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Occupational Therapist Makes Waves in Aquatic Therapy for Children With Autism

Michele L. Alaniz, an OTR from California, established an innovative aquatic therapy program to improve water safety skills and address drowning prevention for children with autism from ages 3 to 7.

Michele L. Alaniz, BCP, OTR/L

Director, Children’s Services Center, Casa Colina Hospital and Centers for Healthcare

Faculty Member, Summit Education

Location: California

Certified in 2000

2024 NBCOT Innovation Award Winner

Enhancing Safety for Children With Autism

Michele L. Alaniz, an OTR from California, created a groundbreaking aquatic therapy program to teach children with autism water safety skills to help prevent drowning incidents. Drowning is one of the leading causes of unintentional injury death among children in the United States. The danger is exponentially higher for children with autism due to potential difficulties with understanding and responding to water-related risks.

Michele’s aquatic therapy program is uniquely designed for children with autism between the ages of 3 to 7, which is a crucial age range for developing water safety skills. The program offers therapeutic techniques that are both engaging and effective, ultimately aiming to reduce the risk of drowning. The structured approach involves small group or individual therapy sessions that are led by skilled occupational therapy practitioners in a swimming pool environment. The sessions focus on swim skills and water safety skills, including pool navigation, breath control, swimming independently, exiting the pool, back float, and changing positions while swimming. By addressing a critical need for water safety, Michele’s program stands out as a vital tool in preventing unintentional injuries in the water for children with autism.

An OTR supports a child's arms as he floats in a swimming pool.
Michele and her client working on swimming skills.

Innovative Approaches and Proven Effectiveness

What sets Michele’s program apart is its innovative approach to intervention. Her program emphasizes the involvement of skilled occupational therapy practitioners, ensuring that interventions are tailored to the individual needs of each child. This expert involvement not only enhances the quality of care but also highlights the importance of trained clinical practitioners in delivering effective therapy. Moreover, the program has demonstrated that significant improvements in water safety skills can be achieved within a short time frame. Children who participated in the program were observed to have improved swim skills after 8 hours of aquatic therapy, with peak gains after 16 hours of intervention. This efficiency is a testament to the program's innovative design, proving that meaningful progress can be achieved quickly, a factor that is crucial for busy families and therapeutic schedules.

The program’s comprehensive design and established results have been published in the Journal of Autism and Developmental Disorders, offering a replicable model for practitioners worldwide and broadening the program’s impact.

An OTR holds a pool noodle across a child's waist as he floats in a pool.
Michele and her client having fun in the pool during a therapy session.

Impact on Quality of Life and Inclusivity

Michele’s aquatic therapy program is more than a preventive measure; it is a life-enhancing intervention. By equipping children with autism with essential water safety skills, the program fosters greater independence, confidence, and social inclusion. These skills enable children to safely participate in water-based recreational activities, which are often inaccessible to them due to their unique challenges. This program not only addresses the physical safety of these children but also enriches their quality of life by promoting social interactions and participation in valued activities.

In addition to the direct benefits to the children, the program has had a broader impact through knowledge dissemination. Michele has shared her expertise across the United States, conducting training courses for other practitioners and producing free training videos for city recreation programs. These resources empower pool staff and other professionals to include children with various ability levels in their programs, thus advancing inclusivity and addressing potential occupational injustices.

“[Michele's training course] has been my most favorite course to date! the instructor is so knowledgeable and passionate about aquatic therapy it is so inspiring. I learned so many things from this course and look forward to more.”

Kaylea from Alabama

Participant in Michele's training course

“Excellent course! So clinically based, so well taught. Everything felt applicable and you come away feeling that you've not just gained knowledge but that you'll be able to implement skills as she taught her techniques so well.”

Lucia from California

Participant in Michele's training course

Michele’s work exemplifies innovation, inclusivity, and dedication to enhancing the lives of children with autism. Her aquatic therapy program not only addresses a critical need but also paves the way for a more equitable approach to health care and community participation for individuals with neurodevelopmental differences. For her pioneering efforts, Michele truly deserves recognition and accolades in the field of occupational therapy.

An OTR supports a child around the waist as he learns to swim.
A client learns to swim with Michele's support.

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