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ASPartOfMe
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07 Feb 2019, 3:31 am

“Our Whole World Fell Apart” – South Dakota Moms Fight For Autism Therapy Insurance Coverage, Part One

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A group of South Dakota moms didn’t know each other a couple of weeks ago. Now, these moms are bonded forever. They’ve teamed up, fighting for their children with autism ,and they’re taking their battle to the state capitol.

A child’s cry, seeking sensory experiences in an overwhelming world. This is autism.

“If we didn’t understand her or know what she wanted, she would go around the house and just start knocking everything over,” said Krystal Trull, whose daughter has autism.

Then, the families each discovered applied behavioral analysis therapy, or ABA. It’s individualized therapy designed to teach children real-world skills while early intervention is possible.

“So I reached out to ABA and that’s when our whole life changed for the better,” said Kari Quail, whose son has autism.

These moms say the results have been nothing short of extraordinary.

“I call it ‘Easton’s world’ and then, ‘our world’, so like ABA brings Easton out of his world and into our world,” said Weber.

The families received these letters from their insurance providers in January. They say they will no longer cover ABA for those with small group or individual insurance plans. The cost of ABA varies, and none of the providers KDLT contacted would disclose any prices at all. However, one mom said it would cost her family $65 an hour out-of-pocket for ABA.

Many of the families are considering moving out-of-state or getting a new job at a larger company. For now, their children have stopped receiving ABA.

“She’s already shown regression,” said Trull.

“The eye contact is gone,” said Weber. “He doesn’t play with his sister as much. It’s devastating to watch your child go through that.”

ABA therapy is often 30 to 40 hours per week. However in public schools, children with disabilities sometimes receive as little as fifteen minutes a week of more generalized speech and occupational therapy. Parents say ABA offered hope that was ripped away.

These mothers aren’t giving up. Two bills are going through the state house to revise or replace health insurance coverage requirements.


If kids are hypersensitive you minimize sensory input, if they are hyposensitive you increase sensory input. Sounds a lot simpler and cheaper then hours of therapy. But what do I know? I am just a person with over 6 decades of experiences with the condition who holds such outdated ideas such as kids should not be sheepie clones of their parents (sarcasm).


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Professionally Identified and joined WP August 26, 2013
DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity.


smudge
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07 Feb 2019, 4:58 am

I get where these parents are coming from, though. Their kids aren't always verbal like us, and they are less able to communicate. If it's impossible to get their children out of their own world and into ours, how else are parents going to deal with it? They must find it devastating, not being able to interact with their own kids, and their kids not managing to cope with life.

I don't support ABA, it is cruel. I just want to say though that I get why these parents are desperate, it must be heartbreaking for them.

I mean, the clue is in this quote: "If we didn’t understand her or know what she wanted, she would go around the house and just start knocking everything over,” said Krystal Trull, whose daughter has autism.


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ASPartOfMe
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07 Feb 2019, 6:08 am

smudge wrote:
I get where these parents are coming from, though. Their kids aren't always verbal like us, and they are less able to communicate. If it's impossible to get their children out of their own world and into ours, how else are parents going to deal with it? They must find it devastating, not being able to interact with their own kids, and their kids not managing to cope with life.

I don't support ABA, it is cruel. I just want to say though that I get why these parents are desperate, it must be heartbreaking for them.

I mean, the clue is in this quote: "If we didn’t understand her or know what she wanted, she would go around the house and just start knocking everything over,” said Krystal Trull, whose daughter has autism.

I sympathize with the parents in this respect, in America ABA is the “gold standard”. If they do any amount of research they are likely to read from numerous authoratative sources that ABA works. People like me can say what I said earlier, say thier and ABA’s definition of success is flawed, say there is no or little studies of the long term effects etc. Whom are they going to believe some guy on the criticizing thier parenting decision on the internet or something that hundreds of peer reviewed studies say works? If they bother to listen they can rightly ask what do you think is better. The best we critics are likely to come up with is an “alternative” treatment that is poorly researched and that there is little to no chance any insurance company will cover.

That is what the ABA and all monopolies do. Researchers need money and want attention. Going with the “gold standard” is a much easier way of getting these things. To go against monopolies, to go against the “proven” method you have to be stubborn and willing to be broke while taking a lot of personal criticism. This is one thing when you are a young whippersnapper, it is quite a lot to ask when it is your career and especially your kids future at stake.


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“Self Acceptance is a process not a performance”
“You are autistic enough. And you always have been”

Professionally Identified and joined WP August 26, 2013
DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity.


Dvdz
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07 Feb 2019, 8:38 pm

ASPartOfMe wrote:
That is what the ABA and all monopolies do. Researchers need money and want attention. Going with the “gold standard” is a much easier way of getting these things. To go against monopolies, to go against the “proven” method you have to be stubborn and willing to be broke while taking a lot of personal criticism. This is one thing when you are a young whippersnapper, it is quite a lot to ask when it is your career and especially your kids future at stake.


One of the publication biases is the tendency to publish novel findings (https://www.sciencedirect.com/science/article/pii/S104898431730070X) so a researcher seeking fame and fortune would actually be incentivised to research new treatments.

There also seems to be an incentive to publish studies that refute previous findings (https://www.sciencedirect.com/science/article/pii/S0895435611003258).

Do you have evidence to support what you are saying?



cyberdad
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08 Feb 2019, 9:01 pm

ASPartOfMe wrote:
If kids are hypersensitive you minimize sensory input, if they are hyposensitive you increase sensory input. Sounds a lot simpler and cheaper then hours of therapy. But what do I know? I am just a person with over 6 decades of experiences with the condition who holds such outdated ideas such as kids should not be sheepie clones of their parents (sarcasm).


Interesting idea. My daughter is hypersensitive to certain noises so we created environments that minimises exposure to these triggers but concurrently she is hyposensitive to touch motion and music - so she gets lots of physical activity/music