autism: you hold the key based on the published works of dr. cathy pratt, director of the indiana...
TRANSCRIPT
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Autism: You Hold the Key
• Based on the published works of Dr. Cathy Pratt, Director of the Indiana Resource Center for Autism
And
Gary Mesibov, Victoria Shea, and Eric Schopler, “The Teacch Approach to Autism Spectrum Disorders
Presented By:
Brian Wilkins, Autism Consultant
Sandi Sebastian, Autism Consultant
Lori Copsey, Behavior Consultant
Elkhart County Special Education Cooperative
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To work with students with Autism Spectrum Disorders (ASD), we must be flexible, creative, and willing to change.
• The goal of interventions is not to make the child “normal”
• Respect the differences autism creates & help them fit as comfortably as possible into our environments
• Educational goals: increase their knowledge/skills & make the environment more comprehensible
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What concerns do you have about working with kids who have an
autism spectrum disorder?
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What do you want to get from this training?
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Common myths about autism spectrum disorders
• Parents cause autism• Autism can be cured• People with ASD do
not like to be with people/prefer to be alone
• People with ASD are manipulative
• Parents could control the behavior of ASD children with stern discipline
• People with ASD choose their behavior
• Autism is a hopeless diagnosis
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Pervasive Developmental Disorders
• Autism• Asperger’s Disorder• Rett’s Disorder• Childhood
Disintegrative Disorder
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Pervasive Developmental Disorders
• Children with these diagnoses MAY be eligible for services as students with an autism spectrum disorder
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Impact
• Everyone with ASD struggles with the impact of their ASD on a set of core characteristics.
• The impact varies among the characteristics and in how it is manifested behaviorally; to what extent and to what intensity.
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The Spectrum of Autism
Measured IQ
Social Interaction
Communication
Severe Gifted
Aloof Passive Active/Odd
Non-verbal Verbal
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The Spectrum of Autism
Gross Motor
Fine Motor
Sensory
Awkward Agile
Uncoordinated Coordinated
Hyposensitive Hypersensitive
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Focus on Details
• Often good at observing minute details
• Difficulty assessing relative importance of all the details
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Distractibility
• Difficulty paying attention because they are focusing on sensations or visual distractions that are more interesting or seem more important
• May hear sound, see movement in hall, rhyming, counting
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Concrete vs. Abstract Thinking
• More difficulty with symbolic or abstract language
• Do better with facts
• Words mean one thing – they do not understand additional connotations
• Interpret rules and expectations in a concrete way
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Difficulty combining ideas
• It’s easier to understand individual facts or concepts than to put them together with related information
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Difficulty with Executive Functioning
• Maintaining attention
• Controlling/tuning out distractions
• Problem solving• Transitioning from
one event to another• Self-monitoring
• Controlling impulses• Mental planning• Flexibility
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Difficulty with Organization & Sequencing
• Organization skills are difficult because of the need to focus on the immediate situation and the desired outcome at the same time.
• May become confused in the midst of a sequence or perform required steps out of order
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Difficulty Generalizing
• They have difficulty taking the skills they learned in one situation and using them in different situations
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Difficulty with Time Concepts
• May perform tasks too rapidly or very slowly
• May not understand concepts of “beginning”, “middle”, and “end”
• May have trouble waiting
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Visual vs. Auditory Learners
• People with ASD are visual learners
• Best practice is to use visual supports 80% of the time (Barbara Bloomfield, MA CCC-SLP)
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Strong Impulses
• May be very intense and persistent in seeking out what they desire (favorite objects, experiences, repetition of behavioral pattern)
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Excessive Anxiety
• Frequently upset or on the verge of becoming upset
• May result from frequent confrontation with unpredictable, overwhelming environments
• Uncertain about what is expected of them & what is happening around them
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Repetitive Motor Mannerisms
• Rocking, hand-flapping, pacing, thumb sucking, spinning
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Attachment to Routines
• Need for sameness in environment
• Changes or disruption in routine leads to distress
• Routines & predictable environment lead to comfort
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Verbal and/or Physical Aggression
• May have temper tantrums, scream, destroy property, strike out at others, or attempt to hurt themselves
• May result from change in routine/environment• May result from limited ability to communicate
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Limited Social Skills
• Social skills depend on ability to take multiple pieces of information from environment, interpret & prioritize them, then organize a language-based response based on understanding how it will be received by others
• Making eye contact may increase anxiety/distractibility
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Limited Play Skills
• Easier to learn a work task because it can be structured and organized
• Relaxation and creativity are more difficult
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Difficulty with Initiation
• May appear unmotivated or dependent on others to engage them in an activity
• May have significant deficits in ability to organize their behavior
• May not understand expectations or potential rewards
• May have impaired sense of time
• Reward may not have meaning
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Avoidance/Withdrawal
• Noncompliance is rarely a useful concept in ASD (Teacch)
• May not understand words used, facial expression or body language, or social expectations
• May be driven by strong impulses
• May be overwhelmed by sensory stimulation in room
• Rules may be abstract or vague
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Impact of Sensory Functioning on Students with ASD
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We hold the key!!!!!
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Get to know the student!
• Strengths• Interests• Preferences• Fears and frustrations• Areas needing
support
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Build on Strengths and Interests
• Encourages more positive interactions
• Easier to teach when using things they are inclined to observe, think about, or perform
• Fighting against strong interests puts teacher in adversarial position
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We Are SensorySensory Beings Living
In A SensorySensory World
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Sensory Surroundings + Personal Level of Sensitivity
equals ability to
ATTEND LEARN RESPOND
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Sensory PyramidSensory Pyramid
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Can you imagine how you would
feel and function if………….
Can you imagine how you would
feel and function if………….
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You can’t scratch
You have an Itch
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NONSTOP
Your ears are
ringing
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on a ship in a storm
You are sea sick
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You feel someone touching you
As an electric shock!!electric shock!!
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A rotten banana
You are forced to eat
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in a room that smells like a toilet
You are forced to listen to a lecture
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Individuals with autism usually have difficulty with their sensory
processing.
They may be hypersensitive, hyposensitive or both.
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They may respond withfightfight or flightflight responses
• Shut Down• Aggression• Excessive Movement (fidgeting, rocking, circling room)
• Distractibility• Running Away• Turning to Inward
Thoughts or Preoccupations• Rituals
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People with autism may experience sensory input differently in some or all sensory
channels.
You may hear this called sensory integration dysfunction (SID)
sensory processing disorder (SPD) sensory modulation dysfunction (SMD)
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Vision Vision -- light sensitive, attracted to light, decreased eye contact, using peripheral vision
HearingHearing (auditory) – defensive hyperattentive may make blocking noiseSmellSmell -- disgust or distraction sniffing or smelling inappropriately
SensorySensory ChannelsChannels
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TasteTaste -- strong, limited food preferences
Touch (tactile)Touch (tactile) --may shut down or respond aggressively in a reflexive response
Body sense (proprioception)Body sense (proprioception) --dislike of motor activities, decreased coordination, clumsiness
Movement sense (kinesthesia)Movement sense (kinesthesia) --dislike of imposed movement, poor balance
SensorySensory Channels Channels cont…cont…
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Poor sensory processing mayalso cause incoordination
• Uncertain Balance• Poor Gross Motor
skills• Fear of Movement • Fear of Heights• Poor Handwriting• Limited abilities
with toys and tools• Struggles with
Clothing fasteners
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How can we help our students
with sensory processing?
You Are
KEY!!!!
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UNDERSTANDING
THE MOST IMPORTANT KEY
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If we understand that behavior can often be caused by problems in sensory responding……
we can support the person with autism more effectively
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Sensory SupportsStrategies/tools which assist a student with autism to process their sensory world in a more effective way
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Sensory Supports
• May make the difference between success or failure at school, home, or in the community
• Are reported to work from those who have written about their journey with Autism
• Are reported by parents, teachers, and therapists to work.
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Examples of Sensory Supports
• Lap weights
• Seat cushions
• Hand fidgets
• Music
• Preferential seating or placement in line
• A quiet place
• Movement breaks
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How to Use Sensory Supports
What do I want the student to do?
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Sensory Supports/Diets
May have an accumulative effect when used on a continuous basis
May improve student’s ability to participate in class activities…..
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Sensory Supports work most effectively when used with
a task which is :
• Well defined• Meaningful and
understood by the student
• Supported by visual aides
• Rewarding to the student
• Developmentally appropriate
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Sensory Programs Alert/How Does
Your Engine Run
SticKids
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Sensory Diet ScheduleSensory Diet Schedule7:50-8:10 ARRIVAL
- joint compressions
9:20-10:20 WRITING
- do handwork exercises prior to writing
- sit on a movement cushion
- do joint compressions once during this time
- take a movement break
- a water bottle (the kind you suck from) would be good to have
- chewing gum might help during this activity
10:20-11:35 READING
- when being read to, allow fidgets
- take a movement break in the middle of reading
11:35-12:10 LUNCH & RECESS
- joint compressions after recess
12:40- 1:40 MATH
- do hand work exercises with theraputty
- heavy work activity
- gum
- movement seat
1:50 SPECIALS
- use fidgets in library during for the story
Please remember this is a working document. I would like staff feedback so we can make it the most effective for John Doe. He may not need as much intervention this year. Please let me know.
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Remember You are Key
Understanding is key to helping a student with ASD
Sensory supports and diets may help the student with ASD perform better on tasks in the class room
Ask your school’s occupational therapist for more information about how to use sensory supports and diets safely and effectively.
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• Creating a sensory diet is a “fluid” process requiring changes from time to time
• Some supports may be too intense and have side effects
• Some supports may not work in the same way for all students
• Some may cease to work at any time
• Should be initiated and monitored in a collaborative process usually including the school occupational therapist
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SensorySensory Supports
Will notWill not “curecure”
a student witha student with
ASDASD
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However.…..
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We can Understand