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Autism Awareness Is Not Enough

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By Ellen Notbohm

Autism Asperger’s Digest  March/April 2014

What does autism “awareness” mean to you? Better question—what does it mean to those who think autism doesn’t touch them? “Awareness” may be another one of those words I have to consign to quotation marks, along with “normal” and “typical,” or simply drop from the dialogue. Awareness was an ambitious goal ten years ago, and still is in many countries, but here in the United States it is no longer enough for me. Awareness that doesn’t result in action feels a bit hollow to me. “Yes, we understand what autism is—we are aware—but we can’t do anything about it/it’s not my job/our school, our community doesn’t have the money/we don’t have anyone in our family with autism so it’s not my problem.” A society can be as aware of autism as they are of the weather but if, like the old weather cliché, everyone grumbles but nobody does anything about it, awareness may then turn divisive and destructive, driving our children with autism farther to the edges of community.

The shortsightedness and self-interest of others remain two of our kids’ most formidable barriers. Those who still see autism as a dubious diagnosis see it as a resource-suck on schools and a lever that will ratchet insurance premiums higher as both are forced by law to serve our kids. If I had the power to force anything, it would be to include in all our discussions on education and health care for children with autism the cold hard calculation of what it will cost society through 60 years of adulthood if in childhood we do not do everything in our power to produce a physically and emotionally healthy adult who is as self-sufficient as possible.

So now when Autism Awareness Month approaches, I dream bigger. I dream of Autism Action Month. What might that look like?

My list of what I’d like to see during my idealized Autism Action Month is not “evidence-based.” It is supported by neither experts nor science, by nothing other than my hopes, pipe dreams and vision, and by my belief that we raise adults, not children, and that the journey to independence begins in earliest childhood.

1. It starts with food. Raise/allocate funding for research and outreach on feeding therapies, and for food programs and nutrition education. Too many children with autism have feeding issues. It’s a multilevel problem. The availability of food and our kids’ ability to ingest adequate nutrients is bedrock to their ability to meet their full potential. A study by Boston University’s Department of Pediatrics (2008) (reported by the National Institutes of Health) stated that young children from food-insecure households are two-thirds more likely to be at risk of developmental problems than those from households with enough to eat. Even in food-secure households, the child with autism may suffer severe lack of nutrients due to his hypersensitive gustatory system and insistence on eating only a few, often highly processed, foods. Without adequate nutrition, children can’t learn to their full potential, can’t “behave.”

2. Raise/allocate funding for sensory evaluations of classrooms, and for sensory makeovers of classrooms. Noise, visual clutter, smells, textures can make learning almost impossible for some of our kids. Sensory classroom accommodations benefit all kids, not just those with autism.

3. Restore or create Adapted PE programs throughout K–12. Adapted physical education specialists are teachers trained in making modifications to equipment and curriculum so that children with supplemental needs can participate in general education PE classes with their peers. PE can be a confusing mix of motor skills, rules and all the social complexity that goes along with the concepts of teams and competition. Physical activity is a wellness issue for all kids; for the child with autism, being able to participate with peers goes a long way toward erasing yet another distinction that may separate the child with autism from his contemporaries.

4. Create opportunities for not only participation but for leadership. Many children with autism live with a constant stream of messages telling them what they do wrong or inadequately. But all children are good at something. Creating opportunities for them to lead and teach reinforces their sense of being part of a community in which there will always be people more and less capable. Example: A child who knows his favorite book inside out can teach it to the rest of the class or to a smaller reading group or a younger class. He can lead the group in reading it, then ask questions he has written down ahead of time (with the help of teacher, therapist or parent) about the main characters, setting and sequence of events. Dozens of opportunities like this exist in a single day.

5. Curricula in independent living skills, trades. I’d like to see some brutal honesty in math requirements. The majority of high school graduates are not headed for careers wherein they’ll need advanced algebra, but all will need consumer math—literacy in salary/benefit calculations, household budgeting, savings, investments, responsible use of credit, tax preparation, how to buy a car, how to rent an apartment, how to calculate a discount. And let’s retrieve introduction of the trades from community college and bring them back to high school. Trades are necessary to society, and not every student is headed for college (or should be). Students with autism often have narrow interests but may be highly skilled in a particular area. Encouraging employment and independence through trades is every bit as legitimate as encouraging college attendance.

6. Jobs. Let’s ask employers to create one new job, even part-time, for a teen or adult with  autism. We’ll provide a short workshop, online tutorial or reading links that will help them design simple accommodations that will allow the employee with autism to succeed.

7. Transition to college programs. How accommodating a college is to the student with disabilities (federal word, not mine) might be more important than whether they offer your student’s chosen major. College administration attitudes range from “this is college, deal with it” to extensive services offered. We need a clearinghouse to identify colleges more active in helping students with autism and other learning differences. Disability accommodations at my son Bryce’s college include supports such as note-taking, in-class aides, sign language interpreting and transcribing, accommodated testing, ergonomic furniture, adaptive technology, alternate forms of print (large print, Braille, audio, etc.), captioning for video, liaison services for navigating services such as financial aid/registration/housing, course substitutions or modifications. Our kids can succeed at schools that want them to succeed.


Author Walker Percy said, “To become aware of the possibility of the search is to be onto something.” Being onto something is a good start, but it’s not an achievement until it becomes something. When we convert possibility to deed, we move beyond awareness into the kind of action that makes way for our kids to take their rightful places in their communities, and for those communities to see themselves as the beneficiary.


Ellen Notbohm is author of one of the autism community’s most beloved books, Ten Things Every Child with Autism Wishes You Knew, and three other award-winning books on autism that have delighted and informed millions in more than twenty languages. Read excerpts and sign up for Ellen’s newsletter at www.ellennotbohm.com.



Rose-Jacobs, R., M. Black, P. Casey, J. Cook, D. Cutts, M. Chilton, T. Heeren, S. Levenson, A. Myers, and D. Frank. 2008. “Household Food Insecurity: Associations with At-Risk Infant and Toddler Development.” Pediatrics 121 (1):65–72.

Copyright © Autism Asperger’s Digest. 2014. All Rights Reserved. Any distribution, print or electronic, prohibited without permission of author.

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