1/10/2019 www.captain.ca.gov/handouts.html 9:30- 10:30 Developed by Ann England, M.A., CCC-SLP-L CAPTAIN Leader October / November 2015 Summits PRESENTERS • Ann England , Assistant Director, Diagnostic Center, CDE • Patty Schetter , Project Manager, UC Davis MIND Institute • Kristin Wright , Director of Special Education, California Department of Education • Karla Estrada, Director of Education, California Collaborative for Educational Excellence (CCEE) • Lauren Libero, Autism Specialist, Department of Developmental Services WHAT’S HOT in ASD? 1
1/10/2019 13 UNESTABLISHED INTERVENTIONS (for individuals under age 22) NSP Phase 2 Report Facilitated Communication Not Recommended by ASHA “It is the position of the American Speech- Language-Hearing Association that Facilitated Communication (FC) is a discredited technique that should not be used. There is no scientific evidence of the validity of FC, and there is extensive scientific evidence—produced over several decades and across several countries— that messages are authored by the "facilitator" rather than the person with a disability. Furthermore, there is extensive evidence of harms related to the use of FC. Information obtained through the use of FC should not be considered as the communication of the person with a disability.” https://www.asha.org/policy/ps2018-00352/ Rapid Prompting Not Recommended by ASHA “It is the position of the American Speech- Language-Hearing Association that use of the Rapid Prompting Method (RPM) is not recommended because of prompt dependency and the lack of scientific validity. Furthermore, information obtained through the use of RPM should not be assumed to be the communication of the person with a disability.” https://www.asha.org/policy/ps2018-00351/ 2
1/10/2019 New Law on Restraint and Seclusion (AB 2657) Effective January 1, 2019 student's right "to be free from the use of seclusion and behavioral restraints of any form imposed as a means of coercion, discipline, convenience, or retaliation by staff." • imposes limits on the use of behavioral restraints (mechanical and physical) and seclusion in schools • educational provider shall avoid, whenever possible, the use of seclusion or behavioral restraint techniques • provides statutory definitions for behavioral restraint, mechanical restraint, physical restraint, and seclusion for the first time in the Education Code • may use a behavioral restraint or seclusion "only to control behavior that poses a clear and present danger of serious physical harm to the pupil or others that cannot be immediately prevented by a response that is less restrictive“ New Law on Restraint and Seclusion (AB 2657) Effective January 1, 2019 student's right "to be free from the use of seclusion and behavioral restraints of any form imposed as a means of coercion, discipline, convenience, or retaliation by staff." • prohibits using a behavioral restraint for longer than is necessary to contain the behavior that poses a clear and present danger of serious physical harm • requires an LEA, NPS, NPA, to collect and report data on the use of restraints and seclusion to CDE annually; requires CDE to post this data on its internet website annually TO READ LAW: https://leginfo.legislature.ca.gov/faces/billCompareClient.xhtml?bill_id=201720180AB2657 CA ED CODE: Article 5.2 Restraint and Seclusion Beginning with Section 49005, Chapter 6 of Part 27 of Division 4 of Title 2 WHAT’S NEW FROM CAPTAIN? 3
1/10/2019 Sustainment of EBP Use: Use of Administrator Observation Tool ADIMINISTRATOR CHECKLIST CALIFORNIA STANDARDS FOR WITH VISUALS THE TEACHING PROFESSION ASD Program: Administrative Walkthrough Checklist FIND IN CAPTAIN RESOURCES Visual Support Strategies Visual Supports are defined as: any visual display that supports the learner engaging in a desired behavior or skills independent of prompts. Examples of visual supports include pictures, written words, objects within the environment, arrangement of the environment or visual boundaries, schedules, maps, labels, organization systems, and timelines (NPDC 2014). CA Standards for the Teaching Profession 2009: Standard 2 Creating & Maintaining Effective Environments for Student Learning 2.1 to 2.7) 4
1/10/2019 EBP Trainings Added! Over half (54%) Only 14% of adults with ASD had at Worked in the community least one mental health for pay in settings that condition (including also employed people anxiety, mood disorder, without disabilities psychotic disorder, and/or other mental 27% illness) in addition to Had no work or activities ASD Less than half (43%) 49% of adults chose their daily Lived in the home of schedule on their own in parents or other regard to when they woke relatives. up, ate, or went to sleep; Of these, 81% had been there over 5 years Only 40% could choose how to Source: spend their money on their National Autism Indicators own Report: Developmental Disability Services and NEW LINK ON CAPTAIN Outcomes in Adulthood 2017 WEBSITE drexel.edu/AutismOutcomes 5
1/10/2019 AFIRM: Professional Development Certificate BCBA (Approved BACB Type 2 CEUs) SLP (ASHA CCCs) Non-Certificate Track Certificate Track • Case examples • Case examples demonstrating the use demonstrating the use of the EBP of the EBP • Multimedia • Multimedia presentation presentation • Pre-test required • Pre-test required • Post-assessment • Post-assessment required optional • Evaluation required • Evaluation optional Hey! That’s our CAPTAIN Research Team!!!!!!! Aubyn Stahmer, Ph.D, BCBA Jessica Suhrheinrich, Ph.D. Melina Melgarejo, Ph.D. CALIFORNIA HAS THE MOST! Paper Process: Disseminating Information on Evidence-based Practices for Children and Youth with Autism Spectrum Disorder: AFIRM Sam Odom, Ph.D., et.al Who has used the AFIRM modules and resources? • As of December 3, 2018, AFIRM had 64,823 registered users • 56,602 are in the United States * 8,221 are international users from 178 countries • In the United States the most AFIRM users are: California (n=13,224) North Carolina (n=3,604) Texas (n=3,130) Michigan (n=2,201) Pennsylvania (n=2,147) • Internationally, Canada (n=2,601), Australia (n=1,481), and the United Kingdom (n=411) have the most users. 6
1/10/2019 Posted by Samuel Odom, Ph.D. April 2018 https://sites.ed.gov/osers/2018/04/evidence-based-practice-and-autism/ Another Resource! https://iris.peabody.vanderbilt.edu/module/asd1/#content Learning Modules: 1. ASD Overview for Educators 2. ASD Evidence- Based Practices Includes Videos! ASD Specialist at DDS Lauren Libero, PhD Autism Specialist Department of Developmental Services 1600 9 th Street Room 240, MS 2-13 Sacramento, CA 95814-6414 916-654-3357 (office) 7
1/10/2019 Autism in the Developmental Disabilities Services System Dr. Lauren Libero, Autism Specialist Department of Developmental Services Developmental Disabilities Services System Governorʼs Office Governorʼs Office California Health and California Health and Human Services Agency Human Services Agency Department of Department of Contracts 21 Regional Center 21 Regional Center Developmental Services Developmental Services with Boards Boards General Treatment General Treatment Area will be closing, Area will be closing, State Governance and while the Secure while the Secure Operated Oversight Treatment Program Treatment Program Services will remain open will remain open Canyon Springs Canyon Springs Community Facility Community Facility Porterville Porterville 21 Regional Centers 21 Regional Centers Service Providers Service Providers Vendorize Developmental Center Developmental Center STAR Acute Crisis STAR Acute Crisis Homes Homes Crisis Assessment Crisis Assessment Stabilization Teams Stabilization Teams Local Case Direct Services (CAST) (CAST) Management and Supports Fairview Developmental Fairview Developmental Center (closing) Center (closing) Community State Staff Community State Staff Program (CSSP) Program (CSSP) Sonoma Sonoma Individuals with a Individuals with a Developmental Center Developmental Center Developmental Disability Developmental Disability (closing) (closing) Priorities and Initiatives • Self-Determination • Safety Net Planning • Community Development • Competitive Integrated Employment • Disparity Funds Program 8
1/10/2019 Changing Landscape of Service • The total population of individuals of all ages increased from 230,000 in 2008, to 327,000 in 2018, a 42% increase • 38% (106,000) of individuals served by regional centers have a diagnosis of Autism • Of all the individuals under age 22, children with a diagnosis of Autism have increased from 23% (32,000) to 45% (85,000) Who We Serve 200 201 201 Population by Diagnosis 8 3 8 74% 68% 60% 38% 27% 20% 19% 18% 17% 15% 14% 13% 11% 10% 10% Autism Cerebral Palsy Epilepsy Intellectual Other Disability Source: CDER data for Status 1, 2 and 8 consumers as of September of each year Note: An individual may have more than one diagnosis and may be counted under multiple diagnoses, i.e., duplicated counts Trends Over 10 Years • The statewide population of individuals with autism increased from 38,558 in 2008, to 105,830 in 2018, a 175% increase 25000 2008 2018 20000 15000 10000 5000 0 Source: CDER data for Status 2 consumers as of July of each year 9
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