Autism Therapy: feedback

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J Autism Dev Disord, by Hume, K., Loftin R., and Lantz J., published in 2009, summarized May 4, 2010

Interventions such as self-monitoring, video modeling, and individual work systems may help children with autism to be more independent.

While autism therapies may teach skills to children with autism, often the children depend on adult support in order to do these skills. Even people with high-functioning autism may rely a lot on adult prompts and feedback. The fact that many children and adults with autism cannot function by themselves means that they have poorer outcomes. Many interventions for children with autism focus on helping children to function by themselves. This article describes things that prevent people with autism from working by themselves and three interventions that may promote independence.


American Journal of Speech-Language Pathology, by DeThorne, LS, Johnson CJ, Walder L., and Mahurin_Smith J., published in 2009, summarized Jul 20, 2009

Augmentative and alternative communication (AAC) and other methods may help children with autism learn to speak.

Some children with autism do not imitate the sounds of others. For these children, several speech therapy methods may help them learn to speak. AAC is often the first strategy to help them learn enough communication to be able to have some social interactions. There are five other methods that may also help these children: 1) avoid pressuring children to speak, and use puppets and play as encouragement instead; 2) imitate the child and they may start imitating others; 3) use exaggerated sounds and speak slowly; 4) use visual feedback and touch to help teach skills; and 5) add exercises for mouth movements that are specific to speech.


Research in Autism Spectrum Disorders, by Love, JR, Carr JE, Almason SM, and Petursdottir AI, published in 2009, summarized May 11, 2009

Applied behavior analysis (ABA) therapy programs can vary a great deal and these variations may influence the efficacy of the program.

The purpose of this study was to find out the details about 211 early and intensive behavioral intervention (EIBI) programs for children with autism. The authors note that many programs describe themselves in broad terms such as ABA or EIBI. About half of the staff in these programs was trained using written and oral lessons, modeling, practice, and feedback. Almost three quarters of program supervisors have an advanced degree. The authors also found that there were many differences between the EIBI programs surveyed.


Child Adolesc Psychiatric Clin N Am, by Minshawi, NF, published in 2008, summarized Jan 28, 2009

Applied behavior analysis (ABA therapy) may be helpful in stopping self-injurious behavior in people with autism.

Self-injurious behavior can be one of the hardest symptoms of autism. Self-injurious behavior is most often self-hitting or banging of the head and face and self-biting. People with low IQ are more likely to have self-injurious behavior. Some people believe that self-injurious behaviors are shaped, strengthened, and maintained because the person with autism gets desired feedback from the behavior. This article reviews self-injurious behavior in autism and describes treatments.


Occupational therapy students will soon add neuro-feedback training to their field practice with children with autism. The University of Texas, El Paso OT students will participate in hands-on neuro-feedback at the Omega Rehab Center. In addition to the "brain exercise that monitors brain waves and displays them back to the child in the form of a video game or movie," students will receive training in physical, speech, and occupational therapies. Students have found that field practice adds valuable experience when it comes to actually working with their own clients. "Field work is crucial to our education because it allows us to put theory into practice," said Jesse Aguirre, graduate occupational therapy student. Neuro-feedback is finding advocates in El Paso among parents of kids with autism.

Read original article: Occupational Therapy Students May Get Chance Pediatric Field Experience


Both the Hill boys enjoy iPhone games, so Joe Hill, their dad, decided to develop Aeir Talk, an app to help kids with autism communicate. Hill wanted an inexpensive one-stop-shop for children to learn language skills. One of the pediatricians he approached for advice, Dr. John Harrington, explained, “Language is one thing that makes a huge difference with autistic children. Most kids, if they're speaking by age 5, often have a better outcome than if they're not." Hill’s vision included allowing parents to customize the noun and verb flashcards with their own photographs, text, and voices. The app is thus personalized for each child who uses it. Hill partnered with We Are Titans who did the actual programming for the app. They both are continuing to accept parent feedback and make improvements to the app.

Read original article: Chesapeake Father Creates App to Navigate Autism


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.


Mentor Public School District will soon open the Cardinal Autism Resource and Education School (CARES) in Northern Ohio. This facility, serving between 12 and 42 kids with autism, will cover educational, sensory, and life skills. CARES hopes students may return to a mainstream classroom or graduate with the ability to obtain a job or further schooling. The facility has been retrofitted specifically for children with sensory issues. CARES director, Christy LaPaglia explains, “The building will be equipped with new lighting, acoustic panels in classrooms, odorless carpet and paint.” One unique feature of CARES is the observation area where parents and other educators can watch and listen to what is happening in the classroom. CARES hopes this will assist in useful feedback for the children as well as the teachers. The center consists of seven classrooms, the observation rooms, parent resource area, gym, and sensory rooms.

Read original article: Mentor Schools' Autism Center Set to Open October 3rd



Please comment on this autism topic.

Responding to neurofeedback

Feb 2, 2011 by Monkey's Mom

    We have been using neuro feedback for our 9 year old daughter for about 5 months at this point.  We also use chiropractic re-adjustments twice weekly to alleviate the pain and pressure on her spine as well as allowing the nerves to communicate properly.  She now after almost four years is able to recognize pain and say it is pain instead of acting out.  She has a combination of problems, along with ASD, she was severley abused and neglected prior to being placed with us as a foster child.  She has probably had some in utero chemical exposure, although that was denied prior to adoption and she was born to teenage parents with a familial history of mental illness.  She has been out of that environment for almost four years now and is adjusting very well. 


     The good news is I was able to take her to an unfamiliar major urban area, we live in the country, for a two day group tour.  She was able to manage the subway, museums, city noise, a large hotel, the holidays and a very busy schedule for the entire two days without any tantrums, outbursts or behavioral issues for the entire two days and on the train ride to and from.  She has also not been in the "quiet room" this year at school either. 


     We at this point are attempting to decrease some of her meds.  It has been a little hit and miss trying to get the correct frequency and locations when we are trying to correct or address specific behaviors.  When the doctor places the electrode on an area that he knows on other children will treat obsessive behaviors, it activate her frontal lobe and she becomes alomst manic prior to and after her meds wear off. 


It takes really knowing your child and a good relationship with the provider as well as working very closely with her school contacts and teachers.  Communication is key if this is going to work at all.  If we don't communicate she doesn't get the treatment she needs and it may take several weeks to get back where she was before something was changed.


     So as a parent I feel it is truly worth everything it takes to get this accomplished.  Just be prepared for things to happen you didn't expect, either good or bad and find a provider that is willing to re-adjust a treatment when something goes wrong.  Be patient as you may initially see results for only a few days at a time.  Then understand that not every child is "wired" the same and until their is a good relationship between client and provider and an understanding of what does and doesn't work it will, be experimental for a little while.        


Autism and Deafness Event

Oct 20, 2010 by Deaf Autism

Calling all educators, health care personnel, family members and other allies


interested in individuals (children & adults)


with autism spectrum disorders who also are deaf or hard of hearing


 


Understanding a Dual Diagnosis: Children and Adults with Autism who are also Deaf/Hard of Hearing


< Special Educational Event! >


 


Why:   To learn more about this dual diagnosis and how to better serve people affected


          


To give your ideas on creating a statewide support and information association for professionals and parents  


 


What: Guest presentation by Joseph Trapani, representative from the National Deaf    


           Academy, Mt. Dora, Florida.  NDA has a specialty program aimed at serving


            deaf/hh children & youth with co-occurring autism spectrum disorders.


           


Small group and large group brainstorming and visioning for new association


 


When: Wednesday, November 10, 2010,     


 9:30 – 12:30 presentation and visioning


 1:00 – 2:00 PM - Planning for next steps for interested stakeholders/Logic Model                                                


 


Where: Colorado School for the Deaf and the Blind


33 N. Institute Street
  Colorado Springs CO 80903


 


Cost:  This event is free but donations would be greatly appreciated to pay for refreshments, interpreters, and materials. Some support may be available for families to attend: apply for a scholarship to Janet@handsandvoices.org.


 


To register: Contact Lorri Park, Autism Society of Colorado lorri@autismcolorado.org


                    720-214-0794 x11 by November 4, 2010.


        Please advise if interpreting or other access is needed.


 


Unable to attend in person, but interested in possible webinar attendance?


Unable to attend, but want to give feedback on needs and desires for this population we serve?  


Please contact lorri@autismcolorado.org. Lorri will email information about potential webinar attendance and email a prepared survey to you to return by November 4, 2010. 


 


Event Hosts:    Autism Society of Colorado (Lorri@autismcolorado.org)


                         Colorado Families for Hands & Voices (editor@handsandvoices.org)


                         Rocky Mountain Deaf School


                         Colorado School for the Deaf and the Blind


                         Colorado Department of Education


                         Bill Daniels Center for Children’s Hearing       and more to come…            


Hi there,

My name is Dan, and my wife Carey and I are parents to a four-year-old boy (with autism) and a two-year-old girl (neurotypical). Both of our kids are adorable and keep us laughing!

Our son is verbal, though his expressive language is weak and he struggles with sensory processing, particularly in new environments. We were turned on to picture-based communication aids by the Connecticut Birth to Three system -- laminated strips of pictures, notebooks, magnet boards, etc. 

These tools worked. They helped Evan a good deal. Unfortunately, though, they weren't the most "workable" solution. Carrying around notebooks and boards is inconvenient. We'd lose the symbols, or not have the right one on hand when needed. 

So, we invented an application for the iPhone and iPod Touch that lets caregivers customize and present visual schedules, social stories, timers and choices -- all right there in the palm of your hand. It's called iPrompts -- check it out at http://www.iprompts.com. We've gotten some incredible feedback about it. Hope it helps!

 

- Dan


Mouse ears and back-to-work

Feb 24, 2009 by Anonymous

I hate to say this, but I think that Thomas either has developed a tic on the Strattera or that tooth has GOT to come OUT. Mrs. H. has noticed it too, but she thinks that it is from absentminded tongue-pushing against that loose tooth. I don't know...it seems like he's pushing against it with his tongue but it's in such a tic-ish way that it's hard for me to tell what it's all about. Jonathan said, and I agree with him, that we'll have to wait at least until the first tooth falls out to see if it gets better. If not, then there'll be a call to the neurologist in which I am instructed to take him off the Strattera immediately. Bye-bye great IEP meetings and terrific progress. Hello, extra TVs playing in Thomas' head, keeping him from effective communication. I'm trying to stay optimistic but I'll be really bummed...rather, EXTREMELY DISAPPOINTED if the Strattera turns out to be off-limits like the Focalin, and for the same rotten reason. 

My first day of work which will be strictly orientation is on Thursday. Yesterday as I was taking Thomas to school, he told me that he wanted me to go to work right away. How cute. We'll see how he feels on Thursday when I'm not around to step and fetch and carry for him and Daddy has to do all! We'll see how it goes. I know that Jonathan will be interested in doing his very best so that we can go on our Grand Disney Vacation that we are still tentatively planning for August. The children have no idea of the scope and scale of Disney. I ordered a Disney vacation planning video a while ago that I filed away until recently. We watched it on Sunday during lunch and the kids (especially Hayley) were glued to it. So was Jonathan. I have to confess that even I was taken in by it. If any readers out there have any advice on touring Disney with an autistic family member, we'd love to hear it. Or any advice in general would be great. We're still on the fence about the dining plan...we're thinking that we can do better in terms of how much it costs, but if anybody has tried it and has feedback, please let me know. When we called the reservation hotline on Saturday, the gentleman on the phone said that every single Disney "cast" (employee) member is well-educated on special needs kids. I can't wait to test that statement.

Hayley's been down with a cold this week and missed school on Monday. That's the first day she's missed all school year! Unfortunately for Hayley, the beginning of any illness is marked by an in-bed barf-o-rama and she was in my mother-in-law's bed on Friday night when it happened. We went to pick the kids up on Saturday and I've never felt worse for someone because of what my child accidentally did! The entire bed was stripped and somehow Hayley got vomit all over the bedskirt. My mother-in-law had to yank that bedskirt off from under her very deep and heavy mattress all by herself at midnight. I felt awful and did make her bed (including bedskirt) over for her while we were there, but even when Hayley's thrown up at home in her bed, I've never seen such a serious and far-reaching mess. Thomas has managed to catch the same cold, but he doesn't vomit nearly as much as Hayley, so he's just a little stuffed up. It's amazing how these kids deal with illnesses. What would have grown-ups flat on their backs for days doesn't affect little ones nearly as much. I guess the bigger we are, the harder we fall.

I can't see anything very important on our familial horizon except for me going back to work, something I intend to do now until I reach retirement age. It will be a big change for the kids, sort of. They're used to Jonathan being gone all day at work and I won't be gone all day. Just a few evenings during the week and some weekend days but we all know Thomas and how sensitive he is to any kind of change. Luckily, I can rearrange furniture when I want to or buy a new bedspread when the spirit moves me. It's lifestyle changes for Thomas that bother him. We just put new bunkbeds in Hayley's room and he loves them so much that he wants some in his room. My folks have one more set that perhaps we'll go ahead and take off their hands. We'll be able to sleep an army in this house, but what I'm more concerned about is one spry little six year-old jumping cowabunga-style off the top bunks. It hasn't happened yet, but we just got the things. We'll see how it goes. If he starts his very own "Circus of the Stars" in Hayley's room, then I think we'll be limiting him to just one bunk.



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