Thursday, 24 January 2013
How to approach 5 of the most common difficulties that may occur for children on the autism spectrum:
(1) Sleepless nights: Who ever said it was babies that caused you sleepless nights? Whoever you were you lied. Its well documented that children on the autism spectrum have difficulty establishing a bedtime routine, getting to sleep or waking during the small hours.
Now, I don’t have all the answers here, how could I possibly when my child is still awake now at 2.43am! However I have tried things that have had an effect but sadly not for long. Don’t panic every child is different and not every child on the spectrum will have difficulty sleeping. Here’s some tips that have worked for us short term but for others they never stop working.
For those that have difficulty establishing a bedtime routine, consider making a schedule. These can be brought but tend to be costly and can be easy made with some paper, a laminator, some Velcro, brightly coloured pens and some stickers for decorating (I will upload an additional how to post to demonstrate how to do this in the near feature)
The schedule will contain a set of personalised images, e.g… a bed, toothbrush, story book etc… Keep all images in a little pockets attached to the schedule and the child can stick each image on the schedule (with the help of the Velcro) as and when each action is carried out. Many children with autism adapt and even enjoy this independence they just find it hard to do things in sequence without visual prompts. Rember schedules are great for all children with or without autism.
For the Child that can’t settle try story tapes the tone and gentleness of the story teller could well send them off to the land of dreams.
Sensory reasons may restrict your child’s sleep. Weighted blankets, sensory lighting, sleeping away from a window all may help.
Reduce the amount of food and drink your child has one hour or more before bed. Make sure they use the toilet as this combined may avoid your child waking in the night.
(2) Meltdowns: No, these are not the same as tantrums and yes there is normally a reason behind them whether its anxiety, sensory processing difficulties, an inability to express oneself or a lack of understanding.
Those children on the autism spectrum that have meltdowns will often feel completely out of control and are very hard to comfort.
There are times they seem to come from nowhere, yet most of the time a parent will be able to sense one coming (Especially after so many)
There are triggers everywhere and of course these can’t always be avoided, however here’s some tips for certain situations you may find yourself in as a parent to a child on the spectrum.
(a) If your child has sensory sensitivities then be aware of the environment a child is in! You may notice that supermarkets are a prime meltdown hotspot for the sensitive child.
(b) Prepare a weekly schedule, e.g… times, place, events displayed on a visual timetable or planner. Depending on a child’s age you could use pictures or words. This allows the child to know what it is that’s coming next. For a child who is very dominated by a routine, consider making a handheld travel schedule and for those who can afford one, get one on your ipad.
(c) If your child is becoming very confrontational with you, don’t react by arguing back with the child, it will only make the situation worse and will likely carry on much longer.
(d) Be consistent and don’t give in. A child on the autism spectrum can still work out what gets them what they want, which will therefore encourage the behaviour. (I really need to take my own advice here as I’m still having problems with this one).
(e) If safe let your child get it out their system & avoid becoming overpowering.
(3) Anxiety: My own child knows all about anxiety, he drives himself nuts worrying about things that no child should worry about.
Be careful what your child sees on TV. Little man can become very upset, frightened and distressed when hearing something on the news.
Give your child lots of reassurance if they are becoming distressed.
Be careful what types of conversation are taking place in the child presence.
Use social stories as a way to offer the child reassure. When they are fully informed in what will happen, when for example visiting a dentist etc, the anxiety will be reduced.
Speak to your child in a non-ambiguous way, avoiding misconceptions and upset.
(4) Lack of support from external services: You may feel that your child on the autism spectrum is not having their educational or social needs meet. However it is likely that the local authority (LA) will disagree.
Note: In the UK you don’t have to wait for a senior teaching member/SENCO to apply to the local education authority (LEA) for a statutory assessment of your child’s special educational needs as you the parent also have the right to make such a request! However this does depend on whether the child has been assessed in the past and how long ago this was.
If the LEA refuse your request you can make an application to the SEN tribunal.
You should keep letters and documents filed and in-order as you may require these as evidence in the event you need to appeal.
You are your child’s best advocate, if you feel something isn’t right don’t give up on it in-till action is taken.
If able, take video evidence of your child’s behaviour or meltdowns, this can be used when trying to obtain respite, a statement of sen, or even a diagnosis.
When dealing with the LA/LEA or school do so via email aswell as written letter! This will create proof of contact and what was said.
If you believe your child needs more help than they are currently getting then you’re properly right. Trust your instincts.
You have the right to request copies of your child’s educational and medical records. Educational records can contain evidence for a statutory assessment or a statement of special educational needs (SEN). This can be done by using the Freedom of information & Data protection act. School’s will be given 15 days to comply.
(5) Sensory Processing: Children on the autism spectrum are likely to have difficulty with their senses whether the child is over or under sensitive both can create a host of problems.
Here is a few common issues that some children may experience, though it is important to remember that all children are different regardless of their condition. Your child may face all of the examples below where another may face only a few if not any at all.
Tactile defensive: A child who is said to be tactile defensive will have difficulty with the senses relating to touch. This child may not be able to tolerate certain materials (Little man hates raincoats). A child with autism may feel physical pain from wearing certain garments and this may trigger challenging behaviour. If your child refuses to wear certain items of clothing then note down the fibre that is used and avoid these when out clothes shopping.
If your child is expected to wear a school uniform and is sensitive to the texture of the fabrics it is made from, talk to the school to see if there is a way to compromise and maybe find something that is very similar as to avoid your child standing out from his/her peers.
Wear new uniform in just like you would new shoes. Do this for around five or ten minutes per day increasing the time along the way. This can be done during the school holidays
Some children are sensitive to loud noises, others are even sensitive to certain tones and pitches a noise can create, including the way a person sounds when they speak. Be sure to keep your child’s school fully informed of such difficulties so they are aware of triggers, e.g fire alarms, break-time bell , etc.
Try your child with ear defenders and if successful request that your child wears these while in school.
Sensory seekers: Those children who sensory seek may flap, fidget and swing back in their chair at school. This means the child is lacking sensory stimulation, fidget and sensory toys can help.
Make the child’s environment inviting, bedrooms could host a different range of sensory items as well as bold and fun colours being used on textiles and interiors. There are lots of ways to create this type of environment on a budget and I will try to write a post on how to do this sometime in the near feature.