What is the DSM-V? The Diagnostic and Statistical Manual of Mental Disorders (fifth edition) which was just revised in 2013 and written by the American Psychiatric Association. The diagnostic criteria for Autism Spectrum Disorder (ASD) has been modified based on the research literature and clinical experience in the 19 years since the DSM-IV was published in 1994. It is important for teachers to know this because the DSM-5 is used in part, to determine ASD diagnosis and eligibility.
Here is a quote from the DSM-5 to further describe what the DSM-5 is:
“The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) is a classification of mental disorders with associated criteria designed to facilitate more reliable diagnoses of these disorders….
DSM is intended to serve as a practical, functional, and flexible guide for organizing information that can aid in the accurate diagnosis and treatment of mental disorders. It is a tool for clinicians, an essential educational resource for students and practitioners, and a reference for researchers in the field.”
Here are the major changes from DSM 4 to DSM 5 in the area of autism:
The APA has gotten rid of the sub-categories Pervasive Developmental Disorder (PDD), Rett’s Syndrome and Childhood disintegrative disorder and replaced it with Autism Spectrum Disorder (ASD).
Another huge difference is that Asperger’s Syndrome has been removed from the DSM-5. It has been replaced with the term ASD level 1 without language or intellectual impairment. Most professionals are still referring to Asperger’s Syndrome in describing the disability because the term is widely used and understood in the general public.
The new diagnostic criteria for ASD have been rearranged into two areas: 1) social communication/interaction, and 2) restricted and repetitive behaviors. The diagnosis will be based on symptoms, currently or by history, in these two areas.
DSM-5 has also added a category under restricted, repetitive patterns of behavior, interest or activities called hyper or hypo-reactivity to sensory input or unusual interest in sensory aspects of the environment.
Symptoms must be present in early childhood but may not become fully manifest until social demands exceed capacities. Symptoms need to be functionally impairing and not better described by another DSM-5 diagnosis.
Symptom severity for each of the two areas of diagnostic criteria is now defined. It is based on the level of support required for those symptoms and reflects the impact of co-occurring specifier such as intellectual disabilities, language impairment, medical diagnoses and other behavioral health diagnoses.
The DSM-5 includes a new diagnostic category of Social Communication Disorder that describes children with social difficulty and pragmatic language differences that impact comprehension, production and awareness in conversation that is not caused by delayed cognition or other language delays. This diagnosis looks a lot like Asperger’s Syndrome to most professionals.
Hopefully this brief overview of the changes was helpful for teachers and parents who are on the diagnois journey.
Building resilience for children who are experiencing bullying or have Adverse Childhood Experiences (ACES): When students are being bullied, they are more likely to experience:
Depression and anxiety. Signs of these include increased feelings of sadness and loneliness, changes in sleep and eating patterns, and loss of interest in activities they used to enjoy. These issues may persist into adulthood.
Creating Resilience– Focusing on gratitude Cultivate Gratitude For Students With ACES for what you have in your life has been proven to support students with ACES. Educators and parents can help young children focus on the support they already have in their lives. Here are two ideas to promote resilience in the home and in the classroom:
At home support: Heart Garland of Love and Support:
Hang a heart garland showing the names of people who care about the child where they can see it every day. We created it together and I allowed him to brainstorm the people in his life who care about him. He came up with 4 close family members and one teacher from his school. Every day when we wakes up and before he goes to bed, the garland acts as a visual reminder to focus on the people who have his back and care about him.
Alternative Ideas: For children who can’t read yet, you can put small pictures of the people. Gratitude: Each heart can contain one word signifying what the child is grateful for or positive core qualities the person possesses.
In School Support: Lace Up Your Best Personal Qualities Art Activity
One of my students at SOU created this fun classroom art activity for students to identify 5 things they notice about their peers that are great or positive. Each student in class has a shoe and the “laces” have a word or something positive about each student in class. Some examples of positive words include “reliable, kind, outgoing and good friend”
What are some ways you provide emotional support for students who are bullied or have ACES?
Transitions are when a student moves from one activity to another in the classroom. Going from small group work time to large group work, lining up for lunch, going home and going to P.E. are all examples of transitions.
Transitions are commonly a time when children who experience autism struggle. Wait time, uncertainty, and needing to go from preferred to non-preferred activities all contribute to this breakdown. Staying one step ahead of the curve and supporting the student with autism will help the school day go smoothly. Here are some tips for creating success with transitions during the school day.
Minimize wait time during transitions Hurry up and wait should not be the motto for your transitions. Waiting in line for example can exacerbate anxiety, frustration and uncertainty for students with autism. Continue reading →
Share your thoughts: If you have a team of other teachers you work with, take some time to share some of your reflections and ideas. This self-reflection tool would be great for a grade-level team to fill out and determine what items are similar and different on each teacher’s page.
Student Teachers: As part of what is recommended in 5 Things To-Do Before Student Teaching Is Done take some time to reflect on what went well and what you would change. Using this self-reflection tool will help guide your thoughts and have something tangible to look back on before the school year starts back in the fall. Although it might be tempting to cut and run, take the time to self-reflect while you are still in your final days of your placement.
Changes To Make: What are some changes you would like to make?:
Do you want to change your classroom layout, organization or design? Make note of those changes now.
Do you want to look for a new newsletter or parent communication log?
I wanted to share some examples of classroom job charts I have seen out in the field. If you have a great job chart, take a picture and post in the comments. Having examples will help you for when you set up your classroom in the fall. Take pictures of everything now so you will the examples later 5 Things To-Do Before Student Teaching Is Done
This is a 6th grade classroom job board which include the following jobs: Lunch Manager, Custodial, Desk Doctor, Pet Patrol, Materials Manager, Teacher Assistant and Secretary.
What are the benefits of having classroom jobs?
Provides structure for students who benefit from knowing what their role is in class
Creates a sense of community where all learners are committed to the good of the classroom
Encourages students to give back and become helpers
This job chart is from a second grade classroom. Jobs include paper passer, line leader, door holder, flag salute, lunch tub monitor, chair monitor, librarian
I learned about this prchool reading program called 1000 Books Before Kindergarten from a friend who lived in another state. Her library had a program in place to track and provide incentives for children to read 1000 books before entering Kindergarten. Our local library had not yet started a program so my son (who was an infant at the time) and I logged the books we read with the phone app. The phone app. can be downloaded and used on your smart phone. https://itunes.apple.com/us/app/1000-books-before-kindergarten/id779280401.
Program Mission for 1000 Books Before Kindergarten
The 1000 Books Foundation is operated exclusively for charitable, literary, and educational purposes.
The objectives of this organization are:
to promote reading to newborns, infants, and toddlers
to encourage parent and child bonding through reading