Serenity is the wisdom that comes with knowing what we can and cannot control.

 



McGlade et al 2023: Effectiveness of Early Intervention Therapies

My take: If early childhood therapy was so "effective", then the thousands of kids who have had massive amounts of therapy all through childhood (starting with early intervention) would have "RECOVERED" may times over. Why are my challenges still significant - ie: all that therapy did not make a dent. Currently there is no such thing as gold-standard childhood therapy. Most autism therapy is hit-or-miss, at any age. Its just $$$$ spent on trial and error. Lots of careers and promotions. 

Recently there was a twitter post pointing out that since were were no readily available "statistics" (referring to it as a "cool autism fact")  showing numbers of the more significantly impacted adult autistics meant that numbers of this group must be overstated. Others in the thread  questioned if adult autistics who did not not speak, even existed, since that autistic posting had learned to speak at age 3. This an irresponsible statement and an erasure of the huge number of non-speaking or minimal verbal adults who need to be part of the autism solutions. 

Onto the paper. 

=======



Key Takeaways from paper. 
  • Limited evidence  to recommend very early interventions for infants and toddlers with autism.
    • Limited impact of early intervention for at-risk infants/toddlers (by age 3. 
    • No significant treatment effects for autism symptoms, cognitive outcomes, receptive/expressive language. Even neurocognitive outcomes (EEG and eye tracking) were inconsistent. 
  • Gold-standard early intervention is yet to be developed.  Future treatment will need to include novel and individualized intervention targets alongside the targeting of parental responsiveness.

Questions that arise. 
  • What are the implications of these findings for clinical practice and policy related to early intervention for autism?
  • What are the long-term outcomes of very early interventions for infants and toddlers with autism beyond age 3 years?
  • What are the ethical considerations related to intervening in infants and toddlers at increased likelihood of autism dx, and how can these be addressed in future research and practice?

McGlade, A., Whittingham, K., Barfoot, J., Taylor, L., & Boyd, R. N. (2023). Efficacy of very early interventions on neurodevelopmental outcomes for infants and toddlers at increased likelihood of or diagnosed with autism: A systematic review and meta-analysis. Autism Research, 16(4), 698-710. https://doi.org/10.1002/aur.2924

Disabled People are not ADA People.



 People with disabilities are not “Americans with Disabilities Act people” or “Americans with Disabilities Act Guests.” The ADA is a law that increases equity for disabled people, not a label of any individuals. Referring to people with disabilities in this way is disrespectful and never appropriate.



Chipper Ahoy

View from my bedroom window this morning

A woodpecker chipping away at a tree stump. 
The red tuft on his head bobbing up and down. 
Wood chips and sawdust scattered around. 
Perchance, a nest or insect snacks in stump cracks?
Chipper Ahoy!!



A neat oval hole in the tree stump. 
6' (depth) x 6" (long) x 4.5" (wide)
Chipper mate!
What further plans have you in mind?


Zippity zop, the woodpecker bops
With flibbertigibbet in his chops
feathers shimmer, beak goes knock-knock 
As he dances on a tick-tocking clock







 

Cool mornings, mild afternoons to start the week

That's the weather forecast for today!! 

Cool mornings, mild afternoons to start the week
Nashville April in action, so to speak. 
One day it's sunny, the next it pours, 
But hey, at least don't need jackets outdoors!

Solutions, not more Autism days





Be kind not because its easy but because its necessary

Calvin Cycle

 continue to be in awe of my alma mater. Go Bears. 



This is 2023. Why are shocks still part of Autistic Behavior Therapy?


This is 2023: Shocks are being used on autistics as part of ABA Therapy. The UN calls it "torture". Read this article by Eric Garcia in the Boston Globe. 


1965: The images show a Photo Essay that appeared in the 1965 issue of Life Magazine about ABA therapy being done on Autistic Kids with Dr Loovas. Shocks were used as aversives -  the floor is laced with metal strips and the autistic girl in the picture is barefooted.  



Moser, D., & Grant, A. (1965). Screams, slaps & love: A surprising, shocking treatment helps far-gone mental cripples. Life Magazine, 90-102

One small act of kindness can make a big difference is someone's life

Towards a more Humane Society. Contemplating a different emotion and writing one line each day on it. #MentalHealth. This month on KINDNESS