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We would like to know what others think about this issue:

COMMENT

As a parent of a teenage boy with autism, I am beginning to look at the options for my son's adult years. I think that the farmstead model may be a good fit for my son because it offers the opportunity for a mix of inclusion in the larger community and seclusion from it in a supportive environment with meaningful activities and social relationships.

As he will be coming of age when the surge in numbers of individuals with autism reaching adulthood will be starting, I am thinking that I may well need to be prepared to create a farmstead situation as opposed to finding one. I would appreciate any information that readers may provide about how to go about creating a farmstead community. What are the steps? What are the skills/knowledge needed? What are potential road blocks and pitfalls? What, if any, are the bureaucratic stumbling blocks? What are the critical things to focus the most attention on?

I am concerned that the popular trend seems to be to create individual supported living situations in urban settings. In trying to imagine my son in this situation, it looks like it has a lot of potential to become a very isolated and unstable living situation. How have people involved in developing farmsteads dealt with, what seems to be, the political and perhaps bureaucratic pressure to promote these types of living situations and not more intentional communities? Thanks for any responses.

Sincerely,
Debbie Wechsler


The history of the italian foundation "Genitori per l'Autismo" ("Parents for Autism") began in 1998, when five families started what now is a farmstead: Cascina Rossago. In Italy a Foundation is the best instrument to grant that a capital is used for the issue decided. So, first they made a Foundation, and then bought 42  acres of land.

After that, the Foundation made a project together with the University of Pavia and received funds from private bank foundations, private agencies and public funds by a special National Law for experimental projects in favour of people with serious disabilities.

The actual "Cascina" (Farm) has been built all together, as projected, for 24 residents, because in that way the foundation could get funds. Last May (May 15th) the first two residents started living in it. By now, resident are 7 autistic young men, age 18-30, the latest enteredtwenty days ago. Staff is formed by 2 psichiatric rehabilitors (which is a 3 years university degree) one psychologist and four socio-welfare helpers (ASA).

Trainees from psychiatric rehabilitation, education and psychology from the University of Pavia and other Universities came to work in Cascina Rossago, so the number of the staff is high, which is absolutely necesarry in this beginning phase. Staff supervision is regularly provided so there are discussions about problems, behaviours and programs. We are now studying new programs and ways to monitor our guests.
It is a a great work but we already have important results as:
*   a great decrease of problem behaviours
*   increased participation in activities
*   improvement in social behaviours
*   general wellbeing and happiness
*   5 of 7 residents had epilteptic seizures (and take antiepileptic
drugs, and one of them had frequent seizures, one every 20 days). Since they have been here the only one who had one seizure was that boy (the seizure was ten day after admission, in June)


The history of the italian foundation "Genitori per l'Autismo" ("Parents for Autism") began in 1998, when five families started what now is a farmstead: Cascina Rossago. In Italy a Foundation is the best instrument to grant that a capital is used for the issue decided.

So, first they made a Foundation, and then bought 42 acres of land. After that, the Foundation made a project together with the University of Pavia and received funds from private bank foundations, private agencies and public funds by a special National Law for experimental projects in favour of people with serious disabilities.

The actual "Cascina" (Farm) has been built all together, as projected, for 24 residents, because in that way the foundation could get funds. Last May (May 15th) the first two residents started living in it. By now, resident are 7 autistic young men, age 18-30, the latest entered twenty days ago. Staff is formed by 2 psichiatric rehabilitors (which is a 3 years university degree) one psychologist and four socio-welfare helpers (ASA).

Trainees from psychiatric rehabilitation, education and psychology from the University of Pavia and other Universities came to work in Cascina Rossago, so the number of the staff is high, which is absolutely necesarry in this beginning phase. Staff supervision is regularly provided so there are discussions about problems, behaviours and programs.

We are now studying new programs and ways to monitor our guests. It is a a great work but we already have important results as:
* a great decrease of problem behaviours
* increased participation in activities
* improvement in social behaviours
* general wellbeing and happiness
* 5 of 7 residents had epilteptic seizures (and take antiepileptic drugs, and one of them had frequent seizures, one every 20 days). Since they have been here the only one who had one seizure was that boy (the seizure was ten day after admission, in June)

Stefania Ucelli
Director
Cascina Rossago
e-mail cascinarossago@tin.it


Response(s):

My wife Lorraine and I have decided to turn our lives to fostering a farm residence for adults with Autism. Our son, age 21, is autistic and loves the peace and quiet of the country and animals, particularly horses and dogs. We have found a property and made an offer - not yet accepted - for 6 acres with a large house big enough for us and up to 6 residents with two in each large bedrooms (17 x 17). We have never seen so much paperwork to get a 501 c3 status and to get approved by the state (FL).
If anyone has words of encouragement, guidance and suggestions we would be greatful.

Many thanks in advance,
Bob Turner


Debbie,

When I started reading your letter, I thought it was something I had written that was being sent back to me. Your thoughts certainly reflect my own. When my son was 16 I figured it might take 5 years to get a farmstead up and running so I began working on it then. It's been over 3 years and it looks like we'll be opening our doors early in 2003.
We began by forming a nonprofit corporation and getting 501(c)3 status. Then we began fundraising and grant writing. We found little success with grantwriting as most foundations don't like to give to start-ups, particularly ones that will require so much capital to get started. We were fortunate to have one substantial donation that gave us the momentum to get moving forward. We are hopeful that once we've begun providing services, grantwriting will be more successful. (I've wondered if it might have been easier to form a for profit corporation and get investors.)
We are in New Hampshire where there is a very vocal and politically strong contingency that is against separate facilities for people with disabilities. However, NH is also supportive of "self-determination" so we simply remind those who are philosophically opposed to what we are doing that it is the "consumer" and his/her parents, not the "professionals" in the field, who get to make the decision about what is best for that individual. Thus, if someone determines that our farmstead is a better fit for their needs than individual supported living/employment in the greater community, they have the right to make that choice. In the end, I believe that these "consumers" and their parents will simply insist that they be given the opportunity to use the services we will soon be providing. We've had a lot of support from parents.

Hope this helps.
Good Luck.


The foundation Genitori per l'Autismo (Parents for Autism) is going to start a residential program for autistic adults in the Spring 2002: a farm, a place to live and work together. The question that people ask us is whether that kind of project can be too "closed" and too "protected". Being "closed" they say, could limit integration into the larger community, and being "protected," could limit its scope as a rehabilitative project.

My own thoughts are that this could be the best context for rehabilitation, based on communication and work in a group of pairs, and it can also maximize integration of adults with Autism in exchanges with small villages and the country-side.

About this topic, we have found different points of view about rehabilitation: the "ideological" and the "pragmatic" one. In my opinion, the farm context is the most suitable for many adults with Autism because it gives importance to the technical sides of habilitation, but also attention to quality of life in a natural setting.

-Stefania Ucelli



Many residents at Somerset Court like open space, they like the freedom to run on impulse; some like to be always on the go and appear happiest when they are doing meaningful physical tasks and are calmer after a lot of exercise.

Others who have little understanding of danger learn where the parameters are of our site and then have a great deal of independence around the 26 acres and different buildings. Being free from the intrusion, as they see it, of one to one support from a staff member, who if they were in a town would be always by their side.

The residents co-exist with many other adults on the site, both staff and residents, passing others in a similar way to how I do when I visit London for meetings and feel alone in a crowd of people, where the British rules for commuters is not to have any interaction with each other.

A key feature for success is that internal space should not be overcrowded; living groups of 4-8 people we have found work. We are trying to extend the accommodation to include a choice of communal sitting rooms, so residents can exercise more choice over who they do and don't spend their leisure time with. Those who enjoy people watching from the periphery can then do so, while others can seek solitude without retreating to their bedrooms.

Another need is a good transport fleet, to ensure inclusion in community activities can take place on a regular bases, when adequate staff support is necessary. As we move further towards a car dependent culture, arriving everywhere in a vehicle is a norm.

Somerset Court would not be right for those who could independently walk to the shops or to work or a leisure centre, it would decrease their skills. We are always honest enough to acknowledge when a residents skills have improved to the point where the restrictions on community access out way the advantages of a rural community.

-Andrew Duckworth



Those in our business who react to the notion of a rural model often confuse bricks-and-mortar issues with program practice. It is sometimes hard to look beyond the building to visualize quality. An attractive farm or an attractive urban apartment does not automatically result in positive life experiences. It is our responsibility as service providers to effectively address the needs of those who come to us for care and support. If we live in the country, we must try hard to access the community for social opportunities. Living in an urban setting can create challenges of privacy, safety, and security. There are different challenges in each of the settings that Bittersweet Farms operates (the main farm home, the smaller group home, and community-based supported living homes).

The farm, unlike other settings, offers meaningful vocational and recreational opportunities that are much more difficult to include in typical urban and suburban neighborhoods. If someone needs some space, they can walk outside, play horseshoes, visit and feed the animals, check the sizes of the growing pumpkins, empty the sap from a maple tree, pick some strawberries, etc. Many of these same activities can be performed in any setting, urban or rural, however, in the farm setting staff find it natural to engage in these things spontaneously and without it being prescribed by a team process.

Residential service providers need to be more holistic in their approach. We need to put the dynamic social experience of the urban community as well as the healthy physical environment of the country into the daily lives of all served. Looking at a program by studying its spot on the map is short-sighted. Good luck in your Spring opening.

-Charles R. Flowers, Executive Director, Bittersweet Farms


The "isolation" of those with autism, when placed in rural settings, is a criticism of those with what I call an "urban bias." Indeed, much of America continues to be rural, and small family sized farms still endure, even during this time of agricultural conglomerates. In fact, many people leave cities for the tranquility and natural pleasure of the country.

Adults with autism who live in rural farmstead communities can lead richly varied lives, socializing with staff members, visiting local towns for shopping, banking, haircuts, restaurants, festivals and entertainment, just as they can invite family, friends and neighbors to the community for celebrations of all kinds.

Interestingly, the suburbs continue to creep westward toward Bittersweet Farms in the USA, so what appeared rural sixteen years ago, now is indeed suburban!

City life with noise, neighbors in close proximity, unpredictability of traffic and transportation is not the best choice for all with autism. A spectrum of options makes the most sense.

-Jane J. Giddan




Submit a question or response to jgiddan@meduohio.edu