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Autism Life Skills
Ten Essential Abilities Your Child with Autism Needs to Learn
Chantal Sicile-Kira
July 2010
My Background
BA Social Ecology - University of California, Irvine Fairview State Hospital Orange County Regional Center Jeremy and Rebecca born in France ± involved again in the world of autism Move to England (started home program) Move to San Diego (continue to advocate) Volunteer on non-profits, CAN, ASA, HALO, local CAC NCCSE Started writing books, presenting
Autism Life Skills
Ten Essential Abilities Your Child with Autism Needs to Learn
Chantal Sicile-Kira
July 2010
My Background
BA Social Ecology - University of California, Irvine Fairview State Hospital Orange County Regional Center Jeremy and Rebecca born in France ± involved again in the world of autism Move to England (started home program) Move to San Diego (continue to advocate) Volunteer on non-profits, CAN, ASA, HALO, local CAC NCCSE Started writing books, presenting
Autism Life Skills
Ten Essential Abilities Your Child with Autism Needs to Learn
Chantal Sicile-Kira
July 2010
My Background
BA Social Ecology - University of California, Irvine Fairview State Hospital Orange County Regional Center Jeremy and Rebecca born in France ± involved again in the world of autism Move to England (started home program) Move to San Diego (continue to advocate) Volunteer on non-profits, CAN, ASA, HALO, local CAC NCCSE Started writing books, presenting
My Background BA Social Ecology - University of California, Irvine Fairview State Hospital Orange County Regional Center Jeremy and Rebecca born in France – involved again in the world of autism Move to England (started home program) Move to San Diego (continue to advocate) Volunteer on non-profits, CAN, ASA, HALO, local CAC NCCSE Started writing books, presenting nationally Webinars, mentoring Taskforce on Transitional Services & Supports reporting to the California Legislative Blue Ribbon Commission on Autism Co-Chair, South Counties Autism Regional Taskforce of the California Senate Select Committee on Autism & Related Disorders Sensory Processing
“ Say my brain has only 100 Sensory
Processing Units. If it takes 95 units to decipher the sounds of a conversation, translate the conversational signals such as innuendos, pick up the contextual clues that impart social meaning, and modulate my voice, I have just five units remaining for other sensory sources. Since looking at someone’s face, decoding facial expressions,… …and coping with the pain of the fluorescent lights requires (hypothetically) at least 75 units, in this case I would not have enough Sensory Processing Units to look at the other person, or even open my eyes, while we conversed. This helps explain why most autistic people are unable to look at someone in the eyes while also talking, a characteristic behavior of autism spectrum disorders.” Zosia Zaks, Life and Love Sensory Processing “I prefer spending quiet time alone or with no more than a few other people. The more people, the more noise and movement therefore the more overloaded and anxious I get. My hearing is such that when more than one sound or voice is occurring simultaneously the sounds are processed in my brain into one noise.”
Brian King, MSW
Sensory Processing Making sense of the world Most frustrating area they struggle with Impacted every aspect of their lives If not in synch, they acquire a distorted view of the world and of themselves Connection between processing (ie auditory, visual, kinesthetic) and learning style Most helpful strategy : knowing in advance what was going to happen next to anticipate and prepare for sensory aspects of their day. Important to use: Schedules & Change in Routine Reminder
‘Change in Routine’ reminder:
– Sign on desk, on Daily Schedule or Planner, or card in pocket that reminds students that change can happen. ‘Change in Routine’ Card: – Given to to student to signal change to him in schedule or environment Example: Change of Routine Card Please Note:
History class start time will be changed on
Tuesday April 12 because it is a Late Start day
History class on Tuesday April 12 will start at
12:40pm Communication What’s Manageable in Language “It isn’t the complexity of language, the array of suffixes, or the proliferation of rules for making plurals that causes difficulty for autistic individuals. In fact, the complexity probably helps. The more rules and structures there are, the less an autistic individual has to rely on intuition and context to get the meaning of someone else’s utterance. One meaning, one word would be the ideal. That’s manageable.” manageable Kamran Nazeer, Send In the Idiots Communication
“ While I was in high school typing allowed me
to write my own social stories and participate in my own behavior plans. Even after I graduated and started college and moved into my own home, I still had behaviors and needed to tell my support staff how they could help me. As I spend more and more time engaged in academics and typing almost whole days I find myself better able to control my behavior…. … I really believe that my brain has been rewired and the autistic part that was responsible for all that awful behavior is now subservient to the awesome intellectual part that enables me to stop a behavior when I feel it coming. I am also not such an emotional mess. I am able to cope with changes and new situations much better.”
Sue Rubin, www.sue-rubin.org
(writer / star of Autism is a World) Communication Behavior is a form of communication If a person does not have an appropriate communication system available, he/she learns to communicate through inappropriate behaviors As communication skills increase, inappropriate behaviors decrease - focus on teaching communication, not just decreasing behaviors Communication
For the more able, more subtle difficulties
but just as important Teach ‘hidden curriculum’ - the rules that we all know but were never taught (like a traveler in a new country who has learned the language, but not the social rules of the new country) Having access to group of non-autistic peers over time helpful Safety
“I was screaming inside,
but no one could hear me.”
Jeremy Sicile-Kira, student
Safety (Bullying) “Aside from my own internalized shame, many teachers helped to reinforce that shame, as well. For example, when I was in high school, I had a very uneven motor skill profile. As the number one singles player on my high school varsity tennis team, I obviously had very good gross motor skills. Yet during high school, I could not tie my own shoes, which meant that my fine motor skills were significantly behind… …. My teachers could not understand how such a fine tennis player could not even tie his own shoes. Using a neurotypical paradigm to explain this bizarre discrepancy, the theory was that I simply wasn’t trying hard enough. Because of the faulty assumptions that several of my teachers made, they needlessly criticized me when I genuinely was trying. This in turn lowered my self-esteem, greatly.’ Nick Dubin, author Safety No notion of safety when little (sensory processing issues) Felt terrified during school years Verbal and physical bullying Sometimes teacher’s behaviors contributed directly or indirectly Physical and sexual abuse - sometimes not knowing at the time it was abuse Most helpful: school environment that strictly enforces a ‘no bullying’ policy; and teaching the ASD students ‘Hidden Curriculum’ Concept of Private vs Public
Picture icon with word
Private - figure in underwear Public figure with clothes Put outside / inside appropriate areas or rooms at home and special ed classroom. Self Esteem “ As I sit here now and write about those early years, I’m amazed to think how much my parents did for me even as they must have gotten so little back at the time. Hearing my parents’ recollections of my earliest years has been a magical experience for me; to see for myself in hindsight the extent of their role in making me the person I am today. In spite of all my many problems, they loved me unconditionally and devoted themselves to helping me – little by little, day by day. They are my heroes.” Daniel Tammet Born on a Blue Day Self Esteem Confidence in one’s abilities is a necessary precursor to a happy adult life What people hear said about them is impactful. Positive attitude on ASD/disability from parents/ teachers/ caregivers is important Most important factors: – parents / caretakers who were accepting of their child, yet expected them to reach their potential and sought out ways to do that; – relationships with a neutral adult; – relationships with autistic and non-autistic peers. Pursing Interests “Woodstock is famous for its rock history. I feel lucky to live there because music, and especially music of the 1960s, 1970s and 1980s, is one of my special interests… My other special interest is in standup comedy and performance. I used to spend a lot of time memorizing and telling jokes from joke books. Now I write my own original material and I’m taking acting classes at the Stella Adler Studio’s Teen Conservatory in New York City.” Elijah Wapner, student Pursuing Interests The all important skill of having fun Most activities are purpose or interest -driven Passionate about pursuing interests The notion that you do something just to pass the time of day or because it feels good is not an obvious one to them Most helpful: use these interests and passions to teach academic subjects at school, and to translate into a job/career Pursuing Interests please read this with a sense of humor Behavior Future Career Lines up toys (professional organizer) Spins tops (physics professor) Spins all objects ( physics researcher) Smears poop (multi-media artist ) Takes clothes off, will not leave them on (director of a clothing-optional community) Hits people (boxer) Attacks people (pro-wrestler) Twirls piece of string for hours (wind velocity researcher) Dumps bags of sugar and flour (competitor in adult Sandcastle competition) Chews and swallows non-food items (pica) (food taster for a Head of State) Runs around the house, will not sit down (short distance runner) Tries to escape the house or other enclosed area (cross-country runner) Gets up on the furniture, and jumps off (parachutist or bungee jumper) Takes things apart but does not put them together again (neurotypical husband) Self Regulation “I had to learn that unless I was doing something harmful to me or other people, then anything my body chose to do in response to overload was probably what needed to happen, and that in fact if I let go of trying to keep it still in one spot, then it often would move around in a way that would drastically reduce my overload and increase my comprehension level… “….The time that I really started falling apart was a time when I had no breaks between being expected to process a lot of new information. I learned many years later that those breaks are as important to autistic people as sleep is to all people. We start going crazy without them just like everyone does without sleep. I think because we're usually taking in more information we need time for the less conscious parts of our brain to filter through it.” Amanda Baggs, blogger and autism activist Self Regulation “ Counseling has been very useful. I started out doing more play therapy than talking at the beginning of 5 th grade when I was 11. Now I spend the whole hour talking and I always have a lot to discuss. The reason I find it helpful is because it helps me to talk about things so that I feel more confident about myself as a teenager. I just wish more teenagers could have counseling because it’s also common for them to feel like they’re struggling in life.I am in the process of learning some skills in how to self-soothe.” Jordan Ackerson, student Self Regulation Necessary for taking part in the community Need to learn how to handle sensory and emotional overload Starts by learning about emotions and sensory overload Learn to identify “triggers” What to do to prevent overload What to do if overload happens Starts, when little, learning to ask for breaks When older, giving them responsibility to schedule own breaks Teach Concept of ‘Waiting’ Important life skill for home, school, community Make an icon with figure in chair and clock, with a place (velcro) for putting icon of requested item, and have timer and item close by When child asks for item out of reach show icon, say “we are waiting” and set item for xx number of seconds or minutes. When timer rings, give requested item. Add more and more time until concept understood Teaching “Waiting” Teach Use of ‘Break’ Card
Take data on how long student can sit and
work before trying to get up and leave. Prepare a ‘Break’ card Stop him from working BEFORE he decides to get up, give him the Break card. Prompt him to use it before he gets up. Tell him he has a break for xx minutes. When he has the concept, give him xx break cards per lesson/ hour of work, etc. Respect the use of break card within reason Teaching “Break” Independence “Parents of children with autism need to realize and accept that they will be parenting for a lot longer than parents of neurotypicals.” Zosia Zaks, Life and Love
“This morning I ran a bath. I then announced
to my husband, Chris, that I could run baths. I’m 43. I have been trying to run baths for 28 years.” Donna Williams, blog.donnawilliams.net/ Independence
“I learned responsibility by:
1. helping the coaches at my school, 2. having a baby brother to help raise, and 3. Mom giving us chores to do.”
Michael Crouch, College Postmaster,
Crown College of the Bible Independence Important goal, but may take longer than expected Sensory processing challenges Parents need to realize they may be parenting longer than for neurotypical children For many, skill acquisition came later in life Window of opportunity for learning never closes Greatest challenges reported to independence were ‘executive functioning’ (getting and staying organized) and sensory processing Social Relationships “Even from a young age, I remember wanting desperately to have a revered place in others’ hearts, a desire largely incompatible with having heavy fear in my own heart.”
- Sean Barron in Unwritten Rules of Social Relationships:
Decoding Social Mysteries Through the Unique Perspectives of Autism by Temple Grandin PhD, and Sean Barron Social Relationships ‘As long as things followed the set of rules I could play along. Rules were -- and are -- great friends of mine. I like rules. They set the record straight and keep it that way. You know where you stand with rules and you know how to act with rules. Trouble is, rules change, and if they do not, people break them. I get terribly annoyed when either happens. Certain things in life are givens. ‘Thank you’ is followed by ‘You are welcome.’… …You hold doors open for other people. The elderly are treated with respect. You do not cut in front of other people, you stay in line and wait your turn. You do not talk loud in libraries. Eye contact is made when you talk to someone. The list goes on, but the intent never changes: rules are maps that lead us to know how to behave and what to expect. When they are broken, the whole world turns upside down.’
Liane Holliday Willey - Pretending to be Normal: Living with Asperger’s
Syndrome Social Relationships “For communication and relationships, I do have to thank the girls! I did have trouble with public speaking, speaking too fast/too low, eye contact, and stuttering. … I did not have a voice you would want to listen to. When I was a teenager, at church we started to a teen choir to sing once a week. I did not want to get it in. I knew I had no voice and I was scared to get in front of people. I had 5 girls in particular who spent every week for 2 years encouraging me to sing in the teen choir. They were persistent.” Michael Crouch Social Relationships Many want friendships, but don’t know how to go about it Sensory processing challenges Concept of different types of relationships and appropriate conversation/behaviors does not come naturally and must be taught Teaching INTERdependent skills very important - this is how our society works This means teaching them how to ask for help, how to network Relationship Boundaries Different relationships, different boundaries Appropriate types of conversation and behavior for each type of relationship – The notion of Circles: Private circle Hug circle Far away hug circle Handshake circle Wave circle Stranger circle Wave Circle Stranger Circle Handshake Circle Far-Away Hug Circle Hug Circle
Private Circle Teach ‘Go Away’
Position yourself between favorite TV
video and child. He must push you away to see screen Pair action with ‘Go Away’ Self Advocacy “Self-advocacy and disclosure are inexorably linked because the need for self-advocacy begins when a person’s needs are not being met in a given situation. Part of self-advocacy involves educating others of one’s needs, and that usually includes reasons why; hence disclosure. The challenge is to accomplish this self-advocacy and disclosure in a way that promotes better mutual understanding, and therefore benefits all involved. For example after telling my wife why the ticking of an alarm clock was so troubling, she was able to have much greater empathy for my situation and remove the offending device. Stephen Shore, Ask and Tell Self-Advocacy “ Self-advocacy is a topic I find very extremely important because it is so rarely thought about and discussed. I have had to learn self- advocacy skills the hard way, and I do not want that for my younger peers. I find myself frustrated by parents and professionals who prefer to strive for ‘indistinguishable from peers’ rather than self- sufficiency. Independence does not and should not have to equal typicality, but in so many people’s eyes, the two are synonymous.” Kassiane Alexandra Sibley , Ask and Tell Self Advocacy Entails a certain amount of disclosure Most believe that teaching young children to speak up for themselves is the most important gift we can give them Starts when little by teaching them to make choices - i.e. in restaurant to be specific about what they want Teach how to ask for help when little Earning A Living ‘Work is more than just a livelihood or paycheck; it is the key to a satisfying and productive life. For many on the autism spectrum, it is the glue that keeps our lives together in an otherwise frustrating and sometimes confusing world. Certainly, my life would not be worth living if I did not have intellectually satisfying work.’
Temple Grandin, Developing Talents
Earning a Living “My first goal for 11th grade is to run my own business. I have started performing my comedy at different venues around the country, including at many autism conferences. Sometimes I do this as a community service and sometimes I get paid for my presentations and performances. I’m now beginning to learn some basics about small in how to write a business plan, keep books, manage a bank account, book flights and make hotel arrangements. They’ll also be supporting me in managing my time and prioritizing tasks as I prepare for my presentations and performances.
Elijah Wapner, student
Earning a Living “I have had two small businesses to earn money. I saved the money to get my assistant dog, Handsome. I want people to know you can develop the business you want, when you have the courage, and the time, to dedicate to the things you like in life. My first business was delivering sandwiches to staff on Fridays at my high school. I got the sandwiches from Jimbos for a dollar less than I sold to the teachers. So I made a dollar on each sandwich… …I started a business selling flowers to students at my high school at lunch time on Fridays. The hardest part of the business was getting help with putting the flowers together. It was difficult because being disabled I needed a lot of help. The easiest part was picking out the flowers. The best part about the business was getting stopped by other students at recess to see if I was selling flowers for lunch.” Jeremy Sicile-Kira, student Earning A Living Major concern for most Life skills discussed earlier impact tremendously on a person’s ability to find, get and keep a job Many people continue to be unemployed or underemployed This means we need to re-think our approach of how we are preparing/ transitioning our students into adult life Important to develop their talents / passions into jobs or careers Self employment or job carving options for some Look at needs in the community and create a business that fulfills a service need Closing Comment “Recently one morning I opened the door to Jeremy’s room so Handsome (Jeremy’s assistant dog) could jump on the bed and wake Jeremy up as usual. When I saw Jeremy about ten minutes later, he was grinning ear to ear. “Jeremy,” I asked, “Why do you have such a big smile on your face this morning?” Jeremy replied, “Because I had a nice dream.” “Oh, what was it about?,” I asked. “I dreamed I could talk, but then I remembered I couldn’t,” Jeremy answered. “That sounds sad, so why are you smiling?,” I asked. Jeremy replied, “Because then I remembered I could write.” Chantal Sicile-Kira, Autism Life Skills Based on Book: Autism Life Skills : From Communication and Safety to Self Esteem - Ten Essential Abilities Your Child Deserves and Needs to Learn (Penguin)
Contact Information for Chantal:
www.chantalsicile-kira.com sicilekira@mac.com (Sign up for free newsletter on website)