Michigan Autism Safety Training (MAST) - Grand Valley State University

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Michigan Autism SafetyTraining (MAST)Law Enforcement, Fire andEMS Field Response TrainingFunding provided by theMichigan Department of Community HealthMCOLES ApprovedEndorsed by: Michigan Association of Chiefs of Police

AAoM Autism Safety TrainingObjectivesLaw Enforcement, Fire and EMS Professionals will: Expand their knowledge of autism and autism behaviorsIncrease recognition skills of persons with autismAcquire information and tips on how to safely and effectivelyinteract with individuals with autism and their family/careprovidersLearn community outreach strategies in increase safety andsupport of those with autismSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism FactsResearch indicates that people who havedevelopmental disabilities, including autism,have up to SEVEN TIMES more contact withlaw enforcement than a member of thegeneral public (Curry et. al, 1993).Special thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism: On Duty SituationsCheck Subject Wandering/Missing Person Intruder Out of Control Victimization Detective Bureau Response to Emergencies - vehicle accidents, structure fires, medical emergenciesSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

On Duty Situation Risks & Behaviors May not recognize authority figures or know what is expected of them Basic verbal and non-verbal communication challenges Echoing instructions and/or questions Exhibit behaviors that draw attention Misinterpretation of behaviors Misleading indicators of guilt such as lack of eye contact, aloof, orindifferent manner; may change topicSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

On Duty Situation Risks & Behaviors Lack fear of real danger High tolerance of pain Sensory issues that may produce fight or flight reaction Hypotonia: low muscle tone Mechanical or positional asphyxia will require alternate restraintoptions and techniquesSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Response Strategies Approach in quiet and non-threatening manner Assure person is unarmed and check for injuries Avoid touching individual Look for medical tag or identification Speak calmlySpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Response Strategies Use simple and direct instructions: “stand up”, “go to the car” Allow for delayed response time May need to repeat and/or rephrase Additional units to arrive without lights and sirens if notemergencyModel calm body language and give extra personal spaceSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Response Strategies Give praise and encouragement Use pictures, written phrases, and commands Use low gestures for attention; avoid rapid pointing or wavingSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism: Techniques to Reduce LiabilityDe-escalate Behaviors at the Scene May not respond well to uniform emergency responders orchange in routine Responders should not interpret failure to respond as lack ofcooperation Seek assistance from family/care provider Avoid stopping repetitive behavior unless there is risk toyou/others May need to remove canine partners, sirens, lights, crowdsSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism: Techniques to Reduce LiabilityDe-escalate Behaviors at the Scene Evaluate for injury; may not ask for help or show pain Be aware they may have a seizure – 40% of this population hassome form of seizure disorder Wait for behavior to calm/de-escalate, stay in geographic area,remove items to keep area safe and keep at a safe distance Remain alert to the possibility of outbursts or impulsive acts Pepper spray may heighten sensory reaction and escalatebehaviorSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism: Techniques to Reduce LiabilityPrecautions with Restraint Avoid positional asphyxia – turn person on side to allow normalbreathing (due to under-developed trunk muscles-hypotonia-maynot support his/her airway) The person may not recognize the futility of resistance andcontinue to struggle. Continue to use communication, deescalation, and calming response techniques For responders’ safety, avoid standing too close or behind. Theperson may suddenly lurch backwards or forwardSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism: Techniques to Reduce LiabilityDuring Custody and Arrest Document autism in your initial report Alert jail supervisor, prosecutor and mental health professionalfor immediate evaluation Alert jail authorities and suggest an isolation facility. A personwith autism would be at extreme risk in the general prisonpopulation (Do we really want them in jail?) Contact parents/caregivers for information regarding care andcommunication with the personSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism: Techniques to Reduce LiabilityEmergency Room Tips Avoid making patient wait Require exam room and do not leavealone Give patient time to calm down Minimize lights, noise, radios andunnecessary personnel Advise securitySpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism: Techniques to Reduce LiabilityEmergency Services Required Reporting Talk to caregiver/case manager beforereporting abuse Mattress only-wedge head between wall andframe for sensory need. No furniture No sheets, blankets or pillows No curtains/decorations (destructivebehavior/Pica)Special thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism: Techniques to Reduce LiabilityInterviewing a Person with Autism The person with autism may be a victim, witness or asuspect Plan for your interview You can overcome communication barriers duringinterviews when you learn the communication style andbackground Review records and talk to people who know him/herparents, teachers and caregiversSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism: Techniques to Reduce LiabilityInterviewing a Person with Autism Get to know the person’s communication style through casualconversation before any attempt before getting recollection of anevent Develop a good rapport – use first name Use simple and direct language Assure the same meaning to the words being used in the interviewSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism: Techniques to Reduce LiabilityInterviewing a Person with Autism Assure you and the person being interviewed understandwho is being referred to when using pronouns Seek permission to and consider recording the interview Consider having someone he/she trusts in the interview Plan questioning based on person’s ability level Deal with one issue at a timeSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portion of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism: Techniques to Reduce LiabilityThe Interview Have the victim recreate the context in his/her own words– Ask questions that require a narrative Plan for this interview to be longer than usual and youmay have to plan to interview the person more than once Be alert to non-verbal cues that suggest the victim doesnot understand, is confused, or does not agree with thequestion you asked or the statements made to him/her(restlessness, frowning, and extremely long pauses) Use visuals (pictures) if neededSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism: Techniques to Reduce LiabilityThe Interview The victim may not want to answer questions more thanonce – explain first that you may have to ask questionsmore than once You may have to avoid uniforms and authority clothingdepending on the person’s reaction Let the victim know that it is okay to say “no” to a question Avoid leading questionsSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism: Techniques to Reduce LiabilityThe Interview Learn person’s schedule and determine events through thiscontext, rather than asking “what time did it happen” Common to have short attention span; consider severalshort interviews Be alert to a spontaneous disclosure of evidenceSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism SafetyVideoand DiscussionSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of porttions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Increasing Autism Safety in the CommunityCommunity Outreach Visit schools, businesses, recreational facilities, and homes wherethere are people with autismFor responders/community safety and to reduce liability, createopportunities to meet people who have autism, their families, andsupport organizationsResponders and persons with autism can learn from each otherduring these controlled, safe and non-stressful interactionsSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Increasing Autism Safety in the CommunityAutism Emergency & Behavior ResponseSchool and Home Safety Plan3 Forms Autism Profile and Emergency ContactEmergency Situation and Annual DrillsCommon Behaviors and ResponsesSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Increasing Autism Safety in the Community Encourage families to have emergency plans andpackets for home, school, and transportationHave families enter information of family member withautism in 911 data baseUse the reverse 911Promote autism awareness stickers and decals forhome and vehiclesHave annual autism trainingRefer families to the Mid Michigan AutismAssociation (MMAA)/local networkSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Techniques to Reduce LiabilityThese are the best approaches toensure emergency responder andcitizen safety, make the best useof your valuable time andresources, and avoid litigation.Special thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism and Responders: Final Thoughts Relax and role model behavior.Speak in short, direct calm words.Be patient – refer to autism card.Ask for assistance from someone who knowsthe person.Get to know the families with autism.Promote registering in the 911 database.Continue education - roll call video, staff,partners and community.Special thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Autism Resources Autism Alliance of Michiganwww.autismallianceofmichigan.org Autism Risk & Safety Management:http://www.autismriskmanagement.com/ MMAA Emergency Response: “Autism Safety - BeInformed Be ptest/Special thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

Thank you – You are important to families,communities and Michigan!Sgt. Scott Schuelke, Retired-Lansing Police DepartmentAutism Safety Specialist, AAOM517/927-2298 // scott.schuelke@aaomi.orgAnthony Ianni, Autism Advocate - AAOM517/420-2827 // anthony.ianni@aaomi.orgStacie Rulison, Vice Pesident & COO AAOM & Michigan Autism Council989/834-5878 // stacie.rulison@aaomi.orgSpecial thank you to Dennis Debbaudt for his national leadership and videos, and to Mid-Michigan Autism Association for development of portions of thecontent used in this presentation. @2012 Autism Alliance of Michigan. All rights reserved. Content can only be used with permission from the AutismAlliance of Michigan. Contact info@autismallianceofmichigan.org.

AAoM Autism Safety Training Objectives Law Enforcement, Fire and EMS Professionals will: Expand their knowledge of autism and autism behaviors Increase recognition skills of persons with autism Acquire information and tips on how to safely and effectively interact with individuals with autism and their family/care

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