Autism Therapy: home

definition of home: Home is a place where a child typically resides with his or her parents, relatives, or caretakers. In some instances, a home may be a group home where a number of people reside together in a home-like setting with house-parents. Some children with autism and other special needs may need a specific controlled environment in which to live, such as an assisted living residence.

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J Autism Dev Disord, by Mancil, GR, Conroy MA, and Haydon TF, published in 2009, summarized Nov 11, 2010

Applied behavior analysis (ABA) techniques can be combined to help children replace aberrant behavior with functional communication skills.

The purpose of this study was to see if two therapies (milieu therapy and functional communication training) could be combined to help children replace bad behavior with language. The authors measured increased communication skills, decreased use of prompts, and decreased bad behavior in three young children with autism at home and in the classroom. They found that prompts decreased with the therapy. Communication increased and bad behavior decreased to almost zero with therapy. All of these skills were generalized to untrained settings and persons.


Pediatric Annals, by Myers, SM, published in 2009, summarized Oct 7, 2010

Effective medical treatment may allow a child with autism to respond better to educational and behavioral interventions as well as to other types of therapies.

Autism is a common, chronic disease and patients with autism require a medical home. Certain health factors may make autism worse and behavior worse. The purpose of this article is to describe how doctors can manage autism as a chronic disease. The main treatments for autism are behavioral and include applied behavior analysis (ABA). Drug therapy may be useful if target symptoms are severe and do not respond to behavioral interventions.


Behavior Change, by Carre, AJM, Le Grice B., Blampied NM, and Walker D., published in 2009, summarized Jul 13, 2010

Picture Exchange Communication (PECS) may be easily taught to children with autism, but it may be hard to teach the children to generalize PECS requests outside of therapy sessions and into school and home.

This study focused on the extent to which PECS training transfers to the classroom and home. The three children in the study (5-6 years old) learned PECS quickly. The children did not make many PECS requests outside of the therapy session. The child who had the most PECS training was also the child who made the most PECS requests in school. The authors suggest that it may be important to have trained PECS communication partners in the school and home in order to get the child to use PECS in different settings.


The American Journal of Occupational Therapy, by Silva, LMT, Schalock M., Ayres R., Bunse C., and Budden S., published in 2009, summarized Apr 1, 2010

Qigong massage therapy may help reduce the symptoms of autism in young children, both at school and at home.

This study looked to see if 5 months of qigong massage therapy would improve symptoms of autism compared to controls. The study showed that qigong massage reduced symptoms of autism as measured by tests of behavior and abilities. The children who received qigong massage showed improved sensory and physical systems. The children also gained skills for social learning. The authors plan to expand the study to look at the effects of qigong massage on the nervous system (vagal tone).


Florida State Senator, Jeremy Ring, understands the problems of parents of kids with autism and other behavioral difficulties managing their child’s healthcare. He developed a Facebook-like, but private, free Web-based healthcare management platform. Mercurian helps families organize family care teams – this can be anyone from a home care attendant to a relative to teachers and therapists. Team members can share as much information as they like to help track the child’s progress. The hope is that the data collected will help families notice changes in behavior, improvements in communications between families and professionals, and provide updates to schools and physicians.

Read original article: Senator Creates Website for Children with Autism


Many parents will use some form of applied behavior analysis (ABA) therapy with their children with autism. ABA has been in use for over 35 years, and is a therapeutic intervention that can be done in a clinic, at school, and/or at home; it works best when it’s used throughout the child’s day. Dr. Nina Pinnock, director of the consultation program at the Fernandes Center for Children & Families at St. Anne’s Hospital in MA, explained, “ABA is a playful way of managing behaviors and also skill-building by working on many different things each day: using building blocks, finishing puzzles and drawing with crayons. It’s all the things you might do with a preschooler, but with a child who is resistant you would find a reinforcer such as praise, a high-five, a tap on the shoulder or an edible — sometimes we just switch on a toy that lights up.”

Read original article: ABA Therapy Helps Autistic Kids Develop Positive Habits


By Your Side, a language center for children with autism has opened a second “home-like” center in Schaumburg Illinois. The therapists at By Your Side believe that interventions for autism may be improved when communication is improved. The center is built like a home, including a kitchen, living room, art room, and indoor playground. Therapies include sensory integration, social skills, and language concepts. In addition, By Your Side offers a number of programs: ABA, Language Builder; Augmentative Communication; Social Circles; and Occupational Therapy.

Read original article: By Your Side - An Autism Language Center Opening a Second Location in Schaumburg


A Filipino mom had to use all her resources to support herself and two sons with autism. We've summarized a number of stories from Autism Philippines; this one is particularly touching, because not only did Elizabeth Udquin raise and educate her sons with autism, but she now helps other families overcome the odds of poverty and autism. First Udquin started by taking care of herself and using the free family support services at Autism Philippines; they showed her she was not alone in her struggles. She took on a part time job and made enough money to start a "mini clinic" at her home with objects that included a trampoline, a slide, and a ball pool. She would look at therapy centers and try to buy some of the same items she saw, such as jigsaw puzzles, and shape sorters. Once the boys were older, she got them to help her earn extra money and bring some outside activities into their lives. They helped her sell items in a storefront. Realizing that some parents could not afford to join Autism Philippines, she started a fundraiser with the "zero basura" business, which involves separating, packaging, and selling garbage items. Udquin explained that not only where many families poor, but autism has a social stigma that must be overcome.

Read original article: Living with Autism on a Budget



Please comment on this autism topic.

Autism and friends

Feb 21, 2012 by Anonymous

My twelve year old is Autistic and at school he has lunch every day with a friend who is not.  He also goes to his house after schoolevery day as his mother watches my son until I get home from work.  She also has two other sons,both neuro typical.  I have seen amazing changes this past year in my sons speech, and in the things that he has tried,such as riding a four wheeler with his friend.  It's been amazing.


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


Children with autism and horses

Jan 17, 2012 by Anonymous

PREFACE:

My experience working with children diagnosed with Autism has been a little like knocking on the door to their place of business. 

Option #1

Sometimes, no one answers the door and even if the hours of operation are posted, they are not always observed.

Option #2

If the door is answered, you rare sometimes invited in, but once inside you realize it is a waiting room where messages are exchanged.  There is no direct contact.  This can cause delays, miscommunication and confusion.  Patience and timing are critical.

Option #3

With enough effort and understanding you are sometimes (and hopefully) invited into the main office and speak to the boss directly.  In this setting, skills understanding and effort are still required but are less demanding and more productive.

This is the most rewarding and productive of the three options.

The equine program developed at the Westwind Rodeo Academy has facilitated the opportunity to enter the office and speak to the boss directly.  (Remember - they are not YOUR boss, but the boss of the company you need to do business with.)

I personally believe it has been a key ingredient in several instances, in moving forward and grasping the potential for the Education system to assist and direct students diagnosed with Autism in their academic efforts and opportunities.

FOLLOWING : Is a cursory description of a multi-faceted program that will hopefully provide a glimpse into these concepts.

CAUTION:  The thoughts information and data provided here are solely my responsibility and have not been endorsed, accredited, approved or even spell-checked by the Westwind School Division, the Westwind Rodeo Academy or any other authority.

Harlan (Lanny) Smith B.S.W., Family School Liaison Counselor

e-mail lannysmith56@gmail.com

The Program

More than just a riding program, the Westwind Rodeo Academy in Cardston Alberta provides a unique program centered on relationships that is based on a triad as part of a larger group of nine.  Each child that attends the program is matched with a specific horse and equine specialist EQ (horse handler) that is chosen for their skills and experience working with children with special needs as well as their command of horse knowledge and competence.  

The group of 9 is formed with 3 groups of 3 to allow for broader experience, interactive activities and comparative experiences and an ambience in the session.  The selection of which 3 students will attend together is carefully considered and may include children with a variety of challenges not limited to Autism.  The sessions are repeated for 6 consecutive weeks and may be repeated up to 4 times a year, space allows and need requires, although each section is provided as a stand alone intervention.

One of the most inspiring experiences is when children fully embrace the horse and the relationship when they take the opportunity to lay down on the horses back without saddle (sometimes with a bareback pad or blanket, but not always), and spend quiet time, just embracing the horse while the child is at rest.  This can include conversation with the EQ as originated by the child and is largely a listening activity for the EQ, or just a silent time.  This activity is sometimes suggested by the child and sometimes by the EQ and may occur at anytime during the session.  It is can be used to de-escalate the child or address stress or emotional discomfort.  It is also used as a modest celebration or reinforcement in the relationship.

Actual riding occurs during these sessions but is not the object or the goal.  Many sessions pass without the child being on horseback as the situation dictates.   Each session is focused on the child's orientation to the world around them as far as they can express through words, body language, choices or actions, their needs and concerns as well as interests and inclinations.  Although safety is an over riding principal, convenience to the horse or EQ is secondary to the child's expressed or perceived preference.  

We have witnessed EQ's trotting beside the horse as ridden by the child who has expressed a desire to have the horse move at faster than a walk.

(Again, safety is paramount which necessitates one or more EQs running beside the horse. In this case, the child's skills and aptitude to remain safely on the horse is previously determined.  We also consider the horses history and attitude and performance on that particular day as part of the decision making process.)  

This can be physically demanding and inconvenient for the EQ but a major contributor to the child's experience and benefit.  The results the child experiences, the more effort required by the EQ to facilitate without imposing or tainting the child's experience.

The other component of this system is the support of a Mental Health Practitioner and supervision by the Facility Director.  This completes the formal team.  Decisions about activities, concepts and specific goals are managed by the Facility Director and Bahavior Specialist and the EQ's in consultation.

We have also encouraged with some success, the attendance to at least one of the sessions in each section by a significant family member as well as the students classroom teacher and possible other support personnel.  These individuals are given direction about the concepts of non-interference and non-projecting on the child's experience while acknowledging the elements the child is embracing.  They meet the horse, the EQ and observe the activities.  We often take pictures or video and encourage this experience to be talked about at home and in the classroom.

Of course this is a snapshot of the experience in condensed form and there are many details and intricacies that cannot be explained or properly presented in this format.  Overall, the development of this process has been  most rewarding and inspiring and worth the investment of time, money and effort.  It requires many elements working in concert to achieve this model.  We are fortunate that these things have come together thus far.

Questions or comments leading to discussion and education are appreciated.


Thank you so much for mentioning the Shenanigans class that Jstar conducted recently in the Detroit area. To give a little more insight, Jstar owns his own theater and co-produces the Spontaneous Combustion - Motor City improv festival. He was excited to discover an opportunity to also bring Shenanigans to some new faces in Detroit. It sounds like the kiddos had a wonderful time!

My grandson, diagnosed with Asperger's, is the inspiration for Shenanigans, when, several years ago, I struggled to find a way to help his social growth. After much research, I came across improvisational theatre, saw a good fit for the skills I wanted to target, and couldn't find a similar program here in Atlanta or anywhere. So I decided to develop a program and find someone involved in improv theatre who could get excited about my vision and help me move it forward. I found Jstar and brought him on as my charter instructor in 2009, and he has been an enthusiastic champion for Shenanigans ever since. 

Shenanigans is an applied improv theatre program targeting those with special needs, especially Asperger's, high-functioning autism, and related conditions. We use the process of learning improvisational theatre games and exercises to work on social skills by unveiling the mysteries of human interaction. The main tenet of improv, "Say Yes, and..." teaches our students better adapting skills when the unexpected pops up, and flexibility to deal with those changes and move forward. 

With our growing team of instructors, the Shenanigans program has spread throughout the metro Atlanta area. We are now reaching beyond our home city to bring the Shenanigans-style approach to others who are interested. 

I am always eager to talk more about our wonderful program and the benefits our actors receive from their participation.

Sandy Bruce, Founder & Exec Dir, Shenanigans (www.ShenanigansImprov.com - on Facebook: /ShenanigansImprov)



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  • Synonyms for home include: group home, residential facility
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