Category Archives: Autism

Saturday Seminar: Sensory Differences and Mealtime Behavior in Children with Autism

Jeanne-Zobel-LachiusaEvidence based practice (EBP) involves the integration of:

  1. Clinical expertise,
  2. Scientific research, and
  3. Patient/caregiver perspective.

The goal of EBP is the improvement of patient outcomes. It holds us accountable for our treatment plans, strategies and outcomes among our peers and other health care professions. According to the AOTA, generating research in the field of occupational therapy is “critically important for advancing the field and ensuring the viability of the profession.”

Jeanne Zobel-Lachiusa, EdD, OTR/L was the featured December Saturday Seminar Series speaker, who shared her research on Sensory Differences and Mealtime Behavior in Children with Autism (AJOT September/October 2015, Vol. 69, No.5).  In summary, the study results helped to identify problem eating behaviors in children with ASD that may be associated with sensory differences. Children with ASD were compared with typically developing age-matched peers. The study concluded that children with ASD who receive occupational therapy that offers sensory strategies might result in less stressful mealtimes.  The findings supported the need for further research in this area of self-care with children who have been diagnosed with ASD.

The seminar attendees were from varied backgrounds, including occupational therapy, speech therapy, special education, social work, psychology, child care, medicine, and parents. They engaged in a lively brainstorming session on sensory strategies in the different sensory domains that might provide mealtimes with less stress for both the child and family. They shared innovative as well as tried and true ideas with the group.

Just a few examples of the many suggestions include ideas for tactile and oral sensitivity:

Hush BuddyFor auditory sensitivity Jeanne suggested:

For children with sensitivity to fluorescent lights that flicker and glare in the cafeteria or classroom, Fluorescent Light Filters, which are magnetic were recommended. Another suggestion was for the student to wear a visor to reduce vision sensitivity.

Jeanne suggested a number of resources for the group including the book, Autism Interventions, and recommended the AOTA website for its user-friendly handouts on mealtime and feeding.

Producing research is essential for validating assessment and treatment strategies. Jeanne shared that her research was motivated by the question of whether interventions are actually effective.  Her current research demonstrated that there was a statistically significant difference in sensory differences and in mealtime behaviors between children with ASD and the typically developing group she tested.  This groundbreaking research paves the way for further studies to investigate specific treatment strategies discussed today for their effectiveness in helping make mealtimes a pleasurable experience for children diagnosed with ASD and their families.

To view Jeanne’s PowerPoint slides, click here.

Following the seminar, attendees provided feedback about the seminar.  Please see a few remarks below:

“It provided an opportunity to review recent literature and share strategies with other therapists.” Kristyn S., Occupational Therapist

“Loved the topic and the format. Jeanne was great!!   Diane H., Occupational Therapist

“Informative, interactive, insightful. It was interesting listening to other OTs experiences and suggestions.”  Sylvia K., OT student

“Helpful to organize sensory treatment with a food tolerance/mealtime behavior perspective.”  Anonymous Occupational Therapist

Thank you, Jeanne!

Filomena Connor, MS, OTR/L

26th Annual Conference: Community Resources for People with Autism

Therapro was delighted to return to the Community Resources for People with Autism 26th Annual Conference on April 15th, in Agawam, MA. This year’s conference, which is dedicated to providing information and networking opportunities for families and professionals, drew a sold-out crowd of 650 attendees. Temple Grandin, Ph.D. was this year’s guest speaker, providing three lectures entitled: “Autism and My Sensory Based World.” Additionally, a panel presentation closed the day with discussion about the daily challenges and successes of individuals living with autism spectrum disorder.

Dr. Grandin is a renowned author and speaker on topics related to autism. She is a Professor of Animal Science at Colorado State University. Throughout the day she spoke on a personal level as an individual who is autistic as well as on a professional level sharing information about therapeutic treatment strategies that are currently in use. Dr. Grandin explained how the autistic brain works, specifically highlighting in a fascinating way, how her brain categorizes experiences.

Therapro’s exhibit was popular with parents of children and adolescents diagnosed with ASD as well as with professionals. Fidgets of all types were popular, including the all-time favorite Rapper Snappers, Fidget Pencils, Bendeez, and Tangles. The Fidget Kit, which offers a variety of fidgets in one pack sold out quickly. Chewy necklaces were sought out throughout the day. Senseez Vibrating Pillows were a big hit. The Sensory Connection books and Drive-Thru Menus were hard to keep in stock. Books and products that address building social skills were praised: Social Skills Picture Book for High School and Beyond, Building Social Relationships, and Mind Your Manners.

Visitors to our exhibit engaged in interesting discussions about weighted blankets, sensory sensitivities, and favorite self-regulation strategies. Many were familiar with Therapro and expressed their thanks for great products. One mom told me that “Therapro has made a big difference in my son – thank you!” Her 9-year-old son, who has ASD, loves Stretchy String, which he calls his “string of life!”

This conference was inspirational because it provided professionals and caregivers with insight from an individual who lives with autism daily. Dr. Grandin’s ability to share her life experiences was moving. I had the opportunity to meet and speak directly with her. She expressed her gratitude for Therapro distributing her favorite of the books she has written, The Way I See It: A Personal Look at Autism & Asperger’s.

Filomena Connor, MS, OTR/L

Challenges that Persons with Autism Face When Going to Public Entertainment Venues

By Karen Conrad Weihrauch, PhD, OTR/L

Ironically, the reasons why we go to these venues are the reasons people with Autism do not like them! Here are a few reasons:

  1. Sensory: People with Autism often struggle with sensory input and how to deal with it.
    • Many of these venues may smell strange (or someone may be wearing perfume) and cause a negative reaction for some people. This can be so subtle that the person with autism may not even know that it is causing him/her to act out of control.
    • Sudden and loud chaotic noises can cause confusion for them in addition to all the chatter and background music in the room.
    • Sitting too close to other people can cause unwanted light touch that we know can be very irritating. Speaking of touch, a theatre setting may have textured chairs that are uncomfortable
    • And not to mention all the visual stimuli that occurs – all the bright lights, some moving and others flashing can put a nervous system into overload.
  2. Social Skills: These venues involve social environments which is an area of real challenge for people with Autism
    • They may be highly anxious in knowing how to interact with the rest of the group.
    • As a result they may seem aloof or, on the other hand, blunt.
    • In an attempt to communicate, they may not be able to read the body language or facial expressions of the other person and then their behavior may appear to be inappropriate.
    • People with Autism take things very literally which may cause misunderstandings with others at the venue.
  3. Routine and Anxiety: Routine is very important for people with Autism
    • Going somewhere new outside of routine can cause a lot of anxiety.
    • Even if a person with Autism is used to going to a venue each week, even the absence of a staff member, different layout, etc. could cause anxiety.
    • Unexpected events are anxiety producing for them.

Other diagnoses that might experience similar challenges:

  1. We as occupational therapists working with people with developmental disabilities are trained to assess their ability to process sensory information as part of their evaluation.
  2. We are finding that many people with no known diagnoses also have challenges with entertainment venues. Recently, I have been privileged to attend professional baseball games in Baltimore, Philadelphia and San Diego. That venue has changed since I went to baseball games as a child – now there is loud music, flashing lights, huge TV screens and people getting up and stepping on your toes which all make me wonder why I am there. It is challenging for me!

Suggested Solutions

Preparation, Preparation, Preparation:

  1. Social Story:
    A social story can be a written or visual guide describing various social interactions, situations, behaviors, skills or concepts and were introduced and described by Gray and Garand (1993). They are designed to improve the social skills of people with autism spectrum disorders (ASD). Social stories are used to educate and as praise. Social stories model appropriate social interaction by describing a situation with relevant social cues, other’s perspectives, and a suggested appropriate response. About one half of the time, the stories are used to acknowledge and praise successful completion of an accomplishment. These have been used successfully in preparation for entertainment venues. For further information, Therapro, Inc. offers the Newly Revised Book on Social Stories here.
  2. Sensory Stories:
    sensory_story_cardsSensory Stories, published by Therapro, are similar to Social Stories but with the specific approach to teaching children with autism and over-responsive sensory modulation issues to successfully engage in social activities within the home, school, and community. Sensory Stories comprise 30 individual stories about daily activities. These Sensory Stories instruct the child to use calming sensory strategies in order to deal with the unpleasant sensory aspects of that particular situation. When read on a regular basis, Sensory Stories assist the child in developing effective routines to manage the sensory experiences surrounding typical daily activities. The authors have conducted several studies to demonstrate their effectiveness. They can be viewed on the Therapro website and on the website www.sensorystories.com, which offers a way to customize each story to a child’s needs.

The Venue Itself

  1. Call ahead and see if the facility has a visual tour for an iPad of the venue. A 360 degree tour to show as much of the rooms, location of bathrooms, etc. would be helpful for knowing the physical layout.
  2. Find out what the venue rules are, how services operates so everyone knows what to expect of the routine
  3. Ask if there could be dedicated time that can be with just families with autism
  4. Would there be a quiet area or small area available for families and individuals who might experience stress during the venue? Here at the Therapro Showroom, we have a sensory area for individuals including a bean bag chair and a basketful of sensory tools. This helps when the parent or caregiver want to look around the showroom. Also, our showroom does not have all products out as that could be overwhelming to individuals. Instead, we ask the parent to make a list of interested products and we go into the warehouse to pick them. Shoppers can sit comfortably at a table and make their decisions as to what they want – no rush.

Helpful Tools During the Venue Visit

  1. Fidgets:
    During stressful times, fidgets help reduce agitation. Therapro’s selection of fidgets have increased through the years as each nervous system finds a fidget helpful and others offensive. Please see our website for numerous fidgets. Our very popular Fidget Kit includes a variety of fidgets so a person can determine which ones they like or dislike. We have many quiet fidgets that can be used unnoticed!
  2. Additional Tools:
    • Sensory Strategy Cards: These are small cards with such strategies as “I can grasp my elbows and squeeze hard”, “I can put a heavy backpack or fanny pack in my lap”, “I can do an elbow-check to make sure no one is too close.” They are visual reminders of the various strategies that children can use. They can be tucked in a shirt or pants pocket for a quick reference to a preferred strategy or put on a belt loop or backpack.
    • noise reducing headphones
    • sunglasses