you've limited the field of possible diagnosis a bit. If the two don't go together then you're back to it being anything.
The IEP says it's for "developmental challenges" - not educational, mental, or behavioral. That to me says that they perform in that classroom as if they were a year (or more) behind. A normal 3 year old would have "developmental challenges" when compared to 4 year olds, and need an IEP to compete in the same classroom with them. A developmentally disabled or challenged 4 year old needs an IEP to compete in a classroom with normal 4 year olds. See if they are in the right class for their age - if they're behind in addition to needing an IEP for "developmental" issues, then there could be years of needing special assistance in order to keep up with classmates. If it's an IEP alone it could go either way - the child may or may not catch up.
My assumption, looking at the vast list of things and the impossibility of narrowing it down completely is that I would NOT move forward with any preconceived notions of whether the kids could move past all this or not. Stop looking at the photograph if you're in danger of falling in love. By all means submit your homestudy if you're looking for kids like that, but hold your emotional distance until you learn a bit more. This stuff could all be adjustment stuff that a little more therapy would fix, but probably not. There's simply too much going on, it probably all is needed and needed now before the kids get any more behind where they should be. You don't say whether the photolisting says they are making progress with all these interventions or not. So I would assume they're not until told otherwise.
Let us know what you decide!
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