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Facilitating Friendships between Children


Before your child begins school you may want to provide him with opportunities to spend time with other children his age. This is the best way to help him develop the social skills he will need to make friends and get along with his classmates in kindergarten. Children learn different things from each other than they do from adults. Think back to your childhood friendships. There is nothing like sharing a silly joke with your friends.

Keep in mind that friendships are like plants. They take time to grow and require special care and effort to blossom. When helping your child make friends follow his lead and respect his comfort level. Pushing him to befriend a particular child or participate in activities he doesn’t enjoy may lead to disappointment and rejection. Taking things slowly and focusing on fun are more likely to lead to success in the long run.

Practicing Social Skills with Your Child

Before introducing your child to other children, it may be a good idea to practice his social skills at home. This way he will ‘know what to do’ when he meets other children.

As adults, we sometimes confuse social skills with manners. While knowing the ‘magic words’ is certainly helpful, saying ‘please’ does not guarantee a child will be included in play. As young children spend a lot of time playing with each other, this is a good place to start when developing your child’s social skills.

Whatever your child’s skill level, praise him for positive behaviour such as sharing and taking turns with others. If your child misbehaves by doing things such as grabbing or pushing to get toys, show him more appropriate behaviours. A fun way to teach social skills is to ‘act out’ social situations with your child using dolls or puppets.

Here are a few examples:

  • Asking someone to play.
  • What to do when you want to play with someone’s toy.
  • What to do when someone takes your toy.

In the beginning, you should play all the ‘parts’ to show your child what he can do or say in certain situations. Maintain his interest by using characters from his favourite television shows. Be sure to speak in an animated voice and use words that your child can understand. Try to act out situations with both positive and negative responses. This will help your child understand that other children will not always be willing to share or play with him. Here is a sample situation you can act out using characters from the television show, “Sesame Street”.

Ernie: “Hi Oscar! Want to play ball?”
Oscar: “I don’t like ball.”
Ernie: “Hmmm….Oscar doesn’t want to play.
I’ll ask Big Bird. Hi Big Bird! Want to play ball?”
Big Bird: “OK Ernie. Roll me the ball!”

After you have ‘acted out’ a few social situations for your child, you can encourage him to join in. You may also want to view the on-line story “Play Time” with your child to show him how a communication book can be used during play.

Choosing Playmates and Activities

Like adults, some children find it easier to make friends and meet new people than others. Some people naturally prefer to spend time on their own while others are more out-going. When thinking of potential playmates for your child, consider his personality, age, and interests. A child of the same age with a similar personality and interests should be a good match.

If you are having difficulty thinking of children your child might enjoy spending time with, you might want to try:

  • Visiting neighbours or extended family members with young children.
  • Visiting a local park, Ontario Early Years Centre, library story hour, family resource centre, or childcare so he can see and be around other children.
  • Meeting other parents whose children have special needs.
  • Attending ‘parent-and-child’ swimming or music lessons together.

Make a note of children your child seems comfortable with and those he tends to stay away from. You may find that an older sibling or neighbourhood child will take your child ‘under her wing’ and include him in activities.

Once you have chosen a few playmates for your child you can begin to plan some activities for them to enjoy together. Introduce your child to one new playmate at a time. Inviting several children over at once may be overwhelming. Try to plan activities that suit your child’s personality and social skills. If your child is quiet and doesn’t talk much, inviting a friend over to watch a video may be a good idea. On the other hand, if your child is very active and energetic, an outdoor activity might be more enjoyable. For children who are most secure at home with a familiar caregiver in the room, planning activities such as baking that require adult supervision can be helpful.

Finally, if you find that your child becomes extremely anxious or upset when he is introduced to new people or is separated from familiar caregivers, you may want to contact a professional for some advice and support.

At School

When your child is ready to begin school it is a good idea to meet with your child’s teacher and other adults that may be working with him in the classroom. You can discuss ways to develop your child’s social skills and help him make friends. Sharing information about your child’s skills and interests is important. He is more likely to use his social skills at school when he is doing something he is good at and enjoys. Sometimes children misbehave to avoid activities they dislike. You can also ask which activities and games are popular at recess and in the classroom. If possible, you can introduce your child to these games at home.

It is also helpful to provide information on things that may affect your child’s ability to get along with his classmates. For example, if he does not like to be touched a lot, he can be seated beside classmates that are able to keep their hands to themselves. If he is more comfortable playing with one child than a group he may be encouraged to ask one child to play rather than join in a group.

It may be a good idea for you or a family member to attend a field trip or school concert with your child. This will give you a chance to get to know the other parents and children in his class.

Child-Friendly Clothing

We all have our own sense of style. For many young children clothing is a way for them to express themselves. While this is wonderful, it can be a challenge when you are trying to get your child ready for school in the morning. Some children may insist on wearing the same t-shirt day after day. Others may insist on wearing ‘dressy clothing’ to school.

Children who are learning to dress themselves need more time to get ready in the morning. When choosing your child’s outfits for school, think of what he can easily do on his own and what he needs help with. It is also helpful to keep in mind what clothing he might have to remove at school. A shirt with buttons is OK but pants with buttons may be difficult for your child to undo in a hurry when he needs to use the washroom.

Teaching Dressing Skills

When teaching your child dressing skills, make sure you have plenty of time, patience, and, a sense of humour. Most preschool and kindergarten age children need some help with getting dressed whether or not they have special needs. If your child has a physical disability that makes it difficult for him to move, grasp, or pull, you may want to speak to an Occupational Therapist (O.T.). An O.T. can provide you with information on techniques and devices that will make it easier for your child to dress himself.

Here are some questions to help you decide which dressing skills to focus on with your child:

  • Does he know where clothing goes on the body?
  • Can he tell when clothing has been put on backwards or inside out?
  • Does he know how to put on or take off clothing in the right order?
  • Can he take off clothing?
  • Can he put on clothing?
  • Can he attach clothing using Velcro, zippers, or buttons?

In general, children learn how to take off clothing before they learn to put it on. Children who get hot easily or do not like the feel of fabric against their skin, may try removing their socks or a sweater. Most children learn dressing skills that require gross motor movements before ones that require fine motor movements. Pulling pants up or down is easier than zipping them up! When helping your child get dressed, provide him with opportunities to participate and describe your actions. Be sure to emphasize body and clothing words. For example, you can hold out a shirt and say, “Joey, put your arms out. Now, you can put your shirt on. That’s right, one arm at a time!” Provide your child with assistance as needed.

Here are some fun ways to practice dressing skills.

Dolls
Use a doll to show your child where clothing goes on the body and how to put it on. Let him practice dressing and undressing the doll on his own. Keep in mind that buttons and snaps on doll clothing are hard to do because they are so tiny.

Cut-Out People
Cut some people shapes out of felt or cloth. Put a piece Velcro on the chest and at the waist of each person. Next, cut shirts, pants, and skirts out of fabric scraps and put Velcro on each piece of clothing. Your child can practice attaching the clothing to the people using Velcro. This will help him learn where clothing goes on the body and how to use Velcro.

Dress Up
Young children love dressing up in adult clothing and pretending to be ‘grownup’. This is a fun and creative way for your child to practice putting on and taking off clothing. The larger clothing will be easier for him to put on. Just make sure that it is not long enough for him to trip over.

Button Train
Cut a few train shapes out of coloured pieces of felt. Take half of the train shapes and sew a large button onto the back end of each one. Take the rest of the train shapes and make a vertical cut on the front end of each one. The cut should be just wide enough for the button to go through. Show your child how to ‘button’ together the train.

Organizing for Independence

You can involve your child in his dressing routine by grouping together outfits and allowing him to choose one to wear each day. This provides him with a choice and ensures that he is wearing clothing that is suitable for school and the weather. Some parents prefer to lay out an outfit the night before.

If your home has the room, you can set up an area for your child’s outerwear and backpack near the doorway. Put a small mat on the floor for his shoes and attach hooks to the wall for his backpack and coat. Place a picture of a coat and backpack underneath the hooks to remind your child to hang them up. During the winter, you can add a bin for his hat or scarf. Your child may find it easier to identify his belongings and practice dressing himself if he has his own space.

Tips on Choosing Clothing for School

Young children love to explore when they are at school. They often participate in messy activities such as painting or water play. Clothing should be comfortable and allow your child to move. You may want to send a change of clothes with your child to school in case he gets very wet or messy.

Tops

  • Snap buttons are easier to use than regular ones.
  • If buttons are difficult for your child to manipulate, stick to shirts and sweaters that he can pull on.
  • Sweaters or light shirts with a ‘half-zip’ at the neck are easier for your child to pull over his head because they have a large neck hole.

Bottoms

  • Choose pants or skirts with elastic waistbands.
  • Choose pants that seal with Velcro.
  • ‘Cargo’ pants that have several pockets make it easy for your child to carry a communication book or ‘fidget’ toy with him.

Outerwear

  • Tie a colourful ribbon or zipper pull to the zipper on your child’s coat. This will make it easier for him to pull the zipper up and down.
  • Attach mittens to a string and feed it through the arms of your child’s coat. This way he will not lose his mittens.
  • A coat with a hood is useful if your child tends to pull off or forget his hat.
  • A coat that zips all the way up to the chin is good if your child does not like the feeling of a tightly wound scarf against his neck.

Shoes

  • To help your child understand the concepts of left and right, you can put stickers or marks on the inside heels of his shoes and boots. Then he just matches the marks.
  • Shoes that can easily be slipped on or fasten with Velcro instead of laces are practical in the winter when children need to take off their boots when they get to school. You can also buy curly shoelaces that don’t need to be tied.

Sensitivities

  • If your child is sensitive to temperature changes, dress him in layers that he can remove easily. For example, a t-shirt, with a cardigan on top.
  • If your child is sensitive to touch, cut the labels out of his clothing and make sure there are no loose threads. Try to avoid sending him to school in new clothing in case the fabric begins to irritate him.

What is Autism Spectrum Disorder?

Autism Spectrum Disorder (ASD) is a life-long developmental disorder that affects a child’s development in three main areas: social, communication and behaviour/play.

Diagnosis

  • Who can make the diagnosis?
    Diagnosis can be made by a medical doctor, psychologist or psychiatrist, preferably with expertise in ASD.
    A team assessment including a speech and language pathologist, occupational therapist and social worker is preferred but not necessary.
  • How is the diagnosis made?
    Diagnosis is made based on behavioural observation compared to a list of specific characteristics. The specific diagnosis depends on the number and intensity of these characteristics that the child has.
    There is no blood test, medical test, scan or x-ray that can diagnosis autism spectrum disorder.
  • What causes ASD?
    The exact cause is still not known but most experts believe it is caused by multiple, interacting genes leading to a genetic susceptibility triggered by an unknown environmental event.
  • Is there a cure for ASD?
    There is no cure for ASD. However, early intervention that addresses communication and social skills training means that many individuals with ASD can learn the skills necessary to lead full and productive lives.

Characteristics

  • The word spectrum means that any child’s problems may vary from mild to severe.
  • A child with ASD may be late in or may never acquire speech. However, they can learn to communicate.
  • A child with ASD may “echo” or repeat words or phrases. This may be an attempt to communicate.
  • Children with ASD often demonstrate a need for sameness and can be resistant to changes in routine.
  • Children with ASD often experience sensory processing difficulties. They may be over-reactive (hyper-sensitive) or under-reactive (hypo-sensitive) to sights, sounds, smell, touch, taste, movement or gravity.

Source:
Geneva Centre for Autism
112 Merton Street, Toronto, Ontario, M4S 2Z8
Tel: (416) 322-7877 – Toll Free: 1-866-Geneva-9 – Fax: (416) 322-5894
www.autism.net

Visual Schedule Tip Sheet

Many children with ASD are visual learners. This means they understand and remember information better when the see and hear it rather than just hearing it.

Visual Schedules

  • What is a visual schedule: A visual schedule shows what activity is currently happening and what activity will happen next. A schedule might show two events or it might show several. It is based on what the child can understand.
  • Why do visual schedules help: Visual schedules provide information that does not “go away” like words do. This allows the child a longer time to process and understand the information. Visual schedules highlight the important information and provide predictability and structure.
  • Where do I start: You need to teach the child to use the visual schedule starting with two symbols and showing the child that the symbol is related to the activity. Gradually increase the number of symbols. Once the child knows how the use the visual schedule, they may be able to use it independently without adult help.
  • Where should I keep it: Post the visual schedule in an area where all the children can see it and many children in the class will use it. The child with ASD may need to have the schedule brought to them or have a smaller version to keep with them.

Tips for Using a Visual Schedule

  • Visual schedules use a symbol to represent an event. The following symbols are listed in order from easiest (most concrete) to most difficult (most abstract).
    • Real objects
    • Miniature objects
    • Colour photographs
    • Black and white photographs
    • Colour picture drawings
    • Black and white drawings
    • Written words
  • Start with the most abstract symbol the child can understand (each child will be different). Once the child understands the schedule pair that symbol with the next, more difficult symbol and fade the easier symbol. Continue this as long as the child can understand the schedule.
  • Make the symbols on the visual symbol movable. This allows the child to remove the symbol when the activity is completed. It also allows the adult to show the child when a change in schedule has occurred by changing the symbols.

Source:
Geneva Centre for Autism
112 Merton Street, Toronto, Ontario, M4S 2Z8
Tel: (416) 322-7877 – Toll Free: 1-866-Geneva-9 – Fax: (416) 322-5894
www.autism.net

Vestibular Stimulation Tip Sheet

Vestibular stimulation is the input that your body receives when you experience movement or gravity. It can be mild; nodding your head or climbing stairs or it can be intense; skydiving or a rollercoaster

Characteristics of Vestibular Dysfunction

  • Vestibular input has an impact on arousal. Too much vestibular input may lead to overarousal and too little vestibular input may lead to underarousal.
  • Hypersensitive: The child who is hypersensitive to vestibular input is more responsive to sensory input and will avoid movement. The child might:
    • be fearful of moving equipment
    • be fearful of simple challenges to balance
    • may appear lethargic
    • may appear to have low muscle tone
    • may avoid active play
  • Hyposensitive: The child who is hyposensitive to vestibular input is less responsive to sensory input and will seek movement. The child might:
    • appear to need to move
    • enjoy busy, energetic activities
    • appear to be in constant motion
    • enjoy movement
    • spin, whirl, or bounce frequently

Tips for Providing Vestibular Input

  • Slow, rhythmical, predictable movement is calming. For example, swinging, rocking, walking, or slow, gentle spinning in one direction.
  • Quick, arrhythmical, unpredictable movement is arousing. For example, jumping, bouncing, running, playground activities like the teeter totter, slide or climber, sports and games like hopscotch, soccer, hockey or tag.
  • Supervise and monitor activities as “overload” of the nervous system can occur. Signs of overload include irregular breathing, colour change, sweating, pallor, increased anxiety, change in sleep patterns, etc.
  • An activity should be stopped immediately if the child shows any signs of distress and/or discomfort.
  • Consultation with an Occupational Therapist is recommended.

Source:
Geneva Centre for Autism
112 Merton Street, Toronto, Ontario, M4S 2Z8
Tel: (416) 322-7877 – Toll Free: 1-866-Geneva-9 – Fax: (416) 322-5894
www.autism.net

Understanding Early Childhood Placement Options

There are a multitude of child-care program choices for parents to select from and sometimes understanding the differences can be overwhelming. Depending on your daily schedule you may be able to attend more than one community program. Families should select settings with assistance from professionals according to the specific needs of their child and their needs.

The following are general descriptions of centre based programs;

  1. Drop-In Programs: Drop-in programs may be offered in the morning, afternoon or both. The program offers a number of activities such as arts and crafts, games, circle or music time and usually a snack. The parent is expected to remain at the program with their child for the duration of the program. The drop-in may be offered 2-5 days per week offering a two-two and half-hour program. There are no fees associated with these programs. The main philosophy of the program is for parents and caregivers in the community to meet one another and develop social networks and to provide a safe and nurturing environment for children to play and develop skills.
  2. Nursery Programs: Nursery programs may be offered in the morning or afternoon, most nursery programs operate in the morning. Nursery programs tend to follow a ten or eleven month schedule each year, closing for one or two months during the summer. The programs may be offered for 2-5 days per week, usually offering a three-hour program. There are fees associated with the program and can range from $100.00 to $325.00 per month depending on the program (subsidies available). The parent is not expected to remain with the child. The program will provide a range of activities such as arts and crafts, sensory, free play, gross motor and group games such as music.
  3. Day Care Centres: Day care environments provide a program for a full day, usually offering at least 9 hours of care. Day cares are open all year; some may close for a set two week period during the summer for vacation. There is a fee for the program and this can vary from day to day care however the norm is usually around $650.00 per month for a pre-school age child (subsidies available). The fees increase and decrease depending on the age of the child (care for infants is the most expensive). Many day cares offer before and after school care for children as well. Centre based programming for children will emphasize enhancement of skills in all areas of development and preparing children for school environments.

Transitions Tip Sheet

A transition occurs when a child is required to change location, activity, environment or position. Transitions are often difficult for many children with Autism Spectrum Disorder (ASD).

Why are transitions difficult?

Transitions are often difficult for children with ASD.

  • Due to their neurological differences, children with ASD have a hard time maintaining and shifting attention.
  • It may take them longer to physically move themselves from one activity to another.
  • It may be difficult for them to understand the need to change activities.
  • It may be difficult for them to manage their own behaviour during the transition.

Anxiety is often associated with transitions.

  • Anxiety may be a by-product of resistance to change.
  • Many children experience anxiety over the possibility that they will not be able to complete a routine.
  • Anxiety many take many forms. The child may ask perseverative questions about upcoming events or engage in other stereotypical behaviours.

Transition Tips

  • Prepare for all transitions ahead of time. Give ample warnings (i.e. 5 minutes left, 2 minutes left, 1 minute left, time to switch).
  • Once children are at the next activity, they should not have to wait for “setup”; circle time should begin as soon as the children are seated.
  • Use a transitional object to help the child remain calm during the transition. It may be a calming toy (squeeze ball) or an item related to the next activity (paint brush to move to the paint centre).
  • Use transitional signals such as a sign, a noise or song. Eventually the child will learn to associate the signal with change and will understand that the signal means to stop what they are doing.
  • Use a visual schedule to indicate what will happen next.
  • Give one clear direction at a time.
  • Use a specific relaxation strategy.
  • Remain calm even when the transition appears chaotic.

Source:
Geneva Centre for Autism
112 Merton Street, Toronto, Ontario, M4S 2Z8
Tel: (416) 322-7877 – Toll Free: 1-866-Geneva-9 – Fax: (416) 322-5894
www.autism.net

Sleep/Quiet Time Tip Sheet

40-70% of child with Autism Spectrum Disorder have sleep disturbances that negatively affect their functioning and the functioning of their families. If the child with ASD is sleep deprived, one or both of their parents are also sleep deprived.

Sleep Expectations

  • Most child care centres expect children who attend the centre to sleep for 1-1/2 to 2 hours each day after lunch. This is also the time that staff breaks are often scheduled so a child who does not sleep creates a scheduling problem.
  • The expectations for sleep vary considerably from centre to centre.
    • Some centres expect children to sleep with shoes on; others expect children to sleep with shoes off.
    • Some centres expect children to sleep on their stomachs; other centres allow children to sleep on either stomach or back.
    • Some centres play loud music to act as a sound filter; other centres insist upon total quiet.
    • In some centres the expectations meet the needs of the child with ASD; in other centres the expectations do not meet the needs of the child with ASD.

Sleep Tips

  • Consult a physician to rule out any physical problems that can interfere with sleep including ear infections, gastroesophageal reflux, sleep apnea, allergies, etc.
  • Try to provide a consistent and structured sleep time routine.
  • Provide visual cues and/or a visual schedule which explains the sleep routine or expectation.
  • Take into account sensory sensitivities: is the child too hot/cold, is it too noisy or quiet, are the blankets itchy or scratchy, is the bedding to light, is the clothing too tight, too itchy, to new, etc?
  • It may be unrealistic to expect a child with ASD to sleep during the day. For some children with ASD, a daytime nap will replace their nighttime sleep.
  • Explore alternative activities that provide quiet stimulation such as books, puzzles, books on tape, music with headphones, etc.
  • For the child who cannot stay quiet, explore alternative activities away from the sleep area such as a walk or playtime in the playground

Source:
Geneva Centre for Autism
112 Merton Street, Toronto, Ontario, M4S 2Z8
Tel: (416) 322-7877 – Toll Free: 1-866-Geneva-9 – Fax: (416) 322-5894
www.autism.net

Sensory Processing Tip Sheet

Many individuals with ASD have difficulties processing sensory information. Some or all of the child’s senses may be affected by this. Each child with ASD will have a unique sensory profile.

Sensory Processing Difficulties

  • Sensory systems: There are seven sensory systems and a child may be over or under reactive in one or more of these systems. Sometimes these are called sensitivities. The sensory systems are hearing, vision, touch, taste, smell, vestibular (movement) and proprioceptive (body awareness).
  • Sensory sensitivities: A child may be over-reactive in one sensory area and under-reactive in another. Over-reactive children are hyper-sensitive and may avoid some sensory input. Underreactive children hypo-sensitive to sensory input and may seek out sensory input.
  • Sensory Profile: The child’s sensory profile is based on an ongoing pattern of behaviour and consistent responses to specific sensory input. Each child’s sensory profile is unique. Some children have many sensory sensitivities, other children have few or none.
  • Sensory Diet: Providing appropriate opportunities for the sensory input the child is seeking while offering accommodations and adaptations for the sensory input the child is avoiding.

Sensory Diet Tips

  • Provide additional movement breaks throughout the day. These can be made purposeful by having the child take a message to another room or help carry items from one area to another.
  • Sitting at circle or on the floor can be very difficult for some children with ASD. Provide a small chair or beanbag chair or allow the child to sit near and lean against a wall or cupboard.
  • Some children can pay better attention when they have a “fidget toy”. Playing with the toy helps them stay focused and on task.
  • Effective fidget toys are small, quiet and do not distract the other children. Examples include squeezable foam balls or figures, Koosh balls, Silly Putty, Tangle rings, etc.
  • Some children have difficulty with noise especially during play time or group activities. Allow the child to sit on the edge of the group where the noise is lessened or provide earphones or ear plugs.
  • There are many other tips and tricks. Consult an Occupational Therapist for support.

Source:
Geneva Centre for Autism
112 Merton Street, Toronto, Ontario, M4S 2Z8
Tel: (416) 322-7877 – Toll Free: 1-866-Geneva-9 – Fax: (416) 322-5894
www.autism.net

Reinforcement Tip Sheet

Reinforcement provides external motivation when a child is learning a new skill or working hard at managing their behaviour. An event that follows behaviour and increases the probability of that behaviour occurring again is a reinforcer.

Types of Reinforcement

  • Social reinforcement: Praise, high fives, smiles and nods, any kind of social acknowledgement. Examples include “you did a good job”, “way to go”, “I’m proud of you”, “thanks”, etc.
  • Tangible reinforcement: Access to a preferred object or toy; the opportunity to participate in a preferred activity. Sometimes, these activities may have a sensory component. Examples include puzzles, videos, books, Thomas the Tank engine, water play, swinging, etc.
  • Primary reinforcement: Food and drink are primary reinforcers because they meet basic biological needs. Some children prefer sweets or treats but others may respond to unusual foods such as pickles, onions, or lemons
  • Token reinforcement: Tokens have no value by themselves. They are valuable because they can be collected and traded for another type of reinforcement. Examples include stickers, checkmarks, plastic disks, etc.
  • There is no one item that is a “universal” reinforcer. Reinforcers are determined by their impact on behaviour.

Reinforcement Tips

  • Reinforcement is not the same as bribery. Reinforcement is earned by the child. The newer the skill and the harder the task, the greater the reinforcement needs to be.
  • During initial teaching, reinforcement should be given every time the desired behaviour occurs.
  • Once the child begins to show mastery of the skill (80% success over 3 days with 3 different people) begin to slowly and gradually reduce the frequency of reinforcement.
  • Children with autism DO respond to social reinforcement, especially from parents and other significant people. They may still need a tangible or primary reinforcer when learning a new and challenging skill.
  • When choosing a reinforcer, pick something you are prepared to give every time you see the behaviour and are prepared to withhold when the behaviour does not occur. You cannot use lunch, snack or other necessities of life as reinforcers.

Source:
Geneva Centre for Autism
112 Merton Street, Toronto, Ontario, M4S 2Z8
Tel: (416) 322-7877 – Toll Free: 1-866-Geneva-9 – Fax: (416) 322-5894
www.autism.net