Going Wild: Will Adventure Education help adolescents with Autism/and intellectual disorders improve Socialization skills? Elizabeth Motley Longwood University Therapeutic Recreation Department The beauty of nature and the thrill of being one with yourself and the environment are in the hearts and dreams of all men. It is a deep-welled desire in all of us spoken by the great poets and philosophers to find one self on the heroic journey that takes us into the heart of becoming one with Mother Earth. The Earth and adventure trips also bond us to each in profound ways, and indeed to love and be loved is mankind's greatest need. Due to some unique challenges with communication and social skills youth with autism and other intellectual disorders sadly never get this chance. There is research that proves that outdoor education can give youth with Autism the same opportunities to find themselves and experience the beauty of nature by making some simple adjustments to trip that allow everyone to participate in a meaningful way. The research also states that outdoor education can improve social and communication skills among people with autism, this improving and strengthening their relationships. “Adventure Education program impact the interpersonal and intrapersonal development of participants through experiences within the natural environment that provides emotional, physical, and social challenges”. (Sutherland and Stroot 2009, p.27). This is extremely important in the development of relationships and social skills for people with Autism and intellectual disability’s. People with Autism generally have huge deficits in communication skills, and poor to limited social skills. This leads to insolation and teasing from their peers. (Sutherland and Stroot, 2009). Autism is disorder that affects everyone differently, but there are a few key symptoms that seem to exist among most cases of autism. The first symptom is that people with autism have a deficit in communication, struggling to find words, the right words to say, and understanding gestates, voice tone, and inflection. The person can be verbal, or nonverbal, but none the less struggles to communicate. They also lack social skills, and can appear rude, because they do recognize social cues, but in fact want to learn them. Their brains are often very logical, so the social skills may make no logical sense to them, and this must be taught. They also focus on certain things they are interested in, almost to the point of obsession. They engage in receptive behavior such as hand flapping, or rocking to calm themselves. They can also become very easily overwhelmed by an overload of sensory stimulus, such as bright lights or loud noises. According to many studies “when compared to their typically developing peers, children with autism have been found to spend less time interacting, experienced lower quality interactions, spend more time in purposeless no activity’s, spend less time in proximity to peers, received less social initiations from peers, focused less on other children and produced fewer verbalizations to others.” (Sutherland and Stroot, 2009, p. 29) It is a sad fact that isolation among children with autism is self-imposed, as a result of their own behaviors, rather than direct peer avoidance. It is imperative that people with autism are treated using evidence based practice to decide on which interventions will improve their social skills. The CTRS should keep individual client needs and interests in mind when placing the client in programs. The CTRS must also make sure that the client goals, meet the program goals, and are appropriate for the client. The client needs to also be appropriate for the program. Goals are measurable desired outcomes set by the therapist that follow a logical sequence of events and should have clear, meaningful detailed yet simple measurements of that demonstrated skill. This allows both the client and the therapist to see how the treatment is progressing, and what changes need to be made. The goals need to be structure and ordered in order to meet the demands and needs of the client. Brads story is an observation made by researcher of a three day wildness trip rockclimbing trip for young teenager, with the focus on Brad, a young man with autism. The researcher conducted interviews before the trip, during the trip, and after the trip with Brad, his family, the trip leaders, and other campers on the trip. She also observed Brads behavior on the trip, and how it affected others, as well as the impact upon Brad himself. The researcher found that Brad had clear cut simple goals set for him to achieve better socialization skills with his peers. The treatment used with Brad and with many individuals with autism is going on wildness trips, or through ropes courses. The goal of these inclusive trips is to improve socialization, and build lasting relationships between the person with autism and their peers. (Sutherland and Stroot, 2009) Brad was slow to get comfortable with the group, but when he did he found it very rewarding. He did not say hi to the group on the van ride, and moved closer to them in activities but did not interact. He helped lead songs at the campfire and talked to a few group members. “Two defining moments occurred that helped to facilitate Brad “letting his guard down” in relation to interaction with his peers.” (Sutherland and Stroot, 2009 p.33) He was given thanks and praise by one of his fellow group members for helping out because “he didn’t really climb he just really helped a lot.” (Sutherland and Stroot, 2009, p.33) He also participated in teambuilding games the second day and in the closing interview said he had learned “to talk to people more, and also to “make new friends” (Sutherland and Stroot, 2009 p.33). Brad actually formed lasting friendships with people from the trip, and it had long term positive impacts on his socialization skills. Brad took the role of helper, and helped the adults set up camp, belay other campers, and prepare meals. He was observing his peers during this time, and also leaning new leisure skills. He would like to go another trip with this same group, but not a different because he still feels uncomfortable talking to people he does not know. His mom thinks more trips like this one will help Brad further improve his socialization skills. It seems Brad has a long way to go, but met his goals successfully on this trip. There were some challenges faced by Brad and the group common on trips with people with autism or other intellectual disorders. (Sutherland and Stroot, 2009) It is clear from the research that Brads social skills improved, and he made lasting friendships. Brad wants to go on more trips, which will help him improve his social skills even further. There are special challenges to including students with intellectual disabilities on adventure programing trips. McAvoy, Smith, and Rynders (2006), state that “Obstacles can appear especially daunting when attempts are made to involve individuals with cognitive disabilities who present serious accommodation challenges”. Due to emotional and behavioral problems, such as an individual with a cognitive challenge using profane language or physical aggression on an outdoor trip, the group can quickly loose trust in the person, and in each other, tearing apart the group’s sense of belonging as a unit. People with cognitive disabilities also often display an unwillingness or inability to reliable self-monitor medical conditions and safety precautions. A person with a serious diabetic condition who refuses to self-treat the condition, because of an intellectual disability or brain damage can according to Mcavoy “lead to an emergency evacuation with feeling of embarrassment on the part of the individual with a disability, and feelings of anger and disappointment on the part of other participants”. (Mcavoy, Smith, Rynders, 2006, P. 183) This may be the reason why people with disabilities are not included on trips, and if they are, are not a part of the group, thus still lacking in social skills, and self-imposed isolation. An individual with autism, or an intellectual disorder often needs a lot of extra time and patience from the therapist in order to successfully complete the activities on an adventure trip. The person might need to have directions repeated multiple times, before they understand. They need directions broken down into simple steps that are easy to process. They also need hands on practice of a skill before applying it on a trip. Pre-trip instruction is very helpful for them. They also should be with students who have similar ability levels and have a lot of time to process instructions. It is helpful if a peer without a disability acts as a helper for the person with a disability. Education about the disabilities and its limitations should be given to members of the trip, with permission from the person with a disability or their care-giver. (Mcavoy, Smith, Rynders, 2006) Mcavoy, Smith, and Rynder offer some great tips on achieving the goal of social growth as an outcome of an outdoor adventure trip. Freedom of choice is the key, and choices should be offered as often as possible. Some choices the person can make are who to paddle with, when to take a break and what to have for lunch. This freedom of choice helps the client to feel “incontrol” and respected. Many people with autism are ignored, and feel their voice is not heard, or are treated like children even as adults. This can lead to frustration, and aggressive behavior. . The choices they make should be made with the group, and understood that their choices affect everyone in the group. The clients with disabilities need to included in group discussion, and able to offer their opinions. ” (Mcavoy, Smith, Rynder, 2006, p. 196) Jane Brodin (2009) states that outdoor education is better a teaching modality then traditional education for people with individuals with disabilities. In Europe outdoor education is a standard teaching tool for all children, but often time’s people with disabilities are excluded due to the challenges they present to trip leaders. “The majority of the municipalities offer some kind of outdoor education but they have not yet reflected on the many benefits (.e.g. health reasons, learning together, and social interaction) or outdoor education activities for adults with intellectual disabilities. Most municipalities are working under financial pressure and claim that they do not have enough resources for the tasks they are responsible for, for example daily activities for persons with intellectual disabilities. This might explain why some of them have not reflected on the access to outdoor education.” (Brodin, 2009,p .12) Brodin states in response to this that “Why and in what respects can access to outdoor education be regarded as a tool for inclusion? First of all persons with intellectual disabilities have the same right to education as other citizens. Outdoor education offers opportunities to promote communication and learning of concepts with all the senses in co-operations with others and it supports lifelong learning. Inclusion is a societal goal and outdoor education can b used as a tool towards attaining inclusion. Communication in small groups often facilitates the opportunity to influence daily life and is therefore a value per se.” (Brodin, 2009, p.12) It is important to include student’s autism and intellectual disabilities in outdoor education because it improves their social skills, communication skills, and allows them the freedom of choice. It also gives them the health benefits of weight loss and exercise. Many people with intellectual disabilities are obese and have sedentary lifestyles. They often have heart problems, diabetes, and high blood pressure, seen a lot in people with Down syndrome. These conditions can often be controlled through exercise and outdoor education and adventure education are effective ways to achieve this, as well as to improve socialization and promote inclusion. (Grenier, Rogers, Iarrusso, 2008) There are some key strategies laid out by Grenier, Rogers, and Iarrusso in order to successfully include students with Down syndrome and other intellectual disabilities in adventure programing. The same program can also work for youth with Autism. This program takes place at a high school but can be implemented anywhere. These include Adult support for the people with disabilities. Adult support is caregivers, therapists, and family who knew the client and their ability’s well enough to help the teacher or leader during the activity. Care must be given so that the person’s independence is not compromised. “Teachers should avoid the tendency too heavily rely on paraprofessionals because this may limit the social interaction with peers.” (Greiner, Rogers, Iarrusso, 2008, p.31.) It is also important to establish and practice good communication skills including verbal cueing. Verbal cueing could include statements such as “Reach here, grab this, and hold on tight” These phases are short, specific and to point. It is helpful to go over vocabulary and words related to the adventure experience. It is useful to point to objects or give visuals when leading the group in instruction. One on one or small group may be effective here. Finally it is important to continue to practice skills the students have learned, and build upon these before introducing new skills to be learned. (Grenier, Rogers, Iarrusso, 2008) The research clearly proves that individuals with autism and intellectual disabilities lack behind their peers in social and communication skills which leads to isolation. These individuals desire lasting friendships, and want to fit in and improve their social skills. They also enjoy recreation and the outdoors as much as their peers. If adventure education trips are planned that are inclusive with appropriate modifications made for the people with autism, there is strong evidence that the person social skills are improved, and the results are long-lasting. References Brodin, J. (2009). Inclusion through Access to Outdoor Education: Learning in Motion (LIM). Journal Of Adventure Education And Outdoor Learning, 9(2), 99-113. Grenier, M., Rogers, R., & Iarrusso, K. (2008). Including students with down syndrome in adventure programing.Joperd, 79(1), 30-35. McAvoy, L., Smith, J. G., & Rynders, J. E. (2006). Outdoor Adventure Programming for Individuals With Cognitive Disabilities Who Present Serious Accommodation Challenges. Therapeutic Recreation Journal, 40(3), 182-199. Sutherland, S., & Stroot, S. (2009). Brad's story: Exploration of an inclusive adventure education experience . Therapeutic Recreation Journal ,XLIII(3), 27-39. Topic Identification & Initial Literature Review Form Briefly describe the topic. My topic is Outdoor education and its affect upon improving socialization among people with Autism/Intellectual disorders. Outdoor education is also called Adventure Education, and can include ropes courses, backpacking trips, rafting trips, repelling trips and anything that connects one to nature and the outdoor. In Rare cases in can be done indoors like at Indoor ropes courses, or Rock Climbing Gyms. Charlotte, North Carolina has an indoor white water rafting center where many skills can taught such as ropes courses, repelling, rafting, and kayaking! I am trying to proof that using this adventure education as an intervention will improve socialization among youth with autism. What is your specific research question? Will outdoor education trips improve socialization among youth with autism? From your explanation above, fill in the first row of table below – pulling out your key concepts and placing them in the appropriate box. Next, generate as many synonyms for each key component that might assist you in searching the literature and fill in the second row of the table. From your selected topic Synonyms Client Type, Population, Characteristics Course of Action, Treatment, Intervention Alternative (if any) Outcome or intended results Autism Intellectual disabilities Wildness trips Backpacking Canoeing Hiking Adventure education Camps Outdoor Education Improved socialization, improved outdoor adventure skills, lasting friendships, better home life, client is happier and has better QOL. Complete a minimum of three combinations of search terms from your list above to conduct your literature review and enter the number of results for each. (You should do more, but this is the minimum required. If you do more, include your most “successful” searches in the box below). Do not include a search that yields no results. Please also record the databases you used and the timeframe (years of results). Search Terms Combined (Adventure or outdoor) and learning disabilities ( adventure or outdoor ) AND ( autism or autistic ) Results (number of Databases articles) searched 188 One Search 81 One Search Timeframe (years) 2003-2013 2003-2013 ( adventure or outdoor ) AND education AND ( autism or autistic ) 10 One Search 2003-2013 Literature Review Table Using the table format shown below, complete a literature review table on your topic by summarizing each of the 8-10 articles you identified in your search. Please only list the author and date on the table, but include a reference page with full reference citation for each article in proper APA format. Concisely but comprehensively summarize each article. Source Purpose Design Outcome Focus Results Author & Date Describe the research question being investigated and/or purpose of the study Describe the research design, measurement tools and number of subjects/ participants List all outcomes measured Summarize the results including statistical significance Michelle Grenier, Richard Rogers & Kristin Iarrusso January 2008 Will adventure programing help promote positive social skills between students with Down Syndrome and their peers? Integrate students with Down Syndrome into an indoor adventure rope course program at a high school gym using adult and peer support. Three teachers, one student with down syndrome, other students with cognitive disabilities, and their peers in the P.E class took part in the study. They measured physical ability to complete the ropes course, social skills gained, and overcoming fear of heights on the course. Physical and social skills increased and fear of height’s decreased with the completion of the ropes course. Conclusions and Issues Summarize in bullet points major conclusions from findings and/or any concerns regarding study methodology that may have impacted results There is a strong positive correlation between adventure programing and helping people with cognitive disabilities improve their social skills. There are a few adaptions to be made in order for this to be successful, like verbal cueing, simple instructions, limited choices, challenge by choice, and extra harnesses and lifting of the client, or other physical adaptions. Sue Sutherland & Sandra Stroot November 3rd 2009 Will integrating a person with Autism into a wildness adventure trip help him improve his social skills? Observation will be used on the trip using direct observations (field notes) and interviews including face to face and phone interviews before, during and after the 3 day rock climbing trip. The participants were 7 adolescents between 10-14 years of age including Brad, and three trip leaders. Brad was measured on improving his social skills of helping with tasks on the trip, taking part in climbs and interacting with the group. Jane Brodin December 2009 Will including students with intellectual disabilities in an inclusive outdoor education program improve their quality of life, and improve communication and social interaction? They used interviews and questionnaires with open ended questions to get information. There were four adults from Germany with intellectual disabilities including two men and two women who were directly involved in the study. They measured how much enjoyment the clients got from trip, how their physical and social skills improved, and compared this to research on target groups consisting of children and adults with intellectual disabilities in four countries. Teachers much build a community that includes students with disabilities into the curriculum. Brad wanted to The trip has a stay with the trip positive outcome leaders at first, for Brad, who but later made made friends on friends with the the trip and other group become part of the members who group. He also accepted him as learned new one of their own. camping skills; He did not however these participate in social skills did many of the not carry over into climbs but he his real life. Brad helped belay does desire to go students more as on other trips, and time went by, as the hope is these well as helping trips will improve with camp tasks his social skills in like pitching real life. tents and cooking meals. They found a There must be positive more research correction done on this between subject, and we including should pay more students with attention to the intellectual benefits gained by disabilities in an participation in outdoor outdoor education. education Many program, and municipalities improving their have limited funds social and and resources to physical skills. include students with disabilities in their outdoor education programs, or Leo Mcavoy, John Smith, & John Rynders 2006 Will accommodating people with cognitive disabilities into outdoor adventure programs improve their social and leisure education skills? There were 23 people who participated in the study who all had cognitive disabilities. Two questionnaires were developed which accessed client growth in outdoor recreation skills and which accessed client satisfaction on the trip and was taken by both the clients and the staff who accompanied them on the trip. The surveys were taken on the first and last day of the trip using a three point scale. Open end questions and probe questions were given in semi-structured interviews 7-14 after the trip, and again included the client, and those who accompanied them on the trip. The clients rated their skills and satisfaction as low on the first day of the trip, while the staff rated them slightly higher. The end of the trip saw a great increase in skill noted by both clients and staff. In addition the interviews revealed mostly positive results with the client satisfaction. The clients learned positive social skills, camping and canoeing skills, and were overall happy with the trip. The clients felt the leaders were friendly, felt safe, learned new skills, and thought the equipment was in good shape. Only 77% of clients would go on another trip like this, and 77% got to do things they wanted on the trip. Only 61% said they did not have to work too hard on the trip. develop a program for them. The article gave many tips and trips for accommodating people with cognitive disabilities on in outdoor adventure program. The research shows inclusive programs like “Gateway” with trained quality professional’s may lead to more inclusive outdoor opportunities for their “hard to serve” population. The program has positive impacts on the clients, and greatly improves the quality of their life rather or not the trip inclusive with peers or just with people with disabilities. References Brodin, J. (2009). Inclusion through Access to Outdoor Education: Learning in Motion (LIM). Journal Of Adventure Education And Outdoor Learning, 9(2), 99-113. Grenier, M., Rogers, R., & Iarrusso, K. (2008). Including students with down syndrome in adventure programing.Joperd, 79(1), 30-35. McAvoy, L., Smith, J. G., & Rynders, J. E. (2006). Outdoor Adventure Programming for Individuals With Cognitive Disabilities Who Present Serious Accommodation Challenges. Therapeutic Recreation Journal, 40(3), 182-199. Sutherland, S., & Stroot, S. (2009). Brad's story: Exploration of an inclusive adventure education experience . Therapeutic Recreation Journal ,XLIII(3), 27-39.