The Policy Gap - Older adults on the spectrum

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alisoncc
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21 Dec 2014, 4:02 pm

I am reminded of my experiences working as locum accountant for a large HIV/AIDS charity many years ago. When I commented to the accountant going on long leave that many must be hopefully for a cure, he responded words to the effect "absolutely not, think how many people would be out of work".

So I can well appreciate that commercial enterprises (specialists, etc.) and those within the industry that has built up to service the AS market would focus on parents/carers as they would represent the most lucrative sections. But is it reasonable to feel a sense of aggrievement at support organisations that appear to be run by NT's whose sole purpose is to support the parents/carers of brats with AS whilst claiming to support all AS people?

From my experiences within the Transgender community I am only too well aware that the most difficult times of the year are around Christmas when isolation from society and families leads to a significant surge in suicide attempts, and would suspect similar within the AS community. So when a so-called support organisation chooses to close down from the end of November to the end of February to allow the NT volunteers a Christmas break is it reasonable to feel a sense of outrage. Or is their attitude representative of the vast proportion of Asperger's support groups around the world?

I noted with interest a sticky cartoon on one of the forums denoting older female aspies as being invisible, but are older male aspies treated similarly? Are there any support organisations that specifically exclude parents/carers and those under a certain age? I have nothing specific against ankle-biters, but when someone posts words on WP to the effect "have to go now as Mom has told me to go to bed", I question my own involvement even here.

Alison


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B19
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21 Dec 2014, 4:14 pm

Re your last comment Alison: I hear what you are saying, though I don't think there is any marginalisation intended, consciously or not, by the "going to bed" comments. As you surely know (from your posts, I am sure you do know) that what you see - particularly as a very young adult - is so much influenced by where you stand; in my teens I can honestly say that I was self-focused, self-centred, unaware of sensitivities re older age groups and perspectives... and that largely goes with the territory. (The slogan of the times was: "never trust anyone over 30" - when life was considered to end!) LOL I am more than twice that age now!

On the other hand, it is very likely that your wisdom here is appreciated by many of those younger readers.
I certainly appreciate it, for the record.



alisoncc
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21 Dec 2014, 4:53 pm

B19 wrote:
On the other hand, it is very likely that your wisdom here is appreciated by many of those younger readers.
I certainly appreciate it, for the record.


Thank you. I was born during WWII, at a time when I suspect that "Autism" and "Asperger's" didn't even rate a mention in medical dictionaries never mind the OED. By the age of 15 my parents had signed me up for the UK armed forces. It's what parents did in those days for children who were perceived as being "odd". Mine probably couldn't cope with my Autism and gender issues, and the military weren't overly fussed, taking anyone they could get at the outset of the Cold War.

Whilst it was an incredibly rude awakening to the real world, the RAF did put me through college, training me as an avionics engineer. I doubt there are many on WP who can claim to have sat on top of an armed nuclear bomb in the bomb bay of an aircraft on dispersal. My life has always been driven by a simple concept - either cope or call it quits. No other choices. So I have a somewhat jaundiced view of those who choose to complain whilst having it so easy. Life did have a tendency to provide stiffer back bones then. Don't have much sympathy or empathy to offer.

Alison


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21 Dec 2014, 4:55 pm

B19 wrote:
I can completely understand that. The social anxiety group I go to has a huge age range, from early 20s to late 60s, and we all get along really well - there is no generation division within the group. However the older members don't do annoying things which can poison these inter-relationships, like harp on about "how much better things were when I was young"! I stay informed about current things and share my younger life experience only when younger people request it (which they often do, re things like problems or issues they are having at university).

The policy needs of SOTS (Seniors on the Spectrum, like it?! ! I just made that up!) are much wider than groups in which to socialise together though. Financial security is a very important issue, because people on the spectrum have often been under-employed, unemployed or sporadically employed, have faced discrimination and stigma, unsuitable work conditions and so forth, so the capacity to save for retirement has been impaired by having to compete for employment as if they were NT's.

The issues are so much bigger than social contact, not to minimise the importance of that too. Economic oppression affects many of all ages on the spectrum, and I think in a policy sense it needs to be recognised as such, rather than a case by case set of difficulties that each person may have. Policy is very ineffective when it takes the latter view, though support on a one to one basis is valid and important.


All quite interesting.

Your social anxiety group sounds good. I've just been looking up autism groups in my area, but they all seem to cater principally for children/adolescents with autism and their families.

I'm starting to think you have a point about older people on the spectrum being invisible. It's depressing...



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21 Dec 2014, 4:58 pm

alisoncc wrote:
Whilst it was an incredibly rude awakening to the real world, the RAF did put me through college, training me as an avionics engineer. I doubt there are many on WP who can claim to have sat on top of an armed nuclear bomb in the bomb bay of an aircraft on dispersal. My life has always been driven by a simple concept - either cope or call it quits. No other choices. So I have a somewhat jaundiced view of those who choose to complain whilst having it so easy. Life did have a tendency to provide stiffer back bones then. Don't have much sympathy or empathy to offer.

Alison


You are absolutely welcome to my life if you think I've been having a ball for the past 39 years.

Frankly I think you were just lucky to be able to cope well enough not to sink. People who didn't were put in institutions, like my mum's friend's brother.



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21 Dec 2014, 5:30 pm

B19 wrote:
...So - none of the Autism/Aspergers screening instruments have yet been shown to be scientifically valid nor reliable for older populations. Diagnosticians who apply them to older clients should be aware of this, though I suspect they are not, or if aware, are not mindful of the issue, as they lack any direction or training in regard to the needs of seniors on the spectrum.

Thank you for describing the elephant in the room. I plan to attend the IMFAR meeting http://www.autism-insar.org/imfar-annua ... imfar-2015 in Salt Lake City in May, and have planned for the last few months to look for evidence of better screening, diagnostic and therapeutic services for adults, especially older adults. I suspect that it won't be too easy to do. If I can get media credentials, I plan to report from the meeting either here at Wrong Planet and/or at ASAN.

By the way, B19, are you planning to attend the IMFAR meeting?


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21 Dec 2014, 5:44 pm

AspieUtah, thank you for drawing my attention to this conference, of which I was unaware. I have spent a few minutes looking up some abstracts from a previous conference, and will definitely bear this in mind. One of the (many) things of current interest to me is the search for reliable biomarkers, and it seems a very safe bet that these researchers will be present.

At this stage it's a possible; depending on how my health goes next year it may turn into a probable, and progress to a definite. Certainly I would like to be there, it sounds really interesting.



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21 Dec 2014, 6:22 pm

Needs fall into discrete categories, at any age and old is no different:

In the broadest categories these are:

Physical
Emotional
Psychological
Spiritual

(I think everyone has some kind of spiritual need, I don't mean religious ones, the search for personal meaning is an example of a spiritual need).

Each of these meta-categories can be broken down into specifics, eg

Physical category includes :

adequate housing, food security, health care, ability to afford other essentials (clothing, hairdressing, dentistry, travel costs, utilities et al), respite care when needed, safety, personal care, and so on.

I think we do need to construct some sort of framework first that serves to conceptualise the kinds of needs and their relative importance to overall well-being before solutions for service delivery can be formulated.
This conceptualisation stage, wherever and whenever it occurs, has to include ASD people from the very beginning.



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21 Dec 2014, 7:00 pm

B19 wrote:
3) having their life experiences of ASD marginalised, ignored, or discounted by younger people who are themselves on the spectrum, and have no informed concept of growing up in a world ignorant of ASD and its effects.


r2d2 wrote:
I suppose I do have this thought that since I grew up in a era long before Asperger's or HFA were even recognized - I grew up as someone who was very delicate and sensitive but was treated brutally and harshly in a world that could only see my autistic traits as weirdness that did not deserve any empathy, sympathy or consideration. I guess in that sense - I feel quite cheated.


I can relate to these two quotes. One of the hardest things was knowing there was something that I was dealing with, that others weren't. I didn't know if I was ill, supernatural, or an alien. I used to dream that a starship would come and take me home. And I also knew that I had to conceal my internal struggle so as not to be vulnerable. Both from teachers and other students. From grades K- 8, everyone was the enemy.



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21 Dec 2014, 7:10 pm

I wonder if someone will one day make a film about that experience of growing up alienated, that is realistic to ASD experience - this would take someone like the British film-maker Mike Leigh I think, and such film makers are rare. It's not likely, though who knows... (Hint: Come in Bill Gates, send some Christmas funding to me for this, and I'll pitch it!)



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22 Dec 2014, 12:13 pm

androbot01 wrote:
I can relate to these two quotes. One of the hardest things was knowing there was something that I was dealing with, that others weren't. I didn't know if I was ill, supernatural, or an alien. I used to dream that a starship would come and take me home. And I also knew that I had to conceal my internal struggle so as not to be vulnerable. Both from teachers and other students. From grades K- 8, everyone was the enemy.


very familiar.
...still waiting for the aliens to come.


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Davvo7
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23 Dec 2014, 8:31 am

Horrible time of year for me, really dislike the falseness that comes with it. I despise the dishonesty of the fact that somebody will wish me well today, yet has spent the last 11 months ignoring me!

It is hard to juggle being alone with social isolation isn't it. I love being alone - sometimes with my partner - just reading or googling - I particularly like Pinterest as I get to see images I haven't seen before which is always a plus. Social isolation is different though; for many older (and indeed younger) people this is a difficult period as they are reminded of the ideal happy family unit they are 'supposed' to have according to the media, yet simply don't.

I try to reach out to my elderly neighbour but find it difficult as we have so very little to say to each other and my stock supply of 'small talk' is used up very quickly. We try to ensure she has provisions etc. but I am a poor substitute for a family who don't bother with her. More and more people, and I would imagine a high proportion of them 'Spectrumites' or 'SOTS', living alone I see more issues with co-morbid conditions such as anxiety or depression each year.

Sorry to descend like a wet fog on the thread, but sometimes I just wake up feeling 'blue'. It does make me worry about the future for people like me - and I guess some of you.


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