Higher Obesity Rates in Autistic Children

We already know that rates of obesity have been on a steady rise in the US. As we become more health conscious, researchers have begun noticing trends in weight gain when it comes to children and youth on the autism spectrum. Using a large patient database from the Massachusetts General Hosp Researchers looked at 6672 children, ages 2 through 20 years old, and found 2075 with autism, 901 with Asperger’s, and 3696 typically developing to use as a control. They calculated the body mass index (BMI) of each child using their last recorded weight and height and then calculated the differences between the groups. Twenty three percent of children with autism and twenty five percent of those with Asperger’s were obese and another fifteen percent and eleven percent, respectively were overweight.

In the control group they found only 6 percent of the kids to be obese and 11 percent overweight. “ We found significant differences at the youngest age category (2-5 years old) and persisted to the oldest age category,” Sarabeth Broder-Fingert of the Massachusetts General Hospital for Children and her colleagues wrote in this study, published in the July-August issue of the journal of Academic Pediatrics. 

Researchers have yet to identify the reasons behind the differences we see in these two groups, however, they say further study should examine how much time autistic children spend doing individual activities that don’t require moving, their access to physical activities and their physical abilities, and heir eating habits especially when it comes to food being used as a reward. Just earlier this year the Center for Disease Control and Prevention found obesity to be 50 percent more prevalent in adolescents with developmental disabilities and that those with autism face the greatest risk.

Many therapists and newer studies are finding that movement and exercises can have therapeutic results for children on the spectrum. Improvement in motor skills can have other positive impacts for children who struggle with communication even. This obesity disparity will be important to research and understand as we continue to develop best practices for those on the spectrum to lead happy and successful lives. 

 



For All the Moms with Autistic Children

Having a child or children with autism spectrum disorder can be hard on families, but can be especially hard on the immediate caregivers. Studies have shown that parents of children with developmental disabilities experience higher stress levels than caregivers of children without disabilities. And though we pay much of our attention to the needs of these children and ways to make sure they have the same opportunities as the rest of their peers, we cannot forget the daily efforts being made by their caregivers provide the best. Researchers say that more attention ought to be paid to the unique needs of these parents.

In a recent study published on Monday in the journal Pediatrics looked at how providing mothers of kids with developmental disabilities the resources to manage their stress can actually go a long way towards reducing depression and anxiety. Elisabeth Dykens of the Vanderbilt Kennedy Center for Research on Human Development, and her colleagues led the study where they provided two treatment programs and found that weekly training sessions with trained mentors had a positive impact on helping them interact more constructively with their children. Assessments taken before the study of the 243 mothers showed that 85 percent had elevated levels of stress, 48 percent were clinically depressed, and 41 percent had anxiety disorders.  After completing just six hour-and-a-half long sessions, the mothers in both treatment groups were already less stressed, less anxious, and less depressed, leading to better sleep patterns and overall greater life satisfaction.

The mindfulness-based stress reduction program included breathing exercises, deep-belly breathing, meditation, and gentle movements. The other program, called positive adult development, focused on exercises that promote gratitude, forgiveness, grace, and optimism, in an effort to temper emotions such as guilt, worry, and pessimism. These programs were all conducted by other mothers of children with developmental disabilities who received four months of training on the programs. The mothers in the stress reduction program actually showed the most overall improvement, though both groups saw improvements even after the six month study ended.

“The well-being of this population is critically important,” Elisabeth Dykens says, “We have a looming public health problem on our hands.” A mentally healthy caregiver will have better results in providing for their autistic child and it’s important to also include their well being in the context of creating brighter futures for our children. 

To read the orignal study, click here



Autism & Severe Problem Behavior: What Do We Do?

Some children on the spectrum experience very severe problem behavior, that includes causing themselves great physical harm or causing others harm, which poses a real challenge to parents, doctors, and educators alike when it comes to treatment.  Earlier this month a California couple was accused of keeping their 11-year-old autistic son in a cage, which elicited a lot of criticism and debate over how to best take care of those children who unfortunately engage in this behavior. Amy Lutz, the author of Each Day I Like It Better: Autism, ECT, and the Treatment of Our Most Impaired Children, and a mother of a severely autistic son, talks about how people are quick to judge when it comes to taking care of your child. Her son’s aggressive behaviors were so dangerous that he has to spend ten months at the Kennedy Krieger Institute at just nine years old. Without knowing the details and context for these parents accused of caging their own child, we can’t really say whether this was a form of abuse or maybe a short-term solution to a very difficult challenge.

Dr. Gregory Hanley, Professor of Psychology at the Western New England University and adjunct Professor of Psychiatry at the University of Massachusetts Medical School, gave a dynamic and informative workshop about how to assess and treat severe problem behavior for children with ASD at ICare4Autism’s International Autism Conference. He talked a lot about using effective and safe methods as a behavioral analyst to not only help children on the spectrum, but also making sure to treat them as an individual with dignity and respect. Much of the problem behavior that he used as examples throughout the workshop included children who would throw tantrums, or engage in self-harming behaviors, and even trying to physically harm others.

The method he described to work through these behaviors is called functional assessment. He then provided a few qualifications and adjustments to the way behavioral analysts used to and still do functional assessments. Many behavioral analysts can be afraid for their safety or the child’s especially if the case is one of producing physical injury. Dr. Hanley argues that with the right method and approach, the analyst can provide a safe environment that allows them to learn essentially what it is that causes the problem behavior. Functional assessments like the ones that Dr. Hanley described are just ways in which behavior can be treated, however, there are other cases where the problem behavior is in fact a mental issue that requires medical treatment. The medicine available today includes anti-depressants, anti-seizure drugs, or in extreme cases electroconvulsive therapy. 

We hope that as this field of research continues to grow, we can come to a better understanding about the individual and how to help them lead more successful lives. To see Dr. Hanley’s presentation slides used during his workshop, click HERE.



Study Supports Personalized Interventions & Tablet Use

Researchers at UCLA found that children with autism who face bigger challenges when it comes to speaking and communicating can actually develop those skills through personalized interventions and the use of tablets and apps. The study spanned over three years and looked at 61 children on the spectrum ages 5 to 8.  About 30 percent of children on the spectrum do remain non-verbal or minimally verbal even after years of intervention.

For the study, each child received communication therapy that focused specifically on social communication gestures as well as play skills and verbal communication, for six months. Then half of the children were randomly selected to use speech-generating apps for the majority of their session time. Therapists would work on communication therapy with the child and also use the apps where, for example, a child could tap a picture and the audio of the name of the picture would play. They found that using the apps during therapy was more effective that communication intervention alone. Children who had access to the tablets and learning apps were more likely to use language spontaneously and socially. 

Connie Kasari, professor of human development and psychology at the UCLA Grad School of Education and professor of psychiatry at UCLA’s Semel Institute for Neuroscience and Human Behavior and senior author of the study, says “It was remarkable how well the tablet worked in providing access to communication for these children. Children who received the behavioral intervention along with the tablet to support their communication attempts made such faster progress in learning to communicate, and especially in using spoken language.”

The researcher also followed up with the children three months after the initial study and found that their improvements were consistent during that time. This was the first study that used multiple assessments and catered the interventions to according how each child responded.

This past ICare4Autism International Autism Conference highlighted ways in which technology could be beneficial for those on the spectrum. To see the slides for some of the speakers, click HERE.



Be Safe Campaign Teaches Life Saving Skills

Emily Iland is the mother of her 30-year-old autistic son, who has grown into an independent and productive member of society. He lives on his own, holds a college degree, and works as an accountant. Before he was independent though, his mother spent many years advocating on his behalf. Now that her son is independent she is pushing to train autistic students, young adults, and adults alike on how to appropriately react to being stopped by a police officer.

People on the spectrum are actually seven times more likely than someone not on the spectrum to be involved with law officers as a victim, witness, or offender. In these interactions, autistics may act inappropriately, misread social cues, or become overwhelmed in a stressful situation.

Since 2007, Illand has been trying to train Los Angeles Police Department officers on how to recognize and interact with people who are on the spectrum. However, as much training as she would give the LAPD there was only so much they could do. “The police told me something,” she says, “If someone runs, you have to chase them. If someone puts their hand in their waistband, they have to assume they are reaching for a weapon. Even if they know that the person has autism, they have to respond to what they see.” This feedback made her realize the importance of training those on the spectrum, the appropriate skills to deal with law enforcement scenarios.

As part of her “Be Safe” campaign, Iland gives a few simple tips; don’t reach into your pocket, stay calm, show them your hands, if you are handcuffed or put into a patrol car try to be quiet, patient, and still, and if you are arrested make sure to tell the officers you have a disability and would like to speak to a lawyer. The “Be Safe” campaign included a DVD that features young people with autism role-playing police encounters, as well as a guidebook for parents, teachers, and counselors.

The video is based on real life cases where autistic individuals were misunderstood by law enforcement because they didn’t react with the appropriate social response, thus putting themselves in unnecessarily dangerous situations with the law. One mother, after watching the video, said about her autistic son who just got his license, “I worry about him all the time. He needs to know what to expect and how his actions are being perceived by police officers. He needs to know not to run, not to panic. I need to be able to trust his to let the officers do their job.”

Ever year, approximately 50,000 teenagers on the autism spectrum enter into adulthood and more recently because of expanding therapeutic services and programs, are able to enter the workforce, get a driver’s license, and be a part of mainstream society. It will be increasingly important for young adults, especially, who are on the spectrum, to have the appropriate skills to allow them to be safe and stay safe.

To read the original article, click HERE



New Program Helps Autistic Students Gain Work Skills

(Al Hartmann | The Salt Lake Tribune) Christopher Charles, left, and Steven Sargetakis work on computers with SketchUp Make, a 3D modeling program.

The University of Utah and Columbus Community Center are testing a pilot program that hopes to help people on the autism spectrum gain work skills and become an important part of the workforce. The program was started by NeuroVersity, a company whose aim is to give students the appropriate training and skills that can translate towards productive careers. Ten high school students were selected by their high schools to take part in the program.

SketchUp Make is a 3D imaging software that was developed by Google and is used in construction, architecture, urban planning, and video game designing companies. Natalie Gochnour, associate dean for the University of Utah’s David Eccles School of Business, says, “In economics, we’re always looking for investment and productivity. That’s when we grow. People with disabilities bring a very unique skill set, very valuable skills.”

For sixteen-year-old Mason Dimock, who is able to focus in on one subject, is a visual and spacial thinker, and is interested in technology, the program is something that he seems to actually enjoy. “I think it’s a great program. It not only helps you with SketchUp, but it helps with social skills too[The software] is good for architecture. You can make pretty good money; they use it for construction.”

In the first week of the program, the students were able to design their own creations, which included trucks, tanks, dragon worlds, 260-house neighborhoods, and raceways. The organizers from Big-D Construction told the boys, “If you want to come back next week, you’ll be able to work on a real project and get paid.” All ten boys showed up the following Monday ready to get to work. Mike Plaudis who works for Big-D Construction and also has a son with autism, trained the students on the basics of design building, including converting a 2-D drawing of a building to a three-dimensional blueprint. 

Mason’s mother, Denise Dimock says, “The entire experience has been magical. It’s empowered him.” She explains that being around kids who have the same interests as him has allowed Mason to gain confidence about his talent and work. He has even presented his project to an audience of about 15 people. 

ICare4Autism’s past conference addressed their own goals to drive global workforce initiatives as well as other local initiatives being taken by other companies such as Walgreens, Freddie Mac, and Specialisterne.  The conference speakers highlighted ways in which we can change our thinking in order to address the growing need for jobs for the autistic community and also how students on the spectrum are willing and able with a variety of skill sets to bring to the table. This pilot program with NeuroVersity is a great example of how these efforts really make a difference in the lives of those living on the spectrum.



Summertime Safety

Keeping an eye on your child can be a challenging task especially now that summer is here and kids want to play outside or go to parks and beaches with their families. This task can be especially challenging for families with autistic children. And water safety concerns are also particularly heightened for families of children with autism, says Varleisha Gibbs, OTD, OTR/L, occupational therapy professor at University of the Sciences in Philadelphia.

“Although water safety is a concern for all parents, children with autism are especially at a higher risk fordrowning because they may seek isolation by fleeing to unfamiliar territories,” says Dr. Gibbs. Drowning actually accounted for approximately 90 percent of the total U.S. deaths reported in children with autism ages 14 and younger, according to statistics from the National Autism Society. Research shows that about 50% of children with autism tend to flee or escape a safe environment and put themselves in dangerous situations. Dr. Gibbs outlines some tips for families during this hot summer:

  • Learn to swim: enroll your child in swimming or water safety classes as soon as possible
  • Visual learning: Use videos and images to talk to your child about water safety
  • Display reminders: if your child responds well to visual cues, consider posting signs on doors that lead to outside such as STOP or DO NOT ENTER, or even a hand signaling “stop”
  • Key information: Make sure your child knows his or her name, address, and phone number in case of an emergency. If they are nonverbal, they should wear a bracelet or have theiridentification information on them at all times.
  • Avoid sensory-overload: Try to prepare your child ahead of time for what they can expect as they enter a new environment such as a beach or theme park.
  • Alert others: Communicate with your neighbors and others in your community to alert you immediately if they see children wandering by themselves. 

“Swimming and aquatic therapy is actually a wonderful sport for children with autism because it can address many of their body’s sensory and motor needs. By preparing and communicating with your child with autism, family, and friends, summer trips and activities can be much less stressful and more enjoyable,” says Dr. Gibbs.



Using Technology as a Tool for Skill Development

Dr. Dana Reinecke Presenting at 2014 ICare4Autism Conference

Dr. Dana Reinecke gave a presentation at the 2014 International Autism Conference titled, “Technology Opens Doors for Students of All Ages on the Spectrum” where she discussed the best ways to use different aspects of technology to help those on the spectrum. She also discussed the reasons and situations where technology might not be so helpful and even so far as detrimental to a child’s development. For example, if the technology you are using does not actually meet a particular need that you may trying to address, if it becomes more of a distraction than it is helpful, and if it is too expensive and time consuming, then using technology may not be the best choice in your situation.
Another important point she was about using technology as a replacement for social interaction or as a babysitter for your child. Using technology too much and to the extent where it is being used in place of any other types of exercises can be counteractive towards the progress you are trying to make with your child or student.
​Young adults need to have social skills in today’s world to be able to ​maintain a job make personal decisions that are helpful and beneficial for their lives. Individuals need to be able to negotiate with others in order to have their needs met, which can be an especially difficult thing for people on the spectrum as many of them process the environment differently than we do.
​She also stressed the increase of autism diagnoses and rising need for different kinds of treatment and therapies to help people on the spectrum lead productive and fulfilling lives. Dealing with the stresses of daily life, the working life, the young adulthood life can be overwhelming for people who are not on the spectrum, and for people who are these could be disabling for them as they need certain skills in order to thrive in today’s social and tech savvy society. ​
Teachers, parents, and therapists all listened in to learn ways in which they could use technology to further their goals in teaching students on the spectrum different skills. She made sure to provide examples of sources as well as her own program design that people can create themselves to focus on specific needs. Overall, Dr. Reinecke was able to convey alot of useful tools for the audience.


Creating New Understanding around Autism Spectrum Disorder​

Dr. Stephen Shore presenting at 2014 ICare4Autism International Autism Conference

On Day 3 of the 2014 ICare4Autism International Autism Conference, Dr. Stephen Shore, assistant professor in the Special Education Dept. at Adelphi University and ICare4Autism Advisory Council member, gave a presentation of Autism and the Arts: Movement, Music, and the Sensory System. In his presentation he engaged audience by having them participate in an activity that would help them better understand what it means when autistic people experience sensory overload.

In groups of five, audience members chose one person to “have autism”, while the other people in the group were told to read loudly, tap the person’s head, scratch their necks, etc. The person designated to have autism’s goal then was to listen carefully to a passage being read to them by one of their group members in order to answer questions about it after. At the end of the activity, the audience shared their experience and feelings.  Many of the responses included feeling overwhelmed and annoyed, feeling the need to lash out or run away, and just an overall sense of loss as to how to appropriately complete their task and focus. 

The first step to helping an autistic person really is to understand the hows and whys of their feelings and actions. Behavioral therapists do a good job of this as they assess why children react or act out in certain ways and in turn, develop ways to help translate these behaviors into something productive. Dr. Shore’s demonstration let the audience have a glimpse into an autistic person’s mind who is suffering from sensory overload.  With that understanding comes the ability of the parent, teacher, therapist, or other professional, to better deal with and help the individual on the spectrum. 

Dr. Shore focuses on music therapy as an important creative outlet for students on the spectrum.  He has developed his own ways of teaching music that is tailored to the meet the needs of autistic individuals for example by having his students engage in a more visual and creative learning process. ​Another main point of his presentation focused on the way movements and your ability to understand the environment is an imperative part of helping people on the spectrum gain control of their bodies and minds. Research has shown that o​nce you have control over your body and understand your environment, you are able to function and communicate more effectively .

Overall, Dr. Stephen Shore left the audience with a renewed sense of creativity and some important lessons in learning how to address the needs of people on the spectrum so that they are able to succeed in mainstream society.



Making Global Connections at Shema Kolainu

Dilara Mitu discussing how to help poverty stricken children with disabilities in Bangladesh with Dr. Joshua Weinstein, CEO & Founder of Shema Kolainu & ICare4Autism

Today Dilara Mitu, Managing Trustee and Director of the SEID Trust took the time to visit Shema Kolainu in the hopes of starting a collaborative relationship and learn some best practices used at the center. The SEID Trust is an NGO in Bangladesh that is a voluntary development organization working towards promoting the rights of underprivileged children with disabilities, especially those with ASD. It specifically serves poverty stricken children within the community who need the resources the most; they do this through their own fundraising efforts, as they are not publicly funded.

Ms. Mitu met with Dr. Weinstein, CEO & Founder of Shema Kolainu and ICare4Autism, to discuss ways in which she could help the children and the larger community that she serves. After attending the 2014 International ICare4Autism Conference this past June 30th thru July 2nd, she says that she was able to learn a lot. When she heard about the conference there was no doubt in her mind that it would be worthwhile. She says the expenses that she paid to make the trip was nothing compared to the insights and knowledge that she gained from the 3 days. She especially enjoyed the presentations by Anat Baniel and Martha Herbert who gave her different perspectives in which to learn about ASD and best practices.

Ms. Mitu has a strong belief in simply having faith in children and promoting their abilities so that they can be productive members of society similar to Shema Kolainu and ICare4Autism’s goals. Dr. Weinstein was enthusiastic to learn about her organization’s commitment to giving autistic children a voice of their own and also listened to many of the challenges they faced in doing so.

After having an constructive discussion, she was then given a tour of the center so that she could see for herself the practices they had discussed. Overall we are excited to have another organization reach out and are more than happy to share resources. ICare4Autism is dedicated to its mission of collaborating on an international level so that people on the spectrum are able to live more fruitful and happy lives. We thank Ms. Mitu for her visit and will be keeping in touch!