Addressing Autism Luci Rose workshop 2011

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What is Autism?

 Autism is a lifelong condition.

 Autistic Spectrum disorders.

 People with autism have difficulties with communication, social understanding, flexibility, sensory issues. ( Wing, L. 1979, Bogdashina,O.

2003)

 Delays rather than deficits.

Communication

 Spontaneous communication (Potter and

Whittaker)

 Facilitated communication

 Receptive Language

 Non verbal language

 Literal understanding and idiom (Blackburn)

 Processing time

PECS and

Pyramid

• Stages of PECS

• PECS across the day

• Innovative uses of PECS

Oak View communication

Develop augmentative communication (e.g. Picture

Exchange Communication System; Frost and Bondi

2002)

Include speech and language targets in the classroom

Use of Makaton, objects of reference, photographs and simple speech cues for those students who need other approaches

Include communication targets in students’ IEPs

View challenging behaviours as communicative

Find more appropriate ways to communicate needs to reduce challenging behaviours

Intensive interaction (Hewett and Nind 1998)

Options in mainstream

 Written info

 Laptop

 Symbols in filofax style books

 Expect literal understanding

 Allow processing time

 The role of the 1 : 1 could be as interpreter – to collate a phrase book for the neurotypical world

 To repair misunderstandings and to facilitate processing time

It’s not just how they communicate with us ...

It’s how we communicate with them

First we watch ....

....and then we do

Social Understanding

 Students with autism do not pick up social cues

 Every thing must be explicitly taught

 Again, and again, and again ( Blackburn 2008)

 Other people seem illogical and unpredictable

 Inability to share a theory of mind impairs empathic response (Mitchell 1996)

 Don’t teach social skills at the same time as other skills

 Provide visual cues/ back up

 What do we know about social skills .... Eating dinner

Oak View School Social understanding

Intensive interaction

PECS : initiation/communication between students

Socialeyes

Learn social skills specifically and not alongside other activities

Use play to develop theory of mind (Sherrat 2000)

Social stories and comic strip conversations

Carol Gray

Limited use of modelling

Rules of interaction : openers/ closers ( activity )

Options in mainstream

Support staff can write social stories

Explain each social rule and don’t expect them to by , caught / immediately understood

Unstructured and social times could be the hardest – think about staff allocation – is playtime a better time to have extra support, than maths

Facilitate withdrawal

Where a teacher is using a whiteboard presentation could these be made available to students, through laptops to avid aversive group time

Teach being in a groups – at a different time from academic skills / knowledge

Allocate peer mentors

Train students in ASD understanding

Flexibility of Thought

 Students with autism can find it really difficult to make sense of the world around them

 Predictability can help

 Schedules, structure, routine

 Prosthetic environment

 Build in changes ( surprise cards )

 Using imaginative play/ drama.

 What is the pivotal part of the day ?

Oak View School and flexibility

Introduce TEACCH style approaches, trained staff

All students with autism have a schedule

Clear structure and routine based days to make students secure enough to learn to deviate from the routine

Warn students about changes in routines, practice being flexible e.g. fire drills

Prepare students for breaks and holidays

Don’t make assumptions about the pivotal part of the day

Develop imaginative play to facilitate further flexibility

TEACCH

Why use structure in the classroom?

 It helps the child with autism to understand

 It helps children with autism to be calm

 It helps children with autism to learn better

 Structure is the prosthetic device that will help the child with autism to achieve independence

 Work bay Life skills

Options in mainstream

 Schedules for whole classes can be beneficial

 Can be diaries, phone, ipod, ipad, laptop or filofax based

 Most students will always need the schedule – celebrate using it as a tool towards independence rather than trying to work away from it –the equivalent of a hearing aid etc

 Support staff can set up schedules, teach ownership, teach students to manage their own schedules

Sensory Issues

Students with autism can be under stimulated or over stimulated in any of the following; in any combination, and it can change ...

Vision

Hearing

Taste

Smell

Touch

Vestibular : balance

Propriorceptive : body in space

• Gestalt perception

• (Bogdashina, O. 2003)

Oak View School and Sensory issues

Began staff training and encouraged further reading

Began sensory profiling of students (Bogdashina 2003)

Wrote a policy

Tried to ensure that students were not over or under stimulated

Considered sensory issues to be major cause of challenging behaviours .

Endeavoured to reduce these behaviours by addressing sensory issues

Pursue sensory integration

Options in mainstream

 Withdrawal spaces – tents/ library

 Withdrawal tools – headphones / dark glasses/ scarves/ scented hankies/ strong flavours/ modified uniforms/ backpacks/ body warmers / flexibility with uniform

 Access to sensory integration style activities – could be as simple as getting a turn on playground equipment every day/ big balls to sit on/ rockers on chairs – or could be a comprehensive professional program

Behaviour

• There is no such thing as an autistic behaviour

(Blackburn 2008)

View behaviour as communicative ( Clements 2005)

Record, record, record

And then assess, assess, assess

Be a detective

Keep records across the year

Let me tell you a secret ... The behaviours tend to stay in the young persons repertoire.

Oak View School and Behaviour

View all behaviours as communicative

Record all behaviours

Consider and the whats, whens, hows and whys.

Analyse patterns of behaviour

Give students more appropriate equivalents to meet the same needs

Consider behaviours as contextually inappropriate, rather than inappropriate.

Take the responsibility to prevent rather than relying on reacting to behaviours that have happened.

Think of pupils in your school…

Consider the pupil’s communication

What are they understanding and what are they missing?

How are they helped?

Do they have augmentative communication systems in place?

Do they have schedules, routines, predictability, filofax, diary, calendar, ipod, ipad, laptop, phone?

Have the relevant social rules been explained to them?

Are their sensory needs being met, do you know what they are? Are they fluctuating?

Thinking And Learning

People with autism have difficulties with

Metataxis : holding 2 perspectives at once (Sherrat and

Peter 1998)

Weak central coherence : ability to process minutiae in detail, difficulties in understanding the context as a whole leads to extra abilities and extreme difficulties in processing and learning (Frith 1989)

Theory of mind ( Leslie and Frith 1988)

Difficulty working independently, coping with interaction and the task at the same time.

Copyright Luci Rose Oak View School 2011

Oak View School Thinking and

Learning

We acknowledge that students with autism think and learn in different ways

• and that it is our responsibility to modify the methods and resources with use :

Present information visually

Learn one concept at a time

Plan for generalisation

Plan for problem solving

Plan for interaction and co-operation

Plan for independent work

Plan for choice making

Demonstrate what outcome is expected , clear beginnings and endings of activities.

References

Wing, L. 1979; National Autistic Society website www.nas.org.uk

2008; Bogdashina, O. “Sensory Perceptions Issues in Autism and

Asperger Syndrome” 2003.

Potter, C. and Whittaker, C. 2001 Enabling Communication

“A picture’s worth” Frost, L and Bondi, A. 2002. “Interaction in action” Hewett , D. and Nind, M. 1998.

Mitchell, P “Theory of Mind and Autism” 1996

“Logically Illogical” a talk by Ros Blackburn 2008

Bogdashina, O. “Sensory Perceptual Issues in Autism and

Asperger Syndrome”. 2003.

 “Developing Play and Drama in Children with Autistic Spectrum

Disorders” Sherrat , D. and Peter, M . 1998. “Autism Explaining the Enigma” Frith, U. 1989 .

Area

Communication

Social Understanding

Training ideas

Training

PECS (Pyramid Education)

Intensive interaction (Dave Hewett)

Social Stories and Comic Strip Conversations

Carol Gray (Gray Centre)

NAS Social eyes NAS website

Flexibility

Sensory Issues

Challenging Behaviour

Sexual Issues and Autism

Further understanding including thinking and learning

All of the above

TEACCH/ Pyramid

Olga Bogdashina

John Clements

Luke Beardon (NAS/ Sheffield University)

Jenny Coffee

Birmingham University distance/ part time courses. Autism Centre Sheffield Hallam

University

Oak View School Training

Autumn Term 2011 TBC

Activities

 Communication

 Social understanding

 Sensory Issues

 Flexibility

 Structured teaching

 One student

 One class

 Whole school : school development plan

 Accreditation

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