Sensory Processing Disorder and Occupational Therapy
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Autism Practice Parameters
American Academy of Child and Adolescent Psychiatry AACAP is pleased to offer Practice Parameters as soon as they are approved by the AACAP Council, but prior to their publication in the Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP). This article may be revised during the JAACAP copyediting, author query, and proof reading processes. Any final changes in the document will be made at the time of print publication and will be reflected in the final electronic version of the Practice Parameter. AACAP and JAACAP, and its respective employees, are not responsible or liable for the use of any such inaccurate or misleading data, opinion, or information contained in this iteration of this Practice Parameter. PRACTICE PARAMETER FOR THE ASSESSMENT AND TREATMENT OF CHILDREN AND ADOLESCENTS WITH AUTISM SPECTRUM DISORDER ABSTRACT Autism spectrum disorder (ASD) is characterized by patterns of delay and deviance in the development of social, communicative, and cognitive skills which arise in the first years of life. Although frequently associated with intellectual disability, this condition is distinctive in terms of its course, impact, and treatment. ASD has a wide range of syndrome expression and its management presents particular challenges for clinicians. Individuals with an ASD can present for clinical care at any point in development. The multiple developmental and behavioral problems associated with this condition necessitate multidisciplinary care, coordination of services, and advocacy for individuals and their families. Early, sustained intervention and the use of multiple treatment modalities are indicated. Key Words: autism, practice parameters, guidelines, developmental disorders, pervasive developmental disorders. ATTRIBUTION This parameter was developed by Fred Volkmar, M.D., Matthew Siegel, M.D., Marc Woodbury-Smith, M.D., Bryan King, M.D., James McCracken, M.D., Matthew State, M.D., Ph.D. -
Parents Guide to ADHD
Parents Guide to ADHD Copyright 2016. Child Mind Institute Parents Guide to ADHD Children with attention-deficit hyperactivity disorder (ADHD) find it unusually difficult to concentrate on tasks, to pay attention, to sit still and to control impulsive behavior. This guide offers parents the information you need to understand the behaviors associated with the disorder and make effective decisions for your child about diagnosis and treatment. What Is ADHD? Attention-deficit hyperactivity disorder, or ADHD, is a condition that makes it unusually difficult for children to concentrate, to pay attention, to sit still, to follow directions and to control impulsive behavior. While all young children are at times distractible, restless and oblivious to parents’ and teachers’ instructions, kids with ADHD behave this way much more often than other children their age. And their inability to settle down, focus and follow through on tasks in age-appropriate ways makes it very hard for them to do what’s expected of them at school. It can also lead to conflict at home and difficulty getting along with peers. Symptoms of ADHD Symptoms of ADHD are divided into two groups: inattentive behaviors and hyperactive and impulsive behaviors. Inattentive symptoms of ADHD: — Makes careless mistakes — Is easily distracted — Doesn’t seem to be listening when spoken to directly — Has difficulty following instructions — Has trouble organizing — Avoids or dislikes sustained effort — Is forgetful, always losing things Child Mind Institute | Page 2 Parents Guide to ADHD Hyperactive or impulsive symptoms of ADHD: — Fidgeting or squirming, trouble staying in one place or waiting his turn Kids who have inattentive — Excessive running and climbing symptoms may start to — Trouble playing quietly struggle in the middle of — Extreme impatience elementary school, when — Always seems to be “on the go” or “driven by a motor” it becomes increasingly — Excessive talking or interrupting, blurting out answers difficult for them to Some children exhibit only the first group of symptoms, and some exhibit keep up. -
Measuring the Effectiveness of Play As an Intervention to Support
Measuring the Effectiveness of Play as an Intervention to Support Language Development in Young Children with Autism Spectrum Disorder: A Hierarchically- Modeled Meta-Analysis by Gregory V. Boerio Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Education in the Educational Leadership Program Youngstown State University May, 2021 Measuring the Effectiveness of Play as an Intervention to Support Language Development in Young Children with Autism Spectrum Disorder: A Hierarchically- Modeled Meta-Analysis Gregory V. Boerio I hereby release this dissertation to the public. I understand that this dissertation will be made available from the OhioLINK ETD Center and the Maag Library Circulation Desk for public access. I also authorize the University or other individuals to make copies of this thesis as needed for scholarly research. Signature: _______________________________________________________________ Gregory V. Boerio, Student Date Approvals: _______________________________________________________________ Dr. Karen H. Larwin, Dissertation Chair Date _______________________________________________________________ Dr. Patrick T. Spearman, Committee Member Date _______________________________________________________________ Dr. Carrie R. Jackson, Committee Member Date _______________________________________________________________ Dr. Matthew J. Erickson, Committee Member Date _______________________________________________________________ Dr. Salvatore A. Sanders, Dean of Graduate Studies Date ii © G. Boerio 2021 iii Abstract The purpose of the current investigation is to analyze extant research examining the impact of play therapy on the development of language skills in young children with autism spectrum disorder (ASD). As rates of ASD diagnoses continue to increase, families and educators are faced with making critical decisions regarding the selection and implementation of evidence-based practices or therapies, including play-based interventions, to support the developing child as early as 18 months of age. -
State of Research on Potential Environmental Health Factors with Autism and Related Neurodevelopment Disorders
S. HRG. 111–1248 STATE OF RESEARCH ON POTENTIAL ENVIRONMENTAL HEALTH FACTORS WITH AUTISM AND RELATED NEURODEVELOPMENT DISORDERS HEARING BEFORE THE SUBCOMMITTEE ON CHILDREN’S HEALTH OF THE COMMITTEE ON ENVIRONMENT AND PUBLIC WORKS UNITED STATES SENATE ONE HUNDRED ELEVENTH CONGRESS SECOND SESSION AUGUST 3, 2010 Printed for the use of the Committee on Environment and Public Works ( Available via the World Wide Web: http://www.fdsys.gov U.S. GOVERNMENT PUBLISHING OFFICE 23–574 PDF WASHINGTON : 2017 For sale by the Superintendent of Documents, U.S. Government Publishing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2104 Mail: Stop IDCC, Washington, DC 20402–0001 COMMITTEE ON ENVIRONMENT AND PUBLIC WORKS ONE HUNDRED ELEVENTH CONGRESS SECOND SESSION BARBARA BOXER, California, Chairman MAX BAUCUS, Montana JAMES M. INHOFE, Oklahoma THOMAS R. CARPER, Delaware GEORGE V. VOINOVICH, Ohio FRANK R. LAUTENBERG, New Jersey DAVID VITTER, Louisiana BENJAMIN L. CARDIN, Maryland JOHN BARRASSO, Wyoming BERNARD SANDERS, Vermont MIKE CRAPO, Idaho AMY KLOBUCHAR, Minnesota CHRISTOPHER S. BOND, Missouri SHELDON WHITEHOUSE, Rhode Island LAMAR ALEXANDER, Tennessee TOM UDALL, New Mexico JEFF MERKLEY, Oregon KIRSTEN GILLIBRAND, New York ARLEN SPECTER, Pennsylvania BETTINA POIRIER, Staff Director RUTH VAN MARK, Minority Staff Director SUBCOMMITTEE ON CHILDREN’S HEALTH AMY KLOBUCHAR, Minnesota, Chairman TOM UDALL, New Mexico LAMAR ALEXANDER, Tennessee JEFF MERKLEY, Oregon DAVID VITTER, Louisiana ARLEN SPECTER, Pennsylvania JAMES M. INHOFE, Oklahoma (ex officio) BARBARA BOXER, California (ex officio) (II) CONTENTS Page AUGUST 3, 2010 OPENING STATEMENTS Klobuchar, Hon. Amy, U.S. Senator from the State of Minnesota ..................... -
A Person-Centered Approach to Problem Behavior: Using DIR®/Floortime with Adults Who Have Severe Developmental Delays Gene Christian, M.S., C.R.C
The NADD BULLETIN A Person-Centered Approach to Problem Behavior: Using DIR®/Floortime with Adults Who Have Severe Developmental Delays Gene Christian, M.S., C.R.C. Abstract cades, the medical model dominated services for The developmental disability field, especially people with developmental delays. Throughout adult services, is characterized by contradictory the nineteenth and much of the twentieth cen- paradigms as the “support” or “disability rights” tury, developmental disabilities were perceived, movement has established powerful consumer essentially, as medical conditions. The disease and professional credibility in a sector that has model implicit in this approach was part of the been dominated by educational and medical mod- array of failings cited by those who sought to re- els. The author proposes a practical resolution to place that model during the mid to latter part this paradigm clash by describing an integration of the last century. Gradually, the medical ap- of evidence-based principles with a person-cen- proach was supplanted by the “developmental tered approach to problem behavior. It is recom- model” - an educational paradigm based on op- mended that applications of essential teachings erant principles. For almost forty years, service in the field of infant mental health can forge an delivery has been guided by the behavioral orien- alliance between the historically incompatible tation that learning occurs most efficiently when approaches of the disability rights movement observable, measurable behavior is manipulated and applied behavior analysis. This resolution is through analysis of environmental events. rooted in a model of assessment and treatment However, in the 1980’s, a different approach known as “Floortime.” “Floortime” is a form of to developmental disability services began to interpersonally contingent developmental inter- emerge. -
Child-Centered Play Therapy and Young Children with Autism Katherine Elizabeth Carrizales
University of Northern Colorado Scholarship & Creative Works @ Digital UNC Dissertations Student Research 5-1-2015 Transcendence through Play: Child-Centered Play Therapy and Young Children with Autism Katherine Elizabeth Carrizales Follow this and additional works at: http://digscholarship.unco.edu/dissertations Recommended Citation Carrizales, Katherine Elizabeth, "Transcendence through Play: Child-Centered Play Therapy and Young Children with Autism" (2015). Dissertations. Paper 13. This Text is brought to you for free and open access by the Student Research at Scholarship & Creative Works @ Digital UNC. It has been accepted for inclusion in Dissertations by an authorized administrator of Scholarship & Creative Works @ Digital UNC. For more information, please contact [email protected]. © 2015 KATHERINE ELIZABETH CARRIZALES ALL RIGHTS RESERVED UNIVERSITY OF NORTHERN COLORADO Greeley, Colorado The Graduate School TRANSCENDENCE THROUGH PLAY: CHILD-CENTERED PLAY THERAPY AND YOUNG CHILDREN WITH AUTISM A Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Katherine Elizabeth Carrizales College of Education and Behavioral Sciences Department of School Psychology May 2015 This Dissertation by: Katherine Elizabeth Carrizales Entitled: Transcendence Through Play: Child-Centered Play Therapy and Young Children with Autism has been approved as meeting the requirements for the Degree of Doctor of Philosophy in College of Education and Behavioral Sciences in Department of School Psychology -
Sensory Issues for New Diagnosis and New Residents on Cleveland’S West Side
Connecting for Kids: Resource Guides Sensory Issues For new diagnosis and new residents on Cleveland’s west side Whether your child is newly diagnosed, you have recently moved to the west side, or you are looking for more information to augment your child’s services, we’re here to help. This resource guide will help you connect with some of the most critical information, services, and support you’ll need when dealing with sensory issues. TIP: Click the links or globe icons to go directly to provider web pages. About Sensory Issues Local Medical Resources Typically, our senses (touch, taste, smell, sight, Sensory issues are often treated by licensed hearing, vestibular and proprioceptive) work occupational therapists (OT), but the treatment together to give us all the information we need to team may include physical therapists (PT) and live, work and play. But in some people, certain speech/language pathologists (SLP) as well. senses are too intense (hyper-sensitive) or not When choosing an OT to work with your child, be intense enough (hypo-sensitive). The result of sure to ask if s/he has experience with SPD and one or more senses being over or under-tuned how that experience drives the therapy plan leads to problems processing sensory (often called a “sensory diet”). information. The SPD Treatment Directory Children with hyper or hyposensitivities can have Online directory of professionals and services problems with some of the following: maintained by The SPD Foundation. Also includes OTs who have completed the SPDF mentorship Over-sensitive to touch, noise, smells, program. other people 1-303-794-1182 Difficulty dressing, eating, sleeping www.spdfoundation.net and/or toilet training Clumsy; poor motor skills; weak Frequent or long temper tantrums Easily distracted, fidgety, craves Organizations movement; aggressive SPD Foundation Easily overwhelmed World leader in research, education and Always on the go; impulsive; awareness for sensory processing disorder. -
Autism Spectrum Disorder: a Neurodevelopmental Disorder
Sarah Spence MD PhD Autism spectrum disorder: A NEUROdevelopmental Disorder Autism spectrum disorder: A NEUROdevelopmental disorder Sarah Spence MD PhD Co-Director, Autism Spectrum Center Boston Children’s Hospital Harvard Medical School Copyright © 2020 Boston Children’s Hospital 1 Sarah Spence MD PhD Autism spectrum disorder: A NEUROdevelopmental Disorder Disclosures I will discuss non-FDA approved medications used in Autism Spectrum Disorder. Member of APA DSM 5 Neurodevelopmental workgroup. Current and past grant support from Cure Autism Now, Autism Speaks, MIND Institute, Simons Foundation Autism Research Initiative (SFARI), Nancy Lurie Marks Family Foundation, NIH Past consultant for Seaside Therapeutics for Arbacolfen Past co-investigator in clinical trial of a novel compound led by Hoffman LaRoche pharmaceuticals. Current co-investigator in clinical trial of a novel compound led by Servier pharmaceuticals. Consultant to Yanmo pharmaceuticals for new compund being tested in ASD Copyright © 2020 Boston Children’s Hospital 2 Sarah Spence MD PhD Autism spectrum disorder: A NEUROdevelopmental Disorder Overview Epidemiology Diagnosis Heterogeneity Etiological theories Medical co-morbidities Treatments Neurodiversity Copyright © 2020 Boston Children’s Hospital 3 Sarah Spence MD PhD Autism spectrum disorder: A NEUROdevelopmental Disorder Epidemiology: 2020 MMWR report 2020 data (cohort of 8 year olds from 2016) 1 in 54 children or 1.8% or 18.5/1,000 (range 13.1-31.4/1,000) Fist time there were equal rates for most different -
MHN Summer 2006 Issue
MENTAL HEALTH NEWSTM YOUR TRUSTED SOURCE OF INFORMATION, EDUCATION, ADVOCACY AND RESOURCES SUMMER 2006 FROM THE LOCAL, STATE, AND NATIONAL NEWS SCENE VOL. 8 NO. 3 Understanding and Treating Autism Spectrum Disorders National Institute social overtures, something is wrong. Re- of Mental Health (NIMH) search has shown that parents are usually correct about noticing developmental prob- lems, although they may not realize the spe- ot until the middle of the twen- cific nature or degree of the problem. tieth century was there a name The pervasive developmental disor- for a disorder that now appears ders, or autism spectrum disorders, range N to affect an estimated one of from a severe form, called autistic disor- every five hundred children, a disorder der, to a milder form, Asperger syndrome. that causes disruption in families and un- If a child has symptoms of either of these fulfilled lives for many children. In 1943 disorders, but does not meet the specific Dr. Leo Kanner of the Johns Hopkins criteria for either, the diagnosis is called Hospital studied a group of 11 children pervasive developmental disorder not and introduced the label early infantile otherwise specified (PDD-NOS). Other autism into the English language. At the rare, very severe disorders that are in- same time a German scientist, Dr. Hans cluded in the autism spectrum disorders Asperger, described a milder form of the are Rett syndrome and childhood disinte- disorder that became known as Asperger grative disorder. syndrome. Thus these two disorders were described and are today listed in the Diag- What Are nostic and Statistical Manual of Mental The Autism Spectrum Disorders? Disorders DSM-IV-TR (fourth edition, text revision) as two of the five pervasive be reliably detected by the age of 3 years, unusual behaviors in their child. -
Sensory Processing Disorder
Sensory Processing Disorder Jordan cries because his shoes are too tight or his socks are too scratchy; he hates the playground and the sand. Sarah doesn’t seem to know where she’s going and bumps into things; she’s tired all the time and mostly sits around at school. James is constantly fiddling with something, tapping his feet, or chewing his shirt; he wants to touch everything. Their extreme reactions to their environment could be signs of a sensory processing disorder. What It Is: Sensory processing disorder is “the inability to use information received through the senses in order to function smoothly in daily life” (Kranowtiz, p. 9). Five percent (or 1 in 20) of all children may experience enough difficulty handling the information they receive through their senses (vision, hearing, • Be under-responsive (tolerate unusual touch, taste, smell, movement and body pain, don’t notice obstacles, are awareness) to affect their daily lives. unaware of unpleasant smells). Children with a • Crave more intense sensory experiences sensory processing disorder may (like to play in mud, move constantly, • Be over-sensitive to their surroundings like being squeezed hard). (complain that lights are too bright or • These children may also have trouble clothes are too scratchy, over-react to noise). making friends or being part of a group. continued on back page EARLY CHILDHOOD MENTAL HEALTH MATTERS! EARLY CHILDHOOD MENTAL HEALTH MATTERS! • They may seem clumsy, disruptive and out of control. • Most of these children are not intellectually delayed, but their brains are wired differently. Some but certainly not all children with a sensory processing disorder also have some form of autism and/or attention deficit hyperactivity disorder. -
Developmental Approaches
Developmental Approaches Uncomfortable, Taboo, and Awkward Situations Threshold Community Program Sara Morgan, LPC, Sarah Champ, M.S Introduction ● Who are we are and what we do ● Overview ● Taboo and uncomfortable topics ● Developmental approach ● Family communication ● Questions and Discussion ● Established 2005 ● Located in Decatur, GA ● Staff Overview ● DIR/Floortime Approach ● Core Values Who Do We Serve? ● People who identify on the autism spectrum ● People who may have been labeled ● Sensory Processing Disorder ● Specific Learning Disabilities ● ADHD ● Anxiety and/or Depression ● OCD or Tourette’s Syndrome ● Down Syndrome ● People who present with a range of mood and behavior issues that have made it difficult for them to find success Who Do We Serve? ● sensory and processing ● Puberty differences ● New kinds of ● compulsive or repetitive behaviors, hyper-focus relationships ● communication, ● Independence and ● impulse control Autonomy ● mental health concerns ● rigid thinking patterns The Uncomfortable, Taboo, and Awkward ● Toileting difficulties ● Hygiene ● Adolescent and Young Adulthood Sexuality ● Bullying, Hate Speech ● Religion and Politics ● Drugs and Alcohol Can you give me some examples? ● A student or client begins to masterbate in a public place ● A student or client states that women are not as smart as men ● A student or client reveals to you that they are gay ● A student or client has spread fecal matter in the bathroom ● A student or client has a strong body odor ● A student or client states that they’ll hit any Democrats -
The Joy of Autism: Part 4
I also have a list of prominent unconfirmed participants, who should be confirmed shortly. I am looking for Canadian autistic persons to consider joining the board. Please send letters of interest to: [email protected] PERM ALINK POSTED BY ESTEE KLAR-WOLFOND AT 3/16/2006 11:19:00 AM 13 COM M ENTS LINKS TO THIS POST TUESDAY , M ARCH 14, 2006 The Difficulty of Knowing There is an old adage: Ignorance is Bliss. In the case of liberal eugenics, human genome research and ethics, some people might think this as they read on. As we come closer to discovering what makes us physically human, we come closer to becoming god-like. In the name of progress we fly higher and seek control. Apollo had a son called Phaethon, who was human. Phaethon nagged at Apollo to let him borrow the sun chariot and fly across the sky. Finally Apollo agreed. Phaethon proudly drove the sun chariot up into the sky, but then he lost control of the horses. The sun chariot dived towards the earth, burning everything. Finally Jupiter had to stop him with a thunder bolt. In the name of progress, human genetics, biotechnology and the economic engine that will profit dearly from it all, this movement will go on. To what end is yet to be determined. In the meantime, let’s keep talking about what this all means as my son hugs me from behind with his cherub smile this morning. I’ve been pondering my first pregnancy with Adam. The expectation of him. Needless to say, after thirty-six years of waiting, I was ecstatic.