The Province

MedicAlert bracelets a support to those with autism

- Laurie Mawlam

The silver identifica­tion bracelet that indicates an existing condition to first responders has been a valuable tool for decades. In 1953, a teenage girl named Linda Collins cut her finger badly. At the hospital, she received a tetanus shot, had a severe allergic reaction, and almost died.

After that incident, her parents began attaching a note about her allergy to her coat whenever she left the house.

Eventually they had a custom bracelet made for her with her medical needs engraved into the plate. It became clear that rapid access to medical informatio­n could save lives — and MedicAlert developed into a worldwide network.

In April, following World Autism Awareness Day, MedicAlert and Autism Canada put their respective efforts and years of experience together to develop the MedicAlert Autism Program.

It’s a system that serves people on the autism spectrum when emergencie­s occur by contextual­izing care and providing a voice for autistics in crisis situations.

Autism isn’t always recognizab­le to those who do not know the signs, and this can make those on the spectrum particular­ly vulnerable in an emergency situation, especially when communicat­ion is hindered or not possible.

The MedicAlert ID supports Canadians with 24/7 notificati­on to loved ones, and a special hotline for paramedics, police and emergency responders to get access to detailed health records in an average of five seconds.

The subscriber profile for individual­s on the autism spectrum includes informatio­n about the person’s routines, anxiety triggers and de-escalation techniques so that emergency responders can make better decisions to help the person at the time of need.

“This is a simple mechanism that can be made widely available and alerts others in an emergency situation to the needs of the individual under stress who has difficulti­es communicat­ing their needs,” says Dr. Yona Lunsky, senior scientist at the Centre for Addiction and Mental Health. Her research has focused on crises and emergencie­s in the autism community.

Lunsky and co-authors found in a recent study that nearly one in four adolescent­s and adults with autism visited the hospital for an emergency situation, both medical and psychiatri­c, in a 12- to 18-month period. The study found that one in six had a police interactio­n over that same time period.

“The study is a good reminder that supports are often inadequate for people on the spectrum across the country and are not meeting the needs of families,” says Lucie Stephens, program director at Autism Canada.

To try to bridge those gaps, Autism Canada works to inform public policy and research by sharing best practices from across the country. It is an advocacy organizati­on with a national perspectiv­e and a guiding principle to see the potential in people living with autism.

Autism is a complex neurodevel­opmental disorder causing most individual­s to experience communicat­ion problems, difficulty with social interactio­ns, and a tendency to repeat specific patterns of behaviour. An estimated 1 in 66 children are diagnosed with autism spectrum disorder, making it the most commonly diagnosed neurodevel­opmental condition.

The MedicAlert and Autism Canada program provides a recognizab­le identifier for those in crisis situations. Emergency responders and police will be trained to recognize a situation involving an autistic individual because of the unique blue and red emblem created for the MedicAlert Autism Program.

“The uniquely coloured emblem helps to give a voice to those with autism when they need it most,” said Dermot Cleary, board chair of Autism Canada. “Regardless of the subscriber’s age or where they fall on the spectrum, this program is vital in supporting autistics in an emergency situation.”

Laurie Mawlam is executive director of Autism Canada and has led the charge for a national autism strategy since 2007.

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