Autism – 蜜桃影视 America's Education News Source Wed, 04 Feb 2026 19:57:23 +0000 en-US hourly 1 https://wordpress.org/?v=6.7.2 /wp-content/uploads/2022/05/cropped-74_favicon-32x32.png Autism – 蜜桃影视 32 32 Opinion: How I Found My Voice as a Man With Nonspeaking Autism /article/how-i-found-my-voice-as-a-man-with-nonspeaking-autism/ Tue, 03 Feb 2026 17:30:00 +0000 /?post_type=article&p=1028026 How do I begin when those reading this piece have a completely different experience in navigating their bodies through this existence?

Imagine knowing exactly what you want to say, but the words don鈥檛 make it from your brain to your lips. You know how you want to move, but your body fails to comply. You鈥檙e thirsty, but your hand refuses to reach for your cup. You see the traffic but can鈥檛 stop your feet. 

It鈥檚 what I refer to as a brain-body disconnect. My brain knows what I want to do, say or stop doing, but my body doesn鈥檛 usually comply.


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This is the reality of millions of people living with autism who have unreliable or minimal speaking skills or can鈥檛 speak at all. This is the reality of living with something called full-body apraxia, a term I hadn鈥檛 heard until recently, despite my 30 years of being diagnosed with this and or that disorder. But apraxia perfectly sums up my lifelong struggles.

Apraxia is a neurological condition that affects an individual鈥檚 ability to plan and carry out intentional movements, even though the physical ability and desire to complete the action are present. It鈥檚 a disorder that can very easily deceive onlookers into believing the individual lacks an understanding of the most basic concepts of danger or human emotion, or that they fail to comprehend the simplest instructions 鈥 or are choosing not to comply. 

Most well-meaning autism professionals are creating and implementing therapies based on these inaccurate and dangerous assumptions: the assumption that their student鈥檚 inability to complete their assigned tasks are due to either a behavioral or cognitive impairment. This is despite the fact that many of us have the correct diagnosis of motor planning and/or sensory processing disorder. Many treatment providers fail to recognize how these motor and sensory differences might manifest when implementing hours of behavior training or when assessing our cognitive abilities. 

These dangerous assumptions lead to children with autism enduring hours of dehumanizing and at times abusive therapies. And these assumptions rob us of our right to receive an adequate education and limit our access to and acceptance of alternative therapies. 

We are burdened with the impossible task of proving our intelligence with bodies that are not fully connected to the intentions and instructions of our brains, with bodies that not only fail to move how we want, but in many cases, take over and do what they want. Often instead of what I intend, my body will say what it wants, point where it wants and complete loops that I have little to no control over. 

Because educators and treatment providers fail to understand this, our basic human rights are withheld until we are able to prove our intelligence, emotional awareness and worth. We are often not treated with dignity until we can prove that our outward appearances and actions are not a true reflection of our minds and hearts.

I was a victim of those dangerous assumptions for 30 long years. Educators and doctors repeatedly told my parents that I had the intelligence of a 4-year old, and I was relegated to living out my days in a windowless warehouse called a day program. These are programs designed to house those who society believes don鈥檛 know, understand or feel enough to recognize the inhumanity of the system in which they exist. 

This system holds overwhelmed families hostage, forcing them into accepting only their approved options. The experts running these systems are blind to our needs, and often dismiss parent questions and concerns, treating them as if they are unfamiliar with their own children.

That was my life, a lesson in patience and surrender. I was resigned to accept my bleak and uncertain future until my family learned about . This is a motor-based communication method that understood that my inability to communicate was due to a motor challenge rather than a cognitive one. 

It鈥檚 a therapy designed to support my regulation and my body movement, and has taught me how to override my body鈥檚 automatic actions and create new ones. It taught me how to coordinate my eyes with my hand in order to accurately point to letters on a letterboard to spell my thoughts. It鈥檚 a therapy that, within a year, had changed my life beyond recognition. It was no easy task. 

If my family would have taken my behavior as communication, which is common when you have nothing else to rely on, we wouldn鈥檛 have made it past the first few sessions. My body rebelled. The prospect of finally being able to communicate overwhelmed my system with excitement. I spent the first several months screaming and shaking uncontrollably, but with the skilled guidance and quiet determination of my practitioner, I slowly progressed from one large letter to all 26, from answering questions with only one possible response to spelling out my thoughts. 

It鈥檚 been a long journey but worth every moment. I鈥檓 now able to express my love for my family and my dreams and desires. And I can give my family strategies for helping me. This seemingly has changed everything about my life. 

I鈥檓 writing this article, pointing one letter at a time to my letterboard in the hopes of reaching the parents of nonspeaking autistics and the professionals supporting them. I am asking you to put aside everything you鈥檝e been taught about your autistic child or student, everything you鈥檝e been told or think you know, and imagine you might be wrong. Imagine they are in there, understanding everything but unable to show it. 

There is a growing community of parents, therapists and teachers who have discovered just that. They are uncovering what decades of experts have missed. Everything about my life changed when I was given a reliable means of communication. I am sharing my story because I am able to. I am one of the lucky few who have been freed from my prison of silence.

This piece was initially published in the .

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Children With Disabilities Particularly Vulnerable to Minneapolis ICE Crackdown /article/children-with-disabilities-particularly-vulnerable-to-minneapolis-ice-crackdown/ Fri, 23 Jan 2026 23:13:44 +0000 /?post_type=article&p=1027626 Updated Jan. 29

The Trump administration’s weeks-long immigration enforcement campaign in Minneapolis, which has shuttered schools and terrified students and parents, has left one group particularly vulnerable: children with disabilities. 

Their families, who already fear their kids shutting down, running away, harming themselves or acting out when confronted under normal circumstances, have seen their anxiety skyrocket as they contemplate worst-case scenarios with federal agents. 

Tens of thousands of Minnesotans gathered in sub-zero temperatures last week to demonstrate against the federal government’s ongoing presence, including and .


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Idil Ahmed, who lives near the epicenter of the daily raids and protests, worries about her 6-year-old autistic daughter having a meltdown during an encounter with Immigration and Customs Enforcement agents.

鈥淚f they stop us, all hell will break loose with my child,鈥 Ahmed said. 鈥淎nd there is no talking to these people.鈥

Parents tell 蜜桃影视 they have no faith, after federal agents ripped a from her car and, according to school officials, used a this week to lure his mother from their home, that immigration officials would be patient with a child who can鈥檛 immediately respond to orders.

鈥淲hen I saw that image of this young boy with his backpack, I thought, 鈥楾hat could be my son,鈥欌 said Najma Siyad, mother of a 5-year-old with autism. 

Both Ahmed and Siyad are members of Minneapolis’ Somali community, the largest in the United States and one that has for removal by President Donald Trump. 

They are among many Somali families whose children have autism; a neurodevelopmental condition that is .

They and other Somali-Americans say their children are doubly vulnerable by virtue of their race and disability: While the first is obvious, making them a potential mark for ICE and U.S. Customs and Border Protection, the second is not. 

They and other families with special needs kids have missed school, skipped doctor鈥檚 visits and, in many cases, are not getting the occupational, physical and speech therapy services that help their children manage their lives and progress academically.  

Ahmed said her daughter missed three consecutive weeks of occupational therapy because her therapist was too fearful to enter their neighborhood.

鈥淥T for us is so important,鈥 Ahmed said. 鈥淚t regulates her emotions, helps with fine motor skills, simple things like dressing, eating, body movements, the teaching of how to be physically independent.鈥

And while multiple districts are offering remote learning to families afraid to leave their homes, online instruction isn鈥檛 a viable option for children who need a team of skilled school staff to access their education. 

鈥淚t鈥檚 not a solution for us,鈥 said Anisa Hagi-Mohamed, founder of an autism advocacy group called Maangaar Voices. 

Regression, both educationally and socially, is a constant concern, these parents say. But stronger still is their worry about their child coming face-to-face with a federal agent who doesn’t know 鈥 and perhaps doesn鈥檛 care 鈥 why they won鈥檛 interact. 

A spokesman for the Department of Homeland Security, which oversees ICE and CBP, said he was working on a response as to whether agents are trained to interact with autistic children and others with disabilities. Minnesota law for peace officers but this does not apply to ICE and CBP, Minneapolis advocates say.

Hagi-Mohamed has three kids, a 9-year-old son and two daughters, ages 5 and 8. All are 鈥渙n the autism spectrum,鈥 and each has their own unique vulnerability, she said.

Her middle child is nonverbal and frequently runs away to no particular destination. 

And her son looks far older than his age. He also has difficulty responding to anyone who commands him to act. 

鈥淗e would completely shut down, self harm and get hurt in the process,鈥 Hagi-Mohamed said, imagining him in an ICE encounter. 鈥淚 worry all the time.鈥

She鈥檚 advised him not to talk to any adults outside of school or home. 

She鈥檚 frightened, too, for her 5-year-old, who treats all grownups with the same deference as her parents. 

鈥淭he stranger danger thing is not so strong in her,鈥 Hagi-Mohamed said. 鈥淪he is one of those kids who if you tell her to do something, she will do it.鈥

These families say they have remained petrified ever since an ICE agent in Minneapolis killed unarmed motorist on Jan. 7 just after . Hours later, federal agents wreaked havoc at nearby Roosevelt High School. And on Jan. 24 in what may be a turning point to the strife in Minneapolis, federal agents shot and killed a 37-year-old nurse, Alex Pretti, setting off a fresh wave of terror and outrage.

Maren Christenson, executive director of the Multicultural Autism Action Network, said she lives so close to where Good was shot that she鈥檚 worried tear gas will seep through the family鈥檚 windows from the ongoing protests. 

Maren Christenson and her son, Simon Hofer (Maren Christenson)

Christenson鈥檚 14-year-old son, Simon Hofer, has autism and she can鈥檛 predict how he would respond to an ICE agent. 

The boy said he鈥檚 worried 鈥 not so much for himself, but for his friends. 

鈥淚 have been feeling angry, scared, sad,鈥 he told 蜜桃影视 on Thursday. 鈥淚t feels kind of hopeless sometimes and overwhelming. Friends of mine and classmates are afraid to go to school and so they attend online.鈥

His mother has told the special education community that even if someone is Caucasian, is a citizen, has a disability and can articulate their challenges, they are not free from peril. 

Her advice? 鈥淐omply: do what they tell you to stay safe.鈥 

But she鈥檚 unsure whether that strategy would work for people with autism who can become unmoored by such an encounter. Stress might hamper their ability to communicate, she said.

鈥淲e have held a number of community conversations and brainstormed, asking, 鈥榃hat could we do? What are people doing?鈥欌 she said. 鈥淏ut the truth of the matter is we are in uncharted territory. There is no guidebook, no best practices for when your city is under siege.鈥

A mother of two boys with autism who lives in the southern suburbs of Minneapolis and who asked not to be named to protect her family鈥檚 safety, said her children, ages 8 and 5, are just now learning about the concept of police. 

They cannot at all understand the complexity of immigration enforcement 鈥 or the harsh tactics that have come with it 鈥 so she鈥檚 keeping them mostly at home.

鈥淭here is only so much I can do when I am not with them,鈥 she said.

Hodan, the mother of an 18-year-old college student who has autism, said her son has always had high anxiety. But now, she said, it鈥檚 worse. She’s given him a list of a dozen phone numbers to call in an emergency that he keeps in his jeans and in his shoes. 

鈥淗e has his citizenship card in his pocket and when we drive, I make him put it on the center console,鈥 said his mom, who asked that her last name not to be used to protect her family.

Along with school and therapy sessions, also gone from families鈥 routines are winter afternoons at indoor play spaces, trips to the gym for their teenagers and other kid-friendly destinations. 

Siyad, a mother of three who lives 18 miles south of Minneapolis, close to St. Paul, said they recently took the 26-minute drive to the Minnesota Children’s Museum and had to turn around when they were three minutes away after witnessing an ICE encounter on the road. 

鈥淭hat fear is daily,鈥 she said. 鈥淚 am a naturalized citizen but I was not carrying my passport at the time. We had to turn around immediately.鈥

The painful irony, she said, is that her children, like all of the others in this story, their parents said, are U.S. citizens. 

鈥淥ur kids are as American as apple pie,鈥 she said. 鈥淭his is their home.鈥

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Opinion: Tylenol, Autism and the Perils of Basic-Level Literacy /article/tylenol-autism-and-the-perils-of-basic-level-literacy/ Fri, 26 Sep 2025 12:30:00 +0000 /?post_type=article&p=1021250 鈥淒on鈥檛 take Tylenol,鈥 President Donald Trump pregnant women in a packed White House press briefing Sept. 22, claiming a link between acetaminophen use and autism. Within hours, experts pushed back. One Reuters put it bluntly: 鈥淭rump links autism to Tylenol and vaccines, claims not backed by science.鈥

Who should we believe?

A friend of mine, a young mother, vented her frustration on Facebook. 鈥淚n today鈥檚 day and age it鈥檚 not hard to spend a bit of time looking at the sources,鈥 she wrote. That sounds plausible 鈥 until you actually try it. Evaluating competing scientific claims is hard work. It requires the ability to parse complex studies, distinguish correlation from causation, weigh evidence and spot bias.


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And here鈥檚 the uncomfortable truth: As the latest round of 12th-grade NAEP results makes clear, this kind of independent evaluation is simply beyond the reading comprehension ability of most Americans.

To make sense of the Tylenol鈥揳utism debate 鈥 or any competing claims purporting to be scientifically sound, you need to do far more than skim headlines. You must:

  • Comprehend dense scientific language 鈥 including technical terms, qualifiers and statistical nuances.
  • Distinguish types of evidence 鈥 a correlational study versus a randomized controlled trial, or anecdotal accounts versus peer-reviewed findings.
  • Compare conflicting results 鈥 noting sample size, methodology and limitations.
  • Evaluate credibility and motives 鈥 is the claim coming from trial lawyers, pharmaceutical companies, advocacy groups or independent researchers?
  • Synthesize across sources to form a tentative, reasoned judgment.

These are advanced literacy skills. They align closely with reading levels that the National Assessment of Educational Progress labels as Proficient and Advanced. At those levels, readers can not only understand text, but critique it, integrate ideas across multiple sources and evaluate rhetorical effectiveness.

By contrast, readers at the Basic level can generally summarize explicit information in a single text. Those Below Basic struggle to do even that. But neither Basic or Below Basic readers have what it takes to effectively weigh competing claims 鈥 and that鈥檚 two-thirds of Americans. They can鈥檛 reconcile conflicts, judge evidence or detect bias. They may read the words, but they can鈥檛 test the arguments.

Some critics urge caution before declaring a reading emergency. Paul Thomas, for example, has flatly that 鈥渢here is no reading crisis,鈥 pointing to the way NAEP defines its benchmarks. Diane Ravitch that 鈥渟chools in crisis鈥 narratives are exaggerated. In doing so, she has cited Tom Loveless, a former Brookings scholar who has been in reminding readers that scoring as Proficient on NAEP is not the same thing as reading at grade level. Loveless has done valuable service in clarifying that the NAEP benchmark represents mastery of challenging subject matter, not minimum competence.

That distinction is real, and it deserves to be respected. Basic does not mean illiterate. A student scoring at NAEP Basic can generally follow directions, read newspapers and function in daily life.

The Tylenol controversy neatly illustrates what鈥檚 at stake. It may not be accurate to say two-thirds of Americans can鈥檛 read. But it is accurate to say that two-thirds of Americans don鈥檛 read well enough to independently evaluate the kinds of competing claims undergirding the autism debate and myriad other contemporary issues and controversies: the reality and causes of climate change, the long-term risks and benefits of artificial intelligence, the trade-offs in energy policy between fossil fuels and renewables, the economic and public-safety arguments surrounding immigration and trade, or Is crime so out of control that we should call in the National Guard?

That鈥檚 a real cost. Reading at only a Basic level leaves you unable to parse complex evidence, weigh competing arguments or judge credibility. You live instead in a state of intellectual second-class citizenship 鈥 with no option other than to defer to authority or rely on third parties, forever vulnerable to those whose political or financial interests may or may not align with your own.

To be clear, even advanced readers rely heavily on intermediaries 鈥 journalists, trusted experts, institutions 鈥 to help navigate scientific and policy debates. That鈥檚 normal. None of us can be experts in everything.

But the difference is choice. A strong reader can lean on intermediaries but also push back, double-check or seek alternative explanations. Basic readers have no such option. Their skepticism leads to cynicism or blind faith. They must either trust or reject the messenger wholesale.

That condition is what we might think of as literacy dependence. It means millions of citizens live in an intellectual state where their capacity to evaluate evidence is outsourced entirely to others. They are, in effect, governed not just politically, but epistemically.

Literacy dependence does more than limit independence: It actively aids and abets cynicism and partisanship. When you lack the ability to evaluate evidence for yourself, you are almost axiomatically dependent on the views of others 鈥 political figures, interest groups, media outlets 鈥 whose motivations may not mirror your own.

This dependence has consequences:

  • Partisanship fills the gap. When people can鈥檛 evaluate claims, they default to tribal cues: which side said it, which identity group it affirms.
  • Misinformation thrives. Simplistic, emotive narratives spread more easily than nuanced explanations, and those unable to interrogate them are more vulnerable.
  • Legitimacy erodes. When people don鈥檛 understand the reasoning behind policies 鈥 whether vaccines, climate action or economic trade-offs 鈥 they may dismiss them as elite impositions.
  • Inequality deepens. Those with higher literacy become a narrow class of people capable of evaluating evidence. Everyone else lives in dependence.

So let鈥檚 be clear: Yes, NAEP Proficient is a high bar. It鈥檚 wrong to equate it with grade level. But that doesn鈥檛 mean there鈥檚 no crisis. Because in a society where evaluating arguments is the lifeblood of citizenship, Basic is not enough. Functional literacy is not civic literacy. The problem is not whether you can read. It鈥檚 whether you can reason.

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鈥楶ublic Health Whiplash鈥: RFK Jr.鈥檚 Renewed Autism Plans Stoke Fresh Fears /article/public-health-whiplash-rfk-jr-s-renewed-autism-plans-stoke-fresh-fears/ Tue, 16 Sep 2025 16:30:00 +0000 /?post_type=article&p=1020769 Updated Sept. 22, 2025

Saying autism is 鈥渁mong the most alarming public health crises in history,鈥 President Donald Trump Monday announced that pregnant women鈥檚 use of acetaminophen, the pain reliever often sold under the brand name Tylenol, is a cause of the neurodevelopmental condition.聽

鈥淭o have families destroyed over this is just terrible,鈥 Trump said at a press conference, flanked by public health officials. 鈥淒on鈥檛 take it, just don鈥檛 take it.鈥

Most pregnant women, including those with high fevers, should avoid the drug and 鈥渢ough it out,鈥 he added.

An of existing research found children whose mothers took acetaminophen were more likely to be autistic than other babies. The scientists who conducted the analysis were careful to say that there is no evidence that the drug causes the condition. have had mixed results or discounted a cause and effect.聽

The U.S. Food and Drug Administration will immediately start the process of updating the over-the-counter analgesic鈥檚 safety label, said Secretary of Health and Human Services Robert F. Kennedy Jr. Federal officials will also seek approval for leucovorin, a form of folic acid sometimes prescribed off-label to treat autism. Evidence it works is scant.

鈥淥ur collective body of global research going back decades means that we have encyclopedic knowledge about the risks for autism, its possible causes and the highly variable experience of autistic individuals,鈥 members of the Coalition of Autism Scientists said in a statement reacting to the administration鈥檚 announcement. 鈥淭he data cited do not support the claim that Tylenol causes autism and leucovorin is a cure, and only stoke fear and falsely suggest hope when there is no simple answer.鈥

The president also urged parents to forgo giving their newborns the Hepatitis B vaccine, insisting inaccurately that the infection is transmitted only by sex. Trump also suggested, contrary to , that autism is not diagnosed in Amish people and Cubans 鈥 something he wrongly attributed to members of the religious sect eschewing vaccinations and his belief that people in Cuba can鈥檛 afford acetaminophen.聽

Trump said he and Kennedy first discussed the idea that autism is 鈥渁rtificially induced鈥 20 years ago. 鈥淚t’s turning out that we understood a lot more than a lot of people who studied it, we think.鈥

As the clock ticks down on Robert F. Kennedy鈥檚 self-imposed deadline to identify and reveal a supposed cause of autism, the U.S. Health and Human Services Department secretary has stoked fresh fears within the disability community. 

In April, Kennedy promised that he would spearhead a 鈥渕assive testing and research effort鈥 that would establish autism鈥檚 cause 鈥.鈥 The study has yet to materialize, but in recent days the secretary has made statements that one researcher called 鈥渁nother round of 鈥榓utism-cause roulette.鈥 鈥

The churn 鈥渋s creating public health whiplash鈥 that may 鈥渄erail the search for the actual truth,鈥滼essica Steier, CEO of 鈥 an organization of medical and public health specialists 鈥 recently told a group of journalists. 


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At a heated Sept. 4 , Kennedy repeated misinformation about vaccines, which he has long blamed for what he calls an 鈥渆pidemic鈥 of autism, despite dozens of studies to the contrary. 

The following day, the Wall Street Journal reported he was planning to release a report blaming pregnant women鈥檚 use of acetaminophen and low maternal levels of a form of the vitamin folic acid as autism鈥檚 root cause 鈥 a link mainstream scientists were . 

The effort to blame acetaminophen sparked an angry backlash among disability advocates, who noted a painful history of attempting to attribute autism to poor parenting, including the supposed indifference of emotionally frosty 鈥渞efrigerator mothers.”

Then, on Sept. 9, the department released “,” a 20-page report that said Kennedy has told the National Institutes of Health to move forward with compiling a massive database of medical and pharmacy records, insurance claims and even information generated by apps. The database will be used to research numerous conditions, including autism. 

President Donald Trump and Kennedy have given fresh fuel to longstanding fears that disease registries might be used to identify autistic people for forced sterilization, institutionalization and even death. Such a list was used by Nazi officials to identify children to be sent to 鈥渆uthanasia clinics.鈥

Until the 1970s, similar lists were used to identify Americans to be subjected to forced sterilization and institutionalization. As a result, autism advocacy groups are often split on whether to recommend families participate in research that collects genetic or medical information.

In a urging civil commitment of homeless people and individuals with mental illnesses, Trump ordered federal housing and health officials to collect data on people who should be targeted. On Sunday, Fox News host Brian Kilmeade apologized for declaring on air that people who are mentally ill and unhoused should be subject to “.”

An overwhelming majority of scientists agree that autism is a naturally occurring neurotype and not a mental illness. But because their needs frequently go unmet, autistic people often struggle with anxiety, depression and other conditions.    

Even as Trump has declared autism “” and Kennedy claimed it “,” the administration has slashed tens of millions of dollars in funding for efforts to improve autistic people鈥檚 lives, Medicaid and other programs that people with disabilities rely on. 

In an essay published in The New York Times last month, Steier Kennedy and other officials have used to counter the avalanche of evidence disproving a link between vaccines and autism. Since 1998, 70 studies have looked for such a connection.

Of 26 that purported to establish a link, 18 were written by David and Mark Geier, a Maryland father-and-son team who were cited by medical authorities for performing dangerous experiments on autistic children and whose work was routinely rejected by scholarly journals. Kennedy has assigned David Geier 鈥 who was disciplined in 2011 for practicing medicine without a license 鈥 in HHS鈥 new search for a cause.

The other eight studies that found a link were retracted or discredited.  

Kennedy has received in referral fees and profits from law firms suing vaccine manufacturers.

Research has found no link between autism and acetaminophen, the active ingredient in Tylenol, Steier told reporters last week. One recent Swedish study of 2.5 million children included 186,000 who had been exposed to the painkiller. The babies were 5% to 7% more likely than the other children studied to have ADHD or autism, but an analysis involving their neurotypical siblings disproved any causal relationship, she said.    

But five days after the Senate hearing, and about two weeks after Trump publicly pressed Kennedy about his deadline for identifying autism鈥檚 cause, The Atlantic published a story quoting William Parker, an immunologist whose efforts to publish papers supposedly establishing a link have been routinely rebuffed by mainline journals. Parker said he had spoken to Kennedy five times in recent weeks and met on Zoom with National Institutes of Health Director Jay Bhattacharya. 

Parker, the magazine reported, was elated. 鈥淣othing was happening and 鈥 boom!鈥 he said. 鈥淚t鈥檚 beautiful.鈥

Even as Kennedy perseveres, advocates are critical of his stance toward autistic people, says Zoe Gross, director of advocacy at the Autistic Self Advocacy Network. She is among those who were disappointed to see the secretary redouble his efforts to create a 鈥渄isease registry鈥 mixing public and private data that medical privacy laws have kept separate. 

When the plan for the new, sweeping federal dataset was first announced in April, Bhattacharya tried to allay fears by promising it would adhere to 鈥渟tate-of-the-art鈥 privacy protections, but did not specify what those are. Privacy experts at the Brookings Institution and elsewhere say there is no legal roadmap to doing what Kennedy proposes.

Unlike many other agencies, the NIH is not bound by the Health Insurance Portability and Accountability Act, or HIPAA, the main law that restricts who can access private medical information. Instead, NIH  to the Privacy Act of 1974, which puts strict limits on the collection of personally identifiable information. 

Uproar notwithstanding, Kennedy鈥檚 new report did not clarify how individual medical records would be protected. Repeated requests for comment from HHS went unanswered. 

According to a report , people typically have no idea they will have little or no control over whether their health insurer or the maker of a wearable fitness tracker will sell or otherwise mine their data for commercial purposes. 

鈥淯nder the Trump administration鈥檚 plan, user health data would flow directly into an unregulated ecosystem of third-party apps where sensitive health details could be , or even cross-referenced with ,鈥 the report warns. 鈥淚n effect, the initiative centralizes some of the nation鈥檚 most sensitive records, while simultaneously lowering or ignoring guardrails that have long protected them.鈥 

Gross says she thinks it is unlikely NIH is compiling a registry that identifies autists. But instead of allaying concerns, Kennedy has pushed people with disabilities out of the conversation and eliminated research into their priorities.

The federal office that brings together autistic people, scholars and representatives of numerous cabinet departments to set research priorities, the Interagency Autism Coordinating Committee, has not been active since Kennedy鈥檚 appointment, Gross says. HHS did not respond to questions about the committee鈥檚 status. 

Earlier this year, her organization lost a grant to collaborate on addressing longstanding and widely acknowledged gender bias and ableism in diagnosing autistic people by using a questionnaire asking about their experiences, rather than others鈥 subjective impressions.  

鈥淚t was a really promising project, and it was pretty far along,鈥 says Gross. 

During the first four months of the year, at least $31 million, or 26%, was cut from NIH’s autism research budget. many of the reductions were made to adhere to executive orders on 鈥済ender ideology.鈥

鈥淲e haven鈥檛 even gotten to what is the utility of doing this,鈥 Gross says, regarding ongoing efforts to resuscitate disproven theories. 鈥淗ow is this going to improve the lives of autistic people?鈥     

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Trump Official’s Autism Schools Secluded and Restrained Students at High Rates /article/trump-officials-autism-schools-secluded-and-restrained-students-at-high-rates/ Wed, 14 May 2025 12:30:00 +0000 /?post_type=article&p=1015158 Updated on May 15, 2025

Arizona Autism Charter Schools, whose founder Diana Diaz-Harrison has been tapped to oversee the education of children with disabilities in President Donald Trump鈥檚 second administration, has used controversial, potentially dangerous disciplinary practices on its students at an unusually high rate.聽

In the 2020-21 academic year, the latest for which federal data is available, school staff physically restrained 41% of its students and put 20% in seclusion, which is defined by the U.S. Department of Education as the involuntary confinement of a child, typically in a locked room. That鈥檚 50% higher than the rate at which students are restrained and confined nationally. 

For 35 years, the U.S. Government Accountability Office and have documented in which students as young as 4 were injured, traumatized or even killed while being isolated or held down 鈥 often in response to nonviolent behavior. In states that ban the practices, educators typically are allowed to intervene if there is imminent danger of serious physical injury to the student or to others.


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Many states 鈥 including Arizona 鈥 have outlawed or severely curtailed the circumstances under which the practices are allowed. In 2017, federal education officials warned that in restraint and seclusion likely constitute discrimination. Eighty percent of U.S. students who are physically restrained have disabilities, as do 77% of those secluded.聽聽

In 2019, then-Education Secretary Betsy DeVos to address inappropriate restraint and seclusion in U.S. schools. In January 2025, her outgoing successor, Miguel Cardona, called on states and school districts to entirely. 

At the time the data was collected, the charter network founded by Diaz-Harrison had two schools serving 283 students, 116 of whom were restrained and 57 secluded. Ninety-nine of the schools鈥 146 K-5 students, or 68%, had been restrained.

Located in the same area served by the Arizona Autism Charter Schools, the 27,000-student Phoenix Union High School District restrained three students in 2020-21 and secluded none. The nearby Mesa Unified District, with more than 50,000 students, restrained 93 and secluded 67. 

In August 2020, in the midst of the COVID pandemic, schools to reopen for students who had no other safe place to spend the day and to prioritize serving children with disabilities, many of whom had missed months of crucial special education services. Schools to in-person schooling on March 15, 2021.

Of Arizona鈥檚 1 million K-12 students, 675 were restrained in 2020-21, as were 28,000 of 49 million children nationally.聽

Ron Harrison, the interim CEO of Arizona Autism Charter Schools, noted that unlike most other schools, the student population of Arizona Autism Charter is comprised almost entirely of children who have autism or learning differences.  

鈥淥ur intervention rates may be higher than traditional schools because of the distinct student population we serve and our practice to err on the side of reporting every applicable incident, regardless of how minor,鈥 wrote Harrison in a statement. 鈥淏y comparison, underreporting of similar interventions is rampant nationally 鈥 especially among large school districts 鈥 and has been the subject of federal scrutiny.鈥

Harrison added that independently tracked parent satisfaction scores at Arizona Autism Charter schools 鈥渉ave never fallen below 92%鈥 and most recently were higher than 97%.

Diaz-Harrison, who has taken a leave from Arizona Autism Charter to focus on her new federal role, did not respond to requests for comment.

Since 2020-21, Arizona Autism Charter Schools has grown to five schools enrolling nearly 1,000 students. The schools use a controversial intervention called applied behavior analysis, or ABA, that is opposed by many autistic adults as coercive and traumatizing. Created by the researcher behind LGBTQ conversion therapy, ABA attempts to train children to appear and behave like their neurotypical peers. It is widely depicted as the gold standard despite scant independent evidence of its effectiveness and mounting research documenting its harms. 

For a story announcing her appointment as the U.S. Education Department鈥檚 deputy assistant secretary for special education and rehabilitative services, Diaz-Harrsion provided a statement to 蜜桃影视 applauding the approach. 鈥淔or the autism community, specifically, many families seek schools that integrate positive behavioral strategies,鈥 she said. 鈥淭he evidence supporting behavioral therapy is extensive and well-established. It has been endorsed by the U.S. surgeon general and the American Academy of Pediatrics as an effective, research-backed approach for individuals with autism.鈥     

In 2010, the Association for Behavior Analysis International opposing 鈥渋nappropriate鈥 restraint and seclusion but supporting the interventions when used by ABA practitioners as part of a formal plan. 

鈥淲hen used in the context of a behavior intervention plan, restraint in some cases serves both a protective and a therapeutic function,鈥 the organization wrote. 鈥淭hese procedures can reduce risks of injury and can facilitate learning opportunities that support appropriate behavior.鈥

There is that restraint and seclusion have a positive effect on student behavior. Indeed, if the discipline is traumatizing, a child can manifest new behaviors, according to guidance from federal education officials.

鈥淎ll of our teachers and staff members who interact with students are specially trained,鈥 Harrison said. 鈥淲hen a behavioral intervention is required to ensure the safety of students or staff members, we follow strict protocols which are never punitive and always designed to de-escalate the situation.鈥

Federal education officials have school systems to train staff on de-escalation and to institute protocols for addressing inappropriate behavior without resorting to punitive measures. When a student with a disability is restrained or secluded, U.S. officials warn, it could mean that their special education plan may be insufficient or not providing the right services.

Editor’s Note: This story was updated on May 15, 2025 to include statements from Ron Harrison, the interim CEO of Arizona Autism Charter Schools.

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Arizona Autism Charter School Founder Tapped as Ed Dept. Special Education Chief /article/arizona-autism-charter-school-founder-tapped-as-doe-special-education-chief/ Thu, 01 May 2025 18:30:00 +0000 /?post_type=article&p=1014643 The founder and executive director of a network of Arizona charter schools serving autistic children has been named the U.S. Education Department鈥檚 deputy assistant secretary for special education and rehabilitative services. Education Secretary Linda McMahon made the announcement while touring the 鈥 Phoenix location.

Diana Diaz-Harrison, whose son is autistic, said that in she hopes to continue her efforts to help others launch autism charter schools throughout the country. Her schools, she said in remarks captured on , are a testament to what happens 鈥渨hen parents like me are empowered to create solutions.鈥

鈥淢y vision is to expand school choice for special needs families 鈥 whether through charter schools, private options, voucher programs, or other parent-empowered models,鈥 she said in a statement to 蜜桃影视. .

The five-school network uses a controversial intervention that attempts to train children to appear and behave like their neurotypical peers. Created by the researcher behind LGBTQ conversion therapy, applied behavior analysis, or ABA, is widely depicted as the gold standard despite scant independent evidence of its effectiveness and mounting research documenting its harms. 

Diaz-Harrison opened the network鈥檚 first school in 2014 as a free, public alternative to private schools for autistic children, which are popular in Arizona but typically charge tens of thousands of dollars a year in tuition. Her Arizona charter schools are a 501(c)3 nonprofit financed by state and federal per-pupil funds. ABA is specifically endorsed by Arizona education officials as a strategy to use with autistic students.

In the time since those charters opened, ABA has grown to be a national, multi-billion-dollar industry, with for-profit companies tapping public and private insurance to pay for as much as 40 hours a week of one-on-one therapy. The intervention uses repeated, rapid-fire commands that bring rewards and punishments to change a child鈥檚 behavior and communication style.

A 74 investigation last year showed that most data supporting ABA’s effectiveness is drawn from research conducted by industry practitioners. Independent analyses, including a years-long U.S. Department of Defense review, found little evidence the intervention works. Former patients who underwent the therapy as children reported severe, lasting mental health effects, including PTSD.

Diaz-Harrison told 蜜桃影视 the therapy is both valuable and sought-after. 鈥淔or the autism community, specifically, many families seek schools that integrate positive behavioral strategies,鈥 she says. 鈥淭he evidence supporting behavioral therapy is extensive and well-established. It has been endorsed by the U.S. surgeon general and the American Academy of Pediatrics as an effective, research-backed approach for individuals with autism.鈥

During her visit, McMahon told students and staff she was eager to tell President Donald Trump about the schools. 鈥淗e doesn鈥檛 believe any child, whether they have neuro-difficulties or any other problems, should be trapped in a school and not have the facilities that they need,鈥 she said. 

Since Trump鈥檚 second inauguration, he has issued numerous orders that have alarmed disability advocates and the autistic community. Though both edicts contradict longstanding federal laws, in March he ordered the closure of the Education Department and said responsibility for special education will be transferred to the U.S. Department of Health and Human Services.

About half of the Education Department鈥檚 staff has been fired, including most of the people responsible for investigating what had been a backlog of some 6,000 disability discrimination complaints. Though it鈥檚 unclear whether Trump and McMahon may legally disregard special education funding laws and allow states to spend federal dollars as they see fit, both have said they favor giving local officials as much decision-making power as possible.

Meanwhile, HHS Secretary Robert F. Kennedy Jr. has stoked fear in the autistic community by announcing a new effort to tie autism to vaccines or other 鈥渆nvironmental toxins鈥 鈥 a hypothesis discredited by dozens of studies. The man he appointed to head the study has been cited for practicing medicine without a license and prescribing dangerous drugs to autistic children. 

Last week, the new head of the National Institutes of Health announced that an unprecedented compilation of medical, pharmaceutical and insurance records would be used to create an autism 鈥disease registry鈥 鈥 a kind of list historically used to sterilize, institutionalize and even 鈥渆uthanize鈥 autistic people. HHS later walked back the statement, saying the database under construction would have privacy guardrails.

Among other responsibilities, the offices Diaz-Harrison will head identify strategies for improving instruction for children with disabilities and ensure that as they grow up, they are able to be as independent as possible. The disability community has raised concerns that the administration is retreating from these goals.   

Advocates have said they fear the changes pave the way for a return to the practice of separating students with disabilities in dedicated special ed classrooms rather than having them attend class with typically developing peers. The Individuals with Disabilities in Education Act guarantees special education students the right to instruction in the 鈥渓east restrictive environment鈥 possible.          

Families鈥 preferences vary widely, with some parents of autistic children refusing any form of behavior therapy, while others want their kids in settings with children who share their needs. Many insist on grade-level instruction in general education classrooms 

Diaz-Harrison has a master’s degree in education and worked as a bilingual teacher in California early in her career. From the late 1990s until she began supporting her son full time, she worked as a public relations strategist and a reporter and anchor for the Spanish-language broadcast network Univision. 

In 2014, frustrated with her son鈥檚 school options, she who applied for permission to open what was then a single K-5 school serving 90 children. The network now has about 1,000 students in all grades and features an online program. 

At the end of the 2023-24 academic year, of the network’s students scored proficient or highly proficient on Arizona鈥檚 annual reading exam, while 4% passed the math assessments.      

In December 2022, the network won a $1 million , an award created by Jeff and Janine Yass. The billionaire investors have a long track record of donating to Republican political candidates and organizations that support school choice. 

One of the award’s creators, Jeanne Allen, is CEO of the Center for Education Reform. The center nominated Diaz-Harrison for the federal role. 

Yass award winners were featured at the 2023 meeting of the American Legislative Exchange Council, or ALEC, a conservative forum where state lawmakers are given model bills on education and other policies to introduce in their respective statehouses. 

Diaz-Harrison has partnered with a Florida autism school to create a national to help people start schools like hers throughout the country. She told 蜜桃影视 the effort has so far supported teams of hopeful school founders from Louisiana, Texas, Florida, Alabama and Nevada. 

Parents of young autistic children and autistic adults often disagree about ABA. Told by their pediatrician or the person who diagnosed their child as autistic that they have a narrow window in which to intervene, families fight to get the therapy. Adults who have experienced it, however, report lasting trauma and have lobbied for research 鈥 much of it now at risk of being defunded by Kennedy 鈥 into more effective and humane alternatives.

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Advocates Still Alarmed Even as HHS Walks Back Autism Registry Announcement /article/advocates-still-alarmed-even-as-hhs-walks-back-autism-registry-announcement/ Mon, 28 Apr 2025 21:12:00 +0000 /?post_type=article&p=1014357 A statement that denies the U.S. Department of Health and Human Services is compiling an autism registry, but says instead that it is creating a sweeping database of existing health records, has done little to quell fears among autism advocates. 

Last week, National Institutes of Health Director Dr. Jay Bhattacharya announced that his office would draw on an unprecedented array of public and private records to establish a 鈥渄isease registry鈥 centralizing information on autistic people鈥檚 prescription drug use, insurance claims, Medicare and Medicaid records, genetic and lab tests and even data from smartwatches. 

In response to the strong pushback that followed, the department attempted to walk back the announcement 鈥 and blame the media for the furor.


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鈥淭he original narrative incorrectly suggested that HHS was creating an autism registry to track individuals using personal data,鈥 the department said in a statement to 蜜桃影视. 鈥淭his is not accurate. The NIH is developing a secure data repository that will allow researchers to analyze large-scale, de-identified data. The director did not misspeak; rather, the term 鈥榬egistry鈥 was misused by the media, implying an unethical method of data collection.鈥

However, using video of the NIH announcement, the fact-checking site Snopes that the original reporting was accurate. 

Bhattacharya’s initiative followed a promise by U.S. Secretary of Health and Human Services Robert F. Kennedy Jr. that by September, new research sponsored by his department would responsible for what he called an autism epidemic. That theory contradicts mainstream science that links autism to genes and the increasing number of diagnoses to better testing 鈥 particularly in low-income households and among children of color. 

Though many autistic children are able to prepare for college and a career when given the proper supports, 鈥淭hese are kids who will never pay taxes,鈥 Kennedy said. 鈥淭hey’ll never hold a job. They’ll never play baseball. They’ll never . They’ll never go out on a date. Many of them will never use a toilet unassisted.”

To head the study, Kennedy appointed a man cited by Maryland officials for practicing medicine without a license. David Geier was also found to have improperly prescribed puberty blockers for autistic children and administered a harmful drug used to treat lead poisoning that is not approved for use in the U.S. 

Given Kennedy鈥檚 public proclamations, advocates said they would take a wait-and-see stance to the announcement that the new database would not contain a registry.  

鈥淭his is positive news, but given this administration鈥檚 previous actions and comments, particularly those related to autism over the last several weeks, we are not assuming that there is no longer anything to worry about,鈥 leaders of the Autistic Self Advocacy Network said in a statement. 鈥淕iven everything this administration is saying and doing about autism,  and public health, we have every reason to distrust this initiative under current leadership at HHS.鈥

The word “registry” is particularly polarizing to disability advocates, who note that such lists 鈥 which still exist in some U.S. states 鈥 were used to identify autistic children who were killed in Nazi Germany鈥檚 experimental 鈥渆uthanasia clinics,鈥 as well as people to be sterilized and institutionalized in the United States.  

鈥 ‘Registry鈥 and 鈥榙ata collection鈥 can mean many things,鈥 the network said, adding that if advocates had been included in discussions about the proposed research, they could have asked for clarity: 鈥淯nder previous administrations led by both Democrats and Republicans, we and other organizations had direct lines of communication with autism policy experts inside HHS.鈥

Several days before the NIH announcement was reported, four dozen organizations that advocate for autistic people issued a rare collective statement criticizing Kennedy鈥檚 repeated, disproven claims about a condition many scientists agree is a naturally occurring neurotype. 

鈥淲e are deeply concerned by growing public rhetoric and policy decisions,鈥 said . 鈥淐laims that autism is 鈥榩reventable鈥 [are] not supported by scientific consensus and perpetuate stigma. Language framing autism as a 鈥榗hronic disease,鈥 a 鈥榗hildhood disease鈥 or 鈥榚pidemic鈥 distorts public understanding and undermines respect for autistic people.鈥

Unknown is whether the NIH plan will indeed merge records that contain sensitive personal details with datasets that don鈥檛 include people鈥檚 identifying information. 鈥淗HS will 鈥 spend tens of millions of dollars linking existing federal databases,鈥 the trade publication , attributing the information to a department statement. 鈥淭he National Institutes of Health (NIH) working to partner with the Centers for Medicare & Medicaid Services, the Centers for Disease Control & Prevention, the Department of Defense, the Department of Veterans Affairs and other agencies to create 鈥榓 comprehensive real-world health dataset that maintains the highest standards of security and patient privacy.鈥 鈥

In its statement to 蜜桃影视, the department said the dataset being assembled 鈥渨ould be fully compliant with these laws and regulations to protect Americans鈥 sensitive health information.鈥 

鈥淒ata science can advance our understanding of biomedical and behavioral phenomena and contribute to breakthroughs that improve health by mining large sources of data, such as databases and datasets, for information,鈥 said the statement. 鈥淩esearchers can use techniques like machine learning and AI in data science to help analyze data and make predictions about health outcomes and disease incidence.鈥

As of press time, more than 150 researchers belonging to the recently formed Coalition of Autism Scientists had signed a letter calling on HHS and NIH to observe rigorous standards. Kennedy鈥檚 controversial dismissal of mainstream beliefs that better diagnosis is a major factor behind the rise in autism rates, and his plans to find, within a few months, an environmental toxin that causes autism, have . 

鈥淲e were deeply troubled to hear [Kennedy] dismiss past research, downplay the causal role of genes and portray autistic people in ways that counter our experiences and demean their value to society,鈥 the letter says.  

Among other measures, researchers urged Kennedy to pre-register the protocol for any planned study. This voluntary practice 鈥 creating a time-stamped, public document outlining what the study will attempt to determine 鈥 is what is sometimes referred to as 鈥渉ypothesizing after results are known.” The scholars also want HHS鈥 researchers to share their data with independent analysts for verification. 

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Proposal to Create Federal Autism Registry Stokes Fear in Disability Advocates /article/proposal-to-create-federal-autism-registry-stokes-fear-in-disability-advocates/ Thu, 24 Apr 2025 11:01:00 +0000 /?post_type=article&p=1014072 This week, National Institutes of Health Director Dr. Jay Bhattacharya sent shockwaves through the autism community by announcing the creation of a 鈥渄isease registry鈥 to track autistic people. Nazi Germany used such a list to identify possibly hundreds of autistic children to be killed in experimental 鈥渆uthanasia鈥 clinics. 

Until the 1970s, numerous U.S. states used registries to identify disabled people to be subjected to forced sterilization and institutionalization. A number of states still maintain lists of autists.


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鈥淭he history there is deeply, deeply disturbed,鈥 says Larkin Taylor-Parker, legal director of the Autistic Self Advocacy Network. 鈥淚t doesn’t usually end well for us. It has ended in murder 鈥 industrial-scale incarceration and murder.鈥 

In given to NIH leaders April 21, Bhattacharya said the registry will draw from an unprecedented compilation of public and private databases to be used for U.S. Secretary of Health and Human Services Robert F. Kennedy Jr.鈥檚 controversial new study of autism. In addition to information collected by the Centers for Medicare and Medicaid Services, the registry and research database will include pharmacy records, private insurer claims, lab and genetic testing information, treatment records from the Department of Veterans Affairs and Indian Health Service 鈥 even data from smartwatches.

A slide from NIH Director鈥檚 Update on April 21, 2025. (NIH.gov)

Though the plan described is still too vague for advocates to know for sure, NIH might also tap state records that identify neurodivergent children who receive special education services. In the 2022-23 school year, almost 1 million autistic students attended U.S. schools.  

Bhattacharya promised 鈥渟tate of the art鈥 protections to guard patient confidentiality, explaining that 10 to 20 groups of outside researchers would be allowed to use the data but not download it. It is unclear whether this meets any legal standard for privacy safeguards.  

As 蜜桃影视 has reported, the man tapped to lead Kennedy’s study was found to have practiced medicine on autistic children without a license, prescribing a dangerous drug not approved for use in the U.S. and improperly giving them puberty blockers. 

Kennedy, a longtime anti-vaxxer, intends the study to find a link between autism and vaccines. More than two dozen studies have discredited the notion of any connection.

With few details released about how the NIH will compile data 鈥 some of which is subject to privacy restrictions at various federal agencies鈥 it鈥檚 unclear how patient confidentiality will be maintained. 

NIH researchers are not bound by the Health Insurance Portability and Accountability Act, or HIPAA, the main law that restricts who can access private medical information, and under what circumstances. Instead, the institutes to the Privacy Act of 1974, which protects 鈥渞ecords that can be retrieved by personal identifiers such as a name, Social Security number or other identifying number or symbol鈥 and, with limited exceptions, 鈥減rohibits disclosure of personally identifiable records without the written consent of the individual(s) to whom the records pertain.鈥

The privacy law was enacted in large part to stop federal agencies from sharing damning information about people singled out by former President Richard Nixon and former FBI Director J. Edgar Hoover as political enemies. Since President Donald Trump鈥檚 second inauguration, privacy law experts have that Elon Musk鈥檚 Department of Government Efficiency has gone into sensitive government records systems without legal authority to do so. Some courts have ordered a stop to the practice.

鈥淭he thought of a federal registry of autistic people that includes incredibly personal data that makes us very easy to find deprives us of the privacy that other citizens enjoy,鈥 says Taylor-Parker. 鈥淚t taps some of my community’s deepest fears and the specters of some of the most horrifying episodes in our history.鈥

In the 1930s and 鈥40s, German and Austrian public health officials of 鈥渕alformed children鈥 to the Third Reich’s Ministry of the Interior for a list of those targeted for sterilization or death. Among those supplying names was early autism researcher and Nazi collaborator Dr. Hans Asperger. He identified nearly 2,700 children, most commonly citing 鈥渆ducation problems鈥 as the reason.

Until 2013, Asperger鈥檚 Syndrome was a diagnosis given to autistic children who were believed to be 鈥渉igher functioning鈥 鈥 Asperger himself called the visibly intelligent children he experimented on 鈥渓ittle professors.鈥 

The Austrian pediatrician Hans Asperger gives a speech at the opening of the 13th International Congress for Pediatrics in Vienna on Aug. 29, 1971. (Votava/brandstaetter/Getty Images)

Most advocates now recognize efforts to distinguish higher- and lower-functioning autists as false and harmful. In his presentation to NIH staff, however, Bhattacharya said the new research will consider the perceived severity of subjects鈥 autism. 

“I recognize, of course, that autism, there’s a range of manifestations ranging from highly functioning children to children that are quite severely disabled,鈥 he said, according to . 鈥淎nd of course, the research will account very carefully for that.” 

This, too, terrifies Taylor-Parker, who notes that autistic people who are nonverbal or also have a developmental disability have historically been involuntarily placed in asylums and other facilities and are still often excluded from general education classrooms. 

鈥淲e already have a societywide problem鈥ith ignoring the support needs of people who can hold down a job, can drive a car and maybe score well on an IQ test,鈥 she says. 鈥淥n the other hand, we ignore the capacities, the capability, the humanity of people who don’t do those things.鈥

Further, she points out, compiling as much diagnostic and prescription information on autistic individuals as possible is likely to uncover other private information that people fear could end up on future 鈥渄isease registries.鈥 

鈥淚’m very concerned about this becoming a slippery slope,鈥 says Taylor-Parker. 鈥淭here is very good research demonstrating that [autistic people] are trans and gender-nonconforming at above-average rates.鈥

In the interest of establishing the prevalence of autism and in some cases understanding which services are helpful, several states and two national philanthropies . With a goal of ensuring that as many children as possible are offered early intervention services, at least two contain identifying information. 

Good intentions notwithstanding, many autistic people oppose the existence of any registry, citing the historical danger they pose for disabled people in general. Indeed, recognizing this last year, New Hampshire lawmakers eliminated the state鈥檚 autism registry. 

Since Kennedy鈥檚 appointment, autistic people have repeatedly decried his plan to again attempt to link autism to vaccines, despite dozens of credible studies that have ruled out immunizations as a cause. His plan, they charge, would divert resources from research into therapies and services that can improve the lives of people with disabilities. 

Says Taylor-Parker, 鈥淭hat discussion sucks the oxygen out of the room when it comes to making life better for autistic people who are already here and who will be born in the near future.鈥

According to the NIH, will be posted in the coming days. 

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Head of New RFK Jr. Vaccine Study Practiced Unlicensed Medicine on Autistic Kids /article/head-of-new-rfk-jr-vaccine-study-practiced-unlicensed-medicine-on-autistic-kids/ Fri, 11 Apr 2025 20:19:13 +0000 /?post_type=article&p=1013667 The man tapped by Health and Human Services Secretary Robert F. Kennedy Jr. to run a clinical trial looking to tie vaccines to autism has been charged with practicing medicine without a license, given autistic children a dangerous drug not approved for use in the U.S. and improperly prescribed puberty blockers.

In 2011, the Maryland Board of Physicians , who is not a physician and has only a bachelor鈥檚 degree, with illegally practicing medicine alongside his father, Mark Geier, a doctor who died last month. The two treated children with Lupron, a drug used to lower testosterone or estrogen levels in patients with prostate cancer, endometriosis and other diseases, along with chelation therapy, which leaches heavy metals from the body, as in lead poisoning.

Those treatments follow a widely discredited theory that blames autism on exposure to mercury in preservatives used in vaccines. Kennedy has promulgated that theory even though more than two dozen large, rigorous studies have discredited any link between vaccines and autism.


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Autistic advocates decried Kennedy鈥檚 appointment, fearing his refusal to give up on efforts to establish one would refocus federal resources on finding a 鈥渃ure鈥 for what most scientists now believe is a naturally occurring human neurotype.  

鈥淎nyone who would fleece families with fake cures should not be trusted to interpret a scientific study, let alone conduct one,鈥 the Autistic Self Advocacy Network said in David Geier鈥檚 hiring. 鈥淭his move toward conspiracy theories and junk science puts all our lives at risk.鈥

A request for comment from the U.S. Department of Health and Human Services was not immediately answered. The Geiers鈥 Institute of Chronic Illnesses, Inc., does not have a website.   

The network’s statement calls Kennedy鈥檚 selection of Geier 鈥渁 clear indication that the Trump administration plans to rig the upcoming study and claim that it proves vaccines cause autism. This will set public health back decades at a time when vaccine hesitancy and infectious disease are both spreading at alarming rates.鈥

Among other claims, the Maryland board found that the Geiers diagnosed precocious puberty 鈥 a medical condition where children鈥檚 bodies mature too early 鈥 in an unusually large number of patients, did so without using the standard protocol for establishing whether the children in fact had the condition and failed to tell their families that the chelation drug prescribed was not authorized for use in the United States. 

Mark Geier鈥檚 medical licenses eventually were suspended by the seven states where he and his son operated autism treatment centers under a variety of names, including the Genetic Centers of America. The Geiers conducted several studies linking vaccines to autism, only to have them from publication by scientific journals. They in hundreds of lawsuits brought by people who claim to have been injured by immunizations. 

Lupron is a brand name for a GnRH analogue drug that pauses puberty without causing permanent physical changes. The drugs are for children who experience gender nonconformity or gender dysphoria at the onset of puberty. 

In January, a published in JAMA Pediatrics found the drugs were prescribed for fewer than 0.1% of youth in an insurance claims database covering more than 5 million patients ages 8 to 17. Only 926 youth with a gender-related diagnosis received puberty blockers from 2018 through 2022. No patient under the age of 12 was given the drugs.

Nonetheless, in recent years, 26 states have banned gender-affirming care for young people. The U.S. Supreme Court is expected to rule soon on challenges to the laws. In a January executive order, President Donald Trump to restrict such care.  

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Opinion: Student’s View: I鈥檓 Autistic. Special Education Failed Me /article/students-view-im-autistic-special-education-failed-me/ Tue, 04 Mar 2025 19:30:00 +0000 /?post_type=article&p=1011023 From kindergarten to sixth grade, I was in a special education program. I was placed in special ed classes because I learned differently as a result of having autism and ADHD. I learned better with visuals and had auditory processing problems, which are , so I had to be taught quite differently from most kids. However, special education did not teach me differently. In fact, I actually learned quite little. As a result, I lagged behind my general education peers. 

I spent my time in special ed learning basic mathematics and the alphabet, even in fourth grade. My classmates, regardless of the level of support they needed, were all taught the same material in the same way. Our education was not personally tailored. 


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I was separated from my general education peers all day and would see them only during recess. This made it quite difficult to connect with them, as we had no class time together. I was quite timid, so approaching anyone from the general education classes made me very nervous. 

When I moved on to general education in middle school, I found that special education hadn’t prepared me at all. I kept failing my classes, despite my best efforts, and I failed to graduate. Special ed also didn鈥檛 help me with my social skills, as I made no friends in elementary or middle school.

I felt like I had been thrown into a lion鈥檚 den without any weapons. I was not prepared in the slightest. 

Only through litigation was I able to move to a neurodiversity-affirming school. The district offered my family settlement money after we argued in a lawsuit that the school had failed on its promise to educate me. Because of those funds, I was able to attend a high school for autistic students who learn differently, like me. 

Something is terribly wrong with a special education system that consistently fails those it is supposed to help. An analysis from the Center for American Progress shows that special education students are from high school than their general education peers. The same analysis showed that, in 2015, students with disabilities were substantially less likely to be at or above proficiency in mathematics or reading. 

This is a system that needs radical reform. 

First, special ed students must be integrated with the general education peers. Being segregated made me feel like there was something inherently wrong with me, as if putting me in general education would lower the quality of the classroom. Integration would have exposed me to the type of material I needed once I entered middle school. As Jennifer Kurth, a professor of special education at the University of Kansas, in an interview, 鈥渟tudy after study is showing that there’s no harm to being included, but there’s great risks of harm to being segregated. Kids [with disabilities] who are included develop better academic skills, better communication skills, better social skills, just kind of everything we try to measure.鈥 

It cannot be overstated how demoralizing being put in a segregated classroom is. It makes you feel like you have a pathology that hurts other students. It makes you feel like you鈥檙e less intelligent and less capable. My classmates at the time told me it felt like we were hopeless causes. My peers said this in elementary school. Nobody should have to go through that, especially at a young age. 

Second, schools need to abandon the cookie-cutter approach to special education students, where everyone is taught the same way and receives the same accommodations. At the neurodiversity-affirming high school I went to, every student was taught differently, at their own pace. Because of this I went from being a middle schooler at a 4th grade reading level to an undergraduate at UC Berkeley and the founder of a nonprofit, . 

Third, students with disabilities and their families should be allowed to decide what services and programs they receive. At the moment, schools often make these determinations. In California, where I live, many neurodivergent individuals are able to choose what services and programs they receive through the Self-Determination Program. shows that nearly 70% of respondents are satisfied with the program. Through , I鈥檝e been able to receive tutoring and technology vital for my educational journey. 

Before I had access to the program, my family had to sue in order for me to be able to determine what programs and services I receive. I couldn’t even get a tutor who specialized in students with disabilities until we put up a fight. It shouldn鈥檛 be this hard. 

If I had been able to choose which services I get, my family and I would have been able to avoid a litigation battle. If I had been able to integrate with my general education peers in elementary school, I would鈥檝e been better prepared for middle school and for building social skills. Simply put, a lot of the mental anguish I went through would have been mitigated.

Integration and self-determination should be implemented in special education across the country.

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Minnesota Autism Activist on Money, Power and What Special Ed Kids Really Need /article/minnesota-autism-activist-on-money-power-and-what-special-ed-kids-really-need/ Tue, 18 Feb 2025 17:30:00 +0000 /?post_type=article&p=740116 A decade ago, in an effort to quickly expand early intervention for autistic children, officials in Minnesota 鈥 long a leader in providing disability support 鈥 created a program intended, among other things, to smooth reimbursement for families. In part, the goal was to encourage the proliferation of health care providers, therapists and other people equipped to work with autistic children during critical stages of development.

It worked. Reimbursements rose from $1.7 million in state funds to 41 providers in 2017 to to 328 providers in state and Medicaid funds through the Early Intensive Developmental and Behavioral Intervention benefit in 2023.

Most of those new centers engaged in applied behavior analysis. ABA is an intensive behavior modification technique that aims to make autistic children act more like their typically developing peers by “extinguishing” certain traits through compliance with specific repeated commands. (A 74 investigation last year demonstrated that there is no reliable data to show the treatment works, and that it may actually cause harm to patients.)


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Last year, the FBI began investigating whether some of those treatment centers have defrauded Medicaid, billing for services never provided. Though investigators have not said how many for-profit centers they are looking into or who their clients are, many are believed to enroll the children of East African immigrants, who are particularly vulnerable because of the lack of culturally appropriate services. There are also indications the alleged fraudsters may have ties to defendants in the country鈥檚 largest , in which nonexistent food distribution sites supposedly created to provide children with meals during COVID-related school closures billed the state for hundreds of millions of dollars.

As the 2025 legislative session gets underway, state lawmakers are holding hearings on proposals to tighten oversight. Most of the testimony has centered on to require services to be provided by licensed professionals in safe settings. But some autism advocates have expressed concern that those standards will entrench ABA as the dominant approach 鈥 one that, among other things, is replacing other special education services in schools 鈥 instead of supporting alternatives that they say are more effective and humane.     

One of those who testified is Native American Jules Edwards, the autistic parent of three autistic youth, ages 11, 19 and 21, and a member of the Anishinaabe Eagle Clan. After , she told a state Senate committee that ABA is not a therapy, but 鈥渁 specific methodology that was created by the same people that created gay conversion therapy.鈥  

Right now, providers are not required to be licensed; are allowed to describe employees who may have only a high school diploma as therapists; and are not held to the same safety standards as even home day care centers, Edwards testified. 鈥淒espite the ABA industry lobbying for more power over the autism community, they need their power restricted until they can prove with empirical and independent evidence that they are doing what they claim they are doing鈥 in terms of providing effective, safe services.  

Edwards recently expanded on her testimony in an interview with 蜜桃影视. This conversation has been edited for length and clarity.

What motivated you to testify?

When my children were diagnosed with autism, I threw myself into research. I learned about autism and I learned about interventions. I learned from professionals, parents and autistic adults that autism is a social, communication and sensory disability, and not a behavioral disorder. I learned that applied behavior analysis is a behavior modification program that requires autistic children to suppress their natural way of being in order to please the adults around them. 

That didn’t make sense to me. Why wouldn’t we want to address any underlying needs first? Typically, autistic kids specifically need to learn the why, because we’re bottom-up learners. We like to gather information about things before taking action. But ABA requires a top-down, authoritative approach, where autistic children are not allowed to ask why. They are required to comply with authority, and that poses a lifelong danger to that child. 

Testifying was an opportunity to highlight the fraud, waste and abuse that happens within the ABA industry. American taxpayers pay billions of dollars per year to enrich private equity investors under the guise of an autism therapy that works. However, ABA isn’t a therapy, and it hasn’t been proven to improve quality of life. 

The Department of Defense鈥檚 2020 reported that 76% of children in ABA showed no improvement after one year, 16% had improved, but 9% were worse after a year of treatment. That really brings into question the cost-effectiveness of ABA. When we’re talking about fraud and waste of Medicaid dollars or taxpayer dollars generally, we need to be honest about the actual outcomes. 

But there’s little oversight. The state doesn’t require health and safety procedures, behavior guidance, standards, first aid, CPR. They aren’t required to have a mental health response, crisis response or suicide intervention plan. They don’t have to provide culturally responsive treatment practices. 

A 5-year-old child was just in a hyperbaric chamber in an unaccredited ABA center in Troy, Michigan. The chamber exploded with the child inside, and he passed away.  We know that hyperbaric chambers aren’t actually a treatment or cure for autism or anything like that. It’s not approved by the FDA. If there was oversight, if there was licensing, if there were safety requirements that prevented this kind of alternative treatment it could have saved that boy鈥檚 life. 

The state鈥檚 suggests 鈥渕odern鈥 ABA has largely stopped using punishments to discourage certain behaviors. But I have heard parents and autistic adults who have experienced ABA say it is still coercive. Can you give us an example?

Planned ignoring, which is a technique used in ABA, basically denies the humanity of the child who is subjected to it. When we’re children, whether you’re autistic or not, and you’re hanging out with another kid, and the other kid is pretending you don’t even exist, it’s dehumanizing. But now, within ABA, the adults do that to the children.

Say a child is throwing a toy that they shouldn’t be throwing. They may not be hurting anybody. They might be throwing it because they like the sound. It could be stimming [the term for a repetitive sound or motion an autistic person may use for emotional regulation or to express ]. It could be anything. The adult doesn’t want the child to play with the toy that way. 

They might try other interventions before planned ignoring, but then the child is being ignored completely, whether the child is trying to gain the attention of the behavior tech or not. This can cause increased 鈥渂ehaviors鈥 of the child escalating, trying to gain that attention. But no matter how much the child tries, the adult is not going to give in.

We can see how frustrating that must be, particularly if that’s a child who may be struggling with communication and may not say, 鈥楬ey, I really want to play ball right now.鈥 That kid is maybe unable to ask for what they want, or the way that they’re asking is a behavior that the behavior tech doesn’t like.

Is there a danger that as the state creates standards and licensing procedures to protect children, it will further codify this industry as the dominant treatment? 

Absolutely. ABA is currently the dominant treatment. They have lobbyists. They absolutely can persuade legislators to further empower the industry. Because they have the most money, they have the most power right now. 

A lot of the research about ABA, claiming it’s the gold standard treatment, etc., is funded by and conducted by the people who profit from it. We need to be sure that decision makers are looking at facts and data and information that isn’t that doesn鈥檛 involve a conflict of interest. It’s really important that we refer to outside, independent researchers, like the Department of Defense study.

There was a push at one point for board-certified behavior therapists [credentialed ABA supervisors] in Minnesota to be able to diagnose autism. They would then be able to enroll those children in their services. That is dangerous, because children who need a diagnosis need to go to an actual medical professional and have other conditions ruled out. They need to be evaluated for potential co-occurring conditions, etc. If a behavior therapist is able to diagnose autism, but they can’t diagnose anything else, then all of that child’s underlying conditions or additional conditions may be overlooked. 

If my children didn’t have full-team neuropsych evaluations, I wouldn’t know about their learning disabilities, and I wouldn’t know how to provide support. I wouldn’t know how to advocate for my children in school. My child used to be punished for his writing disability until we learned, through that neuropsych evaluation, there’s a dysgraphia issue. So let’s provide writing prompts. Let’s provide support for writing. Let’s provide adaptations and assistive technology. If he only had an autism diagnosis, that would have been met with behaviorism, he would have been rewarded for doing well, punished for struggling, and he wouldn’t have had access to the tools that he needs. 

There are definitely other treatments that don’t have that same level of influence but may be more effective, may be more humanizing. A lot of those are not as widely available. 

Many kids spend half or or all of their day in an ABA center rather than in a school where their learning would be attended to.

It’s a problem that begins in preschool. Children are often pushed out of public schools when a school or preschool doesn’t have the knowledge or resources to care for the child. They say, “Maybe this isn’t the best fit for you.” That’s something that my family has heard from our local public school. That’s not really a thing that a special education director should be saying to any family, and we should be concerned about the people who are most marginalized in our communities. When those kids are excluded from public schools, parents are often left with very few options. 

Members of the FBI supervise the removal of boxes and electronic equipment from Smart Therapy Centers business office in Minneapolis on Dec. 12. (Getty Images)

ABA centers market themselves as being able to help children to gain skills and become more independent. But if that were so, why isn’t inclusion in public schools the ultimate goal of ABA centers? ABA centers are not schools. They’re not accredited to provide education. There are very few ABA centers that have transition paths or goals for kids to move out of ABA and into mainstream schools. Instead, many children remain in ABA, sometimes throughout high school, deprived of the opportunity to learn what their peers are learning. It’s a form of educational neglect. 

Children in ABA often aren’t allowed to learn the most basic things. For example, [behavior therapists] often dissuade spelling to communicate, which means that they’re not encouraging autistic kids in ABA to even learn the alphabet. They aren’t taught literacy, they aren’t taught math, they aren’t taught history. That’s sad and scary, because then when these children grow up, all they’ve learned how to do is comply with authority.

There was a hearing a couple of days after yours where a number of East African parents testified about the conditions that compelled them to take advantage of ABA. There’s an element of desperation, in terms of a lack of alternatives, that must be clouding the picture.

It’s a sad reality that there’s a history here in Minnesota of people preying on immigrant communities. For example, in 2017 there were 75 cases of measles identified in the Somali population in Hennepin County alone, a result of anti-vaxxers who saw an opportunity to push their narrative that vaccines cause autism. They targeted immigrant communities with fearmongering tactics. 

The ABA industry pushes itself onto parents by claiming to be the only hope for their children. I’m very concerned that marketing targets immigrant communities without sharing balanced information that will help parents make informed decisions for their families. I’m worried about the conditions in which ABA is the only option. 

A lot of the time, parents are in a desperate situation where it’s like, 鈥淚 have to go to work to pay the bills, and I have to have a place for my child to be that is safe and supervised.鈥 And instead of lobbying for inclusion, for appropriate support and services in schools, we’re saying, 鈥淲ell, this kid can go to ABA instead.鈥 

That’s not good for anyone, because inclusion benefits all of us. Inclusion benefits abled and typically developing people just as much as it benefits disabled people. I think we can see that right now in our current political climate, where it’s been so normalized to 鈥渙ther鈥 people. That causes harm to all of us. 

ABA is problematic in your culture.

I’m Anishinabe. ABA could never meet my needs as a Native person. “Culturally responsive” essentially means to adapt services to meet the needs and values of a person’s culture. Some cultures, particularly settler-colonial culture, values assimilation. Settler-colonial culture prefers when people blend in and are agreeable to authority. ABA is rooted in that.

Behaviorism seeks to control a person’s behavior with the carrots-and-sticks analogy. We reward the things we want to see, we punish the things that we don’t want to see. We all do get rewarded for doing certain actions, and we all could potentially be punished by other actions.

But it’s not the same micro-management of behavior 鈥 you can only communicate the way I want you to communicate. You can only experience your senses the way I want you to experience your senses. You can only socialize the way that I have determined is a valid way of being. 

There’s the stereotype that autistic people don’t make eye contact, but that eye contact is a cultural phenomenon. Not every culture thinks eye contact is this great thing. Some cultures find it disrespectful, but ABA doesn’t always take that into account. It’s determined by the [therapists], not necessarily the child and their family and their culture. 

We should all have some self-determination with how we use our bodies. If I’m not hurting anyone else, I should be able to stim. If I communicate best by writing, that should be encouraged, and I should be provided support and tools to do that. Rather than what happens often in ABA, where parents are told, “This will help your child speak,” but it’s not speech therapy. 

One of my children didn’t speak until he was a little bit older. Starting when he was about 2, he would use one or two words here and there, but he wouldn’t combine them. It was tough, because at the time, we didn’t have a diagnosis, we didn’t have any sort of speech language therapy. As a parent, I relied on very basic sign language. And I was thrilled because I could communicate with my kid whether he was using mouth words or not. Do I wish that we had speech language pathology at the time? Yes, absolutely, that would have been great. But we didn’t. I think that if we had pushed that particular child into using mouth words, I think it would have built resentment.

Now he can speak, but his preferred language now is music, which is really cool because he’s a musician. Music is a really strong cultural practice that’s traditional for Anishinaabe people or Ojibwe people. It’s healing for us, something that we love. Why don’t we encourage that, rather than the ABA ideal of mouth words?

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Advocates Fear RFK Jr. Could Reverse Decades of Progress for Autistic Kids /article/advocates-fear-rfk-jr-could-reverse-decades-of-progress-for-autistic-kids/ Fri, 07 Feb 2025 19:01:00 +0000 /?post_type=article&p=739645 Right before Congress powered down for the holidays, lawmakers passed the Autism CARES Act of 2024, appropriating nearly $2 billion to pay for a huge number of autism research, training and services programs. But even as disability advocates cheered, they sounded alarms regarding the impact Robert F. Kennedy Jr. could have if confirmed as head of the agency responsible for distributing the funds. 

When the first iteration of the law passed in 2006, it was known as the Combating Autism Act. As that name suggests, its aim was to fund research into causes and potential cures, with the goal of eradicating the syndrome. In the nearly two decades since, disability advocates have won more seats on the committee that oversees how the money is spent, which involves nearly two dozen federal agencies. Given a say in what is prioritized, they have secured to develop services to improve autistic people鈥檚 lives, such as faster diagnosis, better special education strategies, communication technologies and effective mental health treatment.


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Still, just 13% of federal funds on autistic people鈥檚 well-being, versus 63% on investigations into biology, genetics and potential environmental influences 鈥 some of it presumably in service of wiping out what advocates argue is a naturally occurring neurotype.

In recent, heated Senate confirmation hearings, the potential secretary of health and human services waffled when grilled about his repeated, false statements asserting that vaccines cause autism. Though hundreds of studies worldwide have ruled out a link, Kennedy called for a fresh 鈥 and presumably costly 鈥 review.

The idea that Kennedy could attempt to divert federal funding away from autistic people鈥檚 long-sought priorities to instead revisit established science has been . Based on the offensive stereotypes Kennedy has used when talking about autistic people, say he will set back decades of progress if confirmed. 

鈥淸He thinks] it’s better to risk getting a deadly disease and your children dying than to be autistic,鈥 says Zoe Gross, the director of advocacy at the Autistic Self Advocacy Network. 鈥淭hat’s obviously a very stigmatizing and fearmongering way to talk about autism.鈥

In 2015, she notes, Kennedy apologized for comparing autism, which he wrongly asserted destroys the brain, to a genocide caused by vaccines. 鈥淭hey get the shot, that night they have a fever of 103 [degrees], they go to sleep and three months later their brain is gone,鈥 he . 鈥淭his is a Holocaust, what this is doing to our country.鈥

Advocates say Kennedy鈥檚 long history of talking about autism as something to be eradicated has alarming echoes of to 鈥渆uthanize鈥 autistic people, who were seen as a financial and genetic burden to society.  

鈥淭his attitude toward autism is kind of a canary in the coal mine situation,鈥 says Gross. 鈥淜ennedy鈥檚 beliefs about autism go hand in hand with some other really dangerous beliefs.鈥

Advocates also argue that Kennedy has financial conflicts of interest. He has earned a reported $2.5 million in fees for referring potential clients to a law firm pursuing a claiming the human papillomavirus vaccine, Gardasil, is unsafe. 

Despite his family鈥檚 decades of staunch advocacy for improving the lives of people with disabilities, Kennedy believes autism was rare or nonexistent until 1989, often insisting that there were no profoundly autistic children when he was growing up and he does not know any autistic adults. 

鈥淚 have never in my life seen a man my age with full-blown autism, not once,鈥 Kennedy said in a 2023 . 鈥淲here are these men? One out of every 22 men who are walking around the mall with helmets on, who are non-toilet-trained, nonverbal, stimming, toe-walking, hand-flapping. I鈥檝e never seen it.鈥

It鈥檚 generally accepted that much of the increase in positive diagnoses can be attributed to . Previously, children 鈥 and, in particular, girls 鈥 often went undiagnosed if their autistic traits were subtle. If the symptoms were more profound, the children were categorized as schizophrenic or having a developmental disorder instead. As a result, the number of kids with an autism diagnosis has risen from 1 in 150 in 2000 to 1 in 36 today. 

Public schools are bound by the Individuals with Disabilities in Education Act and portions of the Americans with Disabilities Act to provide a broad array of services to people with disabilities from birth to their 22nd birthday. Because of this, the CARES Act requires the Department of Health and Human Services to work in concert with the Education and Agriculture departments.

The CARES Act does not fund special education per se, but pays for research on effective instruction; technology to enable the 25% to 30% of autistic people who are nonverbal or minimally speaking to communicate; and to identify strategies to help autistic people who age out of special education find new services and ideally achieve independence, among other things. 

In some places, the funds defray the cost of evaluating children as quickly as possible so they can get crucial early interventions, notes David Rivera, the president and founder of a California nonprofit, . 

鈥淭he program has helped fund, in a single year, more than 100,000 people receiving diagnoses 鈥 or ruling them out,鈥 says Rivera, who is autistic. 鈥淒iagnosis allows access to services.鈥 

The latest version of the law requires the development of a strategy to address a desperate shortage of developmental-behavioral pediatricians, the providers most qualified to diagnose autism and assess children鈥檚 needs. Throughout the country, there are , leaving families who are unable to have their children assessed through a school system to wait as long as two years or more for private evaluations.

Last year, Rivera lobbied for the law鈥檚 renewal, crediting it for 鈥溾 undergirding effective strategies that helped him go from failing classes in elementary and middle school to gaining admission to the University of California, Berkeley, where he is a political science major.

Diverting federal funding from efforts like those that have made him successful is 鈥渢he equivalent of throwing money into a fire,鈥 Rivera says.

The 2024 version of the law is the fifth. Each time Congress has rewritten it, autistic people and advocacy organizations have lobbied to to include funding for research and programs intended to improve autists鈥 lives. 

As the public鈥檚 understanding of how many people are autistic 鈥 and how their autism manifests 鈥 changed, the law has been revised to require leaders of a host of federal agencies, such as departments of justice, labor, veterans affairs and housing and urban development, to participate on the on the Interagency Autism Coordinating Committee, which oversees how the money is spent. 

Advocates have also fought to increase the number of committee seats reserved for members of the public who are autistic, parents and . The panel currently has a nonverbal member and one with an intellectual disability in addition to autism. New and returning members are appointed after each reauthorization. 

Health and Human Services officials did not respond to a request from 蜜桃影视 for comment, but as of press time, said the agency would solicit new public members in early 2025. 

Right now, there are more caregivers and autistic members than are required by law, says Gross. 

鈥淐ertainly they could go down to the bare minimum,鈥 she says. 鈥淎nd I think it would be difficult to find self-advocates who have those same beliefs that vaccines cause autism, [but] I’m not going to say it’s impossible.鈥

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Opinion: Private Schools Can Give Students With Disabilities the Flexibility They Need /article/private-schools-can-give-students-with-disabilities-the-flexibility-they-need/ Wed, 15 Jan 2025 19:30:00 +0000 /?post_type=article&p=738309 As a father of a son with autism and an education advocate for nearly two decades, I鈥檝e spent much of my life navigating the complexities of education systems. That鈥檚 why I was troubled by a recent op-ed in 蜜桃影视 arguing that, with the 鈥減ush to expand publicly-funded private school choice, students with disabilities have a great deal to lose.鈥 

This argument misses a critical point: These policies provide families with new opportunities while taking no existing options away.

The commentary by Lauren Morando Rhim at the Center for Learning Equity expresses concerns that private schools are not bound by the same rules, regulations, and processes as public schools. But that鈥檚 precisely the point of alternatives. As Rhim herself noted in a previous , 鈥淭he system can be very large and rigid,鈥 often leaving students with disabilities marginalized by a one-size-fits-all approach. 


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I鈥檓 hard pressed to find more compelling reasons to support giving families more options.

Public schools work well for many students with disabilities. But for families seeking something different, what鈥檚 the harm in allowing them to use their funds to choose a private alternative they believe will better serve their child? 

Public schools are governed by laws like the Individuals with Disabilities Education Act (IDEA), which was enacted at a time when with disabilities were denied access to public schools. However, IDEA鈥檚 aspirational goals have not always translated into effective implementation across the nation鈥檚 13,000-plus school districts. Many families face endless battles for evaluations, services, and compliance. For every success story, there are countless examples of parents left frustrated by the system.

It鈥檚 tedious that I must point this out, because there are just as many stories of parents satisfied with what their public school offers their child. But the world doesn鈥檛 run on generalities鈥攊t runs on the lived experiences of individuals. Some schools do better than others, and some adults do better than others. 

Florida passed the first statewide voucher program in 1999 specifically for students with disabilities. Today, over 90,000 students in Florida benefit from these programs, which cover tuition, therapies, tutoring, and other expenses.

Research supports their effectiveness. A from Boston University and the University of Arkansas found 93% satisfaction rates among families participating in Florida鈥檚 Gardiner Scholarship Program, an education savings account specifically for students with disabilities, compared to 85% satisfaction among families who are not participating. (The program is now part of the state鈥檚 newer Family Empowerment Scholarships for Students with Unique Abilities program.)

Participating parents reported significantly higher satisfaction rates in terms of the services and accommodations their private school provided compared to parents in public schools. These families valued the ability to choose schools and services that met their children鈥檚 specific needs鈥攆reedom that is often unavailable in public systems.

Unlike public schools, private school programs don鈥檛 necessarily have public meeting requirements, standardized test score reporting and federal disability law protections. Yet parents in these programs overwhelmingly report higher satisfaction. Why? These programs give families a right they don鈥檛 have elsewhere: the ability to control their educational funds and choose what works best for their child. 

One parent in the Florida study put it best, saying the option 鈥渙pened up a whole avenue of feeling like I didn鈥檛 have to have him stay in a setting that I felt like he wasn鈥檛 going to be successful in. And without it, I don鈥檛 think he鈥檇 be where he is today.鈥

I won鈥檛 pretend every program is perfect. Bureaucratic red tape can make them harder to navigate, and experiences vary. But expanding options that outperform the status quo in parent satisfaction does not harm families of students with disabilities 鈥 it helps them. 

I have a son with autism. I鈥檓 motivated to find him a school where he鈥檚 welcomed, supported, understood, and loved. I want him to grow academically, socially, and cognitively. I hope he鈥檒l make friends and be able to share highlights of his day. These basic human needs are obvious to any parent, yet they鈥檙e rarely mentioned in debates about regulations and government processes. 

With over 55 million schoolchildren in the United States, why dismiss choice and alternatives because they are not bound by a federal regulatory apparatus? That is often the very reason parents seek alternatives. Expanding options empowers families to find solutions that work for them鈥攕olutions that no one can dictate better than a parent.

Adam Peshek is senior director and senior fellow of Stand Together Trust.

Disclosure: Stand Together Trust provides financial support to 蜜桃影视.

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The Year in Education: Our Top 24 Stories About Schools, Students and Learning /article/the-year-in-education-our-top-24-stories-about-schools-students-and-learning/ Wed, 18 Dec 2024 11:30:00 +0000 /?post_type=article&p=737135 Every December at 蜜桃影视, we take a moment to spotlight our most read, shared and impactful education stories of the year. 

One thing is clear from the stories that populate this year鈥檚 list: Many of America鈥檚 schools are still grappling with the academic struggles that followed the pandemic 鈥 as well as the end of federal relief funds, which expired this fall. Student enrollments have yet to recover and many districts are facing 鈥 or will soon face 鈥 tough decisions about closures.

Meanwhile, some educators are testing innovative ways of teaching math, reading and science, hoping to gain back some of the academic ground lost since the COVID shutdowns. Technology is also playing a pivotal role in this post-pandemic world, with communities weighing the impact of cellphones and artificial intelligence on student learning and mental health.

November鈥檚 election 鈥 which featured debates over school choice, Christianity in public schools and the fate of the Department of Education 鈥 also made headlines here at 蜜桃影视. And, as calls for cracking down on immigration grew even louder, we dug deep into the hurdles facing immigrant students and schools. 

Here鈥檚 a roundup of our most memorable and impactful stories of the year:

Exclusive: Thousands of Schools at Risk of Closing Due to Enrollment Loss

By Linda Jacobson

Long before districts close schools, enrollment loss takes a toll on staff and families, from combined classes to the loss of afterschool programs. This exclusive analysis by Linda Jacobson, based on Brookings Institution research, found that more than 4,400 schools lost at least one-fifth of their students during the pandemic 鈥 more than double the number during the pre-COVID period. The detailed look shows how the crisis is playing out at the school level and which districts face tough decisions about closures and cuts. 

Unwelcome to America鈥: Hundreds of U.S. High Schools Wrongfully Refused Entry to Older, Immigrant Student

By Jo Napolitano

Eamonn Fitzmaurice/蜜桃影视

蜜桃影视鈥檚 16-month-long undercover investigation of school enrollment practices for older immigrant students revealed rampant refusals of teens who had a legal right to attend, shutting a door critical to success in America. Senior reporter Jo Napolitano called 630 high schools in every state and D.C. to test whether they would enroll a 19-year-old Venezuelan newcomer who had limited English language skills and whose education was interrupted after ninth grade. 鈥淗ector Guerrero鈥 was turned down more than 300 times, including 204 denials in the 35 states and D.C., where high school attendance goes up to at least age 20. 蜜桃影视鈥檚 investigation revealed pervasive hostility and suspicion toward these students in a particularly xenophobic era and a deeply arbitrary process determining their access to K-12 education.

Interactive: Which School Districts Do the Best Job of Teaching Kids to Read?

By Chad Aldeman

Eamonn Fitzmaurice/蜜桃影视

It’s not news that low-income fourth graders are years behind their higher-income peers in reading. But poverty is not destiny, and some schools and districts hugely outperform expectations. Working with Eamonn Fitzmaurice, 蜜桃影视鈥檚 art and technology director, contributor Chad Aldeman set out to find districts that are beating the odds and successfully teaching kids to read. From Steubenville City, Ohio, to Worcester County, Maryland, and across the country, click on their interactive map to find the highfliers in your state. 

Whistleblower: L.A. Schools鈥 Chatbot Misused Student Data as Tech Company Crumbled

by Mark Keierleber

Getty Images

In early June, a former top software engineer at ed tech startup, AllHere, warned Los Angeles district officials and others about student data privacy risks associated with the company鈥檚 AI chatbot “Ed.” The LA Unified School District had agreed to pay AllHere $6 million for the chatbot and the spring rollout of Ed was highly publicized, with L.A. schools chief Alberto Carvalho calling the chatbot鈥檚 student knowledge powers 鈥渦nprecedented in American public education.鈥 But, as Mark Keierleber reported, red flags soon began to emerge. The company financially imploded and its founder Joanna Smith-Griffin left the company. In November, federal prosecutors indicted her, accusing of defrauding investors of $10 million.

America’s Most Popular Autism Therapy May Not Work 鈥 and May Cause Serious Harms

by Beth Hawkins

Today, a child鈥檚 new autism diagnosis is frequently followed by a referral to a variation of an intervention called applied behavior analysis, or ABA, and four decades of pressure from parents and advocates has created a sprawling treatment industry. Yet, even as providers and lobbyists jockey to strengthen ABA’s dominance, autistic adults and researchers increasingly say there鈥檚 alarmingly little proof it鈥檚 effective 鈥 and mounting evidence it鈥檚 traumatizing. In an exclusive investigation, Beth Hawkins spoke with families, teachers and scholars about the growing controversy surrounding autism鈥檚 鈥済old standard鈥 treatment. 

A Cautionary AI Tale: Why IBM鈥檚 Dazzling Watson Supercomputer Made a Lousy Tutor

by Greg Toppo

In 2011, IBM’s Watson supercomputer crushed Jeopardy! champions, raising hopes that it could help create a powerful tutoring system that would rival human teachers. But the visionary at the head of the effort watched as the project fizzled, the victim of AI’s inability to hold students鈥 attention. As new educational AI contenders like Khanmigo emerge, what lessons can they learn from the past? 蜜桃影视鈥檚 Greg Toppo took a look at how IBM鈥檚 failed effort tempers today鈥檚 shiny AI promises.

State-by-State, How Segregation Legally Continues 7 Decades Post Brown v. Board

by Marianna McMurdock

蜜桃影视

Seventy years after the Supreme Court outlawed separating public school children by race, Marianna McMurdock sought to answer a pivotal question: How are some of the most coveted public schools in the U.S. able to legally exclude all but the most privileged families? Last spring, she spoke with researchers at the nonprofits Available to All and Bellwether, which published a report that examined the troubling laws, loopholes and trends that are undermining the legacy of Brown v. Board in each state. The researchers called for urgent legal reform to offset the impact that one鈥檚 home address has on enrollment, particularly as many districts have started considering closures.

Being 鈥楤ad at Math鈥 Is a Pervasive Concept. Can it Be Banished From Schools?

by Jo Napolitano

This is a photo of a tutor working with a third grader at his desk.
Third grader Ja’Quez Graham works with his Heart tutor Chris Gialanella at his Charlotte-Mecklenburg (North Carolina) elementary school. (Heart Math Tutoring)

Are you bad at math? If you are, it鈥檚 likely that self-fulfilling seed got planted early. Many math education leaders are trying to uproot that thinking, arguing that any student can master the subject with the right accommodations and tutoring. Changing the bad-at-math mindset in U.S. schools, however, will not be easy, others warn. 鈥淲e use math as a means to sort kids by who gets to be at the top and who gets to be at the bottom,鈥 one math equity advocate told Jo Napolitano. 

Hope Rises in Pine Bluff: Saving Schools in America’s Fastest-Shrinking City

by 蜜桃影视 Staff

Pine Bluff, Arkansas, earned the unwelcome distinction in the 2020 census of being America’s fastest-shrinking city, losing over 12% of its population in one decade. Amid this exodus of families, students and taxpayers, its school district had to navigate school closures, budget pressures and a state takeover. Throughout last winter, members of 蜜桃影视鈥檚 newsroom embedded in Pine Bluff to report on the region鈥檚 trajectory. Here are some of the powerful stories they came back with: 

Kids, Screen Time & Despair: An Expert in the Economics of Happiness Echoes Psychologists鈥 Warnings About Tech

By Kevin Mahnken

A prominent economist has joined the growing chorus of experts warning against the dangers posed to youth mental health by screens and social media, reported Kevin Mahnken. New papers released by Dartmouth College professor Danny Blanchflower, a leading expert in the burgeoning field of happiness economics, suggest that the huge increase in screen time over the last decade has made the young more likely to despair than the middle-aged. 

Why Is a Grading System Touted as More Accurate, Equitable So Hard to Implement?

By Amanda Geduld

This is a photo of a teacher grading papers.

As educators push for more transparency in grading policies post-pandemic, some are turning to standards-based grading. When done correctly, it separates academic mastery from behavior and more accurately reflects what students know. But misunderstandings of the model, a lack of proper training, and a rush to adopt it often leads to messy implementation. Associate professor Laura Link told Amanda Geduld that as schools look to fix learning gaps, 鈥渟tandards-based grading is one that seems like it can be a quickly adopted effort. But it could backfire 鈥 and does backfire 鈥 very easily.鈥

Texas Seeks to Inject Bible Stories into Elementary School Reading Program

by Linda Jacobson

Eamonn Fitzmaurice/蜜桃影视

Last May, a sweeping redesign of Texas鈥 elementary school curriculum that used Bible stories to teach reading was unveiled. At the time, state education Commissioner Mike Morath described the changes as a shift toward a 鈥渃lassical model of education.鈥 But the revisions raised questions about potential religious indoctrination and bias. Nevertheless, in November, the Texas Board of Education approved the new curriculum in a close vote. Linda Jacobson followed the story closely.

The Political War Over the Department of Education Is Only Beginning

By Kevin Mahnken 

Fresh from their November victories, Republicans are already working to help President-elect Donald Trump achieve his promise of abolishing the U.S. Department of Education. But research suggests that, while perceptions of the agency are mixed, the public is unlikely to back a sweeping course of elimination. 鈥淪aying you鈥檒l get rid of it reads generically as being anti-education,鈥 one political scientist told Kevin Mahnken. 鈥淭hat strikes me as a very heavy albatross to hang around your neck come the midterms.” 

18 Years, $2 Billion: Inside New Orleans’ Biggest School Recovery Effort in History

By Beth Hawkins

In 2005, Hurricane Katrina destroyed 110 New Orleans schools. Displaced families could not return until there were classrooms to welcome their kids, but no one had ever tried to rebuild an entire school system. While many of the buildings were moldering even before the storm, federal funds couldn’t be used to build something better. Some of the schools had landmark status and were of great historical significance. Eighteen years and $2 billion later, Beth Hawkins took a look at seven schools that illustrate how the district accomplished the task.

As Ryan Walters鈥 Right-Wing Star Rose, Critics Say Oklahoma Ed Dept. Fell Apart

By Linda Jacobson

Eamonn Fitzmaurice/蜜桃影视, Associated Press

Oklahoma state education chief Republican Ryan Walters has acted as a one-man publicity machine, a performance that鈥檚 earned him venomous foes and ardent fans who follow him with a near-religious fervor. But one casualty of his approach might be a functioning state education bureaucracy. Even Republican lawmakers have grown impatient, calling for a probe into how Walters handles state and federal funds. As Rep. Tammy West, a GOP incumbent running for re-election, told reporter Linda Jacobson, 鈥淩egardless of party, citizens want transparency, accountability and communication.鈥

AI 鈥楥ompanions鈥 Are Patient, Funny, Upbeat 鈥 and Probably Rewiring Kids Brains

By Greg Toppo

Daniel Zender / 蜜桃影视

A college student relies on ChatGPT to help him make life decisions, including whether to break up with his girlfriend. Is this a future we feel good about? While AI bots and companions like ChatGPT, Replika and Snapchat鈥檚 MyAI, can offer support, comfort and advice, experts are beginning to warn of potential risks. 蜜桃影视鈥檚 Greg Toppo talks to researchers and policy experts about what we should be doing to help make them safer.

Indiana Looks to Swiss Experts to Create Thousands of Student Apprenticeships

By Patrick O鈥橠onnell

An apprentice of the Roche pharmaceutical company explains some of the work she and other apprentices do at the company鈥檚 training center outside Basel, Switzerland in 2022. Teams from Indiana have been working with Swiss experts to adapt the Swiss apprenticeship system to that state. (Patrick O鈥橠onnell)

Indiana officials have turned to experts at the Swiss version of MIT for help in becoming a national career training leader by making apprenticeships available to thousands of high school students across the state. Indiana is the latest state to work with ETH Zurich 鈥 where Albert Einstein once studied 鈥 to develop ways to break down barriers between educators and businesses so that career training can be a large part of a reinvented high school experience, reported Patrick O鈥橠onnell. 

Investigation: Nearly 1,000 Native Children Died in Federal Boarding Schools

By Marianna McMurdock 

Nearly 1,000 Native American children died while forced to attend government-affiliated boarding schools, according to a report published last summer by the Interior Department. The children are buried in 74 unmarked and marked graves, reported Marianna McMurdock, as tribes assess repatriation of remains. Nearly 19,000 children were estimated to be kidnapped, often at gunpoint, and enrolled in the schools with the aim of assimilation. “We [were] never called by our name, we were all called by our numbers,鈥 said one survivor. 

The Nation鈥檚 Biggest Charter School System Is Under Fire in Los Angeles

By Ben Chapman 

The nation鈥檚 largest experiment with charter schools is no longer growing. These days, Los Angeles charter operators say they are just trying to survive. With tough new policies governing co-locations, falling enrollment, and a hostile district school board, charter leaders say they鈥檝e never faced stronger headwinds, reported Ben Chapman. With enrollment plummeting across the district, some charter networks have recently announced closures while others have stopped submitting proposals for new campuses. 鈥淣ow, particularly in L.A., our focus is not on growing,鈥 said Joanna Belcher, chief impact officer for KIPP SoCal. 

Florida Students Seize on Parental Rights to Stop Educators from Hitting Kids

By Mark Keierleber 

Brooklynn Daniels

Late last year, Florida senior Brooklynn Daniels was called to the principal鈥檚 office and spanked with a wooden paddle 鈥渢hat was thick like a chapter book.鈥 Like in many enclaves that dot the Florida panhandle, Liberty County permits corporal punishment as a form of student discipline. But her flogging, the honors student said, went much further: She alleged sexual assault and filed a police report, reported Mark Keierleber. Daniels joined a student-led movement to change Florida law that has latched onto the GOP-led parental rights movement. 

Interactive: See How Student Achievement Gaps Are Growing in Your State

By Chad Aldeman

In 2012, then-President Barack Obama freed states from the accountability provisions of No Child Left Behind in exchange for reforms related to standards, assessments and teacher evaluations. That relaxing of school and district accountability pressures corresponded with a decline in student performance across the country that is still being felt 鈥 achievement gaps are growing across subjects and all across the country. To illustrate these alarming discrepancies, contributor Chad Aldeman and Eamonn Fitzmaurice, 蜜桃影视鈥檚 art and technology director, created an interactive tool that enables you to see what’s happening with student performance in your state.

Left Powerless: Non-English鈥揝peaking Parents Denied Vital Translation Services

by Amanda Geduld

Eamonn Fitzmaurice/蜜桃影视

Flouting federal laws, K-12 public schools routinely fail to provide qualified interpreters to non-English-speaking families. Parents must instead rely on Google translate, their own kid or a bilingual staff member who isn鈥檛 a trained interpreter for issues as simple as their child鈥檚 absence for a day or as complex and intimidating as a special education meeting or a school disciplinary hearing. The problem is pervasive and vastly underreported, experts told Amanda Geduld. School leaders say they are trying their best, but lack the money and staffing to meet the need. 

Failed West Virginia Microschool Fuels State Probe and Some Soul-Searching

By Linda Jacobson

The West Virginia treasurer鈥檚 investigation into a microschool, funded with education savings accounts, offers a glimpse into an emerging market that has mushroomed since the pandemic. When the program shut down after a few months, parents were left demanding their money back and scrambling to find other arrangements for their children. The example, experts say, shows that it takes more than good intentions to provide a quality education program. As one parent told Linda Jacobson, 鈥淚 should have seen the red flags.鈥

In the Rush to Covid Recovery, Did We Forget About Our Youngest Learners?

by Lauren Camera

The country鈥檚 youngest elementary school students suffered steep academic setbacks in the wake of the COVID-19 pandemic 鈥 just like students in older grades. But new research shows that they aren鈥檛 catching back up to pre-pandemic levels in reading and math the way older students are. And when it comes to math, many are falling even further behind. 鈥淲e were shocked when we first saw the data,鈥 Kristen Huff, vice president of assessment and research at Curriculum Associates, told Lauren Camera.

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Why Robots Are Not Effective Tools for Supporting Autistic People /article/why-robots-are-not-effective-tools-for-supporting-autistic-people/ Wed, 11 Dec 2024 17:30:00 +0000 /?post_type=article&p=736764 Even as the education technology industry rushes to develop robots that can deliver therapy to autistic children, research shows the devices are ineffective and unwanted, according to a new study released by researchers at the University of California Jacobs School of Engineering.

An autistic PhD candidate in computer science, Naba Rizvi is the lead author of published between 2016 and 2022 that focused on robots鈥 interactions with autistic people. She and her colleagues found that almost all of the research excludes the perspectives of the autistic subjects, pathologizes them by using an outdated understanding of the neurotype, and contains little, if any, evidence that therapies delivered by robots are effective. 

More than 93% of the studies start with the now-controversial stance that autism is a condition that can and should be cured. Nearly all test the use of robots to diagnose the condition or to teach autistic children to interact in ways that make them seem more neurotypical, such as making eye contact.


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While most research on human-robot interaction starts by asking the subjects what their needs are, nearly 90% of the researchers in Rizvi鈥檚 sample did not ask autistic people whether they want the technology. Fewer than 3% included autistic people in framing the theory being investigated, and just 5% incorporated their perspectives in designing research. 

鈥淓ven clinicians are not convinced of their effectiveness, and minimal progress has been made in making such robots clinically useful,鈥 Rizvi writes. 鈥淚n fact, research even suggests that this use of robots may be counterproductive and negatively impact the skills they are designed to hone in autistic end-users.鈥

Proponents reason that robots can not only deliver behavior therapy more cheaply but will appeal more to children than human therapists. Investors forecast the technology could become the centerpiece of a market that may soon be worth . Not yet common in special education classrooms, robots programmed to intervene with autistic children are being marketed to schools and even families.

Some of the early research the robotics industry has recently relied on in designing its experiments described autistic children as less human than chimpanzees, Rizvi adds: 鈥淭hese systems promote the idea that autistic people are 鈥榙eficient鈥 in their humanness, and that robots can teach them how to be more human-like. This echoes foundational work that has questioned the humanity of autistic people, and proposed non-human entities such as animals may be more human than them.鈥 

Most of the research the team reviewed was published in robotics journals, not autism reviews. Seventy-six of the studies used anthropomorphic or humanoid robots to teach social skills, while 15 relied on devices designed to look like animals. One used a robot to diagnose 鈥渁bnormal鈥 social interactions.

Less than 10% of human-robot interaction papers (shown in pink) included a representative sample of women and girls with autism in their studies. The majority (in yellow) did not report the participants’ gender demographics. (Naba Rizvi et. al. 2024)

Researchers leaned on harmful tropes that describe autistic people as robot-like 鈥 and robots as intrinsically autistic. Many of the papers reviewed also accept an old and controversial premise that autistic people are not motivated to interact socially with others. Less than 10% included representative samples of girls, whose autistic 鈥渂ehaviors鈥 are more likely to show up as depression and other mental health conditions. 

The report comes as a rift is widening between proponents of using behavioral therapy and autistic adults who say the intervention, commonly called applied behavior analysis, is inhumane. A growing body of research suggests that efforts to train autistic children to act and appear more like their neurotypical, or non-autistic, peers are ineffective and often traumatizing. 

In applied behavior analysis, a therapist uses positive and negative reinforcement to attempt to 鈥渆xtinguish鈥 mannerisms perceived as undesirable and to replace them with behaviors considered 鈥渘ormal.鈥 Therapists work one-on-one with a child, often 10 to40 hours a week. It is repetitive and expensive.

Many autistic adults who have undergone the therapy note that some of the mannerisms it attempts to eliminate, such as hand-flapping or rocking, are harmless ways to compensate for overstimulation or to express positive emotions. Nonetheless, the therapy is widely considered the 鈥済old standard鈥 of autism interventions. 

Rizvi says she鈥檚 dismayed but not surprised by the push to develop automated therapists. The use of robotics in medicine is exploding, and almost all of the researchers in her sample framed their work using what advocates call the 鈥渕edical model鈥 of disability. Historically, disabilities have been seen as medically diagnosable deficits to be treated or cured. 

Over the past couple of decades, however, people with disabilities have increasingly pushed for the adoption of a 鈥渟ocial model,鈥 which holds that a lack of inclusion in all realms of public life is the central issue. Autistic adults have advocated for better representation in research, so that more studies are geared toward making education, employment, housing and other sectors of society more accommodating.

Just 6% of the papers Rizvi and her colleagues reviewed start from a social model. This is problematic, they say, because many autistic people have needs that can be addressed by improved technology. Non-verbal students, for example, benefit from evolving 鈥渁ugmentative and assistive communication鈥 鈥 devices families often struggle to get schools to provide. 

Rizvi鈥檚 main research focus is on the development of ethical artificial intelligence. Because the datasets AI is 鈥渢rained鈥 on , so are the resulting algorithms, she explains. Research has shown, for example, that resumes that mention jobs in disability agencies or support capacities are automatically scored lower by AI than those that don鈥檛.

Another example is AI-enabled online content moderation. Social media posts and comments that mention disability-related topics are often rejected as toxic, Rizvi says. 

鈥淲hen it comes to content moderation the data sets don’t always represent the perspectives of the communities,鈥 she says. 鈥淎nd they do this thing where, say, if you have three people trying to agree on whether or not a sentence is ableist, the automatic assumption is that the majority vote is the right one.鈥

鈥淎re Robots Ready to Deliver Autism Inclusion? A Critical Review鈥 was presented at a recent . The presentation includes suggestions for ensuring research is inclusive and avoids harmful stereotypes and historical misrepresentations, which are on Rizvi鈥檚 own website. 

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74 Interview: Minnesota鈥檚 Groundbreaking Push for Teacher Training on Ableism /article/74-interview-minnesotas-groundbreaking-push-for-teacher-training-on-ableism/ Wed, 17 Apr 2024 19:01:00 +0000 /?post_type=article&p=725559 In the coming days, Minnesota is expected to enact a first-of-its-kind law promoting teacher training on ableism and the history of the disability justice movement. The goal is to encourage the same kind of cultural competence that educators are asked to learn to make their classrooms welcoming to students of color. 

Recommended but not mandatory at first, the professional development will be created and provided by people with disabilities. Backers believe the law will be the first in the country to empower people who experience ableism to educate teachers about it.

was the brainchild of a group of people with disabilities, along with parents and advocates. After comparing experiences, they realized how often they encountered ableism in schools 鈥 even in classrooms supposedly designed for them. An organization founded by parents 鈥 many of them immigrants 鈥 called the Multicultural Autism Action Network spearheaded the effort to add disability awareness to teachers鈥 continuing education. The proposal is poised to be among the final measures passed into law before the legislature adjourns May 20. 


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A key lobbyist in the effort is Jillian Nelson, community resource and policy advocate at the Autism Society of Minnesota. Recently, she talked to 蜜桃影视鈥檚 Beth Hawkins about the bill, being diagnosed with autism, her own experiences with ableism in school and the job she says was created just for her. 

This interview has been edited for length and clarity.

Not too long ago, the very idea of an autistic lobbyist was hard to fathom. How did you end up breaking that barrier?

I have really struggled getting by in life as an autistic person. I had a hard time in employment before I landed here, struggling with different things like relationships and getting the accommodations necessary throughout school and college. The Autism Society of Minnesota has given me the backing to do work I only ever dreamed of. Our amazing leadership team saw my strengths and created a role where I could utilize those in the best way for our community.

I run our information resource hotline. When people are going through challenges or newly diagnosed, I provide insight and help them navigate a world that’s fairly complex. I also do all our resource fair outreach work, which means I get to go out and connect with people.

And then all those conversations, I put them in my pocket and I head up to Capitol Hill, where I work with other organizations to advance disability law and create a great and equitable place here in Minnesota for people with disabilities to not just live and survive, but to thrive and have the same opportunities as everyone else. 

It also really matters to be working in a place where every single person around me is either autistic or understands autism. I can show up to work as myself without having to mask or play games that I don’t understand. 

Can you explain the term 鈥渕ask鈥?

Masking is an emotionally exhausting process of pretending or portraying yourself as neurotypical or just like everyone else. People who mask go to great lengths to appear to have no disability or struggle and to just fit in. But when things don’t come naturally 鈥 like following every single social cue 鈥 it’s incredibly tedious to pick and choose what to say and do at every step of the way. Sometimes you get it right and sometimes you don’t. 

This year, you and your colleagues seem to have gotten a lot right. In less than two months you shepherded a bill addressing issues many people aren鈥檛 even aware of through a complicated legislative process where good ideas often go to die. 

This was born out of an opportunity a couple of years ago to bring together people with different types of disabilities to talk to the Minnesota Department of Education about their experience as special education students. One of the topics that came up was ableism and the not-so-great experiences they had surrounding that. 

The response this group received was so warm! But also, it was devastating that so many teachers came up afterward and said, 鈥淣o one’s ever talked to us about ableism. No one’s ever given us this information. I wish I had known so I could have done better.鈥 

Children with disabilities, we’re turning them over to a system that doesn’t often recognize their existence as part of a broader culture. There might be bullying or assumptions that a student can’t do something. That presumed incompetence 鈥 we don’t give students with disabilities a chance to fail. We keep them in this bubble because we think they can’t succeed because of their disability. 

We want the youngest members of our culture to grow up with less trauma, with this sense of belief that they can do things that people in the past may have told them they weren’t capable of because of their disability. 

I think it’s going to surprise people that educators 鈥 especially special educators 鈥 aren鈥檛 routinely exposed to this information. 

One of the big disconnects is that disability in our education system is seen as a medical condition or a qualifying condition. When we teach about disability, we teach out of medical criteria. A lot of teachers are very familiar with the criteria for different disabilities. They know the laws they’re required to follow in special education. But everything is taught in theories: Here’s a special education learning theory about social-emotional learning, about social skills learning. We teach a lot on how to teach but not how to understand. 

The disability culture is the only group where we currently allow teachers to teach in a classroom that is filled entirely with children from this culture and have absolutely no cultural competency training or requirements. That鈥檚 what the ableism and disability justice bill is really about. It’s about creating cultural competency among teachers who are working with children from this really unique and beautiful culture. 

Disability as a culture is a relatively new concept. You have described deaf culture as a model: In 1988, students at Gallaudet University staged what鈥檚 known as the Deaf President Now protest, demanding that the school鈥檚 next leader be deaf. It seems ridiculous today that a hearing person would be seen as more capable of leading such an institution than any of the people it serves. Yet it was an 鈥渁ha鈥 moment when teachers heard from former special education students. 

It鈥檚 been a slow shift. As our society has shifted toward inclusion, and with the development of social media and technology, people with disabilities from all over the world have been able to connect and identify with one another. We realized that experiences we were having, the things that felt so isolating or challenging in our lives, that we weren’t alone in those experiences.

We stopped being individuals that this was happening to. We started to be a culture of individuals with shared experiences. People with disabilities started asking for what they needed to live full and impactful lives. 

It鈥檚 a tall order to help someone whose professional identity is tied up in seeing themselves as a student鈥檚 best advocate to see that they鈥檙e engaging in ableism. 

In high school, I wasn’t diagnosed with autism. I was a special education student, but for emotional behavioral disorder. My special education transition plan was that I would get a job in customer service or food service, because that’s what they believed I was capable of. Despite the fact that even my special education testing showed I was in the 99th percentile IQ-wise.

I graduated without ever taking the SATs or applying to a single college because the people that were in charge of helping me plan my future as a young person with disabilities never saw that as a possibility. That idea that they knew best and they were protecting me from potential failure was the thing that led to my biggest downfall. By the time I was 20 years old, I was a homeless drug addict. I didn’t see any path for my future or have a whole lot of hope. 

After I got diagnosed, I had a case manager who forced me to go to college. It changed everything. Finally, someone believed in me. She was willing to put me in a position to succeed 鈥 while knowing that there was a risk of failure. Instead of saying, 鈥淵ou can’t do this because of your disability,鈥 she asked me, 鈥淗ow can we do this with your disabilities?鈥

I don’t believe that our education system, our teachers, set out to set students with disabilities up for failure or limit us to a small window of potential. But we don’t know what we don’t know, and when we know better, we do better. That’s really the core. We’ve never given teachers this information or an understanding of this unique and amazing culture. If we can do that, we can inspire them not to try to save us from ourselves, but to help us be the best version of ourselves.

What hurdles to the bill鈥檚 introduction did you anticipate? And what did you actually find? 

I anticipated what we did actually find: teaching lawmakers what ableism is and convincing them why it matters. There were some that jumped right on board. Our chief author in the House of Representatives, Rep. Kim Hicks, has been an amazing champion. She herself is a legislator with a disability and she has children with a disability. 

On the Senate side, though, we faced a number of hurdles. We went to Sen. Mary Kunesh looking for some suggestions, not necessarily expecting her to take it on. I started telling her my story and how ableism had held me back for so many years, and how I often wonder what I would have achieved if they had believed in me in high school. 

She asked me where I went to school. It was the school district where she taught. She looked at us and said, 鈥淒o you have the jacket with you? I鈥檒l introduce the bill.鈥 When you realize that this isn’t just happening somewhere else, it’s happening at the place that you teach, that hits home. 

We had to make it very real for people. Not just a theory or an idea, but these are the experiences happening to children now. This is something that has been a generational problem for decades. 

If you received special education services for the wrong diagnosis, you probably experienced a particularly pernicious form of ableism. I鈥檓 guessing your behavior, whatever it was, should have been a red flag for a sensory issue. 

Social anxiety, 100%. I went to school, but I didn’t go to most of my classes for my freshman and sophomore years because I was so socially anxious. But I wasn’t the kid smoking behind the dumpster. I was hanging out in the library researching my special interest [an autism culture term for a topic a person enjoys learning about in great depth], or hiding in the art room working on extra credit projects.  

My experience and the services and support I received were a gigantic red flag of ableism. They assumed the things that were holding me back were a choice, versus something I had no control over. I didn’t end up in special education until my sophomore year of high school 鈥 well after Asperger’s syndrome was in the DSM (the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders). But we weren’t looking at individuals like myself and saying, 鈥淭his might be autism.鈥 We just assumed that the problem was not that I couldn’t do the things that they were asking me to, it was that I didn’t want to.

I have come to terms with being a later-diagnosed person with autism. But I think about how many things I missed out on. I graduated with a seventh-grade math level. I did special education civic engagement because they didn’t think I could handle the mainstream classroom with my classmates. Funny that I grew up to be a lobbyist. 

I wonder a lot, though, who I could have been if they figured out how to support me to my full potential, rather than to just manage what they thought of as behaviors. I wonder about all the opportunities that were taken from me because I just became a statistic. I think about a lot of the trauma that I endured as a teenager, being educated in classrooms with individuals that had very unmanaged, far more aggressive behaviors than me. 

So the hope is somebody who takes the training would look at a student who hid in the library and see massive evidence of engagement, and wonder, 鈥淲hy is the student engaging there, instead of the social studies classroom?鈥 

I had teachers later on that did see that, and that’s where I got to thrive. When I was a senior retaking my sophomore English class 鈥 because I missed it, you know 鈥 my teacher asked me, “Why are you in my class?” I’m like, “Well, I’m here because the state of Minnesota says I need to be here.”

He turned my sophomore English credit into an independent study. The one assignment I had was to write a college-level paper. He said, 鈥淚’m not going to teach you how. If you need help, you’re going to have to ask.鈥 He saw my talents, and he also saw what I actually needed to learn in that class: how to ask for help, how to work independently, how to plan my time. It prepared me for college more than writing a 10th-grade research paper ever would. 

I don’t want those teachers to be needles in a haystack, where there’s one or two. I want every teacher to look at a kid with disabilities with curiosity and ask, “How can we help them succeed?”

How do you introduce people to the idea that there’s joy and pride in a disabled person鈥檚 identity 鈥 things you would never want to change about yourself? 

One of the biggest things that I hope teachers take away from training about ableism is that we’re okay just the way we are. Feeling shame about disabilities? That’s not ingrained in us from birth. That’s something that we learn from the interactions we have with the world around us. I hope that as teachers embrace anti-ableism, instead of seeing us as a collection of deficits that need to be measured and tracked, they see the beautiful parts of our existence.

One of my greatest gratitudes about being autistic is the level of joy I get to experience in my special interest, in sensory things, in being able to see the world in such a beautiful, unique way that not everyone does. I hope that through this training, we can teach teachers to see that in their students, and we give students the opportunities to grow and learn to love themselves and find things to be proud of about their disabilities, versus just trying to make them conform to the expectations of a non-disabled society.

I got lucky when I landed at the Autism Society. But at the end of the day, I also recognize that all the things that make me so good at my job are because I’m autistic. I want future generations of kiddos with disabilities to grow up finding that pride and that joy in who they are.

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Survey Finds Poor Outcomes for Students with Disabilities After High School /article/survey-finds-poor-outcomes-for-students-with-disabilities-after-high-school/ Sat, 30 Mar 2024 14:30:00 +0000 /?post_type=article&p=724528 This article was originally published in

About a quarter of Washington鈥檚 students with disabilities don鈥檛 find employment or enroll in higher education within a year of leaving high school.

Outcomes are even worse for students with autism or intellectual disabilities: 54% of graduates with intellectual disabilities are not engaging in employment or higher education within a year, and 41% of those with autism fall into the same category.

The data comes from a from the state Office of the Superintendent of Public Instruction, which analyzes information collected in 2022 from students receiving special education services who left high school in the 2020-2021 school year.


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Joshua Taylor, a professor at Washington State University who studies transitions from school to employment for students with intellectual and developmental disabilities, said the reported outcomes for those students are 鈥渞eally troubling.鈥

鈥淭hese rates of trying to improve employment outcomes for people with disabilities 鈥 and particularly for people with intellectual and developmental disabilities 鈥 have been stuck for 30 years or so,鈥 Taylor said. 鈥淲e just haven鈥檛 seen a lot of positive change.鈥

That鈥檚 reflected in the report: In the past five years, the lowest rate of 鈥渘o engagement鈥 in higher education or employment was 25% for students who left during the 2017-2018 school year. The highest rate of 鈥渘o engagement鈥 was 30% for students who left in the 2019-2020 school year, which may also reflect the effects of COVID-19, Taylor said.

Washington students with intellectual disabilities also have lower rates of competitive employment, defined as a part-time or full-time job with similar wages as non-disabled workers.

At around 12% for students with intellectual disabilities and 15% for students with autism, rates of competitive employment in Washington are even lower than the national average, Taylor said 鈥 although he cautioned that it鈥檚 difficult to compare state and national datasets due to how the information is collected. found rates of competitive employment for students with intellectual and developmental disabilities nationwide was 20% in 2014.

The report also includes rates of 鈥渙ther employment,鈥 which includes employment of disabled workers at salaries below minimum wage. That鈥檚 still legal in 37 states, including Washington, from the National Partnership for Women and Families. Congressional lawmakers to end that practice in February.

Taylor said there鈥檚 a lot being done on both the federal and state levels to improve rates of employment and education among youth with disabilities transitioning to adulthood.

It鈥檚 been 10 years since the Workforce Innovation and Opportunity Act of 2014 was implemented, which requires state vocational rehabilitation agencies 鈥 which provide employment services to people with disabilities 鈥 to use at least 15% of their federal funds on making sure students with disabilities have access to services that help them find employment after school.

States are given a lot of leeway as to how they attempt to meet that goal, but Taylor said one of the most promising ways is through facilitating paid work experiences before students leave school. Research shows students are much more likely to pursue further employment or education if they鈥檝e already experienced what paid work is like, he said.

In Washington, Taylor鈥檚 own work with Washington State University, for example, includes developing the , which helps students determine what services are available to them.

鈥淭he idea is really to impact the numbers that we鈥檙e seeing here, and to bend these trajectories of students that have been stuck鈥ort of all across the country,鈥 Taylor said.

is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Washington State Standard maintains editorial independence. Contact Editor Bill Lucia for questions: info@washingtonstatestandard.com. Follow Washington State Standard on and .

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America’s Most Popular Autism Therapy May Not Work 鈥 and May Seriously Harm Patients’ Mental Health /article/americas-most-popular-autism-therapy-may-not-work-and-may-seriously-harm-patients-mental-health/ Wed, 06 Mar 2024 11:01:00 +0000 /?post_type=article&p=723190 In 1987, a prominent University of California Los Angeles psychologist published the culmination of his life鈥檚 work 鈥 and spurred headlines across the globe. Ole Ivar Lovaas claimed that delivering a new therapy one-on-one for 40 hours a week had made nine of 19 autistic children “indistinguishable from their typically developing peers.” Half his subjects, he reported, saw 30-point IQ gains, learned to speak normally and were able to function alongside other students. 

It was huge news. At the time, an autism diagnosis frequently meant life in an institution for the child in question. The opening of a path to a version of a 鈥渘ormal鈥 life seemed nothing short of a miracle. Few people questioned the history of Lovaas鈥檚 research or the ethics of his methods.

Rather, determined to do right by their children, parents fought hard to get the new therapy, dubbed applied behavior analysis, or ABA 鈥 though it was as expensive as it was supposedly game-changing. Today, there is an excellent chance that a child diagnosed as autistic will receive a referral to a provider of ABA, routinely described as 鈥済old standard鈥 therapy that uses behavior modification techniques to eliminate traits deemed undesirable. 


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As the rate of U.S. children identified as autistic has risen to 1 in 36, an entire industry has grown up around them. Where once parents had to sue to force school systems, social service agencies and insurers to pay for what was billed as an autistic child鈥檚 only fighting chance, today there are ABA treatment centers where families and schools can send a child; therapist degree programs; at least 100 companies running networks of ABA centers; countless standalone programs; dedicated ABA schools that students attend full time at public expense; and ABA training for special education teachers. With all this comes the potential for profit 鈥 up to , according to investment firms 鈥 and thus an army of lobbyists and public relations specialists making sure ABA is the first, and often only, therapy available. Armed with testimonials of success, parents became 鈥 and many remain 鈥 their zealous ambassadors. 

But 37 years after Lovaas’s bombshell article, researchers, therapists and autistic adults who themselves were ABA patients as children are pushing back. Proponents of other approaches and some educators 鈥 as well as the U.S. Education Department 鈥 have expressed frustration over the depth with which ABA has become ingrained, to the exclusion of other therapies and the potential detriment of potentially hundreds of thousands of children. A critical mass of advocates is challenging the notion that non-disabled diagnosticians should get to decide how autistic children should be treated 鈥 indeed, how the entire concept of disability should be defined

The U.S. Department of Defense, among other research organizations, has called into question whether ABA actually works. And scholars are investigating whether it causes harm to the children subjected to it. Some who experienced the intervention say it absolutely does.

The problems with ABA started early on, beginning with Lovaas’s own beliefs.

“You start pretty much from scratch when you work with an autistic person,鈥 he told Psychology Today in 1974. 鈥淵ou have a person in the physical sense 鈥 they have hair, a nose, a mouth 鈥 but they are not people in the psychological sense.” 

This lack of humanity, Lovaas did not shy away from saying, justified using electric shocks, slaps, withholding of food and other forms of physical punishment to 鈥渆xtinguish鈥 autistic traits 鈥 even joyful ones 鈥 and replace them with 鈥渘ormal鈥 behaviors. 

Simultaneously, Lovaas was using the same methods to 鈥渢reat鈥 suspected homosexuals and transgender people 鈥 so-called conversion therapy, which was quickly recognized as a human rights abuse. But the same reasoning that propelled the research community to turn away from using 鈥渙perant conditioning鈥 on LGBTQ people was not extended to autistic children. Instead, proponents charged ahead 鈥 even though Lovaas鈥檚 own landmark study does not come close to what many . The Norwegian-born psychologist, who died in 2010 at age 83, had personally decided which children received his pioneering intervention and which became the control group. Six years after his initial publication, Lovaas conceded that ABA becomes less effective over time, because, 鈥淭hese people are so used to pain that they can adapt to almost any kind of aversive you give them.鈥 

More concerning, a growing body of research from, among other sources, the and a multi-disciplinary team of university scholars called Project AIM has found the evidence base for ABA is too thin and of too poor quality to justify its widespread adoption. The majority of studies that have found it effective are rife with industry conflicts of interest. 

And many former patients who were subjected to ABA as children believe the treatment is abusive. found that just 5% of autists 鈥嬧嬧 a term used by some people with autism 鈥 support the therapy, with a majority of neurotypical relatives of autistic people opposing it. 

As neurodivergent adults have moved into the ranks of academic and independent researchers, some have begun compiling evidence that ABA subjects are more likely than other autists to suffer from PTSD and other serious mental health problems. 

鈥淚t doesn’t seem to be on anyone’s radar that these interventions could cause harm,鈥 says Kristen Bottema-Beutel, a Boston College professor and an author of the Project AIM . 鈥淭here seems to be this unwillingness to listen to autistic people who say that it does.鈥

It鈥檚 a Catch-22, she continues: 鈥淭here’s no evidence. But the reason there’s no evidence is because we are unwilling to collect it.鈥

‘My monkey tricks were impressive but dehumanizing’ 

Unlike Lovaas, most of today’s ABA therapists don’t wield paddles or electric shocks. But they continue to push for compliance in ways many parents and autistic adults describe as controlling and abusive. There鈥檚 no more slapping, but toys, treats and 鈥 possibly most damaging 鈥 attention are frequently withheld when a child is not compliant. The goal remains 鈥渆xtinction鈥 鈥 the term still used for the process of drilling until an autistic behavior no longer takes place. The centerpiece of this conditioning still bears the name Lovaas gave it: the discrete trial.

Often delivered for long periods, and beginning at ages when children are too young to sit still and obey commands, ABA involves a therapist giving an instruction 鈥 such as asking the child to make eye contact, fold their hands in their lap or speak out loud. Positive and negative feedback comes repeatedly and rapid-fire, sometimes including physical reinforcement like turning the child鈥檚 head or holding their hands down. When the patient complies, a new command is introduced. 

A French child undergoes ABA therapy in 2008. (Getty Images)

Sometimes, the targeted behavior is dangerous for the child, such as head-banging, or exhausting for caregivers, such as smearing food or feces. Other times, it鈥檚 simply a visible deviation from 鈥渘ormal.鈥 Either way, the goal is to train the child to respond differently to the surrounding environment. 

The upshot, say many adult autists, is that because patients appear more neurotypical, non-disabled people may believe they are 鈥渂etter,鈥 when in fact they may well have sunk into a state of burnout and are developing mental health issues. 

From a non-autistic perspective, many of ABA鈥檚 goals seem entirely reasonable 鈥 indeed, even a kindness undertaken to facilitate a child鈥檚 chances of social acceptance. It鈥檚 hard to make neurotypical friends, the reasoning goes, if your affect is flat or you make guttural noises when you are excited. Teachers can鈥檛 deliver lessons if they鈥檙e trying to keep a student from bolting from the classroom. It鈥檚 nigh unto impossible for a parent to finish the grocery shopping with a kid who has melted down and may be physically out of control.

ABA, autistic adults say, may train a child to stop some of these behaviors. But it does nothing to address the underlying causes or teach coping skills, and comes at a tremendous psychological cost. To someone who is easily overstimulated, buzzing fluorescent lights, hyperactive siblings or continual changes of setting and activity can make classrooms and public spaces a sensory nightmare.

Take, for example, the common ABA goal of asking a child to make eye contact. While there are several levels of expertise, and therapists鈥 training varies, the board that certifies ABA practitioners 鈥渞equires no education and training on autism in general, let alone [its] cognitive and neurological characteristics,鈥 the journal . So therapists who compel eye contact 鈥 even going so far as to turn the child’s head so they are face to face 鈥 may not know that the portion of autistic children鈥檚 brains that is primarily responsible for anxiety. 

One way autists cope with anxiety is to 鈥渟tim鈥 鈥 make sounds or movements, such as hand-flapping or rocking, that discharge this overstimulation. The more overstimulated a child gets, the more pronounced the behavior. Unable to self-soothe or leave an overwhelming environment, the child is likely to melt down. In trying to eliminate stims, the authors of the Cogent Psychology article report, ABA makes 鈥渁rbitrary distinctions between which movements are pathological and which are not.鈥

鈥淎 lifetime of being punished for certain movements, and being forced to engage in eye contact despite the physiological pain and discomfort of doing so, is psychological and physical abuse,鈥 they write. 鈥淎 lifetime of being forced to sit still with no regard for actual cognitive abilities can create further emotional and psychological harm.鈥 

As neurodivergent adults have moved into the ranks of academic and independent researchers, some have begun compiling evidence that ABA subjects are more likely than other autists to suffer from PTSD and other serious mental health problems.

Autists describe attempting to appear 鈥渘ormal鈥 as masking or camouflaging. It often takes so much effort that it can suck up all of a person鈥檚 energy, meaning they may not actually hear a lesson being delivered or be able to engage with a conversation. If directed to do something that is a physical impossibility, a child may not even be able to mask. 

Nor will behavioral therapies do anything to change what a person鈥檚 neurotype 鈥 the scientific label for a brain and body that operate differently 鈥 physically prevents them from doing.

鈥淭hey are neurological problems, not problems with my social understanding or intellect,鈥 one adult who experienced ABA told researcher Laura Anderson for published in the journal Autism. 

Research on the harms of masking is mounting. published in Advances in Autism found ABA participants were 86% more likely to meet the diagnostic criteria for PTSD than autistic people who were not exposed to the therapy. Nearly half of those affected displayed PTSD symptoms that would be considered at 鈥渆xtreme levels of severity.鈥 

An suggests that separate from mental health conditions, with heightened risk of suicidality, already than the general population. 

Summarized one participant quoted in Anderson鈥檚 report: 鈥淢y monkey tricks were impressive but dehumanizing.鈥 

Who wouldn’t want to hear, ‘I love you’?

When Elizabeth鈥檚 daughter Lily was diagnosed at age 3, she was told to start ABA as soon as possible, preferably for 40 hours a week. 鈥淚t鈥檚 just overwhelming,鈥 Elizabeth recalls. 鈥淚 didn鈥檛 know anything about the diagnosis. I didn鈥檛 understand what it could mean.鈥 (To protect the child鈥檚 privacy, Elizabeth and Lily are pseudonyms for a mother and daughter who live in a Massachusetts city that is home to a number of universities.)

A scientist, Elizabeth downloaded all the research she could find and immediately became concerned. Because of ABA鈥檚 focus on how many correct responses a child provides, there was data galore. But it documented the number of times it takes to extinguish or create a behavior. None of it told her how Lily鈥檚 life might change. 

Lily is hyperlexic, meaning that for such a little girl she had a huge vocabulary. But she is sometimes nonverbal. For some autists, speaking out loud may be physically difficult, even impossible. Coordinating the complex physical and mental functions that go into talking may take so much effort that it wears them out or sends them into a meltdown.

‘They are neurological problems, not problems with my social understanding or intellect’

A common criticism from autistic adults who experienced ABA is that they used precious energy struggling to say what the therapist wanted to hear just to get the exercise to stop. A therapist may eventually succeed in getting the child to name the toy they want, but it often stymies meaningful communication.   

Unaware of the hurdles speech can pose, parents are often thrilled when ABA teaches their child to speak 鈥 after all, who wouldn’t want to hear, “I love you”? They rarely realize that other approaches could facilitate more interaction while taxing their child less.

In fact, because ABA is frequently offered in place of speech-language therapy or assistive technology 鈥 such as programmable electronic 鈥渢alkers鈥 that allow children to piece together pictures or symbols into sentences or even stories 鈥 parents and teachers may not be aware of how much language a child actually has.

Lily spoke as a small child, but as she got older, she would stop talking for a day or two at a time. Elizabeth wanted to teach her to sign but was discouraged by health care providers who had heard from ABA therapists that children given alternate means of communication are less likely to become verbal. 

When Elizabeth was first looking into ABA鈥檚 research base, she saw that among the evidence that it works was data on the number of times a patient speaks. To her, this was a poor substitute for knowing whether Lily could describe how she felt or what she was thinking about.

Lily now has a device she can use when she can鈥檛 or doesn鈥檛 want to speak. Often, Elizabeth says, the girl is much more expressive with it. 

鈥淵ou can train any mammal to do the things that ABA can train your kids to do,鈥 Elizabeth says. 鈥淗ow a kid is feeling and growing in terms of their relationships and their anxiety and feeling comfortable with people 鈥 that鈥檚 really different than sitting at a table and pointing at a picture nine times out of 10.鈥 

Based on data gleaned from the nearly 10 million military dependents it insures, the U.S. Department of Defense has repeatedly called the evidence supporting ABA “,” noting there is no research to determine whether the small number of participants who show improvement 鈥 15% 鈥 do so because of treatment or simply because a child has matured. After a year of the therapy, the department reported to Congress in 2019, 76% of 16,000 participating autistic children saw no change, and 9% worsened.

(The private nonprofit National Academies of Sciences, Engineering and Medicine is conducting a federally mandated of the Defense Department鈥檚 autism intervention research. Its findings are slated for release in summer 2025.)

Even accepting more typical behavior and communication as legitimate goals, research has found scant evidence that the treatment achieves those outcomes. Results of a randomized trial in England, for instance, 鈥渟uggest lack of clinical effectiveness,鈥 in 2020. A of the 鈥淟ovaas Method鈥 by the U.S. Department of Education鈥檚 What Works Clearinghouse looked at 58 studies, concluding that only two even partially met its standards.  

Project AIM’s , published in 2020, found little high-quality research 鈥 and little evidence in the investigations that did meet rigorous standards 鈥 that supported ABA鈥檚 efficacy. Of the 150 investigations undertaken between 1970 and 2018 the Project AIM team examined, had serious conflicts of interest, which less than 6% disclosed. 

After an autistic researcher, Michelle Dawson, pointed out that Project AIM had not considered whether the studies it analyzed reported side effects or harm, members reexamined them and found that only 11 included even cursory mentions of participants鈥 psychological or physical distress.

Including adverse events data should be standard, says Bottema-Beutel, the Boston College professor and Project AIM author: 鈥淚t is in other fields, and it absolutely isn’t in autism research. 鈥 It’s especially important because there is an enormous community of autistic people who say that they have been harmed by participating in these interventions.鈥

A related flaw in the overall body of research, Bottema-Beutel adds, is that it disregards what autistic people say they want in the way of therapeutic support. 鈥淚t would be difficult to find studies that were well designed, that don’t have risks of bias [and] that show improvement on meaningful outcomes that autistic people care about,鈥 she says. 鈥淪how me an ABA study where they improve quality of life.鈥

‘It was so humiliating being there’

Concerned about the way ABA-affiliated researchers defined and quantified success, Elizabeth went back to the internet and searched for opinions from autistic adults. 鈥淚 just wanted to hear from older autistic people who experienced therapy,鈥 she says. 鈥淎nd try to understand that from my daughter’s perspective, because at the time, she certainly couldn’t tell me.鈥

What she heard were responses like these:

鈥淚t resulted in corrosive damage to self-esteem and deep shame about who I really am,鈥 told a University of California researcher in 2017. 鈥淣o effort was made to explain autism to me or to explain the role of sensory overload in issues like meltdowns, shutdowns, etc.鈥

Therapists, another former participant at the Autistic Self Advocacy Network, 鈥渢each you to anticipate that when you say 鈥榥o,鈥 they鈥檒l bulldoze through that because you don鈥檛 own your own body.鈥 

Another said she was left with crippling social anxiety: 鈥淎ll of those things that I was doing wrong would automatically go through my head any time I was in a social situation. … I would be inherently super judgmental and self-critical about everything I was doing to the point where even in some social situations, I just shut down.鈥

And: 鈥淚t was so humiliating being there.鈥 

Perhaps the most painful element of the swelling controversy about ABA is the clash of perspectives of neurotypical parents and autistic adults who say 鈥 often bluntly 鈥 that the effort families are making to do right by their child is misguided. The conversation is especially freighted because both groups have unhappy histories. Until Lovaas, poor parenting was blamed as the root cause of autism. For their part, many autistic adults are enraged that they are not routinely invited to help shape research and policy. 

Autistic adults who believe they were harmed by ABA are quick to say they believe their parents were doing the best they could with the information and resources they had. 鈥淚 am not mad at them for their effort,鈥 one autistic woman looking into trauma rates. 鈥淭hey weren鈥檛 disrespectful. They just had a flawed paradigm for autism, and therefore, what they tried didn鈥檛 work. That doesn鈥檛 make them bad people.鈥

Many parents wholeheartedly believe ABA delivers great victories. Often, they are proud that after their struggles to find services and pay for them, their child talks, follows directions and has far fewer disruptive behaviors.  

One of the most visible advocacy organizations, has played a leading role in helping families of autistic children press for expanded access to ABA . 

The organization鈥檚 stance on ABA is that it may be effective for some people and not others; therapies should be tailored to the individual and should not attempt to enforce behaviors based on social norms. When implemented properly, the organization holds, 鈥淎BA can lead to improvements in IQ, adaptive behavior, communication skills, social skills and a reduction in challenging behaviors.鈥 

The evidence behind behavioral science is sound, says Andy Shih, Autism Speaks鈥檚 chief science officer. But as with any other treatment, there can be differences in how a therapy is conducted 鈥 particularly given the range of training and experience among therapists. A skilled practitioner working in the right conditions can succeed in changing behavior, he says, most notably eliminating those that endanger a child.    

鈥淓verybody experiences ABA differently,鈥 says Shih. 鈥淭he setting in which we see them, the quality of the service provider, they all make a difference, I think. In general, even though there are established standards and criteria in terms of what a good autism service should look like 鈥 just like in other branches of medicine, what is ideal and what is actually delivered, sometimes there’s a big gap.鈥

Eileen Lamb, director of social media for Autism Speaks, credits nine years of ABA for helping one of her children, who is nonverbal and has a potentially dangerous eating disorder called . The boy, Charlie, is now able to express his basic needs.

鈥淗e鈥檚 also learned safety skills like being able to 鈥榮top鈥 when someone asks him to,鈥 Lamb said in a statement provided by Autism Speaks. 鈥淎BA was also successful in helping Charlie through his fear of the doctor and dentist. We don鈥檛 have to put him under anesthesia for dental exams/interventions anymore, which is incredible.鈥

Similar glowing recommendations from parents abound. Last summer, a group of Indiana parents after being alerted by their kids鈥 therapy centers that the state wanted to cut reimbursement rates. They gathered outside the governor鈥檚 mansion, holding signs that said, 鈥淎BA is the way鈥 and, 鈥淭hey wouldn鈥檛 be who they are today without ABA.鈥 

In Virginia, then-Delegate Bob Thomas kicked off a 2019 press conference announcing a push to expand access to autism therapy by asking the grandson of a local advocate to step to the dais. 

鈥淢ark is a great example of why we are here today,鈥 , explaining that the child had once been unable to speak. 鈥淭hanks to the services and the resources Mark had access to, he’s now able to stand here in front of a roomful of media, media cameras and lead us in the Pledge of Allegiance.鈥

In response to a reporter鈥檚 question about what was at stake, a mother of three autistic boys stepped to the mic: 鈥淚f it weren鈥檛 for the behavior therapy that we receive, we would not be able to go out in public like this today.鈥  

Add to displays like these on , memoirs penned by parents who credit ABA with their children鈥檚 miraculous recoveries and that the therapist’s arrival gives them a much-needed break from kids who require constant supervision. 

Research has begun to probe the disconnect between parents鈥 and children鈥檚 perceptions. The , for example, predicted that nearly half of autistic children exposed to ABA will meet the threshold for a PTSD diagnosis within four weeks, while caregivers鈥 satisfaction will rise as the treatment goes on.

Still, the study noted, 9% of caregivers surveyed discontinued the therapy because they didn鈥檛 see enough progress or saw negative changes. Overall, 鈥渃aregiver satisfaction was generally reported within the neutral range. The longer a child was exposed to ABA, the more likely a caregiver was to rate the intervention as effective for improving overall functioning.鈥 

Have you seen Mr. Potato Head?

Denise鈥檚 son Logan was 27 months old when a neurologist at the prestigious Boston Children鈥檚 Hospital diagnosed him with autism. He was smart and carefree but very rambunctious, more likely to throw toys than play with them. He never spoke words but used his voice to stim. (To protect Logan鈥檚 privacy, he and his mother have been given pseudonyms. The family lives in western Massachusetts.) 

Home to numerous elite research universities 鈥 including Harvard, where behaviorist B.F. Skinner planted ABA鈥檚 conceptual roots 鈥 Massachusetts is considered a great place for autistic children. It was one of the first to mandate insurance coverage for autism services and now contracts with 22 companies to provide intensive early interventions. ABA dominates the offerings. 

Eager to get her son as much help as possible, Denise got him on wait lists for two treatments: ABA and a lesser-known approach called Floor Time. Within two weeks, an ABA therapist was spending 14 hours a week with Logan. 

For a while, Denise says, things went fine. But when COVID-19 forced the therapy online, Logan balked. 

鈥淭he idea that he was hiding in the closet because I was turning on the computer for ABA was just like a total alarm going off,鈥 she says. 

Denise told the therapist the discrete trials didn’t seem like a good fit, fears that were compounded when in-person services started back up. At her first visit, the therapist invited Logan to jump on a trampoline with her. She pointed a finger skyward and said, 鈥淯p, up, up.鈥 Pointing his own finger, a delighted Logan started shouting the word with her. Saying words out loud was new for him.

The victory was short-lived. The therapist moved on, asking Logan to put his hands in water. Still excited, he kept pointing and chanting, 鈥淯p, up, up鈥 instead. The response was gentle but devastating: The therapist folded his finger down and moved his hands where she wanted them. The boy shut down. 

鈥淭o see the joy disappear from his face 鈥 all of a sudden he鈥檚 no longer a willing participant,鈥 Denise recalls. 鈥淭here was no abuse or anything, but she made him comply.鈥 

Denise canceled Logan’s ABA. Meanwhile, his name had come up to the top of the Floor Time wait list. Floor Time uses play-based activities that the child chooses. The aim is to make interactions increasingly complex.

‘The idea that he was hiding in the closet because I was turning on the computer for ABA was just like a total alarm going off’

During the first session, Logan picked up a Mr. Potato Head and threw it. Denise watched with bated breath, anticipating negative reinforcement. But the new therapist started throwing toys, too. And then wandered the room picking up toys and asking in a silly voice if they had seen Mr. Potato Head.

鈥淎ll of a sudden, [Logan] is picking up a toy and perfectly imitating her intonation 鈥 without words, but her tone perfectly,鈥 says Denise. Next, he held toys in front of his mouth and said words for them. Soon, Logan was a chatterbox, talking about the dream he had the night before, ways to defeat bad guys, becoming a superhero 鈥 everything. 

Insurance codes and new markets to mine

As recently as the year 2000, insurance coverage was not required for autism therapies, which cost from $10,000 to $100,000 per year. After fierce lobbying, by 2017 advocates succeeded in pushing laws requiring reimbursement in 46 states. As this sea change was taking place, ABA therapists were among the few people with formal credentials who could step into jobs created to help families access newly covered services. 

This meant that ABA practitioners were often the ones who created insurance billing codes, referral networks and other systems, making them de facto gatekeepers. As a result, though many states require coverage for other types of therapy, getting care other than ABA can be incredibly difficult. Parents who get referrals for speech and occupational therapists, or for augmentative and assistive communication technology for their nonverbal children, often find that the only available providers typically offer ABA.

Revel Weber has firsthand experience with this. A clinical social worker and the autistic parent of four children, one of them autistic and two with ADHD, several years ago she was asked to create a program to serve autistic children belonging to the White Earth Nation in northern Minnesota. As part of her research into treatments that would both benefit tribal families and qualify for public funding, Weber took some online ABA training courses. 

Revel Weber

She quickly decided it wasn鈥檛 appropriate for White Earth children. In addition to being uncomfortable with the focus on compliance, Weber, who is not American Indian, believed ABA could play negatively into historical trauma associated with attempts to assimilate Native children. 

Like many states, Minnesota requires insurers to pay for a number of autism therapies, but as Weber explored alternatives to ABA, she ran into a maze of red tape. In their rush to provide the greatest access to services, the government created Medicaid reimbursement codes 鈥 the backbone of health care billing 鈥 that reflected the most available treatments. The majority were ABA. Thirty-seven years after Lovaas’s bombshell study, there are numerous ways to become an ABA therapist, ranging from full-fledged degrees to online courses. But there are far fewer providers of other kinds of treatments. Those ABA therapies are now locked into the codes, meaning billing for anything else can be difficult.

The ABA sector’s strategies for making its services widely available were smart, says Jeffrey Guenzel, head of the International Council on Development and Learning, which provides Floor Time training. But it has made it challenging for other therapies to become established. 

The intervention鈥檚 rapid spread has also resulted in uneven quality, even supporters like Shih, of Autism Speaks, say. Some practitioners hold credentials that may require an advanced degree and long experience, while others 鈥 typically identified as technicians 鈥 may have taken only a few hours of virtual training.    

Venture capitalists are up front in saying the increase in autism diagnoses and continued unmet demand suggest the sector is poised for explosive growth. In , one investment company asserted that there are about 1 million autistic children in the United States. In 2020, the analysis said, ABA programs generated $1.4 billion 鈥 a figure expected to grow to $2.45 billion by 2025. And there are new markets to mine.   

鈥淎BA treatment is widely recognized as the most effective method for treating [autism], but its evidence-based treatment methods are applicable beyond [autism] alone,鈥 the brief asserts. 鈥淢ental health issues in schools and the provision of more providers will ultimately expand ABA recognition beyond [autism] exclusively.鈥 Other areas of opportunity, the investment bankers鈥 materials say, include ADHD, Obsessive-Compulsive Disorder, Panic Disorder, Oppositional Defiant Disorder and PTSD.  

The one and only option

For the first few years after earning a degree in special education, Ryan Haenze, himself autistic, taught in Twin Cities school districts. His training was to let students鈥 interests steer his instruction, but this wasn鈥檛 what his higher-ups wanted. They wanted behavior management, he says 鈥 specifically, compliance. 

The kind of instruction he favored because of his autism 鈥 sensory accommodations, interactive projects and movement breaks for the kids 鈥 earned him bad evaluations. 鈥淚 had administrators saying, 鈥榃hat you are doing is not best practice. You need to physically put these kids into chairs, do hand-over-hand,鈥 ” says Haenze, meaning moving the child鈥檚 hand with his own. 鈥淚t needed to be those specific, very structured methods.鈥 

Ryan Haenze

Haenze repeatedly pointed out that those strategies often lead to explosive behavior. Once, he said, he watched helplessly as one of his third graders was removed from school in handcuffs. 

At many schools like Haenze’s, administrators adopt ABA principles because they are viewed as best practices. But other places take a more formal approach. For example, Boston Public Schools now offers ABA in every school. Between 2011 and 2021, , the number of behaviorists in the district doubled. Families with autistic kids in Cambridge Public Schools are routinely placed in ABA-aligned classrooms.

Many communities have privately operated ABA schools that students attend full time at district expense. Haenze says most of his students received therapy at ABA centers as toddlers and preschoolers. In kindergarten, they began spending half their day at school and the rest at an ABA center 鈥 a common arrangement.

However, the U.S. Department of Education鈥檚 Office of Special Education and Rehabilitative Services has warned schools not to let ABA crowd out other services that are supposed to be considered for students鈥 Individualized Education Programs. Specifically, the department said it had received reports that a growing number of children were not being evaluated by the range of professionals who typically determine what the appropriate 鈥 and under a child’s IEP, legally mandated 鈥 services are.

鈥淪ome [special education] programs may be including applied behavioral analysis (ABA) therapists exclusively without including, or considering input from, speech language pathologists and other professionals who provide different types of specific therapies that may be appropriate,鈥 . 鈥淲e recognize that ABA therapy is just one methodology used to address the needs of children with [autism] and remind states and local programs to ensure that decisions regarding services are made based on the unique needs of each individual child.鈥

Communication support is one accommodation that has become increasingly scarce as ABA鈥檚 strategies for teaching children to be verbal have spread, says Zoe Gross, director of advocacy at the Autistic Self Advocacy Network. Because many people believe spoken words are superior, special educators often aren鈥檛 trained in the alternative technologies, she says. 

For Haenze, being an autistic teacher unable to convince his co-workers he had useful insight was maddening, he says. Receiving poor evaluations from supervisors unwilling to consider that his ideas might make classrooms calmer and students more engaged was demoralizing. Worse, he says, was neurotypical teachers鈥 misunderstanding of their students鈥 capacity for self-expression 鈥 and, by extension, their intellect.

Midway through his sixth year, Haenze quit teaching and went to work for the Minnesota Disability Law Center as an advocate.

‘I don鈥檛 ever want them to feel shame’

Given the prevalence of ABA, it is difficult even for parents who don’t want to engage with the treatment to avoid it entirely. Denise says that for a long time, she was asked at Logan’s pediatrician check-ups whether he was getting the therapy. It made her nervous to say no, over and over again, and know that answer is being entered into an official record. Eventually, though, it was so clear the boy was thriving that the conversations stopped. 

Elizabeth, too, rejected offers of ABA interventions many times, simply saying her family doesn鈥檛 think it is a good fit for Lily. She believes she got away with turning down services because her daughter doesn鈥檛 engage in many behaviors that schools typically try to eliminate.

Weber has gone a step further 鈥 choosing, based on her experience as both a therapist and an advocate for her children, not to have her autistic son diagnosed or evaluated for special education, where she would have to fight to turn down ABA-related services. 

鈥淚 am trying to avoid that,鈥 she says, choosing instead to work with the boy and his two neurodivergent brothers herself, at home. 鈥淚 don鈥檛 ever want them to feel shame. I always want to instill pride in who they are.鈥

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No More Cures, No More Fixes: How Autistic Leaders Are Changing the Therapy Debate /article/no-more-cures-no-more-fixes-how-autistic-leaders-are-changing-the-therapy-debate/ Wed, 06 Mar 2024 11:01:00 +0000 /?post_type=article&p=723332 Fifty years ago, Congress passed the first law recognizing the civil rights of people with disabilities. Prohibiting discrimination in education, transportation, access to public buildings and facilities, the Rehabilitation Act of 1973 set the stage for .

The 1975 passage of what is now known as the Individuals with Disabilities in Education Act established that every child, no matter how profound their needs, has a right to a 鈥渇ree and adequate鈥 public education. In 1990, the Americans with Disabilities Act enshrined in law the right of people with disabilities to enjoy the fullest possible access to jobs, housing and other pillars of a life of dignity. It meant they were entitled to have a wheelchair ramp, sign language interpreter or other forms of assistance that would help them literally take a place at the tables where discussions of their needs were underway. 

Once included, people with disabilities pushed for a shift in thinking about how disability issues should be framed. In the past, the non-disabled people making decisions about how to meet the needs of people with disabilities employed what was often described as the medical model. The goal was to determine how to make up for physical, neurological and intellectual deficits. 


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Today, many disabled people prefer what they call the social model, which instead identifies systemic barriers to participation in society, including ignorance, bigotry and social exclusion. The new goal is to make the environment more inclusive and hospitable to everyone. 

Nowhere has this change of attitude been more apparent than among autistic people. Autism, once blamed on poor parenting, is now understood, in scientific terms, to be a neurotype 鈥 not a condition resulting from a lack of anything physical or psychological, but a body and brain wired differently. Not only is it impossible to fix or cure autism, many autistic adults say, it鈥檚 not desirable; autists have abilities that non-autistic people don鈥檛. 

And they are demanding a voice in how their own needs should be met. As the motto of the Autistic Self-Advocacy Network puts it: 鈥淣othing about us without us.鈥

One flashpoint is applied behavior analysis 鈥 long described as the 鈥済old standard鈥 intervention for autism. Developed and nurtured into a multi-billion-dollar industry by neurotypical researchers, parents and service providers, ABA is now the chief therapy recommended when a child is diagnosed as autistic. 

Created in the 1980s, ABA aimed to condition autistic children to act as neurotypically as possible using punishments including slaps, electric shocks and withholding of food. Many parents saw its goals as desirable 鈥 autistic youngsters can exhibit behaviors that can exhaust caregivers and teachers, and make friendships difficult, if not impossible. Over the years, ABA has moved away from physical punishment, and many families credit the therapy with helping their child make miraculous strides. 

But many adult autists believe even its more recent methods of withholding toys, treats and attention and physically compelling patients to make eye contact 鈥 which some find extremely painful 鈥 can be extremely damaging to their mental health. Some, who have become autism researchers themselves, have documented harms ranging from dramatically higher incidences of PTSD to a debilitating focus on compliant behavior that impairs participants鈥 ability to act independently as adults.

And research from, among other sources, a multi-disciplinary team of university scholars and the 鈥 which insures thousands of autistic military dependents who have undergone the treatment 鈥 has found the evidence base for ABA thin and of poor quality. This is particularly troubling to critics of ABA, as it is often the only therapy offered to parents, to the exclusion of other, possibly more effective, treatments.

‘If I Knew Then What I Know Now 鈥 A Parent’s Autism Story’ (Multicultural Autism Action Network)

During , Julia Bascom, until recently the network’s executive director, offered an example of how changing the prism through which disability is viewed clashes with the most prevalent therapies and services:

鈥淚n the medical model, autism means that my senses are disordered. If sounds hurt me, the solution is to fix how my brain is processing those sounds, or teach me how to get used to it, or at least how to hide my discomfort. The problem is located in my body. In the social model, the solution to auditory overload is to give me a pair of headphones. 

鈥淭he social model also allows us to acknowledge complexity 鈥 that the same painful sensitivity might also make my experience with music uniquely transcendent. The same thing that makes wool unbearably itchy might also make water between my fingertips more soothing than anything else in the world. Maybe not all of those things need a 鈥榮olution.鈥 Maybe autism might need a more nuanced approach than has traditionally been offered.鈥

There are also concerns that trying to alter a fundamental aspect of a person鈥檚 identity 鈥 especially without their consent, as in young children 鈥 violates their rights.

An assistant professor who teaches bioethics at the University of Pittsburgh School of Nursing, Daniel Wilkenfeld was diagnosed as autistic after an evaluation of one of his children 鈥 a common occurrence. ABA鈥檚 goal of trying to train youngsters to act in ways found socially acceptable is unethical, he wrote in a 2020 paper published in the Kennedy Institute of Ethics Journal.

鈥淎utism advocates are fully justified in their concerns,鈥 wrote Wilkenfeld and co-author Allison McCarthy. 鈥淭he rights of autistic children and their parents are being regularly infringed upon. Specifically, we will argue that employing ABA violates the principles of justice and nonmaleficence and, most critically, infringes on the autonomy of children and (when pushed aggressively) on parents as well.鈥

The most basic problem, they say, is that the therapy is promoted even though it may not benefit children themselves: 鈥淚f we are correct that the use of ABA at least frequently violates the standard principles of bioethics, then this has massive implications for health care and society generally.鈥

Like many critics, Wilkenfeld notes that ABA was developed in tandem with so-called conversion therapy used to 鈥渢reat鈥 suspected homosexuals and transgender people 鈥 in the same lab, by the same researchers. But the reasoning that soon turned the research community away from using 鈥渙perant conditioning鈥 on LGBTQ people has not been extended to autistic children. 鈥淭hankfully, most of society recognizes that being gay is not a problem,鈥 he says. 鈥淭here is less recognition that, for the most part, being autistic is a perfectly valid and helpful identity to have.鈥

Indeed, one rarely discussed aspect of attempting to replace autistic traits with more 鈥渘ormal鈥 ones is that it can wipe out the ways in which neurodivergent people like to socialize and play. 鈥淪tims鈥 鈥 self-soothing rocking, hand-flapping and vocalizations that some autistic people use to cope with overstimulation 鈥 can also be expressions of joy. ABA discourages both.

‘The Problem with Applied Behavior Analysis 鈥 Chloe Everett’ (TEDx Talks)

鈥淲ould you tolerate being told that the proper way to express happiness is to spin in circles, but then be punished when you smiled or laughed instead?鈥 Chloe Everett, a psychology student at the University of North Carolina Asheville who experienced ABA as a child, asked in a . 鈥淚 don’t think so.鈥

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Artificial Intelligence & Schools: Innovators, Teachers Talk AI鈥檚 Impact at SXSW /article/18-ai-events-must-see-sxsw-edu-2024/ Thu, 15 Feb 2024 14:01:00 +0000 /?post_type=article&p=722328 returns to Austin, Texas, running March 3-7. As always, the event offers a wealth of panels, discussions, film screenings and workshops exploring emerging trends in education and innovation.

Keynote speakers this year include of Harlem Children鈥檚 Zone, of Stanford University, who popularized the idea of 鈥済rowth mindset,鈥 and actor , who starred on Broadway as George Washington in Hamilton. Jackson, who has a child on the autism spectrum, will discuss how doctors, parents and advocates are working together to change the ways neurodivergent kids communicate and learn.

But one issue that looms larger than most in the imaginations of educators is artificial intelligence. This year, South by Southwest EDU is offering dozens of sessions exploring AI鈥檚 potential and pitfalls. To help guide the way, we鈥檝e scoured the schedule to highlight 18 of the most significant presenters, topics and panels: 

Monday, March 4:

: The New School鈥檚 Maya Georgieva looks at how AI is ushering in a new era of immersive experiences. Her talk explores worlds that blur the lines between the virtual and real, where human ingenuity converges with intelligent machines. Georgieva will spotlight the next generation of creators shaping immersive realities, sharing emerging practices and projects from her students as well as her innovation labs and design jams. .

: Educators have long sought a better way to demonstrate learning, adapt instruction and build student confidence. Now, advancements in machine learning, natural language processing and data analytics are creating new possibilities for finding out what students know. This session will explore the ways in which AI is rendering assessments invisible, reducing stress and anxiety for students while improving objectivity and generating actionable insights for educators. .

: Many high-pressure professions pilots, doctors and professional athletes among others have access to high-quality simulators to help them learn and improve their skills. Could teachers benefit from hours in a simulator before setting foot in a classroom? In this session featuring presenters from the Relay Graduate School of Education and Wharton Interactive at the University of Pennsylvania, panelists will discuss virtual classrooms they鈥檙e piloting. They鈥檒l also address the challenges, successes and possibilities of developing an AI-driven teaching simulator. .

: In just the first half of 2023, venture capital investors poured more than $40 billion into AI startups. Yet big questions loom about how these technologies may impact education and the world of work. How are education and workforce investors separating wheat from chaff? Hear from a trio of venture capital and impact investors as they share the trends they鈥檙e watching. .

: This session will look at the profound transformations in teaching taking place in classrooms that blend AI with tailored, competency-focused education. Laura Jeanne Penrod of Southwest Career and Technical Academy and Nevada鈥檚 2024 will explore AI’s role in enhancing rather than supplanting quality teaching and what happens when schools embrace the human touch and educators鈥 emotional intelligence. .

Laura Jeanne Penrod

: In this interactive workshop led by women leaders from the University of Texas at Austin and the Waco (Texas) Independent School District, participants will learn how to design effective lesson plans and syllabi that incorporate AI tools such as ChatGPT and DALL-E to help prepare students to address society鈥檚 most pressing needs. .

: If we get AI in education right, it has the power to revolutionize how children learn. But if we get it wrong and fail to nourish children鈥檚 creativity their ability to innovate, think critically and problem solve we risk leaving them unprepared for a changing world. Creativity is the durable skill that AI cannot replace. And this panel, comprising educators and industry leaders, will explore the role we play in nurturing children鈥檚 innate creativity. .

: This panel, featuring early AI-in-education pioneers such as Amanda Bickerstaff, founder of AI for Education, Charles Foster, an AI researcher at Finetune Learning, and Ben Kornell,  co-founder of Edtech Insiders, will explore their journeys and what they consider the most exciting future opportunities and important challenges 鈥 in this emerging space. .

Tuesday, March 5:

: AI鈥檚 continued adoption in schools raises concerns about bias, especially toward students of color. This session, hosted by Common Sense Education鈥檚 Jamie Nunez, will highlight practical ways AI tools impact engagement for students from diverse racial and ethnic backgrounds. It will also address ethical concerns such as plagiarism and issues with facial recognition tools. And it will feature positive student experiences with AI and practical ways to ensure it remains inclusive. .

Jamie Nunez

: In 2024, what defines “AI literacy”? And how can we promote it effectively in schools? Marc Cicchino, innovation director for the Northern Valley Regional High School District in northeastern New Jersey, shares insights on fostering AI literacy through tailored learning experiences and initiatives like the NJ AI Literacy Summit. As part of the session, Cicchino guides attendees through organizing their own summit. . 

: Come watch a live recording of The Cusp, a new podcast hosted by Work Shift鈥檚 Paul Fain, exploring AI鈥檚 potential to not only enhance how we develop skills and improve job quality but exacerbate inequalities in our education and workforce systems. Leaders from Learning Collider, MDRC and Burning Glass Institute will share their perspectives on how AI can reach learners and workers in innovative ways, bridging the gap to economic opportunity. .

: While a few school districts have embraced artificial intelligence, neither the technology companies creating the AI nor the governments regulating it have provided guidance on how to integrate the new tech into classrooms. This has left districts wondering how to integrate AI safely, ethically and equitably. This panel of TeachAI.org founders and advisory members will discuss why government and education leaders must align standards with the needs of an increasingly AI-driven world. The panel features Khan Academy鈥檚 Kristen DiCerbo, Kara McWilliams of ETS, Code.org and ISTE鈥檚 Joseph South. .

Wednesday, March 6:

: Just as artificial intelligence is gaining momentum in education, the early childhood education workforce is experiencing record levels of burnout. A recent survey found many educators say they鈥檙e more likely to remain in their roles if they have access to better support, including high-quality classroom tools and flexible professional development. Could we harness AI to empower our early childhood workforce? This panel, led by the National Association for the Education of Young Children鈥檚 Stanford Accelerator for Learning, will explore the possibilities and challenges of AI in early childhood education. .

Perhaps no one in education needs to adapt more to AI than principals. This discussion with a principal and consultants from IDEO, The Leadership Academy and the Aspen Institute will explore how principals can lead during this time of swift change. Participants will come away with tangible suggestions for fostering innovation, adaptability and self-awareness. .

: This interactive session will give educators an opportunity to explore how they might use AI to advance their work, regardless of their background or technical expertise. 鈥婰ed by project managers and leadership development specialists with Teach For America, it will help participants create their own AI tools, build a deeper understanding of generative AI and develop a better sense of its promises and risks. .

Thursday, March 7: 

: This panel discussion, led by The Education Trust鈥檚 Dia Bryant and Khan Academy鈥檚 Kristen DiCerbo, will look at whether emerging uses of AI in schools could create a new digital divide. It will explore the intersection of AI and education equity and AI鈥檚 impact on students of color, as well as those from low-income backgrounds. The session will offer steps that educators and policymakers can take to ensure that schools factor in the culture and neurodiversity of students. . 

Kristen DiCerbo

: This session, led by Alex Tsado of Alliance4ai, will explore what鈥檚 required to engage diverse learners to become emerging AI leaders. It鈥檒l also explore how educators can help them build tech and leadership skills and promote an 鈥淎I-for-good鈥 worldview. And it鈥檒l examine the challenges that Black communities face in AI development 鈥 and propose research and solutions that can be scaled easily. .

: This panel brings together of the U.S. Department of Education鈥檚 Office of Educational Technology and Jeremy of Digital Promise for an interactive conversation about generative AI that will integrate two distinctive and powerful vantage points 鈥 policy and research. They鈥檒l reflect on the listening sessions they鈥檝e conducted, talk about policy and share insights from major research initiatives that address the efficacy, equity and ethics of generative AI. .

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What Autistic Students Can Teach Us About Focusing on Assets, Not Deficits /article/analysis-flipping-the-script-on-teaching-neurodivergent-students-and-the-implications-for-all-learners/ Tue, 07 Nov 2023 14:01:00 +0000 /?post_type=article&p=717372 This essay was originally published as part of the Center on Reinventing Public Education鈥檚 . As part of the effort, CRPE asked 14 experts from various sectors to offer up examples of innovations, solutions or possible paths forward as education leaders navigate the current crisis. (See all the perspectives

Countless words have been written about the tragedy of COVID-19: the millions of lives lost, the steep declines in student learning, the trauma of extended isolation, and much more. All true. 

But equally true is that the pandemic had at least one silver lining. If nothing else, it taught us that long-intractable institutions鈥攍ike universities and public school systems鈥攃an change. Immediately, if necessary. 


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For years, advocates have been begging institutions to do things differently. The invariable response: 鈥淲e can鈥檛. It鈥檚 too hard. Be patient. Give us time.鈥 Then came COVID-19, and within 24 hours, everything changed. For example, online learning and work, long deemed challenging, became ubiquitous. 

The secret was out. Even the most tradition-bound institutions could change when they had to. Let鈥檚 make sure to take advantage of the best of these emergency measures and make them the new normal. It is a choice. 

From a deficit model to an asset model

Consider my institution, New York University. By listening to the disability community, we are working to change how we educate autistic and other neurodivergent students. We are trying to move from a deficit model to an asset-based model that is neurodiversity-affirming. We have a new Office of Disability Inclusive Culture that now works closely with our Moses Center for Student Accessibility, which provides accommodations and works to provide equal access to learning for students. The office is charged with looking beyond medical- or accommodations-based models toward faculty development, pedagogy, and organizational culture. 

鈥淒isability-inclusive culture鈥 means that the work is community work. How do we impact and shift the attitudes of faculty, staff, and students? Instead of organizing our work around what students cannot do, we are working closely with staff and student self-advocates to show what students can do if we design universally for access and reduce stigma. We are collaborating so that our neurodivergent students can use their strengths and abilities on a path to future employment. 

No one builds lives on their remediated weaknesses. We build our lives based on passions and strengths. Our job as educators is to make those journeys as joyous and productive as possible. 

The old, and often still current, approach assumed autistic students needed to be 鈥渇ixed.鈥 Students registered with offices of disability services for accommodations deemed reasonable. Often these accommodations were implemented universally during the pandemic. Lectures were taped or recorded for all. Students had to have these reasonable accommodations to succeed in the classroom, but that was the minimum. 

Looking ahead, how can universities go beyond the minimum to make access universal? How can they see students for who they are, work with them to identify their strengths, and use those as the foundation for continued learning? What if universities adopted a posture that said, 鈥淵ou don鈥檛 have to change. This is who you are. You are more than enough. How can we best support what you need to continue growing?鈥

A systemic approach

To that end, a group of NYU students, faculty, and staff from units across the university鈥攆rom IT to instruction to campus safety鈥攊s meeting to systematically solve problems facing students, faculty, and staff. A starting place is making physical spaces more accessible, so our libraries now have sensory rooms that ensure quiet environments for studying. We are intentionally focusing on inclusive pedagogy and, in my former role as vice dean of academic affairs at NYU Steinhardt, have added mini-sessions at each monthly schoolwide meeting to reach as many faculty as possible. 

I teach a course on inclusion and access for undergraduates that gives students the option to attend in person, online, or fully asynchronously. Many neurodiverse students preferred learning online during the pandemic; we must respect that, even if hybrid teaching is much more challenging for educators. It won鈥檛 be easy to figure out how to increase access, but the pandemic has taught us that it is possible. I can鈥檛 very well teach my radical inclusion and disability justice course and insist that all my students show up in person. 

In addition to having multiple means to engage with the material, students in this course have myriad ways to show what they know, including written assignments, oral presentations or works, artistic and musical expression, and multimedia demonstrations. These universally designed assignments capitalize on students鈥 strengths and interests. 

Small steps can make an impact

Many faculty members are thinking about access and their own teaching and policies. Even the simplest fixes can have a major impact. For instance, faculty wonder why few students show up when we post a notice: 鈥淥ffice hours, 9-10 a.m., Mondays and Thursdays.鈥 Not surprisingly, many students would ask, 鈥淲hat鈥檚 an office hour? Am I in trouble?鈥 Now, I鈥檓 careful to reframe the offer: 鈥淚 care about you. I want to understand you better. What issues is this class bringing up for you? 

Please come see me. I鈥檓 in my office from 9:00-10:00 every Monday and Thursday. Or set up an appointment online.鈥 I use this language in my syllabus, the contract I have with students. I also start each class by letting students know they can move and do what they need to do to regulate their own attention. 

We are taking advantage of more autistic peer-to-peer mentoring and support, which research finds is more valid and valuable (; ). This includes a new where I serve as co-principal investigator, through which several of our autistic college students at NYU are mentoring their autistic high school peers on STEM interests and pathways to college. This project just started, but already our autistic university mentors are enjoying being in leadership positions. They are using their strengths and abilities to guide their autistic peers and have indicated how they would have benefited from this type of mentorship as they struggled in the transition to college.

All of this work at NYU began a few years before COVID-19. But it gained momentum in the past few years and will continue to evolve. There is much work to do as universities think about access as well as student development. What it takes is the willingness to center the voice and expertise of students. Advocates can partner with institutions to identify innovative solutions and should be in more leadership positions to impact the change that needs to happen. But we must listen鈥攕tudents are the real experts in their own learning. 

And universities must be bold. If COVID-19 taught higher education anything, it鈥檚 that we must be willing to take risks and do what was once considered unthinkable. The payoff is worth it: students will thrive and flourish as institutions make these changes. 

See more from the Center on Reinventing Public Education and its .

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Can a Community Charter Go National? Arizona Autism Charter School Says Yes /article/can-a-community-charter-go-national-arizona-autism-charter-school-says-yes/ Fri, 21 Apr 2023 15:30:00 +0000 /?post_type=article&p=707733 This article was originally published in

鈥淚t鈥檚 very easy for a child on the spectrum, even one with the mildest case of autism, to get lost and overwhelmed in the mainstream public school system,鈥 says Kerrie Mallory-Thompson. 

That鈥檚 why, when it was time to enroll her son, Conor, in school, she knew she wanted him to attend Arizona Autism Charter School (AZACS) in Phoenix, the first and only autism-focused  in the Southwest. 

Conor was born nonverbal and with severe social and sensory issues. Now age 13, he just lost his nonverbal status and has become much more open to other people and experiences. 


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鈥淐onor has made a tremendous amount of progress in the last couple of years. Just the social aspect, in general, has been huge,鈥 she says. 鈥淏eing on campus and around friends and staff who help and encourage him has made a difference. If he had been in a large mainstream school, he wouldn鈥檛 be as successful as he is today.鈥

Thompson credits her son鈥檚 progress to the support he receives from the staff at AZACS 鈥 and especially to the hard work and vision of its founder, Diana Diaz-Harrison.

Meeting A Need

Diana Diaz-Harrison never imagined that her life would take the direction that it did. A former teacher in California, she transitioned into broadcasting and worked in Spanish-language media. But when her son, Sammy, was diagnosed with autism, she immersed herself into his care and the educational best practices for the disorder. Like many parents, she struggled to find affordable schooling that met his needs.

鈥淚 did pay for private school for a couple of years, but that was not sustainable,鈥 she recalls.

In 2014, Diaz-Harrison established the first AZACS campus for 90 students in grades K-5. Today, the school has expanded to more than 700 students across four campuses, including a high school and an online component. She expects that number to increase to 1,000 students for the 2023-24 academic year. AZACS also will be opening a high school in Tucson in fall 2023. 

Arizona is a leader in school choice, thanks to former Gov. Doug Ducey, who signed some of the most expansive educational options into law. His support of AZACS was common knowledge.

鈥淚鈥檓 greatly inspired by the work the Arizona Autism Charter School has done over the last decade. Diana鈥檚 act of true, unconditional love for her son has positively impacted thousands of Arizonans and revolutionized education nationwide,鈥 he says. 鈥淐harter schools such as AZACS have an enormous impact on our communities 鈥 they lead with purpose by mentoring and empowering the next generation of leaders through a personalized education, innovative spirit, and undeterred commitment to extending their efforts beyond the classroom to make a difference in the lives of families.鈥 

Meeting Demand

There is a growing need for specialized learning opportunities for children with autism spectrum disorder (ASD)

According to a recent study from the CDC鈥檚 Autism and Development Disabilities Monitoring Network, 1-in-36 children at age 8 are estimated to have ASD. That鈥檚 up significantly from 2018, when the numbers were 1-in-44, with the greatest increases in Black and Hispanic children.

In Arizona, the prevalence of autism has nearly doubled since 2014, when the reported rate was 1 in 71 8-year-olds.

This data, which was released in the CDC鈥檚 Morbidity and Mortality Weekly Report in March, highlights the need for enhanced infrastructure to provide equitable diagnostic, treatment, and support services for all children with ASD. 

鈥淭here鈥檚 a need for a really individualized type of school for this specific disability,鈥 says Caroline Allen, vice president of The Yass Prize, an annual award that celebrates innovative providers who are transforming education across the U.S. 

 The Arizona Early Intervention Program offers access to services for families with infants and toddlers. But when it comes to school-age children, options are more limited 鈥 and costly. There are almost two dozen private schools and institutions throughout Greater Phoenix that cater to students with ASD and other disabilities, but tuition can run upward of $40,000 to $50,000 per year. 

And while the state offers an Empowerment Scholarship Account program that allows parents to receive a portion of the public funding as financial assistance for private school tuition or online education, the amount offered is capped at $7,000 per year.

鈥淭here are a lot of great services for children who are two-to five-years old,鈥 Diaz-Harrison notes. 鈥淏ut sadly, when Sammy was ready to go to school, those services were not available in a traditional school setting.鈥

Lourdes Sierra鈥檚 son, Reece, has been a student at AZACS for about seven years. Initially, he attended a private autism-focused academy in Tempe, which became too cost-prohibitive, before moving to a mainstream school with an autism education department. 

鈥淭he big difference with Arizona Autism Charter School is that the teachers and staff have the experience and the passion to work with this population,鈥 Sierra says. 鈥淚t鈥檚 not easy to work with students who are neurodiverse. Their physical, mental, and social abilities run the gamut. So to be able to deal with such a wide-ranging population of students and to be able to manage them so effectively and so professionally really makes AZACS stand out.鈥 

Set Up for Success

With a 3:1 student-to-faculty ratio, AZACS is set up to help students master the foundations in reading, math, and science and help them develop behavior and social skills. 

鈥淏y grouping our students based on their strengths and needs, no matter where they fall on the spectrum, we鈥檙e able to meet them where they鈥檙e at and help them apply those skills into projects and tasks that are of high interest to them,鈥 Diaz-Harrison explains.

Small class sizes and hands-on coursework have proven effective. 鈥淥ur kids require a lot of small-group instruction, sometimes one-on-one, depending on where they fall on the autism spectrum,鈥 she continues. 鈥淚t鈥檚 really hard to get that in traditional schools.鈥

Learning modules based on Woz ED, an individualized STEM program designed by Apple co-founder Steve Wozniak, teach both academic and social skills. Students also can participate in cooking classes, sports, dance and even help take care of the school鈥檚 two desert tortoises.

鈥淭hey learn not only building skills, but also collaboration, teamwork, and negotiation,鈥 says middle school science teacher Tyler Sherrill. 鈥淲e鈥檙e able to individualize our education plans for each student, so they have all their needs met, behavioral-, communication- and education-wise.鈥 

Research from 2015  that two-thirds of young adults with ASD are not working or in higher education in the first two years after high school. The transition academy at AZACS for students ages 18 to 22 offers career and vocational training. Field trips and internships with local businesses provide additional real-world training.  

National Recognition

In December 2022, Arizona Autism Charter School won the prestigious Yass Prize. This $1 million recognizes the most innovative and transformative educational providers throughout the country and 鈥渁ims to amplify their work through financial support, collaboration, coaching, encourage and an extensive mentorship network,鈥 according to the Yass Foundation. 

The award is based on four core principles: 

  • Sustainable, meaning they exist without continual philanthropy
  • Transformational, by utilizing new approaches, tools and understanding
  • Outstanding, meaning they measure success not only by retention and test scores but through each student鈥檚 personal achievement
  • Permission-less, or operating independent of regulatory bodies

鈥淒iana wants to make sure that there鈥檚 an autism-focused charter school in every state around the country, in order to provide really individualized, exceptionally tailored support for students and families,鈥 Allen says. 鈥淭he traditional school system doesn鈥檛 always work for typically developing kids. Then you throw in a neurodiverse learner who has different social and cognitive needs and requires different supports to thrive 鈥 these kids deserve great teachers who are experts in the learning style of autism.鈥

In April 2023, Diaz-Harrison received the Sustained Benefactor of Education Award from the Pete C. Garcia Victoria Foundation. The organization seeks to improve conditions in impoverished communities through higher education. 

Diaz-Harrison was nominated for the award by Lourdes Sierra. 鈥淒iana has been such a huge advocate for education, and that came as a result of her determination to have a place where her son could attend school in a safe and nurturing environment with people who understood him and cared for him,鈥 she says. 鈥淎s we surveyed the landscape, seeking out those who are advocating for education, we needed to honor Diana for all the work she does, especially for the Hispanic community.鈥 

More than 50% of students at AZACS are Hispanic.

鈥淐hildren with autism are great learners, and they can contribute to their community 鈥攖he school community and society. I want to give hope to parents who are just learning that their children might be neurodiverse or have autism. There is help. Our schools are here,鈥 Diaz-Harrison says. 鈥淧erhaps it鈥檚 a different journey that parents thought they were going to have, but it鈥檚 a beautiful journey, and I wouldn鈥檛 trade it for anything.鈥

Editor’s Note: To learn more about supporting young people with autism, read . For more on community charters and their innovative practices, read our profiles of schools in ,,, and .

This piece originally appeared on 

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Collaboration is Key as Mattel Introduces First Autistic Character 鈥 Bruno the Brake Car 鈥 for ‘Thomas & Friends’ /zero2eight/collaboration-is-key-as-mattel-introduces-first-autistic-character-bruno-the-brake-car-for-thomas-friends/ Wed, 14 Dec 2022 12:00:48 +0000 https://the74million.org/?p=7472 When parents and kids tuned into Thomas and Friends this September, they discovered a new character: Bruno the Brake Car. They also found a positive representation of autism on the British children鈥檚 TV show.

Though Bruno just premiered this fall, it took years to get him on track. Mattel began developing the character in early 2020 and turned to consulting partners to develop his personality traits and behaviors. Psychologists, autistic writers and the Autistic Self Advocacy Network all collaborated with Mattel to help bring Bruno to life.

鈥淲e asked our autistic collaborators about misconceptions and stereotypes, as well as their wishes for how they would want to see autism depicted,鈥 Monica Dennis, senior director of preschool content at Mattel told Early Learning Nation in an email. 鈥淭hat conversation guided specific choices about Bruno鈥檚 characteristics and our approach to storytelling.鈥

Daniel Share-Strom, an advocate and writer with autism, led Bruno鈥檚 character description and wrote Bruno with other autistic writers, including female autistic writers. Dennis felt it was important to include female voices since autism is often diagnosed in men and therefore men are represented more than women. In the U.S. version of the show, autistic actor Chuck Smith voices Bruno, while .

鈥淯nderrepresented kids, including neurodiverse kids, should see themselves celebrated in stories and play,鈥 Dennis said. 鈥Thomas & Friends has a strong affinity in the autistic community, so including an autistic character is an organic validation of our fans.鈥

鈥淯nderrepresented kids, including neurodiverse kids, should see themselves celebrated in stories and play. Thomas & Friends has a strong affinity in the autistic community, so including an autistic character is an organic validation of our fans.鈥

Parents may have heard the term 鈥渘eurodivergent鈥 used more often to refer to kids with autism, but it’s not a medical term. It was coined by the Australian sociologist and autism advocate Judy Singer in the late 90s as a way to acknowledge differences in cognition and behavior. The term has been applied to those who exist on the autism spectrum, as well as those with developmental disabilities like ADHD, .

Autism itself is a developmental disability caused by neurological differences. The disability exists on a spectrum, so the communication, socializing and behavioral issues that people with autism face may vary from person to person. Some people with autism can be more sensitive to stimuli like loud noises or light and might deal with the sensory overload through physical actions like jumping up and down.

鈥淲hat we like to say is when you’ve got one person with autism, you’ve met one person with autism, and everyone displays their personal characteristics differently,鈥 said Dr. Paula Pompa-Craven, a licensed clinical psychologist who specializes in the assessment and diagnosis of people with autism and other developmental disabilities. Pompa-Craven is also chief clinical officer of Easterseals Southern California Autism Therapy Services, which served as one of Mattel鈥檚 consultants on the show. She added that some individuals with autism may have intellectual disabilities or are nonverbal, but they communicate in different ways.

鈥淭he one thing with autism is if you look at a person, they do not look like they have a developmental disability,鈥 Pompa-Craven said. 鈥淪ome of the other developmental disabilities are defined. So you might look at someone with Down syndrome and notice this person has Down syndrome. With autism, you may pass someone on the street and they look exactly like the rest of their peers.鈥

Positive representation of different groups is particularly crucial for preschool children, said Polly Conway, senior TV editor at Common Sense Media.

鈥淭he more that they see, the more that they’ll be able to understand,鈥 she said. 鈥淭hen there’s also scaffolding and ways that parents and teachers can say, 鈥楬ave you met a person like this? Is there someone in your class like this that you know?鈥 So, I think seeing the character on TV can just sort of be the beginning of a learning process.鈥

Several children鈥檚 shows have introduced characters with autism including Hero Elementary, , and . A decade ago an autistic character named Carl joined PBS鈥 Arthur and Julia joined Sesame Street in 2017.

鈥淲e believe it is important for all kids to see themselves in our content,鈥 Sara DeWitt, senior vice president of PBS KIDS corresponded. 鈥淭o that end, shows that when children see themselves represented in television shows, the experience boosts and self-worth. This is critical for children in traditionally underrepresented communities, including kids with varying abilities.

The trend of autistic characters on television mirrors representation that鈥檚 happening in real life: 1 in 44 children have been identified with autism spectrum disorder according to a . That incidence rate has shot up from where it stood two decades earlier when the CDC estimated that about 1 in 150 children had autism.

Still, Conway argues that this reflects a broader trend of including different kinds of people in children鈥檚 TV shows, not just autistic people.

鈥淚 haven’t seen a huge rash of new characters who have autism, but I have seen more,鈥 she said. 鈥淚 think that correlates to what we’re seeing in the world today. The more we learn about people and what’s going on with them, the more we’re going to be able to represent them.鈥

While it鈥檚 not possible to represent every child on the autism spectrum, Bruno exhibits certain behaviors that some people with autism express. The Autistic Self Advocacy Network advised Mattel on how Bruno鈥檚 disability would affect him in daily life, how he would react to sensory overload and what facial expressions he would make, said Zoe Gross director of advocacy at ASAN. The advocacy group has consulted on other children鈥檚 programming, including advising the development of 鈥淪esame Street鈥檚鈥 autistic character, Julia. However, ASAN after the show ran PSA鈥檚 featuring Autism Speaks鈥 鈥淪creen for Autism鈥 initiative, which ASAN said further stigmatized autistic people.

How certain traits of autism would manifest themselves in a character that isn鈥檛 human emerged as an interesting challenge for both ASAN and Mattel, Gross said. Mattel knew from the start that Bruno would be a brake car and approached ASAN with the idea that he would flap the railings on the side of his car, rather than hands.

Bruno has other gestures that don鈥檛 have a real-life comparison in autistic people, such as his lantern that flashes red, yellow or green to indicate that he鈥檚 excited or cautious. The lantern mimics and are used to demonstrate the person鈥檚 communication preferences, Gross said. A green badge means the person wants people to approach them while red means the person doesn鈥檛 want to interact with anyone or perhaps only a few people.

鈥淚t’s hard because you don’t want to show every kind of characteristic of an individual that you’ve ever come in contact with,鈥 Pompa-Craven said. 鈥淲e really wanted to look at maybe some of those things that were more persistent within the autism community.鈥

One of those persistent qualities that Mattel and consultants included in Bruno鈥檚 character was a lack of direct eye contact, according to Pompa-Craven. When Bruno鈥檚 eye contact is fleeting or moves to the side, that could show his comfort level. He also self-soothes when he hears loud noises by putting on headphones. But Bruno isn鈥檛 alone in dealing with hurdles like sensory overload. The program also shows his friends helping him out.

鈥淭he other characters would remind him, 鈥楬ey, Bruno, you seem like you’re getting a little agitated. Why don’t you see him on those headphones?鈥欌 Pompa-Craven said. That supportive community teaches children that it鈥檚 okay to accept people as they are, she added.

At the same time, Bruno expresses his own agency and helps out the rest of the cast as well. Consultants wanted to create a positive role model for autistic children. They show Bruno excelling at problem solving, examining maps and closely following schedules. In one storyline, the other trains run off schedule and Bruno helps them find a new route to correct their time.

鈥淭hat was really important as well, that we showed the positive characteristics and the gifts that he added to the team,鈥 Pompa-Craven said.

Another way to avoid harmful stereotypes with an autistic character is to continue including them in various episodes, whether they鈥檙e part of the main storyline or the B plot, Conway said. She noted that Sesame Street has now incorporated Julia as part of the team of muppets that go on adventures together.

鈥淚t’s always important to steer away from tokenism,鈥 Conway said. 鈥淩eally keeping a character in the mix is a great way to write them and avoid showing them appearing as just a token basically鈥iving them a story that they have to tell or opinions that they have regardless of their, you know, communication abilities.鈥

For those in the autistic community, the portrayal of an autistic character that was developed with the input of autistic people appears to hold some promise.

鈥淣o single character can encapsulate autism, just as no single female character can encapsulate 鈥榳omanhood鈥 and no single Black character can encapsulate 鈥楤lackness,鈥欌 said Kristen Harrison, a professor of communication and media at the University of Michigan who is also autistic herself. 鈥淧art of the goal is to get more characters out there so people in a given demographic can be represented onscreen with the same complexity and diversity that exists among them in real life. But, of course, that all has to start with individual portrayals like this one.鈥

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Virtual School Enrollment Kept Climbing Even As COVID Receded, New Data Reveal /article/virtual-school-enrollment-kept-climbing-even-as-covid-receded-new-data-reveal/ Mon, 14 Nov 2022 12:15:00 +0000 /?post_type=article&p=699678 Updated, Nov. 16

Kristy Maxwell realized something had to change the day she picked her son Levi up from school and found out his teacher had left the autistic kindergartener alone crying and throwing pencils from under his desk.

The Michigan mom switched her son to a school that had a good reputation serving students with disabilities, but things didn鈥檛 improve. Because Levi was a 鈥渕ath whiz,鈥 staff ignored his trouble socializing and his difficulty handling the cafeteria鈥檚 loud noises, Maxwell said. Meanwhile, she was unsuccessful in lobbying the school to screen her child for autism, a way to secure the extra services required by law for students with disabilities. The mother worried her son might never get the learning support he needed.

Then, in March 2020, the pandemic shifted all classes at his school online and forced the family into an accidental experiment in a new model of education. 


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During remote school, Levi could get one-on-one attention sitting next to his mother, who had to temporarily stop her work as a massage therapist due to COVID. His younger sister, who struggles with anxiety, could take breaks to pet the family鈥檚 dogs.

鈥淲hen everything shut down and we were forced to go virtual 鈥 my two younger kids did really well,鈥 Maxwell said. 

鈥淲e decided after doing that, since the younger two kids did so well outside of a brick-and-mortar [school], keeping them virtual would be the best way to help them academically.鈥

Kristy Maxwell, left, with her family, including Levi, in orange. (Kristy Maxwell)

The Maxwells, whose three kids are now 9, 11 and 15, are among the thousands of families across the U.S. that tried virtual learning for the first time during the pandemic and are now staying with it.

New data indicate that online schools have had a staying power beyond the pandemic that few observers suspected. While some virtual academies have operated for decades, they saw a well-documented in 2020-21, the first full school year after COVID, as many virus-wary parents looked to protect their children from infections and anti-mask families sought a way out of face-covering requirements. But in the following year, even as brick-and-mortar schools fully reopened and mask mandates fell, remote schools mostly maintained their pandemic enrollment gains 鈥 and in many cases added new seats.

On average across 10 states, virtual school enrollment rose to 170% of its pre-pandemic level in 2020-21, then nudged up further to 176% in 2021-22, according to data obtained by 蜜桃影视. 

The new figures contribute to a more far-reaching understanding because, while have documented the uptick in new fully virtual schools and standalone remote academies offered by districts, scant analyses have provided a national picture of student enrollment in those schools.

 

鈥楲ooks like it鈥檒l stick鈥

The trend reveals that for many families virtual learning has become more than a temporary model to get through the pandemic 鈥 but rather a long-term option preferred in increasing numbers.

鈥淚t looks like it鈥檒l stick,鈥 said Robin Lake, director of the Center on Reinventing Public Education. 鈥淚n some states, the numbers went up temporarily and came back down a bit. But overall, if [families] are staying for a couple of years, I would expect that they would keep it going.鈥

Six states in the dataset 鈥 Arkansas, Iowa, Massachusetts, Michigan, Minnesota and North Carolina 鈥 saw consecutive year-over-year virtual enrollment increases, while four 鈥 Florida, Oregon, Wisconsin and Wyoming 鈥 saw dramatic upticks in 2020-21, then a slight dip in 2021-22.

鈥淲e didn鈥檛 know what to expect after the [mask] mandates were lifted, but we maintained our enrollment and we continue to grow,鈥 said Jodell Glagnow, attendance administrator at Wisconsin Virtual Academy.

In Iowa, an extreme case, virtual school enrollment swelled to 373% of pre-pandemic levels in 2020-21 and notched up even further to 388% in 2021-22. The growth corresponded with an increase in the number of approved online schools in the state from three to nearly two dozen over that span, a state Department of Education spokesperson explained.

The data represents K-12 students enrolled in standalone online academies and excludes students taking remote classes offered by their home brick-and-mortar school. The scope, however, varies slightly state by state. For example, the Florida numbers reflect enrollment in the statewide Florida Virtual School, while the Arkansas figures come from its two approved virtual charters and the Michigan tally encompasses students at all 88 providers approved for online instruction.

Oregon was the lone state to provide , revealing white students were overrepresented in the state鈥檚 virtual schools in 2020-21, while students with disabilities, those navigating poverty and English learners were underrepresented. Overall, enrollment rose to 172% of pre-pandemic levels that year and reduced slightly the next year. 

 

 

GeRita Connor runs Lowcountry Connections Academy, a virtual school in South Carolina. Her school opened last year to accommodate the overwhelming demand for online schooling once capacity was reached at its partner academy, South Carolina Connections, which contracts with the same for-profit provider, Connections LLC, an offshoot of publishing and testing giant Pearson. 

The families who were newcomers to online academies like hers in the fall of 2021, she said, often hadn鈥檛 even considered remote schooling before COVID.

鈥淚 think that what happened during the pandemic is that families became more aware of the option of virtual learning,鈥 Connor said. 鈥淸It] really opened the doors for those opportunities to exist.鈥

For the Maxwells in Michigan, Levi stayed in the online option his school maintained through the 2020-21 year, then in the fall of 2021 switched to the statewide Michigan Great Lakes Virtual Academy. His younger sister, Aria, briefly returned to school in person, but switched back to a district-run online option in January 2022. In September, she was able to join her brother at Great Lakes.

Rotten apples?

Experts caution the emerging trend could translate to poor academic outcomes. Virtual academies far predated COVID in some states, often with lackluster track records. And during the pandemic, students who spent the most time away from in-person classes suffered the largest learning setbacks.

Research from the using pre-pandemic data shows students at online schools score far worse on academic tests than their peers learning in-person, even when controlling for factors like race, poverty level and disability status.

To now see more and more families enrolling in online learning worries Heather Schwartz, a researcher at the Rand Corporation who has during the pandemic.

鈥淯ntil we have proof the virtual schools can perform just as well 鈥 for at least some students 鈥 as traditional public schools, yeah, I鈥檓 concerned,鈥 she said.

Participating families and administrators, however, attest to a positive impact on student learning at many virtual schools. Levi Maxwell, for example, has seen his grades improve dramatically while learning online, his mother reports. Last year, he wrote his first story by himself, after struggling for years in English.

But Gary Miron, an education professor at Western Michigan University and outspoken critic of virtual academies, believes the negative experiences outweigh the positive ones and is frustrated to see student enrollment continue to rise.

鈥淚t defies market theory,鈥 he said. 鈥淵ou鈥檇 think consumers would wake up and say, 鈥業’m not going to buy these apples. They’re rotten. I’m going to get another producer.鈥 But they’re not.鈥

He also warns that many virtual schools 鈥 including Connections Academies 鈥 have nonprofit 鈥渟hells鈥 that contract with for-profit management organizations. Those contracts often include costly management fees and six- or seven-figure salaries for top executives, he said. 

鈥淭hose so-called nonprofits are just incredibly profitable,鈥 Miron said.

Connections Academy spokesperson Chantal Kowalski countered that schools in her organization are public and, like traditional brick-and-mortar schools, are governed by boards that 鈥渕ake all material or budget decisions and publicly post board meeting minutes online.鈥 She added that they 鈥渃ontract with Pearson for online education products and services like curriculum and technology.”

Still, GAO education director Jacqueline Nowicki remains concerned about oversight.

鈥淭o the extent that the sector grows and becomes larger, I do think the risk to the federal government grows in terms of accountability,鈥 she said.

Virtual schools, real relationships

The primary concern for Lake, of the Center on Reinventing Public Education, is whether students enrolling in online schools lose out on facetime with teachers. Many remote academies rely heavily on asynchronous lessons and offer fewer hours of live instruction than traditional schools.

鈥淰irtual learning can be a great option, but it isn’t a substitute for connections with adults,鈥 she said. 鈥淵ou have to make sure that the virtual program is providing a lot of student-teacher interaction.鈥

At their Michigan virtual academy, the Maxwells feel like their needs are being well met. The school has provided more specialists to accommodate her children鈥檚 special needs than their brick-and-mortar schools ever did, Kristy Maxwell said. But she admits the energy required to keep her children on task through the school day can be considerable.

鈥淚t is a lot of work on my part,鈥 the mom acknowledged.

In a nearby Great Lakes state, seventh grader Helena Warren has also felt satisfied with a recent pivot to the Wisconsin Virtual Academy. She transferred in January 2022 and appreciates how much one-on-one time she gets with her teachers through Zoom breakout rooms or phone calls when she needs extra help.

The middle schooler made the switch because the work at her old school was too 鈥渂asic and easy,鈥 she said, causing her to tune out and get bad grades, including some C鈥檚 and D鈥檚. Now her grades are better and the assignments are more challenging. When she demonstrates mastery of a concept, her teacher asks her to help explain it to her peers, which she enjoys.

鈥淪he’s doing higher-grade stuff than she would be doing at a regular brick-and-mortar school,鈥 said her proud mother, Melody Warren, who plans for Helena to stay online indefinitely.

鈥淚 think she’s gonna go through high school,鈥 Warren said.

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Opinion: Why I Had To Leave The Community I Loved To Find the School That Served My Needs /article/why-i-had-to-leave-the-community-i-loved-to-find-the-school-that-served-my-needs/ Mon, 22 Aug 2022 18:01:00 +0000 /?post_type=article&p=695304 After finishing my freshman year of high school, I鈥檝e taken time to reflect on my experiences. It was an unusual year where I attended two schools: the first semester was at a Los Angeles area high school near my former home in Playa Del Rey and the second semester was at South High School in South Torrance, where I live now.

Coming out of COVID-19 isolation, I looked forward to making up for many missed social opportunities with friends. I joined the track team at my new school and did well in my events. I made good friends with some of my teammates and other students on campus, which can be challenging for me as a person with autism. When my mom was looking for a church for us to attend, my track coach shared information about his church, and we began attending on Sundays; I also went to a Wednesday church youth group when my study schedule allowed it. Thanks to social media, I could keep in contact with friends from my former school, and I even have a girlfriend who attended my old school.

Devin Walton after a track meet. (Krystal Walton)

But despite it being a terrific year for me overall, I feel profound disappointment in the circumstances that led me to South Torrance. Several racially charged events occurred during my middle school years, such as the George Floyd and Ahmaud Arbery murders and trials. As a result, there were many discussions about race and safety in white communities. In the climate at that time, I expected to be safest with the same people who protested, saying, “Black Lives Matter” and “Stop Killing Our Sons.” I thought the people who said my life matters would believe that my education also matters. Unfortunately, I didn鈥檛 find the community, accountability, collaboration and support that was talked about at those 8th grade recruitment meetings during my first semester in a school attended mostly by students of color and run mostly by educators of color.

I found myself in a situation where some teachers were not motivated to teach and help their students succeed, some were bullied by their own students and didn鈥檛 know how to discipline the class and some repeated the same lessons and shared the answers before they gave tests and quizzes (and some kids still failed!). When my mom, herself an administrator who has been in education for over 20 years, tried to intervene, it was difficult to impossible to get some teachers to respond or administrators or other top education officials to address the problem. Eventually, she started looking for a new home in a different school district and we moved in December.

South High is a predominantly white and Asian ethnic high school where most of the teaching staff is also primarily white and Asian. They treat their students as I expected a school should, providing counselors, tutoring and “Spartan Seminar.” 

Spartan Seminar is a 25-minute session every Wednesday and Thursday, where students sign up for specific classes to catch up on work, get tutoring from the teacher or study for an upcoming test/quiz with that teacher. If you are not doing well in a class or on an assignment, you are expected to attend Spartan Seminar for that class. 


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My Spanish teacher has great classroom control. First, he provides us with study guides (not answers!) for upcoming quizzes. He reviews the homework to ensure we are updated on the current unit’s information. Finally, whenever someone does act up, he raises his voice and tells them to stop, which works, and we immediately return to learning.

My algebra teacher at South High was terrific. She showed the class how to work on new equations, like factoring and polynomials. She has a pleasant personality, making learning enjoyable for everyone in her classroom. She didn’t wait for my mom to email or call her; she often emailed my mom if she had information she thought would help me. My friends all agreed that she is a good teacher, which is unusual for a math class, and some even consider her their favorite teacher. 

I finished the semester at South High with 4 As, 2 Bs, and a C. It took much work, and I sometimes spent as many as six hours a night doing homework to learn the subject. I credit my school team and my mom because they challenged me to communicate with them about when I needed help and they created a schedule to review my work and grades to ensure I was on the right track. I was motivated to work harder at South High because I knew it was expected of me. I did not mind staying at my desk for hours and sometimes sacrificing my sleep to get the grades I knew I could if I tried hard. 

Although this was a great school year, I am disappointed that I had to leave a community I loved to find it. I also don’t want to suggest that my old school was not a good school because it was attended and run predominantly by people of color. I was raised by a Black educator, who cared so much about her students that we still go to their weddings, graduations, sporting and social events years after they were in her class.

If I could go back and talk to the staff at my former school, I would want them to know that:

I want to be valued as someone who takes their work seriously.

I want teachers who take their jobs seriously and hold me accountable. 

I want to look up to my teachers, like what I see, and be like them.

I want them to care enough to know who I am because my life matters to them, for them to see my potential and help me reach my goals.

My African-American peers and I want to be educated by teachers who look like us.

We want to hear their stories. We want to hear how they made it to college. If they go, maybe we can go, too. Tell us about African-American fraternities and sororities, dorms and the fun times they had so we know that college isn’t just boring hard work. We want to hear about their mistakes, so we learn from them. 

We want to know about the problems they faced in predominantly white spaces and how they overcame them so that when we have those experiences, we can overcome them, too. 

We want to talk to them about our experiences as African-American students and know that they understand. We sometimes do not want to “air our family business” to people who may not understand or who already stereotype us because we are African American. They don’t understand our community, language, idioms, values or history. They don’t understand us, no matter how well intentioned or woke they are. 

The teachers are the ones who told us they would do all these things for us and it hurts the most to think they are aware of our unmet expectations. I want them to know that, too.

My goal is not to criticize but to remind them that their students need them. We want them to care about us. Some of their students will only care when they do. We are waiting for them.

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