Signs of Autism Spectrum Disorder in Children with Down Syndrome

Signs and symptoms of Down syndrome is fairly easy to detect especially since there are specific physical characteristics of the disorder. But what if there is also a diagnosis of autism?

Studies show that 5 to 39% of children with Down syndrome are also on the autism spectrum. There are overlaps in some of the symptoms which delays the signs and symptoms of autism. This observation is slowly growing and informing parents and educators  to observe for specific signs and symptoms.

It is possible that educators and therapist may be the first to notice that children with Down syndrome also display characteristics that are similar to autism.

Why is it important?

According to authors Margaret Froehlke and Robin Zaborek from the book, When Down Syndrome and Autism Intersect, The education approach in both Down syndrome and autism will be different than for children with a single diagnosis of Down syndrome including accommodations and writing the IEP. Teaching strategies will also differ. Teaching a student with Down syndrome who require tactile demonstrations, simple directions, and immediate feedback will now require concrete language, social stories, the use of few choices and the use of concrete language.

The importance of getting the diagnosis
Most often children with Down syndrome are treated for the characteristics of having Down syndrome which overlooks giving children the appropriate treatment for Autism such as social skills and sensory issues. A child or young adult with both diagnosis will likely experience aggressive behaviors, meltdowns, and show signs of regression during their early development. The following are signs and symptoms to look for in your child, or student:
  • Hand flapping
  • Picky eater
  • Echolalia
  • Fascination with lights
  • Staring at ceiling fans
  • History of regression
  • Head banging
  • Strange vocalization
  • Anxiety
  • Seizure Disorder

Signs of overlap include:

As the student gets older, there may be ongoing issues with sensory disorders and transitions leading to meltdowns

Additional Resources:

Autism and Meltdown Resources

Printable Down Syndrome Fact Sheet

 

Reference

When Down Syndrome and Autism Intersect: A Guide to DS-ASD for
Parents and Professionals

By Margaret Froehlke, R. N. & Robin Zaborek, Woodbine House, 218 pp.

Updated 1/12/2021

What is Augmentative and Alternative Communication (AAC)?

According to the American Speech Language Hearing Association, there are over 2 million people with significant expressive language impairment who use AAC. AAC users including people with the following disorders; autism, cerebral palsy, dual sensory impairments, genetic syndromes, intellectual disability, multiple disabilities, hearing impairment, disease, stroke, and head injury.

According to the International Society for Augmentative and Alternative Communication Organization. AAC is a set of tools and strategies that an individual uses to solve everyday communicative challenges. Communication can take many forms such as: speech, a shared glance, text, gestures, facial expressions, touch, sign language, symbols, pictures, speech-generating devices, etc. Everyone uses multiple forms of communication, based upon the context and our communication partner. Effective communication occurs when the intent and meaning of one individual is understood by another person. The form is less important than the successful understanding of the message.

The types of AAC includes both low-tech and high tech. Low tech AAC includes symbol charts, PECS,  and communication boards, while high tech AAC include electronic devices such computers, tablets and devices.

The following information provides resources, articles and tips on using AAC:

3 sets of AAC goals for interactive books

5 quick and easy games that build AAC skills

50 simple switch or low tech activities

AAC and Echolalia

AAC for caregivers manual

AAC Quiz

Augmentative and alternative communication (AAC) systems for students with CVI and multiple disabilities 

How to make an AAC symbol library

Language opportunities to use AAC at home

Low-Tech AAC Ideas

Promoting inclusion and participation for people who use AAC

Reducing prompt dependence in AAC learners: 5 things to try

The periodic table of AAC

Using AAC more in the classroom

Using LIST in PODD communication books

What does it take to implement AAC

 

Indepedence In The Morning

Published By: Rainbows Are Too Beautiful

Mornings in our home are a sort of regimented chaos.  Three kids who all require some form of supervision, two schools to get to and all their gear. Although my kids may seem old enough to be doing a lot of the morning routine themselves, they have a few challenges

Anthony is 10 with autism and ADHD and although he goes to a mainstream school, he needs a lot more support than his peers to focus on and do things.  David is seven, and he attends a specialist autism unit.  His communication is extremely limited which can make doing anything challenging. Jane is five years old – she’s just entered Year 1.

In the past year I’ve learned more and more although the responsibility of getting all my kids out of the house and to school lies with me – I don’t have to do everything.  And the best way of doing this is to help each of my kids be more independent in their morning routine, helping each where they need it most.  Doing this means thinking about ways to help them develop their own skills.  Here’s some of the ideas we have used. Click here to read the rest of the story.

Autism and Noise Sensitivity: 7 Tips for Kids With Sensory Activity

Source: Meraki Lane

If you’re looking strategies and products that help with autism and noise sensitivity, you’ve come to the right place.

While no two children with autism are the same, and the range and intensity of symptoms varies from person to person, certain characteristics tend to stand out when interacting with children on the autism spectrum. Communication challenges, an inability to express emotions and understand the emotions of others, difficulty with transitions, poor impulse control, and problems with self-regulation are all common struggles for kids on the spectrum.  Click here to read the rest of the story.

Good Communication Can Make Medical Visits More Successful For Patients With Autism

Hospital, Doctor, Nurse, Medical, Health, Professional
Source: (News Medical)

Doctor visits can be a challenge for patients with autism, their families and health care providers. Kristin Sohl, associate professor of child health at the University of Missouri, offers several steps providers and families can take to make medical visits more successful. She says that all of them require good communication between the provider and parent before, during and after medical visits.

Before a Visit

“Parents or caregivers should call ahead to the provider’s office to discuss individual accommodations that the patient might need during the visit, such as a comfort item or a distraction toy,” Sohl said. “Tell the office staff if there have been prior negative experiences—or successful ones—so the office can provide a supportive environment and avoid triggering anxiety in the patient.” Click here to read the rest of the story.