Simplifying the Science: Teaching Hand-Raising to Children with Autism

There are many concerns that come up when considering moving a child with autism to a general education setting. One is that the child with autism may not initiate interactions, which makes it less likely they’ll raise their hand to either ask or answer questions. Hand-raising is an important social behavior in the classroom setting as it facilitates learning as well as teacher-understanding of a child’s comprehension of the current topic. In the general education setting, there is much more group instruction than in the special education setting, which makes hand-raising all the more important. A study by Charania, LeBlanc, Sabanathan, Ktaech, Carr, & Gunby (2010) focuses on this skill, stating “Failure to raise a hand when one could answer means a missed opportunity for reinforcement or error correction, whereas raising a hand when one has no subsequent response to provide could be embarrassing or disruptive to ongoing instruction.”

The participants in the study were three boys with autism, ages 8, 9, and 10 who were preparing to transition from a center-based program to a general education setting and had substantial verbal repertoires as assessed by the VB-MAPP. The researchers recognized that often the boys would know the correct answer to a question posed by the teacher during a group activity, but would not raise their hands to respond. They addressed this by building three successive skills. The goal was to teach the boys to raise their hand when they did know the answer, and keep their hands down when they did not know the answer.

In the first task, the boys were placed together for group instruction. Each child was given an opaque bag with a different item in it. The instructor would ask “Who has the [item]?” The boy with that item would raise his hand. Once this skill was mastered, the second task was introduced. In this task, the instructor would tell one boy a “secret” word, while whispering a greeting to the other two boys. The instructor would then ask “Who knows the secret word?” The boy who heard the secret word would raise his hand. Finally, after mastering the second task, the final task would be introduced. Here, the task involved providing verbal responses to factual questions, such as “What animal has a tail and four legs?”

This successive teaching of skills is important to the acquisition of the target skill. In the first task, there was an auditory and a visual stimulus provided to elicit the target response of hand raising (the question and the object in the bag). In the second task, the visual stimulus was replaced with another auditory stimulus, making it two auditory stimuli (the question and the whispered secret word). Finally, the last task consisted of the auditory stimulus, the question itself. The final task emulated the stimulus that would naturally occur in the classroom to elicit hand-raising.

The authors note in their discussion that “The results suggest the importance of conducting both hand-up and hands-down learning trials to establish discriminated responding, rather than simply reinforcing hand raises on every question (i.e., excessive hand raising during hands-down trials might be just as problematic as a complete lack of hand raising).” The method of successive conditional discrimination can be useful for teaching both children who do not raise their hands when they should or who raise their hands when they shouldn’t. All three boys learned how to raise hands appropriately for each of the three tasks. And while there are many more skills related to hand-raising that the three participants would need to learn, the skills taught in this study are essential to promoting success in the general education environment.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-12 in NYC. Working in education for ten years with students with Autism Spectrum Disorders and other developmental delays, Sam has developed strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently pursuing her PhD in Applied Behavior Analysis at Endicott College.

Pick of the Week: NEW! Save 20% on the AFLS Vocational and Independent Living Skills Protocols

Fresh off the press, the final protocols in the Assessment of Functional Living Skills (AFLS) series are now available: Vocational Skills and Independent Living Skills. Now through June 16th, receive 20% off any quantity of these new Protocols. No promo code necessary.

The Vocational Skills Assessment Protocol provides caregivers and professionals with information to teach essential skills to learners who are preparing to enter the workforce or those who are already working but want to further develop skills for a wide variety of settings. This assessment covers skills related to obtaining employment, searching for job openings, creating resumes, completing applications, and preparing for interviews. This protocol also includes a wide range of basic work-related skills such as job safety, payroll, financial issues, and interacting with supervisors and co-workers. It also includes a review of skills required in specific types of jobs in a variety of settings. With this assessment, practitioners can help evaluate vocational skills for individuals with various types and levels of disability. Click here for a quick preview!

The Independent Living Skills Protocol provides caregivers and professionals with information to teach essential skills to learners who are being prepared for independent living. The assessment covers critical skills critical such as organizing possessions, cleaning and cooking, as well as money management skills related to financial planning, banking, paying bills, using debit and credit cards, and shopping. This protocol also incorporates skills about the assertion of personal rights, awareness of the motivation of others, and managing relationships with others in various settings. Click here for a preview!

This week only, take 20% off either or both the Vocational Skills and Independent Living Skills Assessment Protocols. No promo code necessary.

*Offer is valid until 11:59pm EST on June 16th, 2015.

Pick of the Week: “Language Development Lessons for Early Childhood” Workbook

Strengthen listening and speaking skills in your learner with this workbook by speech-language pathologist Jean Gilliam DeGaetano that contains 80 pages of reproducible Student and Instructor Worksheets. The worksheets cover 3 basic techniques – Yes or No Answers, Choosing Between Two Answers, and Completing Sentences. This week only, you can save 15%* on Language Development Lessons for Early Childhood by using our promo code LANG15 at check out!

The lessons in this workbook feature various scenarios along with corresponding questions that ask the listener to answer yes or no, choose between two answers, and complete descriptive statements read aloud by the instructor. All three techniques in this book are great for stimulating receptive and expressive language in young children.

Take 15%* off your order of Language Development Lessons for Early Childhood by applying promo code LANG15 at check out this week only!

*Offer is valid until 11:59pm EST on June 9th, 2015. Not compatible with any other offers. Be sure there are no spaces or dashes in your code at check out!

Tip of the Week: Avoid Common Ethical Missteps in the Home Environment as a Behavior Analyst

(Beaumont Health System)

Fortunately, we have the Behavior Analyst Certification Board (BACB) as a resource. You can see the BACB’s Professional and Ethical Compliance Code for Behavior Analysts here. While this code does not take effect until January 2016, it’s important to note that many states have adopted ABA Licensure, which provides for oversight of behavior analysts and implementation of this code, or the specific ethical code that state has adopted.

Keep all identifying information confidential. First, all records should be kept in a locked filing cabinet, (not in a binder inside a tote bag or in the trunk of your car.) Furthermore, while it may be tempting at times, no photos or videos of students should be kept on cellphones or computers, or shared on social media accounts. And while you may have funny stories or great improvements you want to share with friends or loved ones, you should not share, the names, ages, or other identifying information of your students.

Only accept cases for which you have the necessary training and experience. This one can be tricky, especially if you are in a location in which there are few behavior analysts or you’ve been recommended to a parent and they are pushing for you to work with their child. However, it is very important that you follow this guideline. For example, if a child is engaging in self-injurious behavior (SIB) and you’ve never intervened with SIB, you should not take the case. Instead, you should make a referral to a behavior analyst who has the appropriate training and experience. If you are the only behavior analyst available, you should seek out the appropriate training and seek guidance from someone who does have the appropriate experience. This is more possible today with the advent and ease of video-chatting.

Don’t accept gifts or give gifts. As described below, it’s better to express this rule to parents at the beginning of your relationship, rather than when they’re handing you a gift certificate to your favorite coffee shop. While parents want to show appreciation and care for you, gift giving on either end blurs the line between professional relationship and friendship. Which brings us to our next point…

Maintain a professional relationship. This can be challenging when you’re working in the home environment, especially when you’re working in the home daily for one, two, or more years. But it’s important that you relate to the family as a professional with an expertise in behavior analysis. This means that you should not be joining the family for meals, birthday parties, or other events. It also means that information about your private life should not be provided (such as who you’re dating, any personal problems, etc.) and you are not a counselor/therapist for personal problems in the life of the family.

Provide effective treatment. This may seem like a no-brainer, but it can be quite easy to begin using a treatment that was recommended by another professional, only to discover that there is no scientific evidence proving its effectiveness. If you ever have a question about whether or not an autism-treatment is evidence-based, you should take a look at the Association for Science in Autism Treatment. You should also look at the research regarding interventions for specific behaviors in resources such as Journal of Applied Behavior Analysis, The Analysis of Verbal Behavior, or Behavior Analysis in Practice.

Set expectations from the very beginning of your relationship. Some of these missteps can be more difficult if you don’t provide information about what you are allowed or not allowed to do. A simple contract can be given to parents or caregivers at the beginning of the teaching relationship. In their book Ethics for Behavior Analysts: 2nd Expanded Edition, Bailey & Burch provide an excellent sample contract that can be modified for your use. (It’s worth noting that this book is a must-have for any behavior analyst. It contains explanations for each ethical guideline and case studies in an easy-to-read style.) Making it clear that you have professional guidelines to follow from the outset of your relationship is the most effective step you can take towards maintaining an ethical, professional relationship for the duration.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-12 in NYC. Working in education for ten years with students with Autism Spectrum Disorders and other developmental delays, Sam has developed strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently pursuing her PhD in Applied Behavior Analysis at Endicott College.

Federal Government Calls for Greater Inclusion of Children with Disabilities in Preschools

Federal officials say that young children with disabilities should be receiving educational services in inclusive settings in greater numbers. (Antonio Perez/Chicago Tribune/TNS)

The U.S. Departments of Education and Health and Human Services are encouraging greater inclusion of children with disabilities in preschools, Disability Scoop reports. The Department of Education has reported that while a majority of preschoolers with disabilities did attend general early childhood programs since 2013, more than half received special education in contained environments.

States are being urged to create task forces to promote early childhood inclusion, establish new policies, and allocate funds to facilitate these programs and track goals for expanding inclusive learning opportunities.

In a draft policy statement on the inclusion of children with disabilities by the Departments of Education and Health and Human Services, the lag in progress on giving children with disabilities and their families access to inclusive early childhood programs is troubling for several reasons, such as:

  • “Being meaningfully included as a member of society is the first step to equal opportunity, one of America’s most cherished ideals, and is every person’s right—a right supported by our laws.
  • “A robust body of literature indicates that meaningful inclusion is beneficial to children with and without disabilities across a variety of developmental domains.
  • “Preliminary research shows that operating inclusive early childhood programs is not more expensive than operating separate early childhood programs for children with disabilities.
  • “Meaningful inclusion in high-quality early childhood programs can support children with disabilities in reaching their full potential resulting in societal benefits more broadly” (U.S. Departments of Education and Health and Human Services, 2015).

What are your thoughts on this urge for change in the early childhood setting?

Read more: “Feds Call for Greater Inclusion in Preschools”

Pick of the Week: KLOO “Catch the Bug” Word Games for Little Readers

Support learners in reading words to magically making sentences without even knowing how to write with KLOO Catch the Bug Word Games for Little Readers. These word cards contain many high-frequency words that children need to know to progress in their reading ability. This week only, you can take 15% off* KLOO “Catch the Bug” Word Games for Little Readers. Just apply promo code KLOO15 at check-out to redeem these savings!

The color-coded system provides a visual cue and guarantees a grammatically correct sentence every time, simply by following the color cues and “kloo” arrows. With 4 levels of game play, the games in this set will absorb children’s interest and make learning to read and create sentences even more enjoyable. With over a thousand possible sentence combinations, each game is fresh and creates new imagery and challenges for children!

Don’t forget to use KLOO15 at check-out to save 15%* on your purchase of KLOO “Catch the Bug” Word Games for Little Readers this week only!

*Offer is valid until 11:59pm EST on June 2nd, 2015. Not compatible with any other offers. Be sure there are no spaces or dashes in your code at check out!

Tip of the Week: Two Essential Considerations When Toilet Training Boys

Last year, I had the opportunity to interview Gary Weitzen, the Executive Director of POAC Autism Services and the Autism Shield Program. (You can see the blog post about that interview here.) In the months since our interview, many of his comments have stuck with me, but one in particular has impacted my daily work with students. He said, “A lot more boys have autism than females but the vast majority of educators in special ed, and in particular with autism, are females.” He went on to provide examples of how this fact influences some skill development, specifically with toilet training.

Child on Toilet 2 BlogThis leads to several considerations to take into account when toilet training boys. I agree with Weitzen that some of these issues arise from the simple fact that women are predominantly toilet training boys. However, it’s also possible that such issues arise from the fact that many boys are trained in early intervention or preschool years without consideration of the implications of those training techniques several years down the line, and without further intervention or training later in life. Either way, it’s important to recognize that training of life skills should be completed in such a way as to develop effective skills that are similar to those of the child’s same-age peers. To that end, here are two considerations:

Consider hygiene. Something I had never thought about prior to my conversation with Weitzen is that after boys use the bathroom, then zip up their pants, it’s easy for a little urine to drip onto their pants. Especially once children reach upper elementary and middle school grades, a spot of urine can be socially isolating or an invitation for bullying. Weitzen acknowledges that it can be difficult to teach boys to gently shake their penis before zipping up, especially because teachers don’t want to inappropriately touch the students. However, for the long term, it’s essential that teachers find a way to teach this simple action.

Consider the topography of the behavior. When we think about topography, we basically mean, “What does the behavior look like.” When initially toilet training, teachers will typically have the student pull his/her pants down to the floor. Weitzen shared a personal experience from several years ago, when he was a chaperone on a field trip with his son who is autistic. At one point, the teachers asked him to take the boys to the bathroom, so Weitzen went in with eight 14-year-old boys with autism. He said, “They took their pants and pushed them right down to their knees at the urinal at Medieval Times. So we had seven hairy tushies in the room. Out in public! And what happens is other dads and other boys came in there and everyone’s laughing and commenting and pointing.” This is the type of situation that teachers and parents do not want students to experience. When toilet training, it’s essential to recognize that the topography of the behavior in the male restroom is to unzip the pants, and then pull the fabric aside in order to urinate in the urinal. While it may be easier to teach students to pull their pants down in the initial phases of toilet training, it’s important to continue shaping behavior until it has the appropriate topography.

If our students continue to pull their pants down completely, they become targets for bullying, or worse. Weitzen says that on multiple occasions, he’s had parents report to him that their child used the bathroom at the urinal, and when they pulled their pants to the floor, another student took a picture of them. “Four different moms told me that, and if four moms told me that, I can’t imagine how often that’s happening,” Weitzen said. “And even if they’re not sharing the photo, well now you’re the weird kid who sticks his butt out. And you’re isolated and you’re picked upon, so we have to be real. We have to realize our guys live in the real world and teach them the skills that they need.”

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-12 in NYC. Working in education for ten years with students with Autism Spectrum Disorders and other developmental delays, Sam has developed strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently pursuing her PhD in Applied Behavior Analysis at Endicott College.

Simplifying the Science: Teaching Siblings About Behavior

When I first came across this study, Behavioral Training for Siblings of Autistic Children, I was immediately hesitant. There’s something about the idea of sibling-as-therapist that makes me cringe a little bit. When I work with the families of children with autism, the hope is that the siblings of the child with autism still have a childhood without being pushed into the role of caregiver. And I also want the child with autism to have independence and feel like an individual who is heard, which may be more challenging if their siblings are issuing demands just as a parent or teacher would. But as I read the study, I realized that the work they completed had incredible social significance.

Siblings Playing Together BlogIn the study, there were three pairs of siblings. The ages of the children with autism ranged from 5 years old to 8 years old. The ages of the siblings ranged from 8 years old to 13 years old. The researchers trained each sibling of a child with autism how to teach basic skills, such as discriminating between different coins, identifying common objects, and spelling short words. As part of this training, the researchers showed videos of one-on-one sessions in which these skills were taught, utilizing techniques such as reinforcement, shaping, and chaining. What the researchers did next was the part that really stood out to me: they discussed with the siblings how to use these techniques in other environments. Finally, the researchers observed the sibling working with their brother/sister with autism and provided coaching on the techniques.

It should be noted here that the goal of the study was not to have the siblings become the teacher of basic skills. Instead, it was to provide a foundation of skills in behavioral techniques for the sibling to use in other settings with the hope of overall improvement in the behaviors of the child with autism. The researchers demonstrated that, after training, the siblings were able to effectively use prompts, reinforcement, and discrete trials to effectively teach new skills. But, perhaps the most meaningful aspects of the study were the changes reported by both siblings and parents. The researchers provide a table showing comments about the sibling with autism before and after the training. One of the most striking comments after the training was, “He gets along better if I know how to ask him” (p. 136). Parents reported that they were pleased with the results and found the training beneficial.

This study provides excellent evidence that structured training for siblings has real potential for making life a little easier for the whole family. The idea isn’t that they become the therapist, but instead that knowledge truly is power.

References

Schriebman, L., O’Neill, R.E. & Koegel, R.L. (1983). Behavioral training for siblings of autistic children. Journal of Applied Behavior Analysis. 16(2), 129-138.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-12 in NYC. Working in education for ten years with students with Autism Spectrum Disorders and other developmental delays, Sam has developed strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently pursuing her PhD in Applied Behavior Analysis at Endicott College.

Pick of the Week: Sentence Building Dominoes – A fun, hands-on way to teach sentence formation skills

Help your learner improve reading, spelling, and grammar skills by building a variety of sentences with these colorful Sentence Building Dominoes. This week, you can also save 15%* when you order your set of Sentence Building Dominoes with us. Just be sure to apply our promo code DOMINO when you check out online or over the phone.

With 114 double-sided and color-coded dominoes that feature 8 parts of speech—nouns, pronouns, verbs, adjectives, adverbs, conjunctions, prepositions and punctuation marks—the possibilities are endless!


This is a fun, hands-on way for early readers to learn parts of speech and practice sentence formation skills. The dominoes come packed in a handy storage bucket.

Don’t forget to apply our code DOMINO at check-out to redeem your savings on the Sentence Building Dominoes this week!

 

*Offer is valid until 11:59pm EST on May 19th, 2015. Not compatible with any other offers. Be sure there are no spaces or dashes in your code at check out!

“Tips for Traveling with Children with Special Needs” by Ida Keiper

With the end of the school year and summer right around the corner, we’re sure many of you have started to plan for family trips and vacations. To help you prepare better, we thought we would share some valuable tips and resources from Ida Keiper on traveling with your children with special needs. Ida Keiper is a special educator and the co-founder of the Starbrite Kids’ Program and Starry Night Travel, LLC, a travel agency that specializes in planning travel for individuals with special needs.

Tips for Traveling with Children with Special Needs
by Ida Keiper

“If we all could see the world through eyes of a child we would
see the magic in everything.” –Chee Vai Tang

One of the best moments of being a parent is observing your child experience things for the first time. Children laugh at the silliest and smallest of things and are excited about everything they see. Traveling exposes children to new places, discoveries and experiences. It enhances a child’s confidence, imagination, creativity, and reinforces academic, social and communication skills.

Traveling with a child with special needs can be exciting, but also may involve emotional and physical challenges. Preparing for the trip and choosing special needs friendly destinations is extremely important.

There are a wide variety of resources and programs available for children with special needs:

  • Unique art programs, ASL interpreted programs, multisensory workshops, sensory friendly programs, and audio descriptive tours, are offered at facilities throughout the country
  • Adaptive ski and sports programs are available for individuals with developmental and physical disabilities
  • Water sports programs are available i.e. Surfers for Autism, Surfers Healing, swimming with the dolphins, scuba diving and snorkeling programs for the physically disabled through The Diveheart Foundation
  • Access passes to National Parks and guest assistance passes for amusement parks are available
  • Theater programs including accessible seating, open captioning, sign language interpreting, audio descriptions, and autism friendly showings are available through The Theatre Development Fund Accessibility Program
  • Hotels and resorts that are special needs friendly
  • Facilities that can accommodate individuals with dietary needs

Tips when planning your vacation:

  • Identify services or special accommodations that need to be put in place prior to traveling. Arrange for any medical supplies/equipment needed.
  • Contact TSA Cares at (855) 787-2227 for questions pertaining to equipment regulations, procedures, and screening policies with air travel.
  • Contact Special Needs at Sea for equipment/supplies needed on cruise ships
  • Locate attractions and hotels in Florida that are “autism friendly” by visiting The Center for Autism and Related Disabilities.
  • Inquire if any special programs for children with a physical or developmental disability are available at the resort or hotel.
  • Identify Cruise Lines that accommodate individuals with developmental and physical disabilities. Royal Caribbean is the first cruise line that has been named “autism friendly”.
  • Identify your child’s potential travel concerns, i.e. change in routine, waiting in line, transitioning, sensory overload, meeting new people, going through airport security (to name a few).
  • Use strategies such as visual stories, visual scripts, calendars, schedules, and relaxation techniques to address potential travel concerns.
  • Use noise cancelling headphones, earplugs, and sunglasses for children with sensory issues.
  • Discuss vacation safety rules with your child. Safe proof your room or cabin. If your child tends to bolt, install a portable battery operated alarm system to the doors in your cabin or hotel room. Apply non-permanent tattoos for ID purposes and Child Aviation Restraint System to keep you child safe in his seat on an airplane.
  • Speak with the chef at your hotel, cruise ship, or restaurant to assure special dietary needs are in place. Visit websites such as FAAN Network and Allergy Free Table for information about accommodating food allergies while traveling
  • Contact a travel agent who has experience working with individuals with special needs.

Additional information on special needs friendly destinations including amusement parks, museums, zoos, aquariums planetariums, and ski resorts can be found in our Starbrite Traveler Book series through Amazon.com. Books also include special needs resources, safety activities, checklists, and application of evidence based strategies and interactive activities to prepare your child for travel.

  • Starbrite Traveler: A Travel Resource for Parents of Children with Special Needs
  • Starbrite Traveler: Destinations for Kids with Special Needs – East Coast Edition
  • Autism & Travel: Strategies for Kids to Enjoy an Awesome Experience

ABOUT IDA KEIPER

Ida Keiper is dually certified as Teacher of the Handicapped and Elementary School Education. She earned a B.A. from Georgian Court University. Ms. Keiper, a highly qualified teacher educated children with disabilities for thirty years, wrote district curriculum for special education, coordinator of special education department in New Jersey public schools. Her compassion and professionalism earned her “Teacher of the Year.” Over the years Ms. Keiper has fostered close relationships with her students and parents. Ms. Keiper lives in New Jersey with her husband and two sons.