UNC Frank Porter Graham
Child Development Institute
Autism Team

Supporting Individuals
with Autism throughUncertain Times
Kara Hume, Ph.D., UNC School of Education, & UNC FPG Autism Team:
Victoria Waters, Ann Sam, Jessica Steinbrenner, Yolanda Perkins, Becky Dees,
Brianne Tomaszewski, Lindsay Rentschler, Susan Szendrey,
Nancy McIntyre, Mary White, Sallie Nowell, & Sam Odom
Some content adapted from Hume, Regan, Megronigle, & Rhinehalt, 2016
All children and young adults require support from caregivers during times of stress anduncertainty, such as those we are facing now with the spread of the coronavirus (COVID-19).
Coping with the unknown and navigating school closures, abrupt changes in routines, loss ofconnections with teachers and friends, and fear around contracting the virus- are burdens for
all, and caregivers play an important role in helping children and young adults understand thechanges and process their related feelings. Individuals with autism may need additional
support to process the news and adapt to the many changes. This population may face
additional challenges related to comprehension, communication, difficulty understanding

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7 Strategies to Support
Individuals with ASD throughUncertain Times
abstract language, an insistence on sameness, and a greater
Supportunderstanding

likelihood of anxiety and depression—all of which may be
exacerbated during this stressful period.
The following 7 support strategies are designed to meet theOfferopportunities
for expression

unique needs of individuals with autism during this period of
uncertainty. In addition, examples and ready-maderesources are included to help caregivers implement thesestrategies quickly and easily. These materials purposely

Prioritize
coping andcalming skills

represent a variety of styles/designs/complexity to model
the range of what may be most meaningful across ages andskills, and to demonstrate what can be generated with few
materials by busy caregivers. Specific adaptations andMaintainroutines

additions may be necessary to best meet the varied needs ofindividual children and young adults.
These strategies are intended to be a menu or toolkit of

Build newroutines

ideas that may be helpful-- caregivers may take one idea at atime and find a way to make it work for their child(ren) with
autism and their family. Caregivers may want to start with a

Fosterconnections(from adistance)

strategy they have used in the past, or perhaps find a tool toaddress the issue that is creating the most immediate stress.
Consider involving the individual with autism in thedecision-making process about what tools would be mostBe aware ofchanging
behaviors

helpful.

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Table of Contents
Support Understanding ..................................................................................................................................................... 5
COVID-19 ....................................................................................................................................................................... 7
Coronavirus – COVID-19............................................................................................................................................8
Greeting People ............................................................................................................................................................9
Giving People Space ..................................................................................................................................................10
Giving People Space When Talking ........................................................................................................................ 11
Hand Washing ............................................................................................................................................................. 12
Hand Washing ............................................................................................................................................................. 13
Hand Washing ............................................................................................................................................................. 14
Creating Visual Supports and Social Narrative Apps ........................................................................................... 15
Calendar Template ..................................................................................................................................................... 16
Countdown Example ................................................................................................................................................. 17
Visual Timer Using Stickie Notes ............................................................................................................................. 18
Timer Apps ................................................................................................................................................................... 19
Offer Opportunities for Expression .............................................................................................................................. 20
Communication Tools ............................................................................................................................................... 21
Expression Activities.................................................................................................................................................. 22
Prioritize Coping and Calming Skills .............................................................................................................................23
Calming Routine .........................................................................................................................................................25
FACE COVID ............................................................................................................................................................... 26
Self-Management .......................................................................................................................................................27
Exercise Activities Choice Board ............................................................................................................................ 28
Exercise Activities ...................................................................................................................................................... 29
Mindfulness Apps....................................................................................................................................................... 30
Maintain Routines ............................................................................................................................................................. 31
Tips for Creating a Task Analysis .............................................................................................................................33
Unload the Dishwasher ............................................................................................................................................ 34
Make a Snack ...............................................................................................................................................................35
Task Analysis Template ............................................................................................................................................ 36

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Build New Routines .......................................................................................................................................................... 37
Daily Schedule Example ........................................................................................................................................... 40
Daily Schedule ............................................................................................................................................................. 41
Daily Schedule Example ........................................................................................................................................... 42
Daily Schedule Using Stickie Notes ....................................................................................................................... 43
Weekly Schedule........................................................................................................................................................ 44
Inside and Outside Activities ................................................................................................................................... 45
Weekly Choices and Goals ...................................................................................................................................... 46
Educational Resources for Kids ...............................................................................................................................47
Movement Resources for Kids ................................................................................................................................ 48
Educational and Movement Resources for Teenagers ...................................................................................... 49
Additional Activity Resources.................................................................................................................................. 50
How to Transition Off Screens ................................................................................................................................ 51
Foster Connections ..........................................................................................................................................................52
Calling with FaceTime ...............................................................................................................................................53
Marco Polo for Video Chats .................................................................................................................................... 54
Video Chat Apps .........................................................................................................................................................55
Be Aware of Changing Behaviors ................................................................................................................................. 56
Crisis Supports ............................................................................................................................................................ 57
Supporting Individuals with Autism through Uncertain Times .............................................................................. 58
References ......................................................................................................................................................................... 59
Acknowledgements ......................................................................................................................................................... 60
Suggested Citation .......................................................................................................................................................... 60

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Support Understanding
Individuals with autism may have varied levels of understanding about the COVID-19 virus, how it
spreads, and how to reduce risk of exposure. Below are several strategies to use to provide
additional meaning to this complex scenario.
Describe the virus and current situation(e.g. closures, social distancing) in
concrete language and terms and avoid
flowery or abstract phrasing. The
understanding of abstract phrases andmetaphors such as “she is under theweather”, “she caught
the virus”, and “he isscared stiff about this”
can be difficult forindividuals with autism
and can create
confusion (Lipsky,2013). Using direct and clear language isrecommended. Though stark-sounding,phrases like “The coronavirus is a type ofgerm. These germs are very tiny, and when
they get inside your body, they can make yousick” may be easier for individuals with
autism to understand. For more information,(https://www.pbs.org/newshour/health/10tips-for-talking-about-covid-19-with-yourkids).
Use a social narrative, a story that clarifies asituation and possible responses throughmodified text, photos, or the use oftechnology (Wong et al., 2014). Individuals
on the autism spectrum benefit fromreceiving information in multiple formats, as
they often have receptive language deficits(Mody et al., 2013). Several example social
narratives have been developed to giveindividuals more
information about
COVID-19, help themunderstand how to
reduce risk, provide
insight into how they
may be feeling, andoffer assurance thatthose feelings arenormal. Reading the narratives to/with theindividual with autism regularly acrossseveral days is helpful. Revisit and adjust as
needed as circumstances shift.
Provide visual supports to offer guidance on
coronavirus specific actions and behaviors.
The “rules” around how we greet people (e.g.
no more handshakes), how we interact withpeople, even family
members (e.g. social
distancing), and how
often/when we wash
our hands (e.g. every
time we come inside)
are changing. Using

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visual cues to break down the steps of these
new expectations may be helpful, as
individuals with autism may respond best toa more explicit and concrete explanation.
Several examples are provided.
Offering visual cues to clarify the passageof time may be helpful. Individuals with
autism may have trouble perceiving thepassage of time, an invisible concept, and theuse of a monthly, weekly, and/or daily

calendar may aid in tracking time out ofschool/in a quarantine situation. While we
do not know an “end” date totoday’s uncertainty, marking thepassage of time as well as
including favorite activities,
such as shows, online meetups,
or game night on the calendar
can be a helpful coping
strategy.

Resources include:
Social Narrative: COVID-19
Social Narrative: Coronavirus
Social Narrative: Greeting People
Social Narrative: Giving People Space (Social Distancing)Social Narrative: Giving People Space When Talking
Visual Support: Hand Washing (Clipart)
Visual Support: Hand Washing (Photos)
Task Analysis: Hand Washing
Creating Visual Supports and Social Narrative Apps
Visual Support: Calendar Template
Visual Support: Countdown Example
Visual Support: Timer (Using Stickie Notes)
Timer Apps

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COVID-19
Right now, lots of people are getting sick with a virus.
Doctors and leaders are working hard to keep everyone
healthy. I need to help keep myself safe and healthy too.
School is closed so students and teachers can stayhealthy. While school is closed, it is important foreveryone to stay home and not visit other people. While I
am at home, I can play, look at books, and learn. I alsoneed to wash my hands a lot with soap and water. This
will help keep me and my family healthy.
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Coronavirus – COVID-19

Right now, there is a virus that is making people sick.
Because it spreads so quickly, many schools andworkplaces are closed. It is important to keep myself andothers healthy right now, so I need to change some of myroutines. Staying home and staying away from otherpeople will help keep me and others healthy. I also need
to wash my hands often and keep my hands to myself.
Doctors and leaders are doing their best to take care ofsick people. If I am worried about the virus, I can talk to
my parents. I will do my best to stay healthy.

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Greeting People
When I meet new people, I like to shake their hand. WhenI see people that I know, I like to hug them. Some people
do not like to touch when they greet others. They may
feel sick and do not want to share germs. They may not
be comfortable with touching others. When I greet
people, I should ask if they are okay with shaking hands or
hugging. If they say no, I can wave and just say hi. Asking
before shaking hands or hugging, will make everyone feel
more comfortable.
Hi!

Hi! Nice to
see you!

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Giving People SpaceAll people need to havepersonal space.

Being too close can makepeople feel
uncomfortable.

When I talk to people, I
should give them space.

When I sit with people, I
should give them space.

Giving people personal space, keeps them happy andhealthy.

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Giving People Space When Talking
I like to talk to my friends and family. Sometimes I standor sit very close to them when I am talking. When I do
this, the other person may feel mad or unsafe. People liketo have some space when they are talking to others.
When I talk to my friends and family, I can stand or sit atleast an arm’s distance away. Giving people space when I
talk will make them happy.

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Hand Washing
Step 1.
Turn on warm water
Step 2.
Get hands wet
Step 3.
Get soap
Step 4.
Rub hands for 20 seconds
Step 5.
Rinse hands
Step 6.
Turn water off
Step 7.
Dry hands

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Hand Washing
Step 1.
Turn on warm water
Step 2.
Get hands wet
Step 3.
Get soap
Step 4.
Rub hands for 20 seconds
Step 5.
Rinse hands
Step 6.
Turn water off
Step 7.
Dry hands

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Hand Washing
1. Turn on warm water
2. Get hands wet
3. Get soap
4. Rub hands for 20 seconds
5. Rinse hands
6. Turn water off
7. Dry hands

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Creating Visual Supports
and Social Narrative Apps

First Then
Visual Schedule

Pictello

iPrompts$9.99$18.99$9.99

iCreateSocial Story
Creator & LibraryFirst ThenFree
(in-app $)Free(in-app $)Free

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Calendar Template
S

M

T

W

T

F

S

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Countdown Example

5
4
3
2
1
Power OffUNC FPG CHILD DEVELOPMENT INSTITUTE AUTISM TEAM

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Visual Timer Using Stickie Notes

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Timer Apps

Childrens
Countdown
Timer

Visual Timer

Stopwatch TimerFree(in-app $)Free(in-app $)Free(in-app $)Kids Timer+

Stopwatch &Timer+

Tabata Timer

$0.99

$4.49

$2.00

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Offer Opportunities for
Expression
Children and young adults will likely have difficulty articulately expressing how they feel about
the many unexpected changes. Fear, frustration, and worry may be expressed throughchallenging behavior like tantrums, refusing to take part in family activities, or withdrawal. For
individuals with autism, these communication difficulties may be coupled with expressive
communication delays, limited verbal or nonverbal skills, difficulty perspective taking, and/or
social communication deficits.
Consider providing multiple opportunities
for family members to express their
feelings as they are able—through family
and individual discussions, writing activities,
movie making, or play. Feelings and needs
may be communicated through alternate
forms of expression such as the use ofaugmentative and alternative
communication (e.g. iPad, pictures), listeningor playing music, dance, yoga, and various
visual art forms. In addition, recognize thatan increase in challenging behaviors may be

an expression of anxiety or fear, and consider
if support strategies in place are adequate(see strategy 3
for further
discussion of
coping andcalming
strategies).
Severalexamples are provided that can support
expressive communication.

Resources include:
Communication Tools
Expression Activities

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Communication Tools

1 Second Everyday
Video Journal

Pinterest
Ideas for Bullet Journals
and ZinesFree(in-app $)Free

Zine Making 101

StoryboardThat
Online Comic Maker

Free$7.99-$9.99 a month

LiveJournalVideo Journal

Journey
Video Journal

Free-$19.95$4.99
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Expression Activities
Journaling

Art

Create a daily routine

Create a Zine
(pronounced zeen):• A mixture of collage,art, and words• Visit Zine Making 101
for ideas and tips
• Share what you know
about your favorite
topics• Create a ‘How to’

Create a bullet journal:• One line a day• Integrate images• Calming tips
• Things that bringhappiness• Track mood
• Take a daily fun photoand describe what ishappeningVideo journal:• Film 1 second daily• Interview, talk aboutplans, mood…

Create a graphic novelor comic strip:• What do you miss?
• What are you worried
about?
• What are your hopes?

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Prioritize Coping and Calming
SkillsSupporting individuals with autism to learn coping, self-management, and self-care skills is apriority during this time of uncertainty.
Ideally, individuals with autism have some
coping and calming strategies in theirrepertoire of skills to access with support
during their most anxious times. These may
include rocking in a rocking chair, listening
to music on headphones, deep breathing,watching apreferred
video clip,
brief periodsof vigorous
exercise, oraccessing afavorite activity or material. If coping or
calming strategies are not yet part of theroutine, caregivers can prioritize theteaching of these skills during this time ofuncertainty.
• Strategically choose
times of the day when
the individual with
autism is calm to initiate
the instruction.
• Create a concrete andvisual routine to support
the use of these strategies.
o Many free apps are available forcalming strategies and guided
meditations such as Calm,
Headspace, Breathe2Relax,••

Pacifica, and RainRain. Several
examples of calming routines andself-management systems areprovided.
Ensure that the individual with autism
has ample access to these calming
activities.
Coping/calming activities may bescheduled regularly across the day inthe initial weeks of changes, then, if
appropriate, caregivers may introduce
and teach a self-management plan thathelps
individualsYouremotions
track theirare valid.
anxious or
worriedresponses andidentify when
the calming
strategies are required.

Exercise/physical activity is a provenstrategy to reduce anxiety
symptoms with the broader
population, as well as withindividuals with autism.
Consider establishing or
adding basic exercise
routines for the family such

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as wearing a FitBit and counting daily steps, anightly walk, or an online/app-based
workout. Many sites are offering free accessduring this time, such as the Down Dog yoga
app, Nike Run Club, and Facebook Livestreams from Planet Fitness.

Resources include:
Self-Management: Calming Routine
Self-Management: FACE COVID
Self-Management: Reinforcement
Inside and Outside Exercise Activities Choice Board
Exercise Activities
Mindfulness Apps

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Calming Routine
1. Take 4 deep breaths

1

2

3

4

2. Clench fists 4 times

4
3. Count to 10

1 2 3 4 5 6 7 8 9 10
4. Good job!

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FACE COVID
Focus on what you can control
Say to yourself “I can control what I am doing here and now.”

Acknowledge your thoughts and feelings
Silently and kindly acknowledge any thoughts and feelings

Come back into your bodySlowly stretch your arms or neck, shrug your shoulders
Take slow, deep breaths

Engage in what you are doing
Notice 5 things you can see, 3 things you can hear, 1 thing
you can smell, and what you are doing

Repeat the above 2 to 3 times

Commit to action
What can you do this week to help yourself? Or others?
Write it down in your schedule.

Open upAcknowledge that your feelings are normal and that it isokay to feel what you are feeling

ValuesHow do you want to treat yourself? Others? Values include
love, humor, kindness, honesty…

Identify resources
Identify ‘Who’ and ’Where’ to get help, assistance, andsupportDisinfect and distance
Wash your hands and practice social distancing(Adapted from Rush Harris, ‘The Happiness Trap’ and ‘I’m Learning ACT’)
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Self-Management
Directions:
At the end of each of the 5-time intervals, circle
whether you practiced the target behavior/skill.
After the fifth or last time interval, determine if you
get a reward.
Target Behavior/Skill:

1

2

How
many
smiles
do I
have?

3

4

5

Do I have
5 smiles?

Yes

No

Get a
reward!

Try again.

Do I get a reward?

(Adapted from AFIRM Module: Self-Management)
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Exercise Activities Choice Board

InsideOutsideLift weights

Play ball

Dance

Yard work

Climb stairs

Take a walk

Yoga

Go on a nature hike
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Exercise Activities

InsideOutsideUse food items(e.g., cans) or
cleaning supplies
as weights
Learn a dance from
YouTube, Tik Tok,
Instagram, or
GoNoodle…or freestyle toyour favorite songs
Do heavy work likecarrying heavy items
up and down stairs
Try yoga or animalposes/walks likecrab walks, bearwalks, frog jumps…

Take a walk or
ride a bike

Gardening or
yard work

Go on a nature
scavenger hunt

Play catch or jumprope

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Mindfulness Apps

Breathe, Think,
Do with Sesame

Calm

Daniel Tiger’s
Grr-ific Feelings

Free

Free
(in-app $)$2.99

Headspace

HelloMind

Mindfulness forChildren AppFree(in-app $)Free(in-app $)$5.99

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Maintain Routines
While it is important to create time and space for all family members to process uncertainty,
individuals with autism may cope best when daily routines are only minimally interrupted.
Routines can provide increased comfort for individuals with autism (Faherty, 2008) and may
allow them to better express their feelings related to the changes. For example, instead ofskipping a Friday night movie tradition because of increased screen time at other times during
the week, choose a movie that can facilitate a conversation about the changes, loss, and/or
associated feelings (e.g. Inside Out, Finding Dory). Combining the stress of the COVID-19 relatedchanges with the addition of changed routines--especially if the new activities are nebulous or
unstructured--could potentially exasperate or extend the adjustment process (Lipsky, 2013).
Important routines to maintain include:
Sleep/wake routines: Maintaining physicalhealth is key for all family members andensuring proper sleep is
an important
contributor. Sleep
disturbances are morecommon in individuals
with autism, thus extra
attention may berequired to support good sleep hygiene andmaintain bedtime and waking routines (seemore https://www.autismspeaks.org/sleep).
Household chores/dailyliving skills: Taking part instructured household chores
and routines is arecommended strategy tosupport children and young
adults coping with stressrelated to COVID-19. Individuals with autism
may need additional supports, such as a task
analysis, to be able to take part in and/or
completethese
activities.
Severalexamples areprovided forcommonchores along with a template that can beused for a variety of daily living activities. For
more information related to COVID-19, see
https://www.nctsn.org/sites/default/files/res
ources/fact-sheet/outbreak_factsheet_1.pdf.
Expanding the use of a visual schedule, andusing one more regularly throughout theday, may help facilitate participation in
activities at home and reduce anxiety. ManyUNC FPG CHILD DEVELOPMENT INSTITUTE AUTISM TEAM

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caregivers use elements of a visual schedulealready (e.g. a calendar on the refrigerator, alist of errand locations, a photo of which
therapist is coming to visit) and these can beextended for use across the day. The format
and length of the schedule may vary basedon the individual’s needs, and several
examples are included.

Resources include:
Tips for Creating Task Analyses
Task Analysis: Unload the Dishwasher
Task Analysis: Make a Snack
Task Analysis Template

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Tips for Creating a Task Analysis
1. Choose a task with a definitive start and end (e.g. set the table, getdressed, make bed)
2. Write down the steps as you do the task or as you watch another
adult do the task
3. Give the steps to someone else to try to follow and make sure they
are clear.
4. Write the final steps on a piece of paper to guide instruction forteaching the task to your son/daughter.
5. If needed, draw, or take picture cues for each step to post as avisual schedule for your child to reference.
6. Teach the task using the prompting strategy that fits your childbest. Some learners who get easily frustrated may do best withmost-to-least prompting in which you assist more, while otherlearners may reach independence with the task more quickly using
a least-to-most prompting strategy.

Most-to Least
Prompting
Full PhysicalPartial PhysicalModeling
Gestural Prompt
Verbal Prompt
Visual Prompt

Least-to-Most
PromptingVisual Prompt
Verbal Prompt
Gestural Prompt
Modeling
Partial Physical
Full Physical
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Unload the Dishwasher
Target Steps

Date

1. Open dishwasher
2. Pull out bottom rack
3. Remove plates one at a time
4. Place plates in appropriate cupboard one at atime
5. Remove any pots/pans
6. Place pots/pans in appropriate cupboard
7. Remove utensil basket
8. Place utensil basket on counter near utensil
drawer
9. Place each utensil in appropriate matchingdrawer section
10. Replace utensil basket in bottom
dishwasher rack
11. Push in bottom dishwasher rack
12. Pull out top dishwasher rack
13. Remove glasses one at a time
14. Place glasses in appropriate cupboard one
at a time
15. Remove mugs one at a time
16. Place mugs in appropriate cupboard one ata time17. Remove any other items one at a time
18. Place other items in appropriate cupboard
one at a time
19. Push in top dishwasher rack
20. Close dishwasher#/#%

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Make a Snack
Target Steps

Date

1. Go to kitchen
2. Get a plate from cupboard
3. Place plate on counter
4. Take banana from basket on counter
5. Place banana on plate
6. Get cracker box from cupboard
7. Open box
8. Sprinkle an appropriate number of crackers
onto plate
9. Close box
10. Put box back in cupboard
11. Get a cup
12. Fill cup with water
13. Take water cup to table
14. Get napkin
15. Take napkin and plate to table
16. Sit down and eat#/#%

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Task Analysis Template
Target Steps

Date

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
#/#
%

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Build New Routines
It may also be necessary to create new routines during this time, as there are many new
demands of caregivers—possibly homeschooling for the first time, continuing to work in/out of
the home, and/or caring for multiple children or other family members. Several new routines that
may be helpful are described below:
Transitioning off screens: For many reasons,
including those listed above, children andyoung adults may
access screensmore often andfor longer
periods of the
day during thistime.
Transitioning away from a device, especiallyafter a period of extended use, may bedifficult for many children and young adults;
however, the behavioral rigidity andinflexibility often characteristic in individuals
with autism may make these transitions
problematic. Establishing a clear, consistent,
and concrete routine for this transition canbetter prepare the individual for the comingtransition and offer support throughout.
• Use a visual timer. It may be helpful for
individuals with autism to “see” howmuch time remains ofscreen time before they will
be expected to transition to
off the device. Concepts
related to time are fairly
abstract (e.g. “You have a
few minutes”), often cannot•

be interpreted literally (e.g. “Just a
second” or “We need to get off in aminute”), and may be confusing,
especially if time-telling is not amastered skill. Presenting information
related to time visually can assist in
making the concepts more meaningful.
One example is the Time Timer™ app(https://www.timetimer.com/collections/applications), which displays a sectionof red that disappears when the timeruns out.
Another visual transition strategy to use
is a visual countdown system. Like thevisual timer, avisualcountdownallows anindividual to“see” howmuch time isremaining in an activity. The
countdown differs, however, because
there is no specific time increment used.
This tool is beneficial if the timing of thetransition needs to be flexible (e.g.
caregiver would like the child to stayengaged on the device during a work

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call but does not know when it will end).
A countdown system can be made withnumbered or colored squares or sticky
notes, or any shape or style that ismeaningful
to theindividual.
As thetransitionnears, thecaregiver canpull off or cross off the top item (e.g. thenumber 5) so the individual is able tosee that only 4 items remain. The
caregiver decides how quickly or slowly
to remove the remaining items
depending on when the transition will
occur. Two minutes may elapse
between the removal of number 3 andnumber 2, while a longer amount oftime may elapse before the final number
is removed. Once the final item isremoved, the individual is taught that it
is time to transition. Several examples
are provided, and these can be used tosupport any transition.
Offer choices. In a time of crisis, when mostpeople feel like so much is out of theircontrol, providing
choices can increase a
sense of autonomy andmotivation. Creating
regular opportunities
across the day wherefamily members have avoice about what happens and when it
happens can serve as an effective anxiety
reducing strategy and a communication tool.
These choices might include the route forthe nightly walk, meal options, order ofactivities for the day, and/or preferences for
activities. Several examples are provided foruse across the day and age range.
Create a workspace with a to-do list. For
the first time, many children and young
adults will be
expected tocompleteschoolwork in
the home setting.
Individuals with
autism may havedifficulty generalizing the strategies and skills
they used in the school environment to thehome environment (e.g. organizing
materials, attending to work activities,
submitting assignments online). Thus, it will
be helpful to set up a designated workspace
to help clarify expectations and reduce
distractions. This may be a spot at the dining
room table designated by a colored placemat
and facing away from the television or
window. If multiple
children are working in
one space, consider
adding a small visual
divider (e.g. an open
folder) between them.
Caregivers can create avisual “to-do” list in several different ways—a)placing the individual worksheets to becompleted on the child’s left and a small
basket on the child’s right to put them inwhen they are finished, or b) writing a shortlist on a sticky note of the tasks toaccomplish during the work session (e.g. 1
science story and 15 minutes of ABC Mouse).
These can be crossed off when they are

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finished. Older children and young adults
can likely generate their own to-do lists but

may need some initial support to set up aworkspace and launch these routines.

Resources include:
Visual Support: Example of a Daily Schedule
Visual Support: Daily Schedule Template
Visual Support: Example of a Daily Schedule (Using Stickie Notes)
Visual Support: Daily Schedule Template (Using Stickie Notes)
Visual Support: Weekly Schedule Template
Visual Support: Choice Board of Inside and Outside Activities
Visual Support: Weekly Choices and Goals Template
Educational Resources for Kids
Movement Resources for Kids
Educational and Movement Resources for Teenagers
Additional Activity Resources
How to Transition Off Screens

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Daily Schedule Example
Task

Done

Wake Up

Brush Teeth

Get Dressed

Eat Breakfast

Read (30 minutes)

Exercise (30 minutes)* Note: Icons from Microsoft Word Icons (Insert tab)

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Daily Schedule
Task

Done

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Daily Schedule Example
Task

To Be
Done

Done

Read (45 minutes)

Computer (30minutes)
Eat lunch

Walk the dog

Completehomework
Eat snackUNC FPG CHILD DEVELOPMENT INSTITUTE AUTISM TEAM

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Daily Schedule Using Stickie Notes
Task

To Be
Done

Done

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Weekly Schedule
Task

S

M

T

W

T

F

S

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Inside and Outside Activities

InsideOutsideRead books

Play ballPlay games

Yard work

Draw or color

Take a walkComputer games

Go on a nature hike
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Weekly Choices and Goals
One thing I want to read for fun this week is:

One thing I plan to do outside this week is:

One game I want to play as a family this week is:

One way I plan to get exercise this week is:

One way I plan to be helpful this week is:

One thing I want to do with _________ (family
member) this week is:
One movie/show I want to watch this week is:

One thing I want to learn about this week is:(Adapted from Danielle Berman, Durham, NC)

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Educational Resources for Kids

StarfallMathGames

Scholastic

NASA’s Kid ClubPBS Kids Games

The Weather Channel:
America’s Science Classroom

National Geographic Kids

Google Arts & Culture

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Movement Resources for Kids

Yoga

GoNoodle

The Learning Station

Active for LifeUNC FPG CHILD DEVELOPMENT INSTITUTE AUTISM TEAM

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Educational and Movement
Resources for Teenagers
Educational

Movement

Khan Academy
Free online courses,
lessons, and practiceYoga with Adriene

ScratchProgram your own
animations and stories

Born to Move

TEDEd
Videos on topics of interest

The Fitologists

Smithsonian Teen Tribune
Articles about hot topics
written across readinglevelsUNC FPG CHILD DEVELOPMENT INSTITUTE AUTISM TEAM

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Additional Activity Resources

Time to learn about space!

Early Learning Activities &Visual Supports

Boredom Busters: 110 Fun
At-Home Activities for
Families & Kids

Kids Classes from HomeUNC FPG CHILD DEVELOPMENT INSTITUTE AUTISM TEAM

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How to Transition Off Screens
1. As much as possible, try to plan for screen time in thedaily schedule. Make the times reasonable for yourchild’s age.
2. Use a timer or clock to let your childknow how much screen time they
have so that they know what toexpect.
3. Try to avoid planning screen time before nonpreferred activities. For example, it might be easier totransition your child from screen time to snack than it
would be to transition from screen time to an
academic task.
First

Then

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Foster Connections(From a Distance)
Individuals with autism are more susceptible to social isolation and loneliness, and this may beworsened by quarantine conditions. Positive social support is important for everyone during thisperiod, and individuals with autism may need more explicit facilitation to ensure that social
connections continue. Caregivers may need to check in to ensure social contact is continuing
via text or direct messaging, and/or build in opportunities for daily social contact with family,
friends, neighbors, teachers, or others via FaceTime, What’s App, Google Hangout, Marco Polo,or other apps. Scheduling time to connect with others via online platforms to attend religious
services, play chess, participate in socially engaged gaming, complete online schoolwork, or
virtually volunteer are ways to safely promote social interaction and stave off isolation. Several
examples provide support around using apps that can foster connectedness.

Resources include:
Task Analysis: Calling with FaceTime
Task Analysis: Marco Polo for Video Chats
Video Chat Apps

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Calling with FaceTime
1. Select the FaceTime app.
2. Select who to call.

3. Wait for them to answer.

4. Talk with them. You can ask
questions such as:• What shows have you watched?
• Have you played any fun games
inside?
• What books are you reading?
5. Say, “Bye.” Then end call.

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Marco Polo for Video Chats
1. Open Marco Polo App
2. Select who to send a video.

3. Press ‘Start’ and make yourvideo.

4. Press ‘Stop’ when you aredone making your video andsend your video.

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Video Chat Apps

FaceTime

WhatsApp

Skype

Free
(Apple)

Free

Free

Marco Polo

Facebook
Messenger

Zoom

Free

Free

Free

Google HangoutsFree

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Be Aware of Changing Behaviors
As described in Foster Connections, individuals with autism may not be able to verbally express
their fear, frustration, and anxiety about the many changes and/or their health, so these
expressions may be demonstrated through other means. Caregivers should be aware of the
behavior of individuals with autism during these uncertain times and be alert for signs of anxiety
and depression. These may include a change in sleeping or eating patterns, increases in
repetitive behaviors, excessive worry or rumination, increased agitation, or irritability, or
decreases in self-care (Hedges, White, & Smith, 2014, 2015). If these behavior changes areobserved, additional support from mental health and/or medical providers such as a family
doctor, therapist, psychologist, or psychiatrist may be warranted. The individual may require
more support or different types of support (e.g., regular therapy, regular exercise, medication).
Most mental health providers and non-urgent care medical providers are offering services via
telehealth, and emergency legislation has expanded insurance coverage (including Medicaid) for
these options.

Resources include:
Crisis Supports

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Crisis Supports
Lifeline Crisis Chat
Provides emotional support, crisis intervention, andsuicide prevention services
Crisis Text Line
Text HOME to 741741
National Suicide Prevention Lifeline
1-800-273-8255
IMALIVE
Crisis intervention, and suicide prevention services
Girls & Boys Town National Hotline
1-800-448-3000
American Association of Poison Control Centers
1-800-222-1222
National Alliance on Mental Illness HelpLine
Text NAMI to 741741
Warmlines
Not in a crisis but just want someone to talk to.

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Supporting Individuals
with Autism throughUncertain Times
Plotting a course through the COVID-19 pandemic is atrying experience for all. Caregivers supporting individuals
with autism during this time face extra challenges. These 7

Supportunderstanding

strategies and the associated resources and examples willallow individuals with autism to better understand COVID19, cope with the many changes associated with COVID-19,
and practice communication, social, and adaptive skills that

Offer
opportunities
for expression

may reduce some of the trials during this very uncertaintime.
As a caregiver, it is easy to be focused on how this time ofPrioritize
coping andcalming skills

uncertainty is impacting the child(ren) in the home,
especially those with additional needs, but this pandemic
has considerable impact on all family members. We
encourage caregivers to prioritize their own self-care in

Maintainroutines

whatever form that takes – meditation, connecting withother parents who understand the situation, watching afavorite show, enjoying a snack alone, exercise, or taking an

Build newroutines

extra-long shower. Caregivers, alongside the individual with
autism, are navigating unprecedented territory without aclear end point which requires ongoing acts of self-kindness
and self-preservation.
To learn more about autism, the strategies in this article, andFosterconnections(from adistance)other evidence-based practices, please visit our free,interactive online modules: https://afirm.fpg.unc.edu/afirmmodules

Be aware ofchanging
behaviors

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References
Faherty, C. (2008). Understanding death and illness and what they teach about life: Apractical guidebook for people with autism or Asperger’s, and their loved ones.
Future Horizons: Arlington, TX.
Hedges, S., White, T., & Smith, L. (2014, May). Depression in adolescents with ASD (Autism
at-a-Glance Brief). Chapel Hill: The University of North Carolina, Frank Porter
Graham Child Development Institute, CSESA Development Team.
Hedges, S., White, T., & Smith, L. (2015, February). Anxiety in adolescents with ASD(Autism at-a-Glance Brief). Chapel Hill: The University of North Carolina, Frank
Porter Graham Child Development Institute, CSESA Development Team.
Hume, K., Regan, T., Megronigle, L., & Rhinehalt, C. (2016). Supporting students with
autism spectrum disorder through grief and loss. Teaching Exceptional Children,
48(3), 128-136.
Lipsky, D. (2013). How people with autism grieve, and how to help: An insider handbook.
Jessica Kingsley Publishers. London, England.
Mody, M., Manoach, D. S., Guenther, F. H., Kenet, T., Bruno, K. A., McDougle, C. J., &Stigler, K. A. (2013). Speech and language in autism spectrum disorder: a view
through the lens of behavior and brain imaging. Neuropsychiatry, 3(2), 223-232.
National Child Traumatic Child Stress Network. (2020). Parent/caregiver guide to helping
families cope with the Coronavirus disease 2019 (COVID-19) At
https://www.nctsn.org/sites/default/files/resources/factsheet/outbreak_factsheet_1.pdf
Ten Tips for Talking about COVID with your Kids:
https://www.pbs.org/newshour/health/10-tips-for-talking-about-covid-19-withyour-kids
Wong, C., Odom, S. L., Hume, K. Cox, A. W., Fettig, A., Kucharczyk, S., … Schultz, T. R.
(2014). Evidence-based practices for children, youth, and young adults with autism
spectrum disorder. Chapel Hill: The University of North Carolina, Frank Porter
Graham Child Development Institute, Autism Evidence-Based Practice Review
Group.

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Acknowledgements
The research reported here was supported by the Institute of Education Sciences,
U.S. Department of Education through Grant R324B160038 awarded to Universityof North Carolina at Chapel Hill. The opinions expressed represent those of theauthors and do not represent the U.S. Department of Education.

Suggested Citation
Hume, K., Waters, V., Sam, A., Steinbrenner, J., Perkins, Y., Dees, B., Tomaszewski,
B., Rentschler, L., Szendrey, S., McIntyre, N., White, M., Nowell, S., & Odom, S.
(2020). Supporting individuals with autism through uncertain times. Chapel
Hill, NC: School of Education and Frank Porter Graham Child Development
Institute, University of North Carolina at Chapel Hill. Retrieved
from: https://afirm.fpg.unc.edu/supporting-individuals-autism-throughuncertain-times

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