Arturo is an 8th grader who receives special education and speech-language services under the autism eligibility category. Arturo’s parents are from Honduras, and Spanish is the primary home language. In elementary school, Arturo was described by teachers as hyperactive and he had high rates of problem behaviors. He was eligible for services under the emotional disturbance category until he received a medical diagnosis of autism at eight years old. Although the severity of Arturo’s challenging behaviors has decreased, hyperactivity and social skills remain areas of concern.