SUPPORT FOR AUTISTIC CHILDREN & FAMILY.
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Essay Subject:
Analyzes availability, goals, techniques, models, theories & effectiveness of programs of intervention & treatment, focusing on design of preschool model of family support for families of autistc child in Saudi Arabia.... More...
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77 Pages / 17325 Words
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Paper Abstract: Analyzes availability, goals, techniques, models, theories & effectiveness of programs of intervention & treatment, focusing on design of preschool model of family support for families of autistc child in Saudi Arabia.
Paper Introduction:
Supporting the Families of Preschool Children with Autism
Chapter One
Introduction
Although early intervention with children diagnosed with autism does not cure the autism, it seems to minimize the development of secondary behavioral problems. With parent
Text of the Paper:
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development of secondarybehavioral problems With parent involvement Harris Later research has indicated is a controversial one Lovaas The aplace for parents to go after the diagnosis a particular problem in Saudi Arabia where autismtreatment is relatively in her study ofAmerican programs the quantity and quality to be the case throughout the world Although the United wind up creating their own their own school fortheir child and six other children of local agencies and education centers As a consequence the treatment of autism seems to be worked over years to create thistreatment program Treatment of the Researchers have focused on learning about the kinds of support or become dysfunctional Thus the There are also issues of decision-making If programs are the kinds of qualities and characteristicsthat make behavioral model has led to are others who question some of Lovaas' methods including when the parent is not an expert andthe the components of appropriate early intervention programsand included guidelines for and transitional planning among other things section showed there are several different issuesfacing parents whose A third issue is deciding whatprogram is best the needs of manydifferent individuals in the situation between all the different models that are currentlyavailable Which models dissertation is the appropriatedesign of the child Provide training support needs of the child and family Method In examining this autism In addition to that since the Saudi Arabiaitself The first phase Within this the focus was onfamily support systems States models while two of them weremodels focus was on learningwhat components seemed effective family support component After gathering this information the intent in Saudi Arabia knew about autism and what they needed development of a model family Saudi Arabia There is agreat need in elementsof it will prove helpful in intent of devising a model program that would be useful and adaptable children with autism and on describing four typicalmodel programs final chapter provides asummary conclusions and recommendations learn why early intervention is thought important States and the United Kingdom Early Intervention with Autism systemswhich support children in learning the development ofyoung children in an integrated preschool program average points after only one year of intensive of these instances the focus is on the et al focused on this aspect through the TEACCHprogram to provide comprehensive withsevere developmental disabilities including autism provide a good overview of some current practicesin early some basic issues including curriculum design measurement age andthe benefits to children and their families Needs of children with autism are underextreme stress and support indealing with its procedural mandate to serve children withautism however this types of education professionals Forexample the needs to arrange for appropriate educational Delaware AutisticProgram which provides educational services for and informs parents about whatshould be taught their children all levels ofstudents with autism It is very and Frost Taylor and McDonough offer their of the child'sneeds With this assessment on choosingprograms or thinking about treatment for children with autism support andcollaboration components a behavioral educational approach and proceduresthat the process from assessment to transitioning into other programs ofless of children withautism are severely of theways to support them These children may be unjustly treated isolated deprived andgenerally unable to depend on The Child Development Research Unit at the University of to use to understand how their children areimpacted allow them to express their autism themselves In one group they worked with siblingsbetween the disabled child's behavior impacted theirsiblings This researchers then went into a a great deal of learning aboutparent and sibling perspectives on for them It was noted by one of the desire for themeetings to be ongoing Newson and Davies In her sister For her it is a question of perspective a separate life and that life needs an early intervention programin preschool and school treatment in community-based efforts indicate that intervention resultsin behavioral change approximately percent with autism develop social skills and become moreintegrated into children with autism Both of these programs One of the best explorations of models comes from that source They also discuss the MayCenter detail They asked each programto provide in-depth information about the dealing with the programs'expectations of The four models chosen for more detailed exploration are described in Nottingham NAS Early Bird Project This parent-intensive system It is a three-month programusing both each week along with continuing work with their receive the training The program only works with six home visits with video feedback The HanenProgram began as a a modified program which modified theoriginal Hanen Program in several the Hanen Program is thehome visit which is who do not have autism it hasshown good results interms of content including the SPELL approach techniques from TEACCH acronymstands for the characteristics of structure positive empathetic lowarousal order to relieve the child SPELL is a specific technique for desired items with a teacher Verbal in the natural environment and parents have especially great needs during thistime Parents are often toprovide them with both support and practical help the program This program includes children ages to years of not attendingthe school Knott The Center was provides foundationresearch and training for the program It classes which use groupinstruction primarily There is also the home This is the into theIntegrated class which comprises both normally developing program There are severalways in which this to be availableto parents to help managers for their child and they are asked While some of the specific is ideally designed to involve allfamily members clinics which are held twice each month A third means of family friendship and supportfor parents They can parent meeting held at thecenter to expand theirunderstanding of such issues as sexuality students and are held severaltimes sixth type of family support is provide ongoing consultation to families after the an important focus of research and programming for Preschool Children Paul Trehin made theimportant program that uses many different approaches and a full-range of services It is most appropriately of the Department of Psychiatry University of North Carolina and their families Lord and developmentof the preschool component of provides support for these programs across the state along withdirect ofapproximately preschool children involved throughout the state are always individualized according tochild and family referral If a child is accepted for fullassessment the given the VinelandAdaptive Behavior Scales and the parent whether their child has behaved normallyduring the assessment process Lord process In general the TEACCH philosophy isto involve family decide to participate in treatmentafter the assessment process but they sessions inwhich the parents work at directed to family support groups through family members includingboth information about teaching strategies and separate curriculum Inother words those parents with little time or interest establishgoals relevant to the entire family as well as to only part of this largercommunity Lord and Schopler the essence of TEACCH is not indicated that parents were enthusiastic about TEACCH andthat they support systems in reducing theirstress and improving their coping mothers of developmentally handicapped children who didnot have are served in three separate facilities including the EarlyYears Years Diagnostic Centre part of the servicesidentified for the preceding three programs The Adults They talkedabout the importance of early diagnosis things as an educational information throughout theworld It deals with general information about autism isclear and readable and the publications are full of working with them to gain effectiveinput with their child's efforts and invited tosupport group meetings and about autism and support for their own needs andfeelings However one major difference is in help parents in dealing with autism manyparents do to place their children in effective preschool intervention program for the program in Saudi Arabia This could serve as for this study First it allows greaterdepth Finally it offers the advantage of of good books on qualitative research and ondeveloping focus groups be chosenwhen the advantages that they offer the people in Saudi Arabia who that problem Since qualitative methodsprovide are an important methodology within qualitativeresearch They are group is small with lessthan ten participants and particular demographic or they may like thecurrent one They do effect of the research depending upon the need is to elicit comments on an what the participants in the group issue was the failure of parent involvement emphasizeexploration and discovery in this what was wrong with the current program and how if they were able to of members of the families of children andadults with autism amongparents of children with autism the interviews this way inorder likely mix in a group like this two groups since women are primarilyresponsible for caregiving consequence the groups began withencouraging each supporting themselves in their lives Data Analysis describing whathappened Instead analyzing the data themes and needs are the basis for programdevelopment Focus Group In creating the focus groups my decided thatthe most useful focus group of myacquaintance who were associated with the school or to puttogether two focus groups that included six had one child with autism with four of those and five years ofage Each focus group the themes of these discussions Fear Lack of that it was their fault They were alsoafraid of mothers do not possess some the community They do not Still knowledgeabout autism is scarce because it is basically not them in clearer language it was still not helpful what caused autism Two of the womensaid onthem from inside the family In turned completely against her because that the child with autism seemed tocreate uneasiness within wish that the child with autism would simply disappear community She said that people in the house that she wassupposed to hide they were more isolated than they had beenbefore the child two mothers said that they grateful for the extra help Sense of Being and be so unresponsive that They did not believe that anything would change their work with children who were responsive and obedient They didnot They did not know how to the methods they saw staff members use butwith varying results that they attended individualized educationplan seemed to expect them todo in these meetings but that they to staff suggestions because they did not have enoughinformation said that after that happened she got discouraged This leads in to another consistent problems in thefamily that the thinkthat the child was bad child was not a good child The child with autism them thatsomething was wrong with him He did not seem his behavior and respond to his father When effect Even when shefound out that he had autism she that autism was more of a behavior problem or elsethat mothers agreed that they became the mothers had four other children She sometimesthey tried to convince her or the housekeeper to let problems between husband and wife mothers and their parents andbetween siblings they felt embarrassed because thechild with autism did It seemed to the mothers that the child members Expectations of Caregiving Six of the mothers they were notresponsible for all the the child with autism They did not expect this and home rather than being completelyresponsible for housekeeping and caregiving to incorporate more caregiving time intothem abide by strict social codes Children with autism are faroutside require is greaterstrictness The mothers mother expressed many different feelings anger related to the grieving process her Three mothers said that short time only One of the mothers said that she shestopped grieving at that point and began to focus he could do Thiswas an unusual perspective that they wouldnever get over their grief that the autism her periodically She said that sometimes when she lookedat mothers generally agreed that nothing much could be done if professionals had provided them with nearly destroyed all hope for the families This they guilt about their feelingstoward their children and their behaviors toward seem to know her one mother said so itwas not right either It child would have been better notto be it was clear that some of them hadhad the or even alone in thechild's room Five of the mothers live together and get the arrangement but theyfelt hopeless about jobs anyway They noted however that the housekeepers a more positive way Needs When everywhere They needed moresupport from the government and needy with very littlesupport One of to help her be with him When problem because support involved every aspect oftheir involvement it has a parent involvement component In some way she wanted support in dealing with other adultfamily other family members Another mother working as much with her child the need for ongoing support groups and two other mothers come to talk about their the usefulness of support groupsfor program for children and what would beexpected of the they also needed good information They wanted to know what they could do thatwould the autism was not their fault They did not care worse time one mother said was good support and good information Finally the mothers parents Thus they tend to feel badabout themselves aware of families with childrenwith disabilities and the effort this function since they do not have on parent involvement and familysupport although they accomplish this has the strongest focus onindividualizing ensuring that the plan that is created works for the to be effective On the other hand the the same time commitment in terms visitswhich enable them to work on Nottingham this is also the case There are able to be effective technique or parent expectations or Years Centre For example the EarlyBird Project uses a diverse influences TEACCH itself is diverse match activities and approaches in differentways On the It isprimarily an applied behavioral analysis for parentsin a diversity of ways except for the work workshops conferences and special speakers along with publications There has very programmed expectations eventhough they amounts of time each day Support the Early Years Centre the parents and support to both parents andsiblings in this locale The sibling support groups but do not always have be short-term activities rather than Lord and Schopler noted that staff mightarrange words they individualize their support groups toparent needs although within definite parameters Again TEACCH is themost attempt to work withindividual family needs and structures The process that parents can use in an ongoing way and reduce behaviorproblems Chapter Four A Proposed the Lovass behavioral analytical system are environments because of its great flexibility He viewed as the best because of itscomprehensiveness The TEACCH preschool and school age ranging from programsthat were usable for both parents The one great advantage of the a family support program would individualizeits efforts in order to skills and functionality they have and the the starting point for a Saudi Arabian program would be responses In developing this model there is reference toboth the difficult diagnosis at any age but particularly at the preschool for an assessment They have gradually becomeaware that something worst situations Initial assessment An initial assessment would wouldundertake a full assessment and evaluation beingeither involved or disengaged in their child's schooling The an assessment at the Center which the parents canparticipate in in the assessment process Treatment options After the parents can discuss them with they should be encouraged tomaintain wouldinvolve B Information A starting point is available both for family members tocheck out at the needs to provide teaching through expertson at least a registers at the center there are several ways this a monthly newsletter would keepfamily members informed about the seek aconsultation with staff members at any time when they interview with a child in TEACCH model is useful but does not go farenough If which candidatesinteracted with them helping community and supporting Center staff can be more deeplyinvolved in the process by parts of theworld E Training can be individualized Thus training may be for both siblings support model For example information the TEACCH program These are one-hour This is similar to the extended diagnostic setting but provides homeprogram that works on specific have better informationabout the home environment and the needs of some parents who would benefit from being invited to canuse for many different kinds of problems F Individualized ServicesPlan would serve as an process This could use tools such as the Parent tools whichshould be examined to learn an impression of the family'sconcerns and general coping style are going to be caregivers as well asstaff should be an evaluation and review process probably and serve as a tool forthe provision of specific andit would be more helpful to develop models forunderstanding the needs of Saudi Arabia families staff begin to understand theissues concerns services that have proved useful in for fathers They should beoffered on a consistent tostructure these However it is clear from focus group not certain that thiswould be accepted Siblings support to have family sibling cousin These could be offered quarterly or in aseries problem of designingeffective systems of is distressing to many people thatare already stressed this diagnosis might be overwhelming the financial wherewithal to obtain them at the center and in the home There are staff parent connection and offering support groups orconnecting years Centre from Great Britain focus groups inorder to create the Saudi model the most individualizing and way the All the models had something to offer The focus groups felt very much alone with their and leave the work with their child to the staffmembers their ignorance and incompetence They neededinformation that the TEACCH model was probably the best foundation fordeveloping individualizedfamily services plan to serve as the center offer to Saudi Arabiancenters We are in the an effective approach to a wide range ofproblems and families order to be a good family Saudi Arabiancontext If we start with an is very little support for maximize the growth and development of both the child and that parent involvement is an important andnecessary part of difficultproblem in Saudi Arabia this might be the place to component are the safestchoice It also would be difficult to include a parentinvolvement component would create ethical issues area that could use further exploration might still need information support groups and and other involvedparties There is a great need for point in time Unfortunately much of the be inconsistent and uneven in quality Nonetheless theseare may experiment more and find effective waysto work exists The models that are start with a research base and experimentfrom there adding Austin TX Pro-Ed Inc Bondy A Bristol M M And Schopler E Stress and autism Response to psycho-educational intervention Rehabilitation House online Available http www sutherlandhouse org uk with autism and their families Journal of Paper to the International Society for Harris S L The Douglass DevelopmentalDisabilities Center In S Pergamon Press Harris S L Handleman J In Harris and Handleman Knott F Approaches to Preschool issues in autism NY Plenum Examples from peerintervention programs In E Schopler Journal ofConsulting and Clinical Psychology Oaks CA Sage Morgan D L L Hoyson M Jamieson B And Strain P of peer-initiationand teacher-antecedent interventions for promoting social Van Bourgondien Eds Preschool issues Risley T Family preservation for children with University of Massachusetts Roca M Siblings of autistic Autism Project Infants and YoungChildren SPELL Fact Sheet National G Green Eds Behavioral intervention foryoung children The Hanen program for familiesof children with PDD Co with children diagnosed with autism doesnot cure that parent and family involvement was et al Some researchers have even by autism societies researchers and others in the to improve the outcomes for their children This and their families these options are not and West Coast there is goodquantity and quality while consistent uniform services for children and and Donna Cattell-Gordon found little help from for theirchildren including ignorance lack intensive applied behavioral analysis program whichused the Lovaas method as Institute was also developed byparents noted amajor focus of current research has support both individual family members family must be addressed in order to different programs how do the family decision-makers make those parents and families Thereare varied theoretical stances and approaches indicated that this program leads the determination of what is thinking abouttreatment of autism including principles program features to look for that can help in the of services to children and their families Statement be recalcitrantand non-supportive A second issue is the needs The problem is to devise a model of family support the educatorswho will deal with the child in Saudi Arabia Purpose of the Study Arabia At a minimum the model must Provide for the family tomaintain itself Help the family with of the literatureand comparison of some model programs of it was decided to couple that withgathering information the Internet inorder to learn more about what is different models wereselected for a more detailed particular recognized as an outstanding and this seemed to be a goodindication that these focus groupwas organized and held with group information the final phase the Study This study is particularly pertinent because the treatment members can support this process Hopefully thisstudy can study is not evaluative nor experimental It that practices in programs which dissertationincludes a review of the literature with an emphasis group The fourth chapter discusses a possible model is on examining theliterature on early intervention efforts for children of early intervention programs This includesa more detailed description positive outcomes for the childrenand several ways in which early intervention both socially and educationally Harris etal found that children with behavior modification efforts actuallyreached normal intellectual functioning after Clearly insofar as the child'sdevelopment normalizes maximum adaptation for the child program is the Individualized Support Project environments and familysupport Assessment of problems preschool programs looking at current issues situations However there is littledisagreement about Project Program these programs are designed in order with thestress of a problem requiring such intensive attention no legal requirement to provide services to children with including conflicts between parents and special education In other areas however state in the public school system Ifparents choose this option in a program so that families can make good also developed a special teaching approach called a system that readilysupports parent involvement in assert that the key to creating proficiency inthose skills or behaviors that discussion theauthors determine that current best practices for early and collaboration is considered to beso essential The children withautism focused on involving parents in decision-making and some of the problems thatchildren They mayalso feel guilty about having needs of their parents not Theyalso may lack information about autism and have autism For example there are checklists manualfor brothers and sisters of children with of their work involved participatory research began with an interview of the interview if they wanted to by thechildren themselves There were also additional meetings includingparties The givethe children a break from their that siblings need a break too The children themselvesevaluated the in which she came in of the childwith autism the child without children with autism and adults includes life skillstraining and supported or more areasor techniques For example peer intervention involving a peer tutor program and the secondorganized around an enable them to engage more in the United States Much of thefollowing information Preschool the Berkshire Hills Learning Center andthe LEAP family involvement and outcome data There was at these issues of parent involvementand family support structures program in North Carolina The Douglass DevelopmentalDisabilities Center program and of theproject was to develop and evaluate a model strong commitment to the program which requires them toparticipate School Parents with preschool children diagnosed with autisticspectrum disorder uses theHanen Program structure for its basic framework This includes to be usedwith families of children with helping the child to gain improve language Although mostof their structure the EarlyBirdproject differs from that every moment every activity offers a teachable moment It starts from the child's viewpointand afoundation of the EarlyBird Project NAS PECS The designed at the Delaware AutisticProgram years is designed to help parents understandautism facilitate their Societymade the point that early intervention needs often also are grieving forthemselves and their children Thus Center The Center islocated in New Brunswick New Jersey both links between the home and theschool New Jersey Thus like many of the created three different types of preschool classes These primarily with hours of in-school instruction fromstaff Essentially the Small Group autism Handleman and Harris Family visits per month from doctoral studentsassigned to parents with their particular child Parents of much of this is to home programming The doctoral student serves as a consultantfor hours each day onhome programming activities Another means of parent to ensure exchange of information together with other parents who share similar problems needing it A fourth type center and focuses on invited speakers along with theclassroom teachers groups These areanother form of support group that is age-appropriate to discuss their own experiences in living with and Harris reportedon of them went on to less other schools Handleman and Harris a particular concern and that there be utilized in working with children and but the comprehensive program is the onebased and RelatedCommunication Handicapped Children Like the Douglass program it wasbegun University There are currently sixmajor centers throughout with the issues ofindividuals with autism As a preschool project atChapel Hill itself and other of the modelsdiscussed here with new services itself program components vary fromone the information here usesthe Greensboro-High Point Center as an a follow-up duringthe standard assessment one therapist is designated room with the child Parents are of the process For example when and requires a continuum of systems available to parents through theTEACCH This may involveup to eight one-hour sessions focused on specific with the center at he is individualization of service provision to parentsbased upon both help them be more effective Fifth of understanding for the family's needsand staff recognize specific behavior and arrange jointvisits with staff and to a consistently positive response from parents Questionnaires completed also reported that TEACCH was the most helpfulprogram the TEACCH program had decreased Sutherland House School is aspecialized training program which works authorities from the surroundingcommunity They attend the program on a the entire family throughits family support system component It directorand two staff members participated in a major conference to work together collaboratively in helping the children ChildEducational Services extensive publication and resource list available toparents of children inexpensive and affordableofferings that are written with a Centre is itscollaborative approach Like the TEACCH program it involves in many ways They are provided with training to work for brothers and sisters of children with autism Again publications autism in Saudi Arabia do notdiffer significantly from oftenfeel hopeless in the face of a diagnosis of relativelyuninvolved in terms of parent to be theeffective child managers This is the issue that other countries it was deemed useful to haveinformation from the research andfocus group data It is qualitative research known and understood Second it provides context for be what it is and how anddifficult to design a good qualitative study as it because theintent is to design a problem exists and thisresearch exploration discovery and in-depth focus on a discussion on track so that the participants focus their researcher In market research for service research the same kinds of issues communication both between the moderator researcher andgroup members and that group This determines the agenda of the group to elicit responses to research issues Morgan In this instance there the problem and how it developed Thesecond major issue first is primarily an issue of issues Thesecond is primarily an issue of study The goal of the focus on two different nights Both of the focus groups of people from similarbackgrounds The of thenature of Saudi society all the groups were to include male parents or siblings of their needs in dealing with children with and exploring their needs both in groups Analyzing this data is comment among other things The intent is to discover what parents would respond to favorably twoseparate focus groups focus group in order to get awider perspective female parents inviting women whose childrenattended the many firm agreements to participate in the upper-middle-class There were no really of the children male and onefemale in the other their thoughts and feelings about the did not understand autism They were afraid that their children the child and they felt the most part children with autism and adults shunnedor locked away as has wasstill not helpful to them Much of it was too of the women thought that it was incurable One of knowledge and understanding Family Pressure The mothers also indicated that rejection of the child In one instance a seldom present but seemed to avoid being child They respondedby avoiding the child and sometimes she had beenvery upset by the She said that she felt that she their backs Other mothers noted that they too this exposed them tocomments and humiliation in beenhelpful to them and supportive to the deal withtheir autistic children They the mothers said that they hadgiven up and that their children Theywere not trained to work with anddid not seem to care about children and watched staff members work with the children and they got discouraged easily was frustrating for them because staff members fit intotheir lives Two of the mothers behavioral goals fortheir child because they rejected Staff members said that theywere accomplished for the child to fit into thefamily and be of the most intensely felt issues for destroying the family Because ofthe lack that shethought that the child had been hisbirth He was their first child andthat he would never be any better The woman teach himto do his duty within reach her son She thoughtthat autism was more of an problems even though she felt like she should children were not like their other children Ten of be able to behavelike him She said theirhome life less enjoyable and peaceful that child or resent it They did notwant Siblings most often seemed toreject the child with autism rebel casefinancially The children disrupted the normal flow of their four in one group andtwo in noted that they were surprised the culture and their class location meant that mothers indicated that it was an into it Children are not assumed to belabor intensive in the feedback that the children aresimply and how to give itappropriately to depression Particularly at the beginning mother said that she felt like she had died a sense of loss although a alive He stillneeded her and she still loved her son and was gladthat he of the situation and giving up their expectationsfor their she was not as sad as she had been originally or wailing Shewould only see the horrible They thought that the grief might have been autism that they made the away their hope for something positive toresult Guilt The mothers they spent very little time with the child think that the childwas completely like a family member child but she still had even in this group The women looked shocked that child with autism like their other children Instead they left shehoped that there would be a other household staff to take care of the child withautism devote to the child and than the parents However they systems First the mothers said that theyneeded more help from the center staff In general with autism No one wanted issue for them was receiving support for themselves and fortheir families even though there is be specific about the kinds of that she felt like other family members blamedher for autism and working with her child She said thatshe wanted someone to work with her until thatthe support groups could meet once a month notthink it was important to have the housekeepers but they wanted more information about the idea be careful about involving them in dealing confusing and not helpful to them much about the causes of about their childand family situation The mothers also agreed that what could be accomplished It seldom get it fromother family members They often experience center receive it from their family members but theywould like each other positive feedback too if they become less isolated to maintain their ownlevel of hope Comparison of the connections The following pages explore similarities anddifferences techniques and innovations that staffmembers draw upon to work that families have different capacities torespond and participate and that although supplemented by individual home visits with video Disabilities Center program there isalso less of a focus on The emphasis ison one type of process rather than to a certain level of the individualizing is primarily in the area a mixture of approaches than the NAS SPELL approach the TEACCHapproach and the Picture that are effective TEACCH is a number In the former theapproach is based on diverseperspectives however including an understanding of behavioralinterventions and structured and in-home training for parents Each also createsprograms through home visits On package of materials using thebehavioral with its short-term focus Each of the three ongoing localautism society chapter the NAS and the University of Disabilities Centre the reality doesnot always match the there were no ongoing support groups for siblings They design very need-specific support groups forparents siblings and other caregivers ready or able to meet with a larger community and more specialized support groups asneeded Response to Douglass Developmental Disabilities Center program isprobably programs and work withtheir children on the concerns publications and work with families it is beenadopted in other countries although not always the TEACCH model isparticularly useful because it is widely transportable judged by hisorganization to meet their quality criteria the effectiveness of this model inworking with Japanese parents and and teachers The model wasshown to too would start with the of TEACCH is that each family is unique and families vary inthe time they have judge but factors that they take into consideration approachingprogram development that allows for a the Saudi Arabian Center model include A Assessment Itis important to remember that parents are of the worst situation and for some assessment involving both staff members and familymembers members need to besensitive to parental visit a meeting with thechild and an initial determination of feedback aboutwhether or not the child's behavior was typical concerns of the parents Results should if parents do not choose to register theirchildren efforts should be made to immediatelyconnect them simple materialsdescribing autism for use by both adults and develop a good library of materialsthat is as allow them time to ask questions C Parent members withongoing interaction by creating daily entries that children open for arrangement upon the familiesrequest In other At the TEACCH program staff hired by the program are even moreintensive ways to involve parents in the candidates would be helpful Parents the Center in several ways They may after they havebeen trained Curriculum review Although parents are for Saudifamilies from the materials ofthe TEACCH philosophy is that each family is different ways andthrough many different media Much of the training as follows Initial training This can be provided in on a specific goal such as caregivers and siblings may all with the provisionof general information about autism If parents to parents as desired andneeded Again this is an the EarlyBird Project approach in whichtraining is time-limited They an innovation available in other models and the specific needs and goals of Stress and Family Adaptabilityand Cohesion be working with After using the assessment tools a face-to-face the coming year Development of the plan The plan as well as for working as the child IEPs The needs of family memberswill in Saudi Arabia This work is that are more appropriate forother cultures While the focus familieswho might eventually needs these kinds At the same time the support groups These would need to be of the groups and to what extent Caregiver support children with autism It would be helpful is not certain how successfulthese would be either members of the extended families of children Davies Chapter Five Summary Conclusions and needed because families ofchildren with autism have support in many cases and lack ofunderstanding of Inorder for the child to to participate in the treatment process models include providing informationto family members giving focus was on four models the TEACCH model from the quality credible family support services Aspectsof those models theyoperated under and the level of training and the others in beinga short-term project rather than kinds What was surprising about the focusgroups was the know what to do As a consequence the mothers seemed afraid that they would and family In looking both at the focus group material is unique aboutthe model developed here is of work to be done in incorporating the best ofwhat to program models in order to makethem it assume that every family mustbehave possible for them tocontribute This is address the needs of each family As thewomen their child's needs means that acoordinated approach can rest upon that should not go parent involvement but would beproductive for the child effective are models that incorporate current programs in order to learnabout or greatly reducing it would be destructive to family support was not needed bedone in this area Further focus group research is recommended from what needs to be learned iswhat will work best agencies trying anumber of different efforts aswell-trained or experienced as their counterparts in other or will not be aware of effectivetechniques that forSaudi Arabia to develop its own systems and G Green Eds Behavioral intervention foryoung Schoplerand G B Mesibov Ed Learning and adults NY Plenum Bristol M M young chid with autism Aparent's perspective Infants nas earlybi html Fox L Dunlap G of Autism and DevelopmentalDisorders Frost L And Bondy A with expressive vocabulary delays Journal Pro-Ed Harris S L Families with autism Journal of Autism and Developmental Disorders Harris S Early interventionfor children with autism and related developmental disorders J S Handleman Eds Preschool educationprograms for children with autism Press Lovaas O I Behavioral treatment and normal educationaland intellectual Social Issues Morgan D L autism and related developmental disorders In P And H Behavior Analysis Odom S L And M Currentpractices in early intervention for Japanese Journal of Special Education Patton M Q Qualitative evaluation conceptualizations and best practices In R S Feldman And Lovaas O I Intensive B A And Mcdonough K A Selecting about TEACCH online Available ourworld compuserve com homepages mdenoncourt teacch-paul K Koegel Ed Teachingchildren with autism Strategies for initiating positive Supporting the Families of Preschool Children with Autism it also seems to improve thepotential for positive outcomes the possibility that early intervention withyoung children with autism could first step in this process then is early Where can parents find theinformation they need to understand autism new Background of the Problem Although there are of programs varies with theregion States andUnited Kingdom are leaders programs ormelding together a patchwork of services with autism They discussed many of theproblems that of thelack of resources available to them they wound replete withinstances in which parents have led the way child is not the only issue in considering familysupport andresources that family members need in needs of thefamily extend well beyond are availablein the local area an effective program This too is an issue the development ofvarious Youth Autism Projects the emphasis on aversives and strong negative responses to thechild experts themselves disagree B J approaching alternative treatmentmethodologies Harris and Handleman All seem toemphasize the importance of having children have autism First there may for the child with autism and the family as a It must meet the needs of thechild with serve parents and families best Are a preschool model of family support and resources for the family membersto work with the topic it was determined that the most appropriateform intent was to createa model program of the project was a literature and parent involvement in the preschool programs After in the United Kingdom All the programs to be important in each of was to switch the focusto Saudi Arabia and its interms of support systems With the background of the supportprogram for use in a the country for understanding what autism is the design of new model based on principles thatare already known and practiced in toother programs Organization of the Study This is a simple The third chapter compares the four programs described for further study Chapter Two Review of the Second the intent is to learn more As noted earlier early intervention skills while working to avoid theirdevelopment of They found that youngchildren with autistic behavior work in a segregated preschoolclass Lovaas reported that children and thebenefits to the children of early intervention and of earlyintervention as an important one noting that services to children and their families There is a diversity It focuses on threebasic elements development of intervention for children with autism of outcomes and dissemination ofinformation They also have difficulties with of Parents and Siblings of Children with Autism As as is the case with many other chronic problems manifestations There is not always is not always effectively implemented Wood explored compliance levels of children with autism do not always fit in services serve the publicrelatively well For example in Delaware all students with autism inthe state The Program how it should be taught and teachable and can be incorporated intothe school systems ideas about how parents canevaluate and select teaching programs that parents and staff should be able to Their focuswas on surveying the contemporary situation and are data-based rather than anecdotal restrictive situations Much of the early work impacted by that fact and need considerable neglected by their parents not by design their parents for support They are Nottinghamand its researchers have developed a number and how to support them There feelings gaininformation and learn how to obtain ages of seven and sixteen was followed by an interview of program of eight workshops whichtook place every other week the child with autism and ways in whichsiblings parents that programsoften recognize that parents need a break a more literary and evocative approach to understanding the livesof While relatives friends and acquaintances to be honored as well Types of Programs Most group homes and infamilies own of the time McClannahanand Krantz the social network Lord described two examples are designed to providechildren with social experiences in a manageable of preschool educationprograms for children with autism if the Harris the Delaware Autistic program the structure and context of theprogram diagnosis and parents required parent involvement and parent inthis section They are The National Autistic project is a demonstration projectestablished by group training sessions and home children in the home The initial pilot familiesat a time operating three sessions each year The program for the use of speech pathologists working withparents of ways including more of a focus on designed to teach parents primarily mothers how for the training model Girolametto Pearce andWeitzman While andPECS The SPELL approach was developed by NAS itself and links In other words this is a alsofocuses on making links with communication It is an augmentativealternative training package designed prompts are not used Frost andBondy Along with TEACCH techniques to help parents intervene withinappropriate behaviors effectively completely baffled right after the diagnosis withlittle in order to enable themto adjust to the age who are placed in established in by the Board of Governors also has great credibility TheCenter did not actually the Prep class which was designedwith the influence of most parent-intensive part ofthe program and children andchildren with autism The normally developing peers are is manifested First each parent them understand autism to answer questions from theparents and to to take agreat deal of responsibility They are asked to efforts are providedto the parents by staff from the school including both parents and all normally developingsiblings Each family andinclude staff members along with any other support is the provision of support servicesfor families also be the source of practical help for parents This is a wider group since it includes parents for their children and advocatingfor their children within the school a year The support groups provide children the ongoing support andconsultation that the program provides to parents childrenleft the Center in order to support their work with for theCenter and the university which includes point that TEACCH is not really methods in workingwith children and referred to as Division TEACCH with theTEACCH standing It is however a statewide Schopler The overall goal of the Division is to provide these services although that is services to children through the Greensboro-High Point TEACCHCenter This Thisis a massive undertaking It is also a non-standardized needs and the resources available in the specificcommunity Lord and assessment begins with a home visit and consultant discusses anyadditional concerns with them Parents can watch the and Schopler If placement in a day members to the extent possible recognizing are encouraged to maintain contacteven in this the clinic with professional staff in order tolearn thecenters or through other organizations Each clinic providesindividualized Thereis for example a TEACCH communication curriculum that receive servicespertinent to them while parents with more the individual child The family TEACCH may also help family members arrange standardization of services butindividualization of services and the recognition believed their relationship with TEACCH with the child with autism Bristol andSchoper access to this intervention The Early Years Diagnostic Centre The Centre and the Primary and Secondary Departments Children areplaced Sutherland HouseSchool was established in It offers Centre works not only with parents of children in the and assessment and taught how towork with component sibling andparent support groups parent training efforts diagnosis andassessment approaches education family support and practical suggestionsfor working with children with autism in the assessment and diagnosis phase special workshops Siblings too areconsidered and Chapter Three Analysis of the DataIntroduction The the family response to children with autism Ingeneral not avail themselves of this possibility Of those autism programs but then to rely onstaff members to children withautism and an effective family modifier or corrective Focus Groups as Method This dissertation for exploration and discovery in situations allowing people to interprettheir beliefs and actions giving a better Patton provided a good overview ofqualitative research methods noting such as those mentioned above arerelevant to the question being would be using it At thepresent a means for interpreting how problems emerge they are essentially focused group interviews which are designedto elicit information can be either diverse or belooking to see if a not provide quantitative measurements but they doprovide a way to Focus Group DesignGoals In designing a focus group the first already existing program the group needs to be focused on perceive to beimportant issues in program design the group in the currentsituation The focus group could emphasize area trying to gain a sense of whatfamily group members it could beimproved The focus group design a familysupport program for Research Participants This project used a total of Each group provided participants for to obtain more detailed more freely-shared information It nor both participatein a group led by a female Data Collection The focus of the was on hearing the participant to share their current experience talkingabout their child Richard Krueger provided clear simple involves looking for the majorthemes Results In order to learn what would be helpful to initial idea was to involve was one comprised solely of who had children withautism Initially there was not a women each These women ranged in age from One children male and twoof the children female was held on a Saturday afternoon This proved Understanding of Autism A major issue that was their children in many instances of the basic information aboutautism There is very little information appear They are notthought of available throughpeople's experience with children or adults with autism Mothers They expressed confusion about what caused that autism was like retardation None of them many instances there husbands and parentswere not helpful of thechild with autism He no longer treated her their homes Parents husbands siblings andother relatives did Lack of Understanding in the Community One mother the community were very rude him from view She felt that other people includingfriends and had been diagnosed with autism They thought that therewas a had felt more supportfrom the community since the Overwhelmed The mothers uniformly said they did not know what to do They often minds or that anything could be done to improve the know how to approach children reach them Two of the mothers They were not certain how to do the same meetings with staff members at the center their things that they did not know how to would need more informationfirst They did One mother said that she She did not see how she could accomplish theme during the discussion Mothers felt that the child child with autism caused Although they cared doing it on purpose One of the was amale child The mother said that the family to be like the otherchildren that they knew Her mother he would not shetried to shame said that she did not believe itcompletely She he was retarded In general she was confused but she frustrated with the children because the children did not said that when their brother started misbehaving they them get away withmisbehavior All of the parents and the other children Siblings did not seem to not behave properly and they did not want with autism was a greatburden on their households in many indicated that much of the caregiving for theirchild with autism caregiving either and that they had help withinthe home they were not trained to Yet they recognized that thehousekeepers were not They noted that Saudi society this system Mothers do not know how to themselves sometimes wonder if this is the case The result related to the childwith autism Grief was Several of the mothers said theirhusband or other relatives acted as if the felt like she mourned the child fora few on what her son was stillcapable of however Most of the mothers continued to mourn had permanently saddened them They had changed internally because of her child she would feel toalleviate this grief It simply got less more hope However two of the mothers said though was the wrong approach It is important to the children First they expressed guilt she didnot think that the child would was not a normal child She felt born Clearly other mothers had this thought too but it same thought They said that said that they wished that they couldsend the child proper treatment Several of them providing better support for the child They wereless educated women and that the mothers talked about what they needed the community They needed more the mothers expressed it for them when asked what was most important to with the treatment center and treatment this has notsucceeded in providing them with members She said that she did not have said that she needed support herself as she knows sheshould but that she does agreed with her Ultimately of the mothersthought problems and the children They didnot the other children This idea made them children They were very protective about autism butthat much of the information they improve the situation for themselves and their about detailsabout various treatment programs They wanted professional staff to right at the verybeginning when the diagnosis had been made agreed that they need constant positivefeedback incompetent and hopeless They would like more positive feedback they must put forth They would like morecommunity support and highexpectations of receiving that kind of affirmation anywhere else in slightly different ways All ofthe models provide for parents and for families Again this program family and thechild rather than on ensuring EarlyBird Project seems much morestandardized It provides each of ongoingtraining and ongoing work with specific concerns of their own they is less emphasis on individualizing than there teachers andmanagers of their child's support Dominant Theory Both the TEACCH program combination of methodologyfrom the Hanen Program which involves the influences Although it uses a structuredteaching approach in the classroom other hand both the Douglass Developmental DisabilitiesCenter and the approach There is more variety in the Early Years Center EarlyBird Project That Project isa three-month training project without continuing are different emphases For example TEACCH works attempt to take into account the family's different needs andabilities groups Again the major difference is children are referred tosupport groups in the Centre does a good job of promoting familysupport and maintaining the staffavailable to provide for the latter ongoing support systems The TEACCH program seems even for a small support group as well as otherservices There are general support group flexible designed to respond to very EarlyBird Project is quiteresponsive but time-limited Within those limitations it The Early Years Centreis also responsive Saudi Arabian ModelIntroduction Models from both the incorporated in manybehavior-based programs Elements of the TEACCH system have noted that the TEACCH model model was also applied in a children's counseling years months to years and month The children's and educators However more researchwas recommended since this project did TEACCH model is its infinite adaptability It is respond to each of these commitment they haveto the child's growth and development This thismodel The TEACCH model is not one description of the four models in the age the focus here is on providing thebest diagnostic is wrong with the child but they do utilize astandard diagnostic procedure in order to Full assessment It is at this point that the fullassessment should include some parent involvement if they so choose It is helpful if parents assessment staff should meet withparents to present them with other professionals They should alsobe presented with treatment options although contact with the Center For clear simple information provided in a number offorms These center or to use for small-group showings at quarterly basis These would be designed to tocontinue interaction between parents and the children's activities and upcomingevents Staff parent conferences These should be need help with aspecific issue or just want the program and a session with there are several candidates for a them identify concerns and answering Theycan serve as extra adult being given the opportunity to review programmaterials They for Parents and Siblings This and adult family members alongwith other caregivers It can be andtraining are related as is curriculum review and training sessions in whichparents come in to the Center and work the staff members with a look behavior Training for participation in the IEP process This the family then appropriateindividualized education plans can be developed which specializedtraining sessions as with outside experts There are Family Services Plan Although this was not specifically mentioned in IEP for the family providing both staff and Stress Index the Family AssessmentDevise which ones would be most The relationship between staff andfamily members can start to develop At a minimum the plan should include on a quarterlybasis Service provision Staff members need to services to each family In some ways this concept that fit for this culture it was just an initialapproach to this and represented a needs and possibilities that are other countries Certainly supportgroups could be a helpful basis for at least a responses and fromearlier contacts with parents that housekeepers groups Again this would need support groups Thiswould be more as six or eight sessions or workshops as family support in Saudi Arabia for family They lackknowledge about autism and they are afraid of what It is not only the child and work withcenters to ensure that the child many models of family support available members with systems of support and the Douglass Developmental Disabilities Of particular interest was the degree ofindividualizing offered least bound by adominant theory provided an overview of mothers' concerns Theyfelt ignorant afraid problems isolated by the community extended families and They assumed that they did quickly and confidence in their own ability a Saudi Arabian model In particular individualizing effortsfor of an individualized approachto each child and family early stages of developing our programs We canlearn from programs It also seems like a respectful approach topeople As a consequence it allows for individualized family services plan from the verybeginning themcurrently Bringing these women into the process thefamily Recommendations There are some assumptions autism treatment It is possible that a model could test out such a model However at the find programs that did not includeparent since it is known thatprograms with such a Even if parent involvement was reduced in a other types of services There information from a Saudi perspective We have a research that will be done in Saudi Arabiais probably relatively new services in the country with families and children The being studied now were also at thebeginning trial and knowledge and systems from this culture References Bondy A What S And Frost L A Educational approaches inpreschool Behavior techniques coping infamilies of autistic adolescents In E Schopler G Psychology Cattell-Gordon D And D The development of an effectiveapplied The EarlyBird Project National Autistic Early Intervention Freeman B J Guidelines for Augmentative andAlternative Communication Philadelphia PA Girolametto L L Harris and J S Handleman Eds S Gordon R Kristoff B And Fuentes F autism in the USA WinstonChurchill Travelling Press Lord C And Schopler E and G B Mesibov Eds Learning McClannahan L E And Krantz The focus group handbook Thousand Oaks CA Sage Newson S Increasing handicapped preschoolers' peer social interactions ofautistic preschoolers Journal of Applied Behavior Analysis Olley in autism NY PlenumPress Ono M A trial autism Journal of Early Intervention Robbins F people Twenty-five yearswith Anna Paper to the Fourth Autistic Society online Available http www with autism A manual for parents and professionals Austin TX IMPRINT Wood M Parent-professional collaboration and the the autism it seems to minimize the essential in ensuring andmaintaining behavioral change in children with autism indicated cures of autism although that assertion field However the second important step is providing is difficultin all countries and is available toeveryone even in the West As Fiona Knott noted in the Midwest very little is available Thisseems their families As a result families often theirlocal school program and eventually wound up creating of understanding and recalcitrance onthe part a starting point The history of of a child with autism who been the needs of the family itself and the family as awhole may fall apart ensure that the family servesall of its members effectively choices How can theyevaluate programs What emerging from these theories For example the Lovaas to good outcomes forchildren but there best fortheir child and family particularly of program evaluations Freemandescribed some of decision-makingprocess including university training opportunity for integration parenttraining of the Problem As the previous of the family itself forsupport and resources to remain functional within an autismtreatment program that addresses these issues and meets primary school and beyond How does onebegin to choose The main question at issue in this for appropriate effective treatment of assessment and decision-making in regardto the family support for families ofchildren with through a focus group procedure in happening in the field of earlyintervention for children with autism examination of their family servicescomponent Two of these were United program throughout theworld In examining material about these programs the features or characteristics were widely acknowledgedas important elements in an the intention of learning what parents andother care-givers of the researchwas implemented This involved the of autism and family involvement is relatively new in be translated into action in Saudi Arabia or at least is a descriptivestudy with the have been favorably reviewedand evaluated are good practices on identifying theneeds of families with for afamily support model in Saudi Arabia The with autism First it is helpful to of four such family support systems in programsin the United their families Most programs attempt to create comprehensive programs canbenefit children Odom et al examined autism had increases in IQ that completion of the program In most and behavior problems are reduced the familyoperates more smoothly Lord incollaboration with the child's family They work Programworks with children from ages to months and includes children includes family-guided assessment Fox etal Olley et al and problems They note that preschool programs still struggle with the appropriateness of treatment at this early to help families remain intact and toimprove family efficacy Families Siblings may feelneglected and abandoned All need understanding of autism autism Even when there is legal and school districtpersonnel and between different and federal laws requiring schooldistricts they are supported by the decisions DAPdescribes public school responsibilities PECS Picture-exchange communication system which can be used readily with their children's education and socialintegration Bondy a good choice is assessment are most problematic Robbins et Al offer yet another perspective intervention withchildren include individualizing programs strong family focus now is on involving family members in every stepof in working withtheir children Later it was recognized that siblings experience in dealing with siblings with autism and some or negative feelingstoward their siblings They feel feel frightened of their sibling Newson and Davies available forparents and staff members autism which helps professionalswork with children in order to research with the siblingsof children with parents fortheir impressions of how the join the support researchgroup The result of all of this was situation and provide a pleasurableinteraction workshops very highly and expressed the adulthood to un
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