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Syndro. erg. The. Learning. Syndrom. Clinic. AspergerS. Asp. erge. ome. er. Syndro. erg. The. Learning. Syndrom. Clinic. AspergerS. Asp. Transition Program. A Model for Student . erge. Transition to Community-. ome. er. based Independence. maaps.

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slide2

Syndro

erg

The

Learning

Syndrom

Clinic

AspergerS

Asp

erge

ome

er

slide3

Syndro

erg

The

Learning

Syndrom

Clinic

AspergerS

Asp

Transition Program

A Model for Student

erge

Transition to Community-

ome

er

based Independence

slide4

maaps

Massachusetts Association of766 Approved Private Schools

May 07, 2004

Presented by:

Kathleen A. McGrady, Psy. D.

Kenneth H. Holt, LCSW

Pamela Ruff, Transition School Faculty

The Learning Clinic

The Learning Clinic

pervasive development disorder
Pervasive Development Disorder

Category of Diagnosis that includes Autism, Rett’s Disorder, Childhood Disintegrative Disorder, Asperger Syndrome, and PDD NOS. Historically, other diagnostic labels in this category have included Childhood Schizophrenia and Autistic Psychopathy.

The Learning Clinic

slide6

Syndro

erg

Syndrom

AspergerS

Asp

Who is the AspergerIndividual?

erge

ome

er

The Learning Clinic

The Learning Clinic

asperger syndrome criteria
Asperger Syndrome Criteria

The Learning Clinic

asperger syndrome criteria8
Asperger Syndrome Criteria

Pragmatic language skill deficits not part of DSM-IV or ICD-10 criteria but should be included for differential diagnosis.

The Learning Clinic

other developmental issues
Other Developmental Issues
  • Deviation from normal development
  • Do not “Outgrow” Developmental Deficits
  • Stress Impairs Performance
  • Co-Morbid Diagnosis Impairs Overall Functioning

The Learning Clinic

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Medications

Cognitive Functioning

The Learning Clinic

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Age / Time

Psychological Symptoms

The Learning Clinic

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Grade

Clinical Symptoms and Learning Disabilities

The Learning Clinic

asperger syndrome pervasive developmental delay
C O G N I T I O N

Memory

Higher Order Process Analysis,

Synthesis, and Evaluation

Organization

Flexibility

Asperger SyndromePervasive Developmental Delay

The Learning Clinic

slide14

Asperger SyndromePervasive Developmental Delas

  • C O G N I T I O N
  • Wide Band of Knowledge
  • Problem Solving
  • Verbal-Performance IQ
  • Attention Shift
  • Rule and Governing Behavior

The Learning Clinic

asperger syndrome pervasive developmental delay15
Asperger SyndromePervasive Developmental Delay

L A N G U A G E

  • Pragmatics
  • Syntax
  • Meaning: Connotative

Denotative

The Learning Clinic

slide16

Asperger SyndromePervasive Developmental Delay

  • L A N G U A G E
  • Processing Speed
  • Expression
  • Duration

The Learning Clinic

asperger syndrome pervasive developmental delay17
Asperger SyndromePervasive Developmental Delay

S P E E C H

  • Prosody
  • Pedantic
  • Elocution
  • Volume

The Learning Clinic

asperger syndrome pervasive developmental delay18
Asperger SyndromePervasive Developmental Delay

M O T O R

  • Fine Control
  • Gross Control
  • Coordination
  • Regulation

The Learning Clinic

asperger syndrome pervasive developmental delay19
Asperger SyndromePervasive Developmental Delay

S E N S O R Y P R E C E P T I O N

  • Visual Integration
  • Kinesthetic
  • Tactile Accuity
  • Gestalt
  • Integration of other Senses

The Learning Clinic

asperger syndrome pervasive developmental delay20
Asperger SyndromePervasive Developmental Delay

S O C I A L

  • Cue Identification
  • Responsive to others
  • Isolate
  • Rude
  • Aggressive

The Learning Clinic

slide21

Asperger SyndromePervasive Developmental Delay

  • S O C I A L
  • Boundary Acceptance
  • Maintain Social Roles

(e.g., student, son, daughter, friend)

  • Self-Regulate

The Learning Clinic

slide22

Competing Clinical Behaviors

  • Perseveration
  • Obsessive Thought
  • Rigid Cognitive Style
  • Inability to Shift from “Personal View”

to Data - Based Decision

The Learning Clinic

slide23

Competing Clinical Behaviors

/ Continued

  • Confabulation
  • Affirming False Information
  • “Stealing”
  • Sexually Inappropriate Actions and Statements

The Learning Clinic

slide24

Competing Clinical Behaviors

/ Continued

  • Violation of Boundaries
  • Cognitive Disorientation and

Distortion

The Learning Clinic

slide25

Syndro

erg

Syndrom

AspergerS

Asp

What are the Prioritiesof the Asperger Syndrome Student?

erge

ome

er

The Learning Clinic

The Learning Clinic

priorities of the asperger student
Priorities of the Asperger Student

1.Independence

      • How to find and use resources

and self-advocate

  • Work Experience
      • Paid employment and volunteer work

The Learning Clinic

slide27

Priorities of the Asperger Student

  • 3A. Shared Living versus Living Alone
      • Advantages and disadvantages

of each

  • 3B. Resources
      • How to find resources, e.g., doctors,

therapists, etc.

The Learning Clinic

slide28

Priorities of the Asperger Student

  • 4A. Social Activities
      • How to find resources for fun activities?
      • How to make friends and find others with common interests?
      • How to deal with the tendency to isolate?

The Learning Clinic

slide29

Priorities of the Asperger Student

  • 4B. Medication
      • How do you know when you need medication
      • Who do you go to for help

The Learning Clinic

priorities of the asperger student30
Priorities of the Asperger Student
  • College Experience
      • What it takes to be successful in college
  • Problem-Solving
      • How to partner with others to solve problems

The Learning Clinic

slide31

Priorities of the Asperger Student

  • 6. Problem-Solving / Continued
      • Expressing issues openly
      • Independent problem-solving versus teaming

The Learning Clinic

which asperger symptoms compete with independence
Which Asperger Symptoms Compete with Independence?

Age

Degree of Anosognosia

Over time, symptoms become egosyntonic

The Learning Clinic

slide33

Syndro

erg

Syndrom

AspergerS

Asp

How Do Students Assess and Comment on Their Experience?

erge

ome

er

The Learning Clinic

The Learning Clinic

slide34

How Can We Assess Readiness for Independence?

  • The Learning Clinic Pragmatic Skills Survey
  • The Learning Clinic Transition & Independent Living Skills Assessment

The Learning Clinic

what does a transition program include
What Does a Transition Program Include?

Independent Living

  • Housing
    • Housing Acquisition & Leases
    • Home Management

The Learning Clinic

slide36

What Does a Transition Program Include?

  • Independent Living
    • 2. Nutrition
      • Meal Planning & Preparation
      • Dining
      • Clean-up & Food Storage

The Learning Clinic

slide37

What Does a Transition Program Include?

  • Independent Living
    • 3. Money Management
      • Budgeting & Taxes
      • Banking & Credit
      • Consuming

The Learning Clinic

slide38

What Does a Transition Program Include?

  • Independent Living
    • 4. Transportation
      • Type of Transportation & Costs
      • Independent Travel
      • Obtaining Driver’s License
      • Vehicle Maintenance

The Learning Clinic

slide39

What Does a Transition Program Include?

  • Independent Living
    • 5. Leisure
      • Exercise Routine
      • Community Activities
      • Personal Hobbies
      • Community Groups

The Learning Clinic

slide40

What Does a Transition Program Include?

  • Independent Living
    • 6. Legal Awareness
      • Responsibilities of Adulthood
      • Contracts
      • Constitutional Rights

The Learning Clinic

slide41

What Does a Transition Program Include?

  • Independent Living
    • 6. Legal Awareness / Continued
      • Misdemeanor versus Felony
      • Resources for Legal Obligations
      • Sexual Harassment

The Learning Clinic

slide42

What Does a Transition Program Include?

  • Independent Living
    • 7. Health
      • First Aid
      • Self-Administer Prescription Medications
      • Personal Hygiene
      • Stress-Control Strategies

The Learning Clinic

slide43

What Does a Transition Program Include?

  • Independent Living
    • 8. Time Management
      • Realistic Goals
      • Time of Day Most / Least Productive
      • Priorities - Establish and Organize
      • Appointment Book or Calendar

The Learning Clinic

slide44

What Does a Transition Program Include?

  • Independent Living
    • 8. Time Management / Continued
      • Step - Wise “Bite Size” Goals
      • Self - Reward
      • Identify Basic Needs
      • Schedule Time to Meet Basic Needs

The Learning Clinic

slide45

What Does a Transition Program Include?

  • Independent Living
    • 9. Personal Safety at Home
      • Smoke Alarm - Check Operation Monthly
      • Fire Drill Procedures & Fire Extinguisher
      • Post Emergency Numbers

The Learning Clinic

slide46

What Does a Transition Program Include?

  • Independent Living
    • 9. Personal Safety at Home / Continued
      • Basic First Aid
      • First Aid Supplies
      • Hazardous Materials
      • Lock Doors in the Home

The Learning Clinic

slide47

What Does a Transition Program Include?

  • Independent Living
    • 10. Personal Safety in the Community
      • Walking in the Community at Night
      • Public Transportation
      • Dating

The Learning Clinic

slide48

What Does a Transition Program Include?

  • Independent Living
    • 11. Personal Safety during Dating Relationships
      • Sexual Abstinence
      • Social Gender Boundaries
      • STD’s
      • Methods of Contraception
      • “Safe” Sex Practice

The Learning Clinic

slide49

What Does a Transition Program Include?

  • Independent Living
    • 12. Personal Presentation
      • Appropriate Clothing for Different Settings
      • Clothing: Needs versus Wants
      • Budgeting and Shopping for Clothes

The Learning Clinic

slide50

What Does a Transition Program Include?

  • Independent Living
    • 12. Personal Presentation / Continued
      • Cleaning Different Types of Clothing
      • Female: Appropriate Use of Make-up / Hair Care

The Learning Clinic

slide51

What Does a Transition Program Include?

  • Independent Living
    • 12. Personal Presentation / Continued
      • Male: Proper Grooming / Hair & Shaving
      • Body Language: Personal versus

Professional

The Learning Clinic

slide52

What Does a Transition Program Include?

  • Community Resources
      • Access Community Health Resources
      • Completion of Medical Forms
      • 911 / Local Emergency Numbers
      • Health Insurance & It’s Use
      • Community Services: Library, Legal Aid, Adult Education, Leisure

The Learning Clinic

slide53

What Does a Transition Program Include?

  • Community Service /
  • Volunteer Opportunities
    • Community Service Opportunities
    • Value of Volunteering
    • Ten Hours / Month - Minimum per Quarter

The Learning Clinic

slide54

What Does a Transition Program Include?

  • Vocational Readiness, Training &
  • Post-Secondary Education
      • Career Planning

Areas of Interest

Aptitude

Training

      • Career Plan

Action Plan

The Learning Clinic

slide55

What Does a Transition Program Include?

  • Employment
      • Importance of Paid Employment
      • Job Shadowing, Internship, Volunteer Work
      • Search for Employment
      • Resume

The Learning Clinic

slide56

What Does a Transition Program Include?

  • Employment / Continued
      • Job Applications
      • Job Interview
      • Computer Skills for the Workplace
      • Wage Deductions
      • Maintaining Employment

The Learning Clinic

slide57

What Does a Transition Program Include?

  • Employment / Continued
      • Changing Jobs
      • Termination of Employment
      • Job Safety Gear
      • Work Procedures
      • Maintaining Employment

The Learning Clinic

slide58

What Does a Transition Program Include?

  • Employment / Continued
      • Workman’s Compensation

Procedures

      • Sexual Harassment in the

Workplace

The Learning Clinic

slide59

What Does a Transition Program Include?

  • Post Secondary Education
      • Career Track and Opportunities for Employment
      • Education and Training Needed for Chosen Career
      • Colleges & Technical Schools with Available Programs

The Learning Clinic

slide60

What Does a Transition Program Include?

  • Post Secondary Education / Continued
      • Cost & Ways to Pay for Tuition
      • Financial Aid Paperwork
      • Scholarships
      • Complete College Applications
      • Analyze Acceptance & Available Money

The Learning Clinic

slide61

What Does a Transition Program Include?

  • Post Secondary Education / Continued
      • Borrowing Money for College Training
      • Plan Timeline & What Will Be Needed

for School

      • Support Service for Post-Secondary Education

The Learning Clinic

slide62

What Does a Transition Program Include?

  • Healthy Relationships
      • Quality of Healthy Relationships
      • Personality Traits (Self & Others) Necessary for Healthy Relationships
      • Emotional & Mental Well-being Within a Relationship
      • Boundaries & Intimacy

The Learning Clinic

slide63

What Does a Transition Program Include?

  • Healthy Relationships / Continued
      • Relationship “Games”
      • Abusive Dangerous Relationships
      • How to Choose Healthy Partners for Relationships

The Learning Clinic

slide64

Transition and Comparison Students Independent Living Skill Assessment T1 - T4

Housing Acquisitions & Leases Home Management Meal Planning & Preparation DiningClean Up & Food StorageBudgeting & Taxes Banking & CreditConsuming TransportationLeisure Legal AwarenessHealth Time ManagementMaintain Personal Safety in House Maintain Personal Safety in CommunitySafety During Dating RelationshipsPersonal Presentation Community Resources Community Service Career Planning Employment Post-Secondary Education Healthy Relationships

Time Line for Data Collection

Sep Oct Nov Dec JanFebMar

Skills Showing Significant Improvement by Transition vs. Comparison Students at T-4

Skills Showing no Significant Improvement by Transition vs. Comparison Students at T-4

Meal Planning & Preparation

Time -1

Time - 4

The Learning Clinic

slide65

Transition Program Independent Living Skills

Search for Apartment / Other Housing Read / Understand Lease Agreement Analyze / Understand Pros & Cons of Shared Living Know Legal Rights & Responsibilities of Landlord & Tenant Understand the Four Basic Food Groups Read Pay Stub Track Expenses for One Month Develop a Routine for Paying Monthly Expenses Maintain a Spending Plan for One Month Purchase a Money Order Understand the Different Forms of Credit Compare the Pros & Cons of “Renting to Own” Comparison Shop for Apartment Items & Furnishings Understand Basic Consumer Rights Understand the Costs of Car Ownership Identify Strategies to Control Stress Lock Doors in Home Safely Use Pubic Transportation Define Sexual Abstinence Develop Effective Strategies for Budget’g & Shopping Know How Body Language affects Perceptions of Others Search for Employment in the Community Understand Worker’s Compensation Procedures Understand Laws re: Sexual Harassment in the Workplace Analyze Prerequisites for Training & Education (ie SAT, etc.) Research Colleges/Tech Schools for avail. Programs/Train’g Plan Time Line & What will be Needed for School

Transition Program Independent Living Skills -Total 183 Line Items (Including the 28 Significantly Improved)

28 Line Item Skills Significantly Improved T1 to T4

T1- Oct 03 / T4 - Feb 04

The Learning Clinic

slide66

Transition Program Independent Living Skills - Areas of Significant Progress

Housing Acquisitions & Leases Meal Planning & Preparation Dining Clean Up & Food Storage Consuming Transportation Legal Awareness Health Time Management Maintain Personal Safety in House Maintain Personal Safety In Community Safety During Dating Relationships Community Resources Community Service Career Planning Employment Post-Secondary Education Healthy Relationships

22%

Home Management Budgeting & Taxes Banking & Credit Leisure Personal Presentation

% of Skills (5 of 23) Significantly Increased from T1 – T4

The Learning Clinic

slide67

What Is on the Horizon for Asperger Students?

  • Early Diagnosis
      • Pediatric Training
      • Teacher Training

Psycho - Education Treatment

Cognitive Behavioral Therapy

The Learning Clinic

slide68

What Is on the Horizon for Asperger Students?

  • Technology
      • Distance Coaching (remote

video monitoring)

      • Computer Checklists and Prompting
      • Computer Assisted Instruction (CAI)

The Learning Clinic

slide69

What Is on the Horizon for Asperger Students?

  • Technology / Continued
      • Kurtzweil
      • Dragon Naturally Speaking

The Learning Clinic

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TLC

LCTLCTLC

The

TLCTLC

Learning

Clinic

LCTLCTLC

TLCTLCT

End

TLC

TLCTL

. . . because every child can succeed!

slide71

TLC

LCTLCTLC

TLCTLC

To view this Presentation - or other TLC Presentations, visit The Learning Clinic web site:

www.thelearningclinic.org

Then click to the - Conferences and Presentationspage.

LCTLCTLC

TLCTLCT

TLCTL

TLC