Autism Therapy: developmental delay

definition of developmental delay: not yet defined.

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Child: Care, Health and Development, by Rickards, AL, Walstab JE, Wright-Rossi RA, Simpson J., and Reddihough DS, published in 2009, summarized Feb 1, 2010

Home-based therapy for children with autism may be most helpful for cognitive and language skills.

Preschool children with autism in this study (59 children, 3 to 5 years old) attended special intervention centers and also received additional home-based services. There were 40 home visits over 1 year. This study asked whether improvements in cognitive skills and behaviors were still present one year after intervention was stopped. Improvements in cognitive and language skills lasted, but improvements in behavior did not. The authors said that children from more highly-stressed families benefited the most.


Journal of Developmental and Behavioral Pediatrics, by Kim, C., Disare K., Pfeiffer M., Kerker BD, and McVeigh KH, published in 2009, summarized Aug 26, 2009

Some families may experience delays in getting therapy services for their children under 3 years of age in New York City.

This article describes a study of 14,623 children in New York City who had developmental delays that required therapy services in 2004. The children were under 3 years of age. In New York City, children with developmental delays are given an Individualized Family Service Plan (IFSP) to define the services that are needed for that child. Ideally the child would start therapy services within 21 days of getting their IFSP. The authors said that some children had to wait longer than 21 days to get therapies. The percentage of children who had to wait varied for different therapy services. The highest was 13% for speech therapy, and the lowest was 4% for physical therapy. People in this study who lived in low-income or Spanish-speaking neighborhoods had more service delays than people who live elsewhere.


Journal of Pediatric Nursing, by Inglese, MD, published in 2009, summarized Jul 8, 2009

Nurses may want to learn about screening, diagnosis, and support of children with autism because they are likely to encounter them in the community and in the medical setting.

Since 1 out of 150 children are diagnosed with autism spectrum disorders (ASD), nurses are likely to meet with or care for children with autism. Early diagnosis and early intervention are important to better help children with autism. Since diagnosis of autism in infants and toddlers can be difficult, nurses can look for delays in babbling, talking, and social interactions. There are also at least 11 different developmental tests that can help diagnose developmental delays. Autism treatment includes many different approaches for care. As children grow and become adults, autism treatment can change in order to meet their changing needs.


Journal of Medical Genetics, by Schmidt, H., Kern W., Giese R., Hallschmid M., and Enders A., published in 2009, summarized May 5, 2009

Intranasal insulin may help some children with autism move better and gain IQ points.

This study was designed to see if squirting insulin into the nose (intranasal) of children with a type of autism (Phelan-McDermid syndrome) would help with the symptoms of autism. The trial involved six children who were treated with intranasal insulin for up to one year. The children were different ages (9 months to 6.5 years) and had different symptoms of the syndrome. Patient three was the least impaired patient (age 3) and she was the only one who had a bad response to the treatment. The authors do not know why the intranasal insulin helped the children.


The Boling Center is one of the first places in Tennessee parents go when they suspect their child has autism. The Boling Center, at the University of Tennessee Health Science Center, provides examinations by developmental pediatricians as well as speech and language therapy and applied behavior analysis (ABA). The support group the Boling Center recommends for parents is the Autism Society of the Mid-South. Another resource for Tennessee parents is the Harwood Center, a school that helps kids with developmental delays from birth to 5 years of age. Their goal is to mainstream each child to the best of his ability.The Boling Center is one of the first places in Tennessee parents go when they suspect their child has autism. The Boling Center, at the University of Tennessee Health Science Center, provides examinations by developmental pediatricians as well as speech and language therapy and applied behavior analysis (ABA). The support group the Boling Center recommends for parents is the Autism Society of the Mid-South. Another resource for Tennessee parents is the Harwood Center, a school that helps kids with developmental delays from birth to 5 years of age. Their goal is to mainstream each child to the best of his ability.

Read original article: Boling Center Focuses On Autism Awareness, Help


St. John’s Episcopal Church offers a nondenominational church service for children with autism and other developmental delays. Although “All God's Children: Raising Children of Faith Through Adaptive Worship” is for all kids, it is focused on kids with developmental or physical challenges. Rev. Andrew Butler says this type of service, “encourages noise makers, a spirited procession in the sanctuary, and a prayer rope for children that extends down the center aisle and brings them together.” The service is 30 minutes long and involves music, Bible stories, Communion, prayer, and a focus on understanding that all children are equal.

Read original article: Montclair Episcopal Church to Launch Nondenominational Service for Children with Special Needs


In the Coimbatore district in India, speech therapy is just now being offered for kids with autism and other developmental delays. District differently abled welfare officer C. Jasmine explained that the children are referred from an early intervention center and are given one-on-one therapy based on their specific needs. There are diagnostic assessments; after which, therapy involves flash cards and pictures and play. The children typically receive an hour of speech therapy a week.

Read original article: Speech Therapy for Disabled at Collectorate


Paul O’Donoghue, an Irish clinical psychologist, has written an article highlighting a study on use of cognitive behavior therapy (CBT) for kids with autism and other developmental delays. O’Donoghue first explains the difference between evidence-based therapy and alternative therapies. He then goes on to discuss a study using a computer game to teach evidence-based CBT to children who “otherwise find the usual therapeutic process boring or difficult.” Dr Gary O’Reilly of the School of Psychology at UCD led a team to develop a game that would provide feedback to behaviors in an attempt to increase positive behaviors and decrease negative ones. The game allows the children to visit a place called Gnattenborough’s Island where they are introduced to the main character, David Gnattenborough, who acts as a guide. The kids learn to recognize and deal with different emotions, for example, NATS (Negative Automatic Thoughts). The training is generic, but children keep a personalized diary on their progress. A CBT-trained therapist leads the game.



Please comment on this autism topic.

Sensory processing disorder

May 12, 2011 by Anonymous

It's very common to have SPD and ADHD, or SPD and autism, or sensory processing issues and developmental delays or learning disabilities. A child may have sensory processing disorder and food intolerances, or mental illnesses, or emotional maturity. However, a person can have sensory processing disorder and no other diagnosed conditions too.
Sensory processing disorder


The long and winding road

Jul 4, 2009 by Anonymous

Conor is the name of my beautiful green-eyed boy who last year was formally diagnosed with autism spectrum disorder. We had been told by a teacher at his daycare that she felt he needed to be evaluated. We took him to our local school district and they agreed that he had "developmental delays." It wasn't until January of last year that his speech therapist actually uttered the word "autism" in assocation with Conor and that was the most devastating word we had probably evere heard. However, whatever we started to read about autism didn't seem to fit him completely. Conor is a very affectionate, articulate and happy little boy. There didn't seem to be any books out there to describe him in the context of having autism. That seems to be changing but it's still quite lacking. I guess I'll have to write my own book!

Nevertheless, as it turns out, loving a child with autism is not the worst thing in the world. We have been enormously blessed with the school Conor attends, where he has been for two years now. He is attending summer school now to keep up the work and not have it disrupted. He only has two more weeks left at this school and then will move to his new elementary school for kindergarten. We are trying to prepare him as best we can. We have set up meetings with his new teacher and drive by the school whenever we have an opportunity. His new school has the same cross-categorical program that his current school has so while he'll have a whole new teacher, school and routine to adjust to, he'll at least have the same program. In the morning, he'll have one-on-one work for his IEP and then in the afternoon, he'll attend regular kindergarten witih his peer group and have an assistant who will shadow him and another cross-cat student. I am excited to have him start this new school with all the possibilities it will provide. He'll be in a class with children his own age, whereas now, he's in with some kids who are a little younger than he is, whom he often imitates (i.e., screaming, hitting himself, making baby noises, etc.). His teachers are confident that he'll outgrow this tendency to imitate, which will come with maturity. We can ask him, "Hey, who are you imitating now?" and he'll respond, "Justin, Payton, Jacob, etc." So he knows he's doing it and knows it's not an entirely desirable behavior. His teachers have commented that this is upsetting to the child he's imitating so we work diligently to overcome that behavior.

 Conor has come a remarkably long way and his teachers agree. There are many things he can now do that he wasn't able to do before. Academically, he's right on track, but socially, not so much. He has a hard time making friends. We hope that he will develop better skills in kindergarten to make connections with friends and learn the appropriate ways to interact with friends. Sharing is a big hurdle!

Conor has an 18-month old sister and that has been an interesting journey. When we first brought her home from the hospital, he didn't want us to get her out of the car! He has had to learn what is appropriate behavior with her and how to be gentle. It's very disconcerting when he laughs inappropriately when she cries in distress. However, if I cry, he shows immense concern and empathy. It's pretty remarkable to witness. I think as he and his baby sister get closer and closer as they grow up together, his connection to her will be more compassionate.

Conor has been a study subject to research the low-dose effects of Risperdal in ASD children. Having him participate in this study was a very arduous and painful decision. His participation ends next month and we're not entirely sure how much it has helped him or affected his behavior positively. In fact, there seems to be an emphasis on some undesirable behaviors and we're not sure if it's environmental or biological. Who knows? All of this is such a crap shoot... everyone just wants a definitive explanation about how to heal/treat/cure autism. Lord knows I sure do! But as I have said, this I can handle. It's certainly a challenge but it's not insurmountable. My child is healthy and happy... we can work together to get him where he needs to be.


Great Autism Therapy Toy/Product

Mar 22, 2009 by Anonymous

www.boardbookalbums.com  offers the new "Take Your Pix" board book photo album, which is perfect for autisitc kids and children with othe developmental delays and challenges.  Developed at the direction of a speech therapist, the "Take Your Pix" albums have thick cardboard pages that hold 20 photos, plus one on the cover frame.  Your 4" x 6" photos slide right in the top of the pages and are protected from harm.  Your kids will love looking at all their favorite photos.  Great with the PECS communication system for autistic kids, too!  Check it out and please share with family and friends !


Long-term memories

May 8, 2008 by Anonymous

            It has been a busy week here so far.  Sunday morning, Hayley had her dance class pictures.  All the little girls looked like angels!  I have to admit that I am surprised at how serious this dance thing is.  I guess that I expected a little recital at the end of the year, but there’s this big production at a big auditorium the next town over, and the pictures and the rehearsals too!  I ordered pictures, despite the fact that I wanted to protest the absurd prices by not ordering any at all, so I expect to be satisfied.  I think Hayley smiled nicely.  There’s no way for me to be sure, since parents were not allowed in the picture area.

            Tuesday was Thomas’ IEP meeting and the first full-staff IEP since that fateful IEP two years ago when the word “autism” was finally said.  Anyway, everyone who is part of Thomas’ service team at school was there including Thomas’ kindergarten teacher for next year AND the resource teacher!  Jonathan and I couldn’t believe it.  We were waiting to be taken back to the conference room when this teacher walked in and I recognized her from that silly orientation a couple weeks ago.  I thought, “Could she possibly be here for Thomas’ IEP?”  Sure enough, she was there for it and Jonathan and I thought that was completely wonderful.

            During the course of the meeting, we revised the reason why Thomas receives special education services from “developmental delay” to “autism” which opens a few more doors for us.  Thomas’ teacher did a Childhood Autism Rating Scale (CARS) test on Thomas and with that instrument she determined that he falls on the mild/moderate end of the spectrum.  The psychologist reported that his scores in the various areas of testing ranged from far below average in some areas and “superior” in one area in particular:  long-term memory and recollection.  Normal is about 80-112, and Thomas scored 123.  Everyone around the table said “oooh” and “aaah,” but Jonathan and I nodded quietly.  This score was nothing new to us.  I’m frankly surprised that Thomas hasn’t related details of his birth to me.  I would find this most interesting since I was under general anesthetic for it and don’t remember a thing.

            Thomas’ composite FIQ (I think that’s “functional IQ”) was 72, just above the cutoff for the MLP classroom.  Jonathan was okay with that.  He was very concerned going into this meeting that the staff was going to gloss over Thomas’ problems and make it seem like he is higher-functioning than he really is just so they could get him into the general education classroom.  The staff was very frank about Thomas’ strengths and weaknesses yet confidently recommended that we put him in the general classroom with ninety “resource minutes” per week.  That will be speech, occupational and social therapy integrated into classroom time every week.  The principal said, and I am apt to agree with her, that it does no good to mainstream a child and then have him out of class all the time for therapy.  Thomas’ new teacher (who goes by Mrs. Surname – Thomas has already mastered her difficult-to-pronounce name and we only had to tell him once – hello, long-term memory!) said that she prefers that all therapy be done in her classroom as long as it is reasonable, so I believe that they’re going to do that.  This year, she said that she had only seventeen students as opposed to the thirty that we were warned about, so we’re very hopeful about that.  We think that Thomas would struggle with so many kids around.

            Everyone had really nice things to say about Thomas.  All of the people in the meeting felt that he’s just a really happy-to-know-you kind of kid and they’re sorry to see him go.  So am I!  We’ve had a really good experience at Thomas’ pre-school; we know the staff there and everyone knows us.  It’ll be an adjustment for sure, but I think Thomas will do fine.  He understands that he’s going to a different school next year and he says he’s eager to make new friends.  We’re going to go and visit sometime soon, which Thomas is also eager to do.  He said he wants to meet his teacher and see the room and jump right in, so that’s great.  I’m thinking of becoming involved in the PTO or PTA or whatever the acronym is these days.  It’s a cute little grade school just a few blocks from our house, so I’m not sure if I’ll sign Thomas up for the bus or not.  I’ll feel a little guilty having the bus pick him up when we live so close – it’s like having a pizza delivered even though you live really close to the restaurant.  I’ll probably have him take the bus anyway because Hayley will have to get to preschool by 9 a.m.

            Tomorrow, Hayley and I go to school for the Mother’s Day Sing and Ice Cream Social.  Thomas has been singing his songs here all week, so I kind of already know what the “sing” part is about, but it will be sweet to hear all the kids sing together.  I’m especially eager to meet Thomas’ little girlfriend and her mom!  I’m hoping to exchange numbers with her and possibly get together with them over the summer.  We have to discuss the wedding, after all.  I’ve heard that as mother of the groom, it is my job to “wear beige and be quiet.”  I’m not sure I can comfortably do either.



Please comment on developmental delay or other autism therapy topics.

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  • Synonyms for developmental delay include: developmental delays, developmentally disabled
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