I have an 8-year old daughter with Asperger's and ADHD. We live in Arkansas not Massachusetts. She has an occupational therapist to help her with her fine motor skills and dexterity, and a speech therapist. The specialists work directly for the school district (I understand that this is quite rare) and the school provides all her educational services at no expense to us. If you'd like to know more about the process we had to go through let me know and I'll tell you more.