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New Zealand Autism Spectrum Disorder Guideline - Ministry of Health

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Part 2: Support for individuals, families and carers<br />

Part 2<br />

in early intervention, home and school settings<br />

or in the community 175 176 .<br />

Assessments and treatment should be carried<br />

out by therapists with appropriate experience<br />

in ASD 175 . Essential elements for a complete<br />

multidisciplinary assessment may include<br />

assessments to investigate unusual sensory<br />

responses, motor planning, coordination<br />

difficulties and self-care problems for the person<br />

presenting for diagnosis. Joint assessments<br />

are considered preferable. All pr<strong>of</strong>essionals<br />

involved in a multiagency assessment for ASD<br />

should be experienced and knowledgeable about<br />

ASD and assessment should lead to specific<br />

recommendations 11 (Recommendation 2.3.14).<br />

Interventions<br />

There is no consistent evidence that sensorybased<br />

treatments have special effects (see<br />

also section 3.2.c Sensori-motor development) 96 .<br />

Additional studies are needed to document<br />

the unusual sensory processing features and<br />

motor functions and their relationship to<br />

broader behavioural and educational outcomes.<br />

Methodologically rigorous research is needed to<br />

examine the effectiveness <strong>of</strong> current evaluation<br />

methods and treatments/interventions being<br />

used by occupational therapists (Recommendation<br />

2.3.15).<br />

Special forms <strong>of</strong> occupational therapy are<br />

used to help people with ASD to overcome<br />

their isolation, progress developmentally, find<br />

ways <strong>of</strong> coping and gain a sense <strong>of</strong> self and<br />

relatedness to the world 177 .<br />

Some experimental therapies, such as sensory<br />

integration therapy, are sometimes tried but<br />

there is insufficient evidence to recommend<br />

them as it has not been established scientifically<br />

that they are effective (see section 4.5 Other<br />

interventions).<br />

80<br />

<strong>New</strong> <strong>Zealand</strong> <strong>Autism</strong> <strong>Spectrum</strong> <strong>Disorder</strong> <strong>Guideline</strong>

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