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Autism Guidebook for Washington State: a Resource for Individuals, Washington State Agencies

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Autism Guidebook for Washington State A Resource for Individuals, Families, and Professionals July 21, 2016 Individuals with Autism Spectrum Disorders (ASD) require individually designed interventions that meet the distinct need of the person. It is important that parents, health care, social services and school professionals, working together as a team, select teaching strategies and methods based on peer reviewed, empirically based, valid evidence. We are at a time in history when we have this knowledge and evidence. To say that a methodology is grounded in scientifically based research means there is reliable, independent evidence and current knowledge that a given program or practice works for an individual with autism. Each individual with autism deserves no less. ii iii The Autism Task Force is grateful to both the Ohio Task Force and the Ohio Parent’s Group for their hard work, the creation of these documents, and permission to use their products as a basis for this Washington State Autism guidebook. Additionally, the ATF extends our thanks to Washington State’s Governor Christine Gregoire and the Washington Legislature for recognizing the need and establishing the Caring for Washington Individuals with Autism Task Force. This manual is a direct result of their concern and recommendations. iv v Acknowledgements Autism Task Force Members Sofia Aragon, JD, RN - Department of Health Lauri Berreman, MEd - Local School District Representative Lou Colwell, Ed.D - Office of Superintendent of Public Instruction Geraldine Dawson, PhD - University of Washington Autism Center Monica Meyer - Education Services District, Parent Felice Orlich, PhD - University of Washington Autism Center, Parent Senator Marilyn Rasmussen - Senate Democratic Caucus, Grandparent Senator Pam Roach - Senate Republican Caucus, Grandparent Linda Rolfe, MSW - Department of Social and Health Services, Division of Developmental Disabilities Ilene Schwartz, PhD - University of Washington Dawn Sidell, RN, BSN - Northwest Autism Center, Parent Diana Stadden - Autism Society of Washington & Arc of Washington, Parent Carolyn Taylor, MS - Autism Outreach Project, Parent Representative Maureen Walsh - House Republican Caucus, Sister Representative Brendan Williams - House Democratic Caucus, Uncle Washington State Department of Health Staff Maria Nardella, MA, RD, CD - Children with Special Health Care Needs Program Carol L. Dean, MPH - Children with Special Health Care Needs Program, ATF Project Coordinator Rebecca Ross - Community and Family Health Graphic Designer Candi Wines, MPH - Office of Maternal and Child Health Riley Peters, PhD - Office Director, Office of Maternal and Child Health Leslie Carroll, MUP - Children with Special Health Care Needs Program, Parent Christy Davis - Children with Special Health Care Needs Program Autism Support vi vii Autism Task Force Subcommittee Members Contents Regional Coalition Family-Centered Care Education Hubs Co-chair: Dawn Sidell/ Co-chairs: Lauri History Co-chairs: Monica Diana Stadden Berreman/Carolyn Meyer/Felice Orlich Crystal Blanco Taylor Autism Lifespan Resource Tree Linda Barnhart Don Burbank Monique Bartoldus Autism Lifespan Resource Directory Lauri Berreman Leslie Carroll Alison Clark Chapter 1 User Guide Terry Buck Tracie Day-Hoppis Lou Colwell Purpose and Source . .1 Cindy Carroll Angela Dawson Arzu Forough Introduction . .1 Sue Elliott Sue Elliott Linda Hawkins How to Use This Document . 2 Arzu Forough Debra Finck Shelly Marquett Description . .2 Erin Lynch Arzu Forough Monica Meyer Recommended Process . .3 Carol L. Miller Patty Gee Gretchen Schmidt Mertes What this Document is NOT . 3 Senator Marilyn Alan Gill Rasmussen Carol L. Miller Sally James Chapter 2 Introduction to Autism Linda Rolfe Linda Rolfe Erin Lynch Ronda Schelvan Nancy Rosenburg What is Autism or Autism Spectrum Disorder? . .5 Carol L. Miller Ilene Schwartz Ilene Schwartz Lance Morehouse Chapter 3 Defining Autism Dawn Sidell Ronda Schelvan Cami Nelson Pervasive Developmental Disorders Categories . .7 Diana Stadden C. Milani Smith Felice Orlich Categories and Diagnostic Criterias . .7 Carolyn Taylor Helen Powell Other Members of the PDD Category . 8 Glenn Tripp Carolyn Taylor Individual with Disabilities Education Act (IDEA) . 9 Alan Unis Washington State . 10 ID/Tracking Diagnostic and Statistical Manual of Mental Disorders, IV TR . 11 Co-chair: Geraldine Dawson/Nancy Chapter 4 Medical Aspects Simon Jane Campbell Introduction . 15 Victoria T. Crescenzi Screening and Diagnosis . .15 Kathrin Fortner Diagnostics and Screening Instruments . .19 Katie Hutchinson Diagnostic Tools . .19 Carol L. Dean Asperger Syndrome Diagnostic Scale (ASDS) . .19 Felice Orlich Autism Diagnostic Interview-Revised (ADI-R) . .19 Kate Orville Autism Diagnostic Observation Scale (ADOS) . .20 Carolyn Taylor Gilliam Autism Rating Scale (GARS) . .20 Samuel H. Zinner Screening Tools . 20 Autism Behavior Checklist (ABC) . .20 Autism Screening Instrument of Educational Planning . .20 Checklist for Autism in Toddlers (CHAT) . .20 viii ix Modified Checklist for Autism in Toddlers (M-CHAT) . 21 Aspects of a Learning Environment . 39 Pervasive Developmental Disorder Screening Test (PDDST) 21 Focus of Interventions-All Ages . .39 Psychological Profile- Revised . 21 Attention . 40 Adolescent and Adult Psychoeducational Profile (AAPEP) . 21 Imitation . 40 Functional Assessments . 22 Communication . .40 Real Life Rating Scale . .22 Socialization . 41 Promotional Training Programs . .22 Cognition . 41 First Signs Program . 22 Purposeful Play/Recreation/Leisure/Physical Exercise . .42 Learn the Signs. Act Early . 23 Self-Determination . .42 American Academy of Pediatrics (AAP) Toolkit . 24 Essential Life Skills . .42 Medical Intervention for Individuals with ASD . .24 Transition . .43 What is a Medical Home? . .24 Sexuality-as determined by student’s team . 43 Treatment Goals . .25 Behavior . 43 Medical Areas To Be Addressed . .25 Description of Teaching Strategies and Methodologies: Data Driven 44 Accidental Injury . 25 Applied Behavior Analysis . 44 Aggression . .26 CAPS (Comprehensive Autism Planning System) . 45 Anxiety . .26 Discrete Trial Training . .45 Attention Deficit/Hyperactivity Signs and Symptoms . 26 Social Thinking . 46 Dental Care . 26 TEACCH . .47 Elopement (Wandering) . 27 Communication . .47 Feeding/Nutrition . 28 Common Communication Options . .48 Mood Disorder . 28 Chapter 6 Essential Components of an Instructional Program Obsessive/Compulsive and Severe Ritualistic Patterned Behavior 29 Puberty . .29 Essential Component 1—Family Involvement . .51 Psychiatric Disorders . 29 Effective Communication . .53 Seizures . 30 Team Process . .53 Self-Injurious Behavior . 30 Information and Advocacy . 54 Sensory Issues . 31 Essential Component 2—Earliest Intervention . .54 Sleep . 31 Essential Component 3—Intensity . .55 Stereotypies . .31 Essential Component 4—Predictability and Structure . 56 Tics . 32 Essential Component 5—Generalization of Skills . .57 Medications . 32 Essential Component 6—Functional Analysis of Behaviors . 58 Alternative and Complementary Therapies . .32 Behaviors Serve a Function . .59 Functional Analysis of Behavior and Behavior Interventions 59 Chapter 5 Essential Components of Instruction Behaviors Change Over Time . 60 Considerations . 35 Influences on Behavior . 61 Learning Styles of Individuals with ASD . .36 Stress/Anxiety . 61 Purpose of Assessment . 38 Physiological Factors . 61 x xi Sensory Sensitivities . 61 Practical Tips for Transitioning to Post Secondary Education after High Positive Behavior Support . 62 School . 93 Behaviors Require Brainstorming and Teamwork . 63 Important Considerations For Postsecondary Transition . 94 Essential Component 7—Communication . 64 Chapter 8 Beyond Academics—Future Planning Issues Modifications . .65 Quality of Life . .97 Strategies . .65 Lifestyle Planning—Written Instructions . .98 Essential Component 8—Assistive Technology . .66 Personal Futures Planning . 99 “No” Tech Tools . .67 Establishing an Advisory Team . 100 Low Tech Supports . .67 Guardianship . 101 Mid Tech Tools . 67 Estate Planning . .101 High Tech Tools . .67 Establishing a Trust . 102 Essential Component 9—Sensory Motor Processing . .68 Essential Component 10—Social, Emotional, and Sensory Regulation Chapter 9 Autism Awareness Training in the Community (Modulation) . .71 Training Needs . .105 Essential Component 11—Social Development . 72 Essential Component 12—Inclusion with Typically Developing Peers 75 Chapter 10 Advocacy Essential Component 13—Progress Monitoring . 76 Levels of Advocacy . 109 Essential Component 14—Supported Transitions Across Multiple 1. Advocating for children . .109 Environments . .76 2. Sharing information with other parents . .109 Transition Overview . 76 3. Supporting a parent in a service planning meeting . 109 Essential Component 15—Sexuality . 78 4. Participating in activities to influence how services are delivered 109 Common Concerns Regarding Sexuality and ASD . 79 5. Encouraging a child to advocate for himself . 110 Sexuality Teaching Techniques . .79 Where To Advocate . 110 Essential Component 16—Lifelong Support . .81 Education . 110 Chapter 7 Community Transition Medical . 110 School to Adulthood . 84 Social Services . .110 Overview . 84 The Importance of Parent-to-Parent Support in Advocacy .111 Components to Achieve . 85 Various Ways To Advocate: Home, School, and Community 112 Middle School: Start Transition Planning . 86 Tips for Talking with Leaders . .113 High School: Define Career and
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