I had a child that I homeschooled that had some special needs issues. I was trapped using the not very good special therapist in our district instead of the really good one in the next district. I had the means to get him the quality he deserved. Not the union drone the other kids were stuck with.
But the stories she tells are heart wrenching, from the therapists who go through the motions, to the parents who are in denial of the prospects for improvement (please do not take this as being applicable to you).
She gives one example of the high hopes parents may have versus the reality of the child's capabilities. That being of a parent who wants her daughter to write in cursive, while my wife is hoping to teach her how to hold a pencil.
My heart goes out to those who have kids with such needs and it is very difficult to find those therapists who really do care and are not just going through the motions.