INFORMATION SUPPORT
1st Family Concern/Priority: Joseph and Sarah are concerned with Kitchi’s behavioral tantrums. He bites
and kicks those around him, and he refuses to be comforted. They would like to work with a therapist so
they can learn strategies that they can use to help Kitchi during his tantrums,and learn how to help him
calm down.
Current Resource/Information: After experiencing many of Kitchi’s tantrums, Joseph and Sarah have
learned to keep others away from Kitchi while he is having a tantrum because he hurts those around him.
Outcome: The therapist will provide Joseph and Sarah with different strategies they can use to
help Kitchi calm down when he has a tantrum.
Suggested Action: Joseph and Sarah will go to a Psychologist to discuss their concerns regarding
Kitchi’s behavioral health. They will learn different strategies to help him while he is having a
tantrum, and learn how to help him calm down.
● Resource Type and Name – This is a State resource/ Behavioral Health Clinic by Hope Street
Margolis Family Center
● Contact Information – Phone Number: 231-742-6250
Address: 1600 South Hope Street Los Angeles CA, 90015
Website: https://www.hopestreetfamilycenter.org
● Program information – Behavioral Health Clinic is a state resource that provides outpatient
mental health evaluations, diagnosis and treatment for children and their families. It provides
in-home and on-site educational, health wellness, behavioral health, developmental and social
services that support children and families. Services provided include the following:
Individual, family collateral and group therapy
Assistance in accessing medical, educational, social and financial resources
Community referrals to after-school programs
Coordination of treatment services
Medication evaluations by Child Psychiatrist
Psychological assessments
● Policy Information –Behavioral Health Clinic by Hope Street Margolis Family Center is open
Monday – Friday from 8 a.m. to 5 p.m. It is available to people ages 0-21 years old. Funding is
provided by the Los Angeles County Department of Mental Health and reduced cost is provided
to residents who live in the Los Angeles County, CA and Orange County, CA areas. Both English
and Spanish languages are spoken in the clinic. Appointments can be made by calling the above
listed number.
● Applications/Forms – There are no application or forms to fill out.
● Pamphlets/Handouts – (See enclosed brochure available in English).
Rationale: Through this resource Joseph and Sarah will be able to discuss Kitchi’s behavioral concerns
with a Psychologist. They will receive information and strategies they can use in their home to help with
Kitchi’s behavioral health. They can also teach Kitchi how to calm down when he is having a tantrum
based on the information they learn from the Psychologist.
2nd Family Concern/Priority: Now that the family has moved to Los Angeles, they are concerned
about the resources available to them in the area. They do not know where to begin to find
resources to help Kitchi with his behavioral concerns, lack of communication, and food
aversions.
Current Resource/Information: The Locklears have been going off of the services that their family
in the area are aware of.
Outcome: The Locklears will be able to find an informational resource that will guide them to
programs and resources within their new area so that they can find proper care for Kitchi
throughout his life.
Suggested Action: Joseph and Sarah will use the Aunt Bertha website to help them find different
resources in their area that are available to them.
Resource Type and Name – This is a National Resource/Aunt Bertha
● Contact Information – Website:https://www.auntbertha.com/
Email: support@auntbertha.com
● Program information – Aunt Bertha is a national resource that helps families find different types
of resources (programs, services, etc.) available to them close to where they are living. Aunt
Bertha helps lower income families find resources that are at a lower cost.
● Policy Information – To find different programs and services in your area, go to the Aunt Bertha
website listed above. Type in your zip code and either select a category or search a topic using
the
● Applications/Forms – There are no applications or forms that need to be filled out.
● Pamphlets/Handouts – (See the enclosed brochure available in English).
Rationale: Joseph and Sarah will be able to use this website to find different resources available
to them within their area. They will be able to use this website and search different types of
resources that are available
FORMAL SUPPORT
1st Family Concern/Priority: Sarah and Joseph are concerned with Kitchi’s lack of
communication. He does not talk with his parents or siblings, and he easily becomes frustrated
when his parents try and guess what he wants from them. Joseph and Sarah would like Kitchi to
learn different communication skills by going to a Speech Therapist so he can communicate his
needs.
Current Resource/Information: Joseph and Sarah are familiar with how children learn to communicate as
they have had two children before Kitchi. They have noticed the decline in eye contact, verbal
communication, and he no longer seeks their engagement.
Outcome: Kitchi will learn communication skills as he goes to the Speech Therapist and he will be able to
communicate his needs to those around him.
Suggested Action: Joseph and Sarah will take Kitchi to a Speech Therapist to help him learn
communication skills. The Speech Therapist will also help Joseph and Sarah learn strategies to help
Kitchi communicate his needs and they will be able to apply those strategies at home.
● Resource Type and Name-This is a Private Resource/ Kids Therapy Made Simple
● Contact Information-Phone Number: 310-365-0500
Website: http://kidstms.com/
Email: info@kidstms.com
Address: 822 S. Robertson Blvd, Suite 202 Los Angeles CA 90035
● Program information-Kids Therapy Made Simple is a private resource that provides different
types of therapy services for children including Speech-Language Therapy. Speech Language
Pathologists address delays or disorders of communication with their patients.
● Policy Information- The office is open Monday- Friday from 8:30 a.m. to 5:30 p.m.
Appointments can be made by calling the above listed number.
● Applications/Forms- Applications/Forms- Prior to the first visit, the Intake Form must be filled
out (the form is included in this packet). If applicable, an Insurance Form must be filled out (the
form is included in this packet).
● Pamphlets/Handouts- (See enclosed brochure available in English).
Rationale: Through this resource, Kitchi will learn different strategies that will help him communicate
with others. The Speech Therapist will work with both Kitchi and his parents, and together they will
learn strategies and tasks that will improve his communication skills. Kids Therapy Made Simple offers
both Speech and Occupational Therapies, and Kitchi will be able to receive help he needs without having
to travel to different agencies.
2nd Family Concern/Priority: Joseph and Sarah have noticed that Kitchi is very sensitive to light, sound,
touch and active environments, and he often has a tantrum when any of these things are going on around
him. Kitchi needs to learn different strategies to help him cope with sensory processing. An
Occupational Therapist can help Kitchi learn strategies to help him adapt to different stimulations.
Current Resource/Information: Joseph and Sarah have noticed that Kitchi does not have as many
tantrums when he is in a room that is quiet and has little light. They try to avoid taking him to areas
where he can become overwhelmed with what is going on around him.
Suggested Action: Joseph and Sarah will take Kitchi to an Occupational Therapist. The Occupational
Therapist will help him learn different sensory processing strategies. Joseph and Sarah will also learn
strategies to help Kitchi process and adapt to the simulations that are going on around him.
● rivate Resource/ Kids Therapy Made Simple
Resource Type and Name- This is a P
● Contact Information- Phone Number: 310-365-0500
Website: http://kidstms.com
Email: info@kidstms.com
Address: 822 S. Robertson Blvd, Suite 202 Los Angeles CA 90035
● Program information- Kids Therapy Made Simple is a private resource that provides different
types of therapy services for children including Occupational Therapy. For children, the goal of
Occupational Therapy is making sure children are able to functionally participate in and succeed
in the activities they do throughout the day.
● Policy Information- The office is open Monday- Friday from 8:30 a.m. to 5:30 p.m.
Appointments can be made by calling the above listed number.
● Applications/Forms- Prior to the first visit, the Intake Form must be filled out (the form is
included in this packet). If applicable, an Insurance Form must be filled out (the form is included
in this packet).
● Pamphlets/Handouts- (See enclosed brochure available in English).
Rationale: Through this resource, Kitchi will learn different strategies that will help him with sensory
processing as he works with an occupational therapist. He will learn how to cope with the stimulation
that goes on around him rather than having a tantrum. The Occupational Therapist will be able to teach
Joseph and Sarah how to help Kitchi adapt to what is going on around him, and they will be able to
practice these strategies at home. Kids Therapy Made Simple offers both Speech and Occupational
Therapies, and Kitchi will be able to receive the help he needs without having to travel to different
agencies.
INFORMAL SUPPORT
1st Family Concern/Priority: Sarah would like to see the needs of her child met, but she is concerned with
the things she has read online and wants to know strategies that have worked for other people and families
that deal with similar situations. Having a support group of people to help each other and let each other
know things that do and do not work would be very comforting for her especially with her husband no
longer living at home.
Current Resource/Information: Sarah does not have any current resources related to a support group that
can provide the encouragement and advice she is looking for. He two daughters provide as much support
as they can.
Outcome: Sarah will feel more confident in her abilities as a mother and will find other helpful tips that
can assist her in working with Kitchi and his behavioral concerns.
Suggested Action: Sarah will use a Facebook support group for moms with children with autism to gain
support and advice from other women around the world who are experiencing similar challenges as she is.
● Resource Type and Name: This is a Community Resource/ Autism Moms Support Group through
Facebook
● Contact Information: Facebook- request to join group
https://www.facebook.com/AutismMomsSupportGroup/
● Program information: This is a community resource in the form of a worldwide facebook group
where the mothers, grandmother, step-mothers, or any other primary female caregiver of a child
with Autism or behavioral issues can come together to provide support, encouragement,
anecdotes, and testimonials of trial and error with current strategies with working with their
children.
● Policy Information: There are a list of terms for using the page, as they want to keep the page an
uplifting and useful resource for all members of the group:
“The only guidelines we have for this group are:
1. Be kind and respectful!
We are all different, with varying beliefs and parenting methods. If you disagree with
someone that's fine, please do it in a respectful and mature way. This group was made so
that we do not feel so alone, so be sure to interact.
6. All post must be approved by admin or moderator. Posts that do not follow these
guidelines or do not follow Facebook community standards will not be approved.
3. Absolutely no talk of VACCINES, POLITICS, CBD OIL, MEDICAL MARIJUANA,
BIOMED, DETOX OR CURES FOR AUTISM including TACA. Please no discussion of
what "causes" autism. These subject are touchy and tend to cause arguments. We want this
to be a safe place for all moms.
4. No self promotion! This group is not for personal blogs, vlogs, Instagram or Facebook
pages, promoting any products you sell, company you represent, business or shops you
own.
5. No GoFundMe posts or asking for donations/money of any sort. This is not a
buy,sell,trade site.
6. Any members who wish to post anonymously may do so by contacting an admin. The
admin will then post without disclosing the member.
7. No violent content or “LIVE” videos will be approved.
8. No nudity, this includes bathtub or potty pictures/videos with emojis covering private
areas.
****Thanks to admins Paula and Megan we have albums for Locations of members and
commonly used ASD Acronyms. Please refer to these resources before posting to the
page.****
*Any admin or moderator reserves the right to delete any thread or person that goes against
our rules on pinned post and doesn't contribute to maintaining a positive dynamic in the
group*
*This is a closed/private group. Anything posted here needs to remain here.
Copying/pasting material posted by other members to other forums without their
permission will result in an immediate ban.*
*This group is GLOBAL, we have moms from all over the world. Admin asks that posts be
in English so all moms will be able to offer support.*”
● Applications/Forms: First, you will need a Facebook account. Upon requesting to join the group
on Facebook, will answer these two questions prior to be approved to join the group:
1. Are you a Mother, Step-Mother, Foster-Mother, Female legal Guardian, or Grandmother (who
lives with), to a child who is in the PROCESS or DIAGNOSED Autism Spectrum Disorder?
2. Do you Agree to read the pinned post and abide by the group rules?
● Pamphlets/Handouts: (See attached print out of the Facebook page)
Rationale: Through this resource, Sarah can talk with other mothers and female caregivers that are
experiencing similar struggles and oppositions with working with their children. Sarah will be able to talk
with other women who can help to support her and give her the confidence she needs. This will benefit
the family as well because it has the potential to alleviate some of the stress Sarah might have allowing
her to be back to her regular upbeat self, which is a huge motivator for the family.
2nd Family Concern/Priority: The family would like to find a hobby or activity they can do with Kitchi to
possibly help calm him down in his times of tantrums. If they might be able to find an activity that helps
to reduce the frequency of those tantrums, then they might be able to get better help for him and reduce
the intensity of them as well. All of the various activities they try to engage him in do not spark his
interest or have previously been too overwhelming for him.
Current Resource/Information: The family has been using the internet for ideas and using past activities
that the older two girls enjoyed to do to help with trying to calm Kitchi down.
Outcome: Kitchi and Sarah will be able to attend weekly classes, in an environment with limited
stimulants, that will give Sarah ideas of activities to help Kitchi channel his energy and frustration. Sarah
will then be able to bring these activities into the home and teach the rest of the family these fun activities
that Kitchi has shown an interest in.
Suggested Action: Sarah and Kitchi will attend a Mommy & Me program where they can strengthen their
bond and spend time in activities for a few hours each week, while the girls are in school. This will help
Sarah to be able to identify activities that Kitchi is drawn to and activities that she can try out at home
with the family. The attendance is not mandatory each day; should there be a time when Sarah feels that
Kitchi’s behavior is not appropriate for a classroom, she can choose to sit the day out and try another time
to attend the class, she also would not be required to attend throughout the whole duration of the time
should Kitchi’s attention and behavior change.
● Resource Type and Name: This is a community resource/ Mommy & Me Program- The Jeffrey
Foundation
● Contact Information:
Mommy & Me Program- The Jeffrey Foundation
Address: 5470 W. Washington Boulevard Los Angeles, CA 90016
Phone: (323) 965-7536
Email: Info@thejeffreyfoundation.org
Website: http://www.thejeffreyfoundation.org/school-programs/mommy-me-program/
● Program information: The Mommy and Me Program works to develop the nurturing bond
between infant and caregiver, who need strong parental bonding during the most important period
of their development. The program emphasizes providing therapeutic development and
interaction skills for “hands-on” learning for children and their caregiver in a natural
environment.
● Policy Information: The Resource Center serves as a single point of entry to services that meet
the ongoing and emerging needs of all families with disabled children and children with special
needs in Los Angeles County.
The Center provides education and skills training, information, counseling, guidance, and peer
support for families with the unexpected diagnosis of and ongoing impact of childhood
disabilities. It offers support to help the families and primary caregivers of special needs and
disabled children to reduce their stress levels, prevent child abuse and neglect, diminish feelings
of isolation, and assist them in accessing health services.
● Applications/Forms: N/A -- Call or email to enroll
● Pamphlets/Handouts: Print out of the webpage-- see attached.
Rationale: By attending Mommy & Me, Kitchi will not only find activities that draw his interest, but he
will also be creating a better bond with his mother. In this classroom, he will have opportunities to work
with activities that are sensitive to his senses and will not provide an overload for him. He will be able to
explore and play in an environment that allows for his freedom and will limit the stimulants that can
provoke his tantrums. Through finding those activities, the family can implement them in their home to
help with Kitchi’s behavioral concerns.
MATERIAL SUPPORT
1st Family Concern/Priority: The family is in search of toys or objects that will provide help to Kitchi
either as a distraction or a channel of energy. With his tantrums, having something tangible he can use to
calm down around him would be useful. They believe that they might be able to find a toy that can help to
harness his need for sensory processing, which will reduce tantrums and severity.
Current Resource/Information: Joseph and Sarah have heard that there are certain toys that help children
when they become overwhelmed with the environment.
Outcome: Kitchi will be able channel his energy into this toy. Having his senses focused on this object
will help distract him from his environment and the things in his environment that may bother him. When
he is feeling overwhelmed by his environment he can use this toy as a positive output of energy instead of
having a tantrum.
Suggested Action: The Locklear family will purchase an inflatable rocking toy. When Kitchi becomes
overwhelmed with what is happening in his environment, he will be able to use the toy to help him calm
down.
● Resource Type and Name: This is a national resource/Special Needs Toys (SensaRock Toy)
● Contact Information:
Website: http://www.specialneedstoys.com/usa/vestibular/spin-rock-bounce/sensarock.html
Phone: 800-467-6222
Email: barb@tfhusa.com
Address: TFH Special Needs Toys 4537 Gibsonia Road, Gibsonia PA 15044
● Program information: This is an inflatable rocking toy with colorful panels in the middle. It has
colorful balls in the side panels as well as six handles located around the edges. The weight limit
for this toy is 100 lbs and it is approximately 53” long and 40” wide.
● Policy Information: Ships with UPS and USPS and it usually takes 3-5 business days to receive
the item. Items may be returned up to 90 days after purchase if the quality is not satisfactory. All
products have a full year guaranteed warranty of any kind of defect; all defective products will be
repaired or replaced.
● Applications/Forms: Item may be purchased at the website listed above. Payment methods
accepted include: Visa, Visa Debit, MasterCard MasterCard Debit, AMEX, and PayPal.
● Pamphlets/Handouts: See attachment
Rationale: This toy was created ideally for children with sensory processing and autism spectrum
disorders. Kitchi will be able to use it for both fun and for calming. The rocking motion of this sensory
toy will provide him with a calming feeling while he is able to use his motor skills and get his energy out
in a healthy way.
2nd Family Concern/Priority: The family would like to find something that is going to provide help with
feeding time with Kitchi. They are concerned that he is not eating properly for his needs and there is very
limited things that he will eat. If they are able to find a resource that can help with providing a better
dietary plan for him, they believe it will also help with tantrums and anger issues.
Current Resource/Information: Sarah knows that Kitchi is extremely sensitive to food textures, and he is
not eating many solid foods.
Outcome: Kitchi will begin to eat different types of foods to improve his dietary needs, and he will begin
to eat solid foods.
Suggested Action: Sarah will purchase a recipe book that guides families through the process of slowly
introducing new foods to children using an approach called STEPS+. By following the steps in this book
Kitchi and his family can have more successful meal times; they can enjoy their time together while
eating and Kitchi can widen his palet.
● Resource Type and Name: This is a national resource/Helping Your Child With Extreme Picky
Eating: A Step-by-Step Guide for Overcoming Selective Eating, Food Aversion, and Feeding
Disorders by Katja Rowell MD and Jenny McGlothlin MS SLP
● Contact Information:
Website:
1. https://www.google.com/shopping/product/12019203652758039115?q=cookbooks+for+c
hildren+with+food+sensory+disorders&biw=1600&bih=769&prds=hsec:online,paur:Clk
AsKraX4UwraLYq9GC9IdAeFiuKcRZ1WJtWGiVCVwu3J4qf7MxuPnuVptu4j40R6XG
E3oFWWJyS10WVZXuHknyhTbzARs4MF8rtpaoxxg_FE4BbPszgO0G1xIZAFPVH70
Kc-BENGvWOiDGUfKimrUNN_pDgg&sa=X&ved=0ahUKEwiOo5eaprrZAhVLyGM
KHfxYDXkQ2SsILA
2. https://www.barnesandnoble.com/w/helping-your-child-with-extreme-picky-eating-katja-
rowell/1120317075?ean=9781626251106#/
● Program information: This book follows a clinically proven STEPS+ approach to helping
children who have selective eating habits. STEPS+ stands for Supportive Treatment of Eating in
PartnershipS. The families will first gain an understanding of of their child’s eating challenges
and some of whys behind them, then they will begin these 5 steps to transform their meal time
into something that the whole family can enjoy. This book will teach about anxiety, low-appetite,
sensory challenges, autism-spectrum related feeding issues, oral motor delay, and
medically-based feeding problems. It provide lots of tips and exercises to reinforce the steps that
are learned, along with ideas of responses for heat of the moment episodes.
● Policy Information: This book is a 224 page non-fiction book. It can be purchased online at
Google Play or Vital Source as an e-book at the first website listed above or as a paperback or
NOOKBook at the second website listed above.
● Applications/Forms: This book may be purchased at the website listed above.
● Pamphlets/Handouts: See attachment
Rationale: By reading this book Kitchi will be able to get more of the nutrients that he needs and his
family will better understand his feeding needs. This will cut back on Kitchi’s tantrums and allow for
more bonding time during meals.
Please check one and sign below:
I agree to the above stated plan
I agree to the above stated plan with the following changes (see attached addendum sheet)
I do not agree to the above stated plan and refuse all services and supports
Parent/Legal Guardian print name Parent/Legal Guardian print name
Parent/Legal Guardian signature Date Parent/Legal Guardian signature Date
Service Coordinator Signature Date
