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Supporting Children & Youth with
Autism Spectrum Disorders
Supporting Children and Youth with
              Autism Spectrum Disorders
                                                 Table of Contents



           Understanding Autism
           Spectrum Disorders .  .  .  .  .  .  .  .  .  .  .  .  .  . 2

           Supporting Communication .  .  .  .  .  .  .  .  . 4

         Supporting Behavior  .  .  .  .  .  .  .  .  .  .  .  .  . 10

     Helping Children
    Understand Their Peers  .  .  .  .  .  .  .  .  .  .  .  .  . 12

 Recommended Book List  .  .  .  .  .  .  .  .  .  .  . 16 - 17

List of References .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 17




            Supporting Children & Youth with Autism Spectrum Disorders          1
Understanding Autism Spectrum Disorders

Each child is an individual with his or her own unique      In an out-of-school time program, a child with autism may
strengths and challenges. Autism Spectrum Disorders         need support in the following areas:
are neurological disorders that affect a child’s develop-      •   Interpreting communication in verbal &
ment in the following areas: communication, socializa-             non-verbal forms
tion, and behavior.
                                                               •   Initiating & responding to social interaction
Autism is a spectrum disorder that affects
individuals differently.                                       •   Adjusting to the program routine & schedule

                                                               •   Processing & regulating sensory input from the
Spectrum disorders include autism, Asperger’s
                                                                   environment
Syndrome, Pervasive Developmental Disorder Not
Otherwise Specified (PDD-NOS), Rett’s Syndrome,                •   Coping with change or uncertainty
and Childhood Disintegrative Disorder.




                                                                        Supporting Children & Youth with Autism Spectrum Disorders   3
Supporting Communication

Supporting communication includes much more than          Clarify communication
encouraging verbal language. It involves careful obser-   Children with autism may have a difficult time inter-
vation, clarifying verbal and non-verbal communication    preting non-verbal communication like body language
and using visual supports and cues.                       and facial expressions. Processing and interpreting
                                                          verbal communication may also
All children communicate through their behavior.
                                                          be difficult for a child.

More than words                                           When a child does not
The first step to supporting a child’s communication      naturally pick up on subtle
is to observe their behavior. Ask yourself questions      cues, clear, simple expla-
like, “What does the child’s behavior look like when he   nations may help. For
is having fun? What does it look like when he seems       example, to help a child
                                                          interpret your body
overwhelmed? What does it look like when he appears
                                                          language when you are
upset?” Watch for subtle cues to learn how the child
                                                          busy, tell her what to
uses his behavior to communicate his wants and needs.
                                                          look for:

                                                          “When my head is down and
     Video resources and FAQ's on strategies to             I am reading something, I am
      support communication are available at                busy. You can ask me if I
                                                          	 am busy if you are not sure or
                   kitonline.org                            you can come back later.”


                                                                       Supporting Children & Youth with Autism Spectrum Disorders   5
Communication Continued…



Simplify communication                                     Visual cues can clarify communication and provide a
                                                           support for a child if they have trouble processing the
Simplifying directions and communication may be
                                                           actual words. Visual supports can be added to almost
necessary to support a child. Try different ways of
                                                           everything in a child or youth program. Some visual
communicating and see what works best for the
child. You can:                                            supports to try include:

   •   Use fewer words: “Sit down” versus “Can you
       please come over here and sit down?”                                                Pairing simple signs and
                                                                                           gestures with spoken language.
   •   Break down activities into smaller steps.
   •   Speak slowly and clearly.
   •   Give the child more time to respond.                      Taking pictures of the steps
                                                                      involved in an activity.
   •   Monitor the pitch and volume of your voice.


Visual supports                                                                            Providing written instructions for
                                                                                           a game in a school-age program.
Adding a visual component to words, activities, games,
and interactions can help to support communication
for children with autism. Many children have a difficult     Holding up an object that corre-
time processing verbal language in a noisy and busy         sponds to the topic or directions.
program environment.

                                                                       Supporting Children & Youth with Autism Spectrum Disorders   7
Communication Continued…



Child and youth programs offer children many different      teachable steps for a child with autism or explain a
types of opportunities to engage in social interactions     playground game in an easy-to-understand format.
and make friends. Many children develop the ability to      Encourage the child’s family to promote popular items
grasp unwritten social rules and norms without explicit     at home and practice the steps involved in a game.
instruction. Children with autism may need your help
learning how to interact with and respond to their peers.
                                                            Explain abstract concepts
                                                            Slang and metaphors may be difficult for children to
Teach popular activities                                    understand. It may also be hard to distinguish between
Identify the games, toys, and activities that are popular   playful name-calling (like “homie” or “G”) and hurtful
with the children in your program. Spend time thinking      name-calling (like “stupid”). Children with autism may
about how to break down a popular activity into small,      need help in learning what slang words mean and how
                                                            to interpret them in a school-age or teen setting.

                                                            Model how to use communication supports
                                                            Children may be hesitant to interact with a peer who
                                                            does not use words to communicate. Adults can model
                                                            how they use pictures, gestures, or communication de-
                                                            vices to talk with the child. Encourage peers to practice
                                                            using these supports to play and interact with the child.


                                                                      Supporting Children & Youth with Autism Spectrum Disorders   9
Supporting Behavior

As children with autism navigate your program             consistency, sudden changes can feel devastating. You
environment, they are working hard to interpret com-      can help a child cope with changes by spending time
munication, social cues and to regulate their responses   talking about and explaining the changes before they
to sensory stimuli. That is a lot of work!                happen. For example, if a child’s teacher is going on
                                                          vacation, let the child know ahead of time. Show
Establishing a predictable and stable environment         pictures of where the teacher is going and talk about
and supports will help children feel secure and           what will happen at the program while his teacher is away.
promote positive behavior.
                                                          Pay attention to the environment
Establish a consistent routine & schedule                 Many children with autism spectrum disorders are
Children with autism often look for things that are       either over or under sensitive to the stimulation
predictable and stable. Following a consistent program    in the environment (lighting, sound, smell,
routine and schedule will provide a base of support for   material, touch, etc.). Paying attention to
children. You can use visual supports to communicate      what is going on in the environment
the schedule and help a child prepare to transition       and how a child reacts will provide
from one activity to another.                             clues on what types of environments
                                                          work for the child and which cause stress.
Prepare children for changes                              Quiet, small group activities might work best
Unexpected changes and events are inevitable in a         for one child while active, movement-based
child or youth program. For a child who relies on         activities work best for another child.


                                                                     Supporting Children & Youth with Autism Spectrum Disorders   11
Helping Children Understand Their Peers

Inclusion promotes relationships and understanding,      Not everyone’s brain works the same way
as well as the celebration of diversity.                 Spend time explaining to children that all brains are
Program personnel know it is important to avoid high-    wired differently. This means that sometimes kids act
lighting how one child may appear different or unusual   in a way that we do not understand or have never
and to make sure all children feel uncomfortable.        seen before. Facilitate discussions and activities to
It is also important to answer children’s questions      help children realize how everyone is different and
about their peers with autism in an open and honest      sometimes behave in different ways.
way (while always maintaining confidentiality). Asking
questions is a way to gain understanding and is also a   Keep it simple
great opportunity to initiate interaction!               Some kids notice all the small details that others
                                                         might not pay attention to. They might walk into the
                                                         gym and focus on the floor boards, the basketball,
                                                         the net, the nails in the bleachers, the whistle around
                                                         the coach’s neck, or many other details instead of
                                                         focusing on the gym as a whole. Since seeing all the
                                                         small things can be overwhelming, encourage chil-
                                                         dren to keep everything in its usual place and mini-
                                                         mize clutter from backpacks and personal belongings.



                                                                 Supporting Children & Youth with Autism Spectrum Disorders   13
Peers Continued…    Resources for Program Personnel

Remember to maintain confidentiality.                          Visit kitonline.org for additional resources.
Knowledge of or information about a child’s disability
                                                               While you’re there, sign up to become a
is confidential. Staff should never tell other children or
families that a child has autism without written
                                                               member -- it’s FREE!
permission from the family. Staff can work to increase
understanding of differences without giving the child a
label or disclosing their disability.


All children like to play and have fun.
Emphasize that all children play in different ways. Point       The KIT Online Learning Center Includes:
out that sometimes kids may play alone when they
have trouble understanding a game or activity. Support          	 Instructional Videos
children in using patience with one another and finding         	Webinars
                                                                	 eLearning Modules
ways to spend time together throughout the day. Facili-
                                                                	Articles
tate small group activities and create opportunities for        	Booklets
all children to play.                                           	 Support Center Information
                                                                              Earn CEUs and Certificates of Completion!

                                                              kitonline.org > click sign-in

                                                                          Supporting Children & Youth with Autism Spectrum Disorders   15
Recommended Book List for Children & Youth                          Recommended Book List for Adults
10 Things Every Child with Autism Wishes You Knew                   Making Lemonade
	   by Ellen Notbohm (Future Horizions, Inc., 2004).                	  by Judy Endow (Cambridge Book Review Press, 2006).
A Walk in the Rain with a Brain                                     The Way I see It	
	  by Edward M. Hallowell (ReganBooks, 2004).                       	   by Temple Grandin (Future Horizons, 2008).
All About My Brother
	    by Sarah Peralta (Autism Asperger Publishing Co, 2002).        Walk Awhile in My Autism
                                                                    	  by Kate McGinnity and Nan Negri (Cambridge Book Review Press, 2005).
The Autism Acceptance Book: Being a Friend to Someone with Autism
	   by Ellen Sabin (Watering Can Press, 2006).                      You’re Going to Love This Kid
                                                                    	   by Paula Kluth (Paul H. Brookes, 2003).
Blue Bottle Mystery: An Asperger Adventure
	   by Kathy Hoopmann (Jessica Kingsley Publishers, 2001).

Different Just Like Me                                              List of References
	    by Lori Mitchell (Charlesbridge, 1999).                        Donnellan, A. & Leary, M., Movement Difference and Diversity in
Ian’s Walk: A Story about Autism                                    	  Autism/Mental Retardation (DRI Press, 1995).
	    by Laurie Lears (Albert Whitman and Company, 1998).
                                                                    McGinnity, K. & Negri, N., Walk Awhile in My Autism
My Friend with Autism                                               	  (Cambridge Book Review Press, 2005).
	   by Beverly Bishop (Future Horizons, 2002).
                                                                    Sabin, E., The Autism Acceptance Book: Being a Friend to
The Don’t-give-up Kid                                               	   Someone with Autism (Watering Can Press, 2006).
	   by Jeanne Gehret (Verbal Images Press, 1996).

The Silent Boy                                                      The Global and Regional Asperger Syndrome Partnership,
	   by Lois Lowry (Laurel-LeafBooks, 2003).                         	   (Autism Asperger’s Digest Magazine, May/June 2008).

Trevor Trevor                                                       Youth Advocate Programs, It’s about Relationships: For you, for your
	   by Diane Twatchtman-Cullen (Starfish Press, 1998).                  child (unpublished document, 2006).

                                                                                 Supporting Children & Youth with Autism Spectrum Disorders   17
Every child’s life is e nh a n ce d through shared
ex p e r i e n ce s and friendships with peers of a ll a bili t i e s .

          Thank you for making a difference.




             kitonline.org
     © 2012 Kids Included Together & National Training Center on Inclusion

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2012 autism booklet_military

  • 1. Supporting Children & Youth with Autism Spectrum Disorders
  • 2. Supporting Children and Youth with Autism Spectrum Disorders Table of Contents Understanding Autism Spectrum Disorders . . . . . . . . . . . . . . 2 Supporting Communication . . . . . . . . . 4 Supporting Behavior . . . . . . . . . . . . . 10 Helping Children Understand Their Peers . . . . . . . . . . . . . 12 Recommended Book List . . . . . . . . . . . 16 - 17 List of References . . . . . . . . . . . . . . . . . . . 17 Supporting Children & Youth with Autism Spectrum Disorders 1
  • 3. Understanding Autism Spectrum Disorders Each child is an individual with his or her own unique In an out-of-school time program, a child with autism may strengths and challenges. Autism Spectrum Disorders need support in the following areas: are neurological disorders that affect a child’s develop- • Interpreting communication in verbal & ment in the following areas: communication, socializa- non-verbal forms tion, and behavior. • Initiating & responding to social interaction Autism is a spectrum disorder that affects individuals differently. • Adjusting to the program routine & schedule • Processing & regulating sensory input from the Spectrum disorders include autism, Asperger’s environment Syndrome, Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS), Rett’s Syndrome, • Coping with change or uncertainty and Childhood Disintegrative Disorder. Supporting Children & Youth with Autism Spectrum Disorders 3
  • 4. Supporting Communication Supporting communication includes much more than Clarify communication encouraging verbal language. It involves careful obser- Children with autism may have a difficult time inter- vation, clarifying verbal and non-verbal communication preting non-verbal communication like body language and using visual supports and cues. and facial expressions. Processing and interpreting verbal communication may also All children communicate through their behavior. be difficult for a child. More than words When a child does not The first step to supporting a child’s communication naturally pick up on subtle is to observe their behavior. Ask yourself questions cues, clear, simple expla- like, “What does the child’s behavior look like when he nations may help. For is having fun? What does it look like when he seems example, to help a child interpret your body overwhelmed? What does it look like when he appears language when you are upset?” Watch for subtle cues to learn how the child busy, tell her what to uses his behavior to communicate his wants and needs. look for: “When my head is down and Video resources and FAQ's on strategies to I am reading something, I am support communication are available at busy. You can ask me if I am busy if you are not sure or kitonline.org you can come back later.” Supporting Children & Youth with Autism Spectrum Disorders 5
  • 5. Communication Continued… Simplify communication Visual cues can clarify communication and provide a support for a child if they have trouble processing the Simplifying directions and communication may be actual words. Visual supports can be added to almost necessary to support a child. Try different ways of everything in a child or youth program. Some visual communicating and see what works best for the child. You can: supports to try include: • Use fewer words: “Sit down” versus “Can you please come over here and sit down?” Pairing simple signs and gestures with spoken language. • Break down activities into smaller steps. • Speak slowly and clearly. • Give the child more time to respond. Taking pictures of the steps involved in an activity. • Monitor the pitch and volume of your voice. Visual supports Providing written instructions for a game in a school-age program. Adding a visual component to words, activities, games, and interactions can help to support communication for children with autism. Many children have a difficult Holding up an object that corre- time processing verbal language in a noisy and busy sponds to the topic or directions. program environment. Supporting Children & Youth with Autism Spectrum Disorders 7
  • 6. Communication Continued… Child and youth programs offer children many different teachable steps for a child with autism or explain a types of opportunities to engage in social interactions playground game in an easy-to-understand format. and make friends. Many children develop the ability to Encourage the child’s family to promote popular items grasp unwritten social rules and norms without explicit at home and practice the steps involved in a game. instruction. Children with autism may need your help learning how to interact with and respond to their peers. Explain abstract concepts Slang and metaphors may be difficult for children to Teach popular activities understand. It may also be hard to distinguish between Identify the games, toys, and activities that are popular playful name-calling (like “homie” or “G”) and hurtful with the children in your program. Spend time thinking name-calling (like “stupid”). Children with autism may about how to break down a popular activity into small, need help in learning what slang words mean and how to interpret them in a school-age or teen setting. Model how to use communication supports Children may be hesitant to interact with a peer who does not use words to communicate. Adults can model how they use pictures, gestures, or communication de- vices to talk with the child. Encourage peers to practice using these supports to play and interact with the child. Supporting Children & Youth with Autism Spectrum Disorders 9
  • 7. Supporting Behavior As children with autism navigate your program consistency, sudden changes can feel devastating. You environment, they are working hard to interpret com- can help a child cope with changes by spending time munication, social cues and to regulate their responses talking about and explaining the changes before they to sensory stimuli. That is a lot of work! happen. For example, if a child’s teacher is going on vacation, let the child know ahead of time. Show Establishing a predictable and stable environment pictures of where the teacher is going and talk about and supports will help children feel secure and what will happen at the program while his teacher is away. promote positive behavior. Pay attention to the environment Establish a consistent routine & schedule Many children with autism spectrum disorders are Children with autism often look for things that are either over or under sensitive to the stimulation predictable and stable. Following a consistent program in the environment (lighting, sound, smell, routine and schedule will provide a base of support for material, touch, etc.). Paying attention to children. You can use visual supports to communicate what is going on in the environment the schedule and help a child prepare to transition and how a child reacts will provide from one activity to another. clues on what types of environments work for the child and which cause stress. Prepare children for changes Quiet, small group activities might work best Unexpected changes and events are inevitable in a for one child while active, movement-based child or youth program. For a child who relies on activities work best for another child. Supporting Children & Youth with Autism Spectrum Disorders 11
  • 8. Helping Children Understand Their Peers Inclusion promotes relationships and understanding, Not everyone’s brain works the same way as well as the celebration of diversity. Spend time explaining to children that all brains are Program personnel know it is important to avoid high- wired differently. This means that sometimes kids act lighting how one child may appear different or unusual in a way that we do not understand or have never and to make sure all children feel uncomfortable. seen before. Facilitate discussions and activities to It is also important to answer children’s questions help children realize how everyone is different and about their peers with autism in an open and honest sometimes behave in different ways. way (while always maintaining confidentiality). Asking questions is a way to gain understanding and is also a Keep it simple great opportunity to initiate interaction! Some kids notice all the small details that others might not pay attention to. They might walk into the gym and focus on the floor boards, the basketball, the net, the nails in the bleachers, the whistle around the coach’s neck, or many other details instead of focusing on the gym as a whole. Since seeing all the small things can be overwhelming, encourage chil- dren to keep everything in its usual place and mini- mize clutter from backpacks and personal belongings. Supporting Children & Youth with Autism Spectrum Disorders 13
  • 9. Peers Continued… Resources for Program Personnel Remember to maintain confidentiality. Visit kitonline.org for additional resources. Knowledge of or information about a child’s disability While you’re there, sign up to become a is confidential. Staff should never tell other children or families that a child has autism without written member -- it’s FREE! permission from the family. Staff can work to increase understanding of differences without giving the child a label or disclosing their disability. All children like to play and have fun. Emphasize that all children play in different ways. Point The KIT Online Learning Center Includes: out that sometimes kids may play alone when they have trouble understanding a game or activity. Support Instructional Videos children in using patience with one another and finding Webinars eLearning Modules ways to spend time together throughout the day. Facili- Articles tate small group activities and create opportunities for Booklets all children to play. Support Center Information Earn CEUs and Certificates of Completion! kitonline.org > click sign-in Supporting Children & Youth with Autism Spectrum Disorders 15
  • 10. Recommended Book List for Children & Youth Recommended Book List for Adults 10 Things Every Child with Autism Wishes You Knew Making Lemonade by Ellen Notbohm (Future Horizions, Inc., 2004). by Judy Endow (Cambridge Book Review Press, 2006). A Walk in the Rain with a Brain The Way I see It by Edward M. Hallowell (ReganBooks, 2004). by Temple Grandin (Future Horizons, 2008). All About My Brother by Sarah Peralta (Autism Asperger Publishing Co, 2002). Walk Awhile in My Autism by Kate McGinnity and Nan Negri (Cambridge Book Review Press, 2005). The Autism Acceptance Book: Being a Friend to Someone with Autism by Ellen Sabin (Watering Can Press, 2006). You’re Going to Love This Kid by Paula Kluth (Paul H. Brookes, 2003). Blue Bottle Mystery: An Asperger Adventure by Kathy Hoopmann (Jessica Kingsley Publishers, 2001). Different Just Like Me List of References by Lori Mitchell (Charlesbridge, 1999). Donnellan, A. & Leary, M., Movement Difference and Diversity in Ian’s Walk: A Story about Autism Autism/Mental Retardation (DRI Press, 1995). by Laurie Lears (Albert Whitman and Company, 1998). McGinnity, K. & Negri, N., Walk Awhile in My Autism My Friend with Autism (Cambridge Book Review Press, 2005). by Beverly Bishop (Future Horizons, 2002). Sabin, E., The Autism Acceptance Book: Being a Friend to The Don’t-give-up Kid Someone with Autism (Watering Can Press, 2006). by Jeanne Gehret (Verbal Images Press, 1996). The Silent Boy The Global and Regional Asperger Syndrome Partnership, by Lois Lowry (Laurel-LeafBooks, 2003). (Autism Asperger’s Digest Magazine, May/June 2008). Trevor Trevor Youth Advocate Programs, It’s about Relationships: For you, for your by Diane Twatchtman-Cullen (Starfish Press, 1998). child (unpublished document, 2006). Supporting Children & Youth with Autism Spectrum Disorders 17
  • 11. Every child’s life is e nh a n ce d through shared ex p e r i e n ce s and friendships with peers of a ll a bili t i e s . Thank you for making a difference. kitonline.org © 2012 Kids Included Together & National Training Center on Inclusion