SPE CI A L ED IT I O N Agua Fria Union High School District Ap r i l 9, 2 0 14 Vo lum e 1 , Is su e 2 April is Autism Awareness Month!!! Changes in the Diagnosis of Autism: Asperger’s Syndrome vs. Social (Pragmatic) Communication Disorder Many people with Asperger syndrome believe that they are members of an elite group, including distinguished individuals such as Einstein and Sir Isaac Newton. Asperger syndrome is a mild form of autism, and students with this disorder often have difficulty relating to other students, demonstrate robotic or repetitive speech, engage in one-sided conversations, exhibit odd mannerisms, and become obsessed with discussing a specific topic (such as computers or video games). Despite these differences, many of these students function quite well in our regular education classes. They differ from students with more severe forms of autism, who have delays or difficulties with language, as well as cognitive deficits. Those students who are more severely impaired are likely to receive services in one of our self-contained programs, such as Life Skills or our classrooms for students with moderate to severe intellectual disabilities. The Diagnostic and Statistical Manual of Mental Disorders (DSM), also referred to as psychiatry’s “bible,” has long been considered to be the most respected resource for diagnosis and treatment. In the latest edition of this manual, the DSM-5, Asperger syndrome has now been moved into the category of autism spectrum disorder (ASD). Now, in order to be classified with ASD, students must have both impaired social communication/interaction and restricted/repetitive behaviors. Although students with Asperger syndrome have difficulties with social interaction, repetitive behaviors and restricted interests, many of these students demonstrate average to advanced language development. As a result, students who were formerly diagnosed as having Asperger syndrome will now be diagnosed as having a Social (Pragmatic) Communication Disorder. These students have difficulties communicating in social contexts, such as appropriately greeting and sharing information, matching their communication to the setting (e.g., classroom vs. playground; adult vs. child), following the rules of conversation (e.g., taking turns, reading nonverbal cues, etc.) and understanding what is not explicitly stated (such as making inferences, understanding humor, etc.). In a school context, these deficits must significantly impact their educational performance in order to qualify for special education services. In addition to qualifying for special education services and receiving the accommodations that are provided through their Individualized Education Programs (IEPs), these strategies (as identified by an adult with autism and the National Association of School Psychologists) might help you to effectively work with these students: SPECIAL EDITION Page 2 STRATEGIES 1. Provide visual schedules, demonstrations and cues, since many students with autism are visual learners and think in pictures rather than language. 2. Capitalize on these students’ exceptional memories and talents by providing opportunities for them to demonstrate their factual knowledge and special talents. Link learning to their interests. 3. Create a predictable and safe environment, including established routines and clear rules. Many students with autism value structure, order, and sameness. They often dislike the buzz of florescent lights and loud noises. 4. Teach pro-social skills to replace inappropriate behaviors. For example, teach them to take turns in conversation by listening carefully and then asking a follow-up question about what the other person has expressed. 5. Teach communication skills, such as using an appropriate tone of voice, facial expressions, and body language. In addition, practice respecting personal space and maintaining appropriate eye contact. 6. Provide direct instruction in multiple meaning words and idioms. 7. Use appropriate technology to enhance learning. Many students with autism often have difficulties with organization and fine-motor skills. Allow them to use a laptop instead of hand-writing assignments. Other useful forms of technology include webinars, apps such as white noise, text to speech, Dexteria to improve fine-motor skills, and English Idioms; smartphones, noise-canceling headphones, and organizational tools such as calendars and notifications. Assistive Technology A general definition of Assistive Technology (AT) refers to items, systems, or equipment available for use in order to bypass, work around, or compensate for a specific learning problem. Students with all types of disabilities may need AT, but each student’s need must be considered on an individual basis. What works for one student may not work for another. Listed below are just a handful of AT ideas. Notice that items range from “lowtech” (like highlighters, sticky notes, etc.) to “high-tech” (software programs). Check out the following AT supports! SPECIAL EDITION Page 3 For Organization: colored highlighters to note separate steps in multi-step problems; sticky notes to summarize paragraphs or pages; color flags; colored folders to keep different class work separated; track due dates with the app IStudiez Pro; support note-taking (audio, visual, etc.) with app InClass. For Writing: adapted paper to support handwriting; pencil grips for comfort and perseverance with writing; slant boards to help with note-taking and fatigue; word prediction software; voice recognition software with voice to text technology such as Nuance Dragon NaturallySpeaking. For Reading: Utilize large print when reading is taxing or difficult to track; handheld reading pens to read aloud the text; audio books at your fingertips - access DAISY formatted audiobooks via the apps Learning Ally and Read2Go; Via ITunes U, Teachers go to Lit2Go for high quality audio versions of the classics. For Math: number lines to remember order and sequence; highlighters for multistep problems; multiplication charts to recall facts; talking calculators to support concentration and multi-step problem solving. For Communication: picture boards for eye gaze or pointing to designate choices; simple and dynamic voice output devices with changing displays for conversation, choice designation, learning, etc.; devices with speech output for typing. Resources for AT: The Family Center on Technology and Disability The AIM Explorer National Center for Technology Innovation Center for Implementing Technology in Education Techmatrix www.ncld.org was utilized for much of this information. Next issue: Look forward to a useful list of learning and studying apps to begin the new year!! Ron Scott: Director of Special Education, AFUHSD; Kiersten Walker, Louise Privette: School Psychologists, AFUHSD