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Posts Tagged ‘National Council on Severe Autism’

This year’s Christmas card came out a little dark, but I love the pictures anyway:

Last week when I drove down to see Jonah, there was a mix-up at the Visitor’s Center and both rooms were occupied, so we made do by having our dinner in the 2nd floor conference room. Briana was there to help, and the room had napkins, chairs, a table, and my phone to provide the tunes – so we had everything we needed. This time Boo wanted to dance, and he pulled me up to bop around as he grinned and giggled. It’s always so awesome to see him happy. He must have said thank you 3 or 4 times – for handing him my phone, for giving him a drink, for opening the blue cheese container…and each time it feels like a precious thing. Spontaneous language of any kind is special, and I know it took a lot of work to teach him. After dinner we took a walk in the dark and cold, and I couldn’t help but wonder how much longer he’ll be at Anderson. On March 7th he’ll be 21, and he’ll graduate in June.

I’m told he’s on a special list for kids aging out who are not currently being considered by any agency, and there’s a meeting soon about that. Jonah can stay at Anderson if he needs to, and it looks like he will need to, at least for a while. As Jonah and kids like him get older, there will be fewer and fewer spots for adult housing and day programs. Openings are few and far between. I used to think I’d do a lot of research and then Andy and I would choose the best possible placement for Jonah, but it doesn’t work that way.

There’s a portion of the disability community who vehemently insist that all people with disabilities can and should live independently, in their own residence, in the community. I’m not sure if they simply refuse to acknowledge people like Jonah or if they really believe all necessary supports will be provided to enable someone like him to live at home. After all, it’s just me here. I’d need 3-4 strong DSPs (direct support professionals) in my home pretty much 24/7, and that’s not on the menu, even if I had a big enough house to hold them all. If I did, and if I could, I’d love to have Jonah living with me again. I’m amazed at how much it hurts sometimes, even after 11 years, to live apart from him. Mainly I want him to live as happy and fulfilled a life as possible.

I’ve joined the National Council on Severe Autism‘s National Grassroots Network (NGN). To quote NGN, “We exist to help ensure that policymakers tackle autism as an urgent national priority — and are fully informed about the realities of autism and challenges faced by families across the country. We in the NGN will operate in all 50 states and across all congressional districts to emphasize the needs of the rapidly growing population of children and adults who need continuous support, and often, specialized services.”  I’m thrilled and grateful to be a part of an organization that finally addresses the needs of individuals like Jonah.

You can see NCSA’s official positions on a variety of issues in its position statements covering topics such as guardianship, housing, language and more. I stand in agreement with them all.

For now we’ll move one step at a time into the future, thankful for Briana and the other DSPs and teachers at Anderson, who care for and teach Jonah every day.

Happy Holidays, everyone! I wish you all a blessed 2023 full of love and laughter.

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So I wrote a poem a day for National Poetry Month (April) – and it was a good re-exploration of creative writing for me. It’s been a while (probably 15 years) since I wrote poetry with any regularity. They say the writing saves the writer, so though people will never be knocking down doors to read my amateur poems, they have value for me – as outlets, if nothing else. Or reminders of who I am, what I enjoy. I love writing.com, where I have a portfolio of stuff (as winklett, of course).

Last week I attended part one of the 3-part National Council on Severe Autism (NCSA)’s free webinar series: Severe Behaviors, medical support. It was a unique experience in one particular aspect; for the first time, I was not the one with the most severe autism scenario. I’m used to people who are shocked and/or outraged that we put our son in a residential school. I’m usually the “horror story” of the bunch.

Not this time.

Most of the webinar was conducted by doctors discussing medical interventions, and they presented different scenarios they’d seen in the autism world. The severity of some of these situations was unimaginable, even to me. There are children who smash their faces into the ground and the walls until they are bloodied and broken. One child gouged his eyes and detached both retinas. The mind boggles. It broke my heart and I’m haunted by their stories. I don’t think I can ever again come here to bitch and complain – at least not the way I used to, ending every post with some stupid sad statement when all the while my son is safe and (relatively) healthy and happy.

Some of the individuals the doctors mentioned have been helped with electroconvulsive therapy (ECT) treatments (what they used to call electric shock therapy). I don’t know a whole lot about it yet, but I just bought the book Each Day I Like it Better, written by Amy Lutz (NCSA’s vice president). Amy’s son had aggressive and self-injurious behaviors which were successfully mitigated using ECT. (Yes, there is another Amy with another Jonah – and her husband, believe it or not, is Andy. You can’t make this stuff up).

I’m looking forward to reading her story, and I’m looking forward to the next two parts of the Severe Behaviors series. NCSA’s got all this information that simply didn’t exist before, and I’m all ears.

This past Saturday I got to visit Boo again. Halfway there, I realized I forgot to bring his assortment of DVDs. He’s never chosen anything but Jungle Book on these visits, but I like to offer him some choices. I decided to avoid a potential problem altogether and try the visit outside, since the day was warm-ish and the forecasted rain never arrived. Of course I brought McDonald’s and a strong companion to help me. We ate on the picnic table just outside his residence while he played music on my phone.

After lunch, I asked Jonah if he wanted to do a campus walk. He jumped up in answer, immediately ready to go. I took the risk and let him keep my phone. He was surprisingly okay with handing it back to me when he needed help, but he also could navigate a lot of it himself. We listened to Twenty-One Pilots and Harry Styles and Sir Sly, and he didn’t walk too fast for me like he sometimes does. At one point, after un-pausing a song for him, I handed the phone back — and he said thank you! For the first time: unprompted, unprovoked, and entirely of his own volition. I know Briana’s been working hard to help teach him but still I was amazed.

Hell, the sun even came out for us.

When we got back to the house, he allowed me a big hug and a kiss before he went inside. I couldn’t have asked for a better visit. The only thing I would have liked was more time with him.

Jonah does well in school these days, too, now that the kids are back in the classroom. Hs teacher says “He willingly does academic work and tasks given to him, with a little reinforcer at the end.  Jonah also expresses very well if he does not want to do something but I can usually tell him, you can have x amount of time then we will do work.  This seems to work well right now.”

Briana sent me his goals at the residence:

· Jonah will use a broom and dustpan to sweep piles of debris.

· Jonah will put clothes in the dryer, add a dryer sheet, clean the lint trap, and follow directions to push buttons/turn dial for correct settings.

· Jonah will put away cups and dishes

She thinks he’s capable of meeting the goals with some environmental cues and staff support. I think so too!

I’ve been trying to talk to him on the phone a few times a week. When the staff person answers, I always ask them to please find out if Jonah wants to talk on the phone. God knows I hate talking the phone, to anyone but him anyway. Most times Boo comes right over to talk.

Last night he sounded happy. Our conversation is of course limited, but Jonah does say “good” if I ask him how his day went, and he’ll tell me miss you, love you, and bye, if I say it first. He hangs up abruptly, all done.

Since I last wrote I’ve been on 2 or 3 more hikes. But I hurt my Achilles heel on my left foot and gave myself a break for a bit. Then I went out again this past Saturday. I’m so used to winter hiking that 50 degrees felt like summertime. It seems my limit is about 3 1/2 miles. Anything past that and my left knee hurts something awful, especially going downhill. Either that or the whole leg goes kind of dead – not sure how else to explain it. The trekking poles become crutches. I ain’t no spring chicken, but the woods sure do feel like home. I’d love to live in the middle of the forest someday. Maybe when I retire.

Of course it all depends on where Boo ends up, and we won’t know that for another year or so, I think. I want to be closer to him eventually. In my hoped-for future he is aggression free and I can visit often.

We’re working on it!

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I just found NCSA, the National Council on Severe Autism, last week. From their website: Pursuing recognition, policy, and solutions for the surging population of individuals, families and caregivers affected by severe forms of autism and related disorders. 

That’s Jonah! That’s us! I haven’t been this excited to find an organization since never.

Last week I attended their policy summit, which was full of information and included panelists from many different autism organizations. There are other webinars coming up; they’re all free (and recorded if you can’t attend). I’ve signed up for Treating Challenging or Dangerous Behaviors, Part 1: Medical Support, which features 2 doctors from Kennedy Krieger and one from UCSF, discussing everything I want to know – what meds and interventions are working with people like Jonah. I’m drinking up NCSA’s resources like a thirsty camel.

This is excellent timing, too, because Jonah’s blood Clozaril levels have stayed high even though they lowered one of his doses, so they’ve lowered yet another dose. This is tricky territory; of course we don’t want the frequency or severity of the aggressions to go back up, but we want to keep Boo safe too.

The other day he sat in his room and sobbed tearlessly for 15 minutes. Briana texted to tell me he’d refused her offer of a campus walk, and when she returned to the house, he was in the midst of the crying jag. I asked if maybe he wanted to do a video call, but she didn’t think it was a good idea. When he cries like that, she told me, it’s usually because he’s ramping up to attack staff. I feel special kind of helplessness on these occasions. There’s nothing I can do to help him or make it better. At least I didn’t have to hear him cry, for my son’s sobs are long and loud and anguished. They break my heart.

I did get to see him again, on his 19th birthday, March 7th. I brought McDonalds, of course, and a piece of special cake my friend KP made sure to get to me. Jonah was okay until we went inside the Visitor’s Center and up the stairs, at which point he greeted me with a splayed hand to the face. My glasses went flying, just like in the old days, and he grabbed a chunk of my hair. Of course I had a strong companion with me – I daren’t visit alone – and he disengaged Jonah without much trouble. As aggressions go, it was only a 2 or 3 on the Richter scale, and the rest of the visit was fine. Our cinematic entertainment was the familiar Jungle Book. I think Jonah would have watched the whole thing, were our visit not limited to one hour. It was so good to see him. He even let me hug him at the end of the visit.

Even as I type this Jonah is just leaving the ER. Briana came to the house on her day off because staff was concerned about a boil on his neck. She and Caroline, another staff member, took him over to Northern Dutchess Hospital. I knew he had a bump, but I guess it was getting bigger and they were worried. The ER doc was all set to remove it with local anesthesia, but Briana explained Jonah would need to be fully sedated for that. They decided the risk of putting him under wasn’t worth the benefit, and they’re going to continue to tackle it with more meds. I guess Boo was wonderful in the hospital, so they took him through the McDonald’s drive-thru afterward. He probably really dug the car ride, too. I hope he enjoys his yummy food and has a good night.

I’ve strayed into the woods again to hike a few more times since I last wrote, and also went through a bout of angry depression that birthed the last post’s poem and started me to writing again. Since 2002, I’ve had a portfolio on writing.com (where I am winklett, of course) but I haven’t written much in years. Now the words are flowing again, mostly poems and a short story or two. The woods and the writing are positive forces in my life, and I am grateful for them both.

My phone *just* rang – it was Briana, sounding distressed. She said she had bad news. I guess somewhere between McDonald’s and the Anderson campus, Jonah attacked Caroline. It was bad, and it took 20 minutes for the two of them to get Jonah under control. Somehow they managed to drive back to the house, where 6 staff members are ready in case he attacks again.

See, this was almost a positive post. Almost happy. But no. Here we are again. The ever-loving shit show.

I didn’t find NCSA a moment too soon.

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