Autism Therapy: visual

definition of visual: Related to the eyes and seeing things. For example, visual cues are cues that can be seen.

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Research in Autism Spectrum Disorders, by Itzchak, EB, and Zachor DA, published in 2009, summarized Sep 14, 2010

Children with autism who have decent receptive language skills are most likely to improve with early intervention.

This study looked at a wide range of factors that might result in a change in autism diagnosis after intervention. The study focused on groups of children whose autism changed or stayed stable after intervention. They then looked to see what types of children were most likely to change their autism status. They found that the child’s age, level of skills, and parents’ ages were not linked to changes in autism status. The authors found that those children who were improved post-intervention improved in both verbal and visual skills.


J Autism Dev Disorder, by Laushey, KM, Heflin LJ, Shippen M., Alberto PA, and Fredrick L., published in 2009, summarized Apr 13, 2010

Direct visual approaches to teach social skills may be very helpful for children with autism who are mainstreamed in elementary school.

Students with high functioning autism, in the absence of social skills training, who are placed in the classroom with neurotypical peers may have problems with normal behavior. The purpose of this study was to see if concept mastery routines could be used to enhance the social skills of children with high functioning autism. Concept mastery routines are a type of direct training of social skills that uses a visual method of teaching. The children were also given many chances to practice their social skills with their peers. All four students in this study showed improved social skills after the use of concept mastery routines.


Journal of Autism and Developmental Disorders, by Ludlow, AK, and Wilkins AJ, published in 2009, summarized Dec 28, 2009

Colored lenses that filter out certain colors may help visual processing and reading skills for people with autism.

This case report describes a 10-year-old boy with autism who was sensitive to artificial lights, strobe lights, and reflected light. He also suffered headaches and nausea in response to certain colors of walls, food, and clothing. The authors allowed the child to choose a colored film that was placed over a page for him to read. He chose the color purple, and he was able to read faster right away with the purple overlay. He also said that he could see the words more clearly. When the boy wore glasses with purple tint all the time, he had fewer problems with headaches and nausea.


Teaching Exceptional Children, by Carnahan, CR, Hume K., Clarke L., and Borders C., published in 2009, summarized Oct 29, 2009

TEACCH-structured work systems may help school children with autism learn to work independently.

The therapy program called the Treatment and Education of Autism and Communication-handicapped Children (TEACCH) is used in schools and special education programs to help children with autism. One part of TEACCH is using work systems to help children with autism gradually learn to do things themselves. Work systems are a visual system of organizing tasks and clearly showing what the child is asked to do. This article describes how work systems can be used in the classroom. Specific examples are discussed.


Bill Hubert, an English teacher in Kansas, has created a series of 300 balance, auditory, and visual exercises – Bal-A-Vis-X. In the article from the NewStraitsTimes in Malaysia, the reporter explains how Bal-A-Vis-X works with kids with autism and other learning difficulties. She interviews parents and teachers who have tried the process. Bal-A-Vis-X exercises use sandbags or racquet balls to improve upon a child’s natural rhythm and balance, by focusing on touch, sound, and sight. The rhythm of exercises is steady and increases in complexity. Hasanah Hassan, a Malaysian kinesiologist, explained, “Two children partner each other. Here they learn to coordinate the hands and feet movements while watching the sandbags being passed from one to another. We start with a pattern that ensures success because that will result in good self-esteem and the desire to do more.” Any teacher or parent can be trained in the Bal-A-Vis-X program.

Read original article: Bounce Balls and Toss Sandbags for Better Grades


The Association for Children with Down Syndrome/Lifetime Service for Individuals with Special Needs (ACDS) knew that their work with kids with Down enabled them to help kids with other special needs. Many kids with Down syndrome also are diagnosed with autism. They have increased their programming to help kids prepare not only for kindergarten, but for the grades and life to follow. Michael Smith, executive director of ACDS, said, “The very nature of Down syndrome made it feasible for the school to serve other populations. The different kinds of challenges presented by the disorder are so vast, working with a Down syndrome population has trained the ACDS staff to deal with all sorts of issues.” ACDS focuses on early intervention and Preschool preparation. Classrooms are filled with special needs kids and neurotypical kids; the kids have learned well together. The school looks typical, but is very visual and contains a sensory gym, and iPads have been recently added to improve communication and social skills.

Read original article: ACDS Prepares Students for Kindergarten and Life Beyond


Loresa Stansell, a counselor, provided a workshop in Tennessee entitled, No More Chasing Normal, to families, caregivers, and teachers of kids with autism. She offered suggestions, including visual schedules even for verbal children, to help with behavior and communication. Another idea she suggested was a “rehearsal manual” that parents can use to set longer term goals for their children, for example, learning to wash laundry, or cook. Stansell also uses her own A-typical Episodic Grief Model; rather than ending with acceptance, it ends with adaptation, because children with special needs are always growing and changing.

Read original article: Workshop Offers Coping Tips


Multnomah County Library has started a Sensory Storytime at several of its branches for kids on the autism spectrum. Librarian Peter Ford says he tries to channel a calm "Mr. Rogers" when he does storytime with the children. He reads more slowly, points at the illustrations, and asks questions. The county has been using this form of storytime for about six years when two librarians realized there were kids on the spectrum not being served by library activities. They coordinated with Therapy Solutions for Kids to create a sensory rich experience incorporating speech and occupational therapy methods. The story sessions are completed using Boardmaker, which is a form of a visual schedule so that children know what's coming next in the session. For example, icons let the children know when it is time to start, play a game based on the story, and say goodbye.

Read original article: Multnomah County Library's Sensory Storytime is Low-key for Children with Autism Symptoms



Please comment on this autism topic.

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)


Responding to visual schedules

Dec 28, 2010 by Anonymous

One of the most important things to remember is that our words disappear, visuals (pictures) do not..  We all use visuals in one form or another, calendars, post it notes, grocery lists, etc.  We all look to visuals for information for instance on the highway for a hospital, gas stations, places to eat and restrooms, divided highway ahead, merge to the right, speed limit 35 and Stop. Visual strategies though, are created with an intended focus of giving particular person information that they are not picking up naturally. If one mentions an abstract word to a group of people, they all may have a different vision of what that word means or looks like.  A picture of the correct definition puts everyone on the same page with regards to comprehending the intended meaning of the word for that purpose. For instance your child may associate “eating” with their favorite cookie so when you say “we are going to eat” they are envisioning getting their favorite cookie, when in fact you are talking about giving them an egg for breakfast.  There is confusion and probably a meltdown because they have a different view of what “eat” means.  Visuals can help take away that confusion for them as well as their expectation of getting the cookie, especially if they are looking at a picture of a plate of eggs, then they are prepared as well for eggs for breakfast, or for what “we are going to eat.”


Visuals can be used to teach so much more than just schedules. I am the mother of a daughter with autism, who is now 16.  I began using visual strategies with her when she was 3.  They were affordable, I could do this myself and I did not need expensive equipment to find success.  My daughter did have speech and occupational therapy and she did have a supportive team at school.  I used visuals to teach routines, behaviors, social and academic rules, academics and the list goes on and on.  I used them mainly to teach comprehension of our very abstract language and to also teach preparation for change.  I created transition tools for moving from one environment to the next.  She had bookmarks for the rules of the library, she had another bookmark with the class rules for doing seatwork as well as a foam cutout of a lunchbox with what to do when the lunchroom gets too noisy rule.  I found the visuals were the bridge or the key to her understanding.  They need to be used consistently, and you must have patience and you cannot give up.  When my daughter looked confused, I would ask myself what it was about the situation she did not understand and then I created a visual to show her. 


My daughter is now 16, a junior in high school, and is taking honors classes and two AP college level classes.  She is fully included and was on the yearbook and school newspaper for two years.  She has a great interest in sports and so her articles involved interviewing coaches and players for the articles.  I believe the early intervention; with the use of visuals throughout the years is a major part of her success. 


I co-authored a book with Linda Hodgdon, who is well known internationally in the use of visual strategies for individuals with autism.  Linda has written two great books “Visual Strategies for Improving Communication” and “Solving Behavior Problems in Autism”.  These were my constant companions and you may find them helpful as well.   As a result of using all these visuals with my daughter over the years, I co-authored an e-book with Linda called “Practical Communication Tools for Autism-Visual Strategies for Lifelong Success”.  It is about the journey with visuals and how they worked as well as pictures of many of them with my daughter.  These can be found at www.usevisualstrategies.com


No matter what resource you use, the bottom line is to get started, be patient, consistent and to not give up trying.  You don’t need to be trained in using a “system”, use your gut instinct. I tore apart magazines for pictures and used cereal box tops for cereal choices. This was before the age of the digital camera and film was expensive, but I did take a lot of pictures as well.  I had to teach my daughter how to point and until she could.  I read her facial expressions when I placed her hand on a picture.  We did a lot of detective work and we worked through many obstacles until we got it right, but it was so worth it. Visuals have no side effects and are easy to use and affordable…best of luck


Responding to visual schedules

Sep 30, 2010 by Anonymous

I saw the article about Visual Schedules and would like to introduce you to Picto Selector a freeware Windows tool that is designed to create visual schedules and is combined with over 14000 symbols.

You can follow this link to visit it's website


Does Vision Therapy Work?

Mar 18, 2010 by Anonymous

Unfortunately the article written in the NY Times was frequently quite biased. We have the research to show that optometric vision therapy works (http://www.covd.org/Home/ResearchWhitePapers/tabid/188/Default.aspx) for many vision and learning related vision problems. We do not know very much about the vision system and autism. We are just starting to figure out if optometric vision therapy is a form of treatment that can help the child on the Autism Spectrum....you can say the same for many therapies now being developed in this area.

Dominick M. Maino, OD, MEd, FAAO, FCOVD-A; Professor of Pediatrics/Binocular Vision Illinois Eye Institute/Illinois College of Optometry

Questions? Contact me at dmaino@ico.edu



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