Autism Therapy: mental health

definition of mental health: not yet defined.

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Journal of ECT, by Nilsson, BM, and Ekselius L., published in 2009, summarized Jul 15, 2010

Electroconvulsive therapy (ECT) may be helpful for people with autism who suffer from severe mental health issues that do not respond to other treatments.

Many people with autism also have other mental health issues such as bipolarity and obsessive compulsive disorder (OCD). This case study describes the use of ECT to treat a 38 year old man with autism who suffered from prolonged and severe obsessive-compulsive symptoms as well as hypochondria. The man did not respond to drug therapy or cognitive behavior therapy (CBT). The patient’s health was restored after ECT.


Infant Mental Health Journal, by Sanefuji, W., Yamashita H., and Ohgami H., published in 2009, summarized Dec 25, 2009

Mothers who imitate their child with autism may help teach nonverbal social skills and feel more positive about their relationship with their children.

This case report describes a therapy approach where the mother imitated her 21-month-old child with autism. The mother and child were together for sessions with therapists for 60 minutes per month, and the mother was taught how to continue therapy at home. For the first two months, she spent 5 minutes every day playing with her child and responding to him. For the next two months, she imitated her child’s facial expressions and sounds during play. For the last two months, the mother stopped imitating and was responsive during play. The child’s joint attention skills improved more rapidly during the imitation phase than during the other phases of therapy. The mother also enjoyed being with her child more during the imitation phase.


Research on Social Work Practice, by Gustafsson, C., Ojehagen A., Hansson L., Sandlund M., Nystrom M., Glad J., Cruce G., Jonsson AK, and Fredriksson M., published in 2009, summarized Oct 15, 2009

Behavioral therapies and integrated care may be helpful for adults with autism.

The authors analyzed review articles of psychosocial or behavioral therapies for adults with autism. They found 126 review articles, but only 3 of these articles contained high quality research information, as judged by the authors. The authors said that cognitive-behavioral therapies reduced aggression in these studies, but the effects did not last long. They also said that community support services reduced admissions to state psychiatric hospitals. There were few large studies published, and the authors urged more research of therapies for adults with autism.


Harvard Mental Health Letter, by Letter, published in 2009, summarized Sep 22, 2009

Research on known genetic brain disorders may lead to better autism therapies in the future.

Researchers continue to learn about how to treat genetic brain disorders. Rett syndrome, tuberous sclerosis complex, and Fragile X syndrome are examples of genetic brain disorders. For these disorders, there is a gene in the DNA that researchers know is related to some brain problems. Scientists have been able to treat these disorders in animal studies. They have used gene therapy and drug therapy to correct problems of defective genes. They hope that some day the information might be helpful for treating many brain disorders including autism.


Tina Robbins realized just how special her Kalamazoo community was when they stepped up to help her out with her son with autism. Robbins is a single mom and her son Logan is a non-verbal youngster with autism. Robbins explained that Logan has sensory issues, wandering, and self-injurious behavior. As an advocate for her son, she reached out to Kalamazoo Community Mental Health and Substance Abuse Services (KCMHSAS) for help. Jeff Patton, CEO of KCMHSAS, explained that Kalamazoo is a caring community and different agencies pooled their resources to help Logan as well as other children with special needs. Western Michigan University provided speech and music therapy. He received his service dog, Denver, from Paws with a Cause. Cheff Therapeutic Riding Center provided equine therapy, while Project Lifesaver made sure that Logan didn’t wander away from home. Tina also gets help; Woods-Edge Learning Center and Family and Children’s Services Respite Program provides respite services, so that she can be re-energized and effective when caring for Logan.

Read original article: Kalamazoo Community Networks Support Children with Disabilities


Occupational Therapy (OT) is often thought of as rehabilitation from workplace injuries, but it can be key to helping kids with autism and other developmental delays. This article from the director of Trinity Medical Center’s rehab area (Alabama), explains how OT spans the range from preventative care to mental health. The American Occupational Therapy Association (AOTA) says that what makes OT unique is “its holistic focus on the individual’s capabilities, the activity or activities he or she is having trouble performing, and the environment where the activity is usually performed, such as work, home or other settings.” OT is used to help children learn skills needed to function at home and at school. Skills addressed include fine motor, social interaction, and academic performance. Examples of OT include learning to write, ride a bike, or catching a ball.

Read original article: More Than Workplace Wellness


Currently the only FDA-approved biofeedback/neurofeedback equipment use is for “relaxation,” however, some scientists, therapists, and parents say neurofeedback has been helpful to children with autism. The National Institute of Mental Health will announce the results of its first study of neurofeedback for ADHD on October 26, at the annual meeting of the American Academy of Child and Adolescent Psychiatry. The study director said that parents and teachers of the 36 children in the study reported improved behavior. While most insurance companies do not cover the controversial treatment, the Magagnos of Lynbrook, N.Y., found that their insurance company did. Their son, who was diagnosed with Pervasive Developmental Disorder, was treated by Dr. Norman Doidge, a psychiatrist at the Center for Psychoanalytic Training and Research at Columbia. Dr. Doidge discovered the child had suffered tiny, asymptomatic seizures, and through neurofeedback “stabilized the child’s brain activity” and eliminated the seizures. The parents report their son has improved skills. Many scientists and doctors caution parents to be careful when approaching this therapy method for their children until more testing has been done.

Read original article: Neurofeedback Gains Popularity and Lab Attention


The National Institute of Mental Health (NIMH) funded a recent study, led by Geraldine Dawson, chief science officer of the advocacy group Autism Speaks, that showed early intervention begun at 18 months of age and continuing for two years may help children with autism improve. The study included 48 children from the ages of 18 to 30 months. The children were randomly placed in groups that received either the Early Start Denver Model (ESDM) or referred for less comprehensive intervention. The ESDM promotes family involvement in the therapy plan as well as individualized treatment and systematic instruction. ESDM focuses on communication and social interaction and includes "four hours of therapist-led treatment five days a week, plus at least five hours weekly from parents." While none of the children were considered "cured," the children in the ESDM group had increased IQ, increased language skills, and in some cases the original diagnosis was re-assessed to a less severe form of autism.

Read original article.



Please comment on this autism topic.

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.


Responding to insurance

Sep 13, 2011 by Anonymous

We have private insurance for which we pay a premium and deductible.  It covers occupational therapy, language therapy, physical therapy and psychological therapy but at a combined 75 visits for calendar year.  This is not for each therapy but rather 75 total for all together. Thus, even with illness or vacation times taken, we do not have enough alotted time slots covered to continue therapy for a full year.  Once we run out of the 75 covered slots, we must pay out of pocket.  We pay a copay of $20 per visit.  So, for example, if my child sees a language/speech therapist and the ot once per week it is $40 out of pocket until we hit the magic 75 allowed under the insurance.  Then we woud have to pay $150 for one therapy and $160 for the other per week.  The psychology/psychiatrist appointments are monthly. All of these therapies would be available more frequently and I am told by the therapists very helpful if we could do more than once a week for 1/2 a session but we cannot afford to do this.  The children on the autism spectrum benefit greatly from these therapies and it is something that should be covered under the insurance policies, just as any health or mental health issue should be.


Responding to art therapy

Jul 22, 2010 by Anonymous

Art therapy is an established mental health profession that uses the process of making art to improve the physical, mental, and emotional well-being of individuals. Art therapists believe that the creative process of artistic self-expression helps individuals to resolve problems, develop interpersonal skills, manage behavior, reduce stress, and increase self-esteem.


Responding to art therapy

May 18, 2010 by Anonymous

     Art Therapy is a mental health profession that requires a master degree, specializing in art therapy, from an accredited university or college. Art therapy uses the creative process of art making to improve and enhance the physical, mental, and emotional well-being of individuals of all ages. It is based on the belief that the creative process involved in artistic self-expression, guided by a professional art therapist, helps people to resolve conflicts and problems, develop interpersonal skills, manage behavior, reduce stress, increase self-esteem and self-awareness and achieve insight. (Please see the official website of the American Art Therapy Association at arttherapy.org.)


     Art therapy may be especially beneficial for persons with autism because of its inherent ability to surpass language barriers.  Children and adults can easily use "hands-on" expression to make therapeutic gains when traditional "talk therapy" is not feasible.  In addition to be effective, art therapy is often enjoyable for clients and they look forward to it.  Skill as an artist is NOT important.  The therapeutic process is the focus in treatment, rather than the artistic product.


     Art therapists in your area can be located by going to www.arttherapy.org.  One may also search local Yellow Pages under Counselors, Licensed Professional Counselor, Therapists, Psychologists, and other mental health professions. 



Please comment on mental health or other autism therapy topics.

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