Today is Sunday December 22 and on inside Austin today I'll be speaking with -- up to grant from the mother's milk -- at -- Shall speak with -- about the demand for donor human milk. What premature infants when their own mothers are unable to provide the nutrition and they need to thrive and survive. I'll also be speaking with and only career and Danielle Saunders. From the rise school of Austin they're passionate about providing the highest quality of early childhood education services to children with developmental disabilities. As well as those without. That's coming up on inside Austin. Six months from now I'm gonna be attacked. So there's one thing I wanna change about me right now. I tried before but this time I'll do it for me and the baby I'll quit smoking for. Most people don't succeed at first it often takes several tries the important thing is to never quit on yourself. -- quitter and you dot org or call 1800 lung USA for tools and tips from the American Lung Association. We support the quitter and you. Yeah. -- So the mother's not thank you Austin was formed in 1999. I Q in the NH colleges who won -- to decrease the rates ethnic protecting intro colitis in this city. Net protecting -- colitis which we appreciates. And call -- is a disease that affects the intestinal system of a preterm infants when that infants has had to non human milk. Software ambulance which are used when moms don't have enough milk for a -- babies. -- And are open paste they come from cal. And it was Oscar along time in formulas were first developed in the 1950s. That. At all mammals must be pretty similar and yet we're not similar and the components of the milk or not similar. So when we feed our human babies another species milk. And that baby is preterm meeting to mature and develop. That babies have some negative consequences. To founders of the milk -- wanted to eliminate. One of those serious consequences. Now which leads to high fatality rates and if babies survive its neck it leads to life long nutritional challenges that they he has a week Colin Mal absorption disorder. That's an inability to. Absorb the nutrients that we need. -- normal life. You're listening to -- Austin and if you are just now joining us from talking to -- up to grant the executive director of the mother's milk bank at Austin. So Kim does that affect mostly preterm babies -- -- can affect any new born if they're given formula over human breast milk. Exercising intro colitis is a disease of the preterm BP so if you have a full term babies and you don't have enough. Breast milk for that full term healthy infant can you supplement with formula. BP is going to be fine it's going to have a slightly higher rates of ear infections in the upper respiratory infections. But that baby really is going to -- by just fine. Preterm infants -- baby born beef or it it was meant to be born before of where -- weeks' gestation. That babies intestinal system and liver and pancreas all of the origins of that baby. Still need to mature in human milk helps those origins. -- -- It actually wakes up the cells and those Americans and help those hopes those Americans to talk to each other and to process things. In no way that leads to proper growth and development and really when we talk about proper growth and development of the preterm infants. We're talking about neurological development about the ability of the brain to develop. Normally. So that the baby can learn to walk -- talking to go to school independently Monday. Consenting because I'm a child of the seventies and at that time though when he was breast -- I've heard over the the years that. Breast milk is better and I've read about the collapsed from which is supposed to boost the immune system. But what you're talking about here is a lot more important than that. Especially when it comes to babies that were born prematurely prior to finished forty week destinations like. That's correct so. There's -- saying that's breast milk is best for all babies and that's absolutely true. Breast milk fed babies have lower levels of acute illnesses and lower levels of chronic illnesses. As well as arguably higher -- you and lower rates obesity. But preterm infants. Read them human milk his life savings. That's a huge difference from just being passed when he -- preterm infants human milk -- That baby has a much higher rate of survival. It's huge for us and -- we have a whole population of preterm infants who are able to you. Have a greater chance of surviving because of medical technology. But when you that human milk into the process. They have. Greater chance of surviving in a much higher chance of not only surviving by writing of growing up healthy. And being independent. And how long. Is the preterm infant needs to be pressed. To receive all those wonderful benefits from human breast now. A preterm infants just like any full term infant ideally stays on human milk for the wolf first year after two -- A whole year -- to Mary long commitment however. Donated human milk which is given to a baby whose biological mother doesn't have enough milk for that baby. Donated milk is a scarce resource and so we have a priority stationed at those babies -- -- most early. Those babies were born at 23 and 24 in 25 weeks at the top priority. For their receipts of donor human milk. And then we continue feeding those babies often up until 3436. Weeks gestation so we continue feeding them for twelve or fourteen weeks. Before we can introduced formula and the only reason to -- formula at that time is because donor milk is a scarce resource -- -- And what are some of the reasons why a mother delivering a preterm infants wouldn't be able to breast feed her own child. A mom who delivers a baby too early is sometimes delivering that baby because the health care providers are saying to her. -- pregnancy is not tell before you we want to deliver the baby. And give you some medications to make you -- -- so they you can be around for this baby. In the meantime. The mother is. Counseled about how to stimulate her breast milk supply. Says that she can learn how to expressed it safely. And haven't provided to her preterm infant. Louisiana neonatal intensive care unit separate from her. It is difficult boy or a mother who is separated from her infants. To develop multiple breast milk supply under the best circumstances. And that's because of hormones that cover in the production of breast milk begin in the emotional center of rain. And the emotional center of the brain. Where pregnant mother. Expects to feed a lovely currently full term infants in the mother's arms. And when we have the baby separated immediately after delivery taken to the neonatal intensive care unit. Unable to be held and sometimes -- to be touched by this mom whose own medical needs to be met elsewhere in the hospital. She then has a very difficult time. Stimulating that breast milk supply despite it -- greatest lactation support. She may only get a small portion of what that BP actually needs and that's where milk banks -- That's very donor human milk comes -- to be a lifesaver of them preterm infants. Wow that's interest to England and what a challenge so then. -- as the executive director of mother's milk bank at Austin. Must be in constant need of donor milk. The challenge of a milk being key is to meet the demands of the population that will benefit the most from human milk. Currently the mother's not -- Austin is serving 100 hospitals in 21 states. And we are prioritizing. That -- To those babies who are most rational -- smallest. Our typical recipient is baby who has one -- two pounds who could fit in your hand. These babies are not fed breast milk and the press of their mother. These babies are fed he had tubes directly into their intestinal system. How they are provided as lifesaving nutrients in the life -- immune products. In the press now. Mothers not think -- Austin has grown tremendously over the last fourteen years and that is thanks to kind compassionate camps. Of donated breast milk. From women who go through as simple screening process. And expressed. There's surplus breast milk and donated to the milk thank. However there is never enough to meet that demand among the preterm AP's. One -- babies is born premature and means that across the nation we have a huge demand for -- human milk. And the milk -- here is one of thirteen nonprofit openings in the US. So those thirteen cut current tremendously. Large nation and it's tremendously large population of very fragile thing. -- yes that's that's what it sounds like so. A woman who is black stating how -- she got my first question of how to she even have surplus milk because she's. Obviously feeding her own baby or babies that she has more than one chance to -- say. And then what is also the shelf life of that milk so from the time it's expressed. To the time it gets to milk bank in -- gets distributed and can be frozen. So what aid. -- -- It's a healthy -- hitting mom who has a baby under the age of one year and she has extra pressed now. And the reason she has extra breast milk might be completely natural as her. Ramona cascade that governs development of breast milk is telling her body to create more than she actually need. And she's expressing that milk -- freezing that milk and then realize this one -- her freezer his own isn't any room for anything else. And her child has plenty of milk. Either from directly breast beating from her or around her at their story now that's he has providing. So. She is what we Colin natural over producer. However breast milk is unique in terms of body -- comes in on demand supply basis. The more you demand and -- healthy body more breast milk -- -- like he -- from. So a woman who decides that she wants to be -- -- but she doesn't have a natural oversupply. Make sure that her babies need from -- snapped. And then we'll decide to express her milk you can manually affinia upon. In between her eating its once or twice. -- in the middle of the -- per day. And start to story even one or two extra ounces of milk occurred to me in her freezer. And at the end -- She's got thirty or forty or fifty extra pounds since that she knows that her baby doesn't need. Mom cost us who goes through -- process and donates her milk directly to signal bank if she's right. Near Austin. Or donate -- milk to what we call in deep -- and milk collection site. And those other. Typically medical centers or clinics. In communities where women are taking care of their parents. And -- woman who goes through the screening process is approved as -- -- -- -- and lives near one of those deep those can take her milk to the Tebow. -- is stored in a freezer. And pick up once a week by courier who brings that milk to the milk -- Where the milk is and made safe for preterm infants and make them -- safer preterm infant. That means that we tested for bacteria and viruses we tested nutritionally there's a wide range -- and protein and carbohydrate contents -- milk. And then we mixed -- in a way that meets and needs of tiny EP. You get rid of all the bacteria and viruses that are normally in milk. And perfectly fine for half will turn off the infants. And then we dispense -- now to the babies in these times. Wow that seems like it ends in a lot of work before you know from pick up to delivering. A lot's happening there. You're right about that. Human milk she is life saving -- preterm infants when you dismayed to see where preterm infants. A preterm infants as a baby who's not born with an immune system so. Kinds of things that we -- on each other or transmit to each other via breast milk. -- things that would be dangerous to preterm infants common cold seasonal flu. The preterm infants can't be exposed to those kinds of things and so heat processing the middle -- essentially cooking and milk. To a specific temperature 62 point five degrees Celsius. Thirty minutes. Gets rid of all of those things that might be harmful to that hi Amy fragile baby. A woman who has a pre term baby. Is able to press if that baby as her milk have to go through that same process. It's a great question actually sole woman who has given birth to a preterm babies can beat her baby her milk perhaps her milk -- -- her baby. Without going through the -- processing most the time. Her health status has known so she has already been screened order of viruses and bacteria that we would be. Cautious. About it and if she's dying than her milk is actually fine for her baby because her -- team from her body that baby was exposed all of those things she's been exposed to. And has the same answer bodies and tell her body. Against those things that she's been exposed to. No pasteurization. Of her own milk or her own baby. Donor milk is held to a different standard extras for tacking about donors who never met these recipients BP's and -- -- Makes cents. So wolf a rotating mother is ready to become an owner of her breast milk what is the screening process. Screening process for someone who wants to donate their lifesaving milk. Begins with a phone call to milk bank we have. Toll free number we have a number of screeners standing behind any given time that's only Oklahoma and is of verbal screening interview. It looks at lifestyle and medical history. And you're lifestyle and medical history. Is very simply -- we assessed at the same way that you -- he asked if you were donating blood. So we're looking at reasons to believe that you might carry some viruses or bacteria that could be harmful. Where that you take some medications or some herbs that might be harmful. If you pass through all of those questions just fine and you. Answered nearly the same questions in their Britain born can be emailed her back to you. You obtained some blood -- -- -- -- -- expense that you are tested for HIV HTLV syphilis. Appetite -- B and hepatitis C. And -- used signed medical release -- allowing just contact humor prenatal care providers in your baby's health care provider. And those release forms to allow us to get medical records on yourself and -- in and -- all of that paperwork and it's refute. Can you get a phone call I they're asking more questions are keeping you and create congratulations. And thank you -- donating you're not too. Preterm infant how long does that screening process typically take. Take a minimum of port days to a team to -- test results on motivated mom and Collins to date -- screen to get her -- and stay. And in four days I will call her and let her know that she is ready to help. These babies wow that's a pretty efficient timeline yes. And at any given time Kim how many lack -- mothers do you have that are donating their rest now and is it. The majority in the Austin area. I'm wondering that because she mentioned earlier that the mother's milk bank at Austin is serving a hundred hospitals in 21 states. So that's quite a large territory. We have at any given time about 100. Actively donating. Mothers. And about 30% of those mothers and there he comes from the Austin area. Another 30% come from the Houston area to another city that supports. Owner human milk. Because it has so many medical centers. The rest of the milk comes from a variety of places like San Antonio. Like McAllen. In Texas and then the number of places outside of Texas as well because we are serving 21 states. So people in Georgia and South Carolina and North Carolina are donating their milk to us. We're safe processing so that they can help -- -- since well. Any given year will have between 60700. Milk owners. And it certainly and numbers that we priests and we're grateful for however that number of -- owners does not meet the demands. So currently. We have to prove its worth 2013. About 600 in teen milk donors. And we need 700 to meet that demand this year. It's a huge call to action. But it's an action called that I think he is meet temple. There are 141000. Births per year in Travis County. Those -- about a hundred of those women will donate to the milk bank. Now we know that the breastfeeding rates much higher than that. We know that there are challenges to breast beating your own infants especially the challenges of returning to over. And working out it's. -- process with your employer to be able to express your milk can store it safe these premier -- who might be at home with the family. Member learn at a day care center. You want to make sure that you have enough milk for your baby's first but we also know based on how the human body where it's. Many of these women are capable of being Lifesavers. And I think it just don't know about there abilities -- out there. Unique ability to express a super power in this first year postpartum. They will say though and we fully understand to NASA mom myself I understand that first year postpartum. Is the most challenging year as any woman's life in my opinion. Because -- you're suddenly on a 24 hours scheduled and the 24 hours scheduled seven days a week. Taking care of your own baby's needs and you're recovering from pregnancy and delivery is well. So. I applaud every single milk -- And I hate to ask for more -- owners. And now we are so grateful to their ability to help us to see. -- children. If you're listening to this program and your lack -- mother and he would like to learn more about donating your surplus breast milk to the mother's milk -- -- -- We'll keep you found -- you can call when he -- number ten and under is I've won Q Goran nine lawyers 0800. So this sounds to me like quite an extensive and staffers -- when you talk about process saying see the Milken and meeting all those needs. Our monetary donations helpful. Or asked -- pollution say as the donations. Human milk. Yes simply that let me explain that's mothers not thank -- Austin is a nonprofit don't think ends. We are unique in terms of the nonprofit. Organizations in that we make a product. That product is pasteurized milk -- milk is dispensed. For the most part two hospitals and for the most part those hospitals pay -- processing fee. They cover the cost of screening the months and he processing the -- So the processing fees paid by hospitals in exchange for the -- human milk dispensed to them. Covers the operating costs. Nothing we can cover all of the basic functions we have it's very cost effective yes however. There's always -- however. We have two programs that do not think that are not covered by the processing fees and one of those programs is a unique distinct. Aspect of our mission and will always be part of our mission. And that means that we dispense milk to any BP has a prescription in a letter medical necessity. For human milk feedings. And that regardless of whether that BP has health insurance. When that BP's handling has financial resources. To -- processing fees. So if that baby is not in the hospital -- -- was discharged still dependent on -- human milk. But able to get home with the Stanley as long as human milk was still available to it that's baby and we provide that milk charitably. If the charitable care program called milk many. And that charitable care program costs about a 140000. Dollars per year all of those funds must be praised around. Financial donors. And those funds to allow us to dispense that -- not -- family. Win and I yet another medical bill. Our second program for which we raise funds to serve research program -- tennis taken a lot of research to understand. Now to take -- one pound EP. Eat that baby up to -- -- that helps its brains develop -- system -- full term in -- so that that baby. -- -- -- and -- and goes to school independently. That research program is also funded by -- financial donors and so our request for financial donors. Is specifically. To resource to charitable care program and the research program. And what would be the easiest way for an individual to make a financial contribution teen mothers and -- Austin. Very simply if she goes to our website www. Milk pink out where it. There is to give now button. You can click on not to provide give credit card information. Can also sign up to be an -- Babies who are being received through these donations. And about the mothers. Who are giving so selflessly of themselves it's really an interesting challenge because as I think on my hand friends and their. Very -- journeys. In breast feeding their children. I have one very close friend who had just really struggled. It was it was difficult she didn't produce much milk. She had a really hard time with her child latching on I think is the phrase. Says she really struggled through it for three months and was sort of all she could do. It mean grant she gave birth to a full term healthy baby and yet I have another friend who had twins who loved won't. Produce a lot of milk thought it was very easy and didn't have to you worry about mixing formula or packing formulas. Really almost sort of hated losing in the convenience when it was time for her son rest in although I think she paused and perhaps. Six months. But it Munich. As you said earlier can be a challenging time for a new mother as it is of course if you're one of the mothers that naturally produces a surplus. Expose -- makes it a bit easier I'm wondering how can you really get the word out is it through hospitals primarily. That that women who are -- maintaining learn about this mother's milk bank at Austin and and the fact that they might be able to become donors. You're pointing out of very. Big issue from mothers in terms of your needs -- look what we call patient support. If there's a very interesting phenomenon that our babies are not born knowing how to rest -- They have a developmental need to sucked but that's different from breast feeding. And we knew when we're pregnant and give birth to babies aren't actually knowledgeable about how to breast feed that in and I either. Lactation support in the hospitals is something that Austin has embraced. They have done. Tremendous need. Good job in the last few years in providing that brief window of opportunity. Providing lactation. Support. Where those mom's mother in the hospital. A difficult thing is win the mothers sent home to a community where she doesn't have a family member whose respite before. Friends have not pressed spent she's not in a community where someone is available serve as a mentor. We could do a lot better in our country and our cities. -- team is. A city that has a very active lactation support community and and yet it isn't enough yet. -- struggle sometimes to provide breast milk for their babies and that support can help. Turning things around. Yeah I can imagine so I mean it's. You know it doesn't come with an instruction manual for -- if it's not a natural intuitive thing then that makes it. Challenging I think also. There's a mental or emotional component where a mother feels like it should be easier than it is. Certainly have seen new moms really frustrated. With themselves and their inability. To be -- breast feeders if you will. You have pointed out to -- friends one who struggled in one who did not and I think that that scenario is split off and -- mom who's struggling. She you -- negativity around breast beating. The pressure of meeting a public health message that breast milk is asked. The pressure of watching another friends breast feed so easily. While you're struggling. Is something that affects the breast milk supply very negative way. And it affects them moms self esteem very negative clean as well. Better communication better lactation support. Woods be very helpful in terms of health being more moms to successfully pressed feet. Not only their own infants but also -- then be able to donates two other infants whose mothers cannot. And to provide national of their intense. You -- asked about how we get the word out about donating to a milk being key and we've routinely study how moms who are donating to know and find out about us. Because we have a variety of out reach. Our resources available to us into we we attempt to use the market in various ways to get the message out there about critical importance of donor milk. About a third of -- Milk owners find out about us through their -- Haitian community through their lactation consultants learn. Through seeking press eating an ice night in their pediatrician. Learns there in -- Smith live where their obstetrician. -- find out about us through a provider who's helping them provide to their own baby. Another period of iron mill owners find out and found us through social media sites so other access seeing. Our web sites and they're looking at our bespoke and our YouTube videos and they're learning about how they can. Donate milk received another child's life. And the other third of the donors find out about us through where to now. And we are trying to. Utilize. That word of mouth to. Spread information about the milk -- at it's how many preterm and -- their iron about how desperate they are for -- human milk. We have engaged in a rather bold creative marketing campaign. That's present throughout the city of Austin. It's called -- make a good owner. And it has very tiny little phrases like it make it good donor. Your prompt comes with laps. Yeah. Every press eating mother recognized as a profits made specifically ten have easy access to. Your BP and their breast repressed eating so these messages that we get out in the community is something we hope. -- -- -- -- We also hope that by opening new milk collection sites such as the nearest one that the community care clinic in east Austin. Message will be twofold to the community. One message is that breastfeeding is absolutely critical to the health of the city into the health of this nation. You have a unique ability to feed to your infants. Into we as a city. At embrace his breast feeding an increase is healthy populations. Are willing to step up and helped you to do that. Second messages. You have the ability to you. So a super power in that first year she knew he screens and don't needs. You're healthy breast milk in order to save either in since we're so very tiny and who only need a smaller none milk occurred to me. That milk is flights taking to them we hoped that by opening. Depots around the city of Austin. And making -- donation more convenient. That we will be helping moms to realize. How important they are for their own family's health as well as how important they -- for the full city's population -- And really when you talk about a mother's milk bank. Such as the one in Austin that is serving such a wide area talking about the health of the nation. Improving that through the use of don't know right and you were saying you've just opened a new depot on the east side. We are opening a new deep down actually and it will be open later this week since the community care clinic on -- street. It is the first community care clinic. Who have been -- deep now. And it -- -- at their depots around the city. So that people who wire breast feeding their infants in the east Austin and you wish to become a donor to the -- bank. You don't have to drive to know banker I'm transport in the bank to drop off their milk. You can drop off their milk conveniently. At a clinic in their neighborhood. You mentioned earlier. How important this psychological. Aspect. Of and it's a woman can affect her supplier of breast milk. I'm wondering if there are some tips for electing women who may be one -- improved their supply of breast milk so that they can be to owners or perhaps they're just struggling to have enough milk for their. Babies. Of course could nutrition is important right but can meditation or yoga. Be helpful at that time are there any studies of what. That sort of experience have on the supply of breast milk. There are plenty of studies that show how stress negatively affects the supply of breast milk and so the more we can support to breastfeeding mother. You. Feel good about herself. And feel good about her infants in and feel a connection. There infants. Better her supply is going to be. Some very logistical things that she continue. And choose stimulate her supplying a breast milk and the number one is half the BB. -- -- -- For every eating -- the baby directly breast meat that is. Most convenient way to breastfeeding infants but also it is the most. Nutritional weight to breast feed an intense there's something we lost when you express via com. And vs putting the baby directly to breast interest. Helping the mother to realize that. That her. Her goal in the first few weeks after delivery. Is not to get test of the day is not to make a gourmet dinner is not -- and detained the six people who want to see her BP immediately every single day. It really is to help herself appeal from the labor and delivery experience. And to. Connect with her baby. Both emotionally and physically in the breast feeding so. My own patients kind of biased and to Wear robes -- to -- It is a very clear message to themselves that a shower at. This heels and nice clothes those things don't really matter what matters is her health and her baby's health and that theory clear message to everyone wants to see that baby. There's a recuperating mother here and there's a child who needs some care and so anybody who comes through that to -- should be committed to hoping that mother not being into it. That is so Smart that really takes the pressure off. Touch -- -- right away. It -- communicate something visually that they have any right into the house will understand. -- a great way to be like yeah OK you know I'm a new mom and a focus on that from everything else's ancillary. Yes. I think that moms have more and more content the and have gotten the understanding. That it's a time period before they're pregnant hole here pre conceptually. Matters in terms of their -- so we Seymour moms exercising my mom's focusing on the nutrition and starting their vitamins really. Preparing for the essential patents. And they get pregnant. And the -- event is coming believer in delivery experience every mom is focused on it. The more we can help moms to realize that that they can and has not really he contends that -- and she is incorporating your child and family. So viewing that here postpartum. As the very important time period that requires probably the most significant transition from. Is -- good way to help moms. Face the reality of their continue to responsibility. And I hate to always to say that moms have yet another responsibility. But it is to continue to responsibility and I think we help the community to do it in half you play. And those moms will benefit as well as their infants and. It makes sense. If your chest now joining us on inside Austin I'm talking to can up to grows she's the executive director of mother's milk bank at Austin. -- I'm curious now how you got involved with this nonprofit organization. I'm a certified nurse -- I professions so I came to Austin. Having left private practice in Connecticut and having left faculty Roland you know. -- in Connecticut. And when I came here I wanted to continue my work in maternal child health perhaps to something a little bit different and I looked around and and so all the uniqueness of Austin and to warn that the very unique. Things about Austin is that it had to milk bank. It has already been in existence learn what amounts to here. And IAE was intrigued enough to warrant and see that milk -- grown. Expanded services and develop research program. And times which -- enough sense to be granted a position and given that opportunity. Well and we're so glad you can't because never a doubt -- work that you're doing there is so important. For premature infants and their families not just in Texas. In 21 states that you service. So that has to feel pretty good if you're feeling inspired by -- discussion and you would like to learn more about becoming a donor if you're a -- hitting mother. There's more information -- milk bank dot org and Kim there was a phone number that they can cause I'll write that number is 512. Point nine lawyer. 0800. Called today to be screen to see if you would be appropriate as a lifesaver to these tiny babies. Kim is there anything else you would like folks now about the mother's milk bank at Austin. I would like to leave you with one final message and that is just that. When you're thinking about breast beating your own in continued thinking about other infants who might need to -- human milk their own lives. That process that challenge can feel daunting. I can tell you that with proper supports almost every mother can successfully pressed beat her in -- And every healthy -- taking mother that surplus breast milk can become a lifesaver preterm infants. Powerful words. So much for being here. Thank you. Back in a moment with more inside Austin who. Did you know there's a proxy to leave tennis to up the state of Texas and 40000 in the Austin area alone. Given our heroes project strives to support each one of them and their families are conducting their -- retreats and how to deaconess. Eight to XP -- a -- -- -- and the best way to support the troops is not supported them. We support all veterans and active duty soldiers from all branches for more information on our services visit us at eight -- aids project that court. Again that's HOH project -- court. And I -- -- story please. It breaks my heart to tell my granddaughter now but I can't give -- books last year. Because at age related macular degeneration. Or AMD into blinding disease that stole my patient and independents. I wish I'd seen my -- doctor singer. Because early detection is key to saving your son -- energy Calder foundation fighting blindness at 1800. Blindness. Her free packet on. AMD that's 1800. Lying Nancy. You can do. That's really a big key part for our school is seen him. I'm looking at how we can communicate with the kids and how we can help them learn to communicate and even how we can help them learn my motor function and and movement fine motor movement -- an amendment by incorporating all that you know and the music that we use yes that makes a lot of sense. If you're just now joining us on inside off and on talking with -- career she's the executive director of the rise school of Austin. I'm also here with Daniel Saunders who is the music therapist there. What makes the right school Boston different. It is it's teaching young children ages eighteen months to six years preschool. And that we offer inclusion -- -- preschool. We. But the most important pieces were teaching early childhood education. Early childhood special education an integrated they're all in one. So in a classroom size -- ten students we'll have the majority of students did you have a disability or delay alongside their peers. We column traditional learners who do not have a delay said there learning side by side each one is -- the other -- In eight classroom at the ratio -- teacher with a master's level degree in special education and early childhood. With T teaching since he also had there and degree in -- -- it. -- sounds like each child getting a lot of focused attention yes it's a lot of you know just being able to focus on each child whether -- -- the delay or not. Just be stinging in letting them reach their highest potential basically they're so many nationals that are in this program looking. And we have some spending in my back in a -- as well and I have Daniel hearing music therapy and we just it's like a puzzle piece with each child -- -- -- -- piece together. What other specific needs and how we just make it back to that next step and higher level higher quality education. Yes I cast my parents -- you must feel that your -- the god sent because they have a child who has special needs and maybe they're struggling to find the right environment. We're here son or daughter can feel overwhelming it is an acting too we started eighteen months to start so young and there is something you know. Obviously all -- therapy she believe in early education and early intervention it is obsolete he is is is -- a child. You know -- any -- and starting that education -- early it just is going to appease them and their next education environment and give them leaps and -- you know and into -- you know whatever their -- environment is whether private -- public -- -- Just as early she can start scanning EU plan. Just ahead of the game and -- is that this is -- to do with the brain. Forming so quickly -- yes and basically developmentally and children are just. Learning a rapid speed and amber has you know especially that preschool years in his six years meaning if you. Anything that we learn it to such an early -- Early age especially you know at birth but they're -- think she indeed there be lies to you just -- talking to your child just expressive -- you know just on the -- side. Handing out and -- about the music pieces well. And even neurological a lot of and her research shows that it. As the brain begins to develop the fastest rate of development is in his younger years there's a lot of brain movement brain development -- -- call costs to -- and change in his younger ears and -- your brain is always treating you narrow pathways. Throughout your lifetime. Them majority of those and the foundations of those are being treated when children are youngest. -- earlier speaking at them and is gonna help them have that jump start -- that they used there's different skills that come along at different points I think. Yeah and our program we can look at wind as a child really focusing on. Developing a language skills and when they starting to show signs that there gaining new words in any new news sounds. You know and a lot of times you see kids kind of plateau in their language skill development and then I'll start you know showing increases in their motor skill development. I had a jumper how to walker how to -- for skipper all those. Foundational motor skill development. So I'm the kind of piggyback off of each -- your child's development you'll see increases in one area. In that aerial plateau and then you'll see increases in another area so I think that hole. Early childhood time period is important because there's always kind of irritation and new skills that the kids are learning in those skills are going to be the foundations for. Educational things you know later in life and cognitive skills later in life and social skills later -- line. -- do you utilized music component from the very beginning eighteen months or whenever we do we start right away -- first week of school I can't get the little guys. -- TI just stop that first with the school and -- anxiety you know in Branson the -- camp or child to begin school you know we want that music to be part of their day and it read -- in the and the -- assist in a little piece of so much more to expand on -- -- We really start you know with the little guys in the first week you know like Emily said. It's the comforting -- it's using music as a comfort to them -- in this environment most of them had never -- In a preschool environment before that parents are nervous about eating in the kids they're. Learning their teachers and their friends and so I'll do a little kind of apparent interview at the beginning of the year and say what are your child's favorite songs -- favorite instruments of that. I can use -- things in the music time to be a comfort to them and then I can help teachers -- -- skills in the classroom to be a comfort to them and -- those songs and his instruments and things of that really helps out our our littlest guys when they start out. At school. And some really have that familiar music. To be a comfort and says helped them through their day. Makes -- so what is it looked like Danielle. What if I walked into a classroom and he had to music therapy going on what might Shanxi. And you had seen that integration. Language and communication skills and using the integration of fine -- and gross motor skills and social. Skills and one groups out. He would CS I'm singing songs and -- -- with kids to. -- work on specific sounds a specific words that they need says. I'm focus on their speech therapy areas. And then you it Simi focusing on some of occupational therapy needs by the instruments in place and not be working on. Grass control -- drum sticks or might be working on. And body awareness by playing instruments up high and down low in front behind us. I'm and they need to see a lot of dancing we do a lot of time. Of course -- focused activities. So will be working on skipping and hopping and jumping and balance and all of those things into working on the the physical therapist he carried over into the music therapy settings well. And we -- we -- -- -- -- speech therapy backed -- we all have to -- speech you work on specific skills you know -- men are expressing receptive. Physical therapy bit she's the glare at literally -- she puts it all together for us because. They're gonna work for the music they wanna play that drowned and one main -- songs with their peers and so they're more willing to tie that bath and a bad sound or Kirstie never -- with that. With the drums it's really is bringing all those aspects together through music articles that were working on it is -- we're working on on that. We -- in literally you know eyeing each child and you know and knowing the next step chemicals are working on an -- And other music always and -- Learning through play Catholic yet it is really using the music as the motivate -- and then it's using kind of the elements of music like tempo and read them to slow down their speech language so that they can focus on. Making that sound and help them feel successful you know he can slow that casing down. Or matched the pacing that that child means for their motor movements or their speech and language development. It helps them to participate more in the songs in the activities and they feel successful and they feel confident because they've accomplished that. And so it's it's really using music as that debater and confidence building. Is it really all about playing the instruments are using instruments live is there any form in which might he's recorded music. MIT NT is recorded music -- -- doing a lot and dance and movement particularly with our younger kids humanely needle in a more hands on hand turn him Donny and help. And I have some kids -- a little extra support and we're working on John Boehner balancing and that would just free yet my hands to be able to help them -- -- that. -- -- idea I I'd prefer to use live music and to use instruments and he's playing because. If I'm playing the guitar and singing with and it allows me the flexibility to slow down or speed up and kind of matched. Where they're at where that child is out of there. Having it. Crazy hyper day I can start out -- fasting kind of work toward slowing it down to help them common focus our. If they're really tired I can start out -- on slower. And then speed up. To help energize them and get them ready to learn so -- preferences all is always to use live music on but they do -- is recorded music occasionally when there's really. I'm a child you may be needs a little more hands on hand and on hand helped sent. Them -- on -- scale. A little bit which used to talk about was at a self regulation is what we start so early. Is music helps with is teaching a child he self regulate is gonna help them. Do I mean for ever and ever and what that means is that they're able to calm theirselves down and help. Them have the tools to find the tools to be able to. A listen -- to be able to focus and in different ways whether it's sitting on a bouncy ball while doing music all that is calming them. -- with a disability or public to believe it doesn't matter and that's where. Being in a larger setting in the public schools that they can self regulate their body there sent our head in the game and when you walk in our school to east so many different tools that we have to explain a lot of times what they are like sitting on it. It would com Pina balls are there be you know. In a general class and you might say that is distracting that doesn't work -- what it does when a child is able to that is they're working on that course during. Ore bodies during by sitting on it in a startling the ball they are self regulating their calming and they're able to work on eight. Part of their muscle group it is the opposite of what you normally with ink and there's gonna bounce on and be silly. Completely helps them things like public by different ways and have been actually helped them that this on the task at hand whatever it is whether it's a little activity whether it's easy it actually it. Makes our schools so amazing is the professionals and all come together and collaborate and we'll. Old topic that teachers once a week and -- by each student their costumes they have and we helped this is what I'm seen. And you know and then kind of integrates an all collaborate on -- can teach each other on how to enhance a child's education. If you're just not joining us on inside Austin I'm speaking with Emily Greer and Daniel Saunders of the Bryant school of Austin. A nonprofit organization that really focuses on the highest quality of early childhood education. You're focused on children from eighteen months to six years old is that right track so. How long does a -- typically stay at the right school. Usually into it. Ending their six year so we want them to go on kindergarten and have nots in and we do not and offer her -- can -- programming right now and at this point that we are getting ready so it really pre K. But ideal scenario would be to see you get a child with special needs eighteen months and work with child treaties it's actually like to start earlier to you as -- -- week. We -- -- at this point we have 4 o'clock am instead just its defending and raising money to use star and other cost him and because we are non profit to originally cost 30% of our expenses and we always did and fundraising team. Add that extra piece we are and building in new building right now where will be able to expand to eight -- that we really when kind of focus -- working out. Our next step in what is the greatest need to go Italy Yonkers targeting some of these. Some of our students that are can use them a little bit earlier so these sightings have. Yeah that makes sense of someone's listening now and want to make an intonation to the right school Boston would be the prosperity that. And the best way would be to am called the school and talked to estimate are we would let you talk to them org. It take a tour of the school really seeing is believing they can talk you know your your father along bit when you see it in action he ceded that traditional -- wants their peers. Hand appears looking at in a -- it there are tournament. Disabilities looking up to their peers in wanting to do what they're doing. It just makes all the difference that you don't intend to pass them by now I went 2891168. To our website as well and to begin to rise rule Austin dot org. Rise school Austin works -- you have traditional learners alongside children with special magic key elements absolutely. Am. And that's inclusion you know I mean that's that's the most important part is including students. And a that worked together you know the students that do not have disabilities. Are getting such a high quality education to with a ratio is in you know we're not bringing the curriculum downer bringing in are keeping that. Developmentally appropriate at national Indian standards. For everyone so it's important. With a modeling they they learn together and and there's a piece that. -- can teach. And it's not compassion and understanding and it they take on to their next -- amendment. And it's it and it's actually gambling problem I I honestly believe that it hadn't. Decrease bullying because they had the experience of working with the child it's different than they are it opens our eyes and it takes a way to hear of someone that's different. And it's really been amazing. Really sounds groundbreaking. In MS America it is in the pre K program. With disabilities without disabilities are reading kindergarten in -- mean it's just -- year. We make it fun that -- it's also about structure and that in you know intensity of repetition and every day in. We figure out the best way -- each child individually learn to so exciting to have. And you can do that because the teacher to student ratio obsolete in this mom and there's just a wonderful opportunity for each child to have personalized attention and it -- that cost is the same two parents whether they have a traditional -- -- special needs child actress to Lerner is a little bit less conveyed. Don't need the intent to -- BP's. Where it sounds like you need a lot of resources I'm hearing you talk about instruments class size. Jakarta -- bar yeah that would make -- little -- yeah. It's great to again. Subtle and yet effective but it does sound like resources are always important. Two UN what you do and a continual flow of financial resource assignments in the website -- school Austin dot org if you wanna make a donation. You've also got a new relationship with the trans Siberian orchestra's -- that's correct yeah. Exciting -- -- have talked about and wouldn't basically act has got a phone call I am from a wonderful gentlemen you and talked about the right school in medical examiner several of us that all of the same. And nature of programming and he had heard about us and Austin. And that they were coming to -- there and exciting to show is December 20 sexson. We were chosen as one of the beneficiaries. And at peace that god is too am any spending that came from Malaga -- or music program which of course immediately told game. He jumped up and down that is so exciting. So let me just to be apart of copper lines in -- going to be able to get to the performance and say thank you and that -- -- sinners now we're. Where we are so grateful yes and I also thankful for the offense says I think all. I'm for their donation inception the program and -- it's really gonna help senate as our school grows. You're right now we have the resources in the music therapy program to accommodate four classes but. When we need to eight it's just gonna spread itself and and you know it's not even. Just the music therapy program and all the classrooms are required by national standards to have. Instruments and things a multi cultural instruments and specific things in their classrooms so even as we expanded his eight classes. The music therapy program is gonna have. More needs but then also the classrooms are gonna have more needs. So I'm it's really gonna help sent to fulfill those needs and we are so grateful and thankful that they chose us and completely surprising was a wonderful person -- the price is terrific Christmas present their eyes. Both candidates that has to feel very crowded as it is so that's another chance -- orchestra performances on December 26 a portion of those proceeds will benefit the right school Boston. -- go out and see a wonderful show. On and feel really good nine mayor also helping with the -- school Boston and all the wonderful programs that you've got going on. Yes it's so important and it's so important press we we want so much our kids to succeed. And -- importantly there's no reason why these children on the other end when they can mountain high school can't work and the society out of our ultimate goals to get these it's only ready for kindergarten -- Let's keep it going I mean our children with disabilities they have downs and -- cerebral palsy. You know even any sort of delay should have the opportunity if they are not limited to be working in the world ending taxpaying citizens about the ultimate goal. Is there anything else that you would like folks know about the -- school Boston. We're just so grateful to transcend -- orchestra and we would love for you today consider coming to their concert because every tickets purchased is gonna help out our music therapy program at the school and I've been there for seven years and I've seen. Our kids and the compassion that are typical -- have been our traditional owners have for their friends and and how it just really that inclusion model is so so important I'm for all kids I you know our children is a delay. They get that head start that they need and then our traditional miners' day they come out. Wonderful leaders and their schools because of the confidence and compassionate they had sent -- firm believer in the inclusion. -- -- -- -- Well if you'd like to make a gift directly to the right school of Austin and you can go to their website rise -- -- -- -- -- board if you want to experience a wonderful family event. December 26 trans Siberian orchestra will be performing in Austin. A portion of the proceeds will be donated. To their prized school of Austin and only career the executive director of the right school and Daniel Saunders and their music therapist and I think you both for being here thank you -- -- Thanks for listening to inside us that. Yeah. And yeah -- Yeah. Yeah.