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Understanding Autism

Expert Home Health Care from The Veil Home Care

To make informed decisions about care options for autistic children, it is essential to have a clear understanding of autism itself. This section will provide an overview of what autism is and the common characteristics associated with it.


What is Autism?

Autism, also known as Autism Spectrum Disorder (ASD), is a neurodevelopmental disorder that affects individuals' social communication and interaction skills. It is a lifelong condition that typically appears in early childhood and persists into adulthood. The exact cause of autism is not yet fully understood, but it is believed to involve a combination of genetic and environmental factors..

 

Autism is characterized by a range of challenges and strengths that can vary from person to person. Individuals with autism may experience difficulties in social communication, such as understanding and using verbal and non-verbal cues, maintaining eye contact, and engaging in reciprocal conversations. They may also exhibit restricted and repetitive patterns of behavior, interests, or activities. These can manifest as repetitive movements, insistence on sameness, intense focus on specific topics, and sensory sensitivities.

It is important to note that autism is a spectrum disorder, which means that individuals with autism can have a wide range of abilities and support needs. Some individuals may require substantial support in their daily lives, while others may have fewer challenges and require less support.


Common Characteristics

While the characteristics of autism can vary from person to person, there are some common features often associated with the condition. These include:

  • Social Interaction Difficulties: Individuals with autism may struggle with understanding and responding to social cues, making and maintaining friendships, and interpreting others' emotions and intentions.
  • Communication Challenges: Difficulties in communication can range from delayed language development to atypical speech patterns and challenges with non-verbal communication, such as gestures and facial expressions.
  • Repetitive Behaviors and Special Interests: Many individuals with autism engage in repetitive behaviors, such as hand-flapping or rocking. They may also develop intense interests in specific topics and display in-depth knowledge in those areas.
  • Sensory Sensitivities: Sensory sensitivities are common among individuals with autism. They may be hypersensitive or hyposensitive to certain sensory stimuli, such as noise, light, textures, or smells.

It is important to recognize and understand these characteristics to provide appropriate care and support for autistic children. Every individual with autism is unique, and interventions and care options should be tailored to their specific needs and strengths.


Care Options for Autistic Children

When it comes to caring for autistic children, there are several options to consider based on the specific needs and circumstances of the child. In this section, we will explore three common care options: in-home care, specialized schools, and therapeutic services.


In-Home Care

In-home care refers to providing care and support for autistic children within the comfort of their own homes. This option allows the child to stay in familiar surroundings and maintain a routine that can be beneficial for their development. In-home care may involve the presence of a caregiver or a team of caregivers who are trained to work with autistic children.

The advantages of in-home care include personalized attention, flexibility in scheduling, and the ability to tailor the environment to meet the specific needs of the child. Additionally, in-home care can provide a sense of stability and security for the child as they receive care in a familiar setting.



Strategies & Tips for In-Home Care for Autistic Children

 


Caring for an autistic child can be costly. The cost of therapy, which may not always be readily accessible, can pose a financial challenge. However, parents and caregivers can provide therapies at home, fostering improvement and skill development while strengthening their connection with the autistic child.

While autism often requires extensive therapeutic intervention, parents can also provide helpful techniques at home on their own. These therapeutic techniques include:

Interactive Play Therapy

Autistic children, like all children, develop social interaction and communication skills through play, though they often engage in solitary play and repetitive actions rather than imaginative pretend play.

Children learn through play. Participating in play together enables you to practice crucial social skills such as taking turns, solving problems, and regulating emotions. It also nurtures a meaningful connection with your child, underscoring their importance in your life.

Begin by establishing a connection with your child through simple chasing games, blowing bubbles, or sensory activities such as swinging, sliding, wriggling through a tube, finger painting, footprint painting, mud play (mashing, scooping, and building with mud), and sand and water play (combine sand and water in a large bucket; add shells, plastic fish, and rocks for splashing, swirling, and interactive play).

Tips

  1. Adjust play according to your child's age and preferences.
  2. Engage in activities such as sitting on the floor with blocks or sharing their favorite hobbies.
  3. Participate in their play as they organize toys, expressing curiosity about patterns and asking questions.
  4. Encourage learning about specific interests (like cars, trucks, trains, etc.), a favorite animal, or popular TV characters. For example, you can pick one of their favorite toys and imitate the sounds that the item makes while explaining the action you are performing to your child. 
  5. Allow your child to take the lead in play, embracing unconventional approaches to strengthen your connection.


Floortime

 


Floortime, also known as DIRF loortime®, is a methodology that fosters an individual's growth through a process that is respectful, playful, joyful, and engaging. The DIR model, developed by child psychiatrists Stanley Greenspan, M.D. and Serena Wieder, PhD, utilizes the power of relationships and human connection to help the child reach these 6 key milestones for emotional and intellectual development:

  • Regulation of oneself and interest in the world
  • Intimacy, involving engagement in relationships
  • Mutual communication
  • Advanced communication
  • Emotional concepts
  • Emotional cognition

Teachers, caregivers, healthcare professionals, and parents worldwide use this approach to support human development in people of all ages, especially children on the autism spectrum. The goal is to help the child expand their “circles of communication.” Floortime involves parents joining their child on the floor for interactive play, connecting with them on their level. It is an alternative to ABA and is occasionally employed alongside ABA therapies. Floortime is conducted in a calm environment, either at home or in a professional setting, with sessions lasting two to five hours. Parents or providers participate in the child's activities, progressively engaging in more complex interactions. The emphasis is on reciprocal play to establish a foundation for shared attention, engagement, and problem-solving, with a focus on enhancing the child's ability to maintain concentration and develop abstract, logical thinking. If the child is playing with a ball, the parent can copy the movements with another item, like a balloon. Placing the balloon next to the child's ball or adding new words to the activity encourages the child to join in and interact. As your child grows, you can match the strategies with your child's developing interests to encourage a greater level of interaction. For example, instead of toys, parents can engage with ideas of special interest to their children in their day-to-day lives.



Speech/Language Therapy Exercises

 Children with autism often struggle with talking and understanding language. Speech therapy significantly aids in improving their communication skills. If they start therapy early, there's a good chance it will make a substantial difference in how well they can talk and express themselves.  Speech therapy, on the whole, is intricate, but there are aspects of it that parents can offer with relatively little training. While at home, parents can help their child use words well and effectively, express themselves through speech or gestures, and understand when and how to communicate appropriately. Here are some easy and fun speech therapy exercises you can do at home to boost your child's communication skills:

Home Exercises for Children with ASD:

  1. Offering Choices

  • Teach gestures and eye contact for communication. For meals, let your child choose between two foods, asking, "Hotdogs or chicken nuggets?" Encourage pointing or speaking for choices.

  1. Teaching Essential Words

  • Focus on keywords like "more," "open," and "help." Start with "more" during meals, having your child say or sign the word when finished for effective communication.

  1. Matching or Sorting Games

  • Boost problem-solving by sorting pictures. Group by similarities, like foods. For toddlers, sort items by color and shape, using puzzles for fun problem-solving.

  1. Reading Together

  • Read, point at pictures, and discuss. Encourage questions in a yes/no format. Take turns discussing the story based on your child's age.

  1. Facial Muscle Activities:

  • Strengthen oral motor skills with funny faces and sounds. Practice daily in front of a mirror for feedback on mouth movements.

  1. Picture Board Communication

  • Use a picture board to guide your child through activities— associate pictures with specific times like mealtime and playtime.

  1. Sing-Along Exercise

  • Enjoy sing-alongs for word and sound association. Use songs like "Old MacDonald Had a Farm" to teach different sounds and animals. Encourage imitation for fun learning.

ABA, or Applied Behavior Analysis

Applied behavior analysis (ABA) is often seen as a top-notch method for helping people with autism. This is because therapists set clear goals that can be easily measured. Some people who support those with autism don't like ABA because it relies on changing behaviors, which they think can be harmful. However, many experts recommend ABA and say it works well.ABA can be learned through classes or online training and used at home. However, here are some basic, intuitive ABA concepts that don’t require formal training:

  1. Select a skill you want to teach your child (like combing hair).
  2. Break the skill into steps (find your comb, hold it the correct way, brush your hair, etc.).
  3. Show your child each step slowly until they get the idea. Once they learn to do it by themselves, ask them to do it.
  4. Praise them every time they do the step well. If they fail, ask them to repeat it. Ultimately, they'll connect your words with the action.
  5. Go on to teach the next step once they've mastered the first one.
  6. You can use a chart to show them the steps in case they get confused.

Some commonly targeted objectives of in-home ABA therapy include toilet training, developing self-help skills like dressing and toothbrushing, enhancing communication through requesting and labeling items, and addressing challenges related to food and eating habits.

Where to Get More Information

A reliable source for autism information is the National Autism Association. If you notice symptoms in your child, get them screened promptly.As you care for your autistic child, staying informed is key. If you suspect your child may be on the autism spectrum, our article on autism evaluation provides insights into what to expect. Through the article, learn more about common screening tools and processes. Timely screening can guide effective support for your child's unique needs.‍  

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