Blog Archives

Autism Spectrum Disorder

According to the National Institute of Mental Health, autism spectrum disorder (ASD) is characterized by:

  • Persistent deficits in social communication and social interaction across multiple contexts;
  • Restricted, repetitive patterns of behavior, interests, or activities;
  • Symptoms must be present in the early developmental period (typically recognized in the first two years of life); and,
  • Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning.

The term “spectrum” refers to the wide range of symptoms, skills, and levels of impairment or disability that children with ASD can have. Some children are mildly impaired by their symptoms, while others are severely disabled. The latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) no longer includes Asperger’s syndrome; the characteristics of Asperger’s syndrome are included within the broader category of ASD.

There has been a good deal of controversy about the elimination of the Asperger’s diagnosis and it’s potential impact upon treatment, resources and educational process. Slate.com offers a thoughtful summary in You Do Not Have Asperger’s: What psychiatry’s new diagnostic manual means for people on the autism spectrum.

Additional resources include ASPEN  Asperger Autism Syndrome Education Network in New Jersey and Autism Society Improving the Lives of All Affected by Autism.

In April 2013, the American Academy of Pediatrics released a report, along with extensive scientific research data, that concluded there is NO link between autism and the MMR vaccine, thimerosal, multiple vaccines given at once, fevers or seizures. See Vaccine Safety: Examine the Evidence.

Posted in adolescents, behavior, children, mental health, parents

ADHD Awareness

October is designated as ADHD Awareness Month. There are many excellent resources (websites, books, magazines) that provide a wealth of information about Attention Deficit Disorders. One is the ADDitude print and online magazine. Their expert panel includes Edward Hallowell, M.D. the author of Driven to Distraction and CrazyBusy. See their article, ADHD Awareness Month: 31 Myths in 31 Days — Debunked!

A new resource is the website Understood.org which will be launched in Oct 2014. It’s the result of collaboration between 15 of the most respected non-profit groups that specialize in attention, processing and learning disorders. The site provides data and also very specific strategies that can help parents help their kids with the multiple challenges they face. Much of the information provided targets specific age groups (pre-school, grade school, middle school and high school). Information provided includes suggestions for managing everyday challenges such as Ways to Handle Behavior Issues in Public Places, The Benefits of Getting Your Child Evaluated and Smartphone Solutions to Keep Your Teen Organized. When visiting the website you can sign up for a weekly email newsletter, view webinars and participate in Live Expert Chats. Understood.org helps parents to understand, support and advocate for their kids.

At Integrated Behavioral Care our staff provides both medical and psychotherapuetic treatment for ADHD in children and adults.

Posted in adolescents, behavior, children, mental health, parents, students

Student 504 plans

Section 504 of the U.S Rehabilitation Act of 1973 created and extended civil rights to people with disabilities. Section 504 helps to provide opportunities for children and adults with disabilities in education, employment and various other settings.

In public schools, or publicly funded private schools, it can be used to help students with physical or mental impairments by providing appropriate accommodations that make it possible for that child to benefit fully from the educational services that are provided to all general education students (note: a 504 plan is not the same as an Individualized Education Program (IEP) that required for special education students).

Any student with a physical, emotional or behavioral disability, or who is recovering from a chemical dependency, or who has an impairment (e.g. Attention Deficit Disorder) may be eligible for a 504 plan.
There are 4 steps involved:

  1. A referral is made, usually by a teacher, support staff, parent/legal guardian, physician, or therapist.
  2. A meeting is held which typically includes the parents, school principal, classroom teachers, and other school personnel (such as the school nurse, guidance counselor, psychologist, or social worker). Academic and medical records are reviewed and the parents are interviewed regarding their concerns.
  3. Planning for reasonable accommodations begins if the team determines the child is eligible to have a 504 plan put in place. Depending upon the nature of the child’s disability these accommodations may include:

    preferential seating
    extended time on tests and assignments
    reduced homework or classwork
    a second set of textbooks to keep at home
    verbal, visual, or technology aids
    behavior management support
    adjusted class schedules or grading
    verbal testing
    excused lateness, absence, or missed classwork
    pre-approved nurse’s office visits

  4. 504 plans should be reviewed at least annually to determine if the accommodations are up to date and appropriate, based on the student’s needs. Any 504 plan team member, including the parent, may call for a 504 plan review at any time if there is an educational concern or change in the student’s needs.

For additional information The Statewide Parent Advocacy Network (SPANNJ) offers this Guide to Services for Children With Disabilities as well as a side-by-side comparison between Section 504 and IDEA (special education).

Posted in adolescents, children, parents, students