Coping With Autism - Support For Families

Based on the U.S. Department of Education's 2002Family dinners may be disrupted or shortened and
report to Congress on IDEA the number of studentsbedtimes may be interrupted. Sleep deprivation is
with autism in U.S. schools has increased by 1354% incommon in both the child with autism and the parents
an eight-year period from 1991-1992 to 2000-2001 (asof the child. Society reactions can also have a major
cited by the Autism Society of America, 2003). Thisimpact on family stress and may cause the family to
increase is almost fifty times higher than all disabilitiesavoid community outings or family events (Autism
(excluding autism), which has increased in the U.S. bySociety of America, n.d.). Families may not go to family
28.4%. From 1991-1992 to 2000-2001 school years, theget-togethers because the child has difficulty
number of students with autism that are being servedinteracting with others (Autism Society of America,
under IDEA has increased from 5,415 to 78,749n.d.). Families are sometimes embarrassed around
respectively (as cited by Autism Society of America,extended family members and may have difficulty
2003).relating to other family members.
According to the Center for Disease Control in 2001,Another stress for parents is learning about all of the
autism affects an estimated 2 to 6 per 1,000 individualsmethods and strategies to teach children with autism.
and it is the most common of PervasiveThey must learn about these methods so that they
Developmental Disorders (as cited by the Autismcan help to determine an appropriate educational
Society of America, n.d.). Based on these statistics, it isplacement for their child with autism and so that they
estimated that 1.5 million Americans are believed tocan be active members in the IEP process. There are
have some form of autism (Autism Society ofcurrently many treatment approaches and strategies
America, n.d.). Autism has been found to affect allto teach children with autism. Current methods include
races, cultures, socioeconomic statuses, andApplied Behavior Analysis, Discrete Trial instruction,
educational backgrounds (Autism Society of America,Picture Exchange Communication System, TEACCH,
n.d.). This rate of growth in autism not only signifies aFloortime, RDI, Social Stories, and Sensory Integration.
need for more professionals to be trained to teachOnce strategies are determined, using some of these
individuals with autism, but the need for increasedmethods has potential to reduce family stress and
training and support for families of children with autism.enhance the family's quality of life. Because many
Parents of children with autism are coping with achildren with autism have difficulty generalizing skills, it is
considerable amount of stress and an overwhelmingextremely important for parents to carry over the
amount of information about the disability. Families ofchild's skill training from school to the home. Parents
children with autism can benefit from support fromcan also be effective teachers.
professionals, other family members, and society, inFamilies that are taught effective behavioral
order to manage the stress effectively.intervention strategies to manage challenging
Parents of children with autism take on many roles inbehaviors, are taught and involved in the functional
their child's education. They must first recognize andassessment process, are trained in facilitating functional
pursue a diagnosis for their child. Once an accuratecommunication (both verbal and non-verbal), have
diagnosis is made, they must find a suitable programbeen found to have greater success at home with the
and services for their child. Parents need to also actchild with autism (Moes & Frea, 2002). When
as teachers in the home so that their children learn todetermining behavior plans, professionals need to take
generalize skills in the home that they are taught atinto consideration family routines when analyzing
school. In order for parents to be effective teachers,challenging behaviors (Moes & Frea, 2002).
they need to have specialized knowledge, skills, andBehavioral interventions are more successful and
information about the efficacy of different treatmentmeaningful to families when their beliefs, values and
programs (Educating Children with Autism, 2001).goals are taken into consideration (Moes & Free,
Because parents are also advocates for their child,2002).
they need to have knowledge of special education lawA family centered educational approach may be the
and the available services. Due to the stress level ofmost beneficial to a child with autism and their families
raising a child with autism, parents need coping skills(National Academy Press, 2001). Formal support may
(National Academy Press, 2001). According to a studycome from teachers, IEP team members, doctors, the
by Gallagher, (as cited by National Academy Press,local education agency representative, and other
2001), the multiple roles of the parent as teacher,professionals that treat the child. Informal support may
advocate, loving parent, and family member can become through parent networking, parent support
extremely demanding for parents.groups, families, and neighbors. According to Bristol in
In 2000 Nissenbaum, Tollefson, and Reese (as cited by1987, "parents found a positive relationship between
The National Autistic Society, n.d.), studied the impactadequacy of social support, the use of active coping
of an autism diagnosis on families. They found thatbehaviors, and family adaptation for parents of children
parents actually felt relieved at having an explanationenrolled in the TEACCH program" (National Academy
for their child's unusual behaviors (National AutisticPress, 2001, p.34).
Society, n.d.). The diagnosis alleviated concerns thatCoping with a child with autism is difficult and stressful
they were doing something wrong (National Autisticfor many families. As with the impact of
Society, 2000). As with other parents of children withsocioeconomic status and ethnicity of the parents,
disabilities, many parents or children with autism gothere is not yet a lot of research on the stress levels
through a grieving process after receiving the diagnosisof parents based on the child's cognitive level and
of autism.communication level. Based on current research, in
Based on research, the education of children withorder to cope with the stress of having a child with
autism is a source of a great deal of stress for manyautism and to experience gains in their education at
families. Research conducted by Holroyd andschool and at home, parents need to learn specialized
McArthur in 1976 and by Donovan in 1988 (as cited byskills and teaching methods that can be implemented
the Autism Society of America, n.d.) found that parentsat home. Successful collaboration and training with
of children with autism experience greater stress thanprofessionals working with the child with autism has
parents of children with mental retardation and Downthe capability of reducing family stress and an increase
Syndrome. This stress may be a result of thein the child with autism's communication, socialization,
maladaptive and antisocial behaviors a child withcognitive, adaptive skills and a reduction in maladaptive
autism may exhibit (Autism Society of America, n.d.).behaviors in the home environment. Professionals
Because individuals with autism often have difficultyworking with students with autism must include the
expressing even basic wants or needs, parents mayparents as advocates in the IEP process, functional
feel frustrated when they are unable to determine thebehavior assessments, and behavior intervention plans.
child's needs (Autism Society of America, n.d.). TheProfessionals must provide opportunities for parents to
child with autism may exhibit frustration throughbe trained in teaching methodologies used at the
self-injurious behaviors, aggression, or tantrums thatschool. Professionals must also consider themselves a
threaten the safety of others (Autism Society ofsource of support for families of children with autism
America, n.d.). Parents may feel that the stereotypic orand be knowledgeable about special education law,
self-stimulatory behaviors (ie: hand-flapping, tapping,treatment methods and scientific research. As a
lining things up, perseveration on an object), of theirteacher of young children with autism, I have
child with autism are strange and interfering withwitnessed first hand the benefits of conducting parent
functioning (Autism Society of America, n.d.). Becausetrainings and support groups, whether they are on a
children with autism usually have severe deficits ingroup basis or an individual basis. Based on parent
social skills, such as playing appropriately with peers,feedback, parent trainings and support groups are
parents may find themselves stressed with findingextremely beneficial to those that attend, and most
appropriate leisure activities for the child at homeparents express that there is never enough time to
(Autism Society of America, n.d.). Some children withtalk with the teachers and other parents--there is
autism have difficulties sleeping and may only eatalways a desire to learn more and for more
limited food items, which causes another source ofopportunities to collaborate.
struggle for parents (Autism Society of America, n.d.).