19/08/2022
EXTRACTS from the Kids Master skills OT FB page
As an OT, I have been supporting autistic children for years, in schools, clinics, and private homes. Through Kids Master Skills and through my webinars, I share research and ideas for neurodiversity-affirming practice. I get several phone calls weekly and even more DMs on Facebook.
What amazes me (and completely doesn't amaze me) is how many parents share that their very young autistic child (4 to 6 years old) is presenting with aggressive behavior. This is often a sign of frustration. Usually what follows almost immediately is that their child is receiving ABA therapy and has been receiving ABA, usually 20 to 40 hours weekly, for well over a year.
Their next question is usually, "What can we do to help with the aggression?"
My advice has evolved over time as I learn more about the impact ABA has on any children and how we should instead be considering a child’s underlying skills and unique neurology - a post for another day. What I DO recommend is the following:
1- Stop ABA
2- Ensure the child has access to an effective communication system and provide the child the training and practice they need to use this modality (or more likely modalities)
3- Complete a comprehensive evaluation (including motor skills and motor planning assessments, a sensory profile, and an interest inventory) through your child's occupational therapist
4- Meet with your child's OT for an uninterrupted hour to review scoring from the evaluation and the sensory profile measure findings, then identify sensory over- and under-responsiveness
5- Identify sensory supports that are necessary in order for this child to feel comfortable and self-regulated within all relevant settings in their life (home, school, community, friends' homes, Grandma's house, the park). Identify motor skill and motor planning challenges that may make life frustrating.
6- Work with your child to better understand how an adult's affect and communication style can support regulation and relationship so the child feels safe
These are all vital and can be implemented via your child's OT.
This is cursory. But tell me, what am I missing?
What else do you feel is vital to support our young autistic children?