Verification Guidelines for Children with Disabilities
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Issue 111 Special Needs
Issue 111 INSIDE THIS ISSUE Bureau of Community and Special Needs Health Systems From the Division Direc- Child Care Licensing Division tor ................................... 1 www.michigan.gov/michildcare Social Emotional Skills .. 2 (866) 685-0006 Working with Children with Attention Deficit Disorder ......................... 3 Autism 101 ...................... 4 Children with Sensory Processing Disorder ....... 5 From My World to Your Classroom or Home ....... 8 Developmentally Appro- priate Behaviors and Ex- pectations ....................... 9 ADA……….………………..14 FROM THE DIVISION DIRECTOR 2018 is coming to a close very rapidly from Child Care Licensing’s point of view. You have been constantly emailed, sent list serve notices, called or mailed information about the changes we were implementing in 2018. Thanks for your patience as we all went through all of the changes! Background check implementation journey in 2018: • Since March 28th until today we have processed over 77,900 fingerprints of staff, household members and licensees in Michigan. Remember we had no idea how many people worked in child care when we started. The state has paid for almost $3 million dollars of background checks for the child care provid- ers. • The updated PA116 of 1973 finally passed in December of 2017 and went into effect March 28, 2018. We are processing the rule changes currently. • Our in-person trainings were carried out to thousands of child care staff across the entire state over the past 12 months • Our backlog of fingerprints were at over 16,000 just a couple of months ago and today we are down to less than 190. This reduction will allow hiring to be processed much faster for providers employers. -
Descriptive Psychopathology: the Signs and Symptoms of Behavioral
Descriptive Psychopathology Descriptive Psychopathology The Signs and Symptoms of Behavioral Disorders Michael Alan Taylor, MD Nutan Atre Vaidya, MD CAMBRIDGE UNIVERSITY PRESS Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo Cambridge University Press The Edinburgh Building, Cambridge CB2 8RU, UK Published in the United States of America by Cambridge University Press, New York www.cambridge.org Information on this title: www.cambridge.org/9780521713917 © M. Taylor and N. Vaidya 2009 This publication is in copyright. Subject to statutory exception and to the provision of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press. First published in print format 2008 ISBN-13 978-0-511-45779-1 eBook (NetLibrary) ISBN-13 978-0-521-71391-7 paperback Cambridge University Press has no responsibility for the persistence or accuracy of urls for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. Every effort has been made in preparing this publication to provide accurate and up-to-date information which is in accord with accepted standards and practice at the time of publication. Although case histories are drawn from actual cases, every effort has been made to disguise the identities of the individuals involved. Nevertheless, the authors, editors and publishers can make no warranties that the information contained herein is totally free from error, not least because clinical standards are constantly changing through research and regulation. The authors, editors and publishers therefore disclaim all liability of direct or consequential damages resulting from the use of material contained in this publication. -
Integrating Treatment for Autism Spectrum Disorders Through the Life Cycle
Integrating Treatment for Autism Spectrum Disorders Through the Life Cycle Robert L Hendren, DO Professor of Psychiatry and Behavioral Science Idaho Autism Summit November 2, 2019 Faculty Disclosure • Grants — Curemark, Roche, Otsuka • Advisory Board — Curemark, BioMarin, Janssen, Axial Biotherapeutics • Honoraria/Royalties: Oxford University Press, Taylor & Francis • Dr. Hendren does intend to discuss the use of off- label/unapproved use of drugs Learning Objectives • Identify successes and challenges in the developmental progression through the life cycle for people with developmental disabilities and their families • Identify and effectively treat comorbid medical, emotional and behavioral symptoms associated with autism spectrum disorders (ASD) • Consider integrating biomedical treatments for ASD including conventional psychotropic medication and what has been referred to as CAM/CIM into a comprehensive program. 2010 1 in 68; 2014 1 in 59 CDC Prevalence of Autism • Possible explanations include – Diagnostic expansion and substitution – Better reporting – Increased recognition – Increasing acceptability – Immigration for services – Environmental toxins – Infectious and immune vulnerability – Epigenetic processes Rutter M. Acta Pediatr. 2005;94(1):2-15. Centers for Disease Control and Prevention. Autism Spectrum Disorders. www.cdc.gov/ncbddd/autism. Accessed June 16, 2015. Hagerman R, Hendren RL (Eds). Treatment of Neurodevelopmental Disorders: Targeting Neurobiological Mechanisms. Oxford University Press; 2014. ASD Genetic Etiology (Levels 1 & 2) • Multiple genes: NRXN12q, 7q11.23, 15q11-13, 16p11.2, SHANK 3, 2, NLGN4, MTHFR 677>T, SEMA5A, 2Q22.1, GRIN2B, 5P14.1, CDH9, 10, FRX, PTEN • Identical twins: 60% to 90% – Fraternal twins: 0% to 36% – Siblings: 4% to 19% • Clear genetic etiology accounts for 25% of autism cases • Hundreds of genetic mutations, some de novo, lead to many ways to develop and treat autism • Is Precision Medicine Possible? Weiss KM, Issues Science and Technology in 2017 Levy D, et al. -
Regressive Autism: a Study in Early Developmental Patterns Rebekah L
Southern Illinois University Carbondale OpenSIUC Research Papers Graduate School 5-2014 Regressive Autism: A Study In Early Developmental Patterns Rebekah L. Brewer Southern Illinois University Carbondale, [email protected] Follow this and additional works at: http://opensiuc.lib.siu.edu/gs_rp Recommended Citation Brewer, Rebekah L., "Regressive Autism: A Study In Early Developmental Patterns" (2014). Research Papers. Paper 465. http://opensiuc.lib.siu.edu/gs_rp/465 This Article is brought to you for free and open access by the Graduate School at OpenSIUC. It has been accepted for inclusion in Research Papers by an authorized administrator of OpenSIUC. For more information, please contact [email protected]. i REGRESSIVE AUTISM: A STUDY IN EARLY DEVELOPMENTAL PATTERNS by Rebekah L. Brewer B.S., Southern Illinois University, 2012 A Research Paper Submitted in Partial Fulfillment of the Requirements for the M.S. Communication Disorders & Science. Rehabilitation Institution In the Graduate School Southern Illinois University Carbondale May 2014 RESEARCH PAPER APPROVAL REGRESSIVE AUTISM: A STUDY IN EARLY DEVELOPMENTAL PATTERNS By Rebekah L. Brewer A Research Paper Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Science in the field of Communication Disorders & Science Approved by: Valerie Boyer, Ph.D., CCC-SLP Kirsten Schaper, M.S., CCC-SLP Graduate School Southern Illinois University Carbondale November 11, 2013 TABLE OF CONTENTS CONTENT PAGE Introduction ................................................................................................... -
Medical Comorbidities in Autism Spectrum Disorders
TA-ESPA-ATP PAPER 2014 1st draft_Layout 1 21/07/2014 19:21 Page 1 Medical Comorbidities in Autism Spectrum Disorders A Primer for Health Care Professionals and Policy Makers Second Edition: July 2014 Prepared by: l Treating Autism l ESPA Research l Autism Treatment Plus TA-ESPA-ATP PAPER 2014 1st draft_Layout 1 21/07/2014 19:21 Page 2 Treating Autism , a charity run entirely by volunteers, provides information and support to families and individuals affected by autism with the aim of improving their quality of life. Registered Charity: www.treatingautism.co.uk No. 1113628, Limited Company Registered in England: No. 5594787. ESPA Research is a not-for-profit subsidiary of ESPA (Education and Services for People with Autism) dedicated to undertaking high-quality research into autism and related conditions all for the public benefit. www.espa-research.org.uk ESPA Research Ltd. Company registration: 6862992. ESPA Registered Charity No. 1037868 | Company No. 2909953 Autism Treatment Plus, dedicated to helping individuals with autism reach optimal health and learning, provides access to diagnostic, medical and behavioural services. www.autismtreatment.org.uk. Limited company registered in England: No. 08623707. © Treating Autism Publications, 2014 Second edition, published July 2014. (First edition published March 2013). All rights reserved. Reproduction of this report, in its entirety and unaltered, by photocopying or electronic means for noncommercial purposes is permitted. Otherwise, no part of this report may be reproduced, adapted, stored in a retrieval system or transmitted by any means, electronic, mechanical, photocopying, or otherwise without the prior written permission of Treating Autism Publications. ISBN: 978-0-9575787-2-2 A pdf version of this publication is available from the Treating Autism website www.treatingautism.co.uk. -
Through the Looking Glass
Interpreting in the Mental Health Setting May, 2018 El Paso, Texas Click to edit Master title style • Broadly: – What is mental health interpreting – How is it different from other ‘terping? – Who you will work with Click to edit Master subtitle style – How to handle various situations – Taking care of yourself This will not make you an expert! Presented by Steve Hamerdinger © 2018 All Rights Reserved • Community interpreting vs. mental health interpreting: what’s the difference? • “I Don’t DO mental Health interpreting!” – Are you sure??? Mental health interpreting can happen in unexpected times and places •Medical settings ● Educational settings •VR/social services • Interpreter training has been a response to • There are several models of interpreting: historical antecedents – Helper – Machine (or conduit) – Communication facilitator – Ally – Cultural mediator Steve Hamerdinger, LifeSigns. © 2018. All rights Reserved Page 1 Interpreting in the Mental Health Setting May, 2018 El Paso, Texas • Cultural mediation model is growing in acceptance – especially since start of 2000s (c.f. Executive Order 13166) – Driven, in part, by spoken language interpreters • Reaction to the Conduit Model • Opposition from some because it is “unethical” Equal Access Equal Outcome Thought: – Attempts to put interpretation into a cultural – Charge arises from a world view informedIs itby better the to context “machine model” allow a – “Our job is to give ‘equal access’ to the • For example: “State School” is misleading – misperception information!” especially -
How Different Is Early-Onset Childhood Disintegrative Disorder from Autistic Disorder with Speech Loss?*
Open Journal of Psychiatry, 2013, 3, 39-45 OJPsych http://dx.doi.org/10.4236/ojpsych.2013.32A007 Published Online April 2013 (http://www.scirp.org/journal/ojpsych/) How different is early-onset childhood disintegrative * disorder from autistic disorder with speech loss? Hiroshi Kurita1,2#, Kanna Inoue3 1Department of Child Psychiatry, Zenkoku Ryoiku Sodan Center, Tokyo, Japan 2Department of Mental Health, Graduate School of Medicine, Tokyo University, Tokyo, Japan 3Department of Child Psychiatry, Nerima Welfare Center for Handicapped Persons, Tokyo, Japan Email: #[email protected] Received 27 February 2013; revised 30 March 2013; accepted 9 April 2013 Copyright © 2013 Hiroshi Kurita, Kanna Inoue. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Diagnosis; Regression To examine the difference between early-onset (< age 3) childhood disintegrative disorder (CDD) and au- 1. INTRODUCTION tistic disorder with speech loss (ADSL), 8 children Childhood disintegrative disorder (CDD) originates from with early-onset CDD (mean age = 7.6 years, SD = 3.8; Dementia infantilis first reported by Heller [1] in 1908 in 6 males) were compared with 92 age and gender-ratio six infants who had displayed profound mental regres- comparable children with ADSL (mean age = 6.8 sion during the third and fourth years of life. CDD is a years, SD = 4.1; 70 males) on 24 variables not directly subtype of pervasive developmental disorders (PDDs) in related to the key features of CDD (regression after DSM-IV [2] and ICD-10 [3], using similar diagnostic normal development for at least the first 2 years after criteria. -
Is There a 'Regressive Phenotype' of Autism Spectrum Disorder Associated with the Measles-Mumps-Rubella Vaccine?
Journal of Autism and Developmental Disorders, Vol. 36, No. 3, April 2006 (Ó 2006) DOI 10.1007/s10803-005-0070-1 Published Online: April 28, 2006 Is There a ‘Regressive Phenotype’ of Autism Spectrum Disorder Associated with the Measles-Mumps-Rubella Vaccine? A CPEA Study Jennifer Richler,1 Rhiannon Luyster,1 Susan Risi,1 Wan-Ling Hsu,1 Geraldine Dawson,2 Raphael Bernier,2 Michelle Dunn,3 Susan Hepburn,4 Susan L. Hyman,5 William M. McMahon,6 Julie Goudie-Nice,6 Nancy Minshew,7 Sally Rogers,8 Marian Sigman,9 M. Anne Spence,10 Wendy A. Goldberg,10 Helen Tager-Flusberg,11 Fred R. Volkmar,12 and Catherine Lord13 A multi-site study of 351 children with Autism Spectrum Disorders (ASD) and 31 typically developing children used caregiver interviews to describe the children’s early acquisition and loss of social-communication milestones. For the majority of children with ASD who had experienced a regression, pre-loss development was clearly atypical. Children who had lost skills also showed slightly poorer outcomes in verbal IQ and social reciprocity, a later mean age of onset of autistic symptoms, and more gastrointestinal symptoms than children with ASD and no regression. There was no evidence that onset of autistic symptoms or of regression was related to measles-mumps-rubella vaccination. The implications of these findings for the existence of a ‘regressive phenotype’ of ASD are discussed. KEY WORDS: Autism spectrum disorder; language development; regression; Autism Diagnostic Interview - Revised (ADI-R); measles-mumps-rubella (MMR) vaccine; gastrointestinal disorders. While most children with Autism Spectrum Dis- orders (ASD) are described as showing developmental differences from birth or early in infancy, a substantial 1 University of Michigan, Ann Arbor, USA. -
“Formal Thought Disorder” in Homeless Young Adults with Elevated Schizotypal Traits: Underlying Dimensional Structure…
“Formal Thought Disorder” in Homeless Young Adults with Elevated Schizotypal Traits: Dimensional Structure and Cognitive Correlates Cliff Deyo (BA, GDipSocSci - Psych, BSocSci - Hons, MA) Department of Psychology Faculty of Human Sciences Macquarie University Empirical thesis submitted in partial fulfilment of the requirements for the degree of Doctor of Psychology (Clinical Neuropsychology), Macquarie University, submitted March 31, 2015. ii TABLE OF CONTENTS Table of Tables……………………………………………………………….……….….…...v General Abstract………………………………………………………………………..…….vi Declaration…………………………………………………………………………….…... .viii Acknowledgements…………………………………………………………………………...ix GENERAL INTRODUCTION………...………………………………………………..…..1 Measuring FTD by Objective Rating Scale………………………...………………......…...3 Scale for the Assessment of Thought, Language, and Communication……………....…...3 Thought and Language Index and Other Rating Scales……………………………….…..4 FTD Dimensionality……………………………………………………………….…..….....4 Factor Analytic Research and FTD Dimensionality…………………………….……..….5 A Concise Review of FTD Research……………………………………….…….……....…7 Qualitative Differences in FTD Between Diagnoses……………...………….…. …....….8 The Course of FTD………………………………...……………………….…......…..…..9 FTD in Childhood and Adolescence, and Progression to Psychosis……………..…..…..10 Parental Communication Deviance…………………………………...……………….…10 Functional Implications of FTD…………………………………………….…...…….....11 Cognitive Models of FTD……………………….……………..…………....……….……13 Cognitive Correlates of FTD………………..………...……………………………..…….15 -
National Institute of Mental Health (NIMH) Autism Research Program
NIMH Autism Research Program Discovering the Causes & Cures of Autism and Conducting Meaningful “Until Then” Research Susan E. Swedo, M.D. Pediatrics & Developmental Neuroscience Branch National Institute of Mental Health NIH Intramural Research Program Finding the Causes & Cures for Autism Environmental Genetically Trigger Susceptible Host Developmentally Sensitive Period Abnormal Brain Development, Symptoms Structure &/or of Autism Function NIMH Autism Research Program • Multi-disciplinary Clinical Research Team – M.D.’s – Pediatrics, child psychiatry, neurology – Ph.D.’s – Developmental & clinical psychologists – Other professionals – Social work, biostatistics • Support staff and Trainees – Administrative and support staff – Clinical and research fellows – Physicians, psychologists, speech and language pathologist – Post-baccalaureate IRTAs who plan to attend medical school or graduate school in 1 – 2 years You are Our Office here To Cedar Lane Collaborative Relationships • Within NIMH – CBDB: Emotional processing – CHP: DTI and Structural MRI scans – LBC: Social cognition; executive functions; fMRI (resting state) – LBN: Animal models – LNT: Proteomics/metabolomics – MAP: Co-morbid disorders; treatment trials; biostatistics – MIB: Magnetic resonance spectroscopy • Within NIH – NCI: Neuroinflammatory markers – NHGRI: Specific genetic syndromes (e.g. SMS) – NIAID: Lymphocyte phenotyping and viral titers – NICHD: Clinical genetics (WAGR, SLO); CTDB; stem cell models (from skin fibroblasts) – NIDCR: Dysmorphology – NINDS: Electroencephalography -
Autism with and Without Regression: a Two-Year Prospective Longitudinal Study in Two Population-Derived Swedish Cohorts
Journal of Autism and Developmental Disorders https://doi.org/10.1007/s10803-018-03871-4 ORIGINALPAPER Autism With and Without Regression: A Two-Year Prospective Longitudinal Study in Two Population-Derived Swedish Cohorts Lucy Thompson1,2 · Christopher Gillberg1,2 · Sara Landberg1 · Anne‑Katrin Kantzer1 · Carmela Miniscalco1 · Martina Barnevik Olsson1,3 · Mats A. Eriksson1,4 · Elisabeth Fernell1 © The Author(s) 2019 Abstract Two community-based cohorts of children with autism spectrum disorder, examined using similar assessment protocols, were pooled (n = 301) and subdivided according to history of regression. Those with regression (n = 62), 20.5% of the com- bined cohort, were contrasted with those without regression (n = 241) at first assessment (age range 19–60 months) and at 2-year follow-up on a range of measures. The regression group was significantly more functionally impaired, with regard to intellectual function (p < .001), language development (p < .001), and to severity of autism (p < .01) at both T1 and T2. Only 14 (23.3%) had a clearly identified underlying etiology [24 (18.6%) in the non-regressive group]. There were no significant differences between those who had regressed ‘from normal’ and those who had regressed ‘from low’ functioning. Keywords Autism · ASD · Regressive autism · Non-regressive autism · Intellectual developmental disorder · Developmental language disorder Introduction (i.e., rely on existing diagnoses within a population (e.g., Baird et al. 2008). The few systematic studies that have been Many children with autism spectrum disorder (ASD) published seem to indicate that regression in autism is (a) (American Psychiatric Association 2013) have shown mild not uncommon, but the relative prevalence is not known, and or marked developmental problems from early childhood (b) associated with high rated of intellectual developmental (Coleman and Gillberg 2012). -
Does Theory of Mind Performance Differ in Children with Earlyonset and Regressive Autism?
Developmental Science 15:1 (2012), pp 25–34 DOI: 10.1111/j.1467-7687.2011.01094.x PAPER Does theory of mind performance differ in children with early-onset and regressive autism? Nicole L. Matthews,1 Wendy A. Goldberg,1 Angela F. Lukowski,1 Kathryn Osann,2 Maryam M. Abdullah,1 Agnes R. Ly,1 Kara Thorsen1 and M. Anne Spence2 1. Department of Psychology and Social Behavior, University of California, Irvine, USA 2. Department of Pediatrics, University of California, Irvine, USA Abstract A deficit in theory of mind (ToM), or the ability to infer the mental states of others, has been implicated as one of the major characteristics of Autism Spectrum Disorder (ASD); however, little attention has been devoted to possible differences in ToM ability within ASD. The current study examined ToM performance in children with early-onset autism and regressive autism in comparison to typically developing children. Results indicated that children in the regressive autism group performed significantly better than the early-onset autism group on the non-verbal appearance–reality task. Additionally, Fisher’s exact tests indicated a pattern of lowest scores in the early-onset group and highest scores in the typically developing group, whereas the regressive autism group tended to score in between the early-onset and typically developing groups. The apparent heterogeneity in ToM performance within ASD could account for the lack of universality in ToM ability found in previous studies. Introduction developed in order to address such criticisms. For example, investigators have creatively examined the Autism spectrum disorders (ASD) are characterized by appearance–reality distinction by asking children to restricted repetitive behaviors and qualitative impair- choose between objects by pointing rather than using ments in social interaction and communication (Lord, expressive language to give an answer.