Self help skills

Parents of children on the autism spectrum often worry about what will happen when they’re not around to provide constant support to their children. Ideally they would hope to prepare their child to live independently. Developing their children’s self help skills, such as getting dressed, personal hygiene, learning the value of money, cooking, cleaning and so on, was a key objective for some of the parents we interviewed. In keeping with the range of abilities on the autism spectrum, the levels of self help skills parents discussed in relation to their children varied widely. Here we focus on the parents whose children were in their teens and older.

Some of the obstacles to the children developing self help skills were related to sensory sensitivities or the importance of routine to them. One boy, for example, could not bear the taste of toothpaste and other children did not like to have their hair or skin touched (see ‘Fears, anxieties, sensory issues and meltdowns‘). Some children had difficulties with coordination, problems organising themselves and short-term memory problems all of which slowed their ability to learn to do things for themselves. As one parent said; ‘If you send him upstairs to pick something up, he has forgotten by the time he gets upstairs what you sent him for’.

Rosies son has no sense of personal cleanliness or hygiene or what he looks like.

Age at interview 53

Gender Female

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Brian chooses what to wear by whether the sun is in or out, not according to the temperature; he…

Gender Female

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Learning the value of money was an issue for the parents of older children or adults. One mother whose daughter lived independently described how her daughter managed her finances and paid her own bills but usually ran out of money by the end of the week because of her interest in collecting porcelain figures.

Rosies son has no idea about the difference between 1p and £1000 and if he does seem to learn it, he forgets the next day.

Age at interview 53

Gender Female

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Personal hygiene

Many parents talked about their children forgetting to shower, wash their hair or clean their teeth. Parents had to constantly remind their children to wash or clean their teeth or change their sheets.

John and Lynn’s son Gavin can do most things like shave, wash and dress, but unless somebody…

Age at interview 60

Gender Male

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One mother said that her daughter washes obsessively but then puts on dirty clothes because of the ‘nice safe structure’ of familiar textures and smells. Hygiene was an issue for girls when their periods started and they did not dispose of their sanitary towels effectively or change their bedding regularly.

Tracy has found getting her daughter to shower and to change her sanitary towel can become a…

Age at interview 40

Gender Female

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A few of the young people were still in nappies during the day or just at night and a few other children would occasionally not get to the toilet in time. Hygiene in the toilet was also an issue.

Jacqui talks about the difficulties that arise if she tells her son to get a little bit of…

Gender Female

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Some parents, who felt that their children’s living spaces would be a ‘health hazard’ without their intervention as the children did not clean up, they worried about them managing to live independently when they were older.

Cooking and cleaning

Parents of the older children described how their children could not cook and did not pay attention to sell by dates, check that food was cooked effectively or remember to turn off the oven or the hob.

Daryll describes how Tiffany was going to warm up an old chicken from the fridge and does not do…

Age at interview 60

Gender Female

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Janes son understands nuclear fission but cannot see dirt on a plate he is washing up. Attempts…

Age at interview 47

Gender Female

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Activities

Parents talked about their children enjoying a range of activities that included watching television and DVDs, playing computer games, reading or looking at books and...

Effect on parents: Rewards

The experience of having a child or children on the autism spectrum greatly affected the lives of most of the parents we interviewed. Parents talked...