Joy is the comfort that comes with being surrounded by loved ones

Contemplation, one line a day. #MentalHealth

 

Historic gains in disabled employment during the pandemic.

"The increase in work-from-home arrangements and greater flexibility in work hours seen during the height of the pandemic may have permanently opened new employment opportunities for people with disabilities"

The question is how do we sustain the gain in employment seen during the pandemic due to hybrid work. 

Joy is the sense of awe that comes with witnessing the miraculous

Contemplation, one line a day. #MentalHealth

 

A Dual Pronged Approach to Autism

I believe a dual pronged approach is needed for autism and both approaches can & needs to co-exist for many autistics. I have a leg in both groups and I need help on both. Its not an either-or. 

Money, careers and fame

Autism is a proven profit-making industry. Everything in autism space costs money; not just average money but real $$$$$$. It's profit with almost no accountability. If an autistic does not progress, it because they were not going to show progress anyway, you are too old, it's too late, so don't deserve solutions for your challenges or opportunities for your strengths. 

Autism is also a career-making industry, with books published, speeches of fancy words at conferences. We are surrounded by money-making "autism-expert-celebrities" though no one still has a clue. 

Joy is the inspiration that comes from the beauty of nature

Contemplation, one line a day. #MentalHealth

 

CARS - Childhood Autism Rating Scale

Lexicon [Measures] - CARS

The Childhood Autism Rating Scale (CARS) a behavior observation scale intended to help diagnose autism and plan interventions/therapy. CARS is administered by a clinician through direct observation and interactions and involves structured and semi-structured activities to elicit specific behaviors. The tool is designed for children aged 2 years and older.

Limitations:

• CARS may not be suitable for individuals with co-occurring conditions or for assessing adults with autism.
• CARS is a subjective assessment tool that relies on the judgment of the observer which means inter-rater reliability may vary depending on the experience and training of the clinician.
• Focuses primarily on behaviors associated with autism and may not capture the full range of a child's abilities or challenges.
• Does not provide a definitive diagnosis of autism but rather serves as a quantitative measure of symptom severity.

15 Functional domains rated in CARS

1. Relating to People: Ability to engage in reciprocal social interactions, such as sharing enjoyment, eye contact, and response to others' emotions.
2. Imitation: ability to mimic the actions, expressions, or sounds of others.
3. Emotional Response: Assesses the appropriateness and variety of the child's emotional expressions and responsiveness to emotional cues from others.
4. Body Use: physical movements and coordination.
5. Object Use: ability to play with toys and use objects in a 'socially appropriate' manner
6. Adaptation to Change: Flexibility and response changes in their environment or routine.
7. Visual Response: visual attention and responses to sounds and spoken language
8. Listening Response: attention and reactions to auditory stimuli.
9. Taste, Smell, and Touch Response and Use: responsiveness to different sensory stimuli
10. Fear or Nervousness: reactions to potentially fear-inducing or anxiety-provoking situations.
11. Verbal Communication: appropriateness and usefulness of the child's verbal communication.
12. Non-verbal Communication: appropriateness and usefulness of the child's non-verbal communication.
13. Activity Level: physical activity level during the assessment.
14. Level and Consistency of Intellectual Response: problem-solving abilities and the consistency of their intellectual responses.
15. General Impressions: observer's overall impression of the child's behavior during the assessment.

The items are scored on a scale of 1-4, with 1 representing no "abnormality" and 4 as severe abnormal (I personally cringe at this language with terms like "abnormal" which makes us sound like societal misfits and outcasts). Total score ranges from 15-60; scores below 30 suggest absence of autism or very mild symptoms; 30-36 score indicate mild-moderate autism and scores above 36 indicate severe autism. 

History: CARS was developed by Eric Schopler, Robert J. Reichler, and Barbara Rochen Renner and was first published in 1988. 

Reference:
Schopler, E., Reichler, R. J., & Renner, B. R. (1988). The Childhood Autism Rating Scale (CARS). Los Angeles: Western Psychological Services.