Autism Handbook
Autism Handbook
Autism Handbook
Autism
Physician
Handbook
Canadian Edition
Table of Contents
Page 1
Table of Contents
Page 2
Acknowledgements
Page 3
Page 4
CHAT Poster
Page 5-6
Page 7-24
Page 8-9
Social Issues
Page 10
Communications Issues
Page 11-14
Bizarre/Repetitive Behaviour
Page 15-16
Motor Issues
Page 17
Sensory Overload
Page 18-20
Sensory Issues
Page 21
Self-Injurious
Page 22-24
Safety Issues
Page 25
Gastro-Intestinal Disturbances
Page 26
Page 27
Impact on Family
Page 28
Page 29
Page 30-34
Page 35-41
Helpful Websites
Acknowledgements
We would like to thank the Help Autism Now
Society for all the hard work they have put
into this handbook and for so graciously
allowing us to modify it to suit the needs of
Canadians. It is an excellent resource to
have, and the ability to add our distinctly
Canadian content will only serve to make it
more accessible and to help a far greater
number of families.
At 18 months of age
Does your child ...
1. Look at you and
point when he/she
wants to show you
something?
2. Look when
you point to
something?
3. Use imagination to
pretend play?
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
8. Can your child play properly with small toys (e.g. cars or
bricks) without just mouthing, fiddling or dropping them?
Yes No
Yes No
Yes No
Yes No
Yes No
B2: To record Yes on this item, ensure the child has not simply looked at
your hand, but has actually looked at the object you are pointing at.
B3: If you can elicit an example of pretending in some other game, score
a Yes on this item.
B4: Repeat this with Wheres the teddy? or some other unreachable object,
if child does not understand the word light. To record Yes on this item,
the child must have looked up at your face around the time of pointing.
(See next page for scoring recommendations)
Section A
Section B
Section A
Section B
Risk Assignment
High risk for autism group
Management recommendations:
High risk group:
Behavioural
Symptoms
of Autism
Behavioral
Symptoms
of Autism
Social
Communication
Bizarre / Repetitive Behaviours
Motor
Sensory Overload
Sensory
Self Injurious
Safety
May be vicious
with siblings
May not
notice when
parent leaves
or returns
from work
May show no
interest in
Peek-a-Boo or
other interactive
games
May strongly
resist being held,
hugged or kissed
by parents
Unaware
of environment
Avoids eye-contact
Hand-Leading
10
Flapping
Staring at ceiling fan
Spinning
11
Picking lint
in the sunlight
Rocking
Obsessively
switching light
on and off
Eats unusual
objects like clothes,
mattress or drapes
13
Flicks
fingers
in front
of eyes
Finds ways
to get
deep-pressure
applied to body
Smearing feces
14
Poor coordination
OR
Clumsy
Exceptional Balance
Drooling
Unable
to ride
tricycles,
or trucks
16
17
Extreme difficulty
with haircuts
Unable to
tolerate
seat belts
May be almost
impossible to bathe
18
Gags at common
household smells
May have
difficulty
tolerating
music
Spinning
objects
close to
face
Resists
having
clothing
changed
During summer
may insist on
wearing winter
clothing
20
Head-banging
Self-biting
with no
apparent
pain
Ripping and
scratching
at skin
Pulling out
handfuls of hair
21
No sense of danger
22
23
No fear of heights
24
Gastro-Intestinal Disturbances
Dr. Tim Buie, a Gastroenterologist at Harvard University and Mass. General
Hospital, Boston, has performed endoscopies in over 1000 children with
autism. In the initial 400 children, he discovered that GI problems were
much more prevalent in children with autism than in normal controls.
20% Esophagitis
12% Colitis
12% Gastritis
55% Lactase Deficiency
10% Duodenitis
Undigested
food in stool
Diarrhea
Constipation
Severe self-limiting diet
and/or food sensitivity
25
Sleep Disturbances
Children may go days without any apparent need to sleep. May not
seem to notice difference between day and night. May have difficulty
going to sleep and staying asleep. May only sleep brief periods of an
hour or two maximum.
Consider the parents sleep-deprived state as a consequence.
Seizures
27
29
Instead they
may behave as
though they are
just lacking firm
parental controls.
They are often
very resistant
to change: new
situations, new
experiences and
new people.
30
31
32
Sibling Workshops
Respite services
34
B ritish Columbia
Autism Community Training (ACT)
http://www.actbc.ca/
Information & support for families,
training programs.
Autism Society British Columbia
http://www.autismbc.ca/
Information & support for families.
British Columbia Ministry of Education
www.bced.gov.bc.ca/specialed/#Autism
A government agency that enables
participation of students with special
needs in the educational system.
Central Okanagan Child Development
Association (COCDA)
http://www.cocda.com
Early Intensive Behaviour Intervention
for children under 6 using an ABA and
Verbal Behaviour model.
Reach Child and Youth Development
Society
http://www.reachdevelopment.org/
Offers family-centre programs and
services for children and youth.
Families for Early Autism Treatment
(FEAT) of British Columbia
http://www.featbc.org/
Education and information on early
intervention treatments for autism.
Fraser Valley Child Development Centre
http://www.fvcdc.org/
Programs and services include direct
therapy and support to children with
special needs, family education and
support and community development.
A lberta
Ability Society
http://www.abilitysociety.org/
A community-based, non-profit agency
providing a range of services including
information requests, skill and needs
assessments, assistive device
recommendations and access to
technology for those with special needs.
Alberta Adaptabilities Association
http://www.adaptabilities.ca/
Provides Edmonton and surrounding
areas with programs and respite
services for children with special needs,
focusing on essential life skills,
recreation and leisure opportunities, and
exploration of the arts.
Alberta Association for Community Living
http://www.aacl.org/
Advocates for families to receive the
support, access to inclusive education
and participation in community life.
35
S askatchewan
Autism Resource Centre
http://www.autismresourcecentre.com/
Services people with ASD and
support their families.
Autism Services
http://www.autismservices.ca/
Provides programs and services.
SCE Lifeworks
http://www.lifeworks.mb.ca/homepage.html
Services include individualized,
consumer directed planning (with
parental input), supported
employment, access and support to
continuing education, recreation/
leisure activities, physiotherapy,
speech therapy, and ongoing follow-up
support services.
Government of Saskatchewan
http://www.health.gov.sk.ca/autism
Provides information, training sessions
and strategic direction.
SASKFeat
http://www.saskfeat.com/
Supports research and education.
Persons with Developmental Disabilities
(PDD) Program
www.pdd.org/default.shtml
Part of the Ministry of Seniors and
Community Supports. Develops,
implements, and evaluates a provincial
plan for the delivery of supports to adults
with developmental disabilities in order
to include them in community life. They
also work with local agencies to provide
services.
Society for Treatment of Autism (STA)
http://www.sta-ab.com/
Provides comprehensive treatment
and educational services for children
and adolescents between the ages of
2 and 18. They offer support,
consultation and educational services for
families and communities in Alberta.
M anitoba
Asperger Manitoba Inc.
http://www.asperger-manitoba.ca/
Encourages early diagnosis and
spreads awareness and information of
Asperger Syndrome.
Autism Portage
www.autismportage.ca/
For parents and professionals in the
Portage la Prairie, Manitoba area with
local resources and general
information on ASD.
Autism Society Manitoba
http://www.autismmanitoba.com/
Provides information and support for
families.
36
O ntario
ABACUS
http://www.abacuslist.ca/
Provides a listing of Autism ABA
providers serving Ontario and
information about ABA.
Asperger Society Ontario
www.aspergers.ca
Provides education, resources and
support while enabling individuals with
AS to realize their potential.
Q uebec
Association du Qubec pour
lintgration sociale
http://www.aqis-iqdi.qc.ca
French site.
Autism Ontario
www.autismsociety.on.ca
Provides information, referrals,
increases public awareness, supports
research and advocates for programs
and services for the autism
community.
Geneva Centre for Autism
http://www.autism.net/
Delivers clinical intervention services
and training, supports research and
educates.
Kerrys Place
http://www.kerrysplace.org
Offers Community Outreach
programs, which provide support and
consultation to individuals with autism
and their families.
Ministry of Children and Youth
Services
http://www.children.gov.on.ca/
Ontario provides a range of services
and supports to children and youth
with autism.
Socit Franco-Ontarienne de lAutisme
www.autismefranco.ca
Provides services in French to families
in Ontario.
Regional Service Providers:
Central East Region - Kinark Child and
Family Services
www.kinark.on.ca
Markham, ON
Central West Region - ErinoakKids
Centre for Treatment and Development
www.erinoakkids.ca
Mississauga, ON
37
Pro-Autism
www.pro-autism.com
Provides educational activities and
RDI consultations. Includes home
visits, training programs, and ongoing
consultation.
Rseau national dexpertise en troubles
envahissants du dveloppement (Network of expertise)
http://www.msss.gouv.qc.ca/sujets/
groupes/rneted/index.php?accueil
French site. Promotes communication
and idea exchange through its members,
professionals and other persons in
Quebec with expertise in the field.
Services de rpit Emergo Autisme T.E.D.
http://www.servicesderepitemergo.com/
Offers respite services to families living
with autistic people, provides stimulating
outdoor environment adapted special
needs, and encourages to maintain and
develop their capabilities.
N ew B runswick
Autism Society of New Brunswick
http://www.autismnb.org/
Promote public awareness,
understanding and acceptance of
persons diagnosed ASD, while providing
families with support.
N ova S cotia
Alexander Society
http://www.alexandersociety.org/home.html
Provides arts-based education programs
to children and teens with special needs.
Includes after- and in-school programs.
Autism Society Nova Scotia
http://www.autismsocietynovascotia.ca/
Provides information and support for
Autism Resouce Centre (ARC)
families. Includes support groups, raising
http://www.monctonarc.com/
awareness, and bringing together
Provides available and accessible social families in similar situations.
support, self-help, public education, and
Early Intervention
a broad array of resources for persons
with autism and their families. Includes a http://www.earlyintervention.net/
Provides family centred services to
lending library for information, books,
families of children with special needs
toys, and other educational resources.
(newborn - 6y) in their own homes.
Autism Resources Miramichi Inc.
Government of Nova Scotia:
www.autismmiramichi.com
Community Care
Resource Centre serving all
http://www.gov.ns.ca/coms/
individuals, families and professionals
Provides support for children and
affected by Autism. Facilitates
families, services, assistance with
professional intervention and
involvement in the context of a
housing and repairs and more.
supportive and inviting environment.
IWK Health Centre
Government of New Brunswick
www.iwk.nshealth.ca
http://www.gnb.ca/
Diagnostic and other assessment
Provides intervention services to pre-
services, consultation and some
school age children with Autism
intervention services.
Spectrum Disorder. (Note: Select child
care as the keyword, then select the
Provincial Autism Centre (PAC)
program Services for Preschool
http://www.autismcentre.ns.ca
Children with Autism Spectrum
Professionally run non-profit Resource
Disorder.)
Centre, providing services and access to
information about ASD to individuals,
M.O.R.E. Services
parents and professionals across the
http://www.moreservices.ca/
province.
Assists and supports individuals with
intellectual disabilities. Includes training
in daily living, activities, job readiness
training and supported employment.
New Brunswick Association for
Community Living (NBACL)
http://www.nbacl.nb.ca/
Supports families, provides training and
education, does research, provides
inclusive recreation and leisure
opportunities.
38
Y ukon
Autism Yukon
www.autismyukon.org
A detailed handbook to Yukon services
is available on their website home page.
Government of Yukon, Health and
Social Services
http://www.hss.gov.yk.ca/
Services to Children with Disabilities.
LArche Canada
http://www.larche.ca/en/
Bilingual site; Montreal-based
organization with community homes
N unavut / N orthwest T erritories across the country.
N ational - G overnment
N ewfounland / L abrador
Autism Society of Newfoundland
and Labrador
http://www.autism.nf.net
Promotes timely diagnosis, intervention
treatments, public awareness and re
search. Provides support and
information.
The Government of Newfoundland and
Labrador Health and Community
Services: Autism Pilot Project
http://www.health.gov.nl.ca/health/divisions/pgmpolicy/default.htm#autism
Two year early intervention treatment for
preschool children, including intensive
ABA program.
39
Roeher Institute
http://www.roeher.ca/english/about/about.htm
Leading research and development
organization; generates knowledge,
information and skills to secure the
inclusion, citizenship, rights and equality
of people with intellectual and other
disabilities.
Special Olympics Canada
http://www.specialolympics.ca/
Special Olympics Canada is dedicated
to enriching the lives of Canadians with
an intellectual disability through sport.
Autism Resources
www.autism-resources.com
Extensive book list and international re
sources link. Translates into 16
languages: Arabic, Chinese, Danish,
Dutch, Finnish, French, German, Greek,
Hebrew, Hungarian, Italian, Japanese,
Korean, Portuguese, Spanish, and
Swedish.
Autism Today
www.autismtoday.com
Creative, interactive, one-stop shop
Autism Research Institute
to navigate the maze of autism-related
www.autism.com
information. Over 2,500 pages, is the
Online resources including a database
largest autism resource online and
covering more than two decades of
responses freom over 25,000 parents on resource distributor in the world.
behavioural interventions. Articles
available in Spanish, French, Italian,
Russian and Portuguese.
First Signs
www.firstsigns.org
Resource for parents and
professionals regarding normal/typical
development milestones. Useful
baseline information for parents to
discuss with physician if they have
developmental concerns about their
child.
Help Autism Now Society
www.helpautismnow.com
Physician resources include user-
friendly, objective materials to enable
physicians to more quickly recognize
and screen for autism. A handbook with
over 100 illustrations depicting the
behavioural symptoms of autism and a
4-minute tutorial video of CHAT
screening tool.
40
MedLinePlus
www.nlm.nih.gov/medlineplus/autism.html
Links to news; diagnosis/symptoms,
treatment, research, organizations.
National Autistic Society, UK
www.nas.org.uk/
Telephone hotline, free parent-to-parent
telephone service, support, schools,
news, and events.
National Institute of Health (NIH) Autism
Website
www.nichd.nih.gov/autism/
Most current information about NICHD
research projects, publications, news
releases, and other activities related to
autism. Publications available in
Spanish.
Future Horizons
www.autismpespanol.com
Extensive resource for publishing and
books relating to the autism spectrum;
books and tapes available online.
Website in Spanish.
National Dissemination Center for
Children with Disabilities (NICHCY)
www.nichcy.org/pubs/factshe/fs1txt.htm
Autism facts, resources, organizations.
Available in Spanish.
M agazines
The Autism Advocate
www.autism-society.org/autismadvocate
A quarterly magazine that offers a
diverse collection of the latest issues in
autism.
The Autism Aspergers Digest
www.futurehorizons-autism.com
Features articles and material from
around the world; covers the latest
people, products, research, news and
viewpoints emerging in the autism field.
Full-length excerpts from ground-
breaking new books on autism, original
articles from top specialists, etc.
The Autism File
www.autismfile.com
A quarterly magazine dealing with all
aspects of autism.
The Autism Perspective (TAP)
www.theautismperspective.org
Provides balanced information on the
myriad of therapies and treatments
for the vast and complicated realm of
autism.
The Autism Spectrum Quarterly
www.ASQuarterly.com
A megajournal, combining the readability
and interest of high-level magazine with
the substance and depth of a
professional journal. Features research
and commentary aimed at helping
parents, teachers, and clinicians
translate research into practice.
Pubmed
www.ncbi.nim.nih.gov/pubmed
Free, immediate internet access to the
most up-to-date and previously
published medical studies from
numerous international medical journals.
Can be accessed by subject, author,
or title of study. Abstracts often available
electronically at no charge.
Spectrum
www.spectrum publications.com
For parents of children with autism and
developmental disabilities. Wide variety
of topics, including educational, research
and biomedical. Contains autism-specific
41