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An Overview of Autism
Spectrum Disorder




Karla Saval, M.Ed.
Maryland State Department of Education
Division of Special Education/
Early Intervention Services
Overview

●What is Autism Spectrum Disorder?
●Your child has been diagnosed

  with Autism: Now What?
■Early intervention
■Autism Waiver registry
■Elements of Effective Service Delivery to
children with Autism
■Resources
What is Autism?

   “Autism is a complex developmental
disability that typically appears during the
first 3 years of life and is the result of a
neurological disorder that affects the
normal functioning of the brain, impacting
development .”

          -Autism Society of America
What is Autism?

●Video from the Centers for Disease Control
(3:38)
   http://www.cdc.
gov/NCBDDD/autism/videos/whatisautism.
html
Diagnosis
●Three main criteria:
●Qualitative impairment in social interaction
●Qualitative impairment in communication
●Restricted, repetitive, stereotypic patterns of
behavior/ circumscribed interests, activities
●Three main categories:
●Autism
●Asperger’s Disorder
●Pervasive Developmental Disorder, Not Otherwise
Specified (PDD-NOS)
Autism

●Interferes with development of reasoning,
social interaction, and communication skills
●Is a “spectrum disorder”

●has implications for an array of social,

language, educational, sensory, behavioral,
and medical issues
Autism, by numbers…

●1 in 88 boys will be diagnosed with ASD
●The number of children in Maryland

identified as having an ASD has dramatically
increased from 260 in 1993 to 8,827 in 2010
●There are 900 slots for Maryland’s Autism

Waiver, and 3,700+ children on the Registry
                    (CDC, MSDE, 2012)
Autism results in difficulties in
the following areas:
●Self Regulation
●Executive Functioning

●Socialization/Communication

●Biomedical Complications/

      Comorbid Disorders
Let’s explore each of these…
A Steady Rise in Autism in Maryland Schools




                                    Produced by the Maryland State Department of
                                    Education 4/20/10
    Produced by the Maryland State Department of Education 4/20/10
                                                                                   *
What are the challenges experienced by
    youth with ASD?


●Academic
●Behavioral

●Social
Self Regulation

●As a result of biomedical issues, individuals
with Autism may have difficulty with
regulating their:
●Attention
●Wakefulness

●Stress

●Frustration

●Response to sensory stimuli
Executive Functioning

●Children with Autism exhibit deficits in
executive functioning, specifically with
reference to these domains:
●Planning
●Organization

●Flexibility

●Self-monitoring
Socialization/Communication
Youth with Autism have may have difficulty:
●Communicating wants and needs
●Establishing shared attention with peers

●Monitoring social signals ←→

●Reading social cues

●Responding to others’ stress

●Reading others’ expression of emotion

●Making social inferences

●Understanding others’ perspectives
Biomedical Complications/Comorbid
Disorders



                 ●Gastrointestinal problems
                 ●Sleep Disturbance

                 ●Anxiety

                 ●Depression

                 ●Seizure Disorder

                 ●Vitamin Deficiency
Did you know…

 …that the average child with Autism Spectrum Disorder is
engaged in a minimum of 5 complimentary and alternative
medical interventions to remediate his biomedical symptoms?
●Dietary regimens
●Psychopharmacological treatment
●Neurological interventions
●Vitamin/Nutritional Supplementation
●Detoxification therapy
●Physical Therapy
●Experimental Therapies
                              (IAN, 2008)
Challenges to Learning

●Biomedical Complications
●Environmental factors

●Communication

●Choices

●Social/Emotional Competence

●Methodological approach to instruction

●Setting in which IEP is being implemented
Behavioral Challenges

  Environmental factors that make youth with
Autism “NUTS”
●Novelty
●Unpredictability

●Threatening

●Sense of control is limited




(Sonia Lupien)
Resources
●   Autism Society of America
●Education, advocacy, services, research and
support
●http://www.autism-society.org/

●1-800-328-8476
Resources

●   Autism Speaks 100 Day Kit
●Action planning for the first 100 days after a
diagnosis of autism
   http://www.autismspeaks.org/family-
services/tool-kits/100-day-kit
Resources

●   Pathfinders for Autism
●We’re newly diagnosed. Where do we begin? http:
//www.pathfindersforautism.
org/articles/category/newly-diagnosed
●This site provides a comprehensive listing of the
variety of supports, services, and resources
available in Maryland
Resources

●   Maryland State Department of Education
■ AutismConnect
■This site contains recommendations made in the
Autism Task Force Report, released in 2004, as
well as MSDE research, education, and advocacy
initiatives and partnerships focused on autism.
●   www.autismconnectmd.org
Resources

●   Maryland State Department of Education
●The Early Childhood Gateway
●A resource for providers and families with young

children with disabilities, birth through five
http://www.mdecgateway.org/home
Family Support Services

●Maryland has Family Support Services
Coordinators in each jurisdiction that assist
families of children with disabilities ages birth
to 21. A directory of Family Support Services
is on the web at www.mdecgateway.org.
For additional information, call:
●

1-800-535-0182
Questions?
Contact:
Karla M. Saval, M.Ed.
Interagency Staff Specialist- Autism, Children’s Mental
Health
Maryland State Department of Education
Division of Special Education/
    Early Intervention Services
200 West Baltimore Street
Baltimore, MD 21201
ksaval@msde.state.md.us
(410)767-0827

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Overview on Autism

  • 1. An Overview of Autism Spectrum Disorder Karla Saval, M.Ed. Maryland State Department of Education Division of Special Education/ Early Intervention Services
  • 2. Overview ●What is Autism Spectrum Disorder? ●Your child has been diagnosed with Autism: Now What? ■Early intervention ■Autism Waiver registry ■Elements of Effective Service Delivery to children with Autism ■Resources
  • 3. What is Autism? “Autism is a complex developmental disability that typically appears during the first 3 years of life and is the result of a neurological disorder that affects the normal functioning of the brain, impacting development .” -Autism Society of America
  • 4. What is Autism? ●Video from the Centers for Disease Control (3:38) http://www.cdc. gov/NCBDDD/autism/videos/whatisautism. html
  • 5. Diagnosis ●Three main criteria: ●Qualitative impairment in social interaction ●Qualitative impairment in communication ●Restricted, repetitive, stereotypic patterns of behavior/ circumscribed interests, activities ●Three main categories: ●Autism ●Asperger’s Disorder ●Pervasive Developmental Disorder, Not Otherwise Specified (PDD-NOS)
  • 6. Autism ●Interferes with development of reasoning, social interaction, and communication skills ●Is a “spectrum disorder” ●has implications for an array of social, language, educational, sensory, behavioral, and medical issues
  • 7. Autism, by numbers… ●1 in 88 boys will be diagnosed with ASD ●The number of children in Maryland identified as having an ASD has dramatically increased from 260 in 1993 to 8,827 in 2010 ●There are 900 slots for Maryland’s Autism Waiver, and 3,700+ children on the Registry (CDC, MSDE, 2012)
  • 8. Autism results in difficulties in the following areas: ●Self Regulation ●Executive Functioning ●Socialization/Communication ●Biomedical Complications/ Comorbid Disorders Let’s explore each of these…
  • 9. A Steady Rise in Autism in Maryland Schools Produced by the Maryland State Department of Education 4/20/10 Produced by the Maryland State Department of Education 4/20/10 *
  • 10. What are the challenges experienced by youth with ASD? ●Academic ●Behavioral ●Social
  • 11. Self Regulation ●As a result of biomedical issues, individuals with Autism may have difficulty with regulating their: ●Attention ●Wakefulness ●Stress ●Frustration ●Response to sensory stimuli
  • 12. Executive Functioning ●Children with Autism exhibit deficits in executive functioning, specifically with reference to these domains: ●Planning ●Organization ●Flexibility ●Self-monitoring
  • 13. Socialization/Communication Youth with Autism have may have difficulty: ●Communicating wants and needs ●Establishing shared attention with peers ●Monitoring social signals ←→ ●Reading social cues ●Responding to others’ stress ●Reading others’ expression of emotion ●Making social inferences ●Understanding others’ perspectives
  • 14. Biomedical Complications/Comorbid Disorders ●Gastrointestinal problems ●Sleep Disturbance ●Anxiety ●Depression ●Seizure Disorder ●Vitamin Deficiency
  • 15. Did you know… …that the average child with Autism Spectrum Disorder is engaged in a minimum of 5 complimentary and alternative medical interventions to remediate his biomedical symptoms? ●Dietary regimens ●Psychopharmacological treatment ●Neurological interventions ●Vitamin/Nutritional Supplementation ●Detoxification therapy ●Physical Therapy ●Experimental Therapies (IAN, 2008)
  • 16. Challenges to Learning ●Biomedical Complications ●Environmental factors ●Communication ●Choices ●Social/Emotional Competence ●Methodological approach to instruction ●Setting in which IEP is being implemented
  • 17. Behavioral Challenges Environmental factors that make youth with Autism “NUTS” ●Novelty ●Unpredictability ●Threatening ●Sense of control is limited (Sonia Lupien)
  • 18. Resources ● Autism Society of America ●Education, advocacy, services, research and support ●http://www.autism-society.org/ ●1-800-328-8476
  • 19. Resources ● Autism Speaks 100 Day Kit ●Action planning for the first 100 days after a diagnosis of autism http://www.autismspeaks.org/family- services/tool-kits/100-day-kit
  • 20. Resources ● Pathfinders for Autism ●We’re newly diagnosed. Where do we begin? http: //www.pathfindersforautism. org/articles/category/newly-diagnosed ●This site provides a comprehensive listing of the variety of supports, services, and resources available in Maryland
  • 21. Resources ● Maryland State Department of Education ■ AutismConnect ■This site contains recommendations made in the Autism Task Force Report, released in 2004, as well as MSDE research, education, and advocacy initiatives and partnerships focused on autism. ● www.autismconnectmd.org
  • 22. Resources ● Maryland State Department of Education ●The Early Childhood Gateway ●A resource for providers and families with young children with disabilities, birth through five http://www.mdecgateway.org/home
  • 23. Family Support Services ●Maryland has Family Support Services Coordinators in each jurisdiction that assist families of children with disabilities ages birth to 21. A directory of Family Support Services is on the web at www.mdecgateway.org. For additional information, call: ● 1-800-535-0182
  • 24. Questions? Contact: Karla M. Saval, M.Ed. Interagency Staff Specialist- Autism, Children’s Mental Health Maryland State Department of Education Division of Special Education/ Early Intervention Services 200 West Baltimore Street Baltimore, MD 21201 ksaval@msde.state.md.us (410)767-0827