People with autism can benefit from occupational therapy, both at home and at school. Autism is a complex developmental disorder. A person who has autism often has trouble communicating and interacting with other people. The person’s interests, activities, and play skills may be very limited.
What’s the role of occupational therapy (OT) in treating autism?
Occupational therapists study human growth and development. They are experts in social, emotional, and physiological effects of illness and injury. This knowledge helps them promote skills for independent living in people with autism.
Occupational therapists work as part of a team that includes parents, teachers, and other professionals. They help set specific goals for the person with autism. These goals often involve social interaction, behavior, and classroom performance.
Occupational therapists can help in two main ways: with evaluation and therapy.
How is occupational therapy useful for evaluation with autism?
The therapist observes children to see if they can do tasks they are expected to do at their ages. These might relate to certain self-help skills, such as getting dressed. Or they might involve knowing how to play a game. Sometimes, it helps to videotape a child during the normal course of the day. This will help the occupational therapist better assess what is needed for care. With the tape, the therapist might learn about the child’s reactions to the environment. For example the therapist might note any of the following:
-attention span and stamina
-transition to new activities
-play skills
-need for personal space
-responses to touch or other types of stimuli
-motor skills such as posture, balance, or manipulation of small objects
-aggression or other types of behaviors
-interactions between the child and caregivers
How does occupational therapy help a person with autism?
Once an occupational therapist has gathered information, he or she can develop a program for your child. There is no single ideal treatment program. But early, structured, individualized care appears to work best.
Occupational therapy may combine a variety of strategies. These can help your child respond better to his or her environment. These OT strategies include:
-physical activities, such as stringing beads or doing puzzles, to help a child develop coordination and body awareness
-play activities to help with interaction and communication
-developmental activities, such as brushing teeth and combing hair
-adaptive strategies, including coping with transitions
What are the benefits of occupational therapy for autism?
The overall goal of occupational therapy is to help the person with autism improve his or her quality of life. This includes life at home and at school. The therapist helps introduce, maintain, and improve skills. That way, people with autism can be as independent as possible.
These are some of the skills occupational therapy may foster:
-daily living skills, such as toilet training, dressing, brushing teeth, and other grooming skills
-fine motor skills required for holding objects while handwriting or cutting with scissors
-gross motor skills used for walking or riding a bike
-sitting, posture, or perceptual skills, such as telling the differences between colors, shapes, and sizes
-visual skills for reading and writing
-play, coping, self-help, problem solving, communication, and social skills
By working on these skills during occupational therapy, a child with autism may also do the following:
-develop peer and adult relationships
-learn how to focus on tasks
-learn how to delay gratification
-express feelings in more appropriate ways
-engage in play with peers
-learn how to self-regulate
What is sensory integration therapy?
You may have heard a lot about sensory integration therapy. That’s because some researchers estimate that eight out of 10 children with autism have problems processing sensory input. For example, they can’t filter out background noise. Other signs of processing issues include:
-problems with balance
-problems with body position in space
-problems with sensitivity to touch such as the feel of certain types of clothing like the seams in socks
With autism, social, behavioral, or attention problems can be partly a result of these sensory challenges. Although more research is needed, OT can help with sensory integration and some of the related behavioral problems. Research suggests sensory integration therapy is less helpful in terms of improving academic performance.
Examples of sensory integration therapy include:
-being brushed or deeply touched and massaged
-compressing elbows and knees
-swinging
-spinning on a scooter
-wearing a weighted vest
How can someone obtain OT services for autism?
You can obtain occupational therapy services either privately or at school. Public law requires schools to provide occupational therapy to those who need it. Private insurance also usually covers OT. Not sure, just ask, it won’t hurt, and besides, if YOU don’t ask, how will you ever know?
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