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 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: Joseph and Sarah will be able to apply the strategies they have learned and be better
able to help Kitchi when he has a tantrum. They would also like

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:

a. Individual, family collateral and group therapy

b. Assistance in accessing medical, educational, social and financial resources
c. Community referrals to after-school programs
d. Coordination of treatment services
e. Medication evaluations by Child Psychiatrist
f. 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. Even though Joseph has found a new job,
they want to be conscience about their money. They do not know where to begin to find the
resources available to them to help Kitchi with his behavioral concerns.

Current Resource/Information: The Locklears have been going off the services that their family
in the area are aware of.

Outcome: The Locklears will be able to find a resource that will guide them to low cost
programs and resources within their new area so that they might be able to better network and
find proper care for Kitchi.

Suggested Action: Joseph and Sarah will use the Autism Source- Information and Referral
website to help them find different resources in their area that will help Kitchi with his
behavioral concerns as well as with any information they need regarding autism.

Resource Type and Name – This is a National Resource/ Autism Source- Information and
Referral by Autism Society of America.
• Contact Information – Website: http://www.autism-society.org/
Phone Number: 800-328-8476
Email: info@autism-society.org
Mailing Address: 4340 East-West Highway Suite 350 Bethesda, MD,
20814

• Program information – The Autism Society's national contact center, Autism Source,
helps you negotiate this maze and connects you to resources where you live. Many
parents say that their first call after receiving a diagnosis of autism is to the Autism
Society, however it doesn’t end with that first call. We are here through all phases of
one’s lifespan, empowering those affected by autism through a one-on-one connection
with our staff of trained Information and Referral specialists. If you don’t know where
to begin, where to turn or looking for resources in your community, the Autism Society
has done this work for you–our national contact center, Autism Source, helps you
negotiate this maze and connects you to resources where you live. Information &
 Referral (I&R) assists those who may not know where to begin or where to turn when
faced with the challenges of autism. Looking for help can be daunting and often means
locating dozens of websites and searching through a maze of agencies and services in
the hopes of finding one that can provide the services or support you need. The Autism
Society’s contact center, Autism Source provides trained staff to help negotiate the
system of services and connect people to resources and support in their communities
for immediate and future needs. The Autism Society has provided I&R services since its
inception almost 50 years ago. The grassroots nature of our organization was, and
continues to be, an ideal way for those who know the service system best to provide
guidance to those in search of resources.

• Policy Information – The Autism Society program serves individuals with autism
throughout their life. To receive more information regarding autism and the resources
available in your area, you can call the above listed number, go to the website, or email
the Autism Society to receive information and support. The cost is free and is available
to residents who live in the United States.

• 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 receive support and information
throughout Kitchi’s life. They will also be able to learn more about autism and learn which
resources will help him the most. They will be able to find resources to help Kitchi that are
close to where they are living.

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.

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 stimulations that are
going on around him.
• 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 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.

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 create a bond in a program that will give Sarah the
tools to also know what to do or how to find ways to help Kitchi channel his energy and
frustration through activities they discover through the program.

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.

• 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: This day program will allow a nurturing environment for Sarah and Kitchi to be able
to bond and explore to find those activities and hobbies that Kitchi is drawn to. Kitchi will be
able to not only find activities that draw his interest, but he will also be creating a better bond
with his mother. Both of which will be able to help with reducing tantrum frequency and
intensity.

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.

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
toy 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 palate.
 • 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=cookbo
oks+for+children+with+food+sensory+disorders&biw=1600&bih=769&prds=hsec
:online,paur:ClkAsKraX4UwraLYq9GC9IdAeFiuKcRZ1WJtWGiVCVwu3J4qf7MxuPn
uVptu4j40R6XGE3oFWWJyS10WVZXuHknyhTbzARs4MF8rtpaoxxg_FE4BbPszgO0
G1xIZAFPVH70Kc-
BENGvWOiDGUfKimrUNN_pDgg&sa=X&ved=0ahUKEwiOo5eaprrZAhVLyGMKHfx
YDXkQ2SsILA
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