Posts Tagged ‘autism parenting’

Autism: Year 10 in Review

Sunday, January 1st, 2012

2011 was a good year. Connor, now ten and a half years old, is becoming quite the accomplished young gentleman. He attended fifth grade in a general ed classroom without a para or teacher’s assistant. He completed an etiquette class, joined the cross-country team and learned to swim. He began taking responsibility by completing his first job (assembling ornaments for USO fundraiser), writing and presenting to the school district CFO a right-sizing proposal, hosting two groups of state legislators, and assisting in the training of local area doctors on ADOS testing. He was honored as a Hopes and Dreams Child for our local Children’s Hospital, traveled overseas, and sang twice in front of an audience. His interests are varied and extensive — he earned all about US Presidents and their families, 70s/80s/90s rock bands, the history of British monarchs, Greek mythology and Egyptian pharaohs.

Was he perfect? Heck, no. He still needs extra help via tutoring and in-classroom prompts by his teacher. He came in next to last place in his cross-country race. His singing was way off key. He is still a picky eater, and he still seems to find his way back to our bed every night. He still cannot read for more than 10-15 minutes at a time, and he bombs all standardized tests. He has two or three friends at school, but he still prefers the company of adults. Noise and large groups still bother him, and he still cannot ride a bike, his gross motor delays make sports difficult for him, and even though he is left-handed, he still can’t decide which side he prefers for throwing and kicking.

The good news? Connor no longer has those dreadful allergies, ear, strep and sinus infections that plagued him for the first six years of his little life. He is feeling much better and he is getting physically stronger. His expressive language skills, reading comprehension, social skills, executive functioning and the desire to participate in group activities have come a looooooong way.

We did have a few setbacks this year. We experienced bullying for the first time. A student had been stealing Connor’s snack from his backpack for weeks before anyone noticed, especially since Connor still doesn’t tell us what he does at school nor talks about any of his classmates. The school was extremely responsive, and fortunately, we haven’t had any other incidences.

We also found that Connor had developed an adverse reaction to the various ADHD medications we tried, so he is flying sans-med, and that is taking his grades down from As and Bs to Bs and Cs. The intolerance to medication led us to pursue additional diagnostics which showed that Connor has a duplication in one of his gene sequences which is so rare that there is no comparable case in any genomic database, and there is no syndrome associated with it. We now need to have Connor take a nonverbal language test to see what Connor’s capabilities truly are, and an MRI to rule out any other issues.

As parents, Steve and I have also made progress. We are much more accepting of Connor’s differences. We are not the soccer/baseball family, but we do hike, travel and participate in Connor’s interests in politics and music. We are now investigating private school placement for middle school, because the public school district’s middle schools have well-over 1000 students, and Connor does better in a small group environment.

Five things I’ve learned about parenting an autistic child

Saturday, October 8th, 2011

Autism is still a mystery to me, but I’ve learned a few things over the last ten years (and no doubt there will be more of these in the next ten years). Here’s a few of my lessons-learned. What are yours?

1. I don’t trust anyone to say what my son’s abilities are, or will be. Autism is a developmental delay, not a developmental stasis. Studies are finally emerging that show most IQ tests underestimate the intelligence of kids with autism. We’ve had doctors and teachers tell us that Connor wouldn’t be able to do this or perform that, and he’s proven them wrong every time.

2. At least half of the therapies we put our son through didn’t do any good. Part of the reason was that many therapists and special educators weren’t very good, either. Another part of the reason was our son just wasn’t ready to learn what we wanted him to learn…but he got there eventually.

3. I learned to never underestimate my son’s sensory difficulties, nor disguise them as behavioral issues.

4. No one knows what our son needs more than our son. When he finally talked at age 4, I was astounded by his insight. He started attending his own IEP in 4th grade, and has been a valuable and insightful contributor. Through him, we’ve learned more about his learning styles (visual; top-down vs bottom up; no repetition or breaking things down into small tasks help unless he ‘gets’ the big picture) than any assessment.

5. Inclusion and mainstreaming are entirely different concepts. Placing a child in a mainstream classroom doesn’t mean he’ll be included. My son used to complain that he wished everyone was treated ‘the same’ …and with the proper classroom accommodations, I think he’s finally getting his wish.

Mom, Will I Outgrow Autism?

Monday, September 5th, 2011

“Mom, will I outgrow autism?”

“Son, I don’t know. Some doctors say autism lasts a lifetime; others say some kids do outgrow it. I hope both are correct. I hope you learn how to handle the things that are difficult for you, but I also hope you never lose the gifts that autism has given you — your incredible memory, your powers of observation and your ability to envision the world as it should be.”

My son’s triennial evaluation is coming due this fall, and my son is doing so well in school that he may indeed lose his educational diagnosis of autism. He is understandably proud of his accomplishments, but after living with autism for so long, it is strange to contemplate life without it.

I hope I answered his question well.

POSTSCRIPT: A friend reminded me that some states do not require an educational diagnosis by the school district (separate from a medical diagnosis) to receive services. Our son’s medical diagnosis will not change. His educational diagnosis, should we choose to pursue a new one, will likely change to ADHD, at which point we would seriously consider moving from the protection of an IEP to a 504 arrangement with classroom accommodations. We have found that our son has outgrown many of the services he used to receive.

Advocacy Training – A transformative experience for parents of special needs children

Saturday, June 25th, 2011

Advocacy is good for our kids, but many of didn’t realize that it is good for parents, too. A new study completed by doctoral student Michelle Reynolds for the University of Missouri cites that parents who take advocacy courses become stronger and more confident advocates for their children with disabilities. Among the main benefits of advocacy for parents are:

A decrease in intimidation. Confident advocates felt less likely to be afraid to express their options and disagree when dealing with medical and educational staff.

Hopefulness about the future. Parents learn how to navigate the maze of organizations, manage transitions and learn about success stories of children who have ‘made it’ in the real world.

A sense of community. Parents can also rely on each other, thus lessening the sense of isolation that many of us face.

More respect for our children. Sidelining the focus on ‘fixing’ our kids, we learn how to celebrate their individuality, while identifying and meeting their needs.

The increase in control, hopefulness and community help reduce the oft-mentioned symptoms of combat-fatigue which parents of children with disabilities encounter due to fear, worry, isolation and guilt. Advocacy training marks a transformative experience where parents obtain an increased sense of control and learn to feel better about themselves and about the future for their children. Read the full report here.

The Coffee Klatch – an oasis for parents of children with disabilities

Wednesday, May 4th, 2011

The Coffee Klatch  is the social networking version of  sharing a cup of coffee with a good friend.  Tailored to  parents of special needs children,  The Coffee Klatch doesn’t limit topics to one diagnosis, one advocacy issue or one type of ability.  Perhaps its very eclecticism is what makes The Coffee Klatch  so appealing to parents. After all, our kids typically don’t  have only  an autism diagnosis; they also have concomitant medical issues – from ADHD to Down’s Syndrome to epilepsy to Tourette’s Syndrome to Sensory Processing Disorders to many, many others. 

 The Coffee Klatch provides an  engaging and non-threatening community. Marianne Russo, creator and lead moderator of the Coffee Klatch, is highly sensitive to the fact that parents have different levels of advocacy training, differing views about disabilities, and different needs for information. All moderators are volunteers and are parents of children with special needs.

The Coffee Klatch offers  Tweetchats  four mornings  per week, and blog talk radio shows two nights per week.  Guests include award winning authors, expert psychiatrists, psychologists, physicians, advocates and internationally renowned children’s foundations.  Parents are encouraged to ask questions from these highly qualified professionals from the comfort of their own living rooms. Blogtalks are archived on The Coffee Klatch’s website in case parents miss a session. Some of the interviewees include:

  • Temple Grandin, renowned autism self-advocate
  • Dr. Susan Swedo, principal investigator and Chief of the Pediatrics & Developmental Neuroscience Branch at the National Institute of Mental Health
  • Dr. Allen Francis, former chair for the DSM-IV Task Force
  • Denis Goldberg, Special Education Advisor
  • Carol Kranowitz, author of the “The Out-of-Sync Child” and Joye Newman, founder of Kids Moving Company; Carol and Joye co-authored the bestselling “Growing an In-Sync Child”
  • Dr. Russell Barkley, ADHD expert and thought-leader
  • Wayne Lindholm, President of the Down’s Syndrome Foundation
  • Areva Martin, attorney and author of “The Everyday Advocate”
  • Dennis Debbault, the leading global voice in autism training for law enforcement and emergency responders
  • Amalia Starr, independent living coach
  • Dr. Valerie Hu, a Biochemistry and Molecular Biology Professor at George Washington University, providing ground-breaking research on autism sub-types
  • Doug Riggs of the Missouri Planning Council for Developmental Disabilities and advocate against unlawful restraint and seclusion.
  • John Elder Robison, autism self-advocate and author of “Look Me in the Eye”
  • Dr. Russell Hyken,  Child Psychologist and Educational Consultant

For more information, please visit The Coffee Klatch’s new website and a calendar of upcoming events at www.TheCoffeeKlatch.com(Note from Mae: I liked the site so much I begged Marianne to allow me to be a moderator.  I hope you can join us. I’d love to meet you on one of the chats someday!)

 

Keeping It Simple: Dr. Temple Grandin’s Top 5 Parenting Tips for Autism

Saturday, April 9th, 2011

Sometimes I get lost in all of the therapies, advice, opinions and ‘new findings’ related to autism. That’s when I refer back to five simple tips for autism parenting provided by the renowned Dr. Temple Granding  last year during an interview for one of my Examiner.com columns.  I find myself referring back to these rules again and again to regain my focus and areas of priority. Here are the five tips, re-posted for your convenience. I hope they help other parents as they have helped me:

1. Develop the child’s areas of strengths. Focusing only on delays and weaknesses is not the answer. Developing areas of strength, on the other hand, helps build a child’s confidence and the courage to try new things.  When parents believe that their children can accomplish goals, children learn to believe likewise.

2.Teach good manners, particularly turn-taking. Good manners are the basis of strong social skills. But good manners aren’t only a matter of teaching a child how to say their pleases and thank yous. Grandin believes that turn-taking is particularly important as it teaches children to adapt to many different social situations – from conversational flows to sports to the ubiquitous waiting games of life. And teaching turn-taking can be fun. “I learned turn-taking by playing the game of Parcheesi with my mother,’ said Grandin. Interactive games are a prime example of what experts call educational play, a highly effective teaching technique.

3. Expose autistic children to stressors, but recognize the seriousness of sensory triggers, “Don’t ignore sensory overload,” Grandin warns. “It is very real.” She reports that sensory issues do tend to get better over time, especially with repeated exposure to what causes the stress. “Sometimes sensory stress is related to smell, sometimes to touch, sometimes to taste or to temperature,” explains Grandin. Identifying the causes of sensory overload is the first step in ameliorating them, and there are many fine occupational therapists who can help de-sensitize a child to these stressors.

4. Avoid long strings of instruction and employ 1-1 teaching as needed. Keep directions short and to the point. “We simply cannot follow long strings of verbal instructions,” explained Grandin. And, because some concepts are very difficult to learn, individualized help is far more effective than traditional classroom instruction.

5. Monitor and manage progress. Grandin emphasizes the importance of monitoring and measuring progress. If a child isn’t progressing, parents should try a different approach, either by using a different technique, a different setting, a different teacher or by adding more one-to-one tutoring.

How one school district is drafting a policy against unlawful restraint and seclusion

Sunday, February 20th, 2011

We’ve heard the horror stories – Practices of using restraints and seclusion (R&S) in schools have humiliated, physically harmed, or even caused the deaths of  children.  Yet many schools use R&S routinely as a method to get troublesome kids, even those as young as five years old,  out of the classroom. Children on the autism spectrum are particularly vulnerable to this type of treatment.  Because they do not display physical signs of their disabilities, they are often perceived as being non-compliant, lazy or just plain ‘difficult.’ 

For Missouri, the path to fixing the problem started with one courageous mom’s outrage against the treatment of her young son. Her story caught the attention of the media, and soon other families soon came forward and began sharing their experiences. (See testimonies from the GAO on Restraint &  Seclusion at http://www.gao.gov/new.items/d09719t.pdf and more at   http://nomoseclusion.blogspot.com). Not long after that, the issue was brought to the Missouri Congress.  Legislators listened, and a bill was passed in 2010 mandating public schools to develop rules against unlawful restraint and seclusion. (The Act: http://www.moga.mo.gov/statutes/c100-199/1600000263.htm ).

But there was a big gap between mandating a policy and developing one. Some parents  wanted restraints and seclusion banned under all circumstances. Other parents insisted that some R&S  practices should stay in place, because they were terrified that their children would hurt themselves or others.  School districts were concerned that eliminating restraints and ‘time out’ rooms would disrupt class routines and upset and/or endanger other students when a child acted out. 

So, a committee was  formed to draft  the state’s Department of Elementary and Secondary Education’s rules and guidelines, beginning with definitions: What is restraint? What are acceptable/non-acceptable forms of restraint? There are a number of ways schools had restrained children in the past - medically (drugs), physically and mechanically. Drugs were not allowed to be administered. Prone and face-down restraints were particularly singled out as  harmful, and were banned. Mechanical restraints were defined as anything using straps, including clothing (one school practiced strapping children to their chairs by putting their coats on backward and zipping them up behind the backs of their chair), and were also controlled.  The situations where restraint and seclusion could be used also needed to be defined. What constitutes an emergency situation and how long could seclusion be used? For example, under the new policy, seclusion could not last longer than the time it took for the police to arrive.  Parents had to agree in writing to the use of any R&S in the IEP.

Then, the policy had to be adopted by each school district, and districts were called upon to develop their own guidelines based upon what the state had developed. In our area, The St. Louis Special School District (SSD),  is one of the few separate special education school districts in the nation.  Our local districts contract SSD to provide services, so SSD is also one of the largest special education providers in the US, providing services to over 25,000 students.   Thus, a new committee of educators and parents was formed to develop district policy.

Some of the proposed policy elements were unanimously accepted; for others, the district wouldn’t budge. Accountability, for one.  What are the consequences of an educator not following policy?There would be no separate accountability other than the district’s own code of conduct and performance standards. What about prevention? Again, the district believed that the preventative measures via behavioral interventions were sufficient to stop most disruption from escalating to the point where restraint and seclusion would be necessary. (BTW, I don’t agree with either of these. Violators should be punished, and we have a loooooong way to go before we eliminate years and years of repeated failure that causes some children’s behavior to escalate into violence.)

At last, a draft was formed and is waiting feedback from the community. It is far from perfect, but it is a good start. The draft: http://www.ssdmo.org/about_us/news_releases/SSD%20Website%201.25.11%20JGGA%20.pdf

To hear more about the path to policy,  please join me on TheCoffeeKlatch  tonight, (Sunday, Feb 20) at  9pm est/8csst on Blog Talk Radio with my guest Douglas Riggs, the Chairperson for the Missouri Planning Council for Developmental Disabilities Policy Committee. Doug is the father of a child with an intellectual disability and a committee member for the St. Louis School District’s Restraint and Seclusion task force.  http://alturl.com/2c7b

Stuff that works - for us

We  don’t assume these products will work for everyone–that’s why we ended the title with the parenthetical (for us). But if you are looking for new things to try, please read the accompanying blogs to view our experiences with these products. 

Mama, Don’t Cry for Me a song written by Mandy Harker and Sharee Wolfley and Sung by Kalii Palmer. Listen when you really, really need the strength to keep believing that everything will be okay.

 Model Me Kids

Model Me Kids® has broken the code on tools to teach social skills to children on the autism spectrum.

Click here for our success story and a full product review.

 

Do You Have a Product?

Do you have a product you’d like us to review for Stuff That Works™? Contact us today.

 

L. Mae Wilkinson:

National Examiner for Autism and Education

National Public Policy Examiner

St. Louis Examiner for Autism and Parenting

Co-moderator, The Coffee Klatch blog talk radio and tweetchat 

Reporter,  Autism Hangout 

Facebook Mae Wilkinson

Twitter, AutismisnotBoss