In Class Handout: Mitch A Toddler at Risk for ASD

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1 In Class Handout: Mitch A Toddler at Risk for ASD Mitch is a 14 month old boy who was found to be at risk for a later diagnosis of an autism spectrum disorder based on a 12 month parent report measure. A developmental assessment at 14 months confirmed areas of concern as well as showed a number of strengths. Watch the videos and take notes of Mitch s strengths and challenges in the area of pivotal skills for social communication and language outcomes as well as play skills. Focus on the pivotal skills covered in this presentation: Attending to people and objects in the environment Imitation Intentional nonverbal communication Shared attention/joint engagement Joint attention Functional and pretend play Think about Mitch s behaviors in terms of each pivotal skill you may observe (or not). Think about how many different examples of pivotal skills you observed. Activity Strengths Challenges Other notes (e.g., preferences, prompts) Play with Dad Play with dolls and dishes Page 1

2 Snack Setting Intervention Goals Refer to pivotal skills above Think about his behaviors in terms of each pivotal skill you may have observed (or not) Think about how many different examples of pivotal skills you observed Consider his family s concerns and priorities Discuss, and come up with 2 3 intervention goals appropriate for Mitch 1) 2) 3) Planning for a Single Intervention Session for Parents or Childcare Provider Considering the above pivotal skills chosen as goals, think about: How will you open the session? (relationship building) How will you explain the pivotal behavior and strategy of focus for this session? How will you demonstrate the strategy to promote that pivotal behavior in the home/childcare context? How will you get the parent(s)/childcare provider to try out the strategy? Page 2

3 How will you ask for feedback from the parent(s)/childcare provider? How will you work with the parent(s)/childcare provider to plan for using the strategy in the time prior to your next session? Page 3

4 Useful Websites American Academy of Pediatrics: Caring for Children with ASD: A Resource Toolkit for Clinicians 9 12 months: Is Your One Year Old Communicating with You? American Speech Language Hearing Association Autism Resources ASHA Practice Portal: Portal/Clinical Topics/Autism/ ASHAWire: You can navigate by topic (Autism Spectrum Disorders is a topic) and sign up for alerts to receive s when new journal content on that topic is published Autism Speaks: Video glossary: Talking to Parents about Autism 15 minute video: Action kit with handouts for providers to help you talk with parents about developmental screening CDC Autism Materials: Screening, assessment, and treatment information ASD case materials and videos Handouts on developmental milestones Autism Navigator: Professional courses, resources, and tools First Words: Infant/Toddler Checklist and scoring ASD video glossary M CHAT Revised, with Follow Up (M CHAT R/F): National Professional Development Center on Autism Spectrum Disorder: Resources for the public and for state partners List of 24 evidence based practices for persons with ASDs Online course: Foundations of Autism Spectrum Disorders Autism Internet Modules: Assessment, Characteristics, and Evidence Based Interventions Program for Early Autism Research, Learning, & Service (PEARLS): Page 4

5 What Works Clearinghouse through U.S. Department of Education Institute of Educational Sciences: (early childhood education topic area) References American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, 5th edition (DSM 5). Washington DC: Author. Baranek, G., Watson, L., Turner Brown, L., Field, S., Crais, E., Wakeford, L., Reznick, J. S. (2015). Preliminary efficacy of Adapted Responsive Teaching for infants at risk for autism spectrum disorder in a community sample. Autism Research and Treatment, doi: /2015/ Baranek, G.T. (1999). Autism during infancy: A retrospective video analysis of sensory motor and social behaviors at 9 12 months of age. Journal of Autism and Developmental Disorders, 29, Baranek, G. T., Boyd, B. A., Poe, M. D., David, F. J., & Watson, L. R. (2007). Hyperresponsive sensory patterns in young children with autism, developmental delay, and typical development. American Journal on Mental Retardation, 112, Baranek, G. T., Watson, L. R., Crais, E., & Reznick, S. (2003). First Year Inventory (FYI) 2.0. Chapel Hill, NC: University of North Carolina at Chapel Hill. Beauchaine, T. P., Neuhaus, E., Brenner, S. L., & Gatze Kopp, L. (2008). Ten good reasons to consider biological processes in prevention and intervention research. Development and Psychopathology, 20, Bryson, S., Zwaigenbaum, L., McDermott, C., Rombough, V., & Brian, J. (2008). The Autism Observation Scale for Infants: Scale development and reliability data. Journal of Autism and Developmental Disorders, 38, Bryson, S. E., Zwaigenbaum, L., Brian, J., Roberts, W., Szatmari, P., Rombough, V., & McDermott, C. (2007). A prospective case series of high risk infants who developed autism. Journal of Autism and Developmental Disorders, 37, Cassel, T. D., Messinger, D. S., Ibanez, L. V., Haltigan, J. D., Acosta, S. I., & Buchman, A. C. (2007). Early social and emotional communication in the infant siblings of children with autism spectrum disorder: An examination of the broad phenotype. Journal of Autism and Developmental Disorders, 37, CDC (Centers for Disease Control and Prevention). (2014). Changes in prevalence of parentreported autism spectrum disorder in school aged U.S. children: 2007 to (National Health Statistics Report, No. 65, 1 11). Page 5

6 Charman, T., Swettenham, J., Baron Cohen, S., Cox, A., Baird, G., & Drew, A. (1997). Infants with autism: An investigation of empathy, pretend play, joint attention, and imitation. Developmental Psychology, 33, Chawarska, K., Paul, R., Klin, A., Hannigen, S., Dichtel, L.E., & Volkmar, F. (2007). Parental recognition of developmental problems in toddlers with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37, Colgan, S., Lanter, E., McComish, C., Watson, L. R., Crais, E. R., & Baranek, G. T. (2006). Analysis of social interaction gestures in infants with autism. Child Neuropsychology, 12, Crais, E., & Watson, L. (2014). Challenges and opportunities in early identification and intervention for children at risk for autism spectrum disorders. International Journal of Speech Language Pathology, 16(1), Crais, E. R., McComish, C. S., Humphreys, B. P., Watson, L. R., Baranek, G. T., Reznick, J. S., Earls, M. (2014). Pediatric healthcare professionals views on autism spectrum disorder screening at months. Journal of Autism and Developmental Disorders, 44, Crais, E. R., Watson, L. R., & Baranek, G. T. (2009). Use of gesture development in profiling children's prelinguistic communication skills. American Journal of Speech Language Pathology, 18, Dawson, G. (2008). Early behavioral intervention, brain plasticity, and the prevention of autism spectrum disorder. Development and Psychopathology, 20, Dykstra, J., Boyd, B. A., Watson, L. R., Crais, E. R., & Baranek, G. T. (2012). The impact of the Advancing Social Communication and Play (ASAP) intervention on preschoolers with autism spectrum disorder. Autism: The International Journal of Research and Practices, 16(1), Dykstra Steinbrenner, J. R., Watson, L. R., Boyd, B. A., Wilson, K. P., Crais, E. R., Baranek, G. T., Flagler, S. (2015). Developing feasible and effective school based interventions for children with ASD: A case study of the iterative development process. Journal of Early Intervention, 37(1), Fountain, C., King, M. D., & Bearman, P. S. (2011). Age of diagnosis for autism: Individual and community factors across 10 birth cohorts. Journal of Epidemiology and Community Health, 65, Freuler, A., Baranek, G. T., Watson, L. R., Boyd, B. A., & Bulluck, J. C. (2012). Precursors and trajectories of sensory features: Qualitative analysis of infant home videos. American Journal of Occupational Therapy, 66, e81 e84. Freuler, A. C., Baranek, G. T., Tashjian, C., Watson, L. R., Crais, E. R., & Turner Brown, L. M. (2014). Parent reflections of experiences of participating in a randomized controlled trial of a behavioral intervention for infants at risk of autism spectrum disorders. Autism, 18(5), Page 6

7 Gernsbacher, M. A., Sauer, E. A., Geye, H. M., Schweigert, E. K., & Hill Goldsmith, H. (2008). Infant and toddler oral and manual motor skills predict later speech fluency in autism. Journal of Child Psychology and Psychiatry, 49, Geschwind, D. H. (2009). Advances in autism. The Annual Review of Medicine, 60, Gillis, J.M. (2009). Screening practices of family physicians and pediatricians in 2 Southern states. Infants and Young Children, 22(4), Gomez, C. R., & Baird, S. (2005). Identifying early indicators for autism in self regulation difficulties. Focus on Autism and Other Developmental Disabilities, 20(2), Green, J., Charman, T., Pickles, A., Wan, M. W., Elsabbagh, M., Slonims, V., & the BASIS team. (2015). Parent mediated intervention versus no intervention for infants at high risk for autism: A parallel, single blind, randomized trial. Lancet Psychiatry, 2(2), Johnson, C. P., & Myers, S. M. (2007). Identification and evaluation of children with autism spectrum disorders. Pediatrics, 120(5), Jones, W., & Klin, A. (2013). Attention to eyes is present but in decline in 2 6 month old infants later diagnosed with autism spectrum disorder. Nature, 504(7480), Kasari, C., Siller, M., Huynh, L. N., Shih, W., Swanson, M., Hellemann, G. S., & Sugar, C. A. (2014). Randomized controlled trial of parental responsiveness intervention for toddler at high risk for autism. Infant Behavior and Development, 37, Kim, S. H., & Lord, C. (2010). Restricted and repetitive behaviors in toddlers and preschoolers with autism spectrum disorders based on the Autism Diagnostic Observation Schedule (ADOS). Autism Research, 3(4), Landa, R. J., Holman, K. C., & Garrett Mayer, E. (2007). Social and communication development in toddlers with early and later diagnosis of autism spectrum disorders. Archives of General Psychiatry, 64, Loh, A., Soman, T., Brian, J., Bryson, S. E., Roberts, W., Szatmari, P., Zwaigenbaum, L. (2007). Stereotyped motor behaviors associated with autism in high risk infants: A pilot videotape analysis of a sibling sample. Journal of Autism and Developmental Disorders, 37, Maenner, M., Schieve, L., Rice, C., Cunniff, C., Giarelli, E., Kirby, R., Durkin, M. (2013). Frequency and pattern of documented diagnostic features and the age of autism identification. Journal of the American Academy of Child & Adolescent Psychiatry, 52(4), Miller, J. S., Gabrielsen, T., Villalobos, M., Alleman, R., Wahmhoff, N., Carbone, P. E., & Segura, B. (2011). The Each Child Study: Systematic screening for autism spectrum disorders in a pediatric setting. Pediatrics, 127, Page 7

8 Osterling, J. A., Dawson, G., & Munson, J. A. (2002). Early recognition of 1 year old infants with autism spectrum disorder versus mental retardation. Development and Psychopathology, 14, Ozonoff, S., Heung, K., Byrd, R., Hansen, R., & Hertz Picciotto, I. (2008). The onset of autism: Patterns of symptom emergence in the first years of life. Autism Research, 1, Ozonoff, S., Iosif, A. M., Baguio, M. F., Cook, I. C., Hill, M. M., Hutman, T., Young, G. S. (2010). A prospective study of the emergence of early behavioral signs of autism. Journal of the American Academy of Child and Adolescent Psychiatry, 49(3), Ozonoff, S., Macari, S., Young, G. S., Goldring, S., Thompson, M., & Rogers, S. J. (2008). Atypical object exploration at 12 months of age is associated with autism in a prospective sample. Autism, 12, Pandey, J., Verbalis, A., Robins, D. L., Boorstein, H., Klin, A. M., Babitz, T., Fein, D. (2008). Screening for autism in older and younger toddlers with the Modified Checklist for Autism in Toddlers. Autism, 12, Patten, E., Belardi, K., Baranek, G., Watson, L., Labban, J., & Oller, D. K. (2014). Vocal patterns in infants with autism spectrum disorder: Canonical babbling status and vocalization frequency. Journal of Autism and Developmental Disorders, 44, Paul, R., Fuerst, Y., Ramsay, G., Chawarska, K., & Klin, A. (2011). Out of the mouths of babes: Vocal production in infant siblings of children with ASD. Journal of Child Psychology and Psychiatry, 52(5), Pierce, K., Carter, C., Weinfeld, M., Desmond, J., Hazin, R., Bjork, R., & Gallagher, N. (2011). Detecting, studying, and treating autism early: The one year well baby check up approach. The Journal of Pediatrics, 159, e6. Plumb, A. M., & Wetherby, A. M. (2013). Vocalization development in toddlers with autism spectrum disorder. Journal of Speech, Language, & Hearing Research, 56, Robins, D., Fein, D., & Barton, M. (2009). Modified Checklist for Autism in Toddlers, Revised, With Follow Up. Available at: Robins, D., Fein, D., Barton, M., & Green, J. (2001) The Modified Checklist for Autism in Toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders 31(2), Robins, D. L. (2008). Screening for autism spectrum disorders in primary care settings. Autism, 12, Robins, D. L., Fein, D., & Barton, M. L. (1999). The Modified Checklist for Autism in Toddlers (M CHAT). Storrs, CT: Self published. Page 8

9 Rogers, S., Vismara, L., Wagner, A., McCormick, C., Young, G., & Ozonoff, S. (2014). Autism treatment in the first year of life: A pilot study of Infant Start, a parent implemented intervention for symptomatic infants. Journal of Autism and Developmental Disorders. doi: /s y Rogers, S. J., Hepburn, S., & Wehner, E. (2003). Parent reports of sensory symptoms in toddlers with autism and those with other developmental disorders. Journal of Autism and Developmental Disorders, 33(6), Sheinkopf, S. J., Iverson, J. M., Rinaldi, M. L. & Lester, B. M. (2012) Atypical cry acoustics in 6 month old infants at risk for autism spectrum disorder. Autism Research, 5, Turner Brown, L. M., Baranek, G. T. Reznick, J. S., Watson, L. R., & Crais, E. R. (2013). The First Year Inventory: A longitudinal follow up of 12 month olds to 3 years of age. Autism: The International Journal of Research & Practice, 17(5), Veness, C., Prior, M., Bavin, E., Eadie, P., Cini, E., & Reilly, S. (2012). Early indicators of autism spectrum disorders at 12 and 24 months of age: A prospective, longitudinal comparative study. Autism, 16, Wan, M. W., Green, J., Elsabbagh, M., Johnson, M., Charman, T., Plummer, F., & BASIS Team. (2012). Parent infant interaction in infant siblings at risk of autism. Research in Developmental Disabilities, 33, Watson, L. R., Baranek, G. T., Crais, E. R., Reznick, S. J., Dykstra, J., & Perryman, T. (2007). The First Year Inventory: Retrospective parent responses to a questionnaire designed to identify one year olds at risk for autism. Journal of Autism and Developmental Disorders, 37, Watson, L. R., & Crais, E. R. (2013). Translating between research and practice in serving infants at risk for ASD. Perspectives on Language Learning and Education, 20(1), Watson, L. R., Crais, E. R., Baranek, G. T., Dykstra, J. R., & Wilson, K. P. (2013). Communicative gesture use in infants with and without autism: A retrospective home video study. American Journal of Speech Language Pathology, 22, Watson, L. R., Patten, E., Baranek, G. T., Poe, M., Boyd, B. A., Freuler, A., & Lorenzi, J. (2011). Differential associations between sensory response patterns and social communication measures in children with autism and developmental disorders. Journal of Speech, Language, and Hearing Research, 54, Webb, S. J., Monk, C. S., & Nelson, C. A. (2001). Mechanisms of postnatal neurobiological development: Implications for human development. Developmental Neuropsychology, 19, Wetherby, A., Guthrie, W., Woods, J., Schatschneider, J., Holland, R., Morgan, L., & Lord, C. (2014). Parent implemented social intervention for toddlers with autism: An RCT. Pediatrics, 134, Page 9

10 Wetherby, A., Woods, J., Allen, L., Cleary, J., Dickinson, H., & Lord, C. (2004). Early indicators of autism spectrum disorders in the second year of life. Journal of Autism and Developmental Disorders, 34(5), Wetherby, A. M., Brosnan Maddox, S., Peace, V., & Newton, L. (2008). Validation of the Infant Toddler Checklist as a broadband screener for autism spectrum disorders from 9 to 24 months of age. Autism, 12, Wetherby, A. M., & Prizant, B. M. (2002). Communication and symbolic behavior scales developmental profile. Baltimore, MD: Brookes. Zwaigenbaum, L., Bryson, S., Rogers, T., Roberts, W., Brian, J., & Szatmari, P. (2005). Behavioral manifestations of autism in the first year of life. International Journal of Developmental Neuroscience, 23(2 3), Page 10

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