Why Early Screening for Autism Is Essential in Underserved Communities

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by Tiana Lopez | UAB Community Health and Human Services Program (Student)

Photo by KATRIN BOLOVTSOVA on Pexels.com

Every parent wants the best for their child. But for many families in Alabama, getting an autism diagnosis can be harder than it should be. Research shows that Black children are often diagnosed with autism two to three years later than white children, despite showing symptoms at the same age (Mandell et al., 2009). These delays result in missed opportunities for early intervention. This support can drastically improve a child’s ability to communicate, learn, and thrive.

In Alabama, especially in rural or underserved communities, parents face multiple barriers to getting a timely diagnosis. Some are unfamiliar with early autism signs such as poor eye contact, delayed speech, repetitive behaviors, or lack of social interest (Centers for Disease Control and Prevention [CDC], 2023). Others may be discouraged from seeking help, told to “wait and see,” or lack access to a qualified specialist. Even when parents do recognize the signs, they often encounter long waitlists, high costs, or too few autism-focused providers in their area. These obstacles can feel overwhelming (Constantino et al., 2020). One researcher noted, “Autism spectrum disorder remains underdiagnosed in minority populations, despite evidence of comparable symptom presentation” (Constantino et al., 2020, p. 3). This highlights that the problem is not rooted in the children themselves but in systemic inequities.

Early Intervention Makes a Difference
The earlier autism is identified, the earlier a child can begin receiving services that build critical skills. Studies confirm that early intervention, ideally before the age of three, leads to improved language, social, and behavioral outcomes (Zwaigenbaum et al., 2015). That is why early screening is essential, particularly for families in underserved communities where systemic barriers are more common.

Practical Steps for Families
If you are a parent or caregiver of a young child in Alabama, here are two steps you can take right now:

  • Ask your child’s pediatrician about developmental and autism screening. These can be done during regular checkups starting at 18 months.
  • Reach out to Alabama’s Early Intervention System. This program offers free evaluations and services for children under three. A doctor’s referral is not required to get started (Alabama Department of Rehabilitation Services, 2023).

Getting a diagnosis should not depend on race/ethnicity, income, or ZIP code. With awareness, persistence, and support, families can overcome barriers and get their children the help they deserve. Equity in healthcare begins with timely diagnosis and access to resources for every child. To advocate for more autism resources in your community, you can join and support local and national organizations like the Autism Society and the Autistic Self Advocacy Network (ASAN), attend and volunteer at community events, and share your story on social media. If you like, please consider sharing your experience with the Wilkinson Wellness Lab on Facebook.

References
Alabama Department of Rehabilitation Services. (2023). Early Intervention Program. https://rehab.alabama.gov/individuals-and-families/early-intervention

Centers for Disease Control and Prevention. (2023). Data and statistics on autism spectrum disorder. https://www.cdc.gov/ncbddd/autism/data.html

Constantino, J. N., Abbacchi, A. M., Saulnier, C., Klaiman, C., Mandell, D. S., Zhang, Y., … & Molholm, S. (2020). Timing of the diagnosis of autism in African American children. Pediatrics, 146(3), e20193629. https://doi.org/10.1542/peds.2019-3629

Mandell, D. S., Wiggins, L. D., Carpenter, L. A., Daniels, J., DiGuiseppi, C., Durkin, M. S., … & Kirby, R. S. (2009). Racial/ethnic disparities in the identification of children with autism spectrum disorders. American Journal of Public Health, 99(3), 493–498. https://doi.org/10.2105/AJPH.2007.131243

Zwaigenbaum, L., Bauman, M. L., Choueiri, R., Kasari, C., Carter, A., Granpeesheh, D., … & Pierce, K. (2015). Early intervention for children with autism spectrum disorder under 3 years of age: Recommendations for practice and research. Pediatrics, 136(Supplement_1), S60–S81. https://doi.org/10.1542/peds.2014-3667E

Coping with Loss: Exploring Normal, Anticipatory, and Complicated Grief

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By Jaslyn Bush | UAB Community Health & Human Services Program Intern

Photo by cottonbro studio on Pexels.com

Death is an inevitable part of life. Grieving a loved one can be challenging, taking years to recover from the loss. In my experience, the grieving process for a loved one is never truly over because I will always remember that person. “Grief most often gets less intense over time, but the sense of loss can last for decades. Certain events, mementos or memories can bring back strong emotions, that usually last for a short time” (National Cancer Institute [NCI], 2013). Grief feels like the process of accepting that the person is no longer alive. There are three types of grief: anticipatory grief, normal grief, and complicated grief (National Cancer Institute, 2013).

According to Stanford Parkinson’s Community Outreach, anticipatory grief is the act of grieving somebody who is still alive but, expected to pass away from sickness or other health complications (Stanford Parkinson’s Community Outreach, n.d.). From my experience with grief, I believe anticipatory grief is the hardest type of grief to go through. Before both of my grandmothers passed away due to sickness, I couldn’t get over the fact that one day, they wouldn’t be here anymore. Every time I spent time with either of them, I felt this lingering sadness that one day I would never get to see or talk to them again.

The NCI explains that normal grief occurs when an individual has acknowledged and accepted their loss and continues with their life, even though it may be difficult. Some common themes of normal grief include periods of sadness, disbelief, emotional numbness, anxiety, and distress. This can also lead to loss of sleep, hallucinations of the deceased, and loss of appetite (National Cancer Institute, 2013).

Complicated grief occurs when intense sadness/grief lasts longer than expected. According to the Association for Behavioral and Cognitive Therapies (ABCT), complicated grief affects 2-3% of the population worldwide. Signs of complicated grief include constant thoughts about the deceased, avoiding reminders of the deceased, along with keeping reminders of deceased such as their pictures or belongings (ABCT, 2021). Complicated grief usually lasts 6 months or longer, depending on if the individual has social, cultural, or religious connections to the deceased (ABCT, 2021).

When experiencing one or more types of grief, I have adapted some suggestions from the Centers for Disease Control and Prevention (CDC) regarding what one can do who is experiencing grief:

  • Seek comfort and lean on the support of others in your network.
  • Create a positive and purposeful routine.
  • Honor your loved ones who have passed.
  • If necessary, get help from a professional.
  • If you or someone you know is struggling or in crisis, call or text 988 or chat 988lifeline.org.

Have you experienced grief before? What are some of the emotions that you felt? What helped you to overcome one or more types of grief? Please feel free to share in the comments section or post an encouraging message at the Wilkinson Wellness Lab on Facebook.

References

Anticipatory Grief. (n.d.). Stanford Parkinson’s Community Outreach. https://med.stanford.edu/parkinsons/caregiver-corner/caregiving-topics/anticipatory-grief.html

Centers for Disease Control & Prevention. (2023, May 26). Grief. https://www.cdc.gov/howrightnow/emotion/grief/index.html.

Complicated Grief | Fact Sheet. (2021, March 4). ABCT – Association for Behavioral and Cognitive Therapies. https://www.abct.org/fact-sheets/complicated-grief/

National Cancer Institute. (2013, March 6). Grief, Bereavement, and Coping With Loss. National Cancer Institute; cancer.gov. https://www.cancer.gov/about-cancer/advanced-cancer/caregivers/planning/bereavement-pdq

Unseen but Unforgettable: The Lasting Effects of Emotional Abuse

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By Jaslyn Bush, UAB Community Health & Human Services Intern

Photo by Yan Krukau on Pexels.com

Emotional abuse is a form of mistreatment that can have profound and long-lasting effects on an individual’s mental health. Unlike physical abuse, emotional abuse can often go unnoticed, making it harder to detect and address. According to the American Psychological Association (APA) (2018), emotional abuse is defined as “a pattern of behavior in which one person deliberately and repeatedly subjects another to nonphysical acts that are detrimental to behavioral and affective functioning and overall mental well-being.”

Emotional abuse can be just as damaging as physical abuse, affecting self-esteem, mental well-being, and overall quality of life. Emotional abuse involves behaviors that manipulate, degrade, or control another person through tactics such as belittling, humiliation, intimidation, and constant criticism (Graham-Kevan & Archer, 2008). It can occur in various relationships, including romantic partnerships, family dynamics, and workplaces. While emotional abuse does not leave visible scars like physical abuse, its effects are deeply ingrained and can often result in long-term psychological harm (Graham-Kevan & Archer, 2008).

One of the primary characteristics of emotional abuse is the erosion of the victim’s self-esteem. Abusers often use tactics like gaslighting—making the victim question their sense of reality—leading to confusion, self-doubt, and insecurity. Over time, the individual may begin to internalize negative messages, believing they are unworthy, inadequate, or incapable of achieving happiness or success (Swan & Snow, 2002).

Psychological Effects of Emotional Abuse

Victims of psychological abuse may often experience heightened levels of anxiety and depression because of ongoing stress and manipulation. A study by Lawrence et al. (2020) found that individuals who experienced emotional abuse were more likely to report higher levels of depression, anxiety, and self-harm behaviors compared to those who had not been abused. The lack of visible scars from emotional abuse can make it harder for others to recognize the trauma a person is undergoing, leaving individuals feeling isolated and unsupported.

Emotional abuse also disrupts an individual’s ability to form healthy relationships. Victims may struggle with trust issues, low self-worth, and an inability to set boundaries, which can affect their social interactions and lead to further isolation. This cycle of isolation and emotional turmoil perpetuates the abuse, making it even harder to escape from unhealthy dynamics (Graham-Kevan & Archer, 2008).

Emotional abuse is a silent yet devastating form of mistreatment that can have severe effects on mental health. Its impact is often long-lasting, affecting self-esteem, causing anxiety and depression, and hindering the ability to form healthy relationships. It’s important to realize that emotional abuse can happen within any type of relationship, not just romantic ones. Have you experienced emotional abuse? If so, are you willing to share your stories to support others who are living with emotional abuse? Feel free to share your thoughts below or interact with us on Facebook at the WilkinsonWellnessLab.

References

American Psychological Association. “APA Dictionary of Psychology.” Dictionary.apa.org, 19 Apr. 2018, dictionary.apa.org/emotional-abuse.

Graham-Kevan, N., & Archer, J. (2008). Emotional abuse in relationships: A study of its prevalence and impact. Journal of Family Violence, 23(8), 561-570. 

Lawrence, E., Yoon, M., & Langer, A. (2020). The psychological impact of emotional abuse: A review. Psychology of Violence, 10(4), 423-432. 

Swan, S. C., & Snow, D. L. (2002). A typology of women’s responses to abusive relationships. Psychology of Women Quarterly, 26(2), 128-138. 

Feria de Salud Revive on Noviembre 2, 2024 at 10:00am – 2:00pm

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En Espanola
El Laboratorio de Bienestar de Wilkinson se complace en asociarse con el Programa de Salud y Servicios Humanos Comunitarios de la UAB y la Iglesia Vida Cristiana en apoyo de la Feria de Salud Revive el sábado 7 de octubre de 2023. La feria de salud se llevará a cabo en 2490 Valleydale Road y se llevará a cabo de 9 a. m. a 1 p. m. Como recurso para la feria de salud, el Laboratorio de Bienestar de Wilkinson ofrece:

  • Detección de presión arterial,
  • Lectura del índice de masa corporal,
  • Lectura del porcentaje de grasa corporal y
  • Lectura del porcentaje de músculo esquelético

Para obtener más recursos que le ayuden a alcanzar sus objetivos de peso general, haga clic en los enlaces siguientes:

Alimentación saludable para adultos: https://www.myplate.gov/es/tip-sheet/alimentacion-saludable-para-adultos

Alimentación saludable para niños: https://eclkc.ohs.acf.hhs.gov/sites/default/files/pdf/healthy-eating-family-tips-esp.pdf

In English

The Wilkinson Wellness Lab is excited to partner with the UAB Community Health & Human Services Program and Christian Life Church in support of the Revive Health Fair on Saturday, October 7, 2023. The health fair is located at 2490 Valleydale Road and will take place 9am – 1pm. As a resource for the health fair, the Wilkinson Wellness Lab is providing:

  • Blood pressure screening,
  • Body Mass Index reading,
  • Body Fat percentage reading, and
  • Skeletal muscle percentage reading

For more resources in support of achieving your overall weight goals, please click on the links below:

Food

Physical Activity

Sleep

Body Mass Index

https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/

Join the conversation on Facebook or in the comments section. Have you lost weight over a process? What did you do lose weight? How long did the weight loss take you? How was your experience? Please share with family and friends.

Restful sleep supports reduced stress. Let’s try it for ourselves

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By the Wilkinson Wellness Lab

Are we trying to stay up so we can cram for the test? Perhaps we hung out too late and now we are feeling it in the morning. Maybe we drank to much Starbucks and we want to go to sleep, but just can’t. Or perhaps, we are a little worried about the paper that needs to be written and it is haunting us…no sleep. Either way, are sleep is impacted, which is still detrimental to our ability to cope with stress and support our mental health.

According to a study by Scott et al. (2021), improving sleep quality leads to better mental health. Other organizations like the Centers for Disease Control and Prevention (CDC) and the Sleep Foundation, also suggest the connection is relevant and asserts the connection to how we handle stress. Thusly, to improve mental health and stress management, it is a good idea to practice a sleep routine. A sleep routine is a a set of activities you do before bed each night to help you fall asleep. Some steps to include in creating your sleep routine may involve:

Setting a consistent sleep schedule: Go to bed and wake up at the same time every day, even on weekends to support your body’s rhythm.

Create a relaxing bedtime routine: Engage in calming activities before bed. Activities may include reading, warm baths, deep breathing exercises and meditation.

Create a calming sleep environment: Ensure your bedroom is cool, dark, and quiet. If needed, invest in an eye cover or ear plugs to limit noise and intrusions.

Limit exposure to screen: Reduce blue light exposure from phones, tablets, and computers at least an hour before bedtime.

Monitor your diet before bed: Avoid large meals, caffeine, and alcohol close to bedtime. These can disrupt your sleep cycle.

Be active during the day: Regular physical activity can help you fall asleep faster and enjoy deeper sleep. But try not to work-out close to bedtime.

Stress management: Techniques like placing your thoughts out of your head and elsewhere (i.e., journaling), yoga, and mindfulness can help reduce stress prior to your bedtime.

Have you tried these techniques above? If so, how did you do it? If not, what is hindering you from trying? Perhaps you tried, but when times became stressful, so stop working to solidify your routine. What next steps do you suggest? Please share your thoughts in the comment section and or visit us on Facebook @WilkinsonWellnessLab.

UAB Community Health & Human Services Program sponsors National Health Education Week 2024

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Please join the UAB Community Health & Human Services (CHHS) Program at our mental health and wellness outreach table on Tuesday, October 22nd (10am – 1pm). We will have a few items in support of overall student health and well-being, while also equipping ourselves with mental wellness techniques to exercise through the remainder of the semester. Check us out in the Education & Engineering Complex (EEC). See the flyer below.

Please join the UAB Community Health & Human Services (CHHS) Program and have a good time ‘moving’ at the School of Education & Human Sciences “Trunk or Treat” event on Tuesday, October 24th (5:00pm – 6:30pm). The CHHS Program will provide the sounds that keep you ‘moving and grooving’ as you visit different trunks to get your treats. Come out and play corn hole, dance in streets, and get some candy. We will have a few items in support of overall student health and well-being. Check us out in the Education & Engineering Complex (EEC). See the flyer below.

Tips for Physical, Mental, & Emotional Well-Being

To learn more about National Health Education Week, please visit the Society for Public Health Education (SOPHE) website, here. To learn more about emotional wellness in the United States of America, please visit the Centers for Disease Control & Prevention (CDC) weblink, here. Regarding ones physical health, the CDC recommends the following, here.

Supporting local efforts, the Revive Health Fair on October 7, 2023

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The Wilkinson Wellness Lab is excited to partner with the UAB Community Health & Human Services Program and Christian Life Church in support of the Revive Health Fair on Saturday, October 7, 2023. The health fair is located at 2490 Valleydale Road and will take place 9am – 1pm. As a resource for the health fair, the Wilkinson Wellness Lab is providing:

  • Blood pressure screening,
  • Body Mass Index reading,
  • Body Fat percentage reading, and
  • Skeletal muscle percentage reading

For more resources in support of achieving your overall weight goals, please click on the links below:


Food

Physical Activity

Sleep

Body Mass Index

https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/

Join the conversation on Facebook or in the comments section. Have you lost weight over a process? What did you do lose weight? How long did the weight loss take you? How was your experience? Please share with family and friends.

Reflecting on a tragic moment of civil rights history and feelings of yesterday

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Larrell L. Wilkinson | Wilkinson Wellness Lab

Photo of window at the 16th Street Baptist Church and memorial plaque honoring the memory of the four young girls killed by the KKK bombing of the the church on September 15, 1963.

I knew yesterday was going to hit me hard. During the early weeks of September in Birmingham, AL, the annual commemorations begin. This year marks 60 years since the tragic death of four little girls and the injuries of several others, during the turbulent days of the Civil Rights movement. The City of Birmingham honored the victims of the bombing of the 16th Street Baptist Church on September 15, 1963, during the week of remembrance.

Working in the Birmingham area, I often drive past the historic markers of the Civil Rights movement. I can see the A.G. Gaston Motel, the 16th Street Baptist Church, Kelly Ingram Park, the Birmingham Civil Rights Institute and drive to Montgomery, AL to the Equal Justice Initiative & National Memorial, Dexter Ave. Church, the Rosa Parks Museum, and sacred sites of the movement. This year, 60 years after that fateful day of losing Addie Mae Collins, Denise McNair, Carole Robertson, & Cynthia Wesley, I know that America has made progress towards racial conciliation. I see it daily at my job, during worship occasions at my church, in visiting my children’s school, walking my neighborhood and patronizing businesses in my community. Still, exercising faith for a future that overcomes the actions of hatred manifested by individuals and groups that want to further efforts to separate us in the U.S., by race, by class, by the faith we practice, by any means that furthers their hate filled mission, that faith must be strong and resilient.

The actions of 60 years ago may seem like history to some but are very relevant to communities of people who have additional concerns when we go for a jog, shop at our community stores, or worship in our churches. Our families trade text messages to remind each other to “be safe”, “travel in groups”, “don’t travel at night”, “don’t get off the phone until you get home”, “don’t get gas at night”, “don’t stop at any stores tonight, we’ll order it later”, etc. Perhaps some if you are reading this, you might say, these sayings sound like useful tips. In contrast, others reading these words understand that these aren’t just tips, but necessary actions of life preservation for people feeling maliciously targeted due to their culture. For many, events that happened 60 years ago doesn’t feel like history, it feels like yesterday. Still, these groups of people press forward in hopes that their girls and boys will experience a society where the actions of a hateful few are no longer. Their hope is in a loving God, with the direction to love Him and to also love your neighbor as yourself (New International Version, Matt. 22: 34 – 40). It is in experiencing this form of solidarity that we can share in faith, hope, and love; love being the greatest of these (New International Version, Cor. 13:13).

Birthday challenge – donating 45 items for each year around the Sun

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By Larrell L. Wilkinson | Wilkinson Wellness Lab

Photo by Alexander Grey on Pexels.com

This year, my birthday falls on the same day that my kids go back to school. So, like many parents, I am washing clothes, packing backpacks, tucking in my kids early tonight…earlier than they have gone to bed this summer, setting alarm clocks…oh, and folding those fresh clean clothes. Yeah, you know, organizing for the back to school chaos! The Wilkinson family is working to get back into the flow of how life will be for the next nine (9) months, all three kids in school. We are folding their clothes, I am folding my clothes, the kids are working off some of their nervous energy and Man, I have a lot of clothes to fold. Stop. Why do I have so many clothes to fold? It’s summer, I work from home many days. No, seriously, why do I have so many clothes that I am folding for myself and not my kids’ clothes.

As I am folding these clothes, a thought comes to mind, “I bet you could give away forty-five (45) items to the men’s shelter.” What? First, I don’t have that many items to give away. And second, what? But then I thought about it again. Maybe I do, maybe I should. The voice: “What about your T-shirt collection?” Yep, the fabled man’s t-shirt collection where each shirt can bring back so many memories. “What about socks…the socks you haven’t worn, the new warm socks still in the package after two years?” There is more. Not only is the voice speaking to me, but earlier today my eldest daughter had the idea to fill up her old school backpack (because she has a new one for the new school year) with food and drive to downtown Birmingham to give the backpack to a person experiencing food and/or housing insecurity. I also happen to be in the middle of the clothes month of the popular book “7: An Experimental Mutiny Against Excess” by Jen Hatmaker. So, maybe, this idea is kind of implanted in my mind, right?

Well, I am going to be obedient.  I am going to aim for 45 items to give away and take them to the Jimmie Hale Mission in Birmingham, AL.  I have donated collared shirts, polo style shirts, dress shoes, pants, coats, etc. there before and many of the guys I interacted with were really cool.  To learn more about The Jimmie Hale Mission, please visit them on Facebook here:  https://www.facebook.com/thejimmiehalemission/.  If you feel up to giving, I encourage you to donate your gently used items to a shelter or other entities that can help others in the community.  Of course, these organizations will accept a financial contribution as well.  So, here’s my birthday wish…for each of us to spend a little time helping another person or group of persons in our own way…however compelled.  Let us know how it goes in the comments section or hit us up on Facebook: @wilkinsonwellnesslab.