Joshua* used to start his school days bouncing off the walls. The 16-year-old, who attends the LEAP Program (Lifeskills and Education for Students with Autism and other Pervasive Developmental Disorders) at Baltimore's Kennedy-Krieger Institute, rides a bus for more than an hour to participate in the highly regarded day program. The long trip made Joshua so agitated that most of the first half of his day was spent calming him down.

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