Coping With Autism-Support For Families

Based on the U.S. Department of Education's 2002dinners may be disrupted or shortened and bedtimes
report to Congress on IDEA the number of studentsmay be interrupted. Sleep deprivation is common in
with autism in U.S. schools has increased by 1354% inboth the child with autism and the parents of the
an eight-year period from 1991-1992 to 2000-2001child. Society reactions can also have a major impact
(as cited by the Autism Society of America, 2003).on family stress and may cause the family to avoid
This increase is almost fifty times higher than allcommunity outings or family events (Autism Society
disabilities (excluding autism), which has increased inof America, n.d.). Families may not go to family
the U.S. by 28.4%. From 1991-1992 to 2000-2001get-togethers because the child has difficulty
school years, the number of students with autisminteracting with others (Autism Society of America,
that are being served under IDEA has increased fromn.d.). Families are sometimes embarrassed around
5,415 to 78,749 respectively (as cited by Autismextended family members and may have difficulty
Society of America, 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 1,000methods and strategies to teach children with autism.
individuals 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, itplacement for their child with autism and so that they
is 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
need for more professionals to be trained to teachIntegration. Once strategies are determined, using
individuals with autism, but the need for increasedsome of these methods has potential to reduce
training and support for families of children withfamily stress and enhance the family's quality of life.
autism. Parents of children with autism are copingBecause many children with autism have difficulty
with a considerable amount of stress and angeneralizing skills, it is extremely important for parents
overwhelming amount of information about theto carry over the child's skill training from school to
disability. Families of children with autism can benefitthe home. Parents can also be effective teachers.
from support from professionals, other familyFamilies that are taught effective behavioral
members, and society, in order to manage the stressintervention strategies to manage challenging
effectively.behaviors, are taught and involved in the functional
Parents of children with autism take on many roles inassessment process, are trained in facilitating
their child's education. They must first recognize andfunctional communication (both verbal and
pursue a diagnosis for their child. Once an accuratenon-verbal), have been found to have greater
diagnosis is made, they must find a suitable programsuccess at home with the child with autism (Moes &
and services for their child. Parents need to also actFrea, 2002). When determining behavior plans,
as teachers in the home so that their children learn toprofessionals need to take into consideration family
generalize skills in the home that they are taught atroutines when analyzing challenging behaviors (Moes
school. In order for parents to be effective teachers,& Frea, 2002). Behavioral interventions are more
they need to have specialized knowledge, skills, andsuccessful and meaningful to families when their
information about the efficacy of different treatmentbeliefs, values and goals are taken into consideration
programs (Educating Children with Autism, 2001).(Moes & Free, 2002).
Because parents are also advocates for their child,A family centered educational approach may be the
they need to have knowledge of special educationmost beneficial to a child with autism and their
law and the available services. Due to the stress levelfamilies (National Academy Press, 2001). Formal
of raising a child with autism, parents need copingsupport may come from teachers, IEP team
skills (National Academy Press, 2001). According to amembers, doctors, the local education agency
study by Gallagher, (as cited by National Academyrepresentative, and other professionals that treat the
Press, 2001), the multiple roles of the parent aschild. Informal support may come through parent
teacher, advocate, loving parent, and family membernetworking, parent support groups, families, and
can be extremely demanding for parents.neighbors. According to Bristol in 1987, "parents found
In 2000 Nissenbaum, Tollefson, and Reese (as citeda positive relationship between adequacy of social
by The National Autistic Society, n.d.), studied thesupport, the use of active coping behaviors, and
impact of an autism diagnosis on families. They foundfamily adaptation for parents of children enrolled in
that parents actually felt relieved at having anthe TEACCH program" (National Academy Press,
explanation for their child's unusual behaviors (National2001, p.34).
Autistic Society, n.d.). The diagnosis alleviatedCoping with a child with autism is difficult and
concerns that they were doing something wrongstressful for many families. As with the impact of
(National Autistic Society, 2000). As with othersocioeconomic status and ethnicity of the parents,
parents of children with disabilities, many parents orthere is not yet a lot of research on the stress levels
children with autism go through a grieving processof parents based on the child's cognitive level and
after receiving the diagnosis 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 citedskills and teaching methods that can be implemented
by the Autism Society of America, n.d.) found thatat home. Successful collaboration and training with
parents of children with autism experience greaterprofessionals working with the child with autism has
stress than parents of children with mentalthe capability of reducing family stress and an
retardation and Down Syndrome. This stress may beincrease in the child with autism's communication,
a result of the maladaptive and antisocial behaviors asocialization, cognitive, adaptive skills and a reduction
child with autism may exhibit (Autism Society ofin maladaptive behaviors in the home environment.
America, n.d.). Because individuals with autism oftenProfessionals working with students with autism must
have difficulty expressing even basic wants or needs,include the parents as advocates in the IEP process,
parents may feel frustrated when they are unable tofunctional behavior assessments, and behavior
determine the child's needs (Autism Society ofintervention plans.
America, n.d.). The child with autism may exhibitProfessionals must provide opportunities for parents
frustration through self-injurious behaviors,to be trained in teaching methodologies used at the
aggression, or tantrums that threaten the safety ofschool. Professionals must also consider themselves a
others (Autism Society of America, n.d.). Parents maysource of support for families of children with autism
feel that the stereotypic or self-stimulatory behaviorsand be knowledgeable about special education law,
(ie: hand-flapping, tapping, lining things up,treatment methods and scientific research. As a
perseveration on an object), of their child with autismteacher of young children with autism, I have
are strange and interfering with functioning (Autismwitnessed first hand the benefits of conducting
Society of America, n.d.). Because children withparent trainings and support groups, whether they
autism usually have severe deficits in social skills, suchare on a group basis or an individual basis. Based on
as playing appropriately with peers, parents may findparent feedback, parent trainings and support groups
themselves stressed with finding appropriate leisureare extremely beneficial to those that attend, and
activities for the child at home (Autism Society ofmost parents express that there is never enough
America, n.d.). Some children with autism havetime to talk with the teachers and other
difficulties sleeping and may only eat limited foodparents--there is always a desire to learn more and
items, which causes another source of struggle forfor more opportunities to collaborate.
parents (Autism Society of America, n.d.). Family