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Autism News Spring, 2012 Vol 6. Issue 2 Focus on Early Assessment

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Autism News Spring, 2012 Vol 6. Issue 2 Focus on Early Assessment Spring 2012 Volume 6, Issue 2 Cover artwork created by Jacob Tan Copyright © 2011 by Vera Bernard-Opitz C ONTENTS Editorial Editorial Team Vera Bernard-Opitz, Ph.D., Editor Early Assessment and Intervention....................... 3 Ginny Mumm, Associate Editor Research Editorial Board Nicole Gage, Ph.D. Early Intervention Underlying Characteristics ..... 5 Wendy Goldberg, Ph.D. Gillian Hayes, Ph.D. Leslie Morrison, Ph.D. Education/Therapy Janis White, Ed.D. Strategies to Improve Attention ........................... 9 Executive Board Carol Clayman Environments for Early Intervention ................. 13 Valerie K. deMartino, Esq Joe Donnelly, M.D. Autism Therapy Center Bremerhaven ............... 14 Dennis Roberson The Issue of Selective Eating ...............................18 Janis B. White, Ed.D. Help Me Grow Offers Free Screening .................20 Advisory Board LOCAL Parent/Family Valerie K. deMartino, Esq. Long Beach, California A Red Tandem Bike .......................................... 22 Wendy Goldberg, Ph.D. University of California, Irvine Cover Artist: Jacob Tan .....................................24 Beth Huntley-Fenner Irvine, California HyeKyeung Seung, Ph.D. News/Highlights Cal State University, Fullerton Belinda Karge, Ph.D. Supportors/Sponsorships/Donations ..................25 Cal State University, Fullerton Events..................................................................26 Connie Kasari, Ph.D. University of California, Los Angeles Jennifer McIlwee Myers C OVER F EATURE Orange County, California Emily Rubin, MS, CCC-SLP We are pleased to feature one of our local artists, Jacob Tan. Communication Crossroads, Monterey Read more about Jacob on page 26. Bryna Siegel, Ph.D. Dept. of Psychiatry, University of California, San Francisco Marian Sigman, Ph.D. Mission Statement University of California, Los Angeles Autism News of Orange County & the Rest of the World Becky Touchette is a collaborative publication for parents and professionals Saddleback Valley Unified School District dedicated to sharing research-based strategies, innovative NATIONAL/INTERNATIONAL educational approaches, best practices and experiences in Barbara Bloomfield, M.A., CCC-SLP the area of autism. Icon Talk, Goshen, New York Marjorie H. Charlop-Christy, Ph.D. Submission Policy Claremont McKenna College and The Autism News of Orange County–RW is available free The Claremont Autism Center V. Mark Durand, Ph.D. of charge. The opinions expressed in the newsletter do not University of South Florida, St. Petersburg necessarily represent the official view of the agencies involved. Patricia Howlin, Ph.D. Contributions from teachers, therapists, researchers and St. Georges’s Hospital London, England relatives/children of/with autism are welcome. The editors David Leach, Ph.D. Murdoch University, Australia select articles and make necessary changes. Gary Mesibov, Ph.D. Please submit articles in Microsoft Word using font size University of North Carolina, 12, double spaced, and no more than four pages in length Chapel Hill Division TEACCH Salwanizah Bte Moh.Said (2600 words). Photos are encouraged and when submitted Early Intervention, Autism Association, Singapore with articles the permission to include is assumed. Fritz Poustka, M.D. Please E-mail all correspondence to: University of Frankfurt, Germany Dr. Vera Bernard-Opitz Diane Twachtman–Cullen, Ph.D., CCC–SLP [email protected] ADDCON Center, Higganum, Connecticut Pamela Wolfberg, Ph.D. Please visit our website: www.autismnewsoc.org San Francisco State University 2 Autism News of Orange County – RW Spring 2012 E DITORIAL Editorial By Vera Bernard-Opitz The current issue of the Autism campaigns for early recog- News focuses on Early Assessment nition of autism, such as and Intervention - a topic which worrying new parents by touches not only families, diagnosti- exposing them to the “red cians, and interventionists, but also flags for autism,” some- policy makers and service providers. times even before their How can we recognize early signs of child is born? Flyers with autism in infants and young children headlines such as “Could it and start intervention as early as pos- be autism?” surely leave sible? Which intervention can help their “worry-traces” not when an infant lacks early commu- only in pregnant moms, nicative and social behaviors, such as Example of the Early Start Denver Model of but often also in grandpar- autism YouTube: Logan_PattyFeet.mp4 looking at his parents, smiling in ents, other relatives and response to their smiles, sharing his small joys and friends. Most of our colleagues assume that the troubles in social interactions, or pointing to share his benefits of early assessment outweigh the risks experiences? And – if all these normal skills don’t of false alarms – and we hope that this is true. develop at the expected time - what exact behavior • It has been shown that ABA and structured should be targeted? Or to put it in behavioral terms, teaching have made an enormous difference in what behavior is “pivotal to major developmental the lives of individuals with autism. Do we progress and behavioral change?” And which method have sufficient comparison studies, however, to is appropriate and effective for this age group? justify early intervention with infants? If so, which method with which behavioral target should be used for how many hours a day? • Two YouTube examples of interventions before the age of 24 months have been a highlight of my recent workshops in Germany. The video from the Early Start Denver program “Patty Feet” shows a child-initiated sophisticated inter- play between an infant and a therapist, while the video “Speech Therapy at 22 months” shows a therapist-directed behavioral interaction using physical prompts and behavioral contingencies. Both demonstrate interventions that have dif- Speech Therapy at 22 months ferent underlying philosophies but clear positive http://www.youtu.be/watch?v=WyQ8a1nqWJk&feature=fvwrel effects. Matching the right method to the Since we are starting something very new we prerequisites of young children obviously may also need to consider critical questions such as needs more data and research evidence. the following: While the current issue of the Autism News can- not answer all the questions involved, it sheds some • Can assessment ever be done too early? How sta- light on the above discussion points. ble is a diagnosis made at the tender age of three to six months? • In the first article Barry Grossman and Ruth • Are there possible side effects to well-meant Aspy – authors of the Ziggurat Model - describe Spring 2012 Autism News of Orange County – RW 3 E DITORIAL an assessment tool that is designed for children tions demonstrate that behavioral intervention from three months through 72 months. It is can make a big difference in daily challenges. laudable that the authors do not focus solely on • Bobbie McIntyre shares her sadness about the developmental milestones, but include the limitations her children affected by autism child’s strengths as well as parental concerns. face, and also the joy of finding new opportu- • Rebecca Hernandez presents Help Me Grow, nities. Her article, “Red Tandem Bike,” can be a joint project of UC Irvine Department of seen as a symbol for exploring different ideas, Pediatrics and CHOC (Children’s Hospital of being ready for the unusual and celebrating Orange County), which is funded by Orange the unexpected joys along with our children. County United Way (OCUW), to provide • Last, but not least Lee Hong Eng from developmental screening and monitoring to Singapore shares her son’s interest in art. Since siblings of children diagnosed with an Autism I had the opportunity to follow Jacob’s devel- Spectrum Disorder (ASD) from age 2 months opment from a young, bouncy child into a tal- to five years. ented young man, I specially appreciate the • Regarding pivotal skills in early intervention, story “I want to become an artist,” Thanks previous research has stressed the crucial role Jacob, for your outstanding cover picture! of attention in young children with autism. Elena Patten and Linda Watson from the We thank all our authors for their contributions University of North Carolina differentiate var- and our supporters for their generous support, all of ious types of attention (such as orienting, sus- which have made ANOC 17 possible. The next issue taining, shifting and joint attention) and sum- of the Autism News will focus on Social Skills marize specific strategies for enhancing atten- Programs, but again depends on your donations. tion. An interesting finding is that regardless of the teaching method (ABA, milieu teach- Wishing you all the best for the new year. ing, pivotal response training) or the interven- Vera Bernard-Opitz, Ph.D. tionists (therapists, parents, grandparents) Clin. Psych, BCBA-D children benefitted when interventions Editor focused on improving attention. Website: www.verabernard.org • Eva Hegewald from the Autism Center in Website: www.verabernard.de Alfeld, Germany, shares impressions from an E-mail: [email protected] integrated kindergarten program. Photos of the center show how orientation and interac- tion for children with autism and other devel- opmental problems can be facilitated through architectureal and play equipment design. • Christine Arens-Wiebel from the Autism Center in Bremerhaven, Germany, summa- rizes four years of early intervention on the WE STILL NEED YOUR SUPPORT development of a child with autism. A com- To continue our newsletter, we need
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