Autism and Dental Sedation—What You Need to Know

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Dr. Greg Grillo (dentably.com)

Going to the dentist can be overwhelming for anyone. However, in patients with autism, the sensory elements of the dentist can make it much more difficult.

One way to help a patient relax during their appointment is with dental sedation, but it’s important to know the different types before choosing this for a patient. As a practicing dentist for 17 years, I know just how stressful this can be for parents, and how frightening the whole process can be for the child. That’s why I’ve compiled information about everything you need to know before choosing dental sedation for a patient or child with autism.

Choosing a Sedation Method

There are several other sedation methods that your dentist may offer. Talk to them about which method will be best for your child or loved one.

Here are the three most common sedation methods that are used for dental care:

Conscious Sedation: A minimal type of sedation, it allows the patient to maintain consciousness and control during the procedure. Children with autism have widely different responses to this type of sedation, so it’s important to monitor them throughout the procedure. It also has some potential health risks if done incorrectly, so only specially trained dentists should perform this type of sedation.

Deep Sedation: This is a bit more powerful than conscious sedation and may render the patient unable to respond or control certain reflexes. This is similar to conscious sedation but used when less lucidness is required from the patient or for more involved procedures.

General Anesthesia: What most people think of when picturing dental sedation, this type will render the patient unconscious and unable to respond or control their bodies during the procedure. This is a powerful sedation method, so is likely only to be used for major dental work, or if the patient has responded extremely poorly to other options.

Your dentist will give you which options are available based on the procedure and will typically urge you towards the least potent. This can help your child by maintaining the measure of control they have during the procedure, as well as making the recovery quicker and easier to understand. Dentists are also always happy to answer questions, if you have concerns over the procedure speak up.

Prepare for the Visit

The most important step to making any dental process go smoothly for an autistic child is to Child with Autism sits in dental chair and the dental assitant is pointing to the different lights and devicesproperly prepare them. Helping your child understand what to expect can ease feelings of anxiety and make it a bit easier to digest. Make sure to explain to them what’s going to happen, why it’s important, and emphasize any positive rewards to look forward to.

The Tell/Show/Do method is a great way to keep your child at ease through the whole procedure. Start by telling them what’s going to happen and what the dentists needs to do. Then show them with a brief demonstration how it’s done and the tool used for it. Finally, the procedure will be done. This method helps keep the child engaged and calm as they know exactly what is going to happen.

Good preparation is key, but what entails is going to largely depend on your child. Everyone with autism is a little bit different and has different reactions to stimuli and different ways they express their discomfort. Take some time pre-visit to discuss this with your dentist and they will be happy to work with you to make your child’s visit go as smoothly as possible.

Recovery

How long it takes to recover is largely based on the type of sedation used. Keep this in mind as it’s usually better to give your child a definite answer, 40 minutes for example instead of a while. This is important as the recovery process may be new for your child, and they will not be used to the effects that the sedative has on their bodies.

It’s also important to monitor them during the recovery process for any adverse side effects. In general, you’ll be asked to remain at the dentist until they are confident no such reaction will be experienced.

Making Your Dental Visit a Success

Overall, the key to a successful visit is to plan and prepare, and make sure your child understands what is about to happen. As a dentist, I always do my best to put the child at ease and explain everything I’m about to do, but the prep should begin at home. Remember that dental sedation can be beneficial for a patient to receive the care they need.

Children living with autism are capable of having great dental experiences with patience and hard work. Never give up on your child’s dental health and enjoy the learning process together.

Gucci’s Latest Beauty Campaign Stars a Model With Down Syndrome, and It’s Beautiful

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Ellie Goldstein Down Syndrome model poses in gold sequined blouse smiling

Ellie Goldstein, an 18-year-old model with Down’s syndrome from Ilford in Essex, just got her first modeling gig for Gucci Beauty. In collaboration with the Photo Vogue Festival, Goldstein starred in the new Gucci L’Obscur Mascara campaign alongside four other models, a project that continues to support the company’s overall goals of “supporting emerging talents and promoting the theme of unconventional and non-stereotypical beauty,” according to a release for the campaign.

“I designed L’Obscur mascara for an authentic person who uses makeup to tell their story of freedom, in their way,” said Gucci’s creative director, Alessandro Michele, explaining the concept for the mascara.

As part of Gucci and Vogue Italia’s #theguccibeautyglitch” — an Instagram scouting project that started back in January 2020 — photographer David PD Hyde was selected to shoot Goldstein along with the other models — Jahmal Baptiste, Enam, Kadro Vahersalu, and Ruoyi Yi — all of whom were selected by Hyde and artist Catherine Sevel from over 6,000 photos posted on Instagram.

Continue on to Pop Sugar to read the complete article.

Podcast: Understanding Workplace Accessibility Technology Testing

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The most recent episode of the Partnership on Employment and Accessible Technology (PEAT)’s Future of Work podcast features Hadi Rangin, Information Technology Accessibility Specialist for Accessible Technology Services (ATS) at the University of Washington, as he discusses the importance of accessibility testing in the technology procurement process.

The Future of Work podcast is developed in partnership with Workology.com as part of the PEAT’s Future of Work series, which works to start conversations around how emerging workplace technology trends are impacting people with disabilities.​

During the interview, Workology’s Jessica Miller-Merrell notes that 2020 is the 30th anniversary of the Americans with Disabilities Act (ADA) and she asks Hadi what emerging workplace trends or technologies he thinks will have the biggest impact on people with disabilities in the next 30 years. Here is what Hadi said:

“I think the technology that we are using for remote work, kind of hybrid work, that would be the theme or the one of the biggest areas that we have a lot of room for improvement. As a person with a disability, I know that some of us cannot secure a position because of the transportation or commute. I think this pandemic situation due to Coronavirus has given us or forced us to try the remote work or kind of hybrid work and see how it works. I’m hearing, I cannot verify the data, but I’m hearing from some companies that they say that the performance of some of the employees has been increased since when they are working remotely. I’m not sure it can be applied to every job. Not if you are a cook. You cannot work remotely. But there are many types of jobs that can be performed remotely or in kind of hybrid format offices, will be different. In a home, probably, we will have in the future a more dedicated home office. There would be some concern, you know, about the accommodation of people with disabilities at work. If I am a person with disabilities and I need some equipment, who is willing to pay for that or who can support me with that or who is, who is responsible for the insurance if something happens while I am working from my home office. Does the work insurance cover that or not? I’m pretty sure, I mean if you go that route, the laws and regulations will change. But I think, as technology that allowing users to work remotely becomes more mature, more flexible. And I think this will be something that we should look forward to.”

Listen to the complete interview with Hadi on the PEAT website.

3-time Paralympian Angela Madsen dies while rowing from L.A. to Honolulu

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Three-time Paralympian Angela Madsen died earlier this week while attempting a solo row from Los Angeles to Honolulu.

Madsen, 60, was declared dead at 11 p.m. PST on Monday, June 22, when the US Coast Guard discovered her body several hours after she last made contact with anybody, according to a letter posted to RowOfLife.org, a website set up to document the journey, and signed by Madsen’s wife, Debra Madsen, and filmmaker Soraya Simi.

A paraplegic, Angela Madsen was a six-time Guinness World Record holder who was in the midst of attempting her next feat: to become the first paraplegic and oldest woman to row from California to Hawaii alone.

“She told us time and again that if she died trying, that is how she wanted to go,” Madsen and Simi wrote in their letter.

The two wrote that rowing an ocean solo was Madsen’s biggest goal and that she was willing to take that risk because “being at sea made her happier than anything else.”

“Angela was a warrior, as fierce as they come,” they wrote. “A life forged by unbelievable hardship, she overcame it all and championed the exact path she envisioned for herself since she was a little girl.”

A tragic journey

Madsen’s journey was the subject of a documentary film, and she frequently checked in with her wife Debra and the filmmakers via satellite.

Madsen carried all of her own food and used a desalinator to make fresh water. She set a goal of rowing 12 out of every 24 hours for three-four months to complete her journey, the filmmakers wrote on the film’s website.

She departed from Los Angeles and rowed approximately 1,114 nautical miles, which was 1,275 nautical miles from her destination in Honolulu. Madsen had been alone at sea for 60 days.

On Sunday, June 21, Madsen checked in via satellite and said that she was going into the water to fix her bow anchor. After not hearing from Madsen for several hours, a search and rescue operation was initiated. An aircraft was dispatched and a cargo vessel was re-routed to find her. The Coast Guard discovered her body, the letter said.

“A life forged by unbelievable hardship”

Madsen served as a Marine in her 20s when she sustained a back injury and had to undergo corrective back surgery. However, errors in the surgery left her a paraplegic.

But Madsen said would not let her disability hold her back as she took up adaptive sports. She first rowed for the US National Team in 2002 when para-rowing made its debut at the World Rowing Championships in Seville, Spain, according to USRowing.

While with the US National Team, Madsen won four gold medals and one silver medal at the world championships during her career. She would go to the Paralympics three times where she won bronze in both rowing and shot put, the filmmakers said.

Continue on to KTLA News to read the complete article.

TechCheck: A powerful tool to help employers assess their technology accessibility practices

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About to take a leap into an accessible workplace technology effort? While many employers don’t know where to begin, getting started is simple.

It means taking stock of your workplace information technology (IT) so that you can pinpoint how to ensure it’s accessible to all employees—including those with disabilities.

Enter TechCheck, a powerful but simple tool from the Partnership on Employment & Accessible Technology (PEAT) to help employers assess their technology accessibility practices.

Whether you have a formal accessible technology effort or not, TechCheck delivers:

  • A benchmarking accessibility “snapshot” of the current state of your technology;
  • The accessibility goals you want to reach; and
  • Steps you can take to achieve them.

Join the over 100 companies that have used TechCheck to improve the accessibility of their organization.

TechCheck Features:

  • Designed for everybody. Intended for U.S. employers of all types—public or private sector, large or small.
  • Quick and easy. TechCheck takes about 10-15 minutes to complete.
  • Instant feedback. After completing the questions, you’ll receive a readout evaluation of where you stand across several dimensions, from internal accessibility training efforts to IT procurement policies.
  • Free and completely confidential. PEAT does not retain your answers except to create your customized readout.
  • The first step toward a more accessible workplace. TechCheck provides formal documentation that you can use to win support from management to develop your accessible technology efforts further.

techCheck image

To get started on your assessment, visit www.PeatWorks.org/TechCheck

FDA greenlights 1st video-game based treatment for children with ADHD

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screenshot of video game with many colors

The first video game-based treatment for attention deficit hyperactivity disorder (ADHD) has been approved by the US Food and Drug Administration (FDA).

The video game, called EndeavorRx and approved on Monday, will be prescription only and aimed at children between the ages of eight and 12 with certain types of ADHD.

It will be used alongside other treatments, such as clinician-directed therapy, medication and educational programs.

ADHD is a common neurodevelopmental disorder which is usually first diagnosed in children and can last into adulthood.

Approximately 4 million children aged six to 11 are affected by ADHD, the symptoms of which include difficulty staying focused and paying attention and difficulty controlling behavior.

This is the first game-based therapy to be granted marketing authorization by the FDA for any condition, the agency said.

“The EndeavorRx device offers a non-drug option for improving symptoms associated with ADHD in children and is an important example of the growing field of digital therapy and digital therapeutics,” Dr Jeffrey Shuren, director of the FDA’s Center for Devices and Radiological Health, said in a press release.

The game, which can be downloaded as an app onto a mobile device, was authorized for marketing after the FDA reviewed five clinical studies that included more than 600 children.

The agency noted that some negative effects were reported, such as frustration, headache, dizziness, emotional reaction and aggression, but said there were no “serious” adverse effects reported.

While playing the game, children steer an avatar through a course dotted with obstacles, collecting targets to earn rewards.

Akili, the company that created EndeavorRx, has said that children should interact with the game 30 minutes per day, five days a week over the course of a one-month treatment cycle.

Continue on to KTLA News to read the complete article.

This Rapper is Joining the Fight for Mental Health Awareness and Suicide Prevention

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Waka Flocka pictured wearing bright green at event in Hollywood

On the evening of May 25, near the end of Mental Health Awareness Month, rapper Waka Flocka tweeted that he was going to dedicate his life to suicide prevention and mental illness. This tweet likely stemmed from the reminder of his deceased brother’s upcoming birthday, which would happen less than a week later.

The rapper tweeted his support by saying, “I’m officially dedicating my life to suicide prevention and mental illness!!! Y’all not alone Waka Flocka Flame is with y’all now!!!!”

In 2017, Waka Flocka revealed in an interview with the show The Therapist that his younger brother committed suicide in 2013. In this interview, he stated that his brother, Coades, tried to call him before taking his life, leaving Waka Flocka to wonder what would have happened if he picked up the phone.

While the specifics of what the renowned rapper will do is unknown at the moment, Waka Flocka has made his goals clear, stating in a follow-up tweet that he has officially accepted his brother’s passing and believes he is now in a better place.

Waka Flocka stated, “You have no idea how it feel to wanna take your own life man…my little brother took his own life…This year I’m officially accepting the fact that he’s in a better place.”

More Than One-Third of LGBTQ+ Adults Identify as Having a Disability

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By Philip Pauli

The LGBTQ+ community and the disability community intersect in significant ways. But identifying the full scope of this community remains a significant challenge due to continuing fears about disclosure and stigmas that remains a painful fact of life in many parts of the United States.

The best available estimates put the total number of LGBTQ+ Americans at around 11 million individuals. Extrapolating from there, RespectAbility estimates that there are roughly 2.3 million women with disabilities in the LGBTQ+ community. That number is joined by approximately 1.4 million men with disabilities in the community.

Both people who identify as LGBTQ+ and people who have invisible disabilities, such as learning disabilities like dyslexia, mental health or ADHD, have to decide whether or not to “come out of the closet.” This is not an easy decision for most people because of the uncertainty of whether or not acceptance will follow. LGBTQ+ youth who come out sometimes are rejected by their families and friends. Some are even kicked out of their homes and forced to live on the streets. According to a University of Chicago report, LGBTQ+ young adults had a 120 percent higher risk of reporting homelessness compared to youth who identified as heterosexual and cisgender.

Our nation’s economy is strongest when it is inclusive of the value that diverse talent brings to the workplace. Yet it is challenging to fully capture thestats for lgbtq and disability scope of opportunities open to LGBTQ+ workers with and without disabilities. Just as people with disabilities fear discrimination and face bias throughout the hiring process, far too many LGBTQ+ Americans have experienced discrimination or bias in the workplace.

“It is vital to fight stigmas and advance opportunities so all people who have faced prejudice can achieve a better future,” said RespectAbility’s President Jennifer Laszlo Mizrahi.

The consequences of stigma, bullying and rejection can literally be life and death. The Trevor Project reports that LGBTQ+ youth are almost five times as likely to have attempted suicide compared to heterosexual youth. Forty percent of transgender adults reported having made a suicide attempt, 92 percent of them before the age of 25. Society needs to fight stigmas and promote acceptance so that LGBTQ+ people know that they are valued and that they matter.

Source: respectability.org

New normal of masks is an ‘added barrier’ for deaf and hard-of-hearing community

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face masks deaf community

No outfit is complete without a mask these days. Recommended by the Centers for Disease Control and Prevention and sometimes required by businesses, face coverings have become a new social standard in many parts of America. But while masks serve as barriers to the spread of COVID-19, they’ve also become an additional barrier in communicating for those who are deaf and hard of hearing.

“The best word to describe it would be a challenge,” Brenda Schertz, a senior lecturer of American Sign Language at Cornell University, said in an ASL-interpreted phone call with NBC News. With 48 million Americans who are deaf or hard of hearing, according to a 2011 Johns Hopkins University study, the problem affects a significant part of the population on a daily level.

“Going into the grocery story or the bank or really any other public place, we are heavily dependent on facial expression and visual cues on peoples’ faces, and some of us can lip-read … and no longer do we have access to that, because everyone has masks on.”

Schertz described how, recently, she had a new washing machine delivered to her home and had intended for the delivery men to take her old washing machine with them. But there was a “communication breakdown,” she said, and because everyone was wearing masks, she couldn’t understand what they were trying to say. The old washing machine stayed put, and she had to call Lowe’s back to understand what happened.

“It was just something that was no big deal, but I had a huge communication breakdown,” Schertz said.

Similarly, Schertz described how a friend struggled to communicate at a drugstore. Because the clerk was wearing a mask, the friend didn’t understand the simple question of whether she was paying in cash or by credit.

“Just simple little things that, without a mask, we would have figured out very quickly what was needed from us. But with this mask on, we’re guessing or we have to write it down,” Schertz said. “We have no other way if we can’t hear and we can’t see the words being formed on the mouth. It’s a huge challenge … an added barrier, for sure.”

The barriers in everyday communication are often intensified when deaf people seek medical care – a longtime issue that has led to significant health impacts in the community and has become even more complicated in a pandemic.

The disparities in health education and access to care have historically led to “inadequate assessment, limited access to treatment, insufficient follow-up and poorer outcomes,” according to a 2013 article in the American Psychological Association’s Spotlight on Disability Newsletter by Lawrence Pick, a professor at Gallaudet University in Washington, D.C.

Battling all these long-existing barriers is what led Anne McIntosh to create the Safe’N’Clear Communicator mask, the first medical mask approved by the Food and Drug Administration with a clear window over the mouth to facilitate better communication — something she said would improve patient care for everyone, not just those who are deaf or hard of hearing.

Continue on to NBC News to read the complete article.

Creating VR Workplace Training Programs for People with Disabilities

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The Partnership on Employment and Accessible Technology (PEAT)’s latest Future of Work podcast episode features Assistive Technology Specialists Chris Baumgart and Meagan Little of Imagine!Colorado as they discuss how they have worked with employers to create successful virtual reality (VR) workplace training programs for people with disabilities.

The Future of Work podcast is developed in partnership with Workology.com as part of the PEAT’s Future of Work series, which works to start conversations around how emerging workplace technology trends are impacting people with disabilities.​

During the interview, Workology’s Jessica Miller-Merrell notes that 2020 is the 30th anniversary of the Americans with Disabilities Act (ADA) and she asks both Chris and Meagan what emerging workplace trends or technologies they think will have the biggest impact on people with disabilities in the next 30 years. Here is what Chris said:

“One thing that I will say that I think that we’re seeing is already becoming a trend with a lot of potential is machine learning and augmented reality or smart glasses. But what we’re seeing now is with machine learning, we can actually, essentially use the tools around us to teach in real time. So in a virtual reality headset, you’ve got this immersive experience, and that’s great. One of the things that is still challenging is seeing how much of that still translates into the real world. If I’m in an environment where I have these virtual bottles that I have to package into a virtual mix pack and put on a virtual conveyor belt, and that doesn’t translate a hundred percent into the real world where I’ve got real bottles to package into actual mixed packs and put onto an actual conveyor belt. With machine learning and smart glasses, what we’re looking hopefully to see is that the glasses could then indicate and essentially do the same kind of highlighting as an augment to the reality that the virtual reality headset would provide in the virtual space. So you’re wearing glasses in the real world and it’s actually highlighting an actual object in front of you. And that’s kind of what we’re seeing that’s going to trend. At least I hope so. I think it’s going to be a really valuable trend if it does.”

Listen to the complete interview with Chris and Meagan on the PEAT website.

Autism Awareness Advocate Areva Martin On Her Work-Life Balance Journey

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Areva Martin

Driven career professionals often struggle to figure out a work life balance that doesn’t leave them riddled with guilt. Unfortunately, for parents of kids with disabilities the increased demands can make them feel like caring for their special needs child(ren) means they must automatically reduce or even eliminate their career goals. Indeed, they often feel the pressure to automatically blunt the trajectory of their career in an attempt to demonstrate full commitment to their household’s unique needs and challenges. For those who view attentive parenting of a special needs child and aggressive pursuit of a fulfilling and ambitious career as a binary choice, they need look no further than the compelling example of disability rights advocate and award winning attorney/legal commentator Areva Martin to shatter that myth.

When her son Marty was diagnosed with autism at the age of two, Areva found herself struggling to navigate the complex labyrinth of relevant services which eventually led her to develop the Special Needs Network, Inc. to not just serve her needs, but primarily to provide a network of support for families affected by developmental disabilities.

As a disability rights advocate, she has mentored and befriended many parents of special needs children and can actively relate to the unique work life balance challenges that the experience brings, and her message is both clear and determined – “Parenting a special needs child doesn’t mean you have to sacrifice your career.” Indeed, she doesn’t just say it, she’s done it. Graciously, Areva spoke with me recently to share a few nuggets of advice for other parents struggling to manage the sometimes overwhelming demands of both work and home.

Know the Law

Parents of children with special needs are often left to maneuver a laundry list of requirements in order to sufficiently support their children. From navigating school admissions and identifying appropriate therapies to securing necessary testing and establishing an Individualized Education Program (IEP), the demands on a parent’s time and financial resources can be significant to say the least. Identifying sources of support is a critical step in relieving the very real drain on financial and other limited resources. Areva advises parents to learn their rights early so they avoid wasting precious time and money on services that may be available to them at little or no cost. The Individuals with Disabilities Education Act (IDEA) is a federal law that applies to public schools in every state throughout the country. The law makes available a free appropriate public education to eligible children with disabilities including autism and a range of developmental, emotional and learning disabilities, and it ensures special education and related services to those children from age 2 to 21. Beyond federal laws, Areva recommends that parents make time to talk to other parents, administrators and officials to familiarize themselves early on with any applicable state, local, even district level regulations or policies that might provide support or create barriers for their particular situation. Indeed, knowledge is power and taking the time to equip yourself with the knowledge early on is key.

While it may be tempting for parents of special needs children to “suffer in silence” rather than share concerns, issues or problems, Areva warns against that urge and instead encourages parents to be open with friends and colleagues.

Continue on to Forbes to read the complete article.

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Upcoming Events

  1. 2020 Disability:IN Conference
    July 13, 2020 - July 16, 2020
  2. 2020 American Society for Health Care Human Resources Association Event
    August 22, 2020 - August 25, 2020

Upcoming Events

  1. 2020 Disability:IN Conference
    July 13, 2020 - July 16, 2020
  2. 2020 American Society for Health Care Human Resources Association Event
    August 22, 2020 - August 25, 2020