Based on the U.S.
Department of Education's 2002 report to Congress on IDEA the number of
students with autism in U.S. schools has increased by 1354% in an eight-year
period from 1991-1992 to 2000-2001 (as cited by the Autism Society of America,
2003).
This increase is almost
fifty times higher than all disabilities (excluding autism), which has
increased in the U.S. by 28.4%. From 1991-1992 to 2000-2001 school years, the
number of students with autism that are being served under IDEA has increased
from 5,415 to 78,749 respectively (as cited by Autism Society of America,
2003).
According to the Center
for Disease Control in 2001, autism affects an estimated 2 to 6 per 1,000
individuals and it is the most common of Pervasive Developmental Disorders (as
cited by the Autism Society of America, n.d.).
Based on these
statistics, it is estimated that 1.5 million Americans are believed to have
some form of autism (Autism Society of America, n.d.).
Autism has been found to
affect all races, cultures, socioeconomic statuses, and educational backgrounds
(Autism Society of America, n.d.).
This rate of growth in
autism not only signifies a need for more professionals to be trained to teach
individuals with autism, but the need for increased training and support for
families of children with autism.
Parents of children with
autism are coping with a considerable amount of stress and an overwhelming
amount of information about the disability.
Families of children
with autism can benefit from support from professionals, other family members,
and society, in order to manage the stress effectively.
Parents of children with
autism take on many roles in their child's education.
They must first
recognize and pursue a diagnosis for their child. Once an accurate diagnosis is
made, they must find a suitable program and services for their child.
Parents need to also act
as teachers in the home so that their children learn to generalize skills in
the home that they are taught at school.
In order for parents to
be effective teachers, they need to have specialized knowledge, skills, and
information about the efficacy of different treatment programs (Educating
Children with Autism, 2001).
Because parents are also
advocates for their child, they need to have knowledge of special education law
and the available services.
Due to the stress level
of raising a child with autism, parents need coping skills (National Academy
Press, 2001). According to a study by Gallagher, (as cited by National Academy
Press, 2001), the multiple roles of the parent as teacher, advocate, loving
parent, and family member can be extremely demanding for parents.
In 2000 Nissenbaum,
Tollefson, and Reese (as cited by The National Autistic Society, n.d.), studied
the impact of an autism diagnosis on families.
They found that parents
actually felt relieved at having an explanation for their child's unusual
behaviors (National Autistic Society, n.d.).
The diagnosis alleviated
concerns that they were doing something wrong (National Autistic Society, 2000).
As with other parents of
children with disabilities, many parents or children with autism go through a
grieving process after receiving the diagnosis of autism.
Based on research, the
education of children with autism is a source of a great deal of stress for
many families.
Research conducted by
Holroyd and McArthur in 1976 and by Donovan in 1988 (as cited by the Autism
Society of America, n.d.) found that parents of children with autism experience
greater stress than parents of children with mental retardation and Down
Syndrome.
This stress may be a
result of the maladaptive and antisocial behaviors a child with autism may
exhibit (Autism Society of America, n.d.).
Because individuals with
autism often have difficulty expressing even basic wants or needs, parents may
feel frustrated when they are unable to determine the child's needs (Autism
Society of America, n.d.).
The child with autism
may exhibit frustration through self-injurious behaviors, aggression, or
tantrums that threaten the safety of others (Autism Society of America, n.d.).
Parents may feel that
the stereotypic or self-stimulatory behaviors (ie: hand-flapping, tapping,
lining things up, perseveration on an object), of their child with autism are
strange and interfering with functioning (Autism Society of America, n.d.).
Because children with
autism usually have severe deficits in social skills, such as playing
appropriately with peers, parents may find themselves stressed with finding
appropriate leisure activities for the child at home (Autism Society of
America, n.d.).
Some children with
autism have difficulties sleeping and may only eat limited food items, which
causes another source of struggle for parents (Autism Society of America,
n.d.).
Family dinners may be
disrupted or shortened and bedtimes may be interrupted. Sleep deprivation is
common in both the child with autism and the parents of the child. Society
reactions can also have a major impact on family stress and may cause the
family to avoid community outings or family events (Autism Society of America,
n.d.).
Families may not go to
family get-togethers because the child has difficulty interacting with others
(Autism Society of America, n.d.).
Families are sometimes
embarrassed around extended family members and may have difficulty relating to
other family members.
Another stress for
parents is learning about all of the methods and strategies to teach children
with autism.
They must learn about
these methods so that they can help to determine an appropriate educational
placement for their child with autism and so that they can be active members in
the IEP process.
There are currently many
treatment approaches and strategies to teach children with autism. Current
methods include Applied Behavior Analysis, Discrete Trial instruction, Picture
Exchange Communication System, TEACCH, Floortime, RDI, Social Stories, and
Sensory Integration. Once strategies are determined, using some of these
methods has potential to reduce family stress and enhance the family's quality
of life.
Because many children
with autism have difficulty generalizing skills, it is extremely important for
parents to carry over the child's skill training from school to the home.
Parents can also be effective teachers.
Families that are taught
effective behavioral intervention strategies to manage challenging behaviors,
are taught and involved in the functional assessment process, are trained in
facilitating functional communication (both verbal and non-verbal), have been
found to have greater success at home with the child with autism (Moes &
Frea, 2002).
When determining
behavior plans, professionals need to take into consideration family routines
when analyzing challenging behaviors (Moes & Frea, 2002).
Behavioral interventions
are more successful and meaningful to families when their beliefs, values and
goals are taken into consideration (Moes & Free, 2002).
A family centered
educational approach may be the most beneficial to a child with autism and
their families (National Academy Press, 2001).
Formal support may come
from teachers, IEP team members, doctors, the local education agency
representative, and other professionals that treat the child. Informal support
may come through parent networking, parent support groups, families, and
neighbors.
According to Bristol in
1987, "parents found a positive relationship between adequacy of social
support, the use of active coping behaviors, and family adaptation for parents
of children enrolled in the TEACCH program" (National Academy Press, 2001,
p.34).
Coping with a child with
autism is difficult and stressful for many families. As with the impact of
socioeconomic status and ethnicity of the parents, there is not yet a lot of
research on the stress levels of parents based on the child's cognitive level
and communication level.
Based on current
research, in order to cope with the stress of having a child with autism and to
experience gains in their education at school and at home, parents need to
learn specialized skills and teaching methods that can be implemented at home.
Successful collaboration
and training with professionals working with the child with autism has the
capability of reducing family stress and an increase in the child with autism's
communication, socialization, cognitive, adaptive skills and a reduction in
maladaptive behaviors in the home environment.
Professionals working
with students with autism must include the parents as advocates in the IEP
process, functional behavior assessments, and behavior intervention plans.
Professionals must
provide opportunities for parents to be trained in teaching methodologies used
at the school.
Professionals must also
consider themselves a source of support for families of children with autism
and be knowledgeable about special education law, treatment methods and
scientific research.
As a teacher of young
children with autism, I have witnessed first hand the benefits of conducting
parent trainings and support groups, whether they are on a group basis or an
individual basis.
Based on parent feedback, parent trainings and
support groups are extremely beneficial to those that attend, and most parents
express that there is never enough time to talk with the teachers and other
parents--there is always a desire to learn more and for more opportunities to
collaborate.
Christine Dugan works in
the special education field and is a contributing author to the health
information site [http://health.divinfo.com] as well as the article submission
site [http://www.articlemotron.com].
Article Source: http://EzineArticles.com/expert/Christine_Dugan/46564
Article Source: http://EzineArticles.com/231576
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