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Posts Tagged ‘Autism’

What is Autism Recovery?

If you know anything about me, you know that I am passionate about providing quality services for children with autism as early as possible to ensure that every child has the opportunity to progress as far as possible and to potentially recover from autism. I’ve written about this topic here, here, and here.

If you think I’ve already had a few too many to drink today, please check out this professional video from the University of Connecticut. The researcher in this video is a Licensed Clinical Psychologist. Her name is Deb Fein and she is really good at diagnosing children. She realized she needed to study this further when a child she had previously diagnosed returned to her several years later and did not meet the criteria for autism.

So she began researching this very topic. While recovery from autism describes what she sees, Dr. Fein has chosen to use the words Optimal Outcome to describe the children who ultimately obtained optimal outcome and no longer met the criteria for autism.

In our journal club meeting on Monday, we read and discussed the following article:

Moulton, E., Barton, M. Robins, D. L., Abrams, D. N., & Fein, D. (2016). Earlycharacteristics of children with ASD who demonstrate optimal progress between age two and four. Journal of Autism and Developmental Disorders, 46, 2160-2173. You may access a free copy of the article here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4860351/pdf/nihms761908.pdf

We were a little disappointed in this paper in that it didn’t address treatment and optimal outcome but rather predictors of optimal outcome. 190 children participated in the study with 19 of them achieving optimal outcome.

At the beginning of the study, researchers classified all children into 4 groups: PDD-NOS; Asperger’s; ASD; and ASD Low MA (mental age less than 12 months). On average, all children were diagnosed around 26 months of age. Re-assessment occurred around 48 months.

Before we go further, it is important to note that the children in this study were Caucasian and far above the poverty line. Also, the study didn’t control for early intervention so it’s hard to really say other than the obvious:

  1. Children who were originally diagnosed with PDD-NOS were more likely to lose their diagnosis at re-evaluation.
  2. No children with ASD-Low MA met the criteria for optimal progress (OP) at follow up assessment. 
  3. Children in the OP group showed less severe symptoms in the area of social skills, stereotypies, and sensory abnormalities
  4. Children in the OP group showed fewer DSM-V symptoms at initial diagnosis
  5. Children in the OP group showed stronger adaptive abilities
  6. Lesser symptoms of restricted interests and  repetitive behaviors predicted OP.

​It is super important that we not think of this as mis-diagnosis but rather, the earlier the diagnosis, the earlier the intervention, the more quantity of intervention, and thus, better outcomes that result in losing the autism diagnosis.

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If you are in the Fort Pierce area, stop by to see us! Scenes from this morning.

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We are pleased to announce the opening of our Florida WCity_Hallest Coast (AKA Cultural Coast) office!

We have no wait for ABA services! We accept most forms of insurance. We provide services in your home, in your child’s school, in your child’s daycare, and other community locations.

 

Please contact our office if you are interested in obtaining services.

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You know, I like to be positive. But today on this International Autism Day (AKA Light It Up Blue #LIUB), I’m not getting the feeling that we have the “awareness” we need. And it makes me ANGRY.LIUB

Yes, I’m happy that thanks to Autism Speaks we have 45+ states with insurance mandates!

 

But I’m boiling red mad because “awareness” is not enough! 😡

We need:

  1. Children identified EARLY. Pediatricians should lose their license when they send a family away and tell them to wait. REFER! A licensed clinician, with expertise in early identification, can determine if it’s autism.
  2. When the child is diagnosed, early intervention happens IMMEDIATELY without waiting lists or delays.
  3. Every child should be able to receive applied behavior analysis (ABA) therapy at the intensity recommended by the professional and based on assessment. This should be without regard to race, native language, socio-economic status, or type of insurance coverage. If you want to know more about ABA, read here.
  4. Every child with symptoms should be screened for appropriate medical treatment of any GI problems such as reflux, constipation, diarrhea, or food allergies/insensitivities.
  5. Every child should have access to quality behavioral feeding intervention if assessment indicates it is warranted.

Until these things happen, I will stay mad or “I mad” as one of my clients told me recently (when he found out he couldn’t have chocolate ice cream.) Go ahead, light it up blue but let’s turn awareness to ACTION!

 

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We are pleased to announce the launch of our new website! It is the same URL address, just new updatesgraph to make it easier for mobile users to stay in touch.

Our applied behavior analysis (ABA) team has worked hard to complete professional photos, update bios, and introduce our new behavioral feeding page!

Don’t miss our upcoming webinars for 2017. We offer group rates for 3 or more individuals from the same agency who are taking the course from separate computers. Our best discount is for groups who will share a computer during the webinar! Register 1 person at full price and all others are only $10! That’s right, $10 for the whole course when you share a computer. To register, simply visit our website here, scroll to the very bottom, enter your name and other pertinent information, enter an abbreviated title, and follow the link to PayPal where you may pay with your account or with any credit card. We also accept purchase orders from school districts!

Did you know that ABS has a monthly journal club where you earn 1 CE each month? Did I mention that the  Journal Club is FREE? All you have to do is join the club, read the article, and be present for the discussion. Email the info line at: info at applied behavioral strategies dot com to join the journal club.

If you haven’t been to our page in a while, hop over for a visit to meet our amazing team of BCBAs. (As an aside, we are currently hiring full- and part-time BCBAs.  If you are bi-lingual Spanish, we would be thrilled. We are also hiring part-time behavior therapists.) Come join our awesome team!

And finally, if you just want to stay in touch, join our mailing list here.

If you like what you see, say so! Like this post, like our facebook page, or follow us on LinkedIn,

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We are registered to do business in Tennessee! We are so thrilled to be expanding and to soon be offering services to children with behavioral challenges and their families.doing-business-in-tn

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I would like to share information with readers and followers regarding the availability of two separate research studDocumentsies for children with autism and/or their parents. Participation in on-going research is important to help push the field along in our understanding of autism, behavioral challenges, and ways to support and/or intervene.

The first study is looking at ACT which is a behaviorally-based method of therapy. This study is for a student’s doctoral dissertation. ACT Parenting Workshop Flyer – Summer

The second study is being conducted by Rebecca Landa from Kennedy Kreiger.

SPARK_Flyer_Revised_V2_5.25.16

Maybe I’ll blog about these studies when they are finally published!

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