Bullying and Children with Autism: How to Help Your Child
Published on
Health Tip of the WeekPublished on
Health Tip of the Week From the outside, children with high-functioning autism spectrum disorder (HF-ASD) look similar to other children – but, because of difficulties related to social skills and behavior, they often find it challenging to navigate certain social situations – leading them to stand out.
“Parents of children who think or learn differently, like those with autism spectrum disorder, often worry that their child will experience being the target of bullying, and parents ask us about ways to both manage those situations and develop the skills to prevent them,” says Sandhyaa Iyengar, MD, MPH, a board-certified pediatrician and attending physician with the Division of Developmental and Behavioral Pediatrics (DBP) at Children’s Hospital of Philadelphia (CHOP) who specializes in treating children with autism spectrum disorder (ASD).
According to a survey of DBP providers, conducted through CHOP’s Center for Violence Prevention (CVP), providers unanimously believe youth with HF-ASD are “often” victimized by peers at school. Bullying a person with disabilities can be considered a federal crime or a violation of their civil rights, Dr. Iyengar points out.
Providers in DBP say the most reported form of bullying is verbal, followed by relational and cyberbullying, with physical bullying being the least reported. However, all four types of bullying are viewed as “harmful to extremely harmful” for youth with high-functioning autism.
“Youth with high-functioning autism spectrum disorder benefit from supports to bring out their potential, and a safe space to be their unique self – including in the school environment,” says Dr. Iyengar. To help youth thrive, she suggests parents and caretakers increase their own awareness about bullying, paying close attention to their child’s behavior and any unexplained changes in mood or activities. She offers the following tips as a guide.
Children with ASD have difficulty with social connections, back-and-forth play and communication, peer relationships, and using body language to communicate with others. They often show repetitive behavior including body movements and language, or restricted or unusual interests.
“When we refer to children with HF-ASD, we mean those with a mild level of symptoms who generally have at least average intelligence and language abilities,” Dr. Iyengar says. Children with HF-ASD are more likely to be in general education classrooms, exposed to typically developing peers (more than children in a special education setting), and therefore are at-risk for bullying.
According to CHOP’s DBP providers, the top five contributing factors to the bullying of children with HF-ASD are:
“It is not always apparent to children with HF-ASD when they are bullied because they often have difficulty understanding social situations; they may even inadvertently respond in a way that encourages the behavior to continue or escalate,” Dr. Iyengar says.
She describes one story a family shared with her, in which an 8-year-old boy was repeatedly given bread and mud sandwiches to eat and in response would thank the bully for sharing their lunch. Her patient did not understand that the other children were laughing at him instead of being his friends. “With bullying, there is a power imbalance, which can be physical or social power, and the person who is more vulnerable is the victim of repeated insults,” Dr. Iyengar adds.
On the other side, because children with autism cannot always clearly communicate their thoughts and feelings, parents should be mindful that these same youth may inadvertently offend a friend or classmate without even knowing it. This can cause a backlash and increased acting out against the child with autism.
Youth with high-functioning autism who are victims of bullying are also likely to experience or show these characteristics:
Bullying of children with high-functioning autism spectrum disorder is unfortunately common. Dr. Iyengar recommends the following tips when addressing the topic with your child or on their behalf.
Being the target of bullying is never your child’s fault. As parents, it’s your responsibility to help your child understand this and to encourage them to tell a teacher or staff member when others are purposely mean to them. You can help your child learn ways to manage bullying – and build their coping skills by:
You can also help your child build their self-advocacy skills by offering them scripted phrases they can use, such as:
Adult intervention is always needed when bullying occurs – especially for youth with ASD. Reach out to school leaders and keep your child’s educational team informed and involved.
Together, you can create a safety plan, which may include:
Individualized Educational Plan (IEP) goals can be established to help your child cope with bullying or teasing they may encounter at school. A sample IEP goal could be to: identify and practice direct and indirect ways to react to, handle and lessen the effects of bullying behavior.
In an IEP, parents can request supplementary aids and services, program modifications or supports including:
If the school does not respond appropriately to bullying reports, parents can write a letter reminding school administrators of their legal obligation to supply a Free and Appropriate Education (FAPE) for their child. For help, use this Word document template.
NOTE: Bullying a child with an IEP can be considered harassment, which is a crime. To better understand the law, view Rights and Policies from PACER’s National Bullying Prevention Center.
Contributed by: Sandhyaa Iyengar, MD, MPH, and Christine Waanders, PhD
Are you looking for advice to keep your child healthy and happy? Do you have questions about common childhood illnesses and injuries? Subscribe to our Health Tips newsletter to receive health and wellness tips from the pediatric experts at Children's Hospital of Philadelphia, straight to your inbox. Read some recent tips.