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2. Syndro erg The Learning Syndrom Clinic AspergerS Asp erge ome er

3. Syndro erg The Learning Syndrom Clinic AspergerS Asp Transition Program A Model for Student erge Transition to Community- ome er based Independence

4. maaps Massachusetts Association of766 Approved Private Schools May 07, 2004 Presented by: Kathleen A. McGrady, Psy. D. Kenneth H. Holt, LCSW Pamela Ruff, Transition School Faculty The Learning Clinic The Learning Clinic

5. Pervasive Development Disorder Category of Diagnosis that includes Autism, Rett’s Disorder, Childhood Disintegrative Disorder, Asperger Syndrome, and PDD NOS. Historically, other diagnostic labels in this category have included Childhood Schizophrenia and Autistic Psychopathy. The Learning Clinic

6. Syndro erg Syndrom AspergerS Asp Who is the AspergerIndividual? erge ome er The Learning Clinic The Learning Clinic

7. Asperger Syndrome Criteria The Learning Clinic

8. Asperger Syndrome Criteria Pragmatic language skill deficits not part of DSM-IV or ICD-10 criteria but should be included for differential diagnosis. The Learning Clinic

9. Other Developmental Issues • Deviation from normal development • Do not “Outgrow” Developmental Deficits • Stress Impairs Performance • Co-Morbid Diagnosis Impairs Overall Functioning The Learning Clinic

10. Medications Cognitive Functioning The Learning Clinic

11. Age / Time Psychological Symptoms The Learning Clinic

12. Grade Clinical Symptoms and Learning Disabilities The Learning Clinic

13. C O G N I T I O N Memory Higher Order Process Analysis, Synthesis, and Evaluation Organization Flexibility Asperger SyndromePervasive Developmental Delay The Learning Clinic

14. Asperger SyndromePervasive Developmental Delas • C O G N I T I O N • Wide Band of Knowledge • Problem Solving • Verbal-Performance IQ • Attention Shift • Rule and Governing Behavior The Learning Clinic

15. Asperger SyndromePervasive Developmental Delay L A N G U A G E • Pragmatics • Syntax • Meaning: Connotative Denotative The Learning Clinic

16. Asperger SyndromePervasive Developmental Delay • L A N G U A G E • Processing Speed • Expression • Duration The Learning Clinic

17. Asperger SyndromePervasive Developmental Delay S P E E C H • Prosody • Pedantic • Elocution • Volume The Learning Clinic

18. Asperger SyndromePervasive Developmental Delay M O T O R • Fine Control • Gross Control • Coordination • Regulation The Learning Clinic

19. Asperger SyndromePervasive Developmental Delay S E N S O R Y P R E C E P T I O N • Visual Integration • Kinesthetic • Tactile Accuity • Gestalt • Integration of other Senses The Learning Clinic

20. Asperger SyndromePervasive Developmental Delay S O C I A L • Cue Identification • Responsive to others • Isolate • Rude • Aggressive The Learning Clinic

21. Asperger SyndromePervasive Developmental Delay • S O C I A L • Boundary Acceptance • Maintain Social Roles (e.g., student, son, daughter, friend) • Self-Regulate The Learning Clinic

22. Competing Clinical Behaviors • Perseveration • Obsessive Thought • Rigid Cognitive Style • Inability to Shift from “Personal View” to Data - Based Decision The Learning Clinic

23. Competing Clinical Behaviors / Continued • Confabulation • Affirming False Information • “Stealing” • Sexually Inappropriate Actions and Statements The Learning Clinic

24. Competing Clinical Behaviors / Continued • Violation of Boundaries • Cognitive Disorientation and Distortion The Learning Clinic

25. Syndro erg Syndrom AspergerS Asp What are the Prioritiesof the Asperger Syndrome Student? erge ome er The Learning Clinic The Learning Clinic

26. Priorities of the Asperger Student 1.Independence • How to find and use resources and self-advocate • Work Experience • Paid employment and volunteer work The Learning Clinic

27. Priorities of the Asperger Student • 3A. Shared Living versus Living Alone • Advantages and disadvantages of each • 3B. Resources • How to find resources, e.g., doctors, therapists, etc. The Learning Clinic

28. Priorities of the Asperger Student • 4A. Social Activities • How to find resources for fun activities? • How to make friends and find others with common interests? • How to deal with the tendency to isolate? The Learning Clinic

29. Priorities of the Asperger Student • 4B. Medication • How do you know when you need medication • Who do you go to for help The Learning Clinic

30. Priorities of the Asperger Student • College Experience • What it takes to be successful in college • Problem-Solving • How to partner with others to solve problems The Learning Clinic

31. Priorities of the Asperger Student • 6. Problem-Solving / Continued • Expressing issues openly • Independent problem-solving versus teaming The Learning Clinic

32. Which Asperger Symptoms Compete with Independence? Age Degree of Anosognosia Over time, symptoms become egosyntonic The Learning Clinic

33. Syndro erg Syndrom AspergerS Asp How Do Students Assess and Comment on Their Experience? erge ome er The Learning Clinic The Learning Clinic

34. How Can We Assess Readiness for Independence? • The Learning Clinic Pragmatic Skills Survey • The Learning Clinic Transition & Independent Living Skills Assessment The Learning Clinic

35. What Does a Transition Program Include? Independent Living • Housing • Housing Acquisition & Leases • Home Management The Learning Clinic

36. What Does a Transition Program Include? • Independent Living • 2. Nutrition • Meal Planning & Preparation • Dining • Clean-up & Food Storage The Learning Clinic

37. What Does a Transition Program Include? • Independent Living • 3. Money Management • Budgeting & Taxes • Banking & Credit • Consuming The Learning Clinic

38. What Does a Transition Program Include? • Independent Living • 4. Transportation • Type of Transportation & Costs • Independent Travel • Obtaining Driver’s License • Vehicle Maintenance The Learning Clinic

39. What Does a Transition Program Include? • Independent Living • 5. Leisure • Exercise Routine • Community Activities • Personal Hobbies • Community Groups The Learning Clinic

40. What Does a Transition Program Include? • Independent Living • 6. Legal Awareness • Responsibilities of Adulthood • Contracts • Constitutional Rights The Learning Clinic

41. What Does a Transition Program Include? • Independent Living • 6. Legal Awareness / Continued • Misdemeanor versus Felony • Resources for Legal Obligations • Sexual Harassment The Learning Clinic

42. What Does a Transition Program Include? • Independent Living • 7. Health • First Aid • Self-Administer Prescription Medications • Personal Hygiene • Stress-Control Strategies The Learning Clinic

43. What Does a Transition Program Include? • Independent Living • 8. Time Management • Realistic Goals • Time of Day Most / Least Productive • Priorities - Establish and Organize • Appointment Book or Calendar The Learning Clinic

44. What Does a Transition Program Include? • Independent Living • 8. Time Management / Continued • Step - Wise “Bite Size” Goals • Self - Reward • Identify Basic Needs • Schedule Time to Meet Basic Needs The Learning Clinic

45. What Does a Transition Program Include? • Independent Living • 9. Personal Safety at Home • Smoke Alarm - Check Operation Monthly • Fire Drill Procedures & Fire Extinguisher • Post Emergency Numbers The Learning Clinic

46. What Does a Transition Program Include? • Independent Living • 9. Personal Safety at Home / Continued • Basic First Aid • First Aid Supplies • Hazardous Materials • Lock Doors in the Home The Learning Clinic

47. What Does a Transition Program Include? • Independent Living • 10. Personal Safety in the Community • Walking in the Community at Night • Public Transportation • Dating The Learning Clinic

48. What Does a Transition Program Include? • Independent Living • 11. Personal Safety during Dating Relationships • Sexual Abstinence • Social Gender Boundaries • STD’s • Methods of Contraception • “Safe” Sex Practice The Learning Clinic

49. What Does a Transition Program Include? • Independent Living • 12. Personal Presentation • Appropriate Clothing for Different Settings • Clothing: Needs versus Wants • Budgeting and Shopping for Clothes The Learning Clinic

50. What Does a Transition Program Include? • Independent Living • 12. Personal Presentation / Continued • Cleaning Different Types of Clothing • Female: Appropriate Use of Make-up / Hair Care The Learning Clinic