Wednesday, November 21, 2012

Searching for Social Skills Success



It has been awhile since my last post.  It was a deliberate choice.  Breaking down the steady barrage of autism reports can be an arduous task.  In addition, other catastrophic events—like a superstorm—push other things further on the back burner.  But we’ve been plowing through the school year with a lot of success so far. 

According to the social skills group teacher, our son has made some dramatic strides since last year.  He interacts better with other group members.  Last year, the group was composed of students, whom my son described as “bad kids” (i.e. talked in class, yelled at or was aggressive towards teacher).  So the lessons addressed issues such as “teeth are not for biting” or “hands are not for hitting.”  Since our son never had a problem with aggression, we called an IEP meeting to address these concerns and broaden the topics covered during the sessions. 

At first, there was limited adjustment:  For instance, this year, the first class dealt with feelings (e.g. Are you happy/sad/angry?). Still, many sessions address aggression issues.  Preferably, my husband and I would like more focus on areas such as initiating conversation, role-playing, social scripts and perspective-taking. In addition, the teacher mentioned that he constantly prods our son with questions compared with the other children who “volunteer” information. 

Also, I question the credentials of this teacher and whether he has any specialization in autism (my guess, probably not).  During the recent IEP meeting, a school psychologist mentioned that our son was the only student within the general education population diagnosed with ASD.  Other students with autism, many of whom fall on the severe end of the spectrum, are annexed into another building for children with special- needs. 

So I realize that we will need additional therapy to meet our son’s social skills demands.  I wish that his school offered a parent education/training program for improving social communication for high-functioning adolescents with ASD.  In fact, some research has shown that training parents as “co-therapists” is effective at improving behavior and increasing language skills for children with autism. 

However, very few schools offer this type of program.  Many parent training/education programs focus on early intervention with young children (under age 5) and take place in the homes of individual families. 

What’s more, other studies examining parent programs have reported positive changes in parent-child interactions And solid evidence has shown that parents enrolled in these programs report less stress and greater self-efficacy (the belief about one’s ability to act in different situations).

For instance, in a 2006 study published in the Journal of Positive Behavior Interventions, investigators followed eight students, ages 3 to 4, diagnosed with autism and their families.  The children were enrolled in early childhood special education classrooms that were part of the Oregon Statewide Regional Program Autism Training Sites.  The classrooms used techniques based on applied behavior analysis such as pivotal response training

In addition, the children’s parents participated in weekly sessions where they were taught these strategies for improving communication during daily activities.  After nine weeks, parents reported improvement and increased knowledge of their child’s social communication skills.

But while several studies have shown benefits for parent training/education programs, there are some drawbacks to consider. Some limitations with this type of intervention include inconsistent professional support and inaccurate skill application by parents. 

I am not suggesting that parent training should replace therapies by clinicians, schools and other organizations.  But any additional intervention will benefit children with special-needs.  Unfortunately, in some instances, my frustration lies in the limited expertise and resources available in our community for preparing our child for the future.