The of Mystery Autism. DR. WILLIAM ALLEN CHEROKEE HEALTH SYSTEMS (423)

Transcription

1 The of Mystery Autism DR. WILLIAM ALLEN CHEROKEE HEALTH SYSTEMS (423)

2 Autism Spectrum Disorder Social Impairment Communication Impairment Unusual Behaviors

3 Autism Spectrum Disorder

4 Autism Spectrum Disorder Genetic disorder Susceptibility Abnormal immunology Abnormal sensory processing Not immunizations Heavy metal toxicity has not been ruled out

5 Strengths Visual Predictable Patterns Numbers, letters Calm, quiet Computers Music Books Specific interests Response to SI

6 Challenges Verbal Social Busy, chaotic Listening Attending to adult led task Waiting Transitioning Calming Tolerating change School gym and cafeteria

7 Research Roadblocks Who wants to be in the control group? Who wants to do only one intervention? Outcomes are hard to measure Long term outcomes are most important Time and money are required and may detract from treatment

8 PREDICTORS OF GOOD OUTCOME

9 Five Intervention Priorities Educate and support parents Intervene ASAP! Begin direct intervention with language therapy Refer to OT for treatment of sensory problems Refer to public school or early intervention

10 Educate and Support Parents AUTISM Spectrum Disorders, by Chantal Sicile-Kira & Temple Grandin HOW TO TEACH PIVOTAL BEHAVIORS TO CHILDREN WITH AUTISM, By Robert Koegel, et.al. BEHAVIORAL INTERVENTION FOR YOUNG CHILDREN WITH AUTISM, By Catherine Maurice Functional Behavioral Assessment for People with Autism, by Beth A. Glasberg, Ph.D. THE ORIGINAL SOCIAL STORY BOOK, Ed. By Carol Gray MORE THAN WORDS: HELPING PARENTS PROMOTE COMMUNICATION AND SOCIAL SKILLS IN CHILDREN WITH AUTISM SPECTRUM DISORDER by Fern Sussman

11 EDUCATE AND SUPPORT PARENTS AUTISM SOCIETY OF AMERICA AUTISM AUTISM SOCIETY OF EAST TENNESSEE AUTISM SOCIETY OF NORTH CAROLINA AUTISM SOCIETY OF NORTH CAROLINA: BOOKSTORE TEACCH 1 (919)

12 Educate and Support Parents web.autism.org Html web.syr.edu/~jmwobus/autism/ hhtp://info.med.yale.edu/chldstdy/autism

13 Intervene ASAP! Wait and see is neglect Seek a diagnosis by a developmental psychologist, developmental pediatrician, or pediatric neurologist Know Tennessee Early Intervention System (TEIS) After 3, refer to the local public schools

14 Begin with Language Therapy Refer early: Birth to three: Tennessee Early Intervention System After three: Local public schools Specialized private language clinics Intensive (3 or more times per week) Individualized and individual

15 Refer to OT for Treatment of Sensory Processing Problems Sufficient evidence exists to make this an important approach to treatment Refer early: Birth to three: Tennessee Early Intervention System After three: Local public schools Specialized private language clinics Often once weekly with a sensory routine in all settings

16 Five Intervention Priorities, In Order of Importance Educate and support parents Intervene ASAP! Begin direct intervention with language therapy Refer to OT for treatment of sensory problems Refer to public school or early intervention

17 The of Mystery Autism DR. WILLIAM ALLEN CHEROKEE HEALTH SYSTEMS (423)