Article Figures & Data
Figures
Figure 1. Example of a staffing summary sheet. DOC, Department of Correction.
Figure 2. Example of a brief staffing summary sheet. DOC, Department of Correction.
Tables
- Table 1
Areas Important to Address to Increase Autism-Specific Care in Juvenile Correctional Settings
Environment Programming Staff Interaction and Training Using soothing paint colors or adding murals to living accommodations
Dimmable lighting to accommodate light sensitivity
Access to sound-reducing headphones, ear plugs, or white noise machines for auditory overstimulation
Access to fidget items
Access to outdoor space
Access to moveable seating options (balance balls, rocking chairs, etc.)
Private rooms
Available safe spaces and time for behavioral regulation and problem-solving away from peers or other excessive stimuli to promote dignity and encourage independence in requesting respite
Prioritizing strength-based and trauma-informed approach to care
Screening for co-occurring medical and mental health symptoms
Programming designed by licensed mental health professionals
Use of therapeutic tools and strategies aligned with the needs and strengths of autistic youth, including:
Clear, consistent instructions
Creation of daily routines
Visual aids
Use of “if, then” statements
Alternating preferred with nonpreferred activities
Positive reinforcement and proactive coaching strategies
Individualized reward systems
Opportunities to bond with same-age neurotypical peers
Individualized and group programming informed by positive behavior support, overall skill building, and mitigation of co-occurring interfering behaviors or mental health symptoms
When nearing discharge from the system or transition to new placement, use of specialized transitioning program and creation of typed treatment summary, including successful strategies
Higher staff:youth ratio
Mental health staff with adequate experience and training in caring for autistic youth
Dedicated and ongoing autism training, including education on diagnostic features, autism-informed behavioral therapeutic strategies, and trauma-informed de-escalation strategies
Creation of “staffing summary sheet” for individuals upon arrival, outlining triggers, signs of distress, de-escalation strategies, crisis plans, expectations, and accommodations for the individual and staff
Staff present in shared spaces who are trained to proactively aid with de-escalation, coach problem-solving and coping skills, and facilitate positive peer interactions
