Autism Now - Autism Edmonton
Transcription
Autism Now - Autism Edmonton
Autism Now aut um n 20 07 volume 20, number 3 AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org BOARD OF DIRECTORS AUTISM SOCIETY OF EDMONTON AREA EXECUTIVE PRESIDENT VICE PRESIDENT TREASURER SECRETARY Dr. Deborah Barrett Terry Harris Ryan Guenter Jean Ashmore DIRECTORS Laurie Adam Leanne Forest Mark Lynch Andy Sung Karen Phillips Alan Wagner Amy Bourne Dr. Keith Goulden Shane Lynch Anh Ong Charlene Prochnau Articles, opinions and events in this newsletter do not necessarily imply the endorsement of the autism society of edmonton area and are printed for information only. The editors of autism now are Deborah Barrett and Roman Sokolowski. AUTISM SOCIETY OF EDMONTON AREA #101, 11720 Kingsway Avenue Edmonton, AB T5G 0X5 (780) 453-3971 / (780) 447-4948 email: [email protected] website: www.edmontonautismsociety.org Ad rates are as follows, please phone the society for ad placement Full Page: $200 Half Page: $100 Qtr Page: $50 Printed by SWARM Enterprises PM# 40020698 The Autism Society of Edmonton Area is a non-profit organization founded in 1971 by a concerned group of parents and professionals. The society’s mission is to create a community where individuals with Autism Spectrum Disorders are valued and can achieve their full potential, and to help families support their loved ones with autism throughout the lifespan. whe 1 AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org ess beg n i pp a h re ins President’s Message Deborah Barrett Recently, a couple of friends told me that if they didn’t know my son Anthony, they wouldn’t know anything about autism. I found this distressing. Because I am sensitized to autism, I seem to see lots of information, but the average person is not aware. The average person doesn’t know what autism is or how it affects a child or adult. And because people with autism do not look any different (except that maybe they’re cuter), most people would not recognize a person with autism if they came face to face with him or her. Nor does the general public know the stresses and strains that having a child with autism places on the family. Children with autism generally grow into adults with autism, and the lion’s share of care and responsibility continues to rest with the family. Who but a small circle of family and friends knows? Because of this, ASEA is taking steps to inform the public about autism. We planned a mini-public awareness campaign for late October and early November, featuring print ads created for us by Backstreet Communications. You may have noticed some ads in the Edmonton Examiner, Your Health, Edmonton’s Child, Edmonton Senior or the ATA newsletter. The thrust of our mini-campaign was to educate the public about autism and to point out that autism is invisible. People with autism cannot be distinguished from the general population just by looking at them. To that end, the Autism Society Players have written, acted in and produced a short commercial informing the public of the nature of autism and stressing that autism is invisible. This commercial was first aired at the Opening Doors Gala on October 13 and was much appreciated by the guests. But work needs to continue. Plans are in the making to develop a phased-in public awareness campaign over the next few months and years. Although knowledge and services have grown significantly since my 19-year-old was younger, there remain few services for teens with autism and virtually none for adults. Until the public understands what autism is, what level of support people with autism generally need, and that these needs stretch throughout adulthood, there will be little change in the system. Appropriate services and supports must be developed for people with autism throughout the lifespan. ASEA is leading the way in making the public aware! Which one of these children has Autism? In fact, Autism Spectrum Disorder affects one in 150 people. This lifelong disability impairs the ability to talk, communicate and understand social situations. It restricts interests and behaviours. There is no known cure for Autism. We need your help. The Autism Society of Edmonton Area (ASEA) provides support and information to parents, families and individuals touched by Autism Spectrum Disorders, as well as resources for professionals, educators and caregivers. For more information on Autism and how you can help visit autismedmonton.org Paid for by a donation from the Roy Saito Therapeutic Riding Association 2 Education Matters – What is Chaining? Karen Bain For students who struggle to learn concepts and skills easily, it is common to reduce instructional tasks into small steps or discrete behaviors. For example, Discrete Trial Training, a form of instructional programming that is frequently used for students having autism, is based on directly teaching specific behaviours as responses to arranged cues and opportunities. For engagement in the community, at home and at school, however, students must integrate various discrete responses into sequences, known as chains of behaviors, which are completed in specific sequences to perform particular tasks or routines. Examples of these chains or behavioral routines are: getting a lunch kit and going to a cafeteria; going out to recess, or preparing to go home at the end of the day. These chains require a sequence of individual responses in which each response in the chain cues or triggers performance of the next response in the sequence. For example, getting a lunch kit cues carrying it to a table, which cues sitting down, which cues opening the lunchkit, which cues eating the lunch, and so forth. Ideally, steps of a behavioral chain should have a functional relationship to one another and result in a purposeful goal if performed correctly. School routines necessary for social and academic participation are based on performance of behavioral chains. If teaching is well planned, completing each step of a chain sets the occasion for the next step. Each step becomes the natural cue to perform the next step in the sequence. The chain also involves steps of conditioned reinforcement and the potential for natural reinforcement at the end. When planning to teach a chain, therefore, the teacher must identify each necessary response, the reinforcing consequences for each response and the procedures, such as prompting and prompt fading, that may be required to teach and assist the performance of each step. When developing instructional programs to teach chains, a task analysis may be necessary. This process involves observing a competent person performing the task and creating an accurate list of all of the necessary steps. Depending upon the ability level of the student, the chain may be analyzed into larger or smaller number of steps. For example, when teaching 3 AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org the chain “to make a glass of juice from a powder mix”, some students may have to be taught a separate step of measuring a spoonful. Other students may not have to be taught this step, so their chain of instruction will have fewer steps. Similarly, some students may need to learn to “fill the glass to the line with water” with a fixed line on a glass as an environmental prompt; other students may already know how to fill a glass and their chain of instruction will be abbreviated. When analyzing a chain for instruction, however, all individual responses must be identified and written down. Before instruction of a chain, assessment of each student’s ability to perform each task in the chain identifies which parts of the chain must be taught separately prior to integrating the complete sequence of steps into the total chain. The assessment results in matching current skills and abilities with those in the required chain to select what to teach. Teaching chains may be done through forward chaining, backward chaining, or total task training. Backward chaining involves teaching the last response to a chain first. The teacher models performance of each task in the chain in sequence, then teaches the student to perform the last step in the chain. In subsequent trials the student learns to perform the second from the last step and the final step, progressing backwards until he or she can perform all of the steps in the appropriate sequence from first to last. This procedure allows for maximum prompting through the first part of the routine and immediate natural reinforcement for the last step. This procedure may be particularly useful for skills such as making a bed, where the last step is pulling the bedspread over the pillow, ending the task because then the bed is “all made”. These “last steps” end in reinforcement, are highly visual, and are brief. Forward chaining involves teaching a student to perform the first step in a chain; the teacher then models performance of the remainder of the steps in the sequence. The teacher must reinforce the student for appropriate performance of each individual step, and in the event of errors insure appropriate correction of each error. In total task training, students are taught to perform all tasks in the chain as each is performed in sequence. Teachers must be prepared to teach every step during every trial, resulting in more effort on behalf of both the teacher and the student, and possibly leading to increased levels of interfering behavior. Ideally, the greatest reinforcement should be the natural reinforcement arising from completing the task, but ongoing reinforcement throughout performance of the chain may also be required for learners who have compliance problems and short attention spans. For students having special education needs, the beginning of a school year is a good time to consider two or three behavioral chains that may result in increased independence and participation with peers as focus goals and objectives. Students who learn functional routines and appropriate chains necessary for school involvement are more likely to be engaged with peers and reduce the need for constant adult supervision and support, but only if teaching is careful and consistent until mastery of the sequence of behaviors can be assured. [email protected] Autism Inside Out Why I Don’t Believe in ABA Julie Skibington Contributed by Gail Gillingham Wylie I am 31 and was diagnosed as “high functioning autistic” in 1978 when I was two and a half years old. Back then, high functioning autism was unheard of, and at first I was just diagnosed as being a “retarded” and “manipulative” child who should be locked up in an institution because it would not be fair to my “normal” brother to be raised with a “child like me”. My parents, recently emigrated from England, would not accept that diagnosis, since more was known about the autistic spectrum in England at the time. In fact, they were ready to go back to England and raise my brother and me there because of this. There was an autism society starting up in the city I was raised in, and my parents got the name and phone number of the woman who was running it. This place specialized in what is now called ABA (Applied Behaviour Analysis, Lovaas’ version) and would not treat anyone under the age of 6 (yes, you read that right). They took me in, however, and performed their treatment on me anyway. My mother also lived at this institution because she was worried about mistreatment, and because she wanted to learn how to do the ABA treatment at home. I was out of there 3 months later, doing far better than I had been before I went in. Was it because this ABA was successful? More than two decades after I received the ABA treatment, it is now believed that the earlier one receives treatment of this type, the higher the chances of success. Now it’s rare for kids over the age of 6 to be accepted into funded programs! By the end of my ABA treatment, I was talking, doing things on my own and using words that university professors could probably relate to, but kids my own age could not. I went from non-verbal to speaking at a high school level within three months. Lovin g to Lea rn 4 Looking at my own past, one might say the ABA was successful. I don’t believe it was. Let me tell you about what happened when I moved out and lived on my own, which should explain why I am actually against ABA/IBI/ Lovaas style treatments: Sure, I was all ready. I had a college education, with a 4.0 GPA to boot, I could drive, and I had been working since I was 13. I had even lived with a few roommates and on my own. But just before my 24th birthday, something happened to me that seems to happen to a lot of us in our early to mid twenties: the Meltdown from Hell. And, yes, I’m going to use the word “hell” because that is exactly what it was like, and I’m not sugar coating it for you. It had been triggered by an experience at an “alternative healing” clinic. They had done some hypnosis and planted some sort of horrible memory into my mind (this happened to three other women, as I’d find out later). I always had digestive problems and GERD (acid reflux) that went untreated because it was considered “behavioural”. After my “alternative healing”, the acid reflux came back to bite me and let me know that it was most certainly not “behavioural”. All of a sudden, I could not even drink water because the reflux and pain were so bad. I had this taste in the back of my throat like I was drinking acid. Naturally, I could not eat, either. I dropped about 60 pounds in a matter of weeks... not healthy! Because of this, all of those little autistic “behaviours” I had been hiding so well, because ABA just teaches a person to pretend to be normal, came crawling out of the woodwork (kinda like cockroaches when company comes over). I was having panic attacks 5 or 6 times a day. They would last for about 4 hours and leave me paralyzed from the waist up (that’s what happens when you hyperventilate for too long you seize up). Lots of fun. When I could move, I was flapping, rocking and pacing around because it brought me comfort. I was scratching myself to divert the pain. I was a right old mess: I screamed, cried, howled and could not speak very well anymore. 5 AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org Fortunately for me, I was hiding my autism so well that no one actually knew about it at the hospital I worked at, so it was quite a transformation for them to behold and they didn’t know what to do! They didn’t believe me when I told them because I “seemed so normal”. It was all an act, my dears! (I think I should get an Oscar for the 21 years of my “pretending to be normal” performance. It was truly a feat of skill which came with a heavy price.) Two days before my 24th birthday, I was in the emergency ward, half dead, unable to move and seriously dehydrated. It was a wonder I had survived! My boss at the time, a neurologist, referred me to a stomach specialist, which is something that perhaps should have been done when I was 5 or younger! He tried his best, but he discovered another thing about me: I’m really sensitive to medications and have some bizarre reactions. They tried to sedate me to do an endoscopy and I blacked out (after taking a swipe at the poor guy) and had to be given the antidote or I might not have woken up. I was put on Prepulsid (now pulled off the market) and my system was moving again. I could drink water again and take vitamins. The vitamins restored my depleted system and I began to feel better emotionally. I did some research (thanks to my obsession with medicine and psychology) and found a new drug for GERD that might work and had very few side effects. I was put on it and the GERD was finally, after 24 years, under control! I had to come off the prepulsid because the combination of the two rendered me unable to swallow. Apparently, my esophagus had just about been burned through and it took a few years before I could eat anything more zippy than bland soup, bread and rice. All this happened because of the following: t*IBEJHOPSFENZMJNJUT*EJEOUCFMJFWF*XBTBVUJTUJDPS I thought that I had been cured, and as a result I pushed myself way too far. t.ZNFEJDBMOFFETIBECFFOHSPTTMZJHOPSFEJONZ childhood, blithely put off because it was “all in my head”. (Yeah, right.) That just about killed me. As for the panic attacks, I get them when things are wrong or I’m pushing myself too far. When things are out of whack, they happen. When I get it all sorted out, they stop. een a Autism has b blessing No meds for me - remember what happened at the hospital with the tranquilizer. Apparently, my doctor knew of my weird reactions and decided that a baby’s dose of the weakest thing he could find would help. It didn’t and he got a black eye and I don’t remember any of it. I hauled myself out of that meltdown and realized some very simple facts about myself and autism: My mother finally realizes my dietary needs (which I had to determine on my own with the help of a dietician) and finally makes food I can eat when I go over there for supper. That took nearly 30 years of trying to tell her, folks, which proves that autistics are not listened to even if they can talk! t*XBTOFWFSHJWFOUIFUSBJOJOHPSFEVDBUJPO*SFBMMZOFFEFE - how to cope with the differences in my perception and how to relax myself enough to clear my mind so I could sleep at night. I spent a lot of time when I was 24 working on myself. I taught myself routines at night which now automatically “turn off the racing thoughts” and put me in a state of relaxation enough for sleep. No one ever taught me that very simple little skill. I’m still working on dealing with my dietary changes that have to happen when my body decides it all of a sudden doesn’t like what I’m eating after 2 years of being ok with it! (I know I’m not alone on this one either...I’ve heard of many other autistics needing to change their diets regularly because of this.) Autism does not go away, it cannot be cured, it cannot be “trained out”. I’m in it for life. Autism can be a royal pain at times when my hypersensitivity gets in the way of things, but I’m hardly suffering compared to folks with cancer, Huntington’s Disease or any number of nasty things out there! Autism has been blessing in so many ways: I have a photographic memory, the ability to learn quickly and effectively, the ability to see things objectively, the ability to handle emergency situations better than most, the ability to rationalize emotionally charged things, the ability to handle pain that most folks would need medications for and (this is true) les wrinkles because I’m not prone to expressing emotion! Autism is a part of my life, but it should not prevent me from living life to my standards I have an extremely strong will and, because of my past, I will not accept being abused by anyone again. Autism is not a death sentence - denying it and pretending to be normal almost was. 6 Sweet Sleep Kim Crowder Many autistic children have trouble sleeping, thus making it difficult for anyone in the house to sleep. What can parents do to ensure a good night’s rest for everyone? The first thing you should do is consult with your child’s pediatrician. It is important to rule out any physical causes and also to consider any emotional causes (i.e. major changes in family life), especially if the sleep disturbances have arisen suddenly. Nutritional deficiencies can also be responsible for disrupted sleep. Once these have been addressed, you can consider the following strategies: Implement a bedtime routine and stick to it. All children thrive on routine, especially autistic children. Have the child go to bed at the same time every night, and go through the same routine every night. The routine should always take place in a quiet room free of distractions. Dim lighting is also helpful; install dimmers on the light switches or find alternative lighting. Make a warm bath part of the routine. Occasionally include Epsom Salts in your child’s bath (the benefits include relaxation and detoxification). Instead of turning on bright lights, try only a nightlight, or install a dimmer on the bathroom light. Use the same phrase to say goodnight every night (i.e. “goodnight, sweet dreams”) – it is your “magic bedtime phrase”. The child will come to associate this with going to sleep. Use the “magic phrase” as you put him to bed, and make it the last thing you say as you leave the room. Try a weighted blanket, massage, or white noise to calm your child. You may need to experiment to find out what works. Talk to your child’s occupational therapist about what other sensory strategies might also be helpful. For the child who continues to wake throughout the night, keep the room dark and quiet. There should be no toys to play with, or they should be quiet and non-stimulating. If you need to check on him, do so quietly. If you can, avoid going into the room (try using a baby monitor, especially one with a camera). Creating and maintaining a bedtime routine is probably the single most effective thing you can do. In fact, adults who have trouble sleeping are usually advised to stick to a bedtime routine, and also to go to sleep and wake up at the same time every day (including weekends!). It will also be easier for other caregivers to put your child to bed if they follow the routine. You can also try Melatonin or natural remedies. As with any medication, it is a good idea to do this with a doctor’s supervision. Tell your pediatrician about all medications and supplements your child is taking, so that there are no conflicts with other medications. It is not healthy for anyone in the family to suffer from sleep deprivation (believe me, I know!). It is important to address this. If there is still difficulty, speak to your pediatrician again. He may be able to prescribe something to help your child sleep, if you wish. Your pediatrician can also counsel you on strategies for your particular situation. Even if your child shows no apparent affection for stuffed animals, give him one that is only for bedtime. The stuffed animal is a visual cue that it is time to go to sleep. Understanding the Hyperlexic Child Make your child’s bedroom soothing, dark and nonstimulating. Cover the window with heavy drapes and/or blinds. Remove toys so that he has nothing to play with at night. If possible, make his bedroom for sleeping only, and set aside another area of the house for play. My son Gregor is four and a half years old and loves to read. Actually, he’s been reading since he was two and a half. At that time, my husband and I shared a few worried discussions about what life would be like for Gregor as a “gifted” child. Therefore, when a very close (and brave) friend of mine suggested Gregor may have ASD, I was shaken, but immediately began researching ASD on the Internet. 7 AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org Cheryl Kerr As I researched, I came across the term Hyperlexia. The more I read about it, the more I identified with the description of the syndrome and thought to myself, “They’re talking about my son”. Hyperlexia is often described as a precocious ability to read, far above what would be expected at the child’s chronological age, or an intense fascination with letters or numbers. Hyperlexic children also have significant difficulty processing spoken language, and display abnormal social skills. The American Hyperlexia Association (AHA) web site (http:// www.hyperlexia.org) was invaluable in helping me learn about this syndrome, as well as the book “Reading Too Soon: How to understand and help the hyperlexic child” by Susan Martins Miller. Through these resources, I learned hyperlexia is a language disorder, not a behavioural disorder, and “developing language is the key to unlocking the hyperlexic child.” Indeed, Gregor was assessed with a severe language delay in April 2006, and speech/language therapy became our first line of treatment. Without understanding Gregor’s hyperlexia, I don’t think I would have known how important speech therapy was going to be for us. Gregor had language (he was speaking in five-word sentences at an early age) and spoke very clearly. However, what I didn’t understand at the time was that Gregor was echolalic— that is, he wasn’t using creative language, he was just regurgitating useful phrases he had memorized, such as asking “Do you want juice?” when he wanted juice. I’ve since learned that, for Gregor, learning English is like learning a second language. Therefore, when he was first learning language, he memorized chunks of phrases and used them when appropriate, without understanding their parts. Even now, he’ll repeat movie lines when they’re contextually appropriate, or always make a request the same way. be used. Unfortunately, I’ve met many professionals working with ASD children who are not familiar with the term, let alone able to develop effective programs which utilize the inherent strengths. Therefore, I try to tactfully educate them. I suggest they read “Reading Too Soon” and purchase copies for their resource libraries. I offer ideas such as giving name tags to other children in the classroom to help Gregor learn their names. I suggest they write his craft steps out so he can read them, helping him to remember what he’s working on. Today, Gregor is doing quite well. His language has improved dramatically, although he still finds answering “wh” (who, what, where, when and why) questions and recalling past events extremely difficult. His peer play is emerging, and he’s become quite good at answering common social questions. He also loves sharing Knock Knock jokes and bursts into laughter after each one. Speech therapy continues to be a priority, but he is also involved in a PUF early education program and an activity-based specialized services program. Gregor has an extensive team that works very hard for him, and he works even harder. We have nothing but the brightest hopes for his future and ours. Gregor received his ASD diagnosis in July 2006. By the time the diagnosis came, I was prepared for it, or so I thought. During the delivery of his diagnosis, the words, “autism” and “autistic” hit me like splashes of cold water. However, a glimmer of hope for me was confirmation of Gregor’s splinter skill, hyperlexia. Hyperlexic children have a learning style that, if understood and utilized, allows them to learn very quickly. Their visual processing and reading skills are huge strengths to d child life as a gifte 8 Saturday Social Inclusion Group Shannon Mitchell I am writing once again in support of the Saturday night social group. As my son Drew has now been attending for about a year, I feel more confident in sharing some of the positive outcomes I have observed in my child. Over the course of the summer, as I spent more time with him in social situations, I was surprised to notice some positive impacts of the group on my child. These include both concrete life skills and social skills. I have noticed that his confidence and ability in some life skills has improved dramatically. When he is out in public, he can now order food and pay for himself much more effectively. He knows how to use a locker at the swimming pool and asks for help if he needs it. With just a little bit of adult direction, he now expresses confidence in catching the bus, paying and transferring. ASEA 2007 Annual Family Christmas Party Millwoods Rec Centre Sunday, December 9, 2007 1:00pm - 4:00pm Upstairs Play Room Please join us for a light lunch and visit from Santa! Please bring a clearly labeled wrapped gift for your child. RSVP to the ASEA office (453-3971) no later than December 2, 2007 with the number of people attending from your family and whether you have a preference for Gluten-Casein Free food choices. I have also noticed several social skills developing. The first is Drew’s ability to laugh off a certain amount of teasing and accept actions such as being splashed and dunked at the pool. This has been a source of extreme difficulty in the past, but he can now accept what he sees as a “fair” amount of splashing and dunking in retaliation for his own splashing and dunking. He is also more comfortable getting into the water and getting his face wet. In social situations, Drew has also started approaching new peers in an attempt to find someone to play with. He has found playmates at Let’s Play, the pool and library programming, without adult assistance. He also expresses pride when he is able to do this successfully and begins to make new friends. I am thrilled and somewhat surprised by this new development. My goal now is to build on his earlier successes by teaching him how to ask some of these new playmates if they would like to meet again and exchange some contact information. mes Positive outco Life ski lls 9 AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org How to Duck a Quack: Some Thoughts on Evaluating an Intervention There have been great advances in our understanding and treatment of Autism Spectrum Disorder (ASD). Despite the many advances, two things remain unchanged: autism is life-long, and it is incurable. Some interventions can lead to great improvements and others can actually cause harm (e.g., chelation therapy). If one types “autism therapies” into a search engine like Google, thousands of web pages appear which are informative, but can also be contradictory. This article is an attempt to provide some perspective on the overwhelming task of sifting through various treatments in hopes of finding credible and scientifically validated interventions. Be wary of any intervention that claims results that generalize across areas. The three areas of impairment in autism are extremely broad. Social skills provide a great example; there are many abilities that together result in effective socializing. According to the National Research Council (2001), which conducted a systematic review of published intervention research, effective interventions must be both focused and educational. That is, the intervention must explicitly teach skills to improve the specific areas of impairment. For example, if Rebecca’s social impairment makes her unable to initiate social play with her peers, the intervention should aim to teach her specific skills associated with social initiation. As a consumer, if the intervention you are evaluating does not aim to teach your child specific skills, it is much less likely to be effective. In the beginning… Does the treatment do what it aims to do? When beginning your search for treatments, it is key to remember the fundamental deficits of ASD. There are three core areas of impairment: 1) social skills, 2) communication skills, and 3) repetitive behaviors. That is, to receive a diagnosis of ASD, children must have deficits in the ability to relate socially to others, deficits in the ability to communicate effectively with others, and show an increase in non-functional, repetitive and stereotypical behaviors. Knowing this, the following questions may be asked of any intervention: If the intervention claims to increase a child’s skill set, the people promoting the intervention must show evidence that the abilities of children have improved. As previously mentioned, interventions must target specific skills (e.g. social initiations such as greetings). Therefore, evidence for an increase in that specific skill should be provided. If the intervention claims to increase children’s ability to initiate social contact with peers, then those who are promoting the intervention must provide evidence that the child is initiating more often after the intervention than they did before. Without such evidence, we should be skeptical of the intervention’s claims. Shane Lynch Does the intervention address at least one of the three areas of impairment? In the past, interventions have made grand statements about what their treatments were capable of achieving. For example, there have been interventions that have claimed to be able to change the way that children processes information (visual, auditory, tactile, etc.). Such a statement is problematic because unless you have access to a Functional MRI machine, you cannot test whether brain processing has changed as a result of the intervention. If change is not observable, you are left to accept the service provider’s assertion that change has occurred. What evidence is used to support the claim that the intervention is successful? Evidence can come in many forms, such as direct observations, self-reports, and anecdotal reports. Direct observation involves seeing the child demonstrate the skill first-hand. Self-report may include having the child declare that they can demonstrate the skill. Anecdotal report may include taking someone else’s word that the child can demonstrate the skill. Although selfreport and anecdotal evidence are informative, they are limited in that both are open to subjective interpretation and bias. Thus, anecdotal reports by themselves are not enough. Neither 10 are self-reports. Direct observation, in contrast, allows for more impartial assessment of children’s capabilities. However, the strongest evidence is multiple sources of evidence. If objective, observable data is complemented with anecdotal reports and self-report information, a strong case is built in support of a particular intervention. Further, it should be a requirement of any intervention that children demonstrate the learned skill under non-optimal, real-life conditions. If we can observe the child demonstrating the skill across people and environments, many times in a row, we have tangible evidence of the child’s progress and the intervention’s success. How is success assessed? The standard in science is to identify upfront what will be counted as success and what will be counted as failure in an intervention. Further, a reasonable person should be able to see the link between how success is demonstrated and the original goal of the intervention. In the case of autism treatments, success should be measured by observable increases in children’s competence and independence. Providers of interventions should all have the same goal in mind: to work themselves out of a job. If we are effective, children’s abilities will be expanding and they will need less and less support over time. Therefore, success can be measured by the number of skills that children acquire, and subsequently demonstrate, independent of adult assistance. Moreover, when an intervention can offer evidence of observable, measurable gains in skills across many children, the intervention has more credibility. Not all children respond equally to all interventions. Children with ASD are a very diverse group. If an intervention can demonstrate that it has been effective with large numbers of children, we can have greater confidence that the intervention is likely to work with one’s own child. Many pseudo-scientific (that is, non-scientific) 11 AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org interventions that do not have observable, measurable evidence for large numbers of children often offer testimonials or anecdotes for the intervention’s success. Although these tales are engaging and compelling, small numbers of success do not provide good evidence that the intervention will work for others. Consider what personal stories and intervention failures you are not hearing about. Similarly, be skeptical of interventions that use scare tactics. They offer unrealistic and fearful scenarios, rather than logic, as evidence of what could happen if you do not try their intervention. Lastly, how do we know the effects are due to the intervention? Have those who are promoting or studying the intervention considered alternative explanations like placebo effects or unintended causes? For example, any child participating in a structured intervention program is expected to show improvements over time. However, general improvement over time is not, itself, evidence that the intervention is responsible for the gradual change. Ask yourself, what else might account for the intervention’s success? The very best research that evaluates interventions uses comparison groups to help rule out other explanations or determine whether the intervention is better than other interventions. In the end… It is very important that consumers of interventions seek the strongest possible objective evidence of an intervention’s success, because our initial impressions color what we see. When we look for positives, we see positives. When we look for negatives we see negatives. No intervention is above criticism. Be skeptical. Your child is worth it. To be continued… Shane Lynch Doctoral Student Department of Educational Psychology University of Alberta How Early Can We Identify Children with Autism Spectrum Disorders? Wendy Mitchell There is evidence that intensive, specific interventions initiated early in life can markedly improve outcomes for children with ASD. This evidence has led families, clinicians and researchers to advocate for earlier diagnosis of ASD. Some professional groups have recommended universal screening for ASD, to take place as early as 18 months of age. In Alberta, there is a new initiative to implement communitywide developmental screening for 18-month-olds in a number of test sites. Although this initiative does not focus on ASD specifically, some children identified with developmental delays may be showing early signs of ASD. It is important that we are able to recognize these signs so that diagnostic assessment can happen as early as possible, and so that children with ASD (and other developmental differences) can receive the appropriate supports and interventions. Dr. Lonnie Zwaigenbaum, Co-Director of the Autism Research Centre at the Glenrose, has experience with a unique ‘high-risk’ group of infant siblings of children with ASD. Dr. Zwaigenbaum’s study monitors the development of young infants from 6 months of age in an effort to develop a better understanding of the early signs and developmental patterns associated with ASD. Over the past 5 years, Dr. Zwaigenbaum and his collaborators have used standardized assessments and play situations to learn more about how children at risk for ASD use toys, think, communicate and relate to other people. Results thus far suggest that by 12 months of age, children who are later diagnosed with autism show decreased eye contact and social smiling, do not consistently respond when their name is called, show less interest and positive emotion during social interactions, and tend to visually fixate on toys and other objects. Dr. Zwaigenbaum indicated that there is a remarkable consistency between the behaviours that infants display during study visits and the behaviours that their parents report on the questionnaires. Surprisingly, the research has found that these behaviors are not obvious to us (or to parents) during the first study visit at 6 months, but appear to only emerge and/or progress between 6 and 12 months. Dr. Zwaigenbaum and his collaborators were the first group to report this observation, but many other researchers following infant siblings of children with ASD are noticing the same pattern. Data from the Infant Sibling study has also found that children with ASD whose language and intellectual skills are in the average range at the time of diagnosis have early signs that are more difficult to detect. In fact, this group, despite our best efforts, is less likely to be diagnosed before the age of 3 years than children who are more developmentally delayed. Learning more about early signs in children with ASD in this higher functioning group will be very important, as we want to make sure that all children on the autism spectrum are diagnosed as early as possible. Dr. Zwaigenbaum stresses the need for screening for early signs of ASD at several time points, and that there should be a focus on early initiation of child– and family– centered interventions targeting specific functional concerns. If you would like to learn more about Dr. Zwaigenbaum’s research or studies currently being conducted at the Autism Research Centre, please contact Wendy Mitchell at 735-8283 or at [email protected] Person Centered Planning Workshop – An Eye Opening Experience Karen Phillips During the first week of October I attended, on behalf of ASEA, the first week of a “mind altering” workshop on Person Centered Planning. The thirty participants for the workshop work for service agencies, government programs and support/ advocacy agencies. Ten individuals with developmental disabilities, including autism, volunteered to work with teams of three workshop participants to have a person centered plan developed for and with them. The idea of Person Centered Planning is that all plans, decisions, arrangements and activities are based on what is 12 in the best interest of the person being planned for– in our situation, the adult with an Autism Spectrum Disorder. service system in Edmonton, I was filled with dread. I realized that this situation just isn’t acceptable. As I read and took notes on the forty-five articles I needed to read before the course started, I realized that Person Centered Planning was a common sense approach that we should all be using. I assumed that Person Centered Planning would be widely used in the adult service system. I had heard it mentioned often, even though I have not had a lot of dealings with the adult system— at least not yet. I understand that I may have been naïve: among the other people who participated in the workshop with me, those who had worked in the adult system seemed aware of the many shortcomings of the current system. What really turned out to be “mind altering” for me were the real life situations of the volunteers which we discussed during the first week of the workshop. I realized, to my surprise and horror, that decisions are often made with little thought to what is best for the individual with autism. Instead, decisions are often based on the best interests of others, such as: t#VSFBVDSBDJFTXIJDIIBWFSVMFTXIJDINVTUCFGPMMPXFE t4FSWJDFQSPWJEFSTXIPIBWFTUBĊUPPSHBOJ[FBOELFFQ happy, and who are having trouble finding staff I can’t help wondering how many parents have had terrible experiences with the adult service system as they try to help their loved ones make a better life for themselves. On the other hand, are there also parents who have had good experiences as they have worked with service providers, professionals, and government programs? Based on what I have learned and heard during the first week of this two week workshop, I feel the need to issue a few warnings: t8BUDIDMPTFMZUPTFFXIBUJTCFJOHEPOFGPSZPVSBEVMU child. Drop in regularly and ask others to help you so that you can check more often t(PWFSONFOUTXIJDIGVOETPNFUIJOHTBOEOPUPUIFST and some people and not others t%POUSFMZPOPUIFSTUPFOTVSFUIBUFTTFOUJBMTFSWJDFT are offered t4UBĊNFNCFSTXIPBSFVOUSBJOFEBOEVOGBNJMJBSXJUI autism, and who simply use the parenting practices they grew up with when working with autistic individuals t,FFQDIFDLJOHFWFOJGUIJOHTBSFHPJOHXFMM t4UBZJOWPMWFEJOBMMEFDJTJPOTNBEFGPSBOEBCPVUZPVS child, and keep the interests of your child front and centre at all times t1SPGFTTJPOBMTXIPEPOUXPSLUPHFUIFSBOEBSFPGUFOHPJOH off in opposite directions What became apparent to me is that really bad things can and do happen in the adult service system: life threatening things, morale-killing things, things that drive families away, things that cause the behavior of the Autistic individuals to deteriorate alarmingly, and things that cause autistic people to retreat further into themselves. As I participated in the discussions and learned about the life situations of ten different adults who are involved in the adult 13 AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org Stay In volved Opening Doors Gala Special Feature Outstanding Volunteerism Award- Betty McGrath By Anita Ferri There are volunteers, and then there are outstanding volunteers. This year’s “Opening Doors” Gala Dinner and Auction was an outstanding event that was put together almost entirely by volunteer effort— and believe me, we appreciate every contribution, as putting together an event of this caliber requires a wide variety of talent and input. Every now and then, there are those who stand head and shoulders above the rest in terms of their commitment, dedication, and sheer numbers of volunteer hours. For the past four auction events there has been an amazing husband and wife team who have made an outstanding contribution in a very critical behind-the-scenes role that begins months before the event. Don and Betty McGrath have taken on the inventorying and management of the payment systems for our donation items, as well as recruiting and coordinating a team that includes dozens of their family and friends to assist them (and us!) with that task. It’s not often that the volunteers bring their own team of volunteers, but with Don and Betty, that’s the kind of commitment they and their wonderful group of family and friends have made. In July 2006, we were all deeply saddened when Don suddenly passed away. Don’s lovely wife Betty, his family, and his friends decided after his passing that they would dedicate their volunteerism at the next Autism Gala to the memory of Don. One of my regrets is that each year when I would thank Don for his help, and he would be too busy working to hear that appreciation. This year I was delighted to be able to dedicate the volunteer work of the event to Don, and to present to Betty an award for her work. Betty has, in her own right, helped us to elevate this year’s event and put in more volunteer hours than almost anyone else on the committee. It became like a second full time job for her! When we look back on the phenomenal success of this event, those of us working to put it together know how deserving Betty is of this award. Warmest thanks to you, Betty, from all of us at the Autism Society. I know Don would be proud. The Gino Ferri Community Builder Award By Deborah Barrett You’ve probably all heard the saying “it takes a community to raise a child”. For those of us who have raised children, we know how true that is. But when your child has autism; when your child does not perceive the world in the same way as most others; when your child cannot speak or communicate clearly and doesn’t know how to engage with others; when your child cannot keep himself safe, not even when he becomes an adult, community is not always there. Sometimes community has to be created both for the person with autism and for family members, who may be so consumed by caring for the child and keeping him or her safe and healthy that they cannot reach out to others. Community needs to be built. It needs to be built by someone who has the eyes to see the need, the heart to feel it, and the will to take action. It needs to be built by someone whose generous spirit guides him or her to make connections in the community that draw attention to the needs of individuals with autism and their families. It needs to be built by someone who will use his talents and connections to create support for all people affected by autism. 14 Opening Doors Gala Special Feature This year, the Autism Society is introducing a new award to honour those who have worked hard to build community for people and families who have felt autism’s touch. Our first recipient of the Community Builder Award used his experience on volunteer boards at the YMCA and Alberta College to help the Autism Society of Edmonton Area develop an effective parent-led, grassroots board. He spent 12 years on the Autism Society board, with 3 years as president. Not only did he serve locally, he also set his sights on reviving the Autism Society of Alberta, which had been defunct, to create a provincial voice capable of bringing matters to the attention of government. But his efforts did not stop there. This year’s award recipient used his connections in the construction and engineering fields to build community awareness in circles that may not otherwise have come in touch with children and families living with autism. For the past six Galas, he has been responsible for the majority of ticket sales and more than half of the donations of auction items. He has, in fact, been responsible for at least half the funds these events have raised. In addition, he makes himself available to current board members for advice and guidance and continues to support ASEA events. And, through this all, he maintains a close and supportive relationship with his grandson, who has autism. We cannot think of a more deserving recipient. This year, the Autism Society is proud to name our new Community Builder Award in honour of its first recipient, Mr. Gino Ferri. 15 AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org Opening Doors Award Recepient: Dr. Keith Goulden By Deborah Barrett If you take a look at the cover of tonight’s program, you will see a picture of a door slightly open, with the light coming through. It is a symbol both for our Gala Event and for one of the Autism Society’s most prestigious awards – the Opening Doors Award. It’s the light coming through that inspires us and leads us to new opportunities, new discoveries, new hope, even new life. But when a child is first diagnosed with autism, the family’s world often turns bleak and grey. To the family, it feels as if the doors of hope, dream, and ambition have been closed, the doors to living a normal life slammed firmly shut. Since 1992, Dr. Keith Goulden has been opening doors for parents whose dreams have been shattered. His appointment to the Glenrose Active Care staff and as Associate Professor of Pediatrics at the University of Alberta, brought Edmonton a pediatrician with expertise in the field of autism and a deep commitment not only to the care of children with autism, but also to the well-being of their families. Opening Doors Gala Special Feature Over the years, Dr. Goulden has contributed to the expansion of knowledge in the field of autism, and he has worked hard to ensure services have been extended, not just to pre-schoolers, but to people with autism throughout the school years. He has been involved in outreach to schools in the Edmonton area and travels from Red Deer to Fort McMurray to see children with autism spectrum disorders and their families. He is the member of more autism societies than most of us knew existed. Since Keith was invited to study autism many years ago, he has been fascinated by the way people with autism think and perceive. But it’s his compassion for families and children that really opens doors. For Keith believes that, despite the diagnosis, families need not only learn to cope, they can learn to thrive. He goes above and beyond to provide support for families, even to the point of helping one mother who called him at home on Christmas Eve. Her child was agitated and had not slept for several days. He was showing all the precursor signs of a major epileptic episode, which would have resulted in a sad and anxious Christmas for everyone. Dr. Goulden not only listened, he prescribed and ordered medication, and helped the family determine an emergency action plan to deal with the behavior. This is not an isolated incident. Dr. Goulden has been a safety net for many, many families. His compassion extends even further, though, to continuing to lend support to families whose children have crossed the boundary into adulthood. Dr. Goulden continues to work for the extension of services and networks of many kinds so that adults with autism can continue to learn, to grow and develop, and to live better, fuller lives. When a pediatrician’s commitment to kids with autism and their families is as strong as Keith’s, it gives families the courage to find creative solutions and to seek community partners to ensure that each of us lives good and fulfilling lives. When faced with the challenge of autism, a dedication such as Dr. Goulden’s goes a long way toward opening doors and admitting light. This evening, it is for his steadfast support, his ongoing commitment, and his belief in people with autism, and his faith in their families, that the Autism Society of Edmonton Area is delighted to present Dr. Keith Goulden with this year’s Opening Doors Award. Grant Kurtz, a non-verbal teen with autism, presents the Opening Doors Award, an oil painting by Grant, to Dr. Keith Goulden. 16 Thank you to all our Gala supporters! Master of Ceremonies, Auctioneer Danny Hooper Honorary Event Chair Mike Lake - MP Edmonton-Millwoods-Beaumont Gala Committee Chairs Anita Ferri, Lyn Parker Presentations Dr. Deborah Barrett President, Autism Society of Edmonton Area Terry Harris Vice President, Autism Society of Edmonton Area Century Hospitality Group - on your generous donation of $5000 2007 Opening Doors Award - Dr. Keith Goulden 2007 Community Builder Award - Mr. Gino Ferri 7-DAY CARRIBEAN CRUISE FOR TWO (Value: $3500) Provided by Special Thanks Design Backstreet Communications Poster, Ticket Printing McCallum Printing Group Inc. Program Printing Swarm Enterprises Linens Canadian Linen and Uniform Service Wine & Champagne Liquor Depot Flowers Flowers by LaTerre Chocolates Purdy’s Chocolates Violinists Desha and Evannia Miciak Keyboardist Scott Jessey Dinner Music Ancora Gala Media Support Special thanks to Chris Lachance (owner of Lux Steakhouse and Bar and Century Grill) for making ASEA his charity of choice! The Autism Society of Edmonton Area would like to thank Anita Ferri and Lyn Parker for their marvelous effort in coordinating and directing all aspects of our very successful Opening Doors Gala! 17 AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org Gala Volunteers Betty McGrath Event Volunteer Coordinator Rotarian Larry Johnson - Receipt System Coordinator Albert, Manny Albert, Pam Antulov, Christina Antulov, Matia Bautista, Amy Benner, Ruth Bourne, Amy-Lynn Boychuk, Mary Bulger, Trent Ferri, Gina Patti Fisher Fleming, Rick Fleming, Shirley Friedentahl, Heather Hanson, Sabrina Huedepohl, Josephine Jardine, David Kopchia, Roger L’Heureux, Dora Ludwig, Jason Maskoske, Warren Matras, Tom Matras, Yvonne McGrath, Dawna McGrath, Geoff McRitchie, Rob Miciak, Jackie Mikaluk, Bill Milton, Cathie Nalesnik, Debbie Nalesnik, Matthew Parker, Nicole Parker, Wayne Plante, Carmen Ross, Linda Ryan, Jackie Steblyk, Peter Steblyk, Steve Stroyek, Gloria Sveinunggaard, Sandra Tellier, Shayla Wilkie, Trent Sincere thanks to The Rotary Club for sponsoring the receipting process OUR GENEROUS DONORS 790 CFCW News Cap Radio A & E Architectural A Clark Roofing & Siding Ltd ABAL Building Products Academy Dental Group Ltd. Ace Limousine Adamas Goldsmiths After 8 Catering Akers, George H Alaura Artworks Alberta Ballet Alberta Blue Cross All About Cakes All Fences Rental All Glass Parts All Tucked In All Weather Windows Allegro Italian Kitchen Animal Quilts by Sally Antulov, Chris Art Beat Gallery ASEA Ashmore, Jean Audrey’s Books Ltd. Auto Details by Desmond Ross Avanti’s Hair & Body Studio Avison Young Badger, Terry Banff Lodging Company Barrett, Dr. Deborah Beaubien Glover Maskell Eng Beauty Therapy Bella Vanti Hair Bernard Callebaut Chocolaterie Best Buy Canada Bird Construction Birks & Sons Bistritz, Dr. L.R. Blanchett Neon Ltd. Blue Sky Limo Blu’s Women’s Wear Boersma, Pat Books Are Fun Ltd. Boothby, Joanne Boothby, Michael Boston Pizza Bouseqult, Jan Bow Valley Ford Ltd. Brazilian Coffee Inc Brazzo Contractors Ltd. Brine, Patricia Brock White Construction Materails. Brown, Holly & Brown Brown, Ms Anne Build-A-Bear Workshop Building & Land Cameron Homes Canadian Curtains Corporation Canadian Freightways Canadian Linen & Uniform Service Canadian Tire - St. Albert Canterra Suites Hotel Capital Packers Inc. Casino Yellowhead/Edmonton Century hospitality Group Centuryvallen Chicken Scratch Chomiak Charolais Chomiak, John Christenson & Mclean Roofing Ltd. Cineplex Odeon City Furniture City of Edmonton City of Edmonton, Community Services Clark Builders Club Fit Coast Paper Ltd. Coca-Cola Bottling Ltd. Collin Steel Comfort Dental Centre Company’s Coming Con Boland Photography Conroy Ross Cookies By George Inc. Cooper’s Cove Guesthouse Copper Coast Resort Corporate Express Cottswood Interiors Councillor Jane Batty Councillor Janice Melynchuk Councillor Karen Leibovici Councillor Kim Krushell Councillor Ron Hayter Councillor Terry Cavanaugh Cowan Graphics Inc. Creative Coffee Services Creative Door Services ltd. Creative Packaging Crestwood Apothocary Crown Plaza - Chateau Lacombe Cushman Wakefield Lepage CW Hill Photography Cycle Sports Cycle Works Motorsports Decore Hotels Delcon Construction Delcor Painting & Flooring Del’s On 9th Delta Bow Valley Hotel, Calgary Demuth, Denise & Delvin Derks Formals Desco Coatings of Alberta Ltd. Diagold Designs Ltd. Diggs Holdings Dispensaries (1991) Ltd Driving Force Ducks Unlimited EBA Engineering Consultants Edmonton Area Super Novice Hockey Club Edmonton Eskimos Edmonton Oil Kings Edmonton Oilers Community Fdn. Edmonton Rush Lacross Edmonton Sun Edmonton Symphony Orchestra Elysium Ener-Tech Industries Alberta ltd. ETS Edmonton Eye C Custom Picture Framing Fairmont Jasper Park Lodge Famous Toy Liquidators Ltd. Fantasyland Hotel Fero Engineered Masonry Ferri, Anita Ferri, Carole Ferri, Gino Ferri, Teresa Flowers by LaTerre’s Flowers By Merle Ltd. Focus On You G. Albi Studio Gateway Mechanical GG Company Glendale Golf and Country Club Gold Dust Casino Golden West Golf Course Greyhound Canada Gritty Grotto Books Guenter, Heather Guenter, Wayne H.I.P Architecture Hairline International Harle-Johnston, Val Harvard Developments Inc. Hatzinikolas, Dr Mike Haweli East Indian Cusine Hawkeye, Penny & Joe Heart Kitchen & Bath Inc Heenan Blaikie LLP Hemisphere Engineering Henry Singer Fashion Group Hesco Hotel Equip. & Supply Co. Company Hines, Patty Hirst, Barbara Hole’s Greenhouses & Gardens Ltd. Home Depot HSBC Bank of Canada Hudson Canadian Tap house Ikon Office Solutions, Inc. Il Forno Ristorante Italian Centre Shop Ltd J Ennis Fabrics J.R Golf Course J.T Moland Insurance Consulting Jasper Park Lodge Joey Tomatoes Joey’s Grill and Lounge Johnson, Malcolm June Warren Publishing Ltd. Junque Cellar Kamena Kallery Kates, Steve & Joy Katz Group Keg n Cork Liquor Company Ltd. Kelowna Rockets Hockey club Kuhlman’s Market Gardens & Greenhouse Kurtz Kards Inc LaChance, Chris Lake Louise Inn Laurie Greenwood’s Volume II 18 Lazy Boy Le Centre Sheraton Montreal Life Skills College LifeStyles Signature Collection Linda Cameron Braided Textiles Liquor Depot Louie Eyecare Centre LRI Perforating System Inc Ludlow, Phyllis Mabbe. Alan Maclab Enterprises Mariette Holdings Ltd. Martin Equipment Maskoske, Jen & Warren Master Cabinets Maxric Hotel Mayor Steven Mandel McBain Camera McDonalds McFarlane Group Ltd. McGrath, Betty McKay, Shannon McLean & Shaw Insurance Inc Media Plus MHK Insurance Inc. Miciak, Jackie Mikaluk, Bill Mitchell Renovation Ltd. MLC Creating Communities Morie Promotional Group Motif Concrete MP T-Shirts Musty Putters Naqvi, Cameron & Sarah Naqvi, Jerry & Henrietta Naqvi-Rota, Tina National Bank Financial National Leasing Nelson Lumber New York Rangers Nicholson Chev Olds Ocean Sports Ondrack, Esther OPM Parker, Lynn Paull Travel PCL Construction Pearn, Perry 19 Peterson, Penny Petrin Mechanical Petro Canada Real Estate Phillips, Karen and Kent Pilot Shipping Ltd. PMO Consulting Polycore Canada Inc Porcura Dev PossAbilities Powercomm Inc Premier Ed Stelmach & Mrs. Stelmach Printing Impressions & Graphic Ink Prints Galore Protraining.com Purdy’s Chocolates Qualico Group Qualiglass Qualimet Inc Quinan, Joanne R&T Electric Services Ltd. Read Jones Christoffersen Reburn, David Red Heron Essentials Design Inc Reid Built Homes Rexall Robertson Photographs Rota, Aliya Rota, Matteo Rota, Sofia Rota, Tony Roy, Phil Royal Glenora Club Royal Lepage Noralta Real Estate RT.R Com Services Inc. Sawridge Inn & Convention Centre ScotiaMcLeod Scott Gallery SDI Digital Imaging Servus Place - St Albert Shambles Gift Shoppe Sheraton Montreal Sherrick Management Ltd. Shopper Drug Mart - St. Albert Shoppers Drug Mart - St. Albert Shtabsky & Tussman Sicilian Pasta Kitchen Skakun, Casey & Alexander Smooth & Silky Inc. Snow Valley AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org Sokil Transportation Group Sorrell Financial Sorrentino’s South Edmonton Common Sparky’s Electrical Services LTD Special Olympics Specialty Installations Ltd. Sportsworld Inline & Roller Disco Steblyk, Peter Stedelbauer Chevrolet Sterling Crane Stone, Diane Stuart Olson Suede Lounge Supreme Basics Synergy Projects Ltd. T K Clothing Company Ltd. TD Waterhouse Investment Advice Telsco Security Systems Inc. Telus World of Science The Arden Theatre The Book Fair Co. The Citadel Theatre The Creperie The Fit Firm Inc. The Gem Gallery The Grill - Comfort Inns The Keg Steakhouse & Bar The Westin Calgary The Westin Edmonton Thomas St. Laurent, Janet Tim Hortons Tiny Lambs TR Com Services Twin City Excavation Ltd. Twin Willows Golf Club Tyson’s Construction Ukrainian Cultural Heritage Village Urban Barn Vacation Homes Rentals Valley Zoo Valpak of Edmonton Vestate Moulding Voice Construction Ltd. W Hotel Montreal W&R Foundation Specialists Ltd Waiward Steel Fabricators Ltd. Wallace, Dawson Wallace, Maureen Wallace, Wayne & Noreen Wasnea Mah Engineering Ltd. Watts, Alfred Wendy Y Coburn Professional Corp WER Foundation Specialists Ltd. West Edmonton Mall West Jet Westcorp Properties Ltd. Western Moving & Storage Westin Calgary Westin Edmonton Wilson, Dave Wilson, Scott & Cathy Wine About It Wok & Go Express Chinese Food Wong, Willie YMCA YMCA Castle Downs Yuk Yuk’s Community Connections Offers Help for Adults with ASD Kara Murray and surrounding areas, as well as links to some great mainstream community resources. According to the Canadian Association for Community Living, fifty percent of people with developmental disabilities are interested in becoming more involved in their community. These same individuals are four times more likely than other citizens to be excluded from social activities and community involvement. In order to address the needs and interests of these individuals, Gateway Association for Community Living developed a service called Community Connections. Hubert H. Humphreys once said, “the impersonal hand of government can never replace the helping hand of a neighbour.” Community Connections is here to help you engage your neighbours. The purpose of Community Connections is to help bridge the gap between adults with developmental disabilities and mainstream social groups, leagues and teams, creating the opportunity for individuals to develop relationships with other members of their community. These mutually beneficial relationships serve to enhance the quality of life for people with developmental disabilities by allowing them to be active in their community, and to develop and expand their interests and skills. GAPS Supported Community Inclusion Project – Asperger Syndrome Community Connections is available to assist in making this process easier. Taking into account an individual’s interests, we research and liaise between community social groups, the individual, and the individual’s support network in an effort to establish social connections that appeal to the individual. We also work directly with community groups to help them accommodate people with disabilities and to educate them on the benefits of inclusion. We do not, however, offer staffing supports. Currently, we are working on promotional materials that will provide people with disabilities and their support networks tips and strategies to making effective connections with mainstream groups. We are also developing informational materials for community groups to assist them in adopting inclusive practice. These materials will soon be available on our website, www.gatewayacl.org. This website will also provide information on upcoming community events in Edmonton For more information on Community Connections, please contact Kara Murray at 454-0701 ext 232 or [email protected]. Karen Phillips Some months ago I reported on a project being undertaken by the Autism Society related to the needs of young adults with high-functioning autism or Asperger Syndrome. The initial intent of the project was to provide employment assistance for individuals with ASD. The Autism Society ran a small supported employment pilot project in the summer of 2005 and hoped to acquire funding to run a larger program. Finding funding for the project proved to be a challenge, and the funder for the project, Seniors and Community Supports, stipulated that funding for the project was dependent on partnering with other disability organizations. In addition, it was recommended to the Autism Society that we look at developing a resource to be used by organizations that would be providing services for young adults, rather than providing these services ourselves. Thus began the research and development of the resource which, I am pleased to announce, has been printed and is now ready for distribution. The title of the resource is: Asperger Syndrome Fetal Alcohol Spectrum Disorder The Adult Years Helping Front Line Staff and Parents 20 Upon the recommendation of the Advisory Committee for the project, the resource was developed to be helpful for both parents and front line staff as they, in turn, go about helping and supporting young adults with Asperger Syndrome to enter and participate in the social world. know of anyone who may be interested in learning about this resource, please contact me at [email protected]. The book is written in plan language and illustrated with amusing cartoons. At the end of each chapter are examples of problem situations with recommendations for how to help. High Functioning Autism/Asperger Syndrome Parent Support Group The book addresses the following topics: This group gives parents of children on the high-functioning end of the autism spectrum the chance to share common experiences, listen to speakers and share resources. Group meetings may have different focuses, including support for parents and families, advocacy within the school system, the adult system, or sharing information about upcoming workshops, books, and educational or government initiatives. The group deals with some of the tough issues associated with raising a child who has high functioning autism, but also celebrates the successes and joys. t%JBHOPTJT t#FIBWJPVSBM$PODFSOT t%BJMZ-JWJOH4LJMMT t%FWFMPQJOH4VDDFTTGVM3FMBUJPOTIJQTo)FMQGPS'SPOU Line Workers and Parents t'BNJMZ*TTVFT t#VJMEJOHBOE1SPNPUJOH3FMBUJPOTIJQ/FUXPSLT t&NQMPZNFOUJO1BJEBOE6OQBJE4FUUJOHT t1MBOOJOHGPS$IBOHFBOE5SBOTJUJPO1MBOOJOH t%JTDSJNJOBUJPOBOE0QQSFTTJPO The book is accompanied by an assessment tool, called The Operator’s Guide, which can be used by or together with individuals who have Asperger Syndrome. A workshop will be held on November 27th, as part of our Parent Information Series, to talk about the book and how it can be used by parents or front line staff to assist individuals with Asperger Syndrome. Copies are available at the Autism Society office (#101, 11720 Kingsway Avenue) for the cost of printing them, $25.00 (includes book and assessment tool), plus shipping. The book will also be available through the Autism Society web site at some point in the future. Meetings are held at the Autism Society Office, 11720 Kingsway Avenue (or as advertised), on the third Wednesday of most months, from 7-9 PM. Upcoming meetings will occur on the following dates: Wednesday, November 21st, 2007 Wednesday, December 19th, 2007 Wednesday, January 16th, 2008 Wednesday, February 20th, 2008 For more information, please contact Lyn Parker at 413-0518. We are very excited about this resource, and during the next year we will be promoting and discussing it through a series of workshops for parents and community service providers. If you 21 AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org ard looking forw Interactions Program at Belmead School Treva Lunan Belmead is one of many schools within Edmonton Public that has an Interactions Program as well as regular elementary classrooms. The Interaction Program provides a special classroom setting for students who have the diagnosis of Autism Spectrum Disorder (ASD). There are approximately 20 students with an ASD diagnosis attending Belmead. A few of the students diagnosed with ASD are now in full integration, while the rest spend the majority of their day in one of the two special classroom settings. The Interaction Program provides a high staff to student ratio and a small classroom size. Staff in the Interaction Program have training and experience working with students who have ASD. Programming for students in the Interaction Program is based on each child’s individual needs and capabilities. An emphasis on communication, social skills and appropriate behaviour is important to our program because students with ASD typically struggle in those areas. Other programs focus on academic and/or functional life skills, depending on the level of the individual student. We also like to give students as many experiences as possible to practice safety skills, mobility and orientation in our community. We are very excited to welcome students back to school this fall and look forward to a very rewarding year together. 1st ANNUAL Children’s Autism Services of Edmonton Conference Marriott at River Cree Resort, Edmonton January 31st-February 2nd, 2008 Keynote Speaker: Dr. Barry Prizant Dr. Prizant has more than 35 years experience as a clinical scholar, researcher and international consultant to children and adults with Autism Spectrum Disorder (ASD) and their families. He has published more than 95 articles and chapters on autism spectrum disorders and pediatric communication disabilities, serves on the advisory board of six professional journals, and has presented more than 500 seminars and keynote addresses at national and international conferences. He is a co-developer of the SCERTS model for treating ASD. For more information about Dr. Barry Prizant and the SCERTS Model see www.barryprizant.com. For more information or to register for the conference, visit www.childrensautism.ca 22 Thank You to All of Our Recent Donors! MOSAIC SPONSORS : $1,000+ Studeon Electric KALEIDOSCOPE SPONSORS : $500-$999 Anonymous (via Canadahelps.org) TIFFANY SPONSORS : $100 - $499 TELUS Community Engagement COLLAGE SPONSORS : 0-$99 Anonymous – In honor of Becky & Arnold Prochnau (via Canadahelps.org) MEMORIAL DONATIONS Anonymous – In memory of Brenda Ayotte (via Canadahelps.org) Carmen Wyatt – In memory of Morris & Carolyn Shaw Barb Williams – In memory of Carolyn Shaw Colleen McGhan-Cox – In memory of Carolyn Shaw Jeanne Shaw – In memory of Carolyn Shaw Cecil & Myrtle Pallister – In memory of Carolyn Shaw Bentley School Staff – In memory of Morris & Carolyn Shaw Art & Sharon Breitkreuz – In memory of Morris & Carolyn Shaw Suzanne Hayden – In memory of Morris & Carolyn Shaw Marjorie & Irvine Marshall – In memory of Morris & Carolyn Shaw Eilert & Jessie Rebne – In memory of Morris & Carolyn Shaw Karen & Mark Wyatt – In memory of Morris & Carolyn Shaw William & Ruth Wyatt – In memory of Morris & Carolyn Shaw Margaret Shupe – In memory of Morris & Carolyn Shaw Dr. Deborah Barrett – In memory of Morris & Carolyn Shaw Margaret Marshall – In memory of Morris & Carolyn Shaw Mark & Joan Ree – In memory of Morris & Carolyn Shaw Beverly & Alfred Craig – In memory of Bill and Vesna Minor Ray & Murielle Provencher – In memory of Tim and Kim Nerbas Your generous donations make ASEA’s work possible! 23 AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org Advocating for Your Child Kim Crowder On Tuesday September 18th, a Parent Information Night was held at a south side Edmonton church. The topic was “Advocating for Children with Autism”. Our speaker was Roma Kurtz, mother of two non-verbal, low-functioning teenage boys. Roma began her presentation with a reading of “Welcome to Holland” in order to convey a sense of what life is like for the parent of an autistic child. If you are not familiar with the story, it is easy enough to Google it on the Internet and find it. Roma suggested that our most important communication tool could be a Picture Book History. Those of you who enjoy scrapbooking will be right on board with this idea! These lovely (and thick!) albums chronicle her sons’ lives. She has photos of her boys enjoying leisure activities and trying new things; she suggests that you include report cards, art work, and anything that is important to you or your child. We were able to get a good sense of what her boys are like just by flipping through these albums. The albums, for example, can be used to show that the child is capable of more things than a teacher might think, or is normally more active and alert than the doctor might assume. Inclusion in school was a primary topic of discussion. In the early grades, special needs children are often celebrated in the classroom and are well-accepted by their peers. There are many ways in which they can participate with the other children, even if it means making modifications in order for them to do so. A shift in the dynamics of interactions with peers happens in the older grades (high school), but Roma’s experience is that it is not necessarily a bad change, just a different kind of interaction with friends. It can be valuable to have both special needs friends and “neurotypical” friends. Special needs friends can give a particular sense of belonging for your child. Everyone likes to hang out with people who are “the same” – there is a certain sense of camaraderie and belonging when you are with those people. Roma has always taken an active role in facilitating get-togethers with her sons’ peers. Please return your completed form and/or donation to: AUTISM SOCIETY OF EDMONTON AREA #101, 11720 Kingsway Avenue, Edmonton, AB T5G 0X5 We talked about the importance of considering your child’s strengths and interests when choosing goals. This is your starting point for choosing goals that are motivating and achievable. Also, think about what the things are that you value the most. For example, if you value friendships above all else, you would choose goals that will help your child build friendships. Roma also showed us a “Vision Statement”, in which she very clearly specified what she wanted her son to experience and gain from his year in school, as well as the things she did NOT want to happen. This also helps to set goals and gives ideas for what activities to schedule in the child’s day. Events at a Glance Roma shared with us a wonderful Power Point presentation that she created as a method of introducing her son to school staff. She emphasized the things that he enjoys and the idea that regardless of his challenges, he is still a person with feelings – which she underscored with lots of great photos. Something that I thought was really interesting in this presentation was a slide she called a “Character Pie”. A circle divided up into many pie slices helps to describe her son. Only one slice of the pie was given to his autism diagnosis (and any other diagnoses or challenges). All other slices of the pie identified an interest or strength. I think it is very meaningful that Roma allowed only one small slice of the pie to identify her son as someone with a diagnosis. Although it is part of what makes our children who they are, it is not the only thing that defines them. Our children are also people with feelings, abilities, strengths and interests. Wednesday November 21, 7:00pm Asperger’s Parent Support Group Call the Autism Society of Edmonton Area (780)453-3971. Thank you to our newsletter contributors! Chris Antulov Karen Bain Deborah Barrett Kim Crowder Anita Ferri Cheryl Kerr Treva Lunan Shane Lynch Wendy Mitchell Kara Murray Karen Phillips Julie Skibington Gail Gillingham Wylie November 2007 Wednesday November 7, 7:00pm Parent’s Time Out Call the Autism Society of Edmonton Area (780)453-3971. Tuesday November 20, 6:30pm Teacher Information Night Call the Autism Society of Edmonton Area (780)453-3971. Tuesday November 27, 7:30pm Parent Information Night Call the Autism Society of Edmonton Area (780)453-3971. December 2007 Wednesday December 5, 7:00pm Parent’s Time Out Call the Autism Society of Edmonton Area (780)453-3971. Wednesday December 19, 7:00pm Asperger’s Parent Support Group Call the Autism Society of Edmonton Area (780)453-3971. January 2008 January 7th-9th, 2008 University of San Diego Winter Autism Conference – Beyond “Behaviors”: Supporting Confidence, Competence and Image. For information or to register, visit www.sandiego.edu/autisminstitute/. January 31st-February 2nd, 2008 1st ANNUAL Children’s Autism Services of Edmonton Conference Register through Children’s Autism Services of Edmonton (780) 487-9467 24 Falling into Au tumn tism life with Au Autism is: These figures illustrate some of the manifestations of autism. Not all persons with autism experience each of these symptoms and they vary in severity. Difficulty with social relationships Difficulty with verbal communication Difficulty in the development of typical play Resistance to change in routine Extreme responses to sensory stimulation Early diagnosis is essential if people with autism are to achieve full potential. It is only when their disability is understood that they can be helped to maximize skills and minimize problems. 25 AUTISM SOCIETY OF EDMONTON AREA www.autismedmonton.org 2007 MEMBERSHIP APPLICATION 1. THANK YOU FOR YOUR ASEA MEMBERSHIP Thank you for joining ASEA or renewing your membership for 2007. Membership fees contribute directly towards the Society’s ability to provide informational resources and services to families and professionals who support individuals with Autism Spectrum Disorders. We have adjusted our 2007 fees for the first time in 8 years to more accurately reflect the value of membership and improve membership benefits in the coming months. 2. NAME & CONTACT INFORMATION All information gathered will not be sold, traded or used for any purposes not directly related to ASEA Dr. / Mr. / Mrs. / Ms. (First) ________________________________________ (Last) _______________________________________ Dr. / Mr. / Mrs. / Ms. (First) ________________________________________ (Last) _______________________________________ Mailing Address: _______________________________________________ City ______________________ PC _______________ E-mail: ______________________________________________ 2nd/work e-mail: _______________________________________ Occupation / Workplace: ______________________________ I am: ❍ an individual with autism ❍ a teacher/teacher’s aide ❍ a parent ❍ an agency Occupation / Workplace: _______________________________ ❍ a relative: _______________________________________ ❍ a professional 3. ABOUT YOUR CHILDREN Knowing the ages, situations and schools of your children helps us notify you about programs available and scholarships for siblings. dd/mm/yy Your child’s name _____________________ DOB ________________ Are they autistic? ❍ School _________________________ dd/mm/yy Your child’s name _____________________ DOB ________________ Are they autistic? ❍ School _________________________ dd/mm/yy Your child’s name _____________________ DOB ________________ Are they autistic? ❍ School _________________________ 4. TYPE OF MEMBERSHIP ASEA has simplified its membership offerings for your convenience ❍ $60 New family membership ❍ $100 professional / agency membership ❍ $40 renewing family membership ❍ $40 teacher / teacher’s aide membership ❍ *$0 assisted family membership * ASEA recognizes that some families are unable to afford annual fees. ASEA will consider requests for assisted family membership on a case by case basis. All inquiries will remain confidential. 5. PAYMENT Memberships are renewed in June and prorated based on when you join. Donors and volunteers play an vital role in sustaining services and creating new programs. ❍ Visa ❍ MasterCard ❍ AMEX ❍ Cheque (mm/yy) Card number __________________________________ Expiry date ____________ Yes! I’d also like to make a donation to ASEA Please consider giving of your time or financial resources in addition to your membership. ❍ $10 ❍ $25 ❍ $50 ❍ $100 ❍ Other ___________________________ ❍ Yes! I’d like to volunteer for ASEA – please contact me! All donations over $10 are eligible for a charitable tax receipt. Signature ______________________________________________________________ Please return your completed form and/or donation to: AUTISM SOCIETY OF EDMONTON AREA #101, 11720 Kingsway Avenue, Edmonton, AB T5G 0X5 E-mail: [email protected] 26 www.autismedmonton.org Swarm Enterprises Ltd. Return undeliverable Canadian addresses to: Autism Society of Edmonton Area #101, 11720 Kingsway Avenue, Edmonton, AB T5G 0X5 Canada Post Publications Mailing Number 40020698