Autism Therapy: focus

definition of focus: not yet defined.

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Research in Autism Spectrum Disorders, by Chan, JM, R Lang, Rispoli M., O’Reilly M., Sigafoos J., and Cole H., published in 2009, summarized Sep 2, 2010

Peer-mediated intervention (PMI) may be very helpful for children with autism, and a strong research base supports use of PMI.

This review article was designed to describe all research in which therapy for children with autism was performed by the child’s peers. The review covered 42 studies that used PMI in the treatment of people with autism. Many of the studies did not measure whether or not the studied treatment plan was followed by the peers. Some studies did ask the questions: Did the treatment occur for at least 10 minutes? Are there at least 1 or 2 peers in the treatment? Was an adult there to watch the session? The authors note that future studies should focus on what level of PMI can be performed by children at each age.


J Autism Dev Disord, by Gibson, JA, Grey IM, and Hastings RP, published in 2009, summarized Aug 19, 2010

Regular and high quality supervision of applied behavior analysis (ABA) therapists may improve the success of ABA intervention.

The focus of this study was on how ABA therapists feel about their work. The survey, of 81 therapists working in ABA schools, found that the therapists who were the most happy had the most support from their bosses. The therapists who received the most support from their bosses also felt that they were doing the best job with the students. The best bosses were those who showed empathy for the therapists and who had a style that rewarded the good choices of the therapists. The study was performed in Ireland, but the authors note that it did not include all ABA therapists in Ireland.


Annals of Clinical Psychiatry, by Gutstein, SE, published in 2009, summarized Jun 15, 2010

Relationship development intervention (RDI) may be helpful as part of a larger autism treatment program.

The purpose of this article is to teach psychiatrists about RDI. RDI has been in use for ten years now and it is a major relationship-based tool for autism intervention. RDI consultants focus on family support and parent training. They also focus on helping any IQ weaknesses in the child. The author notes that while RDI has not been studied in outcome based research, the thought behind the therapy makes sense and therefore the therapy likely offers value to the child with autism and the family.


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.


In this article, we’ve highlighted an interview with Kecia Adams-Wright, the outreach coordinator for Firefly Autism. This Denver CO organization was founded to help teach families about autism and how to best live their lives. Firefly Autism uses applied behavior analysis (ABA) and individual focus on a child’s development and unique interests. Their therapies are woven in with play and “turning ‘can’ts’ into ‘cans’”. The video clip shows kids at Firefly Autism using the facilities and therapies ranging from early intervention into outreach and clinical services.

Read original article: Nonprofit Helps Families Learn to Live and Learn with Autism


Nick Llorens has autism and is about to graduate high school. When he was diagnosed as a child, his parents immediately turned to Judevine Center for Autism for various therapies, including speech and applied behavior analysis (ABA). In order to always be increasing his potential, Nick receives equine therapy at Cedar Creek Therapeutic Riding Center and developmental education at Focus on Learning. In addition, his parents have found their lives changed in response to Nick’s autism – they have slowed their pace of living and communicating. Becky Llorens explained, “We used to think he just didn't get it, but he just didn't get the time to respond. So it's challenging, and we think about it every day — how to more effectively communicate with Nick.” Now that Nick is graduating, he and his parents are transitioning to a new life for Nick. He currently works part-time, but hopes to increase his job skills and build his resume with Boone County Family Resources. The goal is for him to be as independent as possible.

Read original article: Graduating with Autism


The Comprehensive Autism Medical Assessment and Treatment Center is adding additional therapies to its service offerings. Founder, Dr. Paul Abend, whom we've highlighted before, reached out to several therapists to help form Bright Star Therapy. This collaboration will add speech, physical and occupational therapies to children with autism. In addition, there will be a focus on assisting parents to continue therapies at home. While the kids get therapy, parents may receive "preparation of home schedules to complement school plans or counseling for a sibling who may feel lost in the constant shuffle of doctor and therapeutic sessions." In the future, Bright Star Therapy hopes to host weekend respite sessions so that children can partake in therapeutic activities while parents and caregivers can take a break.

Read original article: Autism Center's Therapists Offering "Tailor Made Services"


The Ministry of Education on St. Kitts, with UNESCO funding, held an autism training workshop. For two days, preschool teachers, special education professionals, day care supervisors, and nurses learned about recognizing early signs of autism in children. The Principal at the Special Education Unit on Nevis, Mrs. Violet Clarke, hopes this education results in an early intervention center. “The centre will be set up as a demonstration environment to provide training for parents, nurses, preschool providers and teachers. Children will have the opportunity to be screened and receive intervention programmes designed by a multi professional team,” she explained. The focus therapies for the children will be speech and occupational therapies in order to best increase social and communication skills. Clarke hopes this goal will prompt different governmental and educational agencies to work together, sharing knowledge and funding.

Read original article: UNESCO Workshop on Nevis Draws Attention to Federation's Children with Autism



Please comment on this autism topic.

Responding to movement therapy

Feb 15, 2012 by Whole Medicine

Have readers of this forum heard of Interactive Metronome?

I have worked with numerous LD's.  Because ASD has as a major component deficits in Executive Functioning, focus, attention and inhibition, I have had tremendous sucess with students on the Spectrum.

TJ, a 12 y/o male with ASD was still bed wetting and presented aggressive/assaultive behavior towards younger siblings and classmates/instructors.

  • After 6 IM sessions bed wetting ceased
  • After 15 sessions TJ displayed the ability to self-monitor escalation of aggressive emotions/behaviors, ending physical attacks upon sibling

  • TJ now attends mainstreamed H.S., classes and no longer requires a F/T class aide


JR was a 17 y/o male dx'd with Aspergers comorbid with ADD and ODD behavior.  Due to gross/fine motor deficits and very low muscle tone he was anxious about any physical activities and exhibited poor self-concept

  • After 4 sessions he began to show generalized timing improvements and his self-confidence grew
  • After 12 sessions Mom reported he was self-initiating chores at home!
  • JR gained confidence in his athletic abilities and learned a left handed [non-dominant side] lay-up 

Please feel free to contact me if you want to learn more. 

 

In Good Health!



Edward Jonathans BSc-IMC
Sensory-Motor Therapist


Responding to aquatic

Sep 4, 2011 by Anonymous

I have been a private swim instructor, specializing in teaching children with disabilities for over 10 years in Los Angeles. Most of my swimmers are children, ages 2- 12, who are on the Autism spectrum. When these children are in the water, they all have shown a sense of comfort, mind and body relaxation. With certain cues, such as the word "focus," I am able to receive quick eye contact and immediate response to my action requested by them. Positive reinforcement and encouraging words, whether the task was perform correctly or not, increases their consistency of performance in the water. Their sense of body movement in the water becomes hightened because they have control over the water and therefore they feel the need and comfort to be in the water and be active.


RDI is not a fad therapy.  It is based on years of clinical research into how typical parent/child relationships and childrens' brains develop from infancy.  It then seeks to recapture what was not possible because of autism.  It helps remediate the core deficits and rebuild new neural pathways.  If the brain is re-wired then all the other behavioral issues can be remediated as well without scripted, rote learning. 


Just because it is fairly new and the focus has been on developing the program and helping children/families (rather than funding and documenting for research purposes, which IS needed), that does not mean that it's a fad. 


Also, as a parent of a child on the spectrum there has been NOTHING else I have found that has focused on the family and actually helps us goal-set and apply techniques in our everyday, busy life.  This is a God-send and, I believe, will become the standard course of treatment for autistic individuals in the years to come.  It's not a fad.


Sincerely,


Leigh Reeves, mother of precious 4 year old Angeleah who is getting much-needed help with RDI


ABA is good for teaching discrete skills to kids with autism. Actually, there are conflicting analyses of the ABA effectiveness literature....and generalization is still a major challenge. ANd, with ABA, a teacher can focus entirely on nonfunctional skills in isolation with ABA.

 

THere is now growing evidence of the usefulness of developmental interventions for kids on the spectrum, such as DIR. I think a combination of therapies, as DIR and ABA can help a child learn to read, for example, and also to relate and connect with other people.



Please comment on focus or other autism therapy topics.

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