How Music Therapy Can Assist Kids With ASD

What is Music Therapy?

Music Therapy is a research- and evidence-based practice in which music is used to assist people to achieve their therapeutic goals.  Registered Music Therapists (RMTs) incorporate many musical and rhythmic techniques to facilitate therapeutic relationships with clients and to address their health, functioning and well-being. You will find RMTs working in many different areas such as health, aged care, early intervention, disability, rehabilitation as well as in private practice. In Australia, Music Therapy is fully endorsed by the National Disability Insurance Agency.

Why is Music Therapy great for children with ASD?

Music Therapy creates a wonderful platform of exploration and creativity for children with ASD. Because each child with ASD presents so diversely, Music Therapy is able to reach children where they’re at and be completely individualised to them. My role as an RMT is to create a safe, therapeutic environment for each child as they explore music as a way to address their goals. Each session looks very different, as each child is so wonderfully different.

How does Music Therapy address goals which are associated with ASD?

In my experience, the most common goals to be addressed in children with ASD are in the areas of communication, social skills, emotional self-regulation and confidence. Music Therapy is unique in its ability to address these goals in a creative way.  For example, if a child requires improved social skills then rhythmic drumming may be a wonderful way to facilitate that.  By encouraging them to play on the drum with me, this child simultaneously learns about turn-taking, sharing, patience, conversational roles and delayed gratification – all important elements of social skills.

The beauty of rhythmic drumming for addressing this goal is that no words are required, which also creates more accessibility for children who are non-verbal.  By taking away the pressure of speaking one-on-one with another person, this child is free to enjoy and explore human communication in a new way.

What kind of techniques are involved in Music Therapy for children with ASD?

In my practice, I aim to provide as much choice and autonomy to each child as possible.  Children with ASD often have very specific and individual interests, so I always incorporate those interests into my sessions.  Sessions may include playing/exploring musical instruments, drumming, songwriting, singing, improvisation, musical narratives during play, literacy games/songs, etc. It all depends on the child’s individual goals and their specific interests.

One of my favourite techniques to use is songwriting.  Songwriting is great for assisting children to process big feelings, learn new processes and self-regulate their emotions and/or behaviour. Often these songs are very simple but always completely individualised.  The fun continues as their song is recorded for use at home!

Music Therapy remains a unique allied health stream which can address children’s goals in a safe, therapeutic environment whilst being creative and fun. If you’d like to know more about Music Therapy in Australia, please visit the Australian Music Therapy Association Website: www.austmta.org.au.

Ashleigh Rowbottom

Registered Music Therapist at Kindred Music Therapy

BPsychSc., BSocSc. (Psych.) (Hons), MMusTh.

music therapy

Visual Schedules for Kids

What is a visual schedule?

Visual schedules are a series of pictures, drawings or symbols which help to break down tasks into smaller steps or communicate any period of time – for example a morning, a day or week.

Learning to use a visual schedule can take some time. Initially, prompts and cues will be necessary to help children understand their purpose and use. Gradually this support is reduced to develop increased independence for children.

Why are visual schedules helpful?

Visual schedules are helpful for all individuals however they are particularly useful for children who may have difficulty with planning and organisation or display anxiety about what is happening in their day. It can also help children see when their preferred activities are happening – which can be used as a motivator to complete non-preferred tasks.

Visual schedules:

  • Help build routine and structure and clear expectations into a child’s day.
  • Can increase a child’s independence by assisting them to take responsibility for their time and routine without the need for constant prompting and reminding.
  • Help to reinforce and supplement verbal directions.
  • Provide predictability to help children transition between activities within their school day.
  • Can help reduce anxiety and confusion about what will happen in the day.
  • Help children keep track of time (countdown timers can also be used) and stay focused on the task at hand.
  • Can help motivate children to move to the next activity or earn an end game.

Types of Visual Schedules:

There are different types of visual schedules and many fun and creative ways that they can be presented.

To determine the type of visual schedule which is right for you and your child you need to consider the child’s attention span, level of understanding and age. A younger child they may benefit from more simple schedules with pictures and fewer words. Older students may cope with a larger schedule for example outlining the full day or week with more words.

Here are some examples:

  • First and thenfirst and then
  • A schedule or checklist which breaks down the steps involved in an activity such as “collect materials, cut out, glue into workbook”.

checklist

  • A schedule which shows activities to complete in a session/day – for example using a laminated page with finish envelope at the end or having a laminated page with check boxes to tick off.
  • A weekly timetable for those activities which remain consistent

weekly timetable

Tips and Helpful hints to consider when making your schedule:

  • Decide what you are trying to communicate. For example, is the schedule to help transition to the next activity or is it to promote independence across the morning routine.
  • Involve the child in the planning process as it can increase their willingness to follow the schedule. For example, your child might like to help you find Clipart images from google or pose for photos completing the activities.
  • Include a finish box or checkbox to help the child feel motivated and feel a sense of accomplishment when moving through their routine.
  • Visual schedules can be particularly motivating when they are linked to an end game or motivating activity for example – Including a free choice at the end as an incentive to ticking off the activities.
  • Allow the child to have some choice and control in the scheduling or selecting of activities. This can increase motivation and be a useful incentive to completing the other tasks.

If you have found this helpful, please feel free to share this information with your friends.

We are here to support you so if you have further questions please give us a call on 0412 720 449 or  send an email to info@synchronyot.com.au and we can talk through how we can help you and your family further at home.

Writing Homemade Stories for Your Child

Why are stories helpful?

As a therapist and a parent, I can tell you that writing individualised stories with kids can be immensely helpful in assisting them to:

  • Manage change
  • Cope with unexpected events
  • Work through big feelings and emotions

All kids benefit from repetition to properly absorb information about what is going on, and this is especially the case when they are anxious.  Writing things down can suddenly make everything much more concrete than just having a verbal conversation.

How to write a story for your child:

All you need is a pen and paper.  Don’t worry if you are not an amazing artist, the quality of your drawings doesn’t matter.  I find it helpful to involve your child in the illustrations if you can.

  • Step 1: Pick a topic for your story
  • Step 2: Describe the situation
  • Step 3: Validate how your child is feeling
  • Step 4: Make a simple plan for how your child can respond

Doing Schoolwork from home

There are a number of ready-made stories freely available online that you might find helpful in explaining the current Coronavirus pandemic to your kids:

A simple printable template for making your own mini books can be found here: https://www.twinkl.com.au/resource/t-l-854-mini-book-template-blank

If you would like further information about writing homemade stories a great resource is Robert G. Ziegler’s book ‘Homemade Books to Help Kids Cope: An Easy-to-Learn Technique for Parents & Professionals’.

If you have found this helpful, please feel free to share this information with your friends.

We are here to support you so if you have further questions please give us a call on 0412 720 449 or  send an email to info@synchronyot.com.au and we can talk through how we can help you and your family further at home.

 

Creating A Sensory Smart Classroom

What is sensory Processing:

Sensory processing difficulties are highly prevalent in children with ASD and ADHD and occur in 5 to 16 % of all school aged children (this is as many as 1 in 6!). Sensory processing is how our brain registers and interprets information from our sensory systems:

  • Tactile- what we touch
  • Auditory- what we hear
  • Visual- what we see
  • Gustatory- what we taste
  • Olfactory- what we smell
  • Vestibular- how we are moving
  • Proprioceptive- how our body is positioned

Sensory Thresholds:

Each of us have a sensory threshold, this is a limit of the amount of sensory input that we can tolerate.  Sensory sensitivity occurs when normal sensory input levels exceed a child’s threshold.   Conversely, under-registration occurs when a person needs greater than normal levels of input to register.  If there is a mismatch between our sensory preferences and our environment our performance is inhibited.

What is happening at a brain level?:

We are constantly being bombarded by sensory input both from our environment and from within our bodies. Our brain filters the information and decide whether to:

  • Screen out- input is deemed as unimportant e.g. dust particles in the air- always there but we tend not to notice them.
  • Habituate- if input doesn’t change much over time it is ignored e.g. wearing a ring.
  • Notice and assign the relevant level of importance e.g. a car honking at us as we cross the road and needing to respond immediately.

If the sensory input is beyond what we can tolerate then the situation releases cortisol in our brain and elicits as fight/fright/flight stress response which causes:

  • Breathing gets faster
  • Heart rate increases
  • More oxygen is pumped to muscles
  • Appetite suppressed
  • Prefrontal cortex shuts down (responsible for attention, planning, decision making, judgement, impulse control, retrieval of memories, learning)

Overall state of arousal:

Overall state of arousal is impacted upon by many factors:

  • Sensory preferences
  • Sleep
  • Hunger
  • Sickness
  • Anxiety
  • Prior events of the day

This means that a sensitive child might be able to cope with something one day but the next day they might completely fall apart.  An under-responsive child might be calm and in control one day but the next they might be completely unpredictable.  Bear in mind that these changes are not a behavioural choice but purely the result of a nervous system that can’t cope that particular day.

What does it look like:

  1. Signs of sensory sensitivity:
  • Cover ears
  • Become upset in response to loud noise.
  • Easily distracted/overwhelmed in busy environments.
  • Avoid messy play.
  • Hesitant to try new foods
  • Bothered by clothing fabrics, seams in socks, wearing long sleeves.
  • Dislike grooming tasks such as having hair brushed, washed or cut.
  • Cautious on playground equipment
  • Highly emotional
  • Increased anxiety
  • Tantrums/ meltdowns
  • Avoidant behaviour
  • Aggressive behaviour
  1. Signs of under-responsivity- Sensory Seekers:
  • Runs into things
  • Fidgets
  • Constantly moving/ can’t sit still
  • Impulsive
  • Over excited
  • Too rough in play
  • Invade personal space
  • Chew on clothes/objects
  • Poor attention
  • Disorganised
  1. Signs of under-responsivity-Low registration
  • Passive
  • Lethargic
  • Tires easily
  • Off with the fairies/ day dreamer
  • Misses instructions
  • Hard to engage

What can we do?

I have found the most success with taking a 3- pronged approach to managing sensory challenges.

  1. Provide sensory calming/organising activities to ensure the nervous system is in an optimal state.
  2. Utilise cognitive strategies to build self-regulation and coping skills.
  3. Set up the classroom environment to maximise predictability and reduce sensory demands.

Sensory calming/organising activities:

Types of input that can help to prevent/counteract a stress response and also provide input that under-responsive kids benefit from:

  • Heavy work- (which stimulates the proprioceptive system) impacts on serotonin levels in our brain. Serotonin helps to regulate our level of arousal/alertness. These chemicals can remain for 1.5- 2hours. Activity ideas include:
    • Yoga poses
    • Chair push ups & dips
    • Wall push ups & squats
    • Animal walks such as crab walks, bear walks, caterpillar creeps, bunny hops etc.
    • On-the-spot exercises or gym circuit activities such as scissor jumps, star jumps, sprinting on the spot, high knees, crunches, push ups, squats, marching, planks.
    • Whole body Theraband exercises
  • Deep pressure touch- releases dopamine in the brain which reduces cortisol. This relaxes the brain so that we can focus and attend. Activity ideas include:
    • “Milkshake Breathing”
    • Breathing prompt: Sniff a flower/blow out a candle
    • com:
      • On & Off
      • Bring It Down
      • Rainbow Breath
  • Deep breathing- essentially tricks our brain and body into thinking that we are calm. Activates our parasympathetic nervous system which helps us to relax.  Activity ideas include:
  • Body socks
  • Bear hugs
  • Bean bag chairs
  • “Sausage rolls”- rolling child up in a blanket
  • “Pizzas”- rolling over child with a therapy ball

Cognitive strategies:

  • Use body and brain diagrams to discuss how the sensory system works. It is amazing how teaching kids to understand what is happening in their body and brain can help them to develop their own self-regulation skills.
  • The Zones of Regulation Program & The Alert Program- How Does Your Engine Run? I like to draw on aspects of both these programs.
    • Make a whole class Speedo using the four zones colours.
    • Discuss when it is OK to be in each zone.
    • Brainstorm how we might look/behave in each zone and how this impacts upon others.
    • Generate strategies for what to do in each zone.
  • Books to support self-regulation:
    • We Thinkers! Volumes 1 & 2 by Michelle Garcia Winner – 10 part series including topics like:
      • Whole Body Listening
      • Expected and Unexpected Behaviour
      • Flexible and Stuck Thinking
      • The Size of the Problem
    • Superflex by Michelle Garcia Winner
    • Ant patrol Series by MASTER Institute
    • The Panicosaurus by Kay Al-Ghani
    • The Red Beast by Kay Al-Ghani

Classroom environment suggestions:

Provide as much structure and predictability as possible:

  • Visual schedules
  • Predictable daily routines
  • Timers
  • Social Stories (give warning about what to expect, how to act and what to do if they are overwhelmed). Homemade Books to Help kids Cope by Robert Ziegler is a helpful resource for writing these

Where possible reduce sensory stimulation:

  • Minimise visual clutter around the room.
  • Use page cut outs to display small chunks of visual input at a time.
  • Provide priority seating where possible.
  • Turn off the lights during quiet breaks.
  • Set up a quiet retreat in the classroom (tent or reading corner). Sometimes it can also be helpful to have another location in the school available for lunchtime incidents.
  • Have earplugs or noise cancelling headphones available to block out noise.
  • When lining up, allow sensitive kids to have a special place at the front or back of the line.
  • Use carpet squares for each child when sitting on the floor to keep them in their own space.

Allow opportunities to seek input in an acceptable way:

  • Munch and crunch
  • Chewelry/ Chewy tubes
  • Drink bottles to sip on
  • Fidget toys
  • Place Velcro dots under the lip of the desk
  • Provide options for seating:
    • Move n sit cushions
    • Weighted lap cushions
    • Low tables to sit on the floor
    • Standing desks
    • Bloom stool/Hokki stools
    • Hawdahug chairs
    • Beanbags
    • Ball chairs

Helpful links and resources:

Kate Kleinau- Occupational Therapistkate headshot

A Peek Inside Our Resource Cupboard: 5 of Our Favourite Games for Building Fine Motor Skills

Open our resource cupboard and you will find shelves of toys! We know that kids do their best learning when they are having fun.  Many of the kids that come to see us need support to develop their hand strength and fine motor skills so that they can master activities like handwriting, cutting with scissor, tying shoe laces, using cutlery and all the other everyday tasks that we have to do with our hands.

A few of our favourites…

  1. Playdoughplaydough

This is definitely and oldie but a goodie.  Manipulating the playdough in different ways builds strength and control of the finger muscles.  Obviously, the possibilities are endless, however we particularly like to use these great playdough activity mats from Mother’s Niche.

  1. Connect 4connect 4

Who would have thought such a simple household game could also be great for fine motor development.  When playing this game, we like to challenge the kids to only use one hand to pick up 3 coins at a time.  This means that they have to transfer the coins from the fingertips to the palm of their hand (and back again when posting them in the slots) which is fantastic for developing in hand manipulation.

  1. Hammer and Nailshammer and nails

This game has so much going for it.  Orientating the pieces correctly to copy a picture develops visual perception, lining up the nails takes precise finger control and holding the pieces still while hammering works on coordination of the two hands (also referred to as bilateral integration). Even more motivating is getting out the real tools (with close supervision!), you’d be surprised at how motivating hammering nails into balsa wood can be.

  1. Pegspegs

The humble peg is wonderful for developing finger strength.  Set up a stable chair or table at home so that the kids can help peg the clothes on the line.  In the clinic, we often get kids to match pictures on the pegs to a corresponding template.  You can make your own based on your child’s interests or we often use this ready to print pack from Your Therapy Source.

  1. Build and Play Toysscrewdriver build and play toy

These are so motivating for kids, they can literally spend hours assembling and disassembling. Plus they don’t even realise that they are working on their visual perception, in hand manipulation and bilateral integration skills at the same time.

Kate Kleinau- Occupational Therapistkate headshot

Children & Anxiety: The Impacts of Trauma and Anxiety on a Child’s Mind and Body

The words anxiety and stress are used more frequently in our world today than ever before and even more so when considering the traumatic situations children are faced with. Trauma is considered “an out of control, frightening experience that has disconnected us from all sense of resourcefulness or safety or coping or love.” (Brach, 2011).

When we consider trauma within this context, I imagine there are a few more events or situations that may come to your mind for yourself as a child or for the children you are currently caring for.

When children are in constant states of powerlessness or in unpredictable/unsafe environments there are implications for the mind and body because fear is the emotion felt in both scenarios. If children do not have access to a primary caregiver who can guide them through fearful emotions with patience, love and understanding, ultimately the child accesses the fight/flight/freeze mechanism in the brain. This mechanism, when overactive, will begin creating a neuro pathway in the brain advising the child they need to disconnect from feeling which ultimately means they disconnect from their body – leaving them feeling anxious in their world.

What is anxiety?

Before we continue, let’s clear up the term ‘anxiety’ and what it means. Anxiety is a state of being when we are concerned, fearful or worried about the future. Our mind focuses on an issue or situation and in its attempt to feel safe, will try to predict every possible outcome of that issue or situation – leaving us feeling uncomfortable sensations in our bodies. These sensations may include; shallow breathing, reduced energy, headaches, tense muscles, sleeplessness and diarrhea.

When anxiety is felt on a regular basis, especially during the core developmental years of 0-7, our fight/flight/freeze response becomes our default functioning system. This system has been designed to protect us when we detect a threat in our environment. For example, approaching a school bully, hearing parents argue, hearing a loud noise or being asked a question by a school teacher. When this system is constantly triggered and strengthened, children may experience:

  • learning difficulties;
  • control seeking behaviour’s such as bullying;
  • explosive behaviours;
  • difficulty regulating their emotions;
  • difficulty remaining engaged with their teacher and learning content;
  • extreme and challenging behaviours (anger, sadness, frustration);
  • a reduced desire to interact with people or their environment;
  • self-harming behaviours and
  • depression.

How can we help reduce anxiety in children?

Luckily for us, we now know enough about the brain and body to begin reducing a child’s experience of anxiety. The introduction of brain scans in the last 20 years helps us understand how the brain functions during certain situations such as a traumatic experience, anxiety, depression or a tantrum.

Tip 1:

The first tip to begin helping your child when they are anxious is to tend to the emotion. This sounds simple however it is often forgotten because we as parents/caregivers go straight to problem solving mode.  When a child is in meltdown mode, and adults for that matter, access to the logical part of our brain (Neocortex) is minimal and all behaviours and actions are being directed by the emotion centre (Limbic System). I am sure you have many stories of extreme outbursts from your children because of something you consider insignificant. It’s crucial to understand here however that the ‘insignificant’ reason is indeed significant to your child.

All meltdown behaviours you see from children are occurring to meet a need. If the emotion attached to that need is not explored or understood by a primary caregiver, then children are left feeling confused and deserted which only increases their anxiety the next time they feel big emotions as they don’t have a safe adult to help them.

Tip 2:

The second tip in helping children with anxiety is to offer them alternative methods in exploring big emotions. The language centre of our brain (Neocortex) is developing from 3 years into adolescents which make our requests of children to explain emotions with words often unsuccessful. Help your child allocate colours, animals, cartoon characters or songs to feelings. When your child is struggling to explain their emotions to you, pointing to a colour or cartoon character can be easier. Your child will then feel understood and you will know which emotion to tend to, thus, your child feels safe and supported.

Tip 3:

Thirdly, it’s crucial for children to have a strategy to calm their mind and body. When we are anxious or fearful, we need to activate the relaxation response (Parasympathetic System) which can only be accessed by our breath. Balloon Breath is a good option for children. Guide your child to breathe in through their nose for 4 seconds, filling up their belly like a balloon of their favourite colour and exhale through their mouth for 4 seconds. If your child needs a point of focus, you can have your child lay on their back with a toy on their belly to watch as it does up and down.

Anxiety can be a very scary experience for children if they do not have a safe and understanding parent/caregiver to turn to. Providing children with a predictable and safe environment and teaching them tools to help with big emotions will begin creating a sense of resilience and confidence that will reduce anxiety.kids yoga therapy

Jessica McIveen- Social Worker and Children’s Yoga & Meditation teacher at Kids Yoga Therapy.

Find out more about Jess at:

http://www.kidsyogatherapy.com.au

info@kidsyogatherapy.com.au

ph: 0403 270 367

*NDIS Registered Service Provider

The Importance of Pretend Play- From the Founder of ‘My OT University’

“When children pretend, they’re using their imaginations to move beyond the bounds of reality. A stick can be a magic wand. A sock can be a puppet. A small child can be a superhero” – Fred Rogers

social skills 2

I love watching children engage in pretend play where a doormat can be a space-ship, a toy car can blow-up and a child can be a superhero. Kids engage in pretend play in lots of different ways from teddy tea-parties to role-plays with figurines to mud kitchens in the garden. When children work together and role-play with characters, they have the opportunity to create problems and develop coping skills. As these scripts become more complex; the problem-solving and compromising in play also becomes more complex and they learn skills they will use as a teenager without the actual emotions attached to the real-life situation.

Boredom often fuels creativity in play so the more structured activities you implement with kids at home, the less pretend play a child needs to engage in. Being bored is a part of life and it is in this space that we are left with our own thoughts, ideas and creativity. There is great creativity in a child’s ability to create a game with a story line of their own and characters to go along with it. So what happens when we replace this type of play with single use toys and technology- does this skill disappear? Technology is always going to be a part of their life so how do we get the right balance so different types of play are all part of the routine.

So how can you create opportunities for pretend play at home?

  • Don’t throw out cardboard boxes and allow children to play with them. If they need help, you can give some suggestions or model ideas for them i.e. driving in a car, rocket, spaceship, boat etc.
  • Use puppets especially with younger children. Give them funny voices and express lots of different emotions.
  • Have a dress-up box- don’t get rid of any fancy dress costumes!
  • Props can be very helpful for kids to help develop story-lines especially if they are finding pretend play challenging. Props like a kitchen, vet kits, doctors kit, washing machine etc.
  • Have lots of new experiences which can be incorporated into play e.g. going to a wildlife park, museum, park, bush, beach etc.

It is vital that parents and educators can access information on positive child development so that change can happen in the home and school environment. The My OT University is an online learning platform which was developed to provide information and practical tips and strategies around Occupational Therapy and Child Development. The platform offers an online video series including guest speakers from the fields of Child Psychology, Physiotherapy, Education and Speech and Language Therapy. In addition, members will have access to monthly webinars on topics chosen by subscribers and ‘Let’s Get Moving’ gross motor classes for kids to encourage them to engage in exercise. Join the rest of the My OT & Me Community on www.myotandme.com

Jessica Kennedy- Occupational Therapist

Core Strength: How can I develop my child’s postural control at home?

What is core strength?

Core strength, or postural control, is the base and launching pad for everything that we do.

The body’s core, referring to the muscles in the abdomen, back and pelvis, is the foundation for children being able to maintain an upright sitting posture, control fine motor movements, such as handwriting, and participate in gross motor activities like school sport.

child girl doing gymnastics

Signs of poor postural control include:

  • Sitting on a chair in a slouched position
  • Leaning over the table and propping the body up with hands when completing work
  • Preferring to lie down during floor work
  • Finding it challenging to control a pencil when writing
  • Having difficulty balancing and playing on playground equipment

How can I develop my child’s core strength?

Simple and fun activities can be incorporated into your child’s day to build their core muscles and create a good base for fine motor and gross motor activities. Here are some simple ideas:

  • Animal walks – your child can pretend to be a variety of animals whilst strengthening their core e.g. crab walks, bear crawls, frog jumps.
  • Wheelbarrow walks– your child ‘walks’ on their hand and an adult holds their knees (easier) or ankles. Your child can see how far they can go, complete 10 steps forward then 10 steps backward, balance a toy on their back whilst walking or even complete a puzzle by wheelbarrow walking to retrieve pieces.
  • Create an obstacle course which includes unstable surfaces (pillows), crawling under objects and climbing. To give the game purpose you could: time how fast they can go, set up unmatched socks or memory cards at the start and end so your child needs to find the pair.
  • A simple way to develop postural control is to change your child’s position when completing activities e.g. lying on their stomach and propping their bodies up with their arms.
  • Superman – your child lies on their tummy and lifts up their legs and arms at the same time so the thighs and chest leave the floor. Can they hold a ball or toy between their feet or hands?
  • Plank positions – start lying on stomach and push up onto hands and feet. It is important to maintain a straight body position whilst holding this for as long as possible. If holding a full plank is too tricky your child can try dropping the knees to the floor or drop to their elbows with arms at 90 degrees.
  • Climbing up a slide instead of sliding down.
  • Participation in sporting activities such as swimming, gymnastics and martial arts can assist with developing postural control.Lucy Taylor 3

Lucy Taylor- Occupational Therapist