Autism Therapy: rehabilitation

definition of rehabilitation: not yet defined.

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Journal of Autism and Developmental Disorders, by Lawer, L., Brusilovskiy E., Salzer MS, and Mandell DS, published in 2009, summarized Jun 9, 2009

With on-the-job support, adults with autism can do well at vocational rehabilitation service jobs.

This study looked at job success for adults (18-65 years old) who worked in the U.S. Vocational Rehabilitation Service. There were 382,221 adults in this program in 2005, and 1,707 of them were diagnosed with autism. The adults with autism were given the most expensive support services while working. Intervention included job coaching, follow-up, and job retention services. At the end of their program, 42% of adults with autism were employed in a competitive job, 2% were working in a sheltered setting, and 56% were not employed. Adults with autism had higher success rates than adults with other disabilities. The success of employment was higher with more on-the-job support.


Autism, by Cimera, RE, and Cowan RJ, published in 2009, summarized Apr 28, 2009

While adults with autism may hold jobs, they tend to work fewer hours and earn less in wages than people with other disabilities.

The purpose of this study was to explore both the costs of services received by adults with autism and the outcomes that these adults achieve as a result of the services/costs. The study found that the number of adults with autism increased every year of the study (2002-2006). The costs of services acquired by adults with autism were higher than most other people served by vocational rehabilitation. The cost of serving people with autism seems to have decreased with time, despite the increase in people with autism (2002-2006). Outcomes for adults with autism were mixed.


Exceptional Parent Magazine, by Tamol, S., published in 2007, summarized Feb 19, 2008

This article describes the best way for parents to plan for the post-high school life of a child with autism. The author makes several suggestions. 1) Ask the child's school about a career assessment. 2) Look into the high school's job programs. 3) Look for places where your child can volunteer. 4) Learn about your state's services for people with disabilities. 5) Make sure that your child's high school works with Vocational Rehabilitation. 6) Work with the job placement agency that is working for your child. 7) Do not expect the perfect job.


Asst Technology, by Michaud, F., Salter T., Duquette A., and Laplante J. - F., published in 2007, summarized Jun 20, 2007

Robot scientists and child development scientists are coming together to make moving robots that can help teach children with autism.

Moving robots are able to provide therapy to children with autism by being a constant teaching tool. In this article the authors describe two types of robots and the issues that come with designing robots for children. They state that robots should be tested in the real world with children to make sure children like them. In order for the robot to be helpful to the child, the designer needs to have a precise idea of how the robot is supposed to help the child. The authors conclude that better robots are being designed each year as therapists and engineers work together to meet the needs of the children.


Cai Zhaohui is the sole caregiver for his son with autism. Cai blogs about his son and living with autism in China. For example, after a wait, his son was admitted to the Yilin Rehabilitation Center in Qingdau, and there is only one ABA-certified therapist in China. Yan Feng, a professor at Shanghai Fudan University explained that the number of children on the autism spectrum in China is difficult to know because of the social stigma. Yan stated, “Parents need to become autism experts themselves in order to counterbalance the current imperfections in today's social system. Qingdao's Yilin center is a good example of this, as it was established by Fang Jing, herself a mother of an autistic child.” Cai hopes his sina.com microblog and his book, Daddy loves Xihe, will help bring more awareness and support to China’s children.

Read original article: Chinese Autism Kids Face Misunderstanding


A Michigan school district has joined forces with several organizations to provide post-high school resources for kids with autism and other developmental needs. The Berkley School District, the Judson Center of Royal Oak, and Michigan Rehabilitation Services hope to help young adults transition into life beyond education. Services provided include school instruction at the nearby community college, independent living skills training, and work experience at Providence Hospital. Judson Center has provided a group home where people can learn cooking skills, laundry skills, and other skills needed for independent living. The transition specialist at the home uses dialectic behavior therapy (DBT). DBT is comprised of four components: core mindfulness; distress tolerance, emotion regulation, and interpersonal effectiveness.

Read original article: Berkley Gives Special Education Students a Postsecondary Boost


The Adventist Paulson Pediatric Rehabilitation facility has joined with the Hinsdale (IL) Humane Society to provide canine-assisted therapy for kids with special needs. Sometimes called service dogs, the dogs provide pet therapy. The canine-assisted rehabilitation (CARe) teams use the dogs to help kids relax before therapy, learn to socialize, and as a reward for completing some tasks. Many times, the animal participates with the child during therapy. Therapy teams are registered with Delta Society, an international group that organizes the volunteers, pet owners, and vets. Carla Pister, manager of the pediatric rehab facility says, "The animals have made a big difference in reducing patients’ anxiety – sometimes their presence alone can be comforting.”

Read original article: New Canine-Assisted Rehab in Hinsdale


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



Please comment on this autism topic.

Jobs

Nov 26, 2007 by dankohn

Avatars Help Asperger Syndrome Patients Learn to Play the Game of Life At the UT Dallas Center for BrainHealth, Adolescents and Young Adults with Autism Practice Their Social Skills in Virtual Worlds    Richardson, Texas (Nov. 16, 2007) — A technology associated with fantasy worlds is helping young adults with autism in the hard reality of life.  Researchers at the University of Texas at Dallas Center for BrainHealth are working with patients diagnosed with Asperger Syndrome using virtual reality training. People with the disorder have normal intelligence, but they suffer from a variety of social cognitive defects, including an inability to read nonverbal clues and adapt well to change.  These young adults -- considered to have a form of autism -- face many obstacles in life. Interviewing for a job or asking somebody for a date can be monumentally difficult. To help them succeed, researchers from the center have created a virtual world for them to practice their social skills. Each person creates an avatar/character in his or her likeness, who then navigates through a virtual world, interacting with real people represented by their own avatars.  The virtual world includes settings commonly encountered in everyday life such as restaurants, shops, offices, apartment living and parks, where they can meet “new” people in a safe, controlled environment. For example, if the goal is applying for a job, their avatars substitute for them as they practice their interviewing skills with real people on-line until the fear and anxiety of a real encounter with a potential supervisor diminishes. This method is distinct from role-playing, which is a widely used method, in that they feel the same emotions as they would in direct encounters. Virtual reality provides a therapy tool to rewire the brain through practical experiences that can be manipulated in ways the real world cannot, says Dr. Sandra Chapman, director of the Center for BrainHealth.  “The clinicians can change the virtual world to increase the complexity of the exercise, control for sensory overload, provide motivation, and record feedback,” said Chapman.  “Unlike other models of intervention, virtual world experiences provide a powerful way to learn new and more appropriate ways to respond to people in scenarios similar to those faced everyday,” she said. “Our research in brain discoveries tells us that the brain can rewire its pathways with intensive practice grounded in experience – not by learning rules of how to interact – which has been the most common therapy practice heretofore,” said Chapman. “These young adults have the advantage of an intensive, interactive therapy to deal with problems they encounter everyday but in a safe setting to practice their social skills.”  Before entering the program, the participants undergo a series of brain imaging measures and neurocognitive tests. At first, they practice with their avatars with a clinician by their sides.  Quickly, new persons/avatars are introduced to the client and they begin to interact with family members and trusted friends. In addition to the virtual-world therapy, the young adults receive plenty of one-on-one coaching as they are trained to develop the insight to assess their own responses. At first, they watch recordings of their interactions, and gradually they are expected to modify their behaviors to fit the context in real time. The idea is to train their brains in new ways of thinking in contexts that closely mimic real life. That goal is to stop unhelpful responses before they can start. “There are almost no treatment programs for older children or young adults with autism-related disorders,” said Chapman. “And yet this is a very good time to intervene because it is during adolescence that rapid brain development takes place – particularly in the areas supporting social-skill development.” Although still in the early stages, the BrainHealth researchers say they can detect dramatic improvements with many of the participants in terms of simple awareness of their social problems, which they say is the first step to improvement.  Virtual-reality therapy has become a new tool in brain rehabilitation. Therapists are using the gaming technology for people who suffer from autism spectrum disorders, schizophrenia, attention deficit disorder, addictions, strokes and brain injuries. About UT Dallas

The University of Texas at Dallas, located at the convergence of Richardson, Plano and Dallas in the heart of the complex of major multinational technology corporations known as the Telecom Corridor, enrolls more than 14,500 students.  The school’s freshman class traditionally stands at the forefront of Texas state universities in terms of average SAT scores.  The University offers a broad assortment of bachelor’s, master’s and doctoral degree programs.  For additional information about UT Dallas, please visit the University’s Web site at www.utdallas.edu.



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