Aptos psychologist: know the early warning signs of autism. Go to www.freedomOK.net/wordpress or www.firstsigns.org

First Signs launches a National Campaign to Inform Physicians and Parents about Autism and Developmental Disorders.

“First Signs, a national awareness initiative, was recently launched recently in the state of New Jersey to inform the stateâ€s physicians and parents about the early warning signs of autism and developmental disorders. The New Jersey pilot, which was launched in collaboration with UMDNJ-Robert Wood Johnson Medical School and New Jersey Center for Outreach Services to the Autism Community (COSAC), was the first statewide campaign of its kind in the country by the Massachusetts-based First Signs, Inc, launched in collaboration with UMDNJ-Robert Wood Johnson Medical School and New Jersey Center for Outreach Services to the Autism Community (COSAC).

“Since First Signs announced its program launch on April 27, 2001 in Washington D.C. before the Congressional Caucus on Autism, the non-profit organization has been receiving hundreds of requests from pediatricians, parents, and other clinicians throughout the country for information about early identification and treatment. The organization hopes to create a national model for disseminating key information about early warning signs, the need for routine developmental screening, of children from birth to age three, and the options available to parents of children diagnosed with autism spectrum disorders.

In the December 2001 issue of Archives of Pediatrics and Adolescent Medicine, the editorial “Child Development in Pediatrics: Beyond Rhetoric”, by Barry Zuckerman, M.D., Marilyn Augustyn, M.D., and Steven Parker M.D., First Signs is described as a parent-run organization calling for “regular systemic screening by pediatricians with validated instruments, emphasizing the social and emotional aspects of development, to identify autism spectrum disorders.” First Signs is noted as an example of how parents are listening closely to the recent national emphasis on the importance of early childhood development. “Because parent groups have a long and special tradition of improving care for children, it is likely that they, rather than professional organizations, will be more effective in changing practice.”

“First Signs grew out of the personal experience of founder and president, Nancy Wiseman, whose daughter was diagnosed with autism spectrum disorder in 1998. Based on her daughterâ€s steady improvements through early identification and treatment, Wiseman, a marketing communications professional and parent, knew that she had an important message to share with both physicians and parents—that the earliest possible diagnosis and intervention are the keys to success for all children at risk of developmental disorders.

“The high and growing incidence of autism and related disabilities demands greater awareness and improved early identification,” says Wiseman. “We donâ€t know how to prevent autism or how to cure it, but one thing we do know is that early and intensive treatment and intervention can profoundly change the quality of life for children at risk and their families. The key is early detection.”

To that end, the First Signs mission is to ensure the best developmental outcome for every child. By educating both parents and physicians, First Signs hopes to promote ongoing discussions regarding the most important and often overlooked aspects of development: social/emotional, communication, and behavior.

Through an integrated mix of print and broadcast press, direct mail, public service announcements, speaking engagements, and at their Web site, the First Signs campaign is focused on a primary target audience of physicians, parents, and family service organizations. The program has three primary components: a screening kit designed for physicians and family practitioners, an informational mailing sent to parents of children under three years of age in participating states, and a comprehensive Web site that provides evidence-based information for parents and professionals.

In August 2001, physicians in participating states received a mailing offering letter from UMDNJ/Robert Wood Johnson Medical School and COSAC with an offer to receive the a free First Signs Screening Kit and to earn CME credit by viewing and completing materials on an enclosed educational video. The screening kit includes an educational video (hosted by Lesley Stahl of “60 Minutes”), a developmental milestones wall chart, validated screening tools for both developmental and autism screening, recommended screening guidelines for physicians, and an Early Intervention referral guide. The 20-minute educational video, entitled “On the Spectrum: Children and Autism,” outlines the diagnostic criteria for autism spectrum disorders, provides guidelines for conducting developmental screening, and describes how to relay developmental concerns to parents. The video is hosted by Lesley Stahl of “60 Minutes” and features actor Anthony Edwards of “ER” and football legend Doug Flutie. “On the Spectrum” draws upon clinical expertise, with interviews of some of the top experts in the field.

One of the initiativeâ€s major goals is to encourage more pediatricians to refer young children to early intervention programs. In keeping with the recent AAP Policy Statement on the Pediatricianâ€s Role in the Diagnosis and Management of Children with Autistic Spectrum Disorders, First Signs recommends that a physician or nurse practitioner perform a routine developmental screening at every well visit for any type of atypical development. The First Signs Screening Guidelines leads physicians through the referral process for those children in need.

Parents of children under age three will receive an informational mailing three weeks after the physician mailing goes out to create awareness around the hallmark milestones during each stage of development. A checklist of developmental milestones is included in this mailing, which helps to serve as discussion points between parents and physicians at the next well visit. To minimize language and cultural barriers in parent populations, First Signs will test informational mailings to Head Start programs and day care centers in selected areas to see if family service workers can influence parents to have their children screened.

The First Signs Web site provides physicians and parents with essential developmental information, an explanation of the screening process, a systematic guide that walks them through each stage of the process, listings of available local and national resources, and links to research, books, articles, and programs nationwide. Physicians and parents can become better informed about the different educational, biomedical, and alternative treatments for autism spectrum disorders.

First Signs has been endorsed by the American Academy of Pediatricians/New Jersey Chapter, Medical Society of New Jersey, and the New Jersey Pediatric Society. First Signs is funded by a number of foundations and government agencies, including Cure Autism Now, the Doug Flutie Jr. Foundation for Autism, the Mellanby Autism Foundation, the New Jersey Governorâ€s Council on Autism at UMDNJ, and Parents of Autistic Children (POAC) of Ocean County.

Originally published in Developmental and Behavioral News, published by the AAP, Section on Developmental and Behavioral Pediatrics.

References
Zuckerman, B., Augustyn, M., Parker S., (2001). Child development in pediatrics: Beyond rhetoric. Arch Pediatr Adolesc Med, 155, 1294-1295. [50]

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Related Links
First Signs
Group that advocates early detection of autism, with information about screening tools and treatment information.
http://www.firstsigns.org accessed 12/5/2008
Autism Society of America Home Page
Parent information on Autism and support and advocacy information. A good source of credible information about diagnosis and management autism.

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