Appearances and the Passport for individual autism support

This is something that puzzles me greatly.

One aspect of autistic spectrum is your appearance - how you look to others. This is very variable between individuals and subtler in nature. There's no autism look as readily recognisable as there is for Down's Syndrome. But there is an appearances factor, and it does create major barriers for people on the spectrum.

The "Passport to individual autism support" is a two sided A4 leaflet that folds twice to provide 6 pages of information, and can be carried and shown to people to help explain needs. The present format has been around about two years. It covers things like sensory reactions, abilities that may be affected, difficulties, when upset and how best to help, etc., relying on tick boxes. It is a useful facility, and hopefully many people find it helps.

But - there is one aspect largely missing - appearances. Under "when I get upset, I may" there are options for make noises or flap my hands, but there is very little else about how people might appear to others.

Obviously on a 6-page leaflet there are limits how much information can be provided, and the leaflet has to encourage people to look at it, and benefit from the knowledge. However I think something important has been missed out so, notwithstanding the clutter factor, I feel it important to raise it

What I'm going to try to do here is list some of the "appearances" I think are important, which are missing not only from the passport, but from a lot of other autism information given to professionals. I'll then take up some key ones in "replies" of my own making.

Eye contact

facial expression

tics, and other odd movements

clothing and cleanliness

presence in a place in response to interests

looking pre-occupied or lost

looking out of it, as if drugged or drunk

walking oddly

Appearing odd gets people on the spectrum into difficulties. Surely that's why having a passport is a good idea. Appearances can prevent you getting service, or being served courteously. It can get you undue attention from police, security and other officials. It may make it harder to seek help from others. It can greatly exacerbate a sense of isolation.

Parents
  • This is another manifestation of autistic spectrum difficulties that might give rise to the need for a passport, but isn't in the present passport.

    A particular problem is fading or phasing out. A lot of people on the spectrum report this difficulty but it doesn't get taken seriously. Some people report it to their GPs out of concern that it is epilepsy but it doesn't correspond to tests for epilepsy.

    What seems to happen is that when there is a degree of sensory overload which the individual cannot filter or ignore, the response is to shut down altogether. For a period, short or long, they appear to be no longer in control of themselves.

    Something similar happens to many people in social situations like parties, where they get so tired or stressed they dossociate from their surroundings and may appear to others to be drunk or on drugs.

    Such circumstances are likely to get someone at least challenged by people in authority - so having a "passport" would help, but it would help more if the passport better explained this particular phenomenon.

    The passport addresses this to some extent under "When I get upset, I may" - which includes "become passive, possibly non-verbal and may appear to go to sleep (shutdown)" - but that's very specific to one circumstance.

    There are manifestations which appear more like under the influence of alcohol or drugs - which I don't think the above statement informs.

    Appearances factors are important, and may be a worry to parents that these things can increase vulnerability or get young people into difficulties with the law, it surely needs the creation of a specialised "passport" in its own right, or an additional page in the existing passport if that is practical.

    I wondered how others felt about this.....

Reply
  • This is another manifestation of autistic spectrum difficulties that might give rise to the need for a passport, but isn't in the present passport.

    A particular problem is fading or phasing out. A lot of people on the spectrum report this difficulty but it doesn't get taken seriously. Some people report it to their GPs out of concern that it is epilepsy but it doesn't correspond to tests for epilepsy.

    What seems to happen is that when there is a degree of sensory overload which the individual cannot filter or ignore, the response is to shut down altogether. For a period, short or long, they appear to be no longer in control of themselves.

    Something similar happens to many people in social situations like parties, where they get so tired or stressed they dossociate from their surroundings and may appear to others to be drunk or on drugs.

    Such circumstances are likely to get someone at least challenged by people in authority - so having a "passport" would help, but it would help more if the passport better explained this particular phenomenon.

    The passport addresses this to some extent under "When I get upset, I may" - which includes "become passive, possibly non-verbal and may appear to go to sleep (shutdown)" - but that's very specific to one circumstance.

    There are manifestations which appear more like under the influence of alcohol or drugs - which I don't think the above statement informs.

    Appearances factors are important, and may be a worry to parents that these things can increase vulnerability or get young people into difficulties with the law, it surely needs the creation of a specialised "passport" in its own right, or an additional page in the existing passport if that is practical.

    I wondered how others felt about this.....

Children
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