Time Outside

t’s July, and we have all spent more than our fair share of time inside over the past four months. In this time of cautious re-opening and nicer weather everywhere, we are all enjoying the outdoors and appreciating it more than usual. By following the CDC guidelines to stay socially distant from others, wear masks when feasible, and wash our hands often, it can be safe to be out and about in nature. Let’s take a look at the benefits of getting our kids outside to enjoy some fresh air and sunshine, while considering ways to do so away from crowds. We need it more now than ever!

The Benefits: Stress reduction, improved attention, motor skills

A pandemic is a stressful time. Disrupting routines (not only school, but after-school activities, therapies, and playdates) has intensified existing anxiety issues for many kids, so it’s a good reminder that being outside and being in nature is a great stress reducer. Studies show that even small amounts of time in nature (10-20 minutes) can help alleviate stress and make us feel happier-1. Time outside decreases cortisol, the “stress hormone,” that plays a role in anxiety and depression. In one study, pediatricians actually prescribed nature visits to families, and saw a decrease in parental stress-2.

Too much exposure to electronics can exacerbate attentional issues; with school closed this spring, many children have had more access to electronics than they typically would. Spending time outdoors can improve attention and may even lessen the symptoms of ADHD, which many children with autism also exhibit. Research has consistently shown that exposure to nature can improve concentration and even help impulse control-3.

Many of our kids have not had in-person occupational therapy, physical therapy, sports activities, or physical education in months. Spending time outdoors can improve motor skills by motivating children to engage in more and different types of activities, ultimately supporting their motor development-4. To be clear, it is not a substitute for therapy needs, but playing outdoors can give children more opportunities to improve their strength and balance than staying inside.

In addition to the above health factors, the risk of contracting COVID-19 appears to be lower outside than in-5.

1 Meredith, G.R., Rakow, D.A., Eldermire, E.R.B., Madsen, C.G., Shelley, S.P., Sachs, N.A., (2020). Minimum time dose in nature to positively impact the mental health of college-aged students, and how to measure it: A scoping review. Frontiers in Psychology, 14.

2 Razani, N., Marshed, S, Kohn, M. A., Wells, N. M., Thompson, D., Alqassai, M., Agodi, A, Rutherford, G. W. Effect of park prescriptions with and without group visits to parks on stress reduction in low-income parents: SHINE randomized trial. PLOS ONE 13(2): e0192921.

3 Andrea Faber Taylor, Frances E. Ming Kuo. Could Exposure to Everyday Green Spaces Help Treat ADHD? Evidence from Children’s Play Settings. Applied Psychology: Health and Well-Being, 2011; DOI: 10.1111/j.1758-0854.2011.01052.x

4 Niemistö, D., Finni, T., Haapala, E.A., Cantell, M., Korhonen, E., Saakslahti, A., (2019). Environmental correlates of motor competence in children—The Skilled Kids study. International Journal of Environmental Research and Public Health, 16

5 https://www.nytimes.com/2020/07/03/well/live/coronavirus-spread-outdoors-party.html


The benefits of spending time outside or being in nature do not require a specific activity or a lot of preparation. Just being outside can be the goal. Some parents have the energy and inclination to run around and play with their kids, but if you do not, or if you have to be working on your laptop, don’t let that stop you. Just getting out in the fresh air is enough – even if you are sitting down with an iced coffee and your work laptop and allowing the kids to explore and play. Here is some inspiration for your outdoor adventures, be they goal-oriented or simply a place to wander.


Obviously, there are the regular summer go-tos. The internet can help you find the least busy spots: town websites, Facebook groups, and twitter can give you real-time information on which spaces are empty enough to truly practice safe social distancing. For instance, you may find that certain beaches in your area are practically empty in the evenings or on cloudy days. Even though it’s not your typical beach-day, kids can dig in the sand, run, and explore. Some places may even have you register for a parking spot in advance, assuring you that it will not become overcrowded.


Collections displaying buildings, sculptures, airplanes, ships, and other artifacts outside are known as Open Air Museums. Many of these organizations are limiting crowds by requiring online reservations and taking other proper precautions, in addition to the fact that they are already naturally well-ventilated. Learn about World War II at the Palm Springs Air Museum in California. Explore the kid-friendly trails on the acres of outdoor space at the Fruitlands Museum in Harvard, Massachusetts, where a group of transcendentalists lived in the 1840’s, attempting to create a utopian community. Walk amongst log cabins and stores from the fur trade era at the Pioneer Park Historical Complex in Rhinelander, Wisconsin, or visit the Chesapeake Bay Maritime Museum in St. Michaels, Maryland, which houses the world’s largest collection of Chesapeake Bay boats. Before jumping in your car, be sure to check online to see if reservations are required.


This can be a go-to for working parents who need an outing with zero prep-time. There are plenty of outdoor spaces that don’t have playgrounds, water features, or any other bells and whistles, and so aren’t typical destinations. Nevertheless, where there are sticks, rocks, bugs, and dirt, most kids will find something to explore. The fact that there isn’t a featured element like a playground or a splash park keeps the crowds away, but there is just as much sun and fresh air as anywhere else. Working parents can take a lawn chair and a hotspot and work under a tree while kids explore nature or even play with their favorite indoor toys while getting a Vitamin D bath.


For families in areas where outdoor spaces are largely closed, or parents who don’t want to risk going into public outdoor spaces at all, simply spending time in their own backyard or garden is enough to connect with nature and reap some benefits. No access to a backyard or garden? Planting flowers or growing vegetable seeds on a porch or a windowsill with your kids still puts you all in the sunshine and may even bring in some interesting six-legged wildlife. And one study, conducted last year by the Detroit Zoological Society and Michigan State University, showed that even viewing animals on a screen might decrease stress.

For those of us who have been on electronics overload, having binge-watched every show on Netflix and allowed our kids to get lost in the worlds of Minecraft, Roblox, and other video games, the ability to go out again is more than welcome. Following the guidelines to keep a safe distance between non-household members, wearing masks when necessary, and washing hands frequently keeps being outdoors a healthy way to relieve stress and anxiety. We all feel a little better when we increase our physical activity, and get a little change of scenery, so put down your device and go spend some valuable time in the fresh air.



Keep Your Child with Autism Engaged This Summer

Parents of special needs children worldwide are struggling with the prospect of engaging the minds and bodies of their children through the ongoing summer of Covid-19.

For children with autism, routines and predictability are critical, threatened by the inexplicable disruption of closed schools and camps, and curtailed social outlets. Although some families are utilizing in-person and virtual services, for many, professional support has declined dramatically or evaporated entirely while the needs of children with autism remain the same.

So what are things we can do to make best use of this time?
With summer weather there are more opportunities to engage children in a variety of indoor and outdoor activities that ignite their imaginations and keep their bodies moving. But first, it is important to speak with children about the current situation in a way that helps them understand why their world has been transformed. Social stories and comic book conversations can help explain current circumstances.

Maintaining a routine is vitally important for children with autism. Meal, nap and play times should remain sacrosanct even as the activities within play time vary. Keeping an autistic child engaged around the clock amid today’s restrictions is going to take some imagination; here is a framework to help, which also allows for maintaining social distancing:

Exploit the good weather and get outside
  1. Camp in the backyard. Teach your child how to put up a tent, cook outside and have a sleepover in your backyard or living room.

  2. Use colored chalk to draw on the sidewalk.

  3. Paint your fence. Use water if it is not in need of a new coat.

  4. Visit a local pond. Feed the ducks. Race paper boats.

  5. Hike in the woods. Talk about the different trees, plants, and animals you see and hear.

  6. Learn about geocaching and go in search of caches. Visit geocaching.com for information and download an app.

  7. Blow bubbles

Employ learning activities disguised as fun
  1. Develop a secret code and write a letter to a friend using it.

  2. Cook or bake together. Teach your child about measuring and following directions.

  3. Play school and make your child the teacher. Ask them to teach you something they have learned.

  4. Pick a favorite animal and read about it online. Create a fact sheet and draw a picture of the animal.

  5. Make healthy snacks together and talk about what makes them healthy.

Engage in tactile activities
  1. Go to a playground and play in the sand, on the swing and on the see-saw (many playgrounds are re-opening now with specific procedures in place for social distancing and disinfection).

  2. Make slime or modeling dough using online recipes.

  3. Spread shaving cream on a cookie sheet and draw in it.

  4. String macaroni or beads.

  5. Finger paint. Ask your child to spell out words.

  6. Build contraptions with Legos.

Explore the world online
  1. Visit a zoo, aquarium or museum. They are easy to find online. Here is the Montreal Science Centre.

  2. Visit an online learning site like Scholastic. There are literally dozens of them.

  3. Visit five spectacular National Parks – Kenai Fjords in Alaska, Hawaii Volcanos, Carlsbad Caverns in New Mexico, Bryce Canyon in Utah and Dry Tortugas in Florida. Or take a trip to Mars.

  4. Use a video conference platform to visit with a friend or therapist.

Be intentional about screen time and avoid using it as an anesthetic. An overload of screen time, including television, is associated with hyperactivity, difficulty sleeping and irritability.

Disruptions in the daily lives of children with autism caused by the novel coronavirus present significant challenges to parents. Innumerable resources exist online to keep children engaged physically and cognitively. For more ideas, visit https://www.autismspeaks.org/virtual-summer-activities.

LEARN Behavioral announces Telehealth ABA services now available in D.C., Maryland and Virginia through Trellis and SPARKS.

Children diagnosed with ASD may continue to receive critical ABA therapy remotely during COVID-19 pandemic.

Washington, DC; LANDOVER, SPARKS, PERRY HALL & COLUMBIA, MD; Springfield VA… LEARN Behavioral, the leading network of providers serving children with autism and other special needs, announces the availability of telehealth Applied Behavior Analysis (ABA) services to children diagnosed with Autism Spectrum Disorders (ASD) and their families in Washington, D.C., Maryland and Virginia through their regional providers, Trellis and SPARKS.

To continue providing critical ABA services to client families during the coronavirus (COVID-19) pandemic, Trellis and SPARKS have innovated their service delivery model and capabilities to provide telehealth ABA services, or “teleABA” as coined by LEARN.

TeleABA provides another option for families who prefer virtual therapy services over in-person therapy, or who have household family members who are at higher risk for severe illness. It is ABA therapy overseen by a Board-Certified Behavior Analyst (BCBA) that parallels in-person treatment.

“The COVID-19 response requiring nationwide social distancing and other safety guidelines

has left many parents of children on the autism spectrum wondering how to maintain the gains their children have made in ABA therapy,” explained Hanna Rue, Ph.D., BCBA-D, Vice President of Clinical Development for LEARN. “Trellis, SPARKS and LEARN are helping parents throughout D.C., Maryland and Virginia by providing the option of teleABA therapy which helps ensure that their children are able to continue their forward momentum towards established treatment goals.”

TeleABA Services

Treatment for ASD is in accordance with state and federal emergency guidance regarding medically necessary telehealth services. It is imperative that children with ASD avoid any break in ABA therapy as this may cause distress, disruption and potential behavior regression. TeleABA is the delivery of evidence-based ABA therapy with master level clinicians via HIPAA-compliant videoconferencing, which is accessible by computer, tablet or smartphone.

Trellis and SPARKS teleABA services include direct treatment and parent consultation. Direct treatment is one-on-one treatment sessions with a child geared towards maintaining and generalizing communication, play skills and behavioral progress. Parent consultation provides an opportunity to discuss daily routines and challenging behaviors, identify targets, and implement a plan.

TeleABA enables families to continue to build upon and reinforce skills including, but not limited to:

– Potty training

– Bedtime/sleep routine

– Screen time

– Personal hygiene routine, including hand-washing

Through teleABA, Trellis and SPARKS help children and families in a number of ways. For example: discussing strategies and progress on a desired goal; developing a routine that fits in to your family’s schedule; providing individual reinforcement strategies; setting and explaining clear expectations; and offering “in the moment” parent coaching along with references to help successfully reach your child’s goal.

Dr. Rue continued, “We have received a tremendous response from our families, who are experiencing new successes due to our virtual teleABA services. It is our hope that teleABA treatment will continue to be accepted by insurers beyond COVID-19, as this will enable us to serve a greater number of children and families on the autism spectrum who need services but have limited in-person access to ABA providers.”

LEARN has served over 2,500 families through teleABA, with nearly 1,000 trained providers across the nation who have delivered sessions. LEARN is dedicated to supporting their staff and has developed a comprehensive resource library which enables them to access tools, resources, training and support online.

For more information about Trellis teleABA services, visit https://trellisservices.com and for information about SPARKS teleABA, visit https://www.sparksaba.com/.

About Trellis

Founded in 2001, Trellis specializes in serving children with autism and other related disorders using the principles of Applied Behavior Analysis (ABA). Trellis is a unique agency that uses progressive educational and behavioral models to help teach children that learning can be a fun, playful and interactive experience. Over the years, their passionate staff and thoughtful programming has helped more than 500 families in Maryland. Trellis is located in Sparks, Perry Hall, and Columbia, MD. For more information, visit https://trellisservices.com


SPARKS is one of the leading autism services organizations in the D.C. Metropolitan area. The organization’s mission is to develop programs for individuals with autism that will allow them to reach their highest potential. At SPARKS, ABA Services are provided to each child on an individualized basis, through a continuum of therapy models. The ABA services team meets regularly with a child’s parents, caregivers, and other service providers to share progress and treatment strategies. SPARKS is located in Landover, MD and Springfield, VA.



LEARN is a leading network of providers, which includes Trellis and SPARKS, that serves children with autism and other special learning needs. LEARN specializes in behavioral health treatment based on the science of Applied Behavior Analysis (ABA) and is committed to providing programs and services that are family-focused, community-minded, and delivered with the highest clinical integrity. The LEARN team delivers more than 2.5 million hours of service annually and is comprised of more than 5,000 passionate professionals dedicated to nurturing each child’s personal best. For more information, visit learnbehavioral.com.