Autism and Early Intervention
I created this pamphlet in order to explain autism and early intervention in autism more in-depth
What is autism?
Autism is a lifelong, neurological disorder. Autism is a spectrum disorder, meaning its symptoms range from mild to severe, depending on the individual. According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, a diagnosis of autism entails:
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Poor social skills
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Poor communicative skills
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Onset before three years of age
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Stereotyped (ritualized) behaviors
(Richard, 1997)
A child with autism may also have impairments regarding:
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Sensory integration
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Fine and / or Gross Motor Skills
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Play
How do I know if my child has autism?
(This list should not serve
as a substitution for a diagnostic evaluation. These are
simply indicating factors. If your child demonstrates
several of these characteristics, contact your pediatrician.)
Does your child. . .
exhibit unusual play behavior?
Children with autism usually engage in repetitive
self-stimulatory behavior; they may appear as if ran by a motor.
They show little to no interest in pretend play.
Is your child . . . socially aloof? By the first year, your child should be exhibiting a social smile, and showing particular interest in the human face. By the first year, he/she should be babbling and using simple gestures; by the second year, he/she should have developed some sort of gesture system, and should utilize speech communication. (Including some two-word utterances.) Children with autism prefer to be alone.
Does your child. . .
appear withdrawn from reality? Many children with autism have an ". . . empty gaze. . . and lack of emotional expression" (Beauchesne & Kelley, 2004, p.58) Others appear indifferent to auditory stimuli, which is why some parents first suspect a child with autism is deaf.Does your child. . .
display odd visual fascinations? Does your child appear more intrigued by an airborne speck of dust than his/her toys, or the people around him/her? (Beauchesne & Kelley, 2004) Also contact your pediatrician if. . .Your child is not meeting the appropriate developmental milestones. (Go to www.firstsigns.com for more information)
Your child
appears to lose skills he/she had previously
Why is an early
diagnosis so important ?
The sooner a child is diagnosed, the sooner treatment can begin—and time is of the essence. While there is no cure for autism, research shows early intervention is the key to giving these children a better quality of life. “Since it is imperative to intervene early with these children to achieve optimum improvements, it is essential that parents and providers be aware of these early signs” (Beauchesne & Kelley, 2004, p. 58)
What kinds of early intervention are available?
Many programs utilize. . .
Developmental intervention :
Developmental intervention refers to child-directed approaches. An adult (trained to effectively respond to a child with autism) will engage in interactive play activities with the child several times a day, gradually enhancing the child’s ability to imitate, to take turns, and to hold attention.
(Corsello, 2005)This model emphasizes the personal connection between the adult-and-child, which hopefully “...lead[s] to the mastery of cognitive and developmental skills” (Corsello, 2005, p. 82)
Applied Behavior Analysis :ABA “...includes a number of...intervention strategies based on behavioral principles and programs based on behavioral principles” (Corsello, 2005, p. 79). Behavioral therapy is very structured and is based on providing children either negative or positive reinforcement.
The discrete trial format is one strategy based on applied behavior analysis. (Janzen, 1999). "It is an interactive sequence that includes a cue, a response, and a consequence, followed by a brief pause..." (Janzen, 1999, p. 72) This is the sequence it entails: cue, response, consequence. The instructor might say “ Do this ” and touch her head. The child will touch his/her head, and the teacher will offers some sort of reward, either a tangible reinforcer (e.g. food, toy) or a social reinforcer (e.g. hug, praise.) (Janzen, 1999)
Incidental teaching is another strategy based on applied behavior analysis. It involves “...taking advantage of teachable moments” (Janzen, 1999, p. 75)
We might have to rearrange the environment and place something the child wants out of reach. If the child wants a stuffed animal, we might put this toy on a high shelf. The child appears to want the animal and stretches his/her arms out for it. The instructor may say, “You want the dog. Here is the dog.” Or she may say, “You want the dog. Say ‘dog.’” Before providing the dog as a reinforcer, the teacher will expect some sort of of response, even if just the first sound of the word. (Janzen, 1999) "Over the past three decades, consistent and systematic research projects have demonstrated the utility of the behavioral approach, and many recent, larger-scale outcome studies have consistently demonstrated that this approach yields significant benefits for children with autism" (Maurice, 1996, p.195)
References:
Beauchesne, M., & Kelley, B. (2004). Evidence to support parental concerns as an early indicator of autism in children. Pediatric Nursing, 30(1), 57-67. Retrieved October 2, 2005, from the Academic Search Premier database.
Corsello, Christina M. (2005). Early intervention in autism. Infants & young children: An interdisciplinary journal of special care practices, 18(2), 74-85. Retrieved October 2, 2005, from the Academic Search Premier database.
Richard, G. (1997). The source for autism. East Moline, IL : Linguisystems.
Janzen, J. (1999). Autism: Facts and strategies for parents. United States : Therapy Skill Builders.Maurice, C. (Ed). (1996). Behavioral intervention for young children with autism: A manual for parents and professionals. Austin, TX : PRO-ED, Inc.