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Archive for the 'Thoughts on Autism' Category

Interview with Krista Schultz, Registered Psychologist and Autism Expert

Monday, June 25th, 2007

I recently had the pleasure of interviewing Krista Schultz, who works in Alberta, Canada with children with autism.  She is an ABA and developmental specialist and a frequent user of TeachTown with her clients.  I love her philosophy for teaching children and her passion for making a difference in the autism community.  I also really enjoyed her responses regarding technology and her feedback on TeachTown.  I hope you enjoy this as much as I did! 

Krista Picture.JPGInterview with Krista
May 2, 2007

1) Please provide us with a brief background about your education and credentials:

I am originally from Northern Alberta, Canada and received my first degree (Bachelor of Education) from the University of Alberta.  During teaching and then school counseling, I worked through a Master of Science degree in Educational Psychology with a Specialization in Developmental Psychology.  Since that time I have become a Registered Psychologist in the Province of Alberta and have continued to work in educational systems as well as home environments supporting children with special needs.

2) When and why did you start working with children with autism?

To be honest, it was quite unintentional.  Behavior has always been my key interest and I had been working with severe behavior disorders in children and adolescents. I am an avid proponent of the position that although we live in very rural areas, we should be providing children with services and professionals to the best of our abilities.  I received a call from a colleague who had a referral for an adolescent with autism and she asked if I would consult.  It was then that I realized that the area of autism and the families in our communities were sadly being under represented.  At that time, autism was not widely recognized.  Due to many factors, media included, I find there to be far more interest from the general public on the area of autism and thankfully, more recognition from service providers and educators to broaden their own knowledge of the diagnosis.

3) What positions have you had in the past and where do you work now?

I have been a teacher of many subjects, gifted students, educable mentally handicapped and those with severe behavioral disabilities.  As a Psychologist, I have a private practice and contract to school divisions, multidisciplinary teams and family agencies to provide assessment, support and programming for children with a variety of needs including those with medical conditions, FASD, severe behavioral disabilities, Autism Spectrum Disorders and learning disabilities.  I am also a workshop facilitator on several subjects surrounding special needs children and learning. 

B & E.JPG4) What is the best part of your job?

Watching my clients successfully meet objectives and seeing the joy on the faces of parents.  AND, having clients whom other professionals cannot pick out of the classroom as the child who has the autism diagnosis!

5) What part of your job is most difficult?

Supporting families while waiting for services to be put in place.

6) What is your approach to using ABA? 

I believe that ABA incorporates many different teaching methods.  It is flexible and transitions between developmental stages as well as changes that a child presents during the course of their programming.  It is that flexibility - and the knowledge and openness to accept and embrace those times - that allows ABA programs to meet the needs of the individual child and address behavioral teaching.  Generalizing to natural settings and a comprehensive interventionist program that eventually fosters the fading of reinforcers is my key approach with my primary work being in school settings.

7) Other than ABA, what other treatment approaches do you incorporate into your practice?

My treatment practices in my work with autism have largely been guided by the science of ABA and the writings of Lovaas, Fenske, etc. 

8) Do you find that many children you work with benefit from using visual strategies?

Absolutely.  Given the difficulties with self regulation and auditory “overload”, many of the children I work with can build increased independent and functional skills from incorporating the visual modality.

at_computer.jpg9) How do you think that computers can help children with autism?

Computers are tools in our society.  Working with children with autism and using computers allows behavioral teaching and independence with skill building.  While the face to face, social component of interactions is certainly important, there are many aspects of teaching that can be completed by the use of computers.

10) Do you think computers can help parents, in what way?

Often the parents with whom I consult are eager, interested and motivated but they are not therapists or teachers.  They are not autism specialists or experts.  Having the technology and support of a good program that is effectively addressing the unique needs of their child(ren) with autism is empowering and motivating.  It also allows parents to be parents and not have the worry of appropriate programming or seeking out multidisciplinary teams to do, essentially, similar work.  Given our shortage of professionals in many areas and the factor of rural living, computers also “shrink” and sometimes eliminate barriers to effective programming.

11) How can computers help schools?

In our province, technology in schools is priority and for children with autism we find that while teachers want to offer similar experiences, they are often at a loss to make these times meaningful and functional.  In several situations this year, I have been exploring the use of TeachTown in a variety of settings in schools.  Again, non-expert facilitation and the preparation time that computers offer teaching professionals has been invaluable.

12) How do you use computers in your position and how can other clinicians benefit from technology?

I have been far more open to using technology and computers as tools for increasing functionality, independence and skillstreaming.  We are fortunate in this day and age that assistive technology devices and technology such as TeachTown has vastly reduced barriers that would have otherwise made appropriate and beneficial teaching very difficult or unrealistic.

13) What aspects of TeachTown: Basics are most helpful for you?teachtown cloud background1.JPG

The non-expert model has been very motivating for those unfamiliar with autism.  The ease of setting the program up and moving parents and para-professionals through the trials has been excellent.  As an educational psychologist working with Individual Program Plans, the data, ease of collection and simplicity of results (graphs, etc.) have provided solid evidence of progress for clients.  Teachers have been thrilled with the explanations of objectives for sessions as it has allowed more meaningful short and long term goals to be added into the child’s program plan.

14) If you were on the design team at TeachTown, what would you do next to improve or enhance TeachTown: Basics?

Expand the developmental levels to promote additional training for older children!

15) What future directions should TeachTown take for developing other products?

I would like to see TeachTown work with assistive technology professionals to address the needs of children with autism who may present with additional impairments such as hearing impairments, visual problems or severe fine motor skill deficits. 

Top Autism Treatments

Tuesday, May 1st, 2007

In a recent About: Autism Spectrum Disorders posting, the top 10 treatment approaches for autism were listed along with helpful links for each of these approaches.  The top 10 were determined by popularity, research, and most effective overall.

The top 10 listed were:100_0152.JPG

1) Applied Behavior Analysis (ABA)

2) Speech Therapy

3) Occupational Therapy

4) Social Skills TherapyB and Trish.jpg

5) Physical Therapy

6) Play Therapy

7) Behavior Therapy/Positive Behavior Support

8) Developmental TherapiesEl 1.jpg

9) Visually-based Therapies

10) Biomedical Therapies

I would like to see a similar list, in order, of those that are the most research-based and have evidence of effectiveness with the largest number of children with autism.  Organizations such as the National Autism Center are dedicated to coming up with good ways to make these kinds of lists and to develop rankings for treatment approaches which will be based on research and effectiveness for ASD.  This project is called the National Standards Project and the expert panel and conceptual reviewers include a prestigious group of autism researchers including several of our TeachTown science advisory board members including Dr. Ilene Schwartz, Dr. William Frea, and Dr. Aubyn Stahmer.

J computer.jpgI would also like to see more studies on technology and which programs are effective and which ones are not.  It won’t be long before Computer-Assisted Instruction is added to the list above, I just hope that developers, and perhaps more importantly, university researchers continue to conduct the necessary research to keep improving these programs.

**Please see comments from the author of the ABOUT blog, she makes some excellent comments and I completely agree with her!**

Schools Need Help!

Monday, April 9th, 2007

It seems like every week I am reading an article about another school district struggling to keep up with the expenses of educating children with autism and how instead of adding resources, they keep getting taken away!

In South Carolina, $1.4 million were taken away from the already struggling programs.  This means that children might not get the needed treatment that they need, such as ABA.  More than $700,000 is being dedicated to serving the children with autism, which will cover ABA for only 30 students.  It seems to me that solutions must be found which can spread the limited amounts of money further, how can schools serve more children with the same amount of money while still providing the quality treatment that is needed?

000_86_Eric_catching.pngIt is time for researchers to start thinking about solutions for schools, there is a large amount of data supporting ABA and some other approaches as well.  However, I would like to see studies looking at how to develop ABA treatments further so as to be able to serve more children, perhaps in small group instruction, or utilizing technology, or simplifying procedures for less expensive staff to implement, or other creative solutions to deal with this critical issue in our education system.

In addition, I would like to see more funding and grants for school programs and more education for school staff to more effectively educate children with autism spectrum disorders.  This could be done easily through online learning programs or local conferences for educators.  In addition, more funding and research is needed for how to effectively and efficiently educate school staff so that they are empowered and motivated.

The other important thing that is needed for school systems is training and accountability for student outcome.  Researchers should consider designing assessments that are feasible and easy for schools to implement, and standards should be set for what exactly schools are expected to measure and report.  While some school districts require teachers to use standardized measures of assessment, these measures are often not appropriate or informative for measuring the progress of children with autism spectrum disorders.  If measurements are required, they should be scientifically validated for the autism population.  In addition, managable and efficient tools need to be developed and available to teachers to make data collection accurate and consistent.happyboy4_cl1.jpg

Some states are taking measures to address these important issues, such as California and the Blue Ribbon Commission.  I recently served on the task force for education for this group, and was pleased to see that I am not alone in these concerns and that there are initiatives out there that are working toward solutions.  I will post updates on this Commission as they are available.  Please post other initiatives or solutions that you think are helpful! 

Podcasts

Saturday, July 8th, 2006

heroshot_ipod_white.jpgDo you own an IPOD or other MP3 player or do you use ITUNES on your computer? There are now many PODCASTS (i.e. reports or stories that you can listen to on your computer or IPOD) about autism.

Check out our new podcast, from an interview I did with Scott Ryan from Autism Speaks in May.V3020062.jpg

AutismOneRadio is a very good podcast to try out, I like this one a lot because it brings in researchers, professionals, and parents and is done in a very professional yet interesting way. There are several different perspectives and the interviews are done by different people so there is a lot of good variety.

53585.jpgAutism Tales is a good one because it is actually real stories from people with autism and other special needs (or their families or people who worked with them) read by Jonathon Singer.

Bartholomew Cubbins is an interesting one that is kind of like a blog that you can listen to, he expresses his opinions about different things going on in the world of autism.host_photo.jpg

Michael Boll, a father of a child with autism and a former teacher, does Autism Podcast which is pretty interesting. In this one, Michael Boll interviews various people associated with autism such as authors of books, etc. You can check out his website too where you can get all of the podcasts and more information: http://autismpodcast.org/

There are courses that you can purchase by well-known people in the field of autism at Autism Education Online. Courses are up to two and a half hours in length and cost $49.97. If you would like to take multiple courses, the cost for a package of three is $99.97 and a package price for 12 courses is $299.

J3089047.jpgAutism Today also offers audio courses for $24.95 each.

Also, if you are interested in watching online videos about autism, I found this interesting site, Autism TV, which provides links.

The National Standards Project

Friday, April 28th, 2006

I’m currently attending the AEN conference in San Jose, CA. The primary focus of the project is on a “National Standards Project” which will focus on the urgent need for universally accepted standards that promote evidence-based treatment approaches for autism.

This is exciting stuff! I’ll follow-up in the next week with additional information. Here’s some information pulled from the National Autism Center web site:

The National Standards Project is an unprecedented effort to produce a set of peer reviewed standards for evidence-based education and behavioral intervention for children with autism. The standards will also give policy-makers the tools they need to ensure that effective, scientifically sound treatment programs receive crucial funding.

The technical manual will be the basis for the development of additional materials targeted for specific audiences and uses. Projects presently scheduled include:

1) A handbook for families providing criteria for selecting evidence-based services.

2) A handbook for public school systems outling specific evidence-based program components, procedures, and implementation strategies.

3) Published recommendations for physicians on how to counsel families to identify effective services for their children with autism.

4) Professional training in how to implement the national standards.

5) Practical web-based material to help families and practitioners learn about the standards and their implementation.

Participants in the project include nationally recognized experts.

The need for standards is well established in the field. In 2001 the National Research Council (NRC) assembled a multi-disciplinary subcommittee to integrate the scientific, theoretical, and policy literature pertaining to the education and treatment of children with autism and to disseminate a preliminary set of recommendations. Although the NRC Report summarized the components of evidence-based approaches to education, it did not provide details explicit enough for standards implementation. An National Institute of Health (NIH) sponsored Autism Summit in 2003 further confirmed the need for standards.