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Doctors want to redefine autism; parents worried

In this April 4, 2012, photo, Kelly Andrus holds her son Bradley in his classroom at Children's Choice Learning Centers Inc., in Lewisville, Texas. Bradley, who turns three in a couple of weeks, was diagnosed a year ago with mild autism. For the first time in nearly two decades, experts want to rewrite the definition of autism. Some parents fear that if it's narrowed and their kids lose the label, they may also lose out on special therapist. (AP Photo/Tony Gutierrez)

In this April 4, 2012, photo, Kelly Andrus holds her son Bradley in his classroom at Children's Choice Learning Centers Inc., in Lewisville, Texas. Bradley, who turns three in a couple of weeks, was diagnosed a year ago with mild autism. For the first time in nearly two decades, experts want to rewrite the definition of autism. Some parents fear that if it's narrowed and their kids lose the label, they may also lose out on special therapist. (AP Photo/Tony Gutierrez)

In this April 4, 2012, photo, Kelly Andrus follows her son Bradley as he runs through a classroom at Children's Choice Learning Centers Inc., where Bradley attends in Lewisville, Texas. Bradley, who turns three in a couple of weeks, was diagnosed a year ago with mild autism. For the first time in nearly two decades, experts want to rewrite the definition of autism. Some parents fear that if it's narrowed and their kids lose the label, they may also lose out on special therapist. (AP Photo/Tony Gutierrez)

In this April 4, 2012, photo, Kelly Andrus plays with her son Bradley, in his classroom at Children's Choice Learning Centers Inc., in Lewisville, Texas. Bradley, who turns three in a couple of weeks, was diagnosed a year ago with mild autism. For the first time in nearly two decades, experts want to rewrite the definition of autism. Some parents fear that if it's narrowed and their kids lose the label, they may also lose out on special therapist. (AP Photo/Tony Gutierrez)

CHICAGO (AP) ? One child doesn't talk, rocks rhythmically back and forth and stares at clothes spinning in the dryer. Another has no trouble talking but is obsessed with trains, methodically naming every station in his state.

Autistic kids like these hate change, but a big one is looming.

For the first time in nearly two decades, experts want to rewrite the definition of autism. Some parents fear that if the definition is narrowed, their children may lose out on special therapies.

For years, different autism-related labels have been used, the best known being Asperger's disorder. The doctors working on the new definition want to eliminate separate terms like that one and lump them all into an "autism spectrum disorder" category.

Some specialists contend the proposal will exclude as many as 40 percent of kids now considered autistic. Parents of mildly affected children worry their kids will be left out and lose access to academic and behavioral services ? and any chance of a normal life.

But doctors on the American Psychiatric Association panel that has proposed the changes say none of that would happen.

They maintain the revision is needed to dump confusing labels and clarify that autism can involve a range of symptoms from mild to severe. They say it will be easier to diagnose kids and ensure that those with true autism receive the same diagnosis.

With new government data last week suggesting more kids than ever in the U.S. ? 1 in 88 ? have autism, the new definition may help clarify whether the rising numbers reflect a true increase in autism or overdiagnosis by doctors.

There is no definitive test for autism. The diagnosis that has been used for at least 18 years covers children who once were called mentally retarded, as well as some who might have merely been considered quirky or odd. Today, some children diagnosed with autism may no longer fit the definition when they mature.

"We're wanting to use this opportunity to get this diagnosis right," said Dr. Bryan King, a member of the revision panel and director of the autism center at Seattle Children's Hospital.

The revision is among dozens of changes proposed for an update of the psychiatric association's reference manual, widely used for diagnosing mental illnesses. The more than 10,000 comments the group has received for the update mostly involve the autism proposal, with concerns voiced by doctors, researchers, families and advocacy groups. A spokeswoman declined to say whether most support or oppose the autism revision.

The group's board of trustees is expected to vote on the proposals in December, and the updated manual is to be published next year.

Among the proposed changes:

? A new "autism spectrum disorder" category would be created, describing symptoms that generally appear before age 3. It would encompass children with "autistic disorder," now used for severe cases, plus those with two high-functioning variations.

A diagnosis would require three types of communication problems, including limited or no conversation and poor social skills; and at least two repetitive behaviors or unusual, limited interests, including arm-flapping, tiptoe-walking and obsession with quirky topics.

? Autistic disorder and high-functioning variations ? Asperger's disorder and PDD-NOS, or "pervasive developmental disorder not otherwise specified" ? would be eliminated, but their symptoms would be covered under the new category.

Asperger's kids often have vast knowledge about a quirky subject but poor social skills; PDD-NOS is notoriously ill-defined and sometimes given to kids considered mildly autistic.

? Another new category, "social communication disorder," would include children who relate poorly to others and have trouble reading facial expressions and body language. A small percentage of children now labeled with PDD-NOS would fit more accurately into this diagnosis, autism panel members say.

They say the changes make scientific sense and are based on recent research.

Opponents include older kids and adults with Asperger's who embrace their quirkiness and don't want to be lumped in with more severe autism, and parents like Kelly Andrus of Lewisville, Texas. Her son, Bradley, was diagnosed with mild autism a year ago, at age 2.

"I'm really afraid we'd be pushed out of the services we get," she said. That includes a free preschool program for autistic kids and speech and occupational therapy, which cost her $50 a week. The family has no medical insurance.

Opponents also include a well-known Yale University autism researcher, Dr. Fred Volkmar, who was on the revision panel but says he was unhappy with the process and quit. "I want to be sure we're not going to leave some kids out in the cold," he said.

Volkmar is senior author of a study suggesting that the revision would exclude nearly 40 percent of children with true autism. But members of the revision panel have challenged Volkmar's methods, saying he relied on outdated data from two decades ago.

One major advocacy group in the field, Autism Speaks, said it is awaiting further research on the effects of the revisions before deciding whether to endorse them.

Dr. James Harris, a panel member and founding director of the developmental neuropsychiatry program at Johns Hopkins University, said the proposal will provide a better label for children who really only have communication problems.

"I don't want a child labeled as autistic, which suggests a chronic, lifelong problem, when he has a social communication problem that may get better if he has proper services and his brain matures," Harris said.

Harris said these kids don't need intensive autism therapy but should be eligible for other types of special education typically offered in public schools.

Dr. Daniel Coury, chief of developmental and behavioral pediatrics at Nationwide Children's Hospital in Columbus, Ohio, said parents have valid concerns because insurance companies and schools may not immediately recognize that children receiving the new diagnosis may need special services.

"So there may potentially be a lag time where services would not be available," he said.

He noted it is already difficult for many families to get costly autism therapy. Some insurers don't cover it, and many financially strapped school districts have cut special education.

___

Online:

Diagnostic manual: http://www.dsm5-org

Autism-CDC: http://1.usa.gov/bj7JJ

Associated Press

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Affordable Addiction Treatment Services | Drug Rehab, Alcohol ...

Addiction to drugs or alcohol can seem like a cage, which becomes harder to escape every day. This does not mean, however, that there is no escape from addiction. With an honest desire and professional assistance, anyone can be freed from this deadly disease.

There are rehab centers that are designed for the treatment of substance abuse and assistance for the addict to help them rebuild happy and healthy lives. The addiction treatment services include:

? Overcoming denial: This first step requires the patient?s acceptance that he or she has a problem.
? Seeking help: Counselors will interview the patient and attempt to understand his or her specific situation.
? Completing a detoxification program: Before the start of the actual treatment program, the patient has to go through the detoxification program to remove all the substances from the body.
? Entering and engaging in addiction recovery program: The patient will enter a treatment program specific to his or her age, and type or degree of addiction.
? Maintaining sobriety: For the patients who are recovering, it is very important to stay sober, and addiction treatment services provide them with counseling and resources to maintain sobriety once the treatment program is complete.

To maintain sobriety, patients are encouraged to find a healthy and positive environment from a support group and to avoid or reduce contact with enablers.

In addiction treatment services, a patient also undergoes various therapies, such as group therapy and personal therapy, spiritual or personal growth time, and physical exercise.

Group therapy proves beneficial for addicted patients as it promotes understanding, self-improvement, team spirit and personal will-power by sharing experience with others who are in the same situation. Often these addiction treatment services are provided in natural surroundings, encouraging a spiritual connection with the outdoors for personal growth and well being.

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Here's where your income tax dollars go

By John W. Schoen, Senior Producer

You worked hard for that money you?re about to send?to the IRS in less than two weeks.?Like many tax filers you're probably asking yourself where all that money goes when the state and federal governments get their hands on it.?

If you have trouble balancing your checkbook, imagine trying to keep track of where $3.6 trillion goes every year. That?s roughly what Uncle Sam spent last year.

For the complete, gory details, you can check the latest estimates from the official budget at the Government Printing Office, where you?ll find the government?s finances sliced and diced ? by agency, department, function and source. But we?re going to skip reading the 250-page version and get our numbers from a summary analysis from the Center on Budget and Policy Priorities.?

A $3.6 trillion budget has a lot of large numbers. To make it a little easier to imagine which of those tax dollars is yours, here?s?roughly?how the federal budget compares to your budget and mine. Picture Uncle Sam, sitting at the kitchen table, trying to make ends meet.

Let?s assume for this exercise that the federal budget came to $52,000 a year ? or $1,000 a week ? which is about the median household income in the U.S. For our purposes, that $1,000 a week is tax free. (Uncle Sam doesn't pay taxes, he collects them.)

Last year, the three biggest federal budget items were Social Security, health care and defense spending. So if Uncle Sam was a median wage earner, he'd have spent more than $600 of his $1,000 weekly paycheck on just those three programs.

On his annual salary of $52,000, the cost of federal health care works out to a little more than $11,000 a year. The biggest chunk of that (about $125 of his weekly paycheck) went to pay for Medicare, which provides health coverage for people over 65. The rest ($95) went for Medicaid, which covers low-income families and individual, and state-administered health coverage for children.

While most households are having a hard time setting aside a few bucks a month for their IRAs, your government is busy stashing away retirement cash for a rainy day; about $200 of the weekly paycheck went to the Social Security fund. (Just for fun, compare that to how much of your weekly paycheck goes to retirement savings.)?

Next up is military spending. This includes a variety of defense costs, including salaries for the troops, operating and maintenance costs, ?procurement? (stuff you bought), and research, development, test and evaluation of all those things you bought. Throw in another few bucks for things like ?atomic energy defense activities? and housing the troops, and Uncle Sam paid about $200 a week to keep the nation safe. (That?s about $10,400 for the year.)

Unfortunately, Uncle Sam ? like many Americans ? has been living beyond his means and spending more than he takes in. To make up the difference, the Treasury steps up by selling more debt ? more or less the way American households use credit cards. Interest on the Treasury?s credit card eats up about 6 percent, or the equivalent of about $64, of Uncle Sam's weekly spending.

There?s also a line in his budget for ?income security? which includes things like unemployment insurance, food and nutrition programs, and housing assistance. That's roughly 13 percent of federal spending, or about $130 a week for a median income earner. Another 7 percent, or $70 a week, goes to pay benefits for federal retirees and veterans.

So far, so good. After paying these bills, our favorite uncle?has about $135 left from the weekly paycheck. That leaves just $20 (2 percent of federal spending) for education; another $20 for science and medical research; and $30 for transportation costs, including highways, air travel and water transport. ?

While some Americans complain about seeing their tax dollars going to fund aid to other countries, it?s not a big number. In the 2011 fiscal year budget, the equivalent of less than $5 of the $1,000 a week went to pay for foreign aid and the cost of housing ambassadors around the world to conduct international affairs.

That leaves just $60 left to cover everything else: from agriculture to the environment and the judiciary, including federal law enforcement, courts and prisons.?The Treasury?has to manage all this spending without the convenience of online bill paying.

That's where Uncle Sam spent your money. Depending on where you live, you also kicked in a portion of the $1 trillion spent in fiscal 2011 by the 50 states and the District of Columbia. The breakdown there is a little easier to track, according to the CPBB. (The math is also easier because $1 trillion is a nice round number.)

Spending levels vary state by state, but by far the biggest single chunk of your state tax payments went to a classroom. Some 26 percent ? or roughly $260 billion of all state spending ? went to K-12 education; another 13 percent, or $130 billion went to community colleges, state universities and vocational and technical schools.

Another $130 billion paid for state-managed healthcare programs, primarily Medicaid and the Children's Health Insurance Program (CHIP.)

About $50 billion was spent by the states on transportation ? fixing roads, rebuilding bridges and keeping public transportation systems moving. Another $45 billion went to pay for state prisons and parole and juvenile justice programs.

Public assistance for the poor consumed just $12 billion of all state spending, or an average of just one penny of every dollar of your state taxes. ?

After that, comparisons of state budgets get a little harder: about $350 billion worth of state spending goes to categories that don't match up easily, according to the CPBB. Those include public workers pension and benefits programs, aid to local governments and unrestricted spending like property tax relief. ?

Spending levels also vary widely: West Virginia spends just 11 percent of its budget on K-12 education, for example, while Vermont spends 33 percent. In Wyoming, just 7 percent of state spending goes to Medicaid, while that program consumes 30 percent of spending in Missouri and Florida.?

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Students angry over pricey courses pepper-sprayed

In this photo provided by David Steinman, Nnaemeka Alozie, campaign manager for Steinman, reacts with milk on his face after being sprayed with pepper spray during a protest on Tuesday, April 3, 2012, in Santa Monica, Calif. Campus police pepper-sprayed as many as 30 demonstrators after Santa Monica College students angry over a plan to offer high-priced courses tried to push their way into a trustees meeting Tuesday evening, authorities said. (AP Photo/Courtesy David Steinman)

In this photo provided by David Steinman, Nnaemeka Alozie, campaign manager for Steinman, reacts with milk on his face after being sprayed with pepper spray during a protest on Tuesday, April 3, 2012, in Santa Monica, Calif. Campus police pepper-sprayed as many as 30 demonstrators after Santa Monica College students angry over a plan to offer high-priced courses tried to push their way into a trustees meeting Tuesday evening, authorities said. (AP Photo/Courtesy David Steinman)

In this photo provided by David Steinman, 33rd district congressional candidate David Steinman wipes his face after being sprayed with pepper spray during a protest on Tuesday, April 3, 2012, in Santa Monica, Calif. Campus police pepper-sprayed as many as 30 demonstrators after Santa Monica College students angry over a plan to offer high-priced courses tried to push their way into a trustees meeting Tuesday evening, authorities said. (AP Photo/Courtesy David Steinman)

SANTA MONICA, Calif. (AP) ? Campus police pepper-sprayed as many as 30 demonstrators after Santa Monica College students angry over a plan to offer high-priced courses tried to push their way into a trustees meeting, authorities said.

Raw video posted Tuesday evening on the Internet showed students chanting, "Let us in, let us in" and "No cuts, no fees, education should be free."

Students were angry because only a handful were allowed into the meeting, and when their request to move the meeting to a larger venue was denied, they began to enter the room, said David Steinman, an environmental advocate who is running for Congress as a Green Party candidate.

Two officers were apparently backed up against a wall, and began using force to keep the students out of the room. Steinman said both officers used pepper spray.

"People were gasping and choking," Steinman said.

Marioly Gomez, 21, said she was standing in a hallway outside the meeting with several hundred other students who wanted to get into the meeting.

"I got pepper-sprayed without warning," she said.

Santa Monica College spokesman Bruce Smith said he believed it was the first time pepper spray had been used to subdue students on campus.

"It was the judgment of police that the crowd was getting out of hand and it was a safety issue," he said.

Trustee David Finkel called on campus officials to look into Tuesday evening's events.

"I think it gave the college a black eye which I know it didn't deserve and certainly didn't need," he said.

Video of a similar incident at UC Davis in November, in which an officer doused a row of student protesters with pepper spray as they sat passively, drew worldwide attention. It became a rallying point for the Occupy movement.

Firefighters were called to the campus at about 7:20 p.m. Five people were evaluated at the scene and two were taken to a hospital, Santa Monica Fire Department Capt. Judah Mitchell said. Their conditions were not known, but the injuries were not believed to be serious, Mitchell said.

Students have been upset over a new plan that involves the formation of a nonprofit foundation which would offer core courses for about $600 each, or about $200 per unit ? about four times the current price. The program is designed to cope with rising student demand as state funds dwindle.

The move has raised questions about whether it would create two tiers of students in a system designed to make education accessible to everyone and whether it's even legal under state education law.

Community colleges statewide have lost $809 million in state funding over the past three years, causing schools to turn away about 200,000 students and drastically cut the number of classes offered.

Trustee Louise Jaffe said during the meeting that she doesn't believe the students want to listen.

"We spoke for four hours and we weren't understood," she said.

___

Associated Press writer Whitney Phillips contributed to this report.

Associated Press

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