minutes-report training course in lyon · 2016-07-12 · minutes-report training course in lyon...
TRANSCRIPT
MINUTES-REPORT
TRAINING COURSE IN LYON
4/4/2016 – 5/4/2016 (First two days -HIPE Training Course)
Aim of the course
Comprehension of ASD and characteristics- Interacting with a person with ASD
according to his needs and characteristics.
The first two day training course was based on HIPE project. The coordinator of the
project was Mr. Hervé BONNIN from the SESAME AUTISME LANGUEDOC
organisation, who was the trainer and the coordinator of HIPE course too.
Special Course Issues
1. Needs of a person with ASD
Education
Employment
Health services
Social services and General / auxiliary services
2. Required competencies CROSS / CORE COMPETENCIES
3. Specific competencies
4. What is autism?
Psychological aspects and characteristics of a person with ASD
Full care of the person
Sectorial Specific Intervention
Social Interaction Communication
Interests –Behavior
5. Early signs of autism (Center for autism and related disorders)
(Evans evolution from 0 to 7 / Wonkido.com)
6. Asperger syndrome
7. Sensitive disorder (Cognitive and sensory aspects)
Tools and Methods for Supporting People with Autism
Behaviorist methods
ABA method (a method which refers to the applied behavior)
Educative methods (Picture Exchange PECs, ABA, FYNNY)
A relative book: “Ten things every child with autism wishes you knew” by Elen
Notholm 2013
6/4/2016 (3rd Day - Training Course in Lyon)
Social Policies about Autism
Conversation about the different policies of each country in relation with the
structures about the adult people with autism (employment, support and care for
transition to independent life).
There are many institutions for helping people with ASD in France, such as
institutions for children in pre-school age, institution for children from nursery until
primary school age and 20 institutions for adults. Also, there are many public
institutions and family associations. Social insurances pays a part of an amount to
these institutions.
In France there is a law that obliges agencies to employ a 6% of disabled people but
generally they avoid doing this because there are troubles in the employment. Instead
they prefer to pay the legal taxes.
Mobility Units
Mobile Units were created in 2009 in France. There are 3 Mobile Units in Grenoble, 1
in Lyon, 2 in Clermont-Ferrand, 2 in Marseille, 1 in Bordeau, 1 in Paris and 1 in
Strasbourg. The administrative control for these Units comes from a) the sanitary
sector (hospitals) which are public funded Medico-social (53,8%) and b) from the
medico-social sector which private associations fund (46,2%). The assessment of the
mobilities is carried out by ESSMS every 2 years. The mobility teams support
children, teenagers and adults (more).
The Profile of the Mobility
The Mobility Unit is a team of professionals who work together so as to find and
support the carers who works with autistic people. The notification comes from
MDPH. The duration of notification is between 2 and 5 years 66.7% (2). The number
of users (176). The mobility team is composed by the rest professionals:
Psychiatrists
Psychologists
Nurses
Special Educators
Speech Therapists
Neuropsychologists
Psychomoticians
Secretary Pharmacoeconomics
APAJH Isere
A mobility unit that manages medico social institutions from 2014.
The service ELAD develops an expertise in the accompaniment of adults with autism
at home. ELAD is a cooperation agency that develop expertise in the accompaniment
of adults with autism at home and as they wait for a special institution. Its aim is to
develop a sustainable project of life in several fields for the people who need support.
Mission: help adults with autism develop a sustainable project of life
o Supporting careers
o Supporting professionals who work with people autistic
o Identify persons eligible for the accompaniment of the mobile team
The team is composed of:
o Social professionals (educators assistants)
o Nurse
o Psychologist
o Neuropsychologist
o Psychomotician
Professionals conduct a full assessment of the situation:
o Social and environmental
o Somatic
o Psychological
o Sensory
And the team works with the family and partners territory to develop a sustainable
project of life for the adult with autism.
Psychomotricity
This theory begun in Paris in 1974. It is a Physical and cognitive therapy. According
to the particular therapy the following can take place. Observation of movements
from lying down to standing up. Coordination/dissociation (in games) the left and the
right, top and bottom (ages of 8 years old children). Physical Condition (if the person
can relax by its own) Face Mobility (when the professional checks the movements of
the face) Manual Mobility (Χειρισμός- Αδρή Κινητικότητα) Graphism (The ability of
pre-writing and the monitoring of the condition-state. The laterality. The Knowledge
of the human body.
Imitation Skills Body image Time orientation Rhythm Spatial orientation (to have the
vocabulary about, draw a plan or a map, a direction).
Physical and cognitive therapy (Audrey MAIRE – Psychomotor Therapist-April
2016)
It depends on prescription (it means the doctor gave the order to do an
psychomotor assessment)
o Gross motor
o Coordination / dissociation
o Muscle tone (σε καλή φυσική κατάσταση)
o Fine motor skills
Face mobility / neurological problems
Manual mobility
Graphism
o Laterality
o Knowledge of the human body
Imitation
Body image
o Time orientation
Rhythm
o Spatial orientation
After the tests, I write a report with psychomotor diagnostic
Psychomotricity or not
Individual or group al sessions
Frequency – Session duration / Occupation therapy
Psychological Assessment
o Targets
Assessing the level of communication
The target of this test is to establish communication
programs, which will take a three – dimensional form
(objects) or two – dimensional form (photography,
drawings, pictograms, etc)
o Theory of Mind: emotions and beliefs
Targets:
Perspective talking
Social cognition
Metacognition
Folk psychology or common sense psychology
It’s a human capacity to explain and predict the behavior and
mental state of other people and ourselves
Beliefs:
Change in representation
Test of unusual content
Emotions:
Recognition of basic emotions
Understanding two causes of emotion
o The Vine land test
It measures the personal and social skills of individuals from
birth to adulthood. This scale assess what a person actually can
actually manage.
o Wechsler Adult Intelligence Scale
The WAIS is an IQ test designed to measure cognitive abilities
for adults and other adolescents.
4 scores representing major components intelligence:
Verbal comprehension Index
Perceptual Reasoning Index
Working Memory Index
Processing Speed Index
o Somatic Evaluation
Consideration of the body and feelings
Diagnostic and history
Collection given to the family
Medical followed outgoing
Outgoing Treatment
14 components of Virginia Henderson’s Need Theory
Pain Face Scale (PFS)
Assess grid GED-DI (Intellectual Pain)
o Sensory Assessment
Different scales
Olga BOGDASHINA
Winnie DUNN
Different types:
Children (different ages, assessment by the
environment)
Adult (self-assessment)
We use children or adult assessment according to the
intellectual disabilities
In ELAD we do:
A survey with the young autistic people
A survey with the parents
Showdown of the two surveys
Explanation to the two parts
We give a report
o Social educator
Evaluate adult autistic its social ability, family social status.
Proposal of Some tests
The Vineland Test
The WAIS IQ Test
7/4/2016 (4th Day of Training Course)
1st Part
Presentation of Mr. Miguel Martinez, an educator of C.R.A. autism centre
Autism Plans
Information about the C.R.A autistic diagnostic centre
Discussion about other countries services and experiences
Services of CRA center of Autism
1. Diagnosis (through detection)
It takes place: →through Hospital Services
→ in Autism Diagnostic Center CRA
C.R.A gives priority to infants and provides training sessions for diagnosis.
2. Information
→The centre gives information to parents and professionals through free
documentary material Centre.
→Extra information are provided through the website (link:
3. Creation of webs and other participants
→The centre gives priority to the creation of web links and is responsible for
finding other participants like ΑPAJH team.
More information can be found in extra websites or even movies in internet like:
Arasaac.org, Cra.ra and Mariastravel, Miguel Gallardo, Mon petit frère a la lune
2nd Part
Discussion about different countries policies and centers which support autistic
people.
3r Part
Presentation of the Mobile Team Autism
Name of Mobility Team(Pole): PHASEDDIA
Head of Pole: Dr SALVARELLI
Responsible EMA: Dr TIFAOUI
Presentation-Discussion about:
o The missions of the mobile team
o The composition of the team
o Interventions
Support teams of professional structures hosting adult (from 16 years) that
present the Autism Spectrum Disorders.
- A psychiatrist doctor
- A doctor and pain somatician
-- Secretary
- Psychologist
- Speech Therapist
- Educator specialize
- Psychomotricienne
-Social worker
Types of intervention
Awareness (A consideration of the pain)
Support Team
General Procedure (Demands)
Response Contract
Intervention Review
ASD awareness and support practices adopted (31/2 DAYS)
Awareness has the consideration of pain (21/2 days + ½ day of subsequent recovery)
Support team around the situation of a resident
Other Links and information: [email protected]
Pain Assessment Form
Intellectual disability (GED-DI)
Ladder NCCPC (Non communicating Children's Pain Checklist)
8/4/2016 (5th Day of Training Course)
Presentation of a similar mobility Team work which support autistic children
and adolescents (Mrs. Veronique)
Discussion
Evaluation of the training course
Country Partner Sur Name Name Mail Address
United Kingdom NAS Davis Sharlene [email protected]
United Kingdom NAS Price Bev [email protected]
Greece InterMedi@KT Paparrigopoulou
Foreini [email protected]
Greece InterMedi@KT Prapa Dimitra [email protected]
Greece P.D.E.Th Xesfigkouli Dimitra [email protected]
Greece P.D.E.Th Tsela Vasiliki [email protected]
Spain F.T.F Lorka Jose [email protected]
Spain F.T.F Rico Rubio Patricia [email protected]
France SAMO Napieralski Delphine [email protected]
France SAMO Ranson Melanie [email protected]
France APAJH Combemorel Amaninde [email protected]
France APAJH Maire Audrey [email protected]
France APAJH Perrotin Perrine [email protected]
France APAJH Christian Diana [email protected]
France APAJH Schildknecht Christophe [email protected]
France APAJH Heurtaud Mireille [email protected]
