August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 1 Autism is a neurological disorder. The common characteristics are social interaction deficit, communication deficit, and behavior problems. Autism is a spectrum disorder that affects individuals differently and in varying degrees. The spectrum includes Autistic Disorder, Childhood Disintegrative Disorder, Asperger Disorder, Rett’s Disorder, and Pervasive Developmental Disorder—Not Otherwise Specified Every district has students identified with Autism Spectrum Disorder. Autism Spectrum Disorders can be easily confused with ADD/ADHD, Obsessive Compulsive Disorder , Oppositional Defiant Disorder, Tourette’s Syndrome, Intellectual Disability August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 2 “Classic” Autism August 18 PDD-NOS Pervasive Developmental Disorder—Not Otherwise Specified Presented by Sharon Hartman and Lori Stahlman, AIT Consultants Asperger’s Disorder 3 Autism affects 1 in every 110 individuals (2010) It occurs before the age of 3 It is 4X more common in boys than girls Autism is found in all cultures, races, and social structures around the world. Parents notice a change in their child’s development as early as 12 months and characteristics become obvious by 2-6 years of age. ASD is the fastest growing developmental disability in the US Only 56% of students with ASD complete high school. No known single cause for ASD. It is generally accepted that it is caused by abnormalities in brain structure or function. Researchers are investigating a link between heredity, genetics, and medical problems. Some children are born with susceptibility to ASD, but researchers have not yet identified a single “trigger”. August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 4 •Does not babble or coo by 12 months •Does not gesture (point, wave, grasp) by 12 months •Does not say single words by 16 months •Does not say two-word phrases on his or her own by 24 months •Has any loss of any language or social skill at any age August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 5 Medical Diagnosis-physician diagnosis based on assessment of symptoms, diagnostic tests, and DSM-IV-TR (2000) Educational Identification-made by a multidisciplinary team comprised of various school professionals and parents to determine whether a student qualifies for special education services under Individual Disabilities Education Act (IDEA) (2009) August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 6 A new case of autism is diagnosed almost every 20 minutes August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 7 August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 8 Communication deficits Repetitive patterns of behavior, interests, and activities Social interaction deficits Social maturity of someone 1/3 to 2/3 of their age (Asperger’s) Behavior difficulties Sensory processing issues Emotional vulnerability Cognitive delays Motor skill deficits Difficulty generalizing skills August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 9 Lack of development of speech or use of gestures—receptive and expressive skill deficits Inability to initialize or sustain a conversation Repetitive use of language—echolalic speech Preoccupation and focus in areas of interest Preoccupation with parts of objects Monotone speech August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 10 August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 11 Lack of eye contact Prefer to play alone Lack of social reciprocity or empathy Lack of imitating social play Routines are important Lack of facial expressions August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 12 Sensitive reactions—more intense or lack of intensity than peers Lack caution when playing, impulsive to meet sensory input needs, excitability May seem uninterested, oblivious, unwilling to participate Hyperactive, easily upset, withdrawn Unable to complete tasks due to new stimuli capturing attention Difficulty learning from experiences May appear stubborn or self-absorbed August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 13 August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 14 Must finish an interest activity before going to the next Poor organization skills Handwriting tends to be difficult Engage in activities beside and not with peers or no turn taking (reciprocity) Do not understand humor Literal thinkers—common expressions and idioms are understood literally Impulsivity Meltdowns—rages, aggressive or self-abusive behaviors, tantrums Transition is difficult—routines or environments August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 15 Home to bus Locker to class Class to first assignment Getting and organizing materials Between groupings (individual to peer groups) Class to lunch Waiting Ending the day Bus to home August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 16 Meltdowns Temper Tantrums Does not look to see reactions of others. Looks to see reaction of others. Does not consider his/her own safety. Takes precautions not to get hurt. Winds down slowly. Uses social situation. No one is in control. Ends when the situation is resolved. A want has not been permitted. Has purpose/goal. August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 17 Meltdowns and/or Rages August 18 Causes: Attention from peers or adults Frustration Confusion Power/control Sensory stimulation Fear or relief of fear To obtain something—activity, interaction, comfort, routine, object Expression of internal stimulation—sick, hungry, tired, too hot Unstructured time Change of routine/lack of schedule Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 18 Stress Excitement Fatigue Overstimulation To gain attention To escape/avoid August 18 To meet sensory needs Does not understand Self-esteem fears Need for control Need for “sameness” Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 19 If the only tool you have in your toolbox is a hammer, then everything looks like a nail. (So if we do not see the autism, we are treating all students the same. Each child has individual needs. Let’s explore the other tools in our toolboxes.) August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 20 August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 21 Helps transition within and between activities Helps understand expectations Prepares student for a change Lessens anxiety Helps students comprehend verbal language Teaches independence August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 22 Schedules Color code Models of expected outcomes Graphic organizers Consistent Classroom rules Examples of how to head the paper Homework assignment area in the room Work stations Sticky notes for preparing or calming a student Example of correct finished products 5 point scale August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 23 Class work Shorten assignments Odds/evens Circle the ones you want them to complete Top/bottom half Allow the student to circle and do X number of problems Highlight important or relevant points Graphic organizers Stopping and starting point on assignment August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 24 Extended time to complete Model expectations with visuals of the difference between an A paper and a C paper Fill in the blank notes for lectures Incorporate their interests in assignments Allow them choices that you are comfortable with Limit homework to daily in class work, an extra study time, no homework To ease handwriting, use a computer or scribe August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 25 I G Q August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 8 26 Priming—preparing the student before the activity by telling, showing with a visual schedule, or using a social narrative. Right before the activity The day before The period before The beginning of class August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 27 Social narratives and power cards use a student’s specific interest to engage the student. A story is written and illustrated with lots of visual pictures of what is acceptable behavior. Examples August 18 Preventing behaviors Teaching a new skills Showing a change in schedule (e.g., field trip) Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 28 Hidden curriculum is the unwritten social rules and expectations of social behavior that most students just seem to learn without direct instruction. Examples Raising your hand to go to the restroom When to use utensils and when not to when eating Don’t say everything you think (telling teacher she is fat or breath stinks) For kids with ASD, these skills often need to be taught directly through visual supports, examples, and role playing. August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 29 Allow a safe place or frequent sensory breaks They choose when they need a break Short breaks Walking, eating, fidgets, reinforcement of goals/behaviors Be alert for high anxiety levels or need for breaks August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 30 August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 31 Use language that is clear and concrete Ask questions of who, where, when, what, instead of why or how Use limited sarcasm, idioms, and inferences Tell the student what to do, instead of what not to do Give the student processing time (10-15 seconds) Give directions and new information in small segments, teaching each step separately Give praise often Pair verbal with visuals (pictures or gestures) Consistent routines August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 32 Understand that behavior is a form of communication and that a change is needed on our part. Encourage peer mentoring Build on strengths and interests Be aware of student’s sensory needs and concerns in all settings Do things “with” instead of “for” the student Have high expectations. We get what we expect! August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 33 Consider the physical environment (lighting, noise, temperature, color, smell) Treat the student with the same respect you treat your other students Empower the student to be an active participant in all classroom and social activities August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 34 August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 35 August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 36 Graph paper for math Pencil grips Mechanical pencils Highlighters Visual timers Air pillow/cushion Color code/paper Delineate work area Picture schedules/communication notebooks Comic strips August 18 Stress relievers Darkened rooms Chew toys Headphones Power cards Strategy cards Puppets Code words Social Narratives Weighted blanket Menu of reinforcers Graphic organizers Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 37 August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 38 http://www.usd333.com/vnews/display.v/SEC/Spec ial%20Education/LCNCK%7CAutism Go to usd333 website-special education-autism AIM Modules– http://www.ocali.org/aim/- The Ohio Center for Autism and Low Incidence (OCALI). The AIM project is developing online modules on ASD including characteristics, diagnosis, interventions and supports, transition, and employment. Autism Speaks- http://www.autismspeaks.org offers good information and links to helpful resources for parents and teachers. August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 39 iCAN – http://www.autismnetwork.org – The Interactive Collaborative Autism Network site is for anyone who lives with, teaches, or otherwise supports children and youth with autism spectrum disorders, including parents, teachers, and individuals with ASD. Kansas Autism Spectrum Disorders http://www.kansasasd.com/KSASD/Home.html -The Kansas Instructional Support Network (KISN) is one of the Kansas Statewide Technical Assistance Resource System (K-STARS) projects funded through a Title VI-B grant from the Kansas State Department of Education’s Student Support Services. Contains many informational links and technical assistance to districts. http://autismspectrum.illinoisstate.edu/courses/noncredit.shtml A 54 non credit contact hour course in autism. Basic level autism team training workshop August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 40 A.. Always U..Unique T.. Totally I.. Interesting S.. Sometimes M.. Mysterious August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 41 LCNCK Autism Intervention Team Deb Reha, Coordinator Anna Berger-Washington Elementary Anita Breen-Concordia High School Sharon Hartman—Clifton/Clyde Middle School Lorri Meyer—Concordia Elementary Lori Stahlman—SLP Deb Tipton—SLP Shawn Woolsey-Option/Opt2 LCNCK website August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 42 www.kansasasd.org National Institute of Child Health and Human Development www.autism-society.org August 18 Presented by Sharon Hartman and Lori Stahlman, AIT Consultants 43