Help Sitemap Home Skip Navigation Contact Us Disability Statement


Autism treatment guide cuts through the mass of theories

Click on thumbnail to view image
Click on thumbnail to view image
Click on thumbnail to view image
Click on thumbnail to view image
Click on thumbnail to view image

Published Date:
29 June 2007
WHEN Alison Leask first heard one of her relatives had autism, she went straight on to the internet to research the condition.
Of the five million sites she found discussing the disorder, 97,000 described a cure. Three years later, she found 46 million sites on the disorder and five million on a cure.

Now, in an effort to help the relatives of those with the condition de
al with the baffling amount of often conflicting information, the NHS in Scotland has drawn up guidelines for the care children with Autism Spectrum Disorder (ASD) should receive.

ASD affects 7,500 children under 19 in Scotland. Yet mystery surrounds the condition. In the late 1990s it was linked to the controversial measles, mumps and rubella triple vaccine and theories abound linking it to heavy metals in the environment.

NHS QIS Scotland - the national clinical effectiveness body - carried out the most extensive assessment yet of the methods available to diagnose and treat ASD, from fatty acids to swimming with dolphins.

The resulting 67-page document is intended to help doctors better diagnose and treat the condition.

Dr Iain McClure, who brought together the guidelines through consultation with medical staff, patients groups and autistic children, said doctors and patients needed to know which theories to trust.

He said: "It is deeply frustrating to watch as parents' hopes are raised time and time again, only to see them dashed as we discover that claim after claim isn't backed up by the evidence."

Dr McClure said the research will help, but called for more research into other therapies.

"We need to see the research community take up the challenge of answering every parent's and every clinician's question: do these treatments work?"

Charities and support groups including the Scottish Society for Autism and the Scottish Centre for Autism took part in the study. But others feel that the NHS has dismissed alternative treatments too readily.

Bill Welsh, chairman of the Action Against Autism, insisted that nutritional and behavioural therapy is working.

However, as the chairwoman of Autism Argyll, Ms Leask said the guidelines are a welcome relief for thousands of people.

CLUES AND CURES


WARNING SIGNS

• Delay or absence of spoken language

• Failure to respond to the feelings of others

• Looking through people

• Inability to share pleasure

WHAT DOCTORS THINK MIGHT WORK

• Using pictures and objects to help children learn to communicate

• Routine and simplifying social interactions to provide an easier environment for learning

• Risperidone, a strong tranquilliser, is useful for short-term treatment of violent children endangering themselves or others

• Ritalin may be considered to treat attention difficulties and hyperactivity

WHAT DOCTORS THINK DOESN'T WORK

• The US Lovaas programme of intensive home-based therapy

• Listening to music to reduce the discomfort apparently experienced through certain sound frequencies

• Using a keyboard to help a child communicate

• Changing a child's diet or removing heavy metals



Page 1 of 1

  • Last Updated: 28 June 2007 10:25 PM
  • Source: The Scotsman
  • Location: Edinburgh
  • Related Topics: Autism
 
1

Bernard Fleming,

London 29/06/2007 09:15:29

The new guide looks as though it could be extremely useful to parents, GPs and individuals on the autistic spectrum

Readers may like to know that Research Autism, the only UK charity exclusively dedicated to research into interventions in autism, has set up a website which aims to do pretty much the same thing.

The site provides a single source of accurate, up to date and scientifically valid information about the range of interventions out there. This includes links to the scientific papers on which we base our conclusions, as well as a Which-style rating system.

You can find our site at http://www.researchautism.net

If you have any comments or queries about the site, or you have your own comments about a specific intervention, we would love to hear from you.

Bernard Fleming
Information Manager
Research Autism

2

Autism Rights,

Ayrshire 29/06/2007 16:10:46

These guidelines were initially due to be published in winter 2006, then re-scheduled for March 2007, and then the publication date of 28th June
ild2007 was set. They have finally been published on the SIGN website this morning (29th June). Contrary to SIGN's publicity, which was released to the
media yesterday, parents are most unhappy with these guidelines.

The guidelines make controversial recommendations to `treat` ASD with dangerous drugs, but reject the use of nutritional supplementation and dietary change, which are widely recognised to provide benefits to children with ASD. They also reject educational interventions that have shown major
benefits for children with ASD, such as Applied Behavioural Analysis (ABA).

The SIGN guidelines are bad enough, if they are seen in isolation. However, they will not operate in isolation, and this is the really worrying thing for
parents of children with autism. We are particularly concerned with the potential for harm to the health of children with ASD through the use of SIGN's recommendations on the use of drugs in conjunction with the Community Treatment Orders that are part of the Mental Health Act. These CTOs permit
enforced medication in the community of both adults and children with `mental disorders`. Autistic Spectrum Disorder is classed by the government as a
`mental disorder`. Given the widespread ignorance of ASD amongst professionals, the absence of standards for the healthcare and education of
people with ASD, current government policy and legislation affecting people with ASD and the complete inadequacy of current resources, we are
deeply concerned that these factors will conjoin to enable drugging of children with autism, rather than development of basic services appropriate
to their needs.*

*Our full analysis of current practices and government legislation and policy affecting people with ASD is available on this link:-

3

Autism Rights,

Ayrshire 29/06/2007 16:15:31

Many parents are home educating their autistic children because of the refusal by the powers that be to acknowledge the effect that inappropriate schooling has on the mental health of children with ASD. Likewise, many other children with ASD are `secretly excluded` and are receiving a part-time education or are receiving no education whatsoever because they cannot cope with the provision that they are being given. There are no standards for the teaching of children with autism - no teaching qualifications that specialise in or even include autistic specific education and there are no quality indicators specific to autism for school inspections, and no curricula adapted to suit the needs of children with ASD. The SIGN guidelines do not mention, let alone acknowledge, any of these issues.

Drug `treatment` will be an excuse to maintain the complete absence of standards in education and healthcare. SIGN has recommended 2 drugs to
`treat` children with ASD; Risperidone and Methylphenidates such as Ritalin. Both are problematic in their side effects, which in some cases can result in fatalities. Side effects are under-reported. Dangerous drugs are being
recommended and prescribed without any medical examination for physiological problems. Furthermore, it is known that people with ASD have an abnormal metabolic profile and have distinctly different immune system reactions,
which have a considerable impact on how these drugs affect their physiology.

Information on the drugs recommended by SIGN:-

Risperidone was approved in the USA for the treatment of anxiety in children with autism, after a drug trial of only 8 weeks duration. Anxiety is not a mental illness, and the anxiety of children with autism is caused by current educational provision, which mostly ranges from inappropriate to utterly
incompetent. Risperidone is an atypical antipsychotic, which have been shown to have an increased risk of death and increased chances of s

4

apple_M,

London 29/06/2007 16:30:06

I am surprised that doctors are being advised that Risperidone and Ritalin are effective treatments. whilst the gfcf diet and behavioural therapy are not.
I would advise any parent to speak to other parents regarding treatments.
I have seen masive improvments with my son over the last year using "unproven" Biomedical treatments. If you want to wait for 5 years for scientific reasearch to agree with me thats fine.. I'm sure the doctors will be more than happy to sedate your child to keep them under control..

well said ....Autism Rights


Mark
Parent of a autistic boy

5

SMorgan,

UK 29/06/2007 17:09:14

I am baffled as to how this report managed to ignore the extensive body of evidence supporting intensive behavioural interventions for children with autism. Their claims about this evidence being 'seriously flawed' simply doesn't hold up.

Given the long history of these interventions being effective, compared to the relatively untried status of medical interventions I really have to wonder about how this research was evaluated, and the impartiality of those doing the evaluation.

6

Stephanie Sirr,

Nottingham UK 29/06/2007 19:52:55

I wasn't aware there was a peer reviewed study on diet, heavy metals, ABA - all the theories dismissed by this autism ready reckoner. I wonder if a single parent was consulted prior to the release of this study because it appears otherwise. It is, at best, irresponsible to suggest that therapies and treatments which have shown sustained improvements in young people with autism have no value. Nobody has EVER asked any parent of an autistic child that I know (and I know hundreds) what works for their child. So - how would they know? Really pretty grim reading. however, I do recomment www.treatingautism.com and the the Growing MInds (Florida) site if you want to know what really has an effect.

7

Camille's Mom,

Long Beach 29/06/2007 20:14:04

This article is actually quite interesting and funny to me at the same time.

My daughter was diagnosed with autism at age two. She was non verbal, had no eye contact, extremem stimming and showed no interest in others or relationships at all.

Some of the therapies, that phsicians denouce have been the ones that have brought my child Camille to now counting to 100, asking me to lay down with her at night, telling me that she wants a muffin, or "more muffin please" wanting participating or people to clap when she plays the piano, trying to read at age four and much more. It is interesting that the doctors (and science) is not always right.

The only medicine she has every been given was to treat a stomach virus.

Kim McClain

8

Joan Campbell,

Glasgow 30/06/2007 12:14:12

These new sign guidlines are just not looking at the whole picture. My son stopped having seizures because of all the care and attention I have been giving him regarding the G/F C/F diet and a biomedical intervention. He is now toilet trained and is coming out with new sounds like Ma, Pa etc and I recommend anyone wanting help with their child to attend the Autism Treatment Trust in Edinburgh. We have been battling for years to get our children treated propertly and instead of beleiving in the parents the medical establishment treat us like outcasts and that anything we say is baloney. I am having to help my child privately so there goes any chance of a holiday or extras for the house. It's just shocking!! Sign means to me SILLY INDIVIDUALS GOING NOWHERE.

9

Fartina Spacesuit,

Sitting at the computer 30/06/2007 15:43:21

The problem really lies in it being autistic people who are 'normal' and have to tolerate the rest of us.

10

apple_M,

London 30/06/2007 17:15:09

Its clear that LOW COST is the real benift offered by these guidelines.
Prescriptions for special foods are expensive so are referals to dietiions, speak therapists.(dont start me on how expensive ABA is) it just seems like our Kids are second class citizens who can only be dealt with by druging.

1 year of biomed and atec from 130 to < 20
www.treatingautism.com


 

Comment on this Story

 

In order to post comments you must Register or Sign In

 
 
 
  

 
 


Sister Newspapers:
Press Complaints Commission

This website and its associated newspaper adheres to the Press Complaints Commission’s Code of Practice. If you have a complaint about editorial content which relates to inaccuracy or intrusion, then contact the Editor by clicking here.

If you remain dissatisfied with the response provided then you can contact the PCC by clicking here.