Your SlideShare is downloading. ×
Debbault Seminar
Upcoming SlideShare
Loading in...5

Thanks for flagging this SlideShare!

Oops! An error has occurred.

Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Debbault Seminar


Published on

Autism Risk Management

Autism Risk Management

Published in: Health & Medicine, Business
1 Like
  • Be the first to comment

No Downloads
Total Views
On Slideshare
From Embeds
Number of Embeds
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

No notes for slide
  • Transcript

    • 1. Autism & Law Enforcement A Parent Workshop: Recognizing and Reducing Risk for Persons with Autism Spectrum Disorders Ft. Worth, Texas June 28, 2003 Tarrant County-ASA
    • 2. Objectives
      • Discuss why law enforcement & first response professionals need to recognize autism.
      • Discuss characteristics commonly seen in individuals with autism.
      • Identify the risks associated with autism
      • Explain the problems that a person with autism may have in criminal justice/emergency situations.
      • Discuss ways that individuals with autism, their families, and organizations are working with law enforcement agencies and school districts.
    • 3. Why should law enforcement professionals recognize autism in field situations?
      • To better serve and protect vulnerable members of the community
      • Make the best use of their valuable time and resources
      • Avoid litigation
    • 4.
      • May be nonverbal (50%) or repeat what officer says
      • May not respond to STOP command
      • Echoes words and phrases
      • Often appear as deaf
      • May have difficulty recognizing/repairing breakdowns in communication
      • May not recognize uniform, badge or vehicle or understand what is expected of them if they do
      Concerns for Law Enforcement/Emergency Professionals
      • Public Safety & Criminal Justice Issues
      • Sensory input may produce seizure, panic or flight reaction
      • May not react well to changes in routine, encounter with strangers
      • Associated medical conditions
      • Fascination with water and other glimmering objects
      • May fear dress out uniform
      • May lack fear of real dangers
    • 5. Behaviors & characteristics commonly seen in people having autism.
      • Argumentative, stubborn, or belligerent
      • May answer “NO” or “WHY” to everything
      • May be poor listeners
      • Monotone voice with unusual pronunciations
      • May be unable to give information
      • Very honest, not tactful, blunt
      • May not respond to “STOP”, may run away
      • May cover ears and look away from speaker
      • Sensory sensitivity to touch , lights, sounds, odors, animals
      • May have seizures
      • High pain threshold
      • May not recognize danger
      • Inappropriate laughing or giggling
      • May exhibit hand flapping, body rocking, stands too close or too far away, socially inappropriate body language
    • 6. Autism’s High Risks
      • Behaviors draw attention
      • At risk of misunderstandings by public, increased 911 responses
      • Accompanying medical condition, such as: seizure, asthma, hypotonia
      • Do not react well in emergencies, for instance, not know what to do, how to seek help, have high pain tolerance, may flee, attempt to re-enter, touch downed lines or flail against medical procedures
      • Caregiver unprepared to interact with first responders
      • Perfect victims
      • Restraint
      • Believable as offender; lack credibility as witness
    • 7. Circumstances when first responders might come in contact with a person having autism
      • In response to a medical emergency.
      • In response to a call for assistance.
        • Calls for assistance commonly involve missing children, caregiver actions, retail settings and schools.
        • Can occur anywhere in the community
    • 8. Common reasons for assistance calls
      • Person is acting out and no one recognizes him
      • Parent or caregiver actions misinterpreted
      • Running into traffic, entered homes of others, looking into windows of homes
      • Rearranging or making order of store displays
      • Following or approaching strangers
      • Behavior has become escalated at home, school or in community settings
      • Caregiver becomes incapacitated
      • Medical emergency, fire or natural disaster--person is alone & upset at scene
    • 9. Elopement, Runners, Lost & Wandering
      • Top reason for law enforcement contact
      • Often seek water sources
      • Attempted entries
      • Run into traffic
      • Go with/run from strangers
      • Alzheimer’s parallel
      • May be seeking special treatment
      • Elopement prevention & care may look like abuse
    • 10. Forms of identification & informational handouts used by person with autism or caregiver
      • ID card with name, address, phone numbers
      • Photo-ID and/or fingerprint card
      • ID bracelet or necklace (like Medic-Alert)
      • Clothing tags with name and phone numbers
      • GPS & RF tracking technology
      • Information sheets with name, address, phone
        • Photo, physical description, likes/dislikes
        • Favorite places to go, type of disability
        • Best way to communicate
    • 11. 911 Red Flag
      • Understand & consider risks of autism for all first response professionals-police, fire, EMT, ER, 911
      • Flag with key data
      • Alert first responders
      • Offer to community proactively
      • Positive PR
      • The South Central Indiana Chapter of the Autism Society
    • 12. Suggested responses for law enforcement to use with a person having autism
      • Approach in a non-threatening manner
      • Avoid pointing or waving. Maintain calm body language. Keep hands down.
      • Talk calmly and/or repeat
      • Ask if person has autism and for ID card
      • Allow for delayed response time
      • Avoid slang expressions
      • Avoid touching, if possible (may be sensitive).
      • Consider communication methods
      • If possible,contact caregiver immediately
    • 13. Fire, Emergency Response & ER Their time is valuable: having person wait, even if for minor injuries, may increase length and intensity of initial response
      • Listen to and seek information from caregiver
      • Ambulance & ER trappings increase sensory input
      • New environments increase anxiety
      • Consider sensory diet overload
      • Upgrade triage? Best use of valuable time & resources
      • In ER, seek consultation or quiet room
      • Let person settle down and become comfortable
      • Proactively work with first response community-police, firefighters, EMT, ambulance, ER
    • 14. Is sensory over-stimulation a factor? Look for outward behaviors. Move person to a quiet place. Calm creates calm .
      • Sirens
      • Lights
      • K-9 Partner
      • Odors
      • Equipment
      • Touch
      • Geographic containment
      • Restraint as last resort
      • Avoid face down take down
      • Release to safe space
      • Consider buffers
      • Be alert to seizure, asthma
      • Other medical conditions
      • Hypotonia risks
    • 15. Arrest & Incarceration
      • Document autism in initial report
      • Attempt to resolve at scene
      • Continue communication and de-escalation techniques, model calm behavior
      • Be alert to unknown medical condition & medication requirements
      • Consider medical evaluation
      • Alert supervisor, prosecutor and mental health professional for immediate evaluation
      • Alert jail authorities --person is at risk in general population
      • Contact caregivers
    • 16. Interview & Interrogation
      • Mid to high end of spectrum
      • Eye contact
      • Lack of body language awareness
      • Skills decrease
      • Blunt, evasive, answers unconnected to matter at hand
      • Will arouse officer instincts
      • Guileless v. trickery/deceit
      • Sophisticated echolalia
      • Authority figure/friend
      • Concrete thinker easily misled
      • Usually poor liars--test for lying skills
    • 17. Tips for Interviewers
      • Seek advice of prosecutor
      • Consider contacting a specialist
      • Be sure person understands legal rights. Saying yes is not the same as understanding
      • Avoid confusion. Ask questions that rely on narrative
      • Ask series of unrelated yes/no questions to determine style & dependability
      • Follow gut instincts-- if statement/confession is too good to be true, it probably is
    • 18. Situations where people with autism may be perfect victims
      • Disability harassment--teasing, bullying & torment
      • Street crimes--bad guys select perfect victims
      • Gangs
      • Hate crimes
      • Adult care
      • Sex crimes
      • Restraint techniques
      • Victim-witness interviews
    • 19. Victim-Witness Interviews
      • Preparation--discuss with prosecutor
      • Seek records
      • Interview others with knowledge away from scene
      • Establish/look for patterns of abuse
      • Consider two victim interviews
      • Leave your feelings at the door
      • Videotape? May induce guilty plea
      • Avoid authority clothes; relaxed venue, short time spans
      • Do words have same meaning?
      • Establish alternative timelines-personal schedule
      • Be alert to fatigue
      • Pre-test for truth telling
    • 20. Proactive Options
      • 911 Flagging
      • Develop & carry handout
      • Know your neighbors
      • Recognize risks associated with having autism
      • Form partnerships for recognition and response
      • Cross educate law enforcers and students who have autism
    • 21. Educational Partnerships
      • Deliver early, often, suited to age and ability, through IEP
      • May run, have difficulty adjusting to new situations
      • Fear of uniform, badges, equipment,vehicles
      • Demystify responders
      • Police/first responders are moms, dads and neighbors
      • Don’t run from safe, go to people
      • Learn constitutional right to remain silent & ask for attorney
      • How to call for or seek help
      • Not make sudden movements
      • How to remain calm
      • Carry & show ID
      • Through mock interviews
      • Reduce stress of sudden encounters
      • Consider video for visual learners
      • Learn from each other how to recognize and respond
      • Cross-develop key skills applied throughout careers & lifetimes
    • 22. Programs
      • Community policing philosophy & programs
      • 911 Red Flags
      • Task forces
      • Establish CIT, or multi-jurisdictional investigative unit? Consider first any interested volunteers, experienced personnel, rotate & educate others
      • Identify issues & establish two-way communications, work through barriers
      • Improve citizen & law enforcement recognition and response
    • 23. Summary
      • Law enforcement officers/emergency response professionals can enhance public safety & officer safety and potentially reduce their own exposure to liability when we help them:
        • recognize risks associated with autism
        • apply tolerance and public relation skills in situations with people that may have autism
        • know best ways to get information from people with autism, and assistance from families, caseworkers, and organizations
    • 24. ????Questions????
    • 25.
      • Thank You for Being a Great Audience!! Contact Information: Dennis Debbaudt ddpi 772-398-9756