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Autism in America

5/9/2018

1 Comment

 
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Backyard Development and Safety
for Families Living with Autism

Autism in America
 
According to a 2014 report released by the Centers for Disease Control and Prevention, 1 in every 68 children in the United States has an autism spectrum disorder. The evaluation of data taken from the health and educational records of all 8-year-old children in 11 states found a 30 percent increase in cases from just two years earlier. The term “autism” refers to a number of different conditions characterized by complex disorders of brain development that lead to neurological differences.
 
Generally, we define autism within three different types: autistic disorder or “classic” autism, Asperger syndrome, and pervasive developmental disorder not otherwise specified (PDD-NOS, also called “atypical” autism). Doctors and researchers do not yet know the causes of the developmental disability. A child with autism may begin to show signs and symptoms as early as infancy, but typically show up around age two or three. These “red flag” signs and symptoms include:

●      Not recognizing and responding to name by 12 months
●      Avoiding eye contact and socialization
●      Not playing “pretend games” by 18 months
●      Delayed speech and language skills
●      Not pointing at objects of interest
●      Trouble understanding or processing feelings
 
●      Echolalia -- a condition where they consistently repeat words or phrases
●      Providing unrelated answers to questions
●      Obsessive interests
●      Inability to handle minor changes
●      Unusual reactions to the way things sound, smell, taste, look, or feel
●      Repetitive physical mannerisms such as rocking their body

 
A Safe and Sensory-Friendly Backyard
 
Kids with autism spectrum disorder are extremely sensitive to various sensory stimulations, including lighting, sounds and smells, and the movement of their own bodies through space. Because of this, parents seek to create sensory-friendly spaces throughout the home to accommodate their child’s needs. However, you can’t stop with the indoors. Creating a sensory-friendly backyard encourages health play while keeping your child safe and happy.
 
A sensory-friendly space needs two sections: one for movement and play and one for quiet and relaxation. Work with your landscape to find natural spots for each section. If you don’t have a lot of space, you don’t have to ensure they are equal. The space for quiet and relaxation can be as simple as a homemade fort in the corner where your child can be alone and collect himself when feeling upset or overwhelmed.
 
If your home has a pool, go above and beyond with safety measures that prevent summer accidents. Install a pool alarm that goes off if someone enters the area without warning. A simple code lock on the entrance gate prevents children from getting past the barrier at all. Use a safety cover that keeps people and animals from falling in while dust and debris stay out.
 
Set up a number of sensory-friendly activities in the backyard that encourages your child to spend time outdoors playing. Many families use gardening as a way to connect and bond with children on the autism spectrum. Gardens are naturally calming. Working with the earth and seeing plant development provide important sensory experiments. Plus, gardening is good for both the body and mind. Designate a patch of earth where you can plant vegetables, herbs and flowers and provide your child with his own gardening equipment such as a watering can, garden gloves, a trowel and labels to mark which plant is which.
 
***
 
Millions of American children live with autism spectrum disorder. As autism makes children sensitive to sensory stimulations, it is important to curate the home in a way that comforts the child while also promoting mental development. A sensory-friendly backyard safe from harm is a great addition that encourages play for physical development, as well.

​Article by Danny Knight

 


1 Comment

My Son Milo

12/1/2017

3 Comments

 

Milo was diagnosed with autism at 2 years and 10 months. The diagnosis didn't come as a surprise us as we had previously been reading about autism and knew that Milo had it.
As a baby he wasn't that interested in holding your gaze like other children, and as a toddler would spend time lining up shells and empty Easter egg plastic shells. He was also a late talker and the words he did speak were often repeated words which is termed echolalia. He was also very bright and knew the alphabet very early as well as learned to read early. But it was numbers that he loved the most.  Math is something that always came naturally to Milo and something that is common for those with autism. One day when Milo was 2, a friend was over and observed Milo playing and lining up and mentioned that that wasn't normal play for his age, which took me completely by surprise as I knew nothing about the condition before that. From that point on we started researching autism. It was a stressful time, but I knew I had to do something to help him and came across Stanley Greenspan's developmental intervention DIR/Floor time. This struck a chord with us as the parent/s could do a lot at home helping their child reach developmental milestones through play. Letting the child lead with their interests then slowly expanding their play to try and reach the 6 developmental capacities which are:
1: Self-Regulation and interest in the world
2: Engaging and relating
3: Purposeful two-way communication
4. Complex communication and shared problem solving
5: Using Symbols and creating emotional ideas
6: Logical thinking and building bridges between ideas

These can be worked on using play. It required about 8 sessions of 20 minutes a day which was necessary to help make gains in his development but was exhausting too. We started using these strategies a month or two before his diagnosis but at first it was hard to know if we were doing it correctly so a couple months later we hired a Play Project consultant to help us use some Floor time strategies to be more effective with Milo during these sessions.
In addition, I looked for and found a Floortime certified Occupational Therapist he could see, and found one at the Children's Therapy Unit in Puyallup, so he started seeing her a couple months after diagnosis and she was an incredible help and would coach us in Floor time as well as our Play Project consultant. Milo still sees his OT at CTU to this day.
In addition to OT therapy he also started seeing a speech therapist once a week.

Gradually we saw Milo engaging more with us and moving up some of the developmental milestones. We would work a lot on pretend play which was always the hardest for him, and he would never normally initiate this play himself. As this was something he didn't do as much of when he was young it explains how he continues to still struggle with comprehension as pretend play is the foundation of reading comprehension and in addition; pretend play has many benefits for social development, which is why it comes harder for some with autism. However, he would do some pretend play (mostly with me, and occasionally by himself) and would show flexibility and more engagement.
Children with autism like to engage in perseverative and repetitive activities, one reason is it can help them self-regulate and soothe themselves and they need some kind of sensory input to cope. Milo was no different with this, but he would do it less as he came out of his own world more. Milo found it easier to engage in more structured play. He loved playing board games, and this was another way to engage him. He learned chess pretty young which he still plays now and has since won a trophy at every tournament he has been to.

Milo has been attending school since he was 3. He first started at a developmental preschool 4 afternoons a week, then the year after he was still in that school and I also enrolled him in a regular morning preschool, so he could get more typical peers around him. Social interaction with peers has been a challenge for him. He would rarely engage verbally with peers and only parallel play with them. Collaborative play (especially with pretend play) has always been challenging or mostly non-existent. The reason those with autism struggle as they enter school is they often haven't learned the 1-6 developmental milestones that typical children would have learned coming into the school setting in order for them to engage with peers and take part in activities.
Thankfully for Kindergarten Milo was accepted into the EEU which is the University of Washington school for special needs kids. It is a superior school with great support and teachers and where children with special needs can also learn alongside typical peers in their class. Milo had a great year there and then moved onto this current school: Pathfinder K-8 in West Seattle. This option school which is part of Seattle Public Schools has a slightly higher number of special ed students. As he entered 1st grade though there was a lack of support compared to the EEU and he was in Gen Ed with resource room so did not have a lot of aide time overall.
 
 Navigating the school system is often challenging and takes a lot of advocating to get the care necessary. After the end of his 1st year there we decided to hold meetings, so he could repeat 1st grade as he made limited social progress that year. All the teachers dissuaded us from doing this, but we held our ground and they agreed to let us do it. It made total sense as he was a very young Kindergartener and we would have had him do one more year in preschool but as he got into the EEU we decided not to. It was the best decision we made as his 2nd year of 1st grade was so much better, and he made two friends in that class that he still has today.

In second grade they brought the Access Program to his school which means he has more aide time and a bit more support in the classroom. During his time at Pathfinder he has been blessed with really supportive and experienced IA's and speech therapists and his Gen Ed teachers have also been pretty good. He continues to do very well in Math, and is an excellent speller with good penmanship. His challenges continue with making new friends and engaging with his classmates as well as executive function and reading comprehension.
Advocating is always a key part of supporting Milo through school and its often making sure the special education department is following through on the goals and minutes received in his IEP. It's easy as a parent of a special ed child to seem like the intense annoying parent, and it takes learning to get the balance between requesting for feedback and sharing info and having an amount of trust that they are doing as much as they can be. There have definitely been some difficulties with this during his time at Pathfinder and advocating continues to be a learning experience.

There is always an underlying stress involved in bringing up a child with autism and I would say the biggest challenge with Milo is life at home with him. He is now 11 and in 5th grade and as he gets older the challenges seem to increase. He is a compliant child at school but at home it's another story. He knows he can "let his hair down" and be himself and so is always testing boundaries. He was also diagnosed with ADHD a few years ago so parenting a child with multiple diagnoses is much more stressful and requires more specific tools.
Milo has many talents. He has been playing piano since he was 4 and has perfect pitch. He is a great chess player and also an artist. He loves cars and that interest led to him making car paintings. We turned some of these into posters and he sold many and also made commissions for people in the last year as well as has his own greeting cards with another company. Milo often goes through phases though, and will be really into something for an amount of time then move onto something else. His specific interests can end up being very productive (like the car painting business) or of a more repetitive or hyper focused nature and trying to encourage him to do more variety often comes with resistance.

On the subject of behavior - he will often do things he shouldn't and also be very impulsive with a lack of self-control, then be told not to keep doing something but keep doing it anyway. And also do things that he 'seems' to know can be very annoying. One issue with that is not being good at perspective taking and understanding how his behavior affects others. He is able to see how his peers behave and if they act out at times but not as good at seeing it in himself.
 
He will also over react to very small issues, like not being able to find something, or if there is any kind of small issue that makes him uncomfortable. Some of this is caused by his difficulty with solving problems and executive function as well has his emotional challenges.
This inability to determine between big and small problems causes his response to be too big to a small problem. In fact, dealing with any kind of anger still mainly comes out in actions rather than words. Stomping feed hard, or trying to pinch me or push me.
These things are very discouraging and concerning considering his age and how he will function as a teenager going into adulthood but is something I continue to try and help him with using tools learned at social groups with therapists, involving daily discussions about how he can work on using words and calming strategies. But it can be slow progress.

As a parent it can be easy to focus on the challenges and negatives too much rather than seeing the many gains and positive stages in development. Milo for sure has worked hard and made incredible progress through the years and there continues to be some wonderful and encouraging times and moments. These progressions can sometimes be baby steps and for any parent bringing up a child with autism it involves patience, love, time engaging together, using targeted tools and having enough support and coaching from others.
I am not sure what the future holds for Milo, but I pray and hope he will grow up to be a healthy, independent and functioning adult, who is able to have meaningful relationships with others. 
For any parent, it's important to take it a day at a time and take care of yourself so you are able to put the necessary care into supporting your child progress, grow and reach their potential.
​
​--Sarah Wright

You can follow Milo on his Instagram page: @mwpaintings
  
3 Comments

Joel - A Story About Autism, Courage and Hope

11/6/2017

0 Comments

 

​       Did you know that the definition of COURAGE is having the strength to overcome fear and carry on against difficulties? Doing what you are afraid of! When I think of courage, I think of my son and all the other people on the AUTISM spectrum, they are the most courageous people I know! 

​       Joel was diagnosed at the age of three.  It seemed that overnight he went from a calm, happy child to one who was screaming all the time. We felt like someone had kidnapped our beautiful boy and we just wanted him back. Our world was turned upside down trying to find the answers to help our son. Everyday was spent doing therapy, seeing doctors, and putting into practice what we had learned. It amazed me the perseverance Joel had through it all, even though we continually pushed him to grow. He was diagnosed with severe anxiety at age 5 y/o, at this point we couldn't take him anywhere without him having a panic attack. This had a lot to do with his sensory processing disorder that comes along with autism. This is a condition in which the brain has trouble receiving and responding to information that comes in from the senses. For Joel everything was painfully loud, bright, dizzying to look at with too much information coming at him, (think teacups at Disneyland, on super speed with bright lights and loud music!), it was too much. Thankfully Joel has bravely made so much progress in this area, and we are so proud of him.

       I always knew Joel was bright and intelligent, even though it took him longer to talk he still learned the alphabet and would form all the letters out with sticks, rocks, or toys! He was SO curious, always wanting to learn new things. School was always a challenge for him, dealing with the sensory issues, (remember the teacups, now add little children to the equation!), and he was also diagnosed with ADHD, dyslexia, and dysgraphia (writing disability).  The school district just did not have the ability to help him, he left feeling “stupid” and having gained anxiety issues about school. Joel entered another school for two years that had special education, here he did learn to read but was bullied, and the school disregarded him as “unable to learn”. I absolutely knew this was not true and that we just had not found a school that knew how to teach him correctly! I stepped out in faith on that slim thread of hope and found another school for Joel. The second year he was there he went up THREE grade levels in all subjects!!!  He stopped saying he was stupid everyday and grew in confidence! Wherever you are at there is always HOPE, don't give up!

Joel has a very sweet, gentle, and generous nature. He always amazes me with how willing he is to freely share with others. Unfortunately, some take advantage of this.  Joel was assaulted on the school bus this year, which led to some crippling anxiety. When we notified the school of what was happening, though they found video evidence, they did not remove the offender from Joel's classroom.  Because of this he could continue harassing Joel in the classroom setting.  At this point we were advised by Joel's Dr. that we needed to remove Joel from this school, that he was having a PTSD like reaction from the assault and continued bulling, without support from the staff. It's hard to express just how painful it is to watch your child suffer like this. I knew I could not give up hope, as previous experience had taught me, the answers were out there and God would be with us.

​We were so grateful to find Brightmont, where Joel could learn in a 1:1 setting and thrilled that they had a scholarship through TeamWinfrey. Through there are still challenging days ahead of us, the future now seems possible. We feel hopeful that Joel will have a safe place to continue his education while he recovers. Thank you for taking the time to read this and supporting those on the spectrum! If we all do a little we can change the world, one kindness at a time.  

-- Julie Eigsti
​
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