autism kids on the move newbies training. pervasive developmental disorders under the pdd umbrella ...
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AutismAutism
Kids on the MoveKids on the MoveNewbies TrainingNewbies Training
Pervasive Developmental Pervasive Developmental DisordersDisorders
Under the PDD UmbrellaUnder the PDD Umbrella AutismAutism Asperger SyndromeAsperger Syndrome Rett’s SyndromeRett’s Syndrome Childhood Disintegrative DisorderChildhood Disintegrative Disorder PDD-NOS (Not Otherwise Specified)PDD-NOS (Not Otherwise Specified)
Identification and Identification and Diagnosis (DSM-IV)Diagnosis (DSM-IV)
A.A. Behavioral Characteristics (minimum 6)Behavioral Characteristics (minimum 6)A.A. Social Interaction (minimum 2)Social Interaction (minimum 2)
B.B. Communication (minimum 1)Communication (minimum 1)
C.C. Repetitive/Stereotyped Behaviors (minimum 1)Repetitive/Stereotyped Behaviors (minimum 1)
B.B. Delays of Abnormal Functioning (by age 3)Delays of Abnormal Functioning (by age 3)A.A. Social Interaction, or Social Language, or Social Interaction, or Social Language, or
Symbolic or Imaginative PlaySymbolic or Imaginative Play
C.C. Not better accounted for by Rett’s Disorder or Not better accounted for by Rett’s Disorder or Childhood Disintegrative DisorderChildhood Disintegrative Disorder
Qualitative Impairment in Qualitative Impairment in Social InteractionSocial Interaction
Marked impairment in the use of multiple Marked impairment in the use of multiple nonverbal behaviorsnonverbal behaviors
Failure to develop appropriate peer Failure to develop appropriate peer relationshipsrelationships
Lack of spontaneous seeking to share Lack of spontaneous seeking to share enjoyment, interests, or achievements enjoyment, interests, or achievements with otherswith others
Lack of social or emotional reciprocityLack of social or emotional reciprocity
Qualitative Impairment in Qualitative Impairment in CommunicationCommunication
Delay or lack of development of spoken Delay or lack of development of spoken languagelanguage
Marked impairment in ability to initiate or Marked impairment in ability to initiate or sustain a conversationsustain a conversation
Stereotyped and repetitive use of Stereotyped and repetitive use of language (echolalia)language (echolalia)
Lack of varied, spontaneous make-Lack of varied, spontaneous make-believe play or social imitative playbelieve play or social imitative play
Restricted, Restricted, Repetitive/Stereotyped Repetitive/Stereotyped
Behaviors, Interests, ActivitiesBehaviors, Interests, Activities Preoccupation with restricted patterns of Preoccupation with restricted patterns of
interest, with abnormal intensity or focusinterest, with abnormal intensity or focus Apparently inflexible adherence to Apparently inflexible adherence to
specific nonfunctional routines or ritualsspecific nonfunctional routines or rituals Stereotyped and repetitive motor Stereotyped and repetitive motor
mannerismsmannerisms
Delays of Abnormal Delays of Abnormal FunctioningFunctioning
Delays or abnormal functioning, with Delays or abnormal functioning, with onset prior to age 3 years, in:onset prior to age 3 years, in: Social interaction, orSocial interaction, or Language as used in social communication, Language as used in social communication,
oror Symbolic or imaginative playSymbolic or imaginative play
Sensory Processing Sensory Processing DifficultiesDifficulties
Not specified in DSM IVNot specified in DSM IV Unusual reactions to physical sensationsUnusual reactions to physical sensations
TouchTouch PainPain SightSight HearingHearing SmellSmell TasteTaste MovementMovement VestibularVestibular
Poor sensory regulationPoor sensory regulation Differentiation between and among the sensesDifferentiation between and among the senses FocusingFocusing AttendingAttending ProcessingProcessing IntegrationIntegration Sensory overloads, shutdown, and/or Sensory overloads, shutdown, and/or
meltdownsmeltdowns
Autism is a Autism is a Spectrum DisorderSpectrum Disorder
Similarities among those who share a common Similarities among those who share a common disorderdisorder
Broad variability in how core characteristics are Broad variability in how core characteristics are manifested (in number and severity)manifested (in number and severity) Measure intellectual abilityMeasure intellectual ability Social-emotional developmentSocial-emotional development Expressive and receptive communicationExpressive and receptive communication Behavioral repertoiresBehavioral repertoires Fine and gross motor skillsFine and gross motor skills Sensory processingSensory processing
A child with ASD might:A child with ASD might: Not respond to their name by 12 months Not respond to their name by 12 months Not point at objects to show interest (point at an airplane flying over) Not point at objects to show interest (point at an airplane flying over)
by 14 months by 14 months Not play "pretend" games (pretend to "feed" a doll) by 18 months Not play "pretend" games (pretend to "feed" a doll) by 18 months Avoid eye contact and want to be alone Avoid eye contact and want to be alone Have trouble understanding other people's feelings or talking about Have trouble understanding other people's feelings or talking about
their own feelings their own feelings Have delayed speech and language skills Have delayed speech and language skills Repeat words or phrases over and over (echolalia) Repeat words or phrases over and over (echolalia) Give unrelated answers to questions Give unrelated answers to questions Get upset by minor changes Get upset by minor changes Have obsessive interests Have obsessive interests Flap their hands, rock their body, or spin in circles Flap their hands, rock their body, or spin in circles Have unusual reactions to the way things sound, smell, taste, look, or Have unusual reactions to the way things sound, smell, taste, look, or
feel feel
Prevalence of AutismPrevalence of Autism
1:110 1:110 (as of Dec. 2009)(as of Dec. 2009)
3-4 times more common in boys than 3-4 times more common in boys than girlsgirls
Genetic link: risk of siblings developing Genetic link: risk of siblings developing autismautism
Possible Causes of Possible Causes of AutismAutism
There is not single specific causeThere is not single specific cause Genetic vulnerability is strongGenetic vulnerability is strong Evidence support neurobiological causationEvidence support neurobiological causation
Onset may occur after viruses or neurological Onset may occur after viruses or neurological insults, co-occurrence with neurological disordersinsults, co-occurrence with neurological disorders
May be present at/before birthMay be present at/before birth
Autism is a brain disorder and current Autism is a brain disorder and current research suggests:research suggests: There may be a chemical imbalance in the brainThere may be a chemical imbalance in the brain There is a genetic component effecting multiple There is a genetic component effecting multiple
genesgenes Empirical research is inconclusive regarding Empirical research is inconclusive regarding
the relationship between autism and the the relationship between autism and the psychological environmentpsychological environment Viral infections during pregnancy and birthViral infections during pregnancy and birth Environmental factorsEnvironmental factors Allergies/food sensitivitiesAllergies/food sensitivities Vaccines (thimerasol, MMR)Vaccines (thimerasol, MMR)
Having the “A” TalkHaving the “A” Talk
““Has anyone ever mentioned autism?”Has anyone ever mentioned autism?” Autism PacketAutism Packet M-CHAT onlineM-CHAT online Where to Get a DiagnosisWhere to Get a Diagnosis Autism Treatment MethodsAutism Treatment Methods Treatment Methods Resource ListTreatment Methods Resource List Fast Start ChecklistFast Start Checklist 100 Day Kit from www.autismspeaks.org100 Day Kit from www.autismspeaks.org
Some Educational Some Educational TreatmentsTreatments
Applied Behavior Analysis Applied Behavior Analysis (video)(video) A-B-C model, prompt if necessary to ensure successA-B-C model, prompt if necessary to ensure success
TEACCH TEACCH (Treatment and Education of Autistic and Related (Treatment and Education of Autistic and Related Communication Handicapped Children)Communication Handicapped Children)
Floor TimeFloor Time RDI RDI (Relationship Developmental Intervention) (video) (Relationship Developmental Intervention) (video)
http://www.youtube.com/watch?v=ka9OAYjVwjg&feature=relatedhttp://www.youtube.com/watch?v=ka9OAYjVwjg&feature=related
PECS PECS (Picture Exchange Communication System)(Picture Exchange Communication System)
Biomedical Biomedical DAN! DoctorsDAN! Doctors
Services at KOTMServices at KOTM Floor Time 1 Floor Time 1 LaurieLaurie
PECS PECS SLPSLP
Learning Box Learning Box Angie & AubreyAngie & Aubrey
Specialists (as needed)Specialists (as needed) Autism Support Group Autism Support Group Karen-meets monthlyKaren-meets monthly
Structured PlaygroupsStructured Playgroups Autism handoutsAutism handouts
Learning BoxLearning Box What is our role after the initial 3 visit training?What is our role after the initial 3 visit training? What if its not working?What if its not working?
Too challenging? Too easy?Too challenging? Too easy?
How is the reinforcement?How is the reinforcement? Varied? Motivating?Varied? Motivating?
Skills that can be taught:Skills that can be taught: body parts, animal sounds, symbolic play, body parts, animal sounds, symbolic play,
receptive object labeling, expressive object receptive object labeling, expressive object labeling, etc.labeling, etc.
Services in the Community- typically Services in the Community- typically accessed AFTER graduating from KOTMaccessed AFTER graduating from KOTM ABAABA
Redwood Learning CenterRedwood Learning Center Scott Pryor ConsultingScott Pryor Consulting Giant Steps PreschoolGiant Steps Preschool
Floor Time Floor Time Megan HeathMegan Heath Clear Horizons AcademyClear Horizons Academy
Autism Journeys Autism Journeys Eclectic approach (center based)Eclectic approach (center based)
RDIRDI Scott Pryor or Tara DeanScott Pryor or Tara Dean
Alpine School District Spec. Ed PreschoolsAlpine School District Spec. Ed Preschools New KOTM Autism Program New KOTM Autism Program Preschool/playgroup & Preschool/playgroup &
eclectic in home consulting services eclectic in home consulting services
ResourcesResources Autism DVD Autism DVD Autism SpeaksAutism Speaks
Behavioral Intervention for Young Children with Autism Behavioral Intervention for Young Children with Autism ed. By Catherine Mauriceed. By Catherine Maurice
Relationship Development Intervention for Young Children with Relationship Development Intervention for Young Children with Autism Autism by Steven Gutstein & Rachelle Sheelyby Steven Gutstein & Rachelle Sheely
Engaging Autism Engaging Autism by Stanley Greenspanby Stanley Greenspan
Changing the Course of Autism Changing the Course of Autism By Bryan JepsonBy Bryan Jepson
Sensational Kids Sensational Kids by Lucy Jane Millerby Lucy Jane Miller
Louder Than Words Louder Than Words by Jenny McCarthyby Jenny McCarthy
A Child’s Journey Out of Autism A Child’s Journey Out of Autism by Leeann Whiffenby Leeann Whiffen
www.autismspeeks.comwww.autismspeeks.com www.autismcouncilofutah.orgwww.autismcouncilofutah.org
QUESTIONS?QUESTIONS?