Create an awareness of how Occupational Therapy approaches can promote independence for adults on the autistic spectrum. Sandra Gasson.

Transcription

1 Occupational Therapy Approaches to Promote Independence for People with Autism Objectives Create an awareness of how Occupational Therapy approaches can promote independence for adults on the autistic spectrum. Sandra Gasson Promote the need for Occupational Therapy to be a core offer within all Autism teams. Case Manager / Specialist Occupational Therapist Sandra.gasson@kent.gov.uk Sue Eltringham Case Manager / Occupational Therapist Sue.eltringham@kent.gov.uk 1 Autism Outcome Star 2 Pyramid of Learning (Triangle 2012) 3 Autistic Spectrum Conditions- Specialist Enablement Intervention The Basement - Senses Drawn from theoretical frameworks - Ayres, Mucklow, Erikson. Williams-Shellenberger Attic Learning and behaviour Academic learning, daily living skills Regulation of attention, social behaviour, self-esteem, self-control and self-confidence Sense of competence, belief in skills 2 nd Floor Communication & Emotional control Assessment communication & interaction skills Empowerment through activities and relationships sense of personal control 1 st Floor Assessment Motor & Processing Skills Interest / Roles Physical skills & Cognition Dependent Safe Trusting Basement Strong foundations needed Proprioception Social Workers Occupational Therapists (Muscles and Joints) Vestibular (Gravity sense) Psychologists Speech & Language Nurses Support Workers (Brown and Dunn 2002) Sensory Profile Senses Sight Smell Taste Hearing Touch Muscles and Gravity 4 Gasson Nurturing Environment 1

2 Interoception The 8th Sense Equipment (Mahler 2017) Good Interoception allows us to answer the question How do I feel? Unclear body signals make it hard to identify exactly how you feel. 7 8 Apps Weighted Therapy 9 1st Floor - Physical skills and Cognition Assessment of Motor and Process Skills (Fisher et al 2010) Below: The Motor skills an Occupational Therapist observes and scores. Body position Stabilizes Aligns Positions 10 Process Skills Below: The Process skills the Occupational Therapist observes and scores Sustaining Performance Paces Attends Heeds Applying Knowledge Chooses Uses Handles Inquires Obtaining & holding objects Reaches Bends Grips Manipulates Coordinates 11 Temporal Organization Initiates Continues Sequences Terminates Organizing space & objects Searches/Locates Gathers Organizes Adapting Restores Performance Navigates Notices/Responds Adjusts Accommodates Benefits 12 2

3 nd Floor Communication and Emotional Control Travel Training Assessment Communication Interaction Skills (Forsyth et al 1998) 17 Physicality Information Exchange Relations Contacts Gazes Gestures Maneuvers Orients Postures Articulates Asserts Asks Engages Expresses Modulates Shares Speaks Sustains Collaborates Conforms Focuses Relates Respects 18 3

4 Zones of Regulation Blue = REST AREA (Kuypers 2011) NAS - Socialeyes Sad, Sick, Tired, Bored, Depressed. Green= Happy, Calm, Feeling Okay, Ready to. Yellow= Frustrated, Worried, Excited Loss of some Control. Red= Mad, Angry, Terrified / Hitting, Shouting, Elated, Out of Control Outcome Star 12 weeks Technology Personal Communication Device Care Assist Bogus Caller Technology Smoke Alarms Epilepsy Bed Sensor Further reading. Key Message and Future Vision An open door at the right time. Seamless transition across all floors. Collaborative working between professionals

5 Questions Autism Outcome Star the Spectrum Star (2012, Triangle Consulting Social Enterprise Ltd. Used under licence). Ayres, J. (1979) Sensory Integration and the Child. Torrance, CA: Western Psychological Services. Brown, C. and Dunn, W. (2002) Adolescent / Adult Sensory Profile : San Antonio, Texas: The Psychological Corporation United States of America. Caws, A. ( 2011) Weighted Therapy Guide Book. Sensory Direct Duncan, E. ( 2011) Foundations for Practice in Occupational Therapy Erikson in Newman, B. and Newman, P. (2015) Development Through Life: A Psychosocial Approach 12th ed, Stamford United States: Cengage Learning National Autistic Society (2017) Socialeyes [Accessed on ] Fisher, A. and Bray Jones, K. (2010) Assessment of Motor and Process Skills.Vol.1 Development, Standardisation, and Administration Manual (7th ed.) Fort Collins, CO: Three Star Press. Forsyth, K., Salamy, M., Simon, S., & Kielhofner, G. (1998). A user s guide to the Assessment of Communication and Interaction Skills (ACIS). Version 4. Chicago, ILL: University of Illinois. Kuypers, LM. (2011) The zones of regulation: A curriculum designed to foster self-regulation and emotional control. Tennessee, Social Thinking, Inc. National Autistic Society (2016) Visual Supports. Available at: [Accessed on ] Schell, B and Scaffa, A. (2014) Willard & Spackman s Occupational Therapy. 12th Edn USA. Williams, M.S and Shellenberger, S. (1996) How does your engine run? A leaders guide to the alert program for self-regulation: Albuquerque, NM: Therapy Work, Inc. Mahler, K (2017) Interoception the eighth sensory system practical solutions for improving self-regulation, self awareness and social understanding. AAPC publishing: Kansas Further information Mucklow, N. (2009) The Sensory Team Handbook: A Hands-on Tool to Help Young People Make Sense of Their Senses and Take Charge of Their Sensory Processing 2nd ed. Ontario, Canada : Michael Grass House P.16. (House Metaphor) 27 Electronic white board available at [ Accessed on ] Pebbell v 2. Available at : [ Accessed on ] 28 5