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Impact of Outreach Services 1 Sandy Teal and Maggi Rigg 18/07/2015 Wales’ 4th International Autism Conference Developments in Autistic Spectrum Disorders: IMPACT June 22, 2011 • Family • Medical professionals • Partners • Support Groups • Local education authorities • Individuals • Educational establishments • Social Services • Police/Probation • Support agencies • Employers • Government agencies 18/07/2015 Referrals Where are they from? 2 Training Environmental Employment Communication 18/07/2015 Outreach Services Provided Behavioural Social Skills Family Sexuality Organisational 3 Meet Intervention Review • Initial Referral • Interview or Assessment 18/07/2015 Outreach Process • Agree goals • Undertake work with individual/group • Review • Feedback 4 home educational provision ASC person Medical and psychological support 18/07/2015 Working Collaboratively friends/ significant others agencies work (including voluntary) 5 Pro-active strategies Direct Teaching Non-social space • Stress triggers – identify, reduce or remove • Retrieval - Sensitive cues • Organisation Routines • Attention deficit • Verbal language Limit / check meaning / visual • Adapt environment • Appropriate use of humour • Use visual/auditory cues - timers, diaries, 18/07/2015 • Anxiety -Strategies prompt cards, traffic lights, Social Stories, Mood O’Meters • Teach emotional literacy 6 • Confusion - Interpreter • Misunderstandings -Talk and mediations • Fatigue / failure Differentiation • Perfectionism – Evaluative praise • Clear expectations, boundaries, rules of self and others • Support transitions • Creative use of special interests • Predictable rules routines • Open exit policy • Buddy system • Teach 18/07/2015 Pro-active strategies What TO DO not What NOT TO DO 7 Outburst/Crisis Re-active Strategies Escalation 18/07/2015 Stress Model of Crisis Recovery Strategies Early Warning Signs Baseline Behaviour Pro-active Strategies 8 Therapeutic Crisis Intervention TCI Cornell University • SAFETY FIRST • Give time to process 18/07/2015 Re-active Strategies • Listen • Time away • Offer an escape strategy/script 9 • Listen • Don’t ignore - explore antisocial behaviour • Wait until calm when s/he will remember • Mediation • Plan an escape strategy/script • Learn relaxation skills • Find strategy for feeling not behaviour • Teach how to REPAIR • Identify who can HELP or SUPPORT!! • DIRECTLY teach skills 18/07/2015 Recovery Strategies 1 0 • Bob is 46 years old and has had a diagnosis of Asperger Syndrome from the age of 14. • Feels socially isolated • Desperate to have friends and a girlfriend • Admitted to psychiatric hospital in past 5 years for depression • Has held down a variety of jobs but currently unemployed and not contemplating returning to work • Has volatile relationship with parents (both elderly) and can be physically intimidating • Strong Christian beliefs • Writes himself notes of reminder 18/07/2015 Vignette 1 - Bob 1 1 • Beth is 16 and has a diagnosis of High Functioning Autism and Epilepsy • Refuses to acknowledge or discuss her diagnosis • Excluded from school for inappropriate social skills toward male members of staff • Has no independence skills for travel • Can be verbally abusive to family members and damage property 18/07/2015 Vignette 2 - Beth 1 2 • Joe is 15 and has a diagnosis of ADHD and Asperger Syndrome • Attends a mainstream school • Attendance at 22% last year • Excluded 8 times last year for inappropriate aggressive behaviour • Been involved in criminal behaviour and worked with YOT • Very popular with peers 18/07/2015 Vignette 3 - Joe 1 3 1. What are the three top areas of need that you feel the individual or family would see as needing to be addressed? 2. What strategies would you employ to address the three areas of development? 18/07/2015 Case Study Questions 1 4 Additional Information • • • • • • • • • • Marc Segar Willow Marsden - Blog 21 - Asperger's and Girls you tube Succeed Socially.com Detailed guide on getting past social problems Wendy Lawson Delphi Forums – AS partners AS-If Wisegeek NT and ASPERGERS you tube OAASIS National Autistic Society Autism Education Trust Asperger Syndrome Foundation 18/07/2015 Websites Email: sjtealconsultancy@gmail (providing training, support and guidance for those working with Asperger Syndrome and HFA people as well as individuals and families) [email protected] Cambian Group The UK's largest provider of specialist services in education, mental health and learning disabilities with specialist schools for autism 1 5