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QUESTION

 Autism support across the lifespan    

ASL 402 Assessment 1 Page 1 of 5

ASSESSMENT BRIEF 1

Subject Code and Title ASL402: Autism support across the lifespan

Assessment Case Study

Individual/Group Individual

Length 2,000 equivalent (+/‐10%)

Learning Outcomes 1. Understand and apply a ‘person first’ perspective

to analyse and problem solve issues and

challenges associated with autism lifespan

milestones.

  1. Identify and describe the community supports an

individual with autism and their carer needs over

the lifespan.

  1. Analyse historical and contemporary practices for

supporting individuals with autism and their

carers across the lifespan.

  1. Demonstrate research and communication skills

for post graduate level.

Submission By 11:55pm AEST/AEDT Sunday of Module 2 (week 4)

Weighting 30%

Total Marks 100 marks

Context:

The assessment is prescribed for you to advance your analytical skills, and your knowledge and

understanding of autism and the lived experience of individuals with autism across the lifespan.

The assessment is about the person first perspective of autism in the context of support needs in the

early years of life for individuals and their carers.

This assessment prepares you to apply contemporary practices in the classroom using the person

first perspective of autism, whilst understanding the varying support needs in the early years.

Instructions:

This assessment requires you to critically analyse the case study presented in week 1. You will draw

on literature specific to the early years of autism and apply a person first perspective to discuss the

issues and challenges an individual and their carers face with regard to the range of factors and

varied support needs in day to day living.

ASL 402 Assessment 1 Page 2 of 5

You will need to read broadly about the early years of autism and apply this in relation to the

person first perspective presented in the case. The responses require you to utilise problem solving

skills. You will demonstrate knowledge and understanding of autism whilst using a person first

perspective by comparing and contrasting early years experiences and identify support needs for

both the individual and their carer.

The case study structure response should include the following:

Section 1.

 Introduce the case.

 Discuss the development of early years support knowledge in autism.

 Using a person first perspective for both the individual and carer, analyse the key issues of

the case.

 Provide a rationale for how the early years experiences can impact an individual with

autism and their carer.

Section 2.

 Synthesise and describe changes and challenges throughout generations through an

individual and carer person first lens.

 Describe the support needs required for the individual and carer using a person first lens in

relation to the early years

Section 3.

 Reflect on the impact of the changes in generational knowledge and practice covered in

the course so far.

Submission Instructions:

 Submit the case study response via the Assessment link in the main navigation menu in

ASL 402 Autism support across the lifespan. The Learning Facilitator will provide feedback

via the Grade Centre in the LMS portal. Feedback can be viewed in My Grades.

ASL 402 Assessment 1 Page 3 of 5

Learning Rubric: Assessment 1

Assessment

Attributes Fail (Unacceptable) Pass

(Functional)

Credit

(Proficient)

Distinction

(Advanced)

High Distinction

(Exceptional)

Grade

Description

(Grading

Scheme)

Evidence of unsatisfactory

achievement of one or

more of the learning

objectives of the course,

insufficient understanding

of the course content

and/or unsatisfactory level

of skill development.

Evidence of satisfactory

achievement of course

learning objectives, the

development of

relevant skills to a

competent level, and

adequate

interpretation and

critical analysis skills.

Evidence of a good level of

understanding, knowledge

and skill development in

relation to the content of

the course or work of a

superior quality on the

majority of the learning

objectives of the course.

Demonstration of a high

level of interpretation and

critical analysis skills.

Evidence of a high level of

achievement of the

learning objectives of the

course demonstrated in

such areas as

interpretation and critical

analysis, logical argument,

use of methodology and

communication skills.

Evidence of an exceptional

level of achievement of

learning objectives across

the entire content of the

course demonstrated in

such areas as

interpretation and critical

analysis, logical argument,

creativity, originality, use

of methodology and

communication skills.

Knowledge and

understanding

Limited understanding of

required concepts and

knowledge

Key components of the

assignment are not

addressed.

The response identifies

early years of life

perspectives of autism

and identifies

experiences and

support needs of the

person with autism and

their carers.

The response

demonstrates an in‐depth

understanding of historical

and contemporary

practices for early years of

life support.

The response

demonstrates a high order

analysis of own and others’

biases, prejudices and

assumptions in relation to

the early years of life

practices.

Comprehensive reflection

and coverage of autism

integrating the importance

of lived experience

understanding and support

in the context of early

years of life practices.

ASL 402 Assessment 1 Page 4 of 5

Critical reflection

Specific position

(perspective or argument)

fails to take into account

the complexities of the

issue(s) or scope of the

assignment.

Makes assertions that are

not justified.

The response

demonstrates a

capacity to critique and

analyse reasons for

current views about

autism in relation to

the early years.

The use of critical analysis

of both the historical and

contemporary practices

for autism early years

support in relation to the

person first approach.

Using the person first

approach, a thorough

demonstration of the

support approaches for an

individual with autism and

their carers from the

perspective of early years

practices.

Specific perspective is

presented imaginatively and

accurately taking in to

account the complexity of

autism.

Capacity to apply a

person first

perspective

Limited synthesis and

analysis.

Limited

application/recommendati

ons based upon analysis.

The relationship

between the shift of

the student

understandings about

autism early years is

demonstrated through

the lens of the person

first perspective.

There is clear identification

and understanding of the

support required for

individuals and their carers

in the early years of life

practices.

The response

demonstrates a highly

developed capacity to

integrate person first

perspective from an early

years of life experience.

The reflection demonstrates

a creative, innovative

synthesis of ideas

Academic

conventions

Poorly written with errors

in spelling, grammar.

Demonstrates inconsistent

use of good quality,

credible and relevant

research sources to

support and develop ideas.

There are mistakes in using

the APA style.

The response is written

according to academic

genre. The response

demonstrates a

consistent use of

credible and relevant

research sources to

support ideas, however

these are not always

well developed.

Is well‐written and adheres

to the academic genre (e.g.

with introduction,

conclusion or summary).

Demonstrates consistent

use of good quality,

credible and relevant

research sources to

support and develop ideas.

Is very well‐written and

adheres to the academic

genre.

Consistently demonstrates

expert use of good quality,

credible and relevant

research sources to

support and develop

appropriate arguments

and statements. Shows

evidence of reading

beyond the key reading

Is very well‐written and

adheres to the academic

genre.

Consistently demonstrates

expert use of high quality,

credible and relevant

research sources to support

and develop appropriate

arguments and statements.

Shows evidence of reading

beyond the key reading

ASL 402 Assessment 1 Page 5 of 5

There are no mistakes with

APA

Meet Charlie in his early years.

 

Charlie is a 3 year old boy. He has a 5 year old sister, Emily. Charlie is an energetic toddler, he is curious, loves to run around the backyard and play with the family dog. He often plays with Emily, they enjoy playing video games and playing with Beanie Boos. The pair have their disagreements, but it isn’t serious or anything out of the ordinary. Charlie does have difficulty with his speech. He doesn’t say many words and the ones he does verbalise are hard to understand. He started at childcare and his parents felt the speech would develop the more he was immersed with other children. They thought he may have become complacent with his language around Emily, particularly as their play routine was fairly similar each time.

 

Mid term 2, when Charlie’s mum Jenny, did the morning drop off, the room leader took her aside. The educators in the 3 year old room had observed that Charlie had difficulty interacting with the other children. He found it difficult to sit still for longer than 5 minutes and often seemed to be off in his own world. The centre listed other traits, such as his language is difficult to understand, he chooses to eat white/bland looking food, he walks on his tippy toes and is rough with the other children. He also plays by himself. At the time, whilst Jenny’s heart was racing, she remained composed and quickly processed the words the educator was saying to her. She let the centre know that he doesn’t do any of those behaviours at home, but she would be more cognizant and work together to support him. The educator encouraged her to have Charlie assessed for autism.

 

Ben, Charlie’s dad, agreed the speech was delayed and this needed to be addressed. He was disturbed when he was informed about the centre reporting these behaviours as they were polar opposite to how Charlie is at home. Ben was angry that autism was mentioned as whilst he was not in the field of education or health, he was sure that this was not the role or place of an educator to allude to a diagnosis.

 

Following the discussion with the centre, Jenny did research autism; she could not get it out of her mind. Her symptom checking with what had been reported about Charlie matched him up with autism, but she told herself that if it was, it would be aspergers, not autism.

 

Jenny and Ben had a friend with expertise in autism and they asked for some ideas about what they could do. Given the speech concern, they were encouraged to take Charlie to see a speech and language therapist (SLT) in the first instance. If there is anything that is a red flag, the SLT would indicate any concerns. At the same time, an environmental audit was conducted by the friend with autism expertise. She found that the childcare centre was too chaotic for the behaviours Charlie was demonstrating. During this audit, he did show he was trying to make friends, he didn’t know how and by this time at the childcare centre, Charlie was known as the naughty boy. Further, her eyebrows were raised not only at the centre bringing up a form of diagnosis for Charlie, but also that the checklist the centre had referred to indicated their knowledge about the spectrum was dated. Upon further recommendation, Charlie moved to a quieter childcare centre. Upon the move, the behaviours reported by his previous educators were no longer evident.

 

Charlie continued with his SLT and also started sessions with an occupational therapist (OT) to help with his sensory challenges that seemed to be increasing with age. He had difficulty with loud noises mostly. The SLT and OT used a team approach and could see significant improvements. Jenny and Ben were focused on getting Charlie the most help possible for his speech and sensory needs and decided they did not need to seek a diagnosis. 

 

Charlie’s therapy was play based and focused on his interest. Ben and Jenny attended the SLT and OT sessions. He also started social skill groups that was designed for peers his own age and it was a safe space to practice his playing skills whilst interacting with other children. He started to play with other children the same way he felt comfortable playing with Emily at home.

 

The transition to kindergarten was smooth seeing as it was at the same building as his childcare and Charlie was blossoming. As his education continued, the first term of prep at primary school was difficult, for instance, leaving the car to walk through the front gate was paralyzing for him. With time and relationship building with the school staff this transition became easier. Home life at this time was challenging too, as when Charlie got home he would fall apart and often fall in to a meltdown. Jenny and Ben had more discussions with the OT about this concern. They were informed it was likely that Charlie was focusing so hard on doing all the cues that come naturally to other children at his age, that when he gets home he needs to release a lot of that energy.

 

 

 

 

 

 

 

 

Subject Nursing Pages 3 Style APA

Answer

Autism Support across the Life-Span

Section 1

Introduction of the Case

Autism is a type of neurodevelopmental disorder, whose characteristics include impairment regarding social interaction, restricted and repetitive conduct, as well as communicating verbally or non-verbally. In most cases, this condition is relevantly seen in children who are under the age of two years. In line with this, autism tends to reveal its symptoms on the victim gradually as the child continues to develop and then it takes a normal pace before regressing. The cause of this condition is both genetically as well as environmentally associated (Meltzer et al., 2018). In the past few years, many physicians incorporation with scholars in the relevant field have joined efforts to devise methodologies that would take the initiative of making children with autism overcome this social disorder.

In the case of Charlie, the prospects are relatively the same. During his early childhood, Charlie appeared to be possessing distinct characteristics, which one would easily associate with autism (Fombonne, 2018). According to his parents, Charlie has always had a problem when it comes to communication skills. He does not talk much but when he does, it becomes relatively challenging for others to conceptualize. What Is more, Charlie’s educators find him to be rather peculiar. From their reports, it became apparent that Charlie’s behavior in terms of walking and socializing is rather different from those of his peers.

Respectively, Charlie’s educator proposed an autism assessment but the boy’s parents were adamant in supporting this assertion. Luckily, Charlie’s parents had a friend who was proficient with autism cases and so they approached him for further advice (Fombonne, 2018). To their surprise, some of the traits suggested by the educator were irrelevant but the practitioner suggested that Charlie should be enrolled in a childcare center that specialized in speech and language therapy as well as occupational therapy. After attending some classes, it became apparent that Charlie’s transition was blossoming indicating that his sensory challenges were being managed quite effectively. Conclusively, Charlie was not suffering from autism rather he was focusing so hard on identifying all the cues that came naturally to other children of his age.

Development of Early Years Support Knowledge in Autism

While diagnosing and providing specific intervention for children with autism, specialist and early childhood providers have to play an active role in helping children with autism or other developmental disabilities (Meltzer et al., 2018). By utilizing developmentally appropriate interventions, tracing developmental markers, communicating with guardians, and being cognizant of the existing community-based resources, education and early care providers can make imperative contributions to the lives of children with autism.

Observations documented by early years’ educators, practitioners and guardians can provide essential information to all specialists involved in the diagnostic process, particularly if these observations align with three parts of the triad. The first part is observing the child’s social interactions. Under this section, early providers have to determine whether the child returns a smile, comes for comfort whenever disturbed, gets upset, can take turns when playing simple games, or makes the first move when seeking interactions with peers (Robertson & Baron-Cohen, 2017). The second part involves observing the child’s communication skills. Under this section, providers have to identify if the child used social gestures when expressing specific things, whether the child follows your gaze when you look at certain things across the room, has a problem when pronouncing words. The third area is judging the flexibility of the child’s behavior. This could be achieved by observing if the child allows others to join in a play, has unusual sensory sensitivity, or follows specific routines.

Key Issues of the Case

Determining whether a child is autistic or not has been relatively challenging for early caregivers and doctors due to the limited tests for diagnosing the disorder (Meltzer et al., 2018). However, many tend to depend on the child’s behavior and developmental history before making a diagnosis. In Charlie’s case, the controversy was present in that his educators identified certain traits associated with autism but the physicians found it otherwise.

Despite the physician’s assertions, I would recommend a genetic examination of the parents to determine the pattern (De la Torre-Ubieta et al., 2016). Researchers have established that genes have a direct link to autism in that if one of the family members has had a history with the ailment then the probability of Charlie being autistic would be certain.

Another issue that the physicians could address is the environmental factors that contribute to autism. Some of the known environmental risk factors associated with autism include advanced parental age during conception, exposure to air pollution before conception, maternal obesity, immune disorder or diabetes, prematurity during conception, and difficulties experienced during conception. I know that this factor alone can hardly lead to autism but they have been proved to increase the risks of a child developing autism in conjunction with genetic factors.

As the caregiver to Charlie, I would start by determining whether there has been any previous exposure to air pollution. If by chance the parents lived close to a freeway or a firm that used to spray insecticides in significant amounts then the risk factor of the child being autistic would be relatively high (Robertson & Baron-Cohen, 2017). Also, I would look into the condition of the parents during conception. Under this area, I would assess whether the parents had a medical condition such as diabetes or obesity before delivery. These conditions change the DNA of an individual which would later interfere with the child’s brain development and possibly leading to autism (De la Torre-Ubieta et al., 2016).

Providing care for a child with autism is less burdening than when caring for an adult with autism. However, the type of care that an autistic child is exposed to will determine whether the condition will deteriorate or worsen (Robertson & Baron-Cohen, 2017). Therefore, it is imperative to give exceptional care if one desires a recovery process. 

Rationale of Early Years Experiences

During development, the caregiver has to be apt when modeling the behavioral traits of an autistic child. Young children with this order exhibit unusually social behaviors associated with introverts. In most cases, their body language, gestures, or facial expression do not match with what they say (Volkmar & Reichow, 2013). Also, they may appear disinterested with other people or will unlikely approach others. Limited social interactions will be relatively challenging for the child with autism as well as the caregiver.

If Charlie was autistic, then he would develop antisocial behaviors. These behaviors would make him defiant to disorders. In a broader perspective, Charlie would develop to be a troublesome child and would hardly follow instructions from his elders (Lord et al., 2018). In a worst-case scenario, Charlie would lack conscience and empathy, become abusive, aggressive, arrogant, and lack remorse when he makes a mistake.

As for the caregiver, this experience will be detrimental both physically and emotionally. This is because correcting the behaviors of an autistic child requires patience and endurance (Lord et al., 2018). Caregivers ought to understand that dealing with a repulsive child can be challenging in that one would easily despair to the assigned duties.

Section 2

Changes and Challenges

As a caregiver recording, the behavioral changes of Charlie during his development will help determine the child’s progress and cues that require more attention to rectify certain traits. I would first analyze the maladaptive behaviors that are usually exhibited at the early stages of the child’s life. These are the behaviors that interfere with the child’s day-to-day functioning and they include uncooperative behaviors, aggression, and self-injury (Weitlauf et al., 2017). In line with enhancement in autism symptoms, these traits could like reduce as the child approaches the adolescent stage. A reduction of the maladaptive behaviors suggests that Charlie would likely recover from his condition.

As Charlie transitions to high school, the trajectory of autistic behaviors changes drastically. At this stage, Charlie will be meeting with different people having different traits which would either inspire or demotivate his ambitions. By virtue that his peers will find him antisocial many will tend to ignore his presence (Volkmar & Reichow, 2013). With this, I would expect Charlie to consider dropping out of school owing to the negative treatment he has been experiencing at the school. Dropping out of school marks a turning point in Charlie’s maladaptive behavior and would likely worsen as he develops to adulthood.

The main challenge that I would experience when offering care to Charlie is effective communication. Charlie may possess severe anxiety issues but will lack expression abilities (Weitlauf et al., 2017). By virtue that Charlie is unable to communicate his feeling of disturbance, distress, or anxiety, it would be rather challenging to diagnose anxiety or depressive states.

Another challenge is behavioral transitions to different situations or environments. Autistic children have a hard time adapting to a new environment. Most of them prefer being around familiar figures to be comfortable (Weitlauf et al., 2017). In the case of Charlie, I would expect him to disregard going to school or being close to his peers.

Support needs for Children with Autism

Learning all the factors associated with autism as well as getting involved in the treatment process will help a child to recover from the condition. As a caregiver, the first form of support that I would give to Charlie is being consistent with the treatment approach. Autistic children have a challenge when applying what they have learned from one setting to another (Volkmar & Reichow, 2013). For instance, Charlie may use certain symbols to communicate at school, but many never are comfortable using them at home. Creating consistency in Charlie’s environment is the most effective way to reinforce learning. With this, I will explore the possibility of having the therapy applied in different places to encourage Charlie to transfer what he has learned from one setting to another.

Another supportive measure that I will be using on Charlie is rewarding good traits. Positive reinforcement has been considered as another effective measure for children with autism (Weitlauf et al., 2017). Since it’s hard to notice all the good deeds that Charlie will be doing, I will have to make an effort of following him closely until I catch him doing something good. I will later praise him for acting appropriately giving him an assurance that good deeds are recommended and positively rewarded.

 

Section 3

Reflection on Impact of Changes in Generational Knowledge

Current studies on autism and its causes are still limited with the sample size. This hinders the effectiveness of any proposed remedy to controlling the disorder. However, scholars have been able to ascertain that autism cans be managed effectively among children as compared to the elderly (Romski et al., 2015). During early development, caregivers are provided with the opportunity to enhance a child’s cognitive sensors to the adjacent environment. Molding the behavioral traits of an autistic child before he or she reaches adolescence gives him or her a chance to adapt to new behaviors that will suppress the disorder.

I have also learned that the best approach to use for enhancing the social traits among children with autism is developing their communication skills (Romski et al., 2015). Early caregivers have to focus more on the type of language, comprehension skills, speech, systematic relations, symbols, and grammatical forms. Nevertheless, these methods have proved to be challenging since young children often find it difficult to comprehend languages. 

Respectively, practitioners have come to understand that targeting the first words as well as single word vocabularies that a young child uses acts as the entry point to enhance a symbolic language style (Mackin, 2013). The introduction of language interventions that focus on language skills after the first words have been pronounced, is also critical if caregivers aim to develop advanced language interventions.

In conclusion, determining whether or not a child is autistic is challenging since the ailment has traits that are similar to other disorders.  However, researchers have been able to determine that affirming biological and environmental factors will help caregivers to know if a child is at the risk of being autistic or not. In case a child has autism, caregivers have to focus on developing the communication and social cues before the child reaches adolescence as it will reduce the severity of the disorder as the individual approaches adulthood.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REFERENCES

De la Torre-Ubieta, L., Won, H., Stein, J. L., & Geschwind, D. H. (2016). Advancing the understanding of autism disease mechanisms through genetics. Nature medicine, 22(4), 345-361.

Mackin, A. (2013). How my autistic son got lost in the public school system. Available: https://www.theatlantic.com/national/archive/2013/01/how-my-autistic-son-got-lost-in-the-public-school-system/266782/

Fombonne, E. (2018). The rising prevalence of autism.

Lord, C., Elsabbagh, M., Baird, G., & Veenstra-Vanderweele, J. (2018). Autism spectrum disorder. The Lancet, 392(10146), 508-520.

Meltzer, D., Bremner, J., Hoxter, S., Weddell, D., & Wittenberg, I. (2018). Explorations in autism: A psychoanalytical study. Harris Meltzer Trust.

Romski, M., Sevcik, R. A., Barton-Hulsey, A., & Whitmore, A. S. (2015). Early Intervention and AAC: What a Difference 30 Years Makes. AAC: Augmentative & Alternative Communication, 31(3), 181-202. doi:10.3109/07434618.2015.1064163 https://lesa.on.worldcat.org/oclc/5879233693

Robertson, C. E., & Baron-Cohen, S. (2017). Sensory perception in autism. Nature Reviews Neuroscience, 18(11), 671.

Volkmar, F. R., & Reichow, B. (2013). Autism in DSM-5: progress and challenges. Molecular autism, 4(1), 1-6.

Weitlauf, A. S., Sathe, N., McPheeters, M. L., & Warren, Z. E. (2017). Interventions targeting sensory challenges in autism spectrum disorder: a systematic review. Pediatrics, 139(6).

 

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