The Power of Collaborative Autism Therapy

collaborative autism therapy

Individuals with autism can present with many complex challenges and behaviors. As such, a one size fits all therapeutic approach is not usually effective for them. This is why collaborative autism therapy services can have a greater impact.  

Research tells us that evidence-based treatment options are the best place to start. While Applied Behavior Analysis (ABA) Therapy is the most effective intervention for children with autism, there are many other evidenced-based treatments that should be considered therapeutically as well. Different therapies often complement each other and are most impactful when performed in a collaborative nature.  

What Collaborative Autism Therapy Looks Like

At Healing Haven, we offer a comprehensive approach to autism therapy. In other words, we offer more than just ABA Therapy at our clinic. In addition to our ABA Therapy team of Board Certified Behavior Analysts and Registered Behavior Technicians, we have a wonderful team of Occupational Therapists, Speech Therapists, and Counselors, who support the needs and development of our clients. This collaborative autism therapy approach allows a family to get everything they need under one roof. Our interdisciplinary team works together to create and execute each unique therapy plan. 

How Collaborative Autism Therapy Works

An interdisciplinary approach ensures that all clinicians involved in a child’s care have the chance to meet and discuss the mutual children they serve. They collectively brainstorm techniques that will and will not work for each specific child, and strategically plan methods of generalization across therapy providers and environments. At Healing Haven, every professional is automatically on the same page when it comes to you and your child’s history and progress.  

The Benefits of Collaboration

There are many benefits to professionals working collaboratively when it comes to your child with autism’s developmental needs. All therapy providers being in a shared physical space is just one of them. When all professionals work together they get to witness and learn from each other’s work. Conversely, when we get a report from a client’s outside occupational or speech therapist, we can communicate about the goals in place, but we may not have the luxury of observing how the goals are being taught. 

Additionally, when parents don’t have to schedule therapies at multiple locations, it can help reduce their stress. The benefit of having an interdisciplinary team also eliminates the need to repeat the same thing to multiple professionals. This can lessen the likelihood of confusion and miscommunication between parent(s) and professionals. 

What Sets Our Collaborative Autism Therapy Apart

Healing Haven’s collaborative autism therapy approach is unique in that it encourages parent involvement in each type of therapy, as opposed to only requiring it in the autism therapy portion. Parents are active members of their child’s team, as they bring essential information to the table. Parents are essential to help their child generalize skills to the real world.  

It is our goal at Healing Haven for each child to gain the skills they need to move to a lesser level of care. And the best way to experience that is to make sure what we do in the clinic continues to carry over into the home.  

To get your child started with services, contact us today! 

6 Ways to Build a Positive Relationship With Your Child’s Teacher

positive relationship with child's teacher

As a parent of a child with autism, you want to know your child will be cared for at school. You want to send them to a quality learning environment and for their educators to know and understand your child. In order for your child to be successful, a positive relationship with your child’s teacher is a must. And establishing that relationship can also help alleviate stress on you. (This is a foundation of who we are at Healing Haven – providing strategies for parents to help manage their stress when you’re parenting a child with special needs.)

Here are some ways to foster positive teamwork between you and your child’s teacher to ensure a good school experience for your child.

1. Communicate well

This one is intentionally listed at the top- good communication is key to any healthy relationship! It is the foundation to how the school year will play out, how you will work through concerns, and greatly influences your child’s degree of success.

When communicating, especially for the first time, address your child’s teacher by their professional title and use a friendly tone. Remember to keep communication with your child’s teacher ongoing throughout the year rather than confined to only IEP meetings and parent/teacher conferences.

2. Start communication early

If you haven’t already, now is a good time to reach out to your child’s teacher. Though the beginning of the school year is typically very hectic for teachers, they highly appreciate this. Teachers often reach out first to parents, but you proactively reaching out shows the teacher you want to be on the same team. Establishing a positive relationship early can help ease solving problems later, as previously established trust provides a common foundation. Ask any and all questions you might have for your child’s teacher to solidify expectations. This keeps you in-the-know about what will happen in the classroom. And if your child has both a general education and a special education teacher, make sure to communicate with both of them.

3. Respect and trust

A trusting relationship between parent and teacher is almost guaranteed to help the teacher better understand the child. Likewise, practicing empathy strengthens relationships. Teachers, just like you in your role as a parent, are doing their best amidst many challenges. Even though it may be hard at first, err on the side of trust with the teacher. Most teachers would not be in their job if they did not want to put their students first and work for their best. Ally with your child’s teacher on the premise that you both want what is best for your child.

4. Go to the teacher first

Another way to build a positive relationship with your child’s teacher is to communicate concerns with the teacher first. It can be off-putting to the teacher when parents skip over communicating with them and go right to the principal to address issues or concerns. If no resolution is reached with the teacher, then consider bringing your concerns to administration.

5. Share about your child

You are the one who knows your child best, so communicate that with their teacher. Share helpful info that might not be included in your child’s IEP, such as likes/dislikes and strengths/weaknesses. IEP meetings often take place only once a year, so share any new info on your child with their teacher in the time between those meetings. Teachers want to know more about their students to better understand and serve them. A great habit to establish is creating an “About Me” sheet introducing your child to their new teacher at the beginning of the school year. This can be especially helpful if your child has limited verbal communication skills.

6. Show appreciation

Showing appreciation is incredibly impactful in building a positive relationship with your child’s teacher. Teachers often hear about the things they are doing wrong, which is very wearisome. Show your appreciation for your child’s teacher throughout the year in small ways, such as sending notes of encouragement and thanks. When the teacher does something you appreciate or value, tell them. Little acts of appreciation mean a lot to teachers as they manage so many pieces.  

BONUS Tip: Be a participative parent

We have added this one since we first published this post, so this is our bonus seventh tip: participate in your child’s classroom activities and events, if possible! Not only does participating give you a chance to experience your child’s classroom atmosphere, it shows the teacher that you care and want to be involved. Doing this can also be a great way of meeting other parents and building a community.

A note if your child also does ABA Therapy

Another important person to be brought into this parent/teacher relationship is your child’s BCBA. As teachers become more familiar with ABA therapy and how it benefits their students with autism, introducing them to your child’s BCBA can lead to a collaborative relationship between school and ABA.

Some of our BCBAs attend their client’s IEP meetings. They are another expert voice that can help ensure the proper supports are in place at school so your child can be as successful as possible.  BCBAs may also share with a client’s teacher strategies they use in the clinic. By bringing together all professionals working with your child, you can help create a more cohesive learning and therapy experience for your child.

All in all, cooperation between yourself and your child’s teacher not only benefits your child, but can also benefit you in reducing the potential stress of school, IEPs and supports. Remember that teachers want the best for their students and you want the best for your child. Unite on this premise and your child is likely to thrive!

ABA Therapy Social Groups at Healing Haven

Among the many therapy activities taking place in our three autism therapy clinics on our campus, one element that stands out are the ABA therapy social groups. These groups are part of our ABA programs and work to foster socialization and school readiness skills. Each group is facilitated according to skill level. Read on to learn about the latest activities and skills taking place in our ABA therapy social groups.  

Early Intervention Clinic Groups

Group instructor leads social group in Early Intervention Clinic.

Our Early Intervention Clinic incorporates many fun group opportunities! Our team designed the Early Intervention groups in a stepwise fashion, building upon one another by skill level.  Placement in a group is determined by a child’s level of skill when they enter our ABA therapy program. Even though these groups, designed for kids ages 18 months to 4, are kept “short and sweet,” they provide ample opportunities for kids to learn how to interact and attend to peers. The social groups in our EI Clinic take children from the beginning stages of learning, like how to sit and listen to a book, all the way up to having the skills to navigate preschool or daycare. 

Young Learners Clinic Groups

Clients participate in group activity during social group in Young Learners Clinic.

The clinic with the greatest variety in social and school preparation groups is the Young Learners clinic. Children ranging from 4 up through 8 years of age receive therapy this clinic.  

At the onset of starting in our Young Learners ABA therapy program, our clinical team assess children to determine which group will fit their needs best. Splitting groups up this way helps us pair children with peers at a similar level of skill. Doing this further promotes socialization. Group activities range from simple activities, such as singing songs, to learning how to respond when their name is called. Skill sets are carefully selected to expose children to a level of activities that would be expected in a preschool environment.

Preparing for Elementary School

For our Young Learners clients who are ready for more skill-building in a group setting, we offer a series of school preparation groups. These groups are alike in structure and are tiered to accommodate various grade-school levels. 

The beginner group focuses on the core skills of basic attending, following instructions, and group response/attending. Conversely, more advanced groups incorporate elements of working independently or conversing in a participative way with a peer. As individuals progress through the levels, they learn to attend for longer periods of time. They also expose themselves to following a schedule for structure. 

Our most advanced group in Young Learners set the stage for transition to a school setting. This group teaches in a group that is no longer one-on-one therapy. While the pre-requisite skills for school, such as sitting and attending, are still incorporated, these groups also touch on emotional regulation and flexibility. It is always a great celebration as our clients begin to slowly fade out ABA therapy services in exchange for school. Watching them integrate the skills they have learned during group time at school is one of our greatest joys! 

School & Community Readiness Clinic Groups

Clients practice gardening skills during social group in School & Community Readiness Clinic.

In the School & Community Readiness clinic, our group leaders introduce individuals ages 9 through 16 to life-skills-based activities. These activities include baking, gardening, shopping, arts & crafts, computer skills, and more! The specific skills each person works on during an activity is determined by their ability to participate and attend to the task as well as their overall skill level. 

Our themes for group time rotate. For example, this summer our group leader prioritized having a Garden week. This involved learning about growing a garden, planting, and harvesting. We taught all the steps needed to plant flowers and vegetables in our garden. We are proud to say the garden was a hit and is thriving! 

During group time, individuals in this program also have the opportunity to show off their creativity! Once a month, parents and families are encouraged to stop by and explore some beautiful handmade products in our Marketplace. The items are free, but the creators can practice taking pretend payments. The emphasis is on teaching foundational prevocational and social skills to help prepare these individuals for independent life. 

The Importance of Social Groups

Our Social and School Prep groups run in our clinics all year round. Incorporating aforementioned elements during group time allows us to emphasize the importance of socialization and group learning. Further, it allows the children to practice essential skills that will be needed to transition to independence.

“Our School Prep groups work on responding to group instruction, which is applicable at school along with other situations in life. Additionally, these groups allow for peer interactions to occur at a high frequency throughout the client’s ABA session.”

– Healing Haven BCBA

When asked why our School Prep groups are so important, one of our BCBAs said, “the ultimate goal of ABA therapy is for our clients to gain independence in skills needed to move to lesser levels of support and ultimately graduate from ABA. Our School Prep groups work on responding to group instruction, which is applicable at school along with other situations in life. Additionally, these groups allow for peer interactions to occur at a high frequency throughout the client’s ABA session.” We are so grateful to witness our clients grow and thrive in all they do! 

If you are interested in learning how your child can benefit from our ABA therapy programs, including our social and school preparation groups, contact us for more details. 

Understanding Gestalt Language Processing and How it Impacts Your Child’s Communication

Mom with son, and son is feeding Mom a cookie.

As speech-language sciences progress, many are learning about how speech processes correlate with how autistic adults and children communicate with others. A term that is becoming more understood in the Speech-Language community is Gestalt Language Processing (GLP), or Natural Language Acquisition. In turn, this term has become increasingly used in the autism community. You may have heard of this intricate term, but only understand parts of it, or none of it at all. With the help of Amanda Tompkins, MS, CCC-SLP and her Speech Therapy team, we will share the basics of Gestalt Language Processing. Read along as we discuss how it relates to the work we do in helping our clients learn to communicate- whether that be through Applied Behavior Analysis (ABA) Therapy, Speech Therapy, or both. 

Learning to Communicate

In the world of language and speech learning, there are two main ways that individuals learn to develop language. This starts at the time they begin communicating. From a Speech Language Pathologist perspective, every individual naturally learns speech either through Analytical Language Processing, or Gestalt Language Processing. And many people learn language through a mixture of both.  

Gestalt Language Processing is common and prevalent in those with autism. This is due to how aspects of echolalia, “scripting”, memorization, and melody, in addition to other components, play into the speech learning process in autistic individuals.  

We all want to be understood- and not just understood, but ideally, well understood. That is why, especially when it comes to language and individuals with autism, it is so important to identify the way the child learns and acquires language. This helps us to effectively support growth in their communication skills in a way that resonates with them. 

What is Gestalt Language Processing?

Gestalt Language Processing is, as defined by AssistiveWare, “a form of language development that starts with whole memorized phrases to single words.” This means that the child learns the meaning of individual words through phrases, or “chunks”, that include that word, as opposed to the word itself. GLP was “named and described by linguist Ann Peters and taken up by SLP scientist Barry Prizant and colleagues,” according to The Informed SLP. It has been around since the 1970s.  

Gestalt Language Learning can be confusing and difficult to navigate due to its indirect and non-literal nature. This is especially true when it comes to those who have trouble communicating in the first place. The vocalizations and physical actions that sprout from GLP are typically not to be taken literally. But they are usually an attempt by the individual to communicate with others, whether it is easily comprehensible or not.  

For example, a child may frequently hear the phrase “2 more minutes!” when it is almost time to move onto another activity or stop their current activity. Now, anytime the child is anticipating anything, they say “2 more minutes!”. In this case, the child isn’t able to make the connection between the phrase and the context it is appropriately used in.  

Another example is that of a child who gets frequent ear infections always hearing the phrase, “does your ear hurt?”. The child soon begins to repeat the questioning phrase any time they feel physical pain in their body. This happens because that is the phrase their mind has paired with the specific sensory feeling of pain. 

How to Know if Your Child is a Gestalt Language Processor

GLPs possess distinct differences in how they communicate as compared to Analytical Language Processors. There is a chance that your child is a GLP if they:  

  • Use long scripts of language  
  • Have immediate or delayed echolalia 
  • Have unintelligible strings of language  
  • Have rich intonation 
  • Use single words 
  • Reverse pronouns 

It is important to note that your child can be a GLP even if they use partial or full sentences. We are even able to identify some GLPs that have minimal spoken language through their love and interest in repeated strings of melody and intonation. 

Discovering your child is a GLP can be an incredibly exciting and validating moment. Once you understand how your child learns language, you can begin taking steps to communicate with them in a way that’s meaningful to them. From there, you can then help them to communicate better with the environment around them. 

The 4 Stages of Gestalt Language Processing Development 

There are 4 notable stages in the development of GLP. Knowing what stage your child is demonstrating at a given time can help navigate what to focus on teaching. The first two stages in GLP development precede what is typically seen with Analytical Language Processing. The stages are:  

  1. Echolalia Full Gestalt – consists of, but is not limited to, lengthy sentences, single words, or strings of sounds and melodies that sound the same every time.  
  1. Mitigating – the combining of two gestalts (scripts). 
  1. Freeing – the breaking free of single words and/or making a new combination of words. 
  1. Combining – the use of single words to create basic 2-3 words sentences.  

Many children are GLPs and do not require support due to how quickly they move through the stages. Many children on the spectrum need support because they may be “stuck” in Stage 1. Services like ABA and Speech Therapy can help children move through these stages to better communicate their wants and needs.  

Becoming a Detective of Your Child’s Communication 

Many times, it may not be clear to others what GLPs are attempting to communicate. Many of the scripts or actions that are performed by GLPs typically are derived from a form of media that has resonated, or stuck with, the child. These phrases are specific and personal to each individual and could be scenes or phrases from people, shows, movies, online videos, commercials, etc. 

In the child’s head, these “scripts” are sometimes paired with a meaning. If the meaning is not obvious, it can be challenging to make connections about what the child is trying to communicate, if anything. This is why it’s important to pay attention and “become a detective” about where your child is obtaining each script and what the context of it is. Using this method, it becomes easier to draw possible conclusions about what is being communicated, which opens doors to how educators and parents can help make the language more functional. 

Thoughts to Consider when Communicating with Gestalt Language Processors 

With these things in mind, we have some general thoughts to consider when it comes to communicating with a GLP: 

  •  Acknowledge that the script is likely an attempt to communicate, even if you don’t know what it means.  
  • Understand that gestalts can also be non-verbal (scripts can be played out through actions and gestures). 
  • Taking a conversational turn can be useful. Nodding, smiling, and/or repeating what the child is saying shows that you are engaged and interested.
  • Think about taking notes and writing down what words and phrases the child is saying. Then, reference it later to help make connections about what the child may be trying to communicate. This will be a huge help in your “detective” work.  

When you think you have discovered what your GLP is saying, it is essential that you acknowledge the meaning you have discovered. You can then practice, with the help of your child’s therapy team, modeling developmentally appropriate language during teachable moments that may arise. 

Bridging the Gap between ABA Therapy and Gestalt Language Processing  

While ABA Therapy doesn’t focus on identifying and analyzing GLP, the two work harmoniously in many ways. ABA meets GLPs where they’re at to create learning opportunities from what resonates with the child, said Dr. Jennifer Thomas, BCBA and Director of Clinical Standards at Healing Haven.  

Thomas gives the example of scripts that are identified within a specific context, or over several contexts, being used to “signal” (referred to as “SD” in ABA) an event or change in events. “’Let’s go,’ especially if always said in the same tone of voice, can be used to signal it’s time to leave the house. The adult can use the scripts the child uses to reinforce the context it fits into and the behavior that goes with it, so it becomes more meaningful and serves to communicate more effectively.” 

Thomas noted that, aside from vocalizations, actions or gestures can also be part of a context and serve a purpose. She explained that paying attention to the pattern of occurring actions can help understand the function of a behavior. This creates an opportunity to reinforce the behavior with vocal communication. 

“BCBAs often will look to identify the function of a behavior, including scripts, to develop a plan for integrating the script into the child’s world. If the function is attention, for example, the BCBA may teach more scripts so the child can gain attention in a meaningful and consistent way,” said Thomas. 

Educational Resources on Gestalt Language Processing 

Aside from what we’ve provided above, there are many resources available to help parents, teachers, and caretakers understand Gestalt Language Processing. A few of the ones we like best are the following books:  

In addition to these, And Next Comes L has a variety of resources for parents to turn to for information about Gestalt Language and Echolalia.  

We hope this post has been helpful to anyone learning about Gestalt Language Processing. Please feel free to comment or share this post with others in your community. And reach out to us if you are looking for a speech or ABA therapy team who can support your child’s unique communication needs and development!

Water Safety Tips for Children with Autism

It’s summertime, which usually equates to a lot of time outside. And with pools open and all the lakes here in Michigan, that often means time in and around water. While swimming and playing in water are fun and great exercise, it can also be very dangerous. In fact, the Michigan Department of Natural Resources has a new flag warning level for the Great Lakes. Because of the increased danger lakes and pools have, water safety for children with autism, or any child, is extremely critical. 

Why water safety is so important for children with autism

Children with autism, as well as Down syndrome, often wander, which can obviously be very unsafe if they get close to water unsupervised. Additionally, drowning can occur without making any sound. Children may also be unaware of things such as water depth, water temperature, water currents, or slippery surfaces. Not every child likes to be in the water, especially children that struggle with sensory issues. However, all children should still be aware of water safety in case of accidental slips or falls into a pool or lake. 

This statistic is scary and sobering, but every parent of an autistic child needs to know – drowning is a leading cause of death for children with autism. We’ve compiled some tips and ideas to teach water safety to your child with autism to help you prepare for this season. 

Get your child in swimming lessons 

Every child should learn to swim, and for children with special needs, it’s important the skill is taught in a way that resonates with them. Make sure the teaching environment is not too distracting or overwhelming for your child. 

There are many programs that provide adaptive swimming lessons for children with special needs. You can start by contacting your local YMCA. And the National Autism Association’s Big Red Safety Toolkit for caregivers provides an excellent guide and resources for managing wandering, as well as how to find swim lessons in your area. 

Provide reinforcers

Have reinforcers and preferred items available when your child performs important or difficult tasks related to water safety. This could include tolerating getting into the water, using appropriate safety gear, getting out when a whistle is blown for “adult swim time,” or leaving the pool when instructed. 

Visual learning of water safety

Use video narratives, social stories, or visual routines to teach water safety. The Swim Angelfish channel on YouTube, for example, is a great resource which provides a variety of videos that can be utilized to teach water safety to kids with disabilities. 

Many children with autism spectrum disorder are rules-driven, so use that to your advantage. Set specific rules for how they are to behave around water. Then practice those rules in real world situations. And if you have a pool at home, or live on/near a lake, consider placing “STOP” or “DO NOT ENTER” signs on doors that open to the outside, or gates to the pool. 

Use appropriate swim gear

Even if your child knows how to swim, it’s still a great precaution to use a life jacket or flotation device around water, whether they are planning on swimming or not. It can also offer reassurance when attempting a new skill and teaching independence. The especialneeds website is a great place to purchase special needs and sensory-friendly water gear, if needed.  

Teach key information

Because of the high percentage of wandering in kids with autism – nearly 50% – make sure your child knows his or her name, address, and phone number in the event he or she is separated from you. If your child does not speak, make sure they wear a bracelet, tag, tattoo, etc. with their name and your name and phone number. 

Set up your environment vigilantly 

Even if you feel confident that your child thoroughly understands the rules of water safety, accidents can still happen. It’s important to prepare for the worst so that nothing slips through the cracks. When preparing your environment near water, consider installing fences or gates with alarms around the body of water, if applicable. Additionally, you should also think about placing alarms or chimes on doors that open to bodies of water and keep toys of interest away from the water when not in use. Taking these measures will ensure that life-threatening wandering doesn’t take place.  

Communicate with others

Talk with your neighbors, whether at home or on vacation. Ask them to contact you immediately if they see your child wandering alone outside your home or property. Even if you don’t own a pool, but your neighbors do, ask them to be particularly aware of your child wandering near their property. 

We hope these ideas help you implement water safety for your child with autism. And for more general recommendations for pools, beaches, lakes, etc., check out this swimming safety guide. We want everyone to have a less stressful and more enjoyable summer

If you found this information helpful, we’d love it if you’d share it with others!

Strategies for Managing Challenging Behaviors for Children with Autism

“Challenging behaviors” are defined as “behaviors that can be disruptive and/or difficult to manage.” Challenging behaviors may manifest in several different forms including avoidance, aggression, self-harm, destruction, eating inedible items (otherwise known as Pica), elopement, tantrums, screaming, and more. These behaviors can happen in any setting, whether it’s in a public place or in the home. But depending on the cause (or “function”) of the behavior, there are ways to lessen the likelihood of behaviors happening. Likewise, there are ways to respond when they do occur. We have gathered strategies for managing challenging behaviors for children with autism from our Director of Clinical Standards, Dr. Jennifer Thomas, Ph.D., BCBA-D, LBA. 

Why Challenging Behaviors Happen 

While behaviors often have a driving reason for their occurrence, they can sometimes be dangerous. If your child is engaging in behaviors that put them or someone else at risk, we strongly recommend you seek professional help.  When it comes to managing challenging behaviors in children with autism, it is important to remember that behavior is communication.

There is always a reason for a child’s behavior. For example, the behavior may be the result of the child wanting to get something or to get away from something. This, in simple terms, could be a person, place, activity, or type of internal/external stimulation. Dr. Thomas says that challenging behaviors “often have more than one cause,” making it difficult to pinpoint why they occurred. A Board Certified Behavior Analyst (BCBA) has the expertise to help parents. Through careful observation and data collection, BCBAs can determine why a behavior is occurring. Based on this, they can craft an individualized plan to help teach parents how to respond in a way that will minimize behaviors and maximize success. 

How to Prevent the Likelihood of Challenging Behaviors Occurring 

While specific expertise is needed to craft a plan to decrease severe challenging behaviors, there are some tips that can help parents plan ahead to decrease the likelihood of these behaviors occurring in the first place. It is important to remember that having good communication between yourself and your child is a great starting point! While this is no easy task, there are ways you can prepare your environment(s), and your child, so that these behaviors are less likely to occur. 

“Set your child up for success,” says Dr. Thomas, by recognizing the components that are likely to cause behaviors. This can be done by being observant. Look for patterns such as similarities in context or environment that a behavior happens, similarities in reactions to certain events, and changes in setting and mood before, during, and after a behavior occurs. Physically make note of these patterns, if possible, to reference and help yourself to make mental connections. Doing so can help you identify and plan ahead to possibly prevent a behavior. This is also great information to provide to your BCBA. 

The following are some tools to help prevent challenging behaviors: 
  • Having a consistent communication method (AAC device, PECS, signs, gestures, vocal language). 
  • Carrying sensory toys or snacks with you.  
  • Having headphones or sunglasses available in public places to reduce sensory irritations. 
  • Prepare your child’s expectations before doing something difficult or novel. 
  • Bring fun activities or snacks to make undesired activities or outings a bit more fun. 
  • Make trips short, if possible. 
  • Avoid areas that you know may trigger your child, if possible. 
  • Use timers and countdowns. 
  • More ideas are available through the Autism Research Institute

How to Respond When Challenging Behaviors Occur 

How you respond to your child’s challenging behaviors depends on the behavior that is occurring and what the trigger is. The cause of behaviors, Dr. Thomas emphasizes, oftentimes lies at the root of a communication struggle, impulsive behaviors, or issues with emotional regulation. Dr. Thomas says it is helpful to think about what the child is trying to communicate and to be observational. This is the first step in figuring out how to respond when a behavior occurs. As every child’s situation is unique, professional expertise is necessary when formulating a specific way to respond. It is also helpful to teach your child calming strategies, in addition to focusing on some of the other areas of struggle.

Some coping strategies may include:  
  • Squeezing hands 
  • Stomping feet 
  • Counting 
  • Taking deep breaths 

Some children are easily redirected if you can draw their attention elsewhere during a behavioral episode. This may be effective in the moment but is not a long-term solution. The most important thing to remember when trying to manage a challenging behavioral scenario with your child is to “get safely through that moment and know there is another learning opportunity to come,” says Dr. Thomas. Also, remember to have compassion for your child and yourself as you’re going through this tough and often stressful situation.   

Where to Get Help with Managing Challenging Behaviors 

ABA Therapy is a very effective resource for addressing challenging behaviors. In ABA Therapy, we focus on teaching ways to communicate and behave. “Children should always have a functional way to get their needs met,” Dr. Thomas says. This is where Functional Communication Training, or FCT, comes in. Functional communication can be as small as the child pointing to something they want, as a means of asking for it, or handing over a picture icon of an item. 

“We begin by teaching a communication task that children find easy, this varies based on skill level. The idea is to give children another, more appropriate skill to use to communicate in lieu of using a challenging behavior.” If your child is already in ABA Therapy, their Board Certified Behavior Analyst, or BCBA, is a great resource.  For children enrolled in a school program, an Individualized Educational Program, or IEP, can be a great resource to reference. If your child has not had a developmental evaluation, and is exhibiting challenging behaviors, it may be time to seek out a pediatric or developmental psychologist. From there, a psychologist would be able to perform assessments that could determine if there is anything underlying the child’s behaviors. Healing Haven’s Testing & Assessments services can help with this process, as well as contacting your child’s pediatrician.  

In addition to these resources, there are several organizations that can help, such as: Autism Alliance of Michigan, Autism Support of Michigan, Michigan Alliance for Families, National Autism Association

Challenging Behaviors: Finding Community 

The behaviors you encounter from your children can sometimes be difficult to manage, but keep in mind that you are not alone. In addition to the professional resources we have shared, there are other parents who understand. Finding community is important in helping share ideas and reducing your own stress.   

If you’re thinking you need more help in how to manage your child’s challenging behaviors, please contact us for information about our ABA Therapy for kids with autism. And our testing and assessments services can empower you with information on how to best support your child.  

We hope that throughout this article you were able to find useful information that can be utilized going forward. Don’t hesitate to share this piece with others, as well as comment, if you found it helpful! 

The Benefits of Organized Space For Individuals With Autism

Have you ever tried working in a cluttered area? Or been distracted by noises or lighting while trying to focus? Most of us would not feel very successful if we were attempting to be productive in such an environment. For individuals with autism, distracting, messy work and play spaces can only magnify the struggle of focus when gaining new skills. Whether it’s your home or your child’s play area, keeping an organized space for individuals with autism reaps many benefits.

Why Organized Spaces for Individuals with Autism

A clean environment is an important element to the success of individuals with autism. In fact, it influenced the design of our clinics.  Our Executive Director Jamie McGillivary intentionally chose the colors of the walls, the use of natural light and artificial natural light, simple layout and organized spaces. And these principles can carry over into the home environment too.

Less Distraction

Many individuals on the autism spectrum experience excessive sensory input. Consequently, distraction is common. Too much unnecessary clutter and detail can derail a child’s focus. Even minor messes that may be easy for a neurotypical child to ignore could cause attention issues for those on the spectrum. Minimizing unhelpful sensory experiences aids in their ability to focus for individuals with autism.

Specifically, consider visual and auditory senses when designing a distraction-free space:

Visual

Keep walls simple in decoration to prevent overwhelm. Many kids with ASD notice minute details in the area around them. Tucking away supplies and toys in bins or cabinets out of sight reduces temptation to interact with them while also reducing distractions. For colors, utilize solid, soft tones such as green, blue and pink and avoid yellow as it can be overstimulating.

Auditory

Sensitivity to noise is a common symptom for kids with ASD. While neurotypical children may function easily with sounds considered background noise, those sounds may be incredibly distracting for children on the spectrum. Keep your child’s space as free as possible from traffic noises, humming machines, loud ticking clocks, and other potential “noise clutter.”

Enhances Organizational Skills

Organizational tasks that we deem simple may require more effort and practice for individuals with autism. A clean work environment promotes organization and productivity, which in turn helps a child acquire new skills. Designating organized areas helps individuals with autism predict what will take place in their workspace. Labeling areas such as drawers and cupboards can help kids practice putting their supplies and toys away when finished. This also helps reduce long-term clutter and ensures smoother transitions to new activities. Color coding is another fantastic way to make organizing easier for kids on the spectrum, as different colors represent different purposes for an area.

Reinforces Routine and Expectations

Organization helps an individual’s success and independence in following instructions. If a space is cluttered and messy, they will likely get more confused when trying to learn skills and complete routine tasks. According to research, organized and structured learning spaces aid kids in staying on-task and performing well academically. Structure helps you as a parent as well, as it can reduce the need for your assistance.

children's workspace

If you believe your child could benefit from some decluttering and organization at home, here are a few ideas to get started with over the summer. And remember, you don’t have to try all of these things at once!

  • Organize toys, art supplies, school materials, etc. into labeled areas and bins
  • Paint your child’s room a new, calming color
  • Tackle one room at a time and identify items you can remove or put away for a simplified and, hopefully, less stressful setting.

These ideas may not only benefit you, but your whole family may begin to feel some stress lift as a result of creating organized spaces for your child with autism.

The Science Behind ABA Therapy and Its Benefits for Autism Treatment

Autism Treatment
Autism Treatment

Applied Behavior Analysis (ABA) therapy is a scientifically proven method for treating individuals with autism spectrum disorder (ASD). This method of therapy focuses on analyzing and modifying behavior patterns in order to improve social, communication, and learning skills. In this blog, we will explore the science behind ABA therapy and its benefits for autism treatment.

What is ABA Therapy?

ABA therapy is a behavioral intervention that seeks to modify behavior through a systematic and data-driven approach. It is a highly individualized form of therapy that is tailored to meet the unique needs of each individual. ABA therapy is based on the principles of behaviorism, which emphasizes the importance of observable and measurable behavior.

Typically, ABA therapy is provided in one-on-one sessions with a trained therapist to teach new skills and modify behavior. ABA therapy also involves the use of data collection and analysis to track progress and make adjustments to the treatment plan.

The Science Behind ABA Therapy

The effectiveness of ABA therapy for autism treatment has been supported by numerous scientific studies. One of the key components of ABA therapy is positive reinforcement, which rewards desired behavior to increase the future recurrence of that behavior. Positive reinforcement has been shown to be a highly effective technique for teaching new skills and modifying behavior in children with autism.

Another important aspect of ABA therapy is the use of prompting, which provides cues or assistance to help an individual perform a desired behavior. This tactic can be used to help individuals learn new skills or to modify existing behavior patterns. 

Benefits of ABA Therapy

Some of the specific benefits of ABA therapy for children with autism include:

  • Improved social skills: ABA therapy can help individuals with autism improve their social skills, such as initiating and maintaining conversations, making eye contact, and responding appropriately to social cues.
  • Enhanced communication skills: ABA therapy improves communication skills for individuals with autism, such as using language to express their needs and desires.
  • Increased independence: ABA therapy helps individuals with autism develop the skills they need to become more independent, such as self-care skills and the ability to complete tasks independently.
  • Better academic performance: ABA therapy allows individuals with autism to improve their academic performance by teaching them new skills and modifying behavior patterns that may be interfering with their ability to learn.

While most ABA providers focus on servicing children from 2-7 years old, Healing Haven serves clients up to 16 years old because some individuals need continued support as they age. Contact us today to get started and discuss your child’s needs and possible solutions!

The Importance of Early Intervention for Autism

child working on fine motor activity in early intervention
child working on fine motor activity in early intervention

In recent years we’ve experienced a noticeable increase in parents of younger children – 2-3 years old – contacting us for services. This means they are getting evaluations and receiving an autism diagnosis at younger ages than the national average. Data from the CDC indicates that the average age to receive an autism diagnosis is over 4 years old. Receiving an autism diagnosis before the age of 3 provides great opportunity for early intervention for autism to begin.

Early Intervention for Autism

But once parents receive that diagnosis, choosing the right treatment for their child can be as complex as the diagnosis. There are no miracle cures for the varied challenges that can come with an autism diagnosis. However, behavioral therapy, or Applied Behavioral Analysis therapy, is evidenced-based and the most frequently recommended treatment for helping a child diagnosed with autism.    

“Research very clearly states that early intervention for children with autism and other developmental disabilities is vital,” explains Jamie McGillivary, MS, LLP, BCBA, Director of Healing Haven. “When children start therapies like ABA early on, they receive strategic learning opportunities that support them in the areas they need.” 

Whether it’s communication, social and play skills, or activities for daily living (brushing teeth, eating with utensils, potty training), children who struggle with these skills can make great strides when provided early intervention support. Additionally, the likelihood of negative behaviors decreases because they learn appropriate behaviors from the beginning. 

ABA Therapy

early intervention for autism

A child’s individual early intervention plan will address their unique areas of need. For instance, if it’s developing language and communication skills, the ABA therapist will work on helping the child learn to label items and appropriately request things they want or need. And the mode of communication will vary. It may be pointing to a picture, or handing a picture of what they want (Picture Exchange Communication System). And some may use a communication device (tablet), or verbal expressions.  

In addition, if the child has negative behaviors their ABA therapy plan will address them. Some common negative behaviors include: damaging toys or property, non-functional crying and screaming, resisting transitions by falling to the ground or running away, aggression or self-injurious behaviors.

The behavior plan developed by the child’s BCBA will include strategies to address the types of behaviors listed above. They will work to pinpoint the reason for these behaviors and teach them skills or replacement behaviors to reduce them. 

“For example, some children flop to the ground when transitioning to a new activity. Their ABA Therapist may address functional ways to communicate that the child may need a break,” Jamie explains. “Or they may introduce proactive strategies to warn the child that a transition is about to occur. Giving warnings and visual information about what is to come helps decrease the anxiety surrounding transitions.”  

Generalizing New Skills

As a child makes progress on and eventually achieves their goals, we can work on scaling back one-on-one support. The ultimate goal is for the child to generalize the skills they’ve learned into their natural environments. We provide additional programs to support the child and family in this goal. 

“We place a significant emphasis on parent training and involvement,” says Jamie. “When parents participate, we increase the likelihood that what children learn in the clinic will carry over to their natural environments.”  

As a result of early intervention services, young children with autism receive a strong foundation to learn, develop and grow. It’s good to remember that autism is a spectrum and each child is unique. Some children need more support, while some need less. Some will need ongoing ABA therapy, while others will move on to their school environment with varying levels of support.  

You can learn more about all our early intervention services for autism here. And contact us to get your child started with therapy services.

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How to Explain Death to a Child with Autism

image of grave headstone, explaining death to a child with autism

Losing a loved one, whether it is expected or not, is hard for anyone to navigate. It’s a process that involves accepting reality, seeking support if necessary, and allowing yourself time to feel natural emotions. So it’s not surprising that explaining the death of a loved one to a child with autism may bring some additional challenges.   

Death is a difficult concept for any child to understand, let alone those who may have a hard time grasping abstract concepts. But death and loss are also unavoidable. That’s why we put together some tips to help your child with autism or special needs understand and deal with the process of losing a loved one.  

Be literal and thorough when explaining the loss 

When explaining the death of a loved to your child with autism, use literal terms. This may help the death make more sense to them.  Avoid using terms such as “passed away”, “gone to sleep”, or “gone to another place”. Using these terms risks your child taking them literally and becoming frustrated when their loved one doesn’t wake up or come back.  

Be direct when you are explaining the passing of a loved one to your child. The more direct you are, the easier it will be for them to understand. Allowing room for questions is key here and answering them honestly to the best of your ability should take priority.  

Keep routines as unchanged as possible 

Change in routines can be particularly challenging for individuals on the spectrum. The death of a loved one is a major life changing event. That’s why it is best to keep everything else within their routine as consistent as possible. People with autism find comfort with routine, and comfort is something we all strive for while grieving. Bedtime routines, playdates with friends, school and therapy may be part of daily routines. You should try your best to maintain these activities if they bring your child peace. 

Involve them  

When helping a child (with or without autism) through loss and grief, it may seem best to exclude them from certain parts of the process, like attending a funeral with an open casket. While it largely depends on your child’s level of cognitive understanding, as well as your expertise in making the best-informed decision for your child, many professional sources suggest that shielding a child with autism from the complexities that come with loss will likely confuse them more. These sources suggest being transparent and asking your child if they would like to be part of a certain aspect (like the funeral, wake, or burial). With this, allow them to ask any questions they might have.   

Another good option, as Alicia says in The Mom Kind, is “to have a celebration of life that they can attend instead of the funeral”. Doing this, Alicia says, “allows involvement without having to see all the grief”.  

Prepare them, if possible  

If you know that a family member or loved one is terminally ill, try and familiarize your child with all the places they will be during this time. This could be places like the hospital, funeral home, or cemetery. Remember to talk about the emotions they will see from others throughout the process. A great way to do this could be through pre-made “social stories”. Social stories use photographs to help explain and show the child what will happen before it happens in real-time. These photographs and descriptions of the photographs can include emotions that they will observe of others. More information on constructing a social story can be found here.  

As we know, children who are on the spectrum can have an especially difficult time dealing with the unexpected, so it is a good idea to make the loss as “expected” as possible. Of course, this may not always be possible and sometimes a loss can be sudden. In this case, you can still do your best to show and tell your child what to expect. Use any photos you have available or pictures online to do this. More ways to prepare your child for loss and help them understand it can be found in this article from Child Bereavement UK

Utilize books that help explain loss 

When it comes to bereavement and children with autism, a lot can be gained from books that are specifically made for this life event.  

The 2017 book, I Have a Question about Death: Clear Answers for All Kids, including Children with Autism Spectrum Disorder, is a straight-forward, color-filled read that addresses the questions that concrete thinkers might have surrounding death. It answers them in a simplistic manner. This book has an abundance of good reviews from parents who have had to explain this topic to their children. We recommend it as well!  

Another book that is a good choice for the topic of grief is the interactive workbook, Finding Your Own Way to Grieve by Karla Helbert. This book is unique in that it encourages expressive techniques and exercises to help your child identify and process the feelings that accompany loss. This book is perfect for children and teens to work through on their own. They can also use it with the help of a parent or professional. Find this book here

Lastly, How People With Autism Grieve, and How to Help: An Insider Handbook, is best suited for teens and young adults who need security and affirmation after losing a loved one. Though the book only bases suggestions off one person’s unique experience, it can prove helpful in relating to what your child might be feeling emotionally. Find out more about it here

Takeaway

We all have different ways of dealing with loss. It’s important to make it known to your child with autism that there is no “right” or “wrong” way to respond to the death of a loved one. The most vital thing, though, is to ensure that your child knows there is support around them and that they have people to talk about it with when they feel sad or confused.