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Cheers for Governor, Jeers for Speaker on Autism Legislation

 By Julius Karash

The St. Louis Post-Dispatch reports that Missouri Gov. Jay Nixon kicked some well-deserving butts on behalf of the autism world today.

Nixon exercised his boots while signing HB 525 and SB 157 along with sponsors Sen. Eric Schmitt, R-Glendale, and Rep. Jeff Grisamore, R-Lee’s Summit. The two bills codify into law existing autism support through five regional centers.

Julius Karash

Julius Karash

But Nixon, God bless him, is still hacked off about this year’s failure by the Missouri General Assembly to pass a mandate that insurance companies provide coverage of medically necessary autism therapies.

Senate Bill 167 would have required insurers to cover up to $55,000 a year for autistic children under 15 to receive Applied Behavior Analysis (ABA) therapy – an effective, evidence-based treatment.

If you think $55,000 sounds like a lot of money, compare it to the millions of dollars it could cost to keep an autistic person on a lifetime of Medicaid and Supplemental Security Income.

SB 167 was passed by the Senate but never made it to a vote on the House floor, where it was blocked by House Speaker Ron Richard.

“Next year I’d like to invite everybody back when I sign an autism insurance mandate bill,” Nixon said. “The bill should have had a vote on the floor of the House and it didn’t. There are no excuses for the House of Representatives to not take a public vote.”

As the father of a young woman on the autism spectrum, I applaud Gov. Nixon’s stance. I believe in individual responsibility, and the parents of autistic kids must do as much as humanly possible to help their children. Maybe even beyond what they believe is humanly possible. 

But we can’t do it alone. And whether the Ron Richards of this world like it or not, society will pay for the care of these kids, one way or another. The earlier our children get the help they need, the better they will be able to function years down the road.

Maybe even better than some of the folks sitting in the Missouri General Assembly. 
 

Note: Writer Julius Karash blogs about health-care issues at http://juliuskarashonhealthcare.blogspot.com/ .

5 Responses to “Cheers for Governor, Jeers for Speaker on Autism Legislation”

  1. Jeff Nessel says:

    Julius:

    Great article, but don’t let Ron Richard off so easily. Publish his e-mail address so parents can contact his office to let him know the consequences of his (in)actions. I’d be the first one in line if I lived in Missouri….aw hell I’ll do it anyway!

  2. Kate Duffy says:

    Yes, please do give us his information and we’d be happy to contact him.

  3. admin says:

    What a great idea! Here is Ron Richard’s information, straight off of his website:

    Phone: 573-751-2173
    Fax: 573-526-5813
    E-Mail: Ronald.Richard@house.mo.gov

  4. Jeff Nessel says:

    Spoke with Richard’s office today and of course was told how the Rep. has sympathy for the families with autistic children (I was told he had a nephew on the spectrum) and did everything he could do to get a consensus for a bill with input from the insurance companies. When that was not possible he bravely kept the bill tied up so it wouldn’t face certain defeat in the House. I asked point blank if he favored an insurance mandate for treatment I got “well I really don’t know the answer to that”. Perhaps, I suggested he was opposed and that is why he bottled up the bill. Not only was no the response, but I was then told that it was the Governor who was the problem as he had come to this issue late, waiting to see “which way the wind was blowing”.

    “Well if that is the way the wind was blowing why bottle up the bill and not get a vote?”

    “The votes weren’t there to get it passed.”

    “So, you’re telling me that the leader of the House couldn’t twist arms to get a vote for a bill he believed in. A bill that would help countless families, including his own?”

    “He doesn’t twist arms.”

    “If he’s the Speaker of the House he has the power, he is the LEADER. If he wants something done, it would get done; especially since the bill passed the State Senate and the Governor supported it. It goes back to the question of whether or not he believes in the issue of mandates. It appears that he doesn’t.”

    “I’ll have to ask him and get back to you”.

    If there was one positive that I took away from this it was that he is hearing from a lot of people who are upset with his actions, people who he thought were going to go away….but they aren’t. Keep calling and contacting him!

  5. admin says:

    That’s remarkable that he has a nephew on the spectrum, yet is the roadblock to autism legislation. Way to go Uncle Rich (*sarcastically rolls eyes*).

    Thank you, Jeff. You are an inspiration — we need more people who don’t accept excuses.

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The Summer Break: A Catch-22?

By Jeanne Holverstott, M.S.

Question: It seems like summer can be full of pitfalls for my son with Asperger’s — the structure has gone away, and he’s no longer in contact with classmates. He is content to play on the computer all day, but seems to get moody more easily. Should we treat summer vacation as a long break from school-year stress, or what?  

Answer: Summer vacation presents a contradiction: Children with autism spectrum disorders thrive on structure, routine, consistency. Summer vacation throws these principles of ASD parenting and behavior management in flux.

It’s time to search for activities to fill the day that do not involve electronics. You’ll want to set new rules on Wii, DS, Xbox, PS3, computer and television usage. It’s also important to find meaningful opportunities for interaction.
 
Children with ASDs approach summer with mixed emotions. Many parents probably share this ambivalence. Just like the school year, summer vacation is permeated with ups and downs. So, what do we do with all of that time? Take the following into consideration:
 
·         In seeking consistency and routine, we hope to reduce the unknown and the gray that causes anxiety and opens Pandora’s box. We hope to create a microcosm of predictability in a world of dynamic instability.  Change in the ASD world can be bad. Yet, how helpful and how realistic is our static world? Perhaps the static world we strive for unwittingly weakens the coping skills, frustration tolerance, adaptability and resiliency that undergirds functioning in a dynamic world. Summer could be viewed as a litmus test for how our children with ASD react to change that comes yearly.
·         That being said, I’m not encouraging schedules to be thrown out the door. No, only those game systems. Again, I kid. Make money in this recession and sell them at Game Stop. Schedules are helpful, but overbooking your kids with camps, lessons, and trips might also not be the solution.
·         To help promote a healthy schedule that allows for family time and for time working on those interaction skills, consider picking one or two activities in which you can involve yourself as a parent in some capacity. If your child joins a social skills group, exchange numbers with the other family members and have the kids over on the weekend. If you join a “team,” consider recording the interactions (which many other parents do!) so that you can review your child’s interactions with him or her and compare them to other teammates. If you hear the ice cream truck, make it a teachable moment: Walk with your child to buy that bombpop and shape what develops. In the end, paying for a camp, a class, a lesson is not always necessary. Taking the time to set up meaningful interactions (such as play dates) can provide the same benefit.
·         As for those electronics I suggested you sell, they are a necessary evil as a stress reliever, entertainment and an escape. You can put constraints on game play – the length of time and the time of day – but don’t necessarily follow my father’s adage: The sun is out, you should be too. Video games might prove a nice break midday when the heat is at its worst or after an exciting morning.
 
There is a quote you might appreciate at this time: “The longer the summer vacation, the harder the fall.”

Jeanne Holverstott is an autism spectrum specialist who practices at the Responsive Centers in Overland Park. To ask Jeanne a question about autism, send e-mail to editor@spectrumconnection.net, and put “Question” in the subject line.

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DEVELOPING TALENTS

Intervene, Intervene, Intervene

By Kate Duffy

A while back, Toni, the SpectrumConnection editor, asked me to write about how far parents should go to help their teens on the spectrum land a job. Since then, several of our Hot Topics parents have shared their kids’ job search stories with me, and I realized there was no easy answer to her question. For the most part, though, their stories revolved around the kids’ inability to accurately read situations, to remember instructions and to multitask to make a deadline. Looking at that list, it sounds like business as usual on the job for most of us — which is why it is so very important that our kids start learning about the world of work as soon as they can.

That’s why the short answer to Toni’s question is this: do what you need to do.
And don’t do it alone.
Team up with the people in your life to introduce your teen to the world of work. When you get burned out – and you will – you’ll have reinforcements to soldier on to do the hard work of teaching your kid that he has to work and that not everyone is as fascinated with Pokemon, fighter planes, railroad time schedules as he is. You want your teen to join the outside world in a safe, organized manner, so bring in those folks you think would be good role models and champions for your teen.

How involved should you and your team become with your kid’s job search? There is no one right answer, but remember that our kids are generally younger than their chronological age, so that a 16 year old on the spectrum is more like an 11 or 12 year old emotionally.

The end goal is for your teen to get some work experience and to be out in the world, so he understands more about the way the world operates. Given that, it’s not as important how your teen gets a job, just that he has one.

For many, the first job is sacking groceries. So you definitely want to know your neighborhood grocery store manager. You’ll want to talk to the manager before your teen does, letting him or her know about your teen’s strengths and problems. In addition, you’ll want to let the manager know something about autism, especially how prevalent it is, how it affects families throughout the community. By hiring your teen, tell the manager, the store is helping the autism community, which is loyal to supportive businesses.

Do you need to let your teen know about all your behind-the-scene maneuvering? No, you don’t, and it’s better if you don’t. Each kid is different, and so you have to tailor the approach to the kid. For instance, both of my sons are on the spectrum, but they are very different from each other temperamentally. With my oldest son, Nick, who has a lot of anxiety, I frequently have had to go around his back to get him to try new things. That’s how he started playing chess, which he loves, and is a skill he has made money from for a number of years.

Playing chess on a team and then being the team’s assistant coach for three years was a great experience for Nick. Not only was his chess coach a wonderful mentor for him, he also taught Nick how to be a leader and supervisor. For three years, til he got a paying job as an assistant chess coach, Nick worked with Mr. Cooper and learned the important workplace skills of showing up on time, conversing politely even when you don’t feel like it, and managing others – in this case, kindergartners to 8th graders, not a particularly easy workforce.

When he was 14, he also worked for my friend Necia, building her small business a data base of clients and contacts. Three afternoons a week that summer, he walked to her home-based business a half mile away and got to work. What he didn’t know, though, was that I had asked Necia to let him work for her because I knew she would be a good mentor for him, that he would learn about the world in a safe, organized way with her.

Don’t feel badly about intervening in your teen’s vocational life. There is a lot of competition for jobs right now, and our kids need to be part of a team – even if they don’t think they do. Sign them up for Vocational Rehabilitation services too because the VR counselors will then be a part of your team, which gives you a bit of a breather. Remember, the type of skills it takes to get a job do not come naturally to our teens. That’s why the unemployment and underemployment rate for people on the spectrum is about 92 percent.

So get your team together and remember you are not alone. There are lots of us out there doing behind the scenes coaching with our kids. Just keep the end goal in mind and plug away.

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