PFA Tips: When They Wander or Run Away
By Shelly McLaughlin, Pathfinders for Autism
Teach your child water safety
91% of deaths related to wandering are caused by drowning. That’s right – 91%. Teach your child to swim, doggy paddle, or float.
How quickly can you describe your child?
Keep a current picture of your child easily accessible so if she elopes, you can help neighbors and law enforcement identify her on the streets. Before outings, take a picture on your phone to have with you. Pay close attention to what she is wearing each day, which is something you may not notice as much once she no longer needs your help picking out clothes and getting dressed. And don’t wait for that annual check-up to log her height and weight. You want to be able to quickly provide as many descriptive details as you can, and preferably on ID cards or information sheets you can distribute.
Awareness of self and dangers
Our kids may not have real awareness of dangers in their environment. How often have we witnessed our kids run out into a street? Some may also be seeking sensory input, so running or running into objects may help feed that. But our kids aren’t watching what’s going on around them when they take off. Practice crossing streets during a non-crisis time. Maybe carry a paper stop sign to hold up, giving them a visual reminder. For older children, try prompting instructions into a less conspicuous Bluetooth.
Inform ALL staff at the school of your child’s elopement issues so teachers will be on the lookout if they see him heading towards a door, or to keep a sharp eye on him at recess. Accompany your child on field trips, or make certain that a person is assigned directly to your child for the trip. Just because a teacher knows your child has tendencies to run away doesn’t mean that the teacher will keep an eye on him. When my son was in preschool, one of the teachers admitted to me that they lost another child three times during that day’s field trip.
There are multiple reasons for doing this. First, introduce local law and fire enforcement (the First Responders) to your child and make them aware he has autism. This way if they see him out in the community and he seems out of place, they will be aware that maybe he has run away. You can share the Autism Speaks’ Autism Safety Projectfor Aid First Responders. A second reason to introduce your child to local law enforcement, especially if your child is older, is so that if your child is approached by the police, misunderstandings can be avoided. Dennis Debbaudt addresses this in Avoiding Unfortunate Situations. If your child does run away, we want them to know who is safe to approach. So introduce them to the “safe” people they can go to for help. And practice the steps of what to do if your child ever becomes lost.
Tattoos and tags
We don’t think twice about buying ID tags for our dogs, but how many of us consider personal identification for our kids? Whether it’s an ID bracelet for the wrist or ankle, a shoelace tag, or a pretty necklace designed for your daughter, this piece of “jewelry” could tell first responders what your child can’t. Another option is to go with ink. SafetyTat offers a variety of child ID temporary tattoos, while If I Need Help designs scannable clothing tags and patches.
I will admit, when we got my dog, the intent was to have him trained to be a service dog that could perform search and rescue operations. That didn’t happen, but he’s a great family pet. Service and therapy dogs can be a true gift. But be prepared for the commitment and the cost as training can run about $10,000. To find training centers and service dog programs, go to our Provider Database and choose Category > Therapy and Companion Dogs.
Tell me a story
Social stories can be effective ways to describe a situation and the appropriate social or behavioral responses for that situation. Depending on your child, he may respond best to a story that features him as the main character or star, or he may feel less defensive if the story is about a fictional character. Your speech therapist, psychologist, or special educator might also be able to help create a social story specific to your child.
Don’t fence me in
If your child elopes, you may need to do just that. Be sure to check with your homeowners association or rental office for rules of what’s allowed. Are your neighbors considering a fence? If so, maybe you can share the costs of your common sides. Get multiple vendor quotes and explore funding options.
Technology to the rescue
There are low and high tech gadgets out there to alert us when our children leave, and help track them. For the home, consider door and window alarms or motion sensors. Bells offer a good, low-cost alternative. On the doors, you can use locks that are placed at the top of the door, keeping in mind that at some point your child will grow, or will be able to stand on a stool to reach the lock. Two-way key locks (a key is required on both sides) are another option. But keep the keys out of reach and out of sight – how many of our kids see us do something only once and can then do it themselves? Technology, such as GPS devices, can be am amazing tool, but tracking should be the last step. Always start with preventive measures and preparation. There are personal GPS devices such as Angel Sense. Before making any purchase, do your homework on the product, and consider if your child would remove a device he needed to wear. Review a variety of tracking devices.
Why do they run?
In addition to devices designed to prevent our kids from eloping, and gadgets to find them when they do, behavior therapy may serve as a more lasting tool. A behavior therapist can work to determine the function of the elopement, whether it’s escaping a difficult situation, running to a preferred activity, or seeking something sensory. Once the function is identified, appropriate interventions can be developed.
The ICD-10-CM code Z91.83 Diagnostic Code for Wandering
Effective October 1, 2011, wandering was added to the diagnostic coding system clinicians use, which is known as the International Classification of Diseases. The wandering code is not linked to a specific diagnosis, nor is it part of the diagnostic codes used for autism or intellectual disabilities. The ICD-10-CM classifies behaviors and risk factors in addition to diseases and syndromes; as such, the wandering code is used in conjunction with other diagnostic and symptom or procedure codes. This code is intended to capture information about individuals, with any condition classified in the ICD, who wander. Wandering should be coded if documented in the medical record by the provider (i.e., physician).
If your child is given this diagnostic code, you may want to share that information with your IEP team. This new code is not really a legal aspect of the IEP. However, if you know that your child wanders and the school states they do not see this behavior, having this code will support the perceived risk that he may run away. It also serves a purpose for data collection and should be addressed in your child’s Functional Behavior Assessment (FBA) and Behavior Intervention Plan (BIP).
Visit the Pathfinders for Autism provider database and choose Category>Safety
FBI Child ID App for your mobile phone (Also available on iTunes)
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