A Mentoring Program For Students With Asperger and ASDs
A Mentoring Program For Students With Asperger and ASDs
York University
Toronto, Ontario
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ISBN 978-‐1-‐55014-‐553-‐3
TABLE OF CONTENTS
Chapter Seven:
Stakeholders……………………………………………………………………………………...17
Kristen McFee & James Bebko
Gayle Goldstein & Megan Ames
References………………………………………………………………………………………..37
Chapter One
The transition to university is a challenging time for many students. Academic demands are
increasing, social norms are changing, and students are expected to be more independent than
ever before. Along with these changes, many of the supports that are available to students in high
school are no longer in place, such as small group instruction and access to special education
resource teachers. The Higher Education Council of Education identified necessary supports for
students with an Autism Spectrum Disorder (ASD, including Asperger Syndrome, are discussed
in more detail in Chapter 2) in a postsecondary setting and includes “a requirement for staff
specifically trained in ASD, a dedicated “safe” space for these students and academic studies
supported by staff trained as ASD coaches” (p.2; Alcorn MacKay, 2010). However, most
Ontario universities do not have these supports and as a result, students have an increased
responsibility for their own post-secondary education. For students with an ASD, the transition
to university and adapting to university life can be an even greater challenge. Between 2009 and
2011 alone, it is estimated 1100 students with and ASD will be entering an Ontario college or
university (Alcorn MacKay, 2010).
At York University, in Toronto, Canada, the number of identified students with an ASD
increased from three in the 2003-2004 academic year, to twenty-seven identified students in the
2008-2009 academic year. This represents an overall 800% increase in identified students in a
five-year period. To date, there is limited research or resources describing the needs, supports,
and experiences of Canadian students with Asperger Syndrome (AS) entering post-secondary
education. Some of the specific challenges that may be faced by these students include securing
4
housing, navigating transportation systems, obtaining accommodations around exams,
accommodating their learning styles to new teachers, managing “disruptive” behaviours, as well
as seeking career counselling and improving social interactions, and peer relationships. Further,
adults and adolescents with an Autism Spectrum Disorder are at higher risk for co-existing
mental health problems, commonly attention deficit disorder and anxiety disorders (Gurkan,
Akcakin, Killic & Bilgic 2008; Hofvander et al., 2009).
As such, it is even more important that
university services are developed to address the multiple challenges and complex mental health
needs of this population of students.
At York University there are several support systems in place to serve the needs of
students with AS. If students are eligible for the Ontario Student Assistance Program (OSAP),
they may qualify for funding from the Bursary for Students with Disabilities (BSWD) to receive
additional academic tutoring. Additionally, if a psycho-educational assessment has indicated the
need for it, students are provided with transcription services, note-taking, and assistive
technology. Students are often provided with accommodations on exams, including extended
time and an alternate writing location, to decrease distractions and mitigate anxiety. The
Academic Writing Centre and Learning Skills Program also accommodate students with
Asperger Syndrome, for example, by providing alternate room locations for exam writing and
providing access to additional computer resources. These services are coordinated by The
Counselling and Disability Services (CDS) at York University, where students also receive
individual and group counselling.
The influx in students identified on the Autism Spectrum in the 2007-2008 year proved
more than expected by York Admissions and CDS. Given this influx, Dr. James Bebko, a
professor and clinical psychologist in the area of ASD and developmental disabilities anticipated
that the current university services would not meet the full spectrum of these students’ needs.
Through contact with the CDS at York University, this estimate was proven accurate and the
CDS was experiencing a significant increase in students with AS struggling with new challenges
found in university. In collaboration with the CDS, Dr. Bebko and graduate students in the
department of Clinical-Developmental Psychology, developed the Asperger Mentorship
Program to provide support beyond the standard academic and psychological services already in
place.
Graduate students initially conducted focus groups with interested students to better
understand their needs and specific difficulties of navigating university life with AS. Students
with AS identified several areas of interest such as social outings, advice, someone to listen,
group support, personalized support, and help with organization. The format of the program (i.e.,
bimonthly group events and weekly individual meetings with a mentor) was then designed to
meet the needs voiced directly from the students.
What is a mentor?
The AMP was developed to address those needs of students with AS that were not being
met by other well-established services within the university. With an awareness to avoid
duplication of services, the AMP was developed to assist students to develop a sense of
belonging in a peer group, to support students as they navigate university life, and provide a
coach to talk through some of these difficulties.
This manual was developed to outline the development of the AMP. Its primary purpose
is to provide an explanation of how we developed this university support service, goals of the
program, individual components of the program, integration of research and evaluation, and
future development. It is important to note, that this manual was not created as a “how-to”
resource to develop a mentorship program; however, it may be of assistance to those universities
or colleges in the early stages of developing a similar program.
The overarching goal of this peer-to-peer program is to aid students with an ASD to feel
a sense of belonging in the academic and social fabric of York University’s campus life.
The objectives of the AMP are: 1) to build a social network or peer group within the
university community for students with an ASD; 2) to provide a supportive environment for
university students with an ASD; and 3) to encourage organizational skill development.
6
Ongoing evaluation of the effectiveness and success of the program helps to ensure that it
is meeting the needs of the students, as well as the objectives and goals of the mentoring
program. One indicator of the program’s effectiveness is a low drop-out rate of student
participants each year, indicating that the program is meeting their needs. Another indicator is
the feedback from both students and mentors at the midpoint and end of the school year
regarding the strengths and weakness of the program. To determine the effectiveness and success
of the program over the long-term a number of factors will be evaluated: a) the increase in the
number of participants across the first several years as information spreads through the student
body through word-of-mouth and through parent organizations and; b) the rate of retention of
students through completion of their degrees. The goal is a rate that is similar to that of the larger
student body at York.
Overall, the success of these goals indicate that the project has created a comfortable and
accepting space where there are possibilities for friendships to be formed among participants.
Not only are these four components indicators of the success of the AMP, but feedback from
students can be used to fine-tune the AMP goals across the years.
Chapter Two
Students participating in the AMP have been diagnosed with an Autism Spectrum
Disorder (ASD), most commonly Asperger syndrome. Students from all levels of university are
invited to participate in the program and are typically between the ages of 17 and 25. All students
identified with an ASD are welcome to the AMP, however the majority of students participating
in the program are diagnosed with Asperger syndrome.
Autism and Asperger syndrome exist among a cluster of disorders currently referred to as
Pervasive Development Disorders (APA, 1994). Included in this cluster are three disorders:
Autistic Disorder, Pervasive Developmental Disorder-Not Otherwise Specified (PDD-NOS), and
Asperger syndrome (AS). These three disorders are commonly referred to as Autism Spectrum
Disorders (ASDs) because they are thought to exist on a spectrum of symptom severity and level
of functioning. Autistic Disorder and PDD-NOS span the full range of symptom severity and
adaptive functioning, from the most severely affected to the less severe end, while those with AS
tend to have less severe symptoms. Individuals with ASDs experience varying degrees of
difficulty in three main areas: social relationships, verbal and non-verbal communication, and
unusual and repetitive behaviour and/or circumscribed interests. As many as 1 in 150 people
have some form of an ASD (Fombonne, 2003), and it is far more common in males than females,
with a gender ratio of approximately 4:1 (possibly slightly less in AS; Fombonne et al., 2006).
Based on current population statistics for Ontario, this prevalence rate translates to over 74,000
individuals in Ontario living with an ASD, including those with AS. Although research on the
prevalence rates for AS is ongoing, a conservative estimate is 1 in 400 people have AS
(Fombonne, 2003). As the prevalence rates of children with an ASD increase, so do the number
of adolescents and adults with an ASD. Furthermore, researchers can find no single cause for
these disorders, and therefore, neurological, behavioural and genetic research continues.
Individuals with AS often experience a number of challenges that vary by degree and can
impact their day-to-day functioning. Such challenges may include the following. Please note that
not all individuals have all characteristics.
College and university-aged students with AS face many additional, related challenges.
Many require assistance in determining course loads and breaking their work down into
manageable tasks. Some have difficulty acting appropriately in class (e.g., correcting professors
or asking too many questions). Students with AS often report challenges with group work and
group presentations. Most students with AS need support with social issues, such as dating or
living with roommates. The North American reality is that most university support personnel
lack the training or the time to appropriately support students with challenges such as AS.
Without additional support networks in place on campus, these students are at risk of falling
through the cracks and becoming increasingly marginalized.
Chapter Three
Program Components
Megan Ames, Carly McMorris, & Jessica Schroeder
The Asperger Mentorship Program is a multifaceted service for students diagnosed with
AS. Broadly, the program begins with student interviews which lead to individual meetings in
order to provide the students with personalized support, as well as social events, and ongoing
program evaluation. This chapter will briefly describe each component of the AMP and its
purpose and function within the program.
Interviews
Initial interviews are conducted with every student participating in the program at the
beginning of each school year. These interviews allow the mentors to better understand the
characteristics, as well as the needs, of the students using the AMP. These interviews included
students previously in the program, as returning students may not necessarily have the same
mentor as the previous year, and their needs may have changed. During the interview, the
students are asked to provide details of which supports might be most appropriately suited to
them, thus individualizing the program to better suit their goals and needs. Initial interviews
include a wide range of topics such as personal background, resources the students are currently
accessing, interests, and their goals for themselves for the mentorship program. By interviewing
the students at the beginning of the year, this also provides the mentors and program developers
with ideas for group events, and enables them to determine which aspects of the program may be
most relevant for the students. At the end of each academic year, the students are also given an
10
exit interview to assess their satisfaction with the mentorship program, specifically how much
the program met their individual needs, as well as some areas of strengths of the program and
recommended improvements. These exit interviews provide valuable feedback for the AMP and,
if necessary, allow specific components to be revised for the following year.
Individual Meetings
The two main components of the AMP are individual meetings and group events. Each
student is paired with an individual mentor at the beginning of the school year. The mentor is
there to provide either weekly or biweekly support to the student based on his or her individual
needs. These meetings provide students with individualized attention and the opportunity to
discuss personally relevant or private issues. Individual meetings can also be an opportunity to
develop strategies to work through specific problems and a place to practice target skills.
Group Events
Group events aid students in building a social network and peer group within the
university community in a safe environment. These events occur bi-monthly and are chosen
based on recommendations by the students. Typically, social events occur on campus (e.g., pizza
party, sports events, plays) but off campus events (e.g., bowling) have also been organized.
These events allow students to socialize with one another in a fun environment, and they may
help motivate the students to be involved in planning future events.
By providing the students with a variety of program components, it is hoped that the
AMP will offer the best services and reach the greatest number of students, given the diversity of
this population. Ongoing evaluation of the program informs program development to ensure the
quality of service provided to the students.
Program Evaluation
setting, along with student satisfaction with program components. Surveys on student
satisfaction with the social events are completed following every event. Brief reports are
completed by the mentor at the end of each individual session and group event to track the topics
that were discussed, as well as anything that may require follow-up.
Chapter Four
Individual Meetings
Jessica Schroeder & Megan Ames
Purpose
Structure
The structure of meetings is developed in conjunction with the student. Most mentors
meet with students for one hour once a week at a regularly scheduled time. However, meeting
frequency is individualized -- if more (or less) frequent meetings are needed, that need is
accommodated. Mentors and students meet on campus and the student determines the location.
For example, some have met in student lounges on campus, while others meet over coffee or
12
food (associated costs are the responsibility of each person). Mentors and students are able to
continue to meet during the summer; however, some students opt to take a break during the
summer and resume meetings in the fall. If a regular mentor is not available for a scheduled
meeting time, students are given the option to meet with another mentor. There is also the option
to structure the meetings so that there are two mentors with one student. This option may be
preferred if there are concerns about boundary issues or if a student exhibits challenging
behaviours or clinically significant problems (e.g., aggression, depressive symptoms). Another
option is for mentors to meet in pairs with two students occasionally. This small group
environment provides students with unique opportunities to interact with another student in a
small and supportive social setting.
Students are matched with mentors primarily based on availability, as scheduling is often
a challenge. When pairing students with mentors, several factors are taken into consideration.
Gender may be of relevance as some students may benefit from same-sex mentors while others
may work better with opposite-sex mentors. In general, every effort is made to pair students who
have higher needs (e.g., co-morbid diagnoses such as depression or anxiety) with more
experienced mentors. At the start of each year, it is important to discuss if continuing students
should meet with the same mentor, or if they should work with new mentors.
Topics
The role of the mentor in individual meetings is determined, in large part, by the needs of
the student. Often, due to the socio-pragmatic communication issues involved in AS, some
students prefer that the mentor take the lead in determining topics of conversation; but once
comfortable with their mentor, many students prefer to guide the topics. Mentors take notes after
each session to review what topics were discussed, the proportion of time spent discussing
particular topics, and if follow-up is required by the mentor in the next session and/or during
supervision. Topics that are commonly discussed include courses, social interaction issues,
evening and weekend social plans, and hobbies. However, more serious personal issues are
sometimes raised, such as risky sexual behaviour, substance issues, etc. Individual meetings
provide students with the opportunity to work through specific problems with their mentors.
Examples of such issues include: how to schedule study time for midterms, appropriate
behaviour at a party, how to approach a professor about a problem, and some topics relating to
personal issues (e.g., dating). Individual meetings can inform group events by providing topics
that may be of interest to the group, and topics discussed in the group may also impact topics
discussed in individual meetings. However, more personal topics, such as romantic relationships,
family issues, and challenges in social skills tend to come up primarily in individual meetings. If
more significant mental health or similar issues arise, mentors inform the students that they
13
should discuss these issues with their counsellor at the Counselling and Disability Service (CDS)
at the university, or with other mental health professionals who are already supporting them so
that appropriate support services can be coordinated.
14
Chapter Five
Group Events
Megan Ames & Carly McMorris
Group events provide students with the opportunity to build a social network by offering
a safe environment to meet with other students with a diagnosis of AS or other ASD. The group
events give students a sense of social inclusion, a feeling of acceptance, and a sense of belonging
within the university community. The group is attended by students participating within the
AMP as well as mentors. Events last approximately one hour to two hours and are held every
two weeks. Typically two to three mentors are present at each event to help facilitate
communication and participation within the group. Events are planned by the mentors or the
students, based on recommendations from the students, and advertised by the communication
and engagement committee (described in Chapter 8).
The group event is usually social in nature (i.e., pizza party, video game party, bowling,
school sporting event, etc.). During the event, mentors are typically there to provide support to
the students, if necessary, as the students engage in the activity. Group events can also serve as a
forum for other topics that may arise throughout the school year. For example, the first group
event of the year involves setting boundaries and rules for the group, as well as outlining the
definition and limits of the mentor’s role. Students are actively involved in this process and
create a mandate for the group and mentors to abide by. Other topics that are brought up by
students include, but are not limited to: anxieties about midterms and finals, brainstorming ideas
about finding a summer job, issues involving dating, drinking and partying, living in residence,
etc. Students also socialize amongst themselves and talk about their common interests. Students
are encouraged to build social networks with each other and to meet informally, outside of group
events, independent of the mentors. Students have set up their own private group on a social
networking site (Facebook) to set up activities outside of the AMP scheduled events, and
particularly to continue informal events throughout the summer.
Overall, group events provide a safe environment for students diagnosed with AS to
socialize with other students and to plan and partake in social activities within the university
community.
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Chapter Six
Starting Up
Carly McMorris & Jessica Schroeder
Mentors in the York University AMP are currently either Masters or PhD level students
in the Clinical Developmental (CD) Area in York University’s Psychology Department. Being
graduate students in the CD area, mentors have backgrounds in typical development and
developmental differences. The majority of mentors have experience working with children,
adolescents, and/or adults with ASDs, either in a research or clinical capacity. Thus, prior to
becoming mentors, most have experience working with individuals with ASDs, although that
experience may have been with younger or more affected individuals. In addition, as part of their
studies, mentors gain clinical training in psychological assessment and intervention both through
practica at hospitals and mental health organizations, as well as through coursework.
To ensure an adequate level of knowledge about AS, mentors entering into the program
are required to take part in a training module, which involves the following:
1) Reading journal articles related to AS, individuals with AS in the University or College
setting, as well as readings related to other mentoring programs
2) Reading the AMP manual
3) Attending group planning and supervision meetings
4) Attending a group training session with other mentors that focuses on topics including
ethics, the mentorship role, boundaries, confidentiality, and the protocol to follow in the
event of crisis situations
5) Observing a group event along with more experienced AMP mentors
6) Shadowing (attending) individual meetings between a student and an experienced mentor
The AMP works closely with the university’s Counselling and Disability Services (CDS).
CDS provides a range of services to students on campus, including personal counselling, group
development workshops, learning skills training, support, and academic accommodation for
students with learning, mental health, physical, sensory and medical disabilities. Despite the
numerous services provided by the CDS, the AMP was created to help fill a gap in the services
available to this growing group of students attending York University. In particular, university
students with AS may additionally require ongoing assistance in managing their courses,
16
learning appropriate behaviour in class and they may also need support with social issues. Thus,
the AMP provides a specialized peer-to-peer support, related to the social aspects of being a
university student, in both a group and individual format. Students enter the program primarily
through a referral from the CDS. Additional outreach efforts with local high schools and the
community at large are being implemented to inform students before they enter the university
about the AMP. This is to enable support to be initiated in the students’ first few weeks of school
or before, during the transition to university. Other initiatives to connect students with the
program include advertising, presentations, seminars, and word of mouth.
1) The ability to identify students and connect with students with Asperger syndrome at the
university, through close working relationships with other student support services, as
well as raising awareness of the existence of the program through various media within
and outside the university
2) Availability of an equal number of interested mentors - - but a minimum of one mentor
for every two or three students
3) A professional (psychologist, social worker, counsellor) to supervise the program,
preferably someone familiar with Asperger syndrome
4) A meeting space for group events (this would likely be an on-campus location, such as a
seminar room, a coffee shop, or the specific event location)
5) A centralized email address to communicate with students
6) Time availability -- meeting 1:1 with students an average of once a week, with more or
less frequent meetings determined by the student’s need, student and mentor group events
every other week, group supervision for mentors every other week, and group planning
meetings for mentors once a month
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Chapter Seven
Stakeholders
Kristen McFee & James Bebko
A program such as the AMP impacts on people and systems beyond the individuals
involved as mentors and as students in the program. Stakeholders in such a program are defined
as those persons or organizations that can affect or are affected by the program, as well as its
evaluation, either directly or indirectly. This often includes:
Program Operators
With reference to the AMP, stakeholders involved in (1) program operations, include the
various funding bodies, university administration, managers, and staff. Funding bodies include
private foundations, potential government sources, and potential internal funding through the
university. Program administration, managers and staff in our program include the clinical
director of the AMP, as well as the directors of the CDS, the AMP program manager, and the
graduate student mentors. Other staff members include: the research team, who are involved in
program development and the program evaluation components of the AMP; the outreach team,
who coordinate efforts to connect with external community resources to increase awareness of
the program and facilitate transitions to and out of university; and the communication and
enrolment team, who coordinate awareness efforts and liaise with relevant services within the
university. In many cases, some of these roles overlap in the same individuals, and in most cases,
the roles are filled by the mentors.
Stakeholders included in (2), above, are those primarily served or affected by the AMP.
They include, at the first, most direct level, the individual students with AS participating in the
program, and the student mentors who are providing support, but are also learning and
developing professionally from the experience. At a secondary level are the family members of
the students with AS, through the student themselves. At a tertiary level, those affected by the
program include York University as a whole and community organizations, such as Autism
Ontario and the Asperger Society of Ontario. The latter two organizations are parent support
organizations that may identify the AMP as a future referral source when working with families
18
and young adults embarking on the transition to higher level, post-secondary education. There
are also a number of still more indirect stakeholders affected by the development of the AMP.
These include the Ministry of Training, Colleges and Universities in Ontario, community support
services, and employers within the university community and larger community who employ
students with AS participating in the AMP. They may be particularly affected if the AMP is
indeed successful in helping participants develop better social and organizational skills, which
may in turn translate into employment skills.
Finally, stakeholders included in (3), above, represent the primary users of the evaluation
of the program; they are typically a subset of those stakeholders previously identified. They are
frequently those individuals and organizations that are in a position to make decisions regarding
program development. Primary stakeholders include the AMP team, as well the students with
AS, as the evaluations inform the development of curriculum and necessary program
components that will satisfy students’ needs. Funders have a direct interest in the evaluation, as it
gives an indication of the effectiveness of the funding they contribute. Elements within the larger
government social services sector are also likely to have an interest in the outcome of the
evaluation.
As should be clear from the understanding of the range of potential stakeholders, the
development of a mentoring program such as this is very much a community activity. The impact
and potential benefits from the program may extend well beyond the actual participants in the
program.
19
Chapter Eight
Within the mentorship program there are several roles mentors play that contribute to the
functioning and effectiveness of the program. The qualifications and roles of mentors are
described in this section. Furthermore, several committees were formed to manage particular
components of the program, and a description of the committees is also provided.
Program Supervisor
Qualifications
The Program Supervisor should have professional training to be able to provide an
adequate level of clinical supervision as expected and unexpected issues arise. While the
program is not itself seen as necessarily clinical in its focus, some of the issues that arise can be
complex enough to warrant professional support. At York, the AMP Program Supervisor is a
Clinical Psychologist. Additionally, the supervisor should have training and experience in
working with or providing services for individuals who have an ASD, preferably including
experience with individuals diagnosed with AS.
Role
The Program Supervisor assists with the intake of new students and coordinates with
CDS to ensure that additional psychological needs are being met. Supervision is provided for
mentors on a regular basis around issues that arise during group or individual meetings with
students. It is also part of the supervisor’s role to help mentors ensure that they are not providing
clinical services, but instead remaining in a ‘mentorship’ role. However, when clinical issues
occur, the psychologist (Program Supervisor) will ensure the mentors undertake the appropriate
decision-making process. For example, if external psychological or psychiatric care is needed to
ensure the health and safety of a student, the Program Supervisor will help to support the mentor
in providing support for the student and, together with CDS, refer the student for appropriate
services. An additional role of the psychologist (Program Supervisor) is to liaise with the CDS,
outreach groups, and funding bodies.
Administrator
Qualifications
The administrator has at least a Bachelor’s degree in psychology or a related field as well
as a working knowledge of Autism Spectrum Disorders. Clinical experience with this population
20
may be helpful in order to help with intake services. Good organizational, presentation, and
liaison skills are important to help maintain the program structure and ensure that mentors and
trainees are attending meetings.
Role
The administrator is responsible for liaising with the CDS to organize intake information
for new students. The administrator also helps to organize group events, assign mentors and
students, recruit mentor trainees, and follow up on mentorship supervision. As a result, the
administrator needs to attend all program meetings and take minutes. Meetings may include
mentor group supervision meetings, meetings with funding bodies, the CDS, and possibly
outreach groups. The administrator also helps to ensure that mentors are: attending sessions,
fulfilling contracted hours, and ensuring that when mentors cannot attend sessions, a replacement
mentor is arranged. While it is possible that the Administrator is not a mentor, the Administrator
is more fully informed when he/she serves in a mentor role.
Senior Mentors
Qualifications
Senior mentors have at least a Master’s degree in psychology or a related field, at least
one year of experience as a mentor, and one year of experience as a trainee with the AMP. They
also have at least one year of experience working in a clinical setting (e.g., one clinical
practicum). Further, senior mentors should have knowledge and previous experience working
with individuals with an ASD. In the unusual situation that a senior mentor may not be providing
mentoring services to students, having clinical knowledge will help support other mentors during
decision-making processes and ensure that there is a separation between what are intended as
mentorship services, and those of a more clinical nature that may require referral.
Role
Senior mentors are supervised directly by the Program Supervisor. They also provide
direct supervision to junior mentors and trainees during supervision meetings, following
individual meetings or group events, and when issues arise. Senior mentors also provide a
mentorship role during supervision meetings to ensure that if any clinical issues arise, they can
be managed using appropriate decision-making procedures. Senior mentors typically provide
mentorship directly to students with AS, or may attend sessions with a mentor or trainee to help
promote and develop their skills.
It is the senior mentors’ responsibility to ensure that mentors and trainees feel
comfortable working with students. Therefore, they provide direct supervision as well as direct
training that strengthen the mentorship skills of junior mentors and trainees, particularly if the
supervisor should be unavailable. During supervision, senior mentors will also ascertain the
quality of mentorship that is being provided by mentors and trainees and provide feedback as
21
required. Senior mentors will meet with the supervising psychologist and provide information
about the progress of mentors and trainees.
Senior mentors may also be required, in addition to the supervisor, to liaise with the CDS,
outreach groups, and funding bodies (e.g., oral presentations, posters, and discussion sessions).
Mentors
Qualifications
Mentors typically have at least a Bachelor’s degree in psychology or a related field, and
have at least one year of experience as a trainee with the AMP. They also have previous
knowledge and experience working with individuals with ASD.
Role
Mentors are most active during group events and individual meetings with students. They
are expected to rotate with other mentors in attending group activities that are based on the
university campus. No mentors are required to attend any off campus student group activities, as
these are usually organized by the students and are for the students.
Mentors meet on a regular basis with senior mentors and periodically with the supervisor
to discuss any mentorship or clinical issues. Any clinically significant issues (e.g., mental health
concerns, academic progress) need to be reported to a more senior member (senior mentor or
supervisor) to ensure the proper decision-making procedure is taken (e.g., supervision with
psychologist, consultation with CDS, etc.).
Mentors may be asked to participate in presentations to share information about the
mentorship program, liaise with outreach groups, funding bodies, and with the CDS. They will
also be required to attend any training sessions offered to promote mentorship skills.
Trainees
Qualifications
Trainees may be individuals who currently have or may be completing their
undergraduate degree or diploma. All mentors will typically begin as trainees in their first year
with the program. They are considered volunteers at this stage. As trainees, they will
demonstrate an interest in learning about and working with individuals who have an ASD and
the ability to attend training sessions provided.
Role
Trainees may be paired with students based on student needs and/or age and can be
considered a ‘buddy’ to the student, as they may provide a closer perspective for age appropriate
peer interactions. They may co-attend individual meetings or group events as well as any
additional activities that students may choose to organize. The goal of the trainee is to provide
22
peer support or interactions that are appropriate to the university setting. Trainees are to be
supervised by senior mentors to provide support, and are expected to keep mentors involved with
the student well informed about interactions with the student.
Role
Counselling and Disability Services (CDS) collaborate with the mentorship program in
identifying students who may wish to participate in the program. CDS may be the first
interaction students have with university services, and CDS helps to coordinate other services the
student is already receiving or will be receiving, as well as any other services they wish to
receive. CDS provides academic counselling and is typically the point of referral from the AMP
for any counselling or clinical services needed. The mentorship program and CDS liaise to share
important clinical (e.g., mental health) information about students participating in both programs.
Committees
In order to disperse the workload and increase the efficiency and efficacy of the program,
committees are formed to take on specific tasks. The committees meet with the Program
Supervisor periodically, and they report to all the mentors when needed.
Research
The research committee leads the evaluation component of the program. They coordinate
initiatives to select, develop, and implement program measurement tools, and modify these
measures as needed. They coordinate the collection and analysis of data, as well as aid in
knowledge translation, such as the organization and preparation of posters and presentations for
conferences, and manuscripts for publication in scholarly journals and parent-oriented
publications.
Outreach
The outreach committee takes the lead on developing and coordinating initiatives to
communicate and work together with other community partners to further the goals of the AMP.
A more detailed description of these initiatives can be found in Chapter 12 of this manual.
23
Chapter Nine
Students with ASDs are at increased risk for other co-occurring psychiatric conditions
and symptoms (Hofvander, Delorme, Chaste, Nyden, Wentz, Stahlberg, et al., 2009; Howlin,
2000). Therefore, it was necessary to develop a protocol in the event of a crisis situation. The
purpose of the crisis protocol is to help the mentors anticipate potential difficulties and to
provide some guidance on how those situations are to be handled. During their initial meetings
with the CDS coordinator, and prior to their participation in the AMP, students provide
information regarding their psychological and psychiatric history. Students are informed this
information may be shared with the Program Supervisor of the AMP. Based on the initial
confidentiality agreement signed by students participating in the AMP, students are informed
that this information will be kept confidential and will only be shared with mentors on a case-by-
case basis, at the discretion of the AMP Program Supervisor, or when needed to manage crises or
emergencies. For example, personal student information may be disclosed to mentors when
students are currently experiencing a time of crisis, sudden absenteeism from the program, or if a
student is at risk for self-injurious or suicidal behaviour. Otherwise mentors and trainees may not
be privy to this confidential information unless the students themselves disclose this information
to their mentors.
The protocol for crisis is designed to provide mentors with a step-by-step procedure to
follow in the event that they are unable to support the students’ needs (Figure 1). The protocol
requires the mentor to assess the problem on two dimensions. The first assessment determines if
the problem poses an immediate health or safety risk. If the problem does pose a risk, the mentor
must then assess if the risk is life threatening. The step-by-step protocol ensures that in every
situation: a) the safety of the mentor and the student is ensured and that the student’s needs are
prioritized; b) the AMP Program Supervisor is contacted; c) the liaison at the CDS is contacted if
necessary (to ensure the student’s counsellor is aware of the issue); and d) there is complete
follow-up regarding the problem or crisis.
24
Figure 1.
25
Chapter Ten
Ethical Considerations
Jessica Schroeder & Kristen McFee
Ethical Considerations
Given the similarity in ages between the mentors and the students, clarification of the
boundaries in the mentor/student relationship is critical. As the majority of students in the AMP
are diagnosed with an ASD, it is not uncommon that they may struggle with the development
and understanding of social relationships. The role of the mentor is discussed extensively during
training, and is explained during the first session with students. Mentors are described as senior-
level students who provide opportunities to practice social skills and guidance on matters related
to navigating the academic and social expectations and challenges in the university setting.
Mentors are contrasted from psychologists, psychiatrists and clinical counsellors in that mentors
do not provide support for significant mental health issues. Mentors are similar to academic
advisors in that they can provide advice about academic matters; however, they differ from
academic advisors in that they are not experts on the details of academic requirements,
registration matters, or accommodations that are available at the university. Their role is
described as most similar to a “coach” -- a personal advisor on university and social concerns.
The distinction between a mentor and a friend is directly discussed during the first group
session and boundaries are maintained by ensuring that mentors do not give personal information
(i.e., phone number, email address, Facebook information, etc.). All email communication is
done through a central email account, and emails are routed by the administrator to the
26
appropriate mentor. It is also made explicitly clear that dating or romantic relationships between
mentors and students are not permitted. This is a particular issue in our program, where nearly all
mentors are young women and the majority of students with AS have been male. No judgement
is made about same or opposite sex relationships; simply that dating or outside socialization with
mentors is not permitted. This is best discussed directly during the first session to avoid any
confusion. In addition, the distinction between a mentor and a therapist is discussed. Mental
health problems are beyond the scope of the program, and when evident, students are directed to
the university psychiatric/disability services.
Confidentiality
When students enter the program, it is explained that issues discussed with mentors
remain confidential, and the limits of that confidentiality, in accordance with the Ontario Mental
Health act, are reviewed both verbally and in the Privacy Guidelines. In the province of Ontario
these limitations include: when there is concern of harm to self or others, when there is concern
about abuse by a regulated health care professional, and if records are subpoenaed by court order
(CPO, 2005). The nature of the supervision structure is reviewed, and it is made explicit that
discussion will occur about students during the mentors’ group supervision meetings and
individual mentor supervision.
It is also important to clarify with the CDS at the university regarding what will and will
not be shared with the CDS counsellors. Students are informed about that agreement. Within our
program it was decided that relevant medical and mental health information would be shared
only between the CDS and the Program Supervisor, and relevant information would be shared
with mentors on a need-to-know basis. Information gained during group and individual sessions
is not shared with the CDS without written permission of the student. The exception to this is if
there are mental health concerns, which are discussed with the CDS.
Students are informed that files will be stored in a secure location, with names detached
from data, for a minimum period of 10 years after exiting the program and may be used for
program evaluation purposes. This information is detailed in the Privacy Guidelines.
The personal safety of mentors is maintained, and boundaries are reinforced, by ensuring
that there are at least two mentors present at group events. In addition, both the Program
Supervisor and the administrator are informed about scheduled individual meetings, which are
held on-campus. Personal information of mentors is not to be shared with any students, and
student information (e.g., diagnosis, issues from individual meetings) is shared with other
students only when there is consent to do so.
27
Chapter Eleven
Funding Considerations
James Bebko & Lisa Hancock
A mentoring program in the university or college context has several options for funding.
One option is to try to operate the program using volunteer time. Depending on the size of the
institution, there could be a number of students, both graduate and undergraduate, who would be
interested in providing support to their fellow students, while gaining some experience in a
mentoring capacity. However, a considerable time commitment is required for the program to be
a success. Using our model, individual meetings and group events, the planning for these
meetings, as well as organizing and purchasing materials and record-keeping, all represent
demands on time for mentors.
For the program administrator, the time commitment is also significant, involving
planning time, supervision of mentors, attendance at meetings to coordinate services with other
campus service providers, coordination of communication, and a range of other activities. The
volunteers would need to be highly committed for such an undertaking. In the first year of the
28
pilot program at York University, it was developed and conducted entirely on volunteer time.
The full extent of the time required to implement the program was not yet well understood, and
the number of students served was limited. As the required commitment became clearer and the
program grew in size, the volunteer model was not seen as tenable going forward.
Most programs will require funding of one sort or another, either through existing student
services at the institution, or through additional external funding. Programs at some universities,
charge individual families a flat fee for their services (Poynter, 2008). Sample program fees
range up to $7000 per year per student (cf: www.college withasd.com/page1/page1.html). For
the York University AMP, we decided to seek outside funding. The University's fund-raising
arm was most helpful in approaching various private foundations for funding for the program. A
rationale and description of the program was developed, along with a full budget. Our estimated
timeframe to grow to what we considered to be full capacity was a three-year period, and the
budget reflected that timeframe. Foundations and private donors with special interests in the
ASD population, or interests in the counselling of university students, were the most receptive of
the organizations approached. Partial funding received from several of these organizations
enabled the program to continue beyond its pilot stages. Some understood the necessity of the
various components of the program and agreed to fund the program as proposed. One source
initially preferred to fund only the direct face-to-face time between mentors and students,
although they came to understand the importance of the evaluation component, in order to
determine the value and outcome of their funding.
The program has inherent appeal to potential funders. The central issue is the success of a
group of students who are capable academically, but who have barriers to completion of their
university degree. These barriers are associated with the interface between their challenges and
the complex demands required in the post-secondary education environment. Much like students
with learning disabilities, if the environment can be somewhat modified to represent less of a
barrier to the students, and if, in turn, the students are supported in developing the skills needed
to navigate the environment, the potential outcome is a win-win situation for all the stakeholders:
the students, the University, and the funders.
In approaching funders, the quality and clarity of the application, and the rationale for the
budget are critical. Where it is possible to meet with the funders, having a mentor present who
provided his/her perspective on the day-to-day successes and challenges of the program offered
critical insight that was of great interest to the funding bodies. Being able to articulate what the
people "on the ground" actually experience, and the actual issues that are of concern to them and
to the students they mentor, seemed very meaningful, and very much brought an abstract
proposal to life.
Finally, long-term funding of the program is a concern. If external funding should lapse,
29
it may become necessary to move to a fee for service model, where families are asked to pay a
flat rate for their student in order to maintain the program. As noted above, other programs have
used this approach, but our hope is that fees would not be a barrier for students with Asperger
Syndrome to participate in the mentorship program. If fees become a part of the program, then
opportunities for subsidization must also be considered for less financially able students.
30
Chapter Twelve
Outreach Activities
Carly McMorris & James Bebko
There is an increasing need for specialized supports for students with AS. This is not only
true in the university setting, but also before they reach university, and afterwards, as well as if
they should choose a different route, such as employment. One of the key challenges for those
with AS is transitions: specifically, transitions from high school to college or university,
transitions from high school to employment, or transitions from university to employment. One
of the central components of the AMP is an outreach program, for which we have teamed up
with school boards and other service providers for those with AS.
We have begun several initiatives that are complementary to the AMP, the first of which
has been promoting internal awareness within the university setting. Given the current and
anticipated increase in the number of students self-identifying to the CDS at York, the
mentorship program has been proactive, attempting to encourage new students to engage with
the program by using posters and group emails to inform students of the program. Additionally,
once students have self-identified to the CDS, counsellors provide information about the
mentorship program, as well as try to arrange a one-to-one meeting in order for mentors to
explain the program to students in more detail. Through campus-wide media releases, the
mentorship program has attempted to inform individuals who are not current clients of the CDS
about the program and how to get involved.
A second initiative has been to approach school boards, both to inform them about the
AMP and also to try and establish partnerships to collaborate in forming or expanding on
potential mentorship programs in the high schools. Many schools already have supports of
various kinds, but there may be benefit in working together to consolidate efforts to optimally
benefit students with AS.
A third initiative has involved representatives from the AMP meeting regularly with other
community services that provide support for those with AS. The purpose of those meetings is to
minimize duplication of services in the community and to optimize the reach of our coordinated
efforts.
An example can help illustrate how a successful collaboration from the three above
initiatives can occur. York University’s AMP meets regularly with representatives of Autism
Ontario, and the Asperger Society of Ontario (both parent advocacy groups), and a community
service that provides critical job skills training and support, Jewish Vocational Services, to help
31
build support and formalize mentorship programs in the high schools. This collaboration has
resulted in a pilot project with a regional school board, who promotes the same agenda
internally, the Simcoe County District School Board. The goal of the pilot project is to provide
necessary skills to students with AS so they can enhance their potential employability, or
enhance their readiness for applying and adapting successfully to a university or college
environment. This is being accomplished by offering students a coordinated series of high school
courses, co-op work opportunities and early mentorship and social support activities to help the
students develop critical skills in these areas.
A fourth initiative is closely related to the second and third. We see it as a role of the
above collaboration, plus the AMP more generally, to help provide support to employers and
other universities and colleges that are also working with individuals who have ASDs. Therefore
these other organizations can be better prepared to receive students with AS, and, in the case of
colleges and universities, to help prepare students to transition from those settings into the world
of employment.
While each of these activities is separate from the mentorship part of the program, per se,
it is seen as an important outreach component to help anticipate the needs of those with AS. In
particular, not only for students’ transition period out of high school, but also to help provide
students with some of the skills that may enhance the likelihood of success. Our funders have
been extremely supportive of this additional role and they provide us with the needed financial
support in order to complete and expand these outreach initiatives.
32
Chapter Thirteen
Below are some questions generated by the mentors of the AMP about issues that have
arisen throughout the development and implementation of the program thus far. Answers are
provided in a general manner in an attempt to address the presented issues. However, each
situation with individual students is unique and therefore further supervision from the Program
Supervisor should be requested as needed.
2) How do we maintain the role distinction between clinician and mentor? How do we
determine when the student should be referred to the CDS or mental health
professionals?
the mentor relay this information to the Program Supervisor, either at group supervision,
or individually.
3) What happens if a student tries to purchase or pay for a mentor's coffee, or bring a
gift?
A card or a token gift is acceptable if of a relatively small monetary value. However, this
should not be a recurrent issue. Mentors would explain that they are able to pay for their
own coffee, but that they appreciate the gesture. This may also be an opportunity to
reiterate their role as a mentor and that the program is a free service for students.
The distinction between friends and mentors is reviewed with students at the start of the
program (see Chapter 10). Personal information of mentors is not shared with students
and mentors do not attend any non-AMP social events with the students (e.g., birthday
parties, pub nights, student shows, etc.). We point out that while the topics that are
discussed with AMP mentors may be similar to topics discussed with friends, the
relationship with the mentor is generally quite one-sided and not reciprocal in nature.
Mentors are encouraged to handle these situations with warmth, given that students with
AS may have a particularly difficult time with this distinction.
Typically bringing a friend would not be seen as consistent with the one-to-one nature of
the program. However, the mentor would try to determine the motivation behind this
question, as there are a number of possible factors. Does the student think that the friend
would benefit from the program? Is the student seeking mentor support in facilitating the
friendship? Is the student interested in showcasing the relationship developed with the
mentor or the skills gained from the program? Or is it a matter of scheduling? Issues to
consider are the impact of the 1:1 dynamic of adding a friend, the comfort level of the
student, confidentiality and disclosure of diagnosis, and the potential benefit of an
opportunity for live observation and practice of topics that have been discussed within the
mentorship context. The final decision to invite a friend should include consultation with
the Program Supervisor. If the student is interested in referring a friend to the program, a
group event may be the best opportunity to become involved. The mentorship team could
consult with the students about the possibility of a group event in which everyone is
encouraged to bring a friend.
Costs of social events are typically covered by the program. Petty cash is available to
students who forget to bring money for incidentals to the social events. However, if the
student forgets to bring money more than once, this student is responsible for paying the
program back and signing a form stating the amount they owe the mentorship program.
34
The student’s individual mentor should remind the student about this arrangement and
collect the money promptly. Spending money at individual meetings is optional, so if the
student forgets to bring money, he/she would not purchase a beverage or other item. If
costs are prohibitive to students, they would be encouraged to speak with their mentor to
determine if alternative arrangements can be made.
7) How do we deal with the topic of alcohol consumption or substance use during
group events or individual meetings?
The issue of whether or not to allow drinking at social outings by members of legal
drinking age (which is currently 19 years in Ontario) should be discussed within the
mentorship team before starting the program. Decisions regarding alcohol consumption at
group events should be discussed with students at the first group event, and reiterated
throughout the term. The potential liabilities should be discussed with the disability
services at the institution, and with legal counsel of the university. Based on legal
recommendations at our university, it was decided that drinking would be prohibited at
all formal group events and meetings involving mentors. Students are welcome to
coordinate their own events that may involve drinking, but these are not run as part of the
mentorship program. This policy is discussed within the meetings. In addition, students
are informed at the start of the program that if they attend a meeting under the influence
of alcohol or other substances, they will be asked to leave the meeting.
All students and mentors are provided with the business card of the local crisis hotline.
Generally, students who are considered to be at risk for having suicidal ideation would be
paired with senior-level mentors, who have received training on suicide risk assessment
through coursework and clinical practica. If suicidal ideation comes up during a meeting
or a group event, the mentor would inquire about suicidal intention, whether the student
has a plan, the lethality of the plan, the frequency and intensity of the suicidal ideation,
and any protective factors. If there is a minimal risk of suicide, this information is shared
with the supervisor after the meeting has occurred. If the risk is moderate or serious, the
Program Supervisor is contacted immediately, before the student leaves, to determine the
best course of action. If the risk is serious and the mentor is unable to contact the
Program Supervisor, the next contact is with the CDS directly. If mentors are unable to
communicate with the supervisor or the CDS, then they are instructed to contact the
police and to stay with the student until he/she is taken to the hospital. In all
circumstances, careful documentation of what was discussed and the course of action
taken is important.
9) Mentors and their students often talk about fairly personal and emotionally charged
issues. How does a mentor appropriately respond to a student’s emotionality (e.g., if
the student begins to cry)?
35
At times, certain issues will arise within the individual meetings that may upset the
student. It may be appropriate in that situation for the student to express sadness and
perhaps cry. The primary role of the mentor is to comfort and console the student in these
situations and accept that the student is upset. If this occurs in an inappropriate setting,
the mentor may ask the student if they would like to go to the washroom or take a break
from the meeting. If the mentor would like to discuss the appropriateness of crying in
public with the student, it is best to bring this up at a subsequent meeting.
10) What are the boundaries regarding attendance and “no-shows”? How many missed
meetings are acceptable?
Policies regarding missed meetings are reviewed with students at the start of the term.
Students are encouraged to email the mentorship account at least 24 hours before
cancellation. Mentors wait for students for 15 minutes and email the student as soon after
the missed meeting to determine the cause of the missed meeting and to confirm the next
meeting time. After two missed meetings, students are asked if they need to change their
meeting time or their mentor. If attendance continues to be a concern (e.g., missing more
than 3 appointments), taking a break or termination from the program are considered.
These decisions should be made in consultation with the Program Supervisor and the
CDS liaison. Personal considerations, such as family emergencies, examination
schedules, and co-existing medical and mental health issues are taken into account and
accommodated when possible.
11) What do we do if students ask for advice about sex and sexuality?
This is a delicate issue and should be handled in a respectful manner. Mentors are to
express unconditional acceptance within the meetings and be available to provide
information about safe sex, if required. Given the sensitivity of the topic, it is difficult to
provide an algorithm for what to do in this situation as it would vary from student to
student. If the student asks for specific help on a particular topic and the mentor is unsure
of what is appropriate, the mentor may say that consultation is needed with a supervisor
and get back to the student within a timely manner.
Toronto is a culturally-diverse city, and as a result, there are a number of ethnic and
religious backgrounds represented within the program. Mentors must be cognizant and
respectful of how culture impacts the students. For example, some students have values
that are consistent with more collectivist cultures, which must be taken into account when
talking about issues of independence at university, romantic relationships, sexuality, and
family responsibility. Another important consideration is that some students may have
conflicting values, reflecting both their culture of origin and the Canadian culture, so it is
important to consider each student’s situation individually. It is useful for mentors to do
some background reading, take courses, and talk to others about a variety of religions and
36
ethnic cultures. It has been our experience that most students respond well when mentors
or other students express genuine interest in learning more about their culture, should
questions arise.
13) How does the AMP deal with students dating one another?
This issue has not arisen within our program thus far. However, it would not be
inappropriate for students to begin dating through the program, as they may be meeting
individuals within the program with whom they share interests. Mentors should keep
their roles as individual mentors with each student separate. If these students act
inappropriately at group meetings and make others feel uncomfortable, it may be
necessary for each of the students’ mentors to talk to them individually and privately
about this matter.
37
References
Alcorn MacKay, S. (2010). Identifying Trends and Supports for Students with Autism
Spectrum Disorder Transitioning into Postsecondary. Toronto: Higher Education Quality
Council of Ontario.
APA. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed). Washington
(DC): American Psychiatric Association.
Canadian Code of Ethics for Psychologists (3rd edition). (2000). Retrieved March 1, 2010, from
http://www.cpa.ca/cpasite/userfiles/Documents/Canadian%20Code%20of%20Ethics%20
for%20Psycho.pdf
Fombonne, E., Zakarian, R., Bennett, A., & McLean-Heywood, D. (2006). Pervasive
developmental Disorders in Montreal, Quebec, Canada: Prevalence and links with
immunizations. Pediatrics (electronic) 118, e139-e150.
Gurkan, K., Akcakin, M., Killic, B. G., & Bilgic, A. (2008) Psychiatric Comorbidity and Drug
Treatments in High Functioning Children and Adolescents with Pervasive Developmental
Disorders. Neurology, Psychiatry and Brain Research, 15(3), 143-150.
Hofvander, B., Delorme, R., Chaste, P., Nyden, A., Wentz, E., Stahlberg, O., Herbrecht, E.,
Stopin., A., Anckarsater, H., Gillberg., C., Rastam, M., & Leboyer, M. (2009).
Psychiatric and psychosocial problems in adults with normal-intelligence autism
spectrum disorders. BMC Psychiatry, 9(35), 35-43.
Howlin, P. (2000). Outcome in adult life for more able individuals with autism or Asperger
syndrome. Autism, 4, 63-83.
38
APPENDIX A: Privacy Guidelines Handout for Students
• Files specific to the AMP are stored by the AMP coordinators in a locked storage unit.
These files are only accessible to project personnel. These files include: initial
interviews, intake surveys, brief reports from group events and individual meetings, event
planning forms, and event evaluation forms.
• In accordance with the policies of the College of Psychologists of Ontario, student files
will be kept for a minimum of 10 years after exiting the AMP.
• Clinical summaries or research projects may be conducted as part of the AMP, without
additional consent, if they are based on existing data or with additional specific consent if
the research project is not part of the regular functioning of the AMP.
• Any presentations or publications resulting from the AMP will not include any
identifying information.
• With written permission from students, information from CDS files may be shared with
the Program Supervisor. The Program Supervisor may share this information with
mentors when relevant.
• With written permission from students, information collected through the AMP may be
shared with the CDS program.
• Students are discussed by mentors and the Program Supervisor at group supervision
meetings and during individual supervision.
• Email exchanges among students and the AMP mentors are stored in a separate
password-protected email account accessible only by mentors and the Program
Supervisor. Students and mentors are reminded that email is not a fully secure means of
communication.
Limits of confidentiality:
39
2. If records are subpoenaed through the legal system.
40
APPENDIX B: The Asperger Mentorship Program Budget
Table 1
Incidentals $3,000
41