"But there are so many programs out there!"

So often lately, I hear about a new great program for kids with autism.  Sometimes, I hear about it in the news, or someone tells me about it, or I dig it up with some research.  Often, I get very excited about the idea of the program, until I look at the fine print or try to apply, and then find that Janey isn't eligible.  This is not something that just affects Janey.  Autism covers a HUGE range of behaviors and abilities.  Saying that a program is for children on the autistic spectrum pretty much says nothing.  It's the fine print that figures out WHICH children the program is for.  But the general public would certainly be excused in thinking that any parent of an autistic child could pick and choose from tons of exciting opportunities.  

I want to emphasize I know how lucky I am to be living in the time and place I am.  There ARE opportunities for Janey.  She goes to a school program designed especially for children like her.  She gets speech therapy, occupational therapy, swimming lessons, music therapy and more---all at school.  She has a terrific teacher.  Last summer, she went to a camp that I can never, ever say enough about---Camp Fatima---a dream camp.  I am grateful for all the help Janey gets.  And many of the other programs we aren't eligible for, I might not want for Janey anyway.  But I just wanted to illustrate that just because you hear of a program for children with autism, it doesn't mean that ALL children with autism can participate.  Here's two examples---

The Boston Conservatory has a program that gives lessons in music instruments or voice to children on the autistic spectrum.  The program sounds incredible---read about it here--and I eagerly went to their FAQ page to see if Janey would be able to access it.  Well, this line stopped me cold "Yes, students must already possess basic proficiency (i.e. can play without hand over hand instruction) in their instrument" ,written as an answer to whether the children had to have prior experience.  So, basically, this wonderful program is available only to kids on the autistic spectrum who have already had lessons---kids high functioning enough to have been able to be taught the basics of their chosen music area already.  And they must have been able to do on in regular classes, as the page says this new program is the only of its kind in the country.  It also costs $1000, which isn't so much the issue---not that we have a thousand dollars lying around to spare, but if the program was open to Janey, I would brave hell or high water to find that money somehow.  But---it isn't.

And here's one where Janey was too HIGH functioning.  I heard about a study being conducted here in Boston to help children with autism acquire language, using new techniques (read about it here).  I registered to be considered for the program, and got a call yesterday from a very nice woman who told me all about the program, which sounded wonderful---very intensive and innovative.  I kind of had a suspicion here that Janey would not qualify, though.  The program is for children called "minimally verbal"  I would consider Janey to be minimally verbal, in that she doesn't talk except for simple requests or echolalia, with very rare exceptions, but I do know that that is much more verbal than many kids with autism (and I know how lucky I am that Janey does talk that much)  And indeed, once we were screened, the researcher told me that Janey has too much speech to be included in the study.  I respect that.  It's a scientific study, and she doesn't meet the guidelines.  But I still felt disappointed.  Seven years of speech therapy have not significantly improved Janey's speech, and I would love to have a chance to try something new to help expand her talking.

I could give a lot more examples here, but these two illustrate what I mean pretty well.  I know there are programs which Janey would be right for and other autistic children would not.  But for someone without knowledge of the nuances of autism, it might seem that there are far more opportunities out there than there really are.  That's why it's so crucial that organizations that support autism put their funds into DIRECT SERVICES---not some vague "awareness" campaign or research that might possible help some theoretical child 10 years in the future.  We need help NOW.

Vacation week thoughts

This is the first day of the spring vacation. Optimist that I think I am deep inside, I start most vacations feeling fairly hopeful about them. It's good to have a break in the routine, and especially, for the boys to have a break from the intense world of high school. But mixed with that feeling is the dread I have of facing more than a week of keeping Janey happy and entertained.

The hard part is dual, really. Just keeping Janey happy in general is often a challenge. When she gets into a down period, she can cry for days on end, and it can be incredibly tough, both for her and for us. We've had a few vacations where that happened, but overall, I would say it happens less often than it used to. Keeping her entertained is the harder part. And that's where the dual problem comes in. With "regular" kids, there are endless things you can do to keep them happy during vacation week. You can pick up any parent's paper and see them---camps, children's museums, special vacation week programs at other museums, family restaurants, lessons, outdoor hikes---and then there's just the playdates and playing with friends that "regular" kids have. With Janey, none of that works. We get a nice little booklet here in the city called "Summer Stuff Jr." that lists summer and vacation programs for kids. There is not a one in there that could handle Janey. I went to a camp fair one time, and not one camp there was equipped to handle lower-functioning autistic kids. And I can't blame them for that. It's a hugely tough job. But it's the flip side of inclusion. School is inclusive, the world is not. If those camps excluded people based on color or religion or nationality, it would be an outrage we'd all condemn. But excluding kids based on disability----well, even I can't get totally outraged about that. We live in the real work.

And even with camps excluded, there is so little else we can do. Janey can't handle the overload of a museum or the mall. Eating out---that's something we attempt about once a year, when Janey is in an exceptionally good mood and we are all together. Even then, we often have to bail out. Playdates---well, that doesn't happen. All the kids like Janey, but no-one is going to invite her over for a day. It would be not a playdate, but a huge respite job for the parent. Even if I went with her, there would be no relaxing with coffee while the kids played.

And so we stay home, mostly. The boys like that. They can entertain themselves for years at home in today's connected world. But with Janey, the days get long. We play some iPad, watch some videos, play in the back yard, read books. None of those hold her interest for long. And she's left bored, and I am left tired.

What am I saying here, besides a rambling complaint? Well, my dream would be that some of the money given for autism would go for vacation and holiday week activities. Maybe a bowling alley could be taken over so autistic kids could have fun in an accepting environment. Maybe a museum could have an autism day, where no-one would mind the flapping and screaming and crying and odd behaviors. Maybe the empty schools could be used for a camp. There are a lot of families like ours. I dream of something like a "Summer Stuff Junior for EVERYONE".