Category Archives: Development

Tip of the Week: How to Avoid Over-Pathologizing Behaviors in Kids with Autism

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A diagnosis of autism can be very challenging for a child and for his or her family. But one of the most difficult aspects of autism is that it is not clear cut what behaviors are related to autism, and what behaviors are related to just being a kid. Every child tantrums sometimes. Every child talks back sometimes. Every child engages in dangerous behavior sometimes.

When I look back on my own childhood, I think of several behaviors I exhibited: in third grade I cut my own hair while my teacher’s back was turned, in fourth grade I got mad at my brother and threw an alarm clock at him, and in seventh grade I loved Agatha Christie books so much that I frequently refused to go outside and sat in my room reading by myself for hours on end. If I had autism, any one of these behaviors may have been pathologized instead of being considered as just a part of growing up.

So how do you parse through all the behaviors your learner is exhibiting and figure out which ones you should actually be worried about? Here are a few questions to ask yourself in determining behaviors to address:

  1. Is the behavior dangerous?
  2. How often and for how long does your learner engage in the behavior?
  3. How different is this behavior from the learner’s same-age peers? For example, does your three year old cry for a couple minutes when told that she can’t have her favorite toy, or does she cry for two hours and refuse to engage with any other toys for the rest of the day?
  4. How is this behavior interfering with the learner’s ability to learn?
  5. How is this behavior interfering with the learner’s ability to engage with peers and family members?
  6. Is the behavior related to a skill? For example, pacing the room and flapping your arms is typically not related to a skill, but building Lego models can be related to a skill. If it is related to a skill, think about ways to provide opportunities for expanding that skill.

The answers to these questions should be able to inform the decisions that you make in intervening with behaviors. And we should remember that above all else, kids with autism are still just kids.

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: Teaching Language & Conversation Workbooks

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Teach language and conversation skills to students with autism with these great books! This week, take 15% off any or all 3 of these great teacher guides and student workbooks. Use promo code LANGUAGE at check-out to redeem your savings.

DRB_380_Teaching_Kids_of_All_Ages_to_Ask_QuestionsTeaching Kids of All Ages to Ask Questions is a great source for teaching students at different levels how to ask and answer questions. The book also covers:

  • Simple past, present and future tense
  • Regular and irregular verbs
  • Progressive present, past, and future tense verbs
  • Perfect present, past, and future tense verbs
  • Perfect progressive present, past and future tense verbs
  • Negative questions
  • Conditional statements

This workbook is great for a comprehensive coverage of Wh-Questions within various contexts.

DRB_385_Teaching_Conversation_to_Children_with_AutismTeaching Conversation to Children with Autism Scripts and Script Fading provides step-by-step instructions to parents and teachers on how to teach conversation skills. Because many individuals with autism have difficulty initiating and maintaining conversation, this book describes how scripts and script fading can provide a predictable and meaningful structure for these individuals to engage in conversation. The goal is for these scripts to then progress to spontaneous language. This book covers: scripts for readers and non-readers; conversation activities; activity schedules; prompts and rewards; and observing, evaluating and measuring results.

 

DRB_045_Teach_Me_LanguageTeach Me Language is a social language manual for children with autism, Asperger’s syndrome, and related developmental disorders. Based on professional speech pathology methods, this book targets social language, general knowledge, grammar and syntax, functional knowledge, written expression and language-based academic concepts. Teach Me Language is designed to take the child from one and two word utterances to more complex sentences that lay the foundation for social conversation.

Don’t forget to use our promotional code LANGUAGE at check-out this week to save 15%* on any or all of these books for teaching language & conversation!

*Offer is valid through March 22, 2016 at 11:59pm EST. Be sure there are no spaces or dashes in your code LANGUAGE at check-out! Call (800) 853-1057 with any inquiries.

“Cooperating with Dental Exams” – Strategies for Parents, by Jennifer Hieminga, MEd, BCBA

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This month’s featured article from ASAT is by the Associate Director of the New Haven Learning Centre in Toronto Jennifer Hieminga, MEd, BCBA, on several research-based strategies for parents to encourage cooperative behavior in their children with ASD during routine dental visits. To learn more about ASAT, please visit their website at www.asatonline.org. You can also sign up for ASAT’s free newsletter, Science in Autism Treatment, and like them on Facebook!

My daughter with autism was very resistant during her first dental visit. Are there any steps we can take to help her tolerate a dental exam? We were actively involved in her home-based early intervention program for the last two years and have a working knowledge of ABA. Our daughter’s program is overseen by a board certified behavior analyst.

Answered by Jennifer Hieminga, MEd, BCBA
Associate Director, New Haven Learning Centre, Toronto, Canada

Boy Dental VisitFor many individuals with autism, routine appointments such as medical, dental and haircuts can be extremely difficult to tolerate. There are many factors that may contribute to this intolerance such as novel environments, novel adults, novel or aversive sounds, bright lights, foreign tastes, painful sensations, sitting for long periods of time and physical touch. As a result, many children with autism display noncompliant or avoidant behavior in response to these stimuli or events. Fortunately, there is a growing body of research published in peer-reviewed journals describing effective strategies to target dental toleration. Several different behavior interventions and programs have been used to increase an individual’s tolerance or proximity to an avoided stimulus or event, such as a dental exam. For example, the use of escape and reward contingent on cooperative dental behavior was shown to be effective for some individuals (Allen & Stokes, 1987; Allen, Loiben, Aleen, & Stanley, 1992). Non-contingent escape, in which the child was given periodic breaks during the dental exam, was also effective in decreasing disruptive behavior (O’Callaghan, Allen, Powell, & Salama, 2006). Other strategies such as using distraction and rewards (Stark et al., 1989), providing opportunities for the individuals to participate in the dental exam (Conyers et al., 2004), and employing systematic desensitization procedures (Altabet, 2002) have been shown to be effective. Most recently, Cuvo, Godard, Huckfeldt, and Demattei (2010) used a combination of interventions including, priming DVD, escape extinction, stimulus fading, distracting stimuli, etc. The board certified behavior analyst overseeing your daughter’s program is likely familiar with these procedures.

Clinical practice suggests that dental exams can indeed be modified to teach children with autism component skills related to dental exams (Blitz & Britton, 2010). However, a major challenge to implementing such skill-acquisition programs is the reduced opportunities to actually target these skills. One highly effective way to address this is to create a mock dental exam scenario in your home, as it provides opportunities to teach and practice the skills consistently and frequently. These scenarios should emulate, as best as possible, an actual dental office (e.g., similar tools, sounds, light, reclining chair), making it easier for the skills mastered in the mock teaching scenario to generalize to the dental office exam later on.

Developing a “Cooperates with a Dental Exam” Program
Following is a detailed example of the components involved with creating and implementing a “Cooperates with a dental exam” program.

  1. Speak to your family dentist to identify all the components of the exam with which your child will be required to participate.
  2. Based on the dentist’s input, develop a detailed task analysis outlining each step of the dental exam. See sample task analysis provided in the next section below.
  3. Collect necessary materials required for the exam. Many of these items may be obtained or borrowed from your dentist and may include:
    • Reclining chair (e.g., lazy boy)
    • Dental bib
    • Flouride foam dental plates
    • Electric Toothbrush with round head (to ensure polishing)
    • Dental mask
    • Dental mirror
    • Plastic gloves
    • X-ray plates
    • Flossing pics
  4. Take baseline data to determine your child’s ability to cooperate with each step of the exam and to identify skills that need to be taught. For example, baseline data may indicate there is a skill deficit with tolerating novel noises at the dentist and not with the exam itself. In this situation, a specific program for tolerating novel sounds found in the dental office should be introduced. It cannot be overstated that an intervention to address this area would need to be individualized. However, for the purpose of this reply it will be assumed that your daughter presents with difficulty in all, or the majority of the steps involved in a dental exam.
  5. Lastly, before starting the program, establish highly-potent reinforcers which your daughter will access for correctly responding within this program, and collect the items that you will need to teach this skill.

Continue reading →

Pick of the Week: Token Tower– Fun, motivating, and reinforcing!

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Keep students motivated and focused with these fun, noise-making Token Towers! Set goals using the colored ring and insert tokens as reinforcement for appropriate behaviors or correct responses. The hard plastic chips with smiley faces make a fun noise as they drop into the containers, which is almost as fun as watching the tokens pile up!

DRP_238_Token_Tower

This week, save 15%* on your set of the Token Towers by applying our promo code TOWERS at check-out.

The set includes four Token Towers – in colors red, yellow, green, and blue – and 140 tokens (35 for each tower). Each Token Tower has target goal levels of 5, 10, 15, 20, 25, and 30, and can hold a maximum of 35 tokens. The towers measure 6½ inches tall, with tokens measuring 1½ inches in diameter.

*Offer expires on March 15, 2016 at 11:59pm EST. Be sure there are no spaces or dashes in your code TOWERS at check-out. Call our friendly customer service team at (800) 853-1057 with any inquiries.

Tip of the Week: Consider Behavioral Momentum in Improving Compliance

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If I were to ask you right now, what types of activities does your learner like to do, and what types of activities is your learner resistant to, you’d probably be able to respond pretty quickly to both questions. For instance, you might say, my son loves to practice addition facts, but he is resistant to working on spelling homework. Or you might say, my student enjoys passing out papers in class, but is resistant to lining up with the rest of the class when it’s time to go to lunch.

You can use this information to increase the likelihood of compliance for those tasks your learner does not like. First, let’s call the tasks your learner enjoys high-p tasks (or high probability tasks) and the tasks your learner does not enjoy the low-p tasks (or low probability tasks). Once you have identified high-p and low-p tasks, you can use this information to produce behavioral momentum.

So what might this look like? Let’s take our first example of the learner who liked to practice addition facts, but is resistant to spelling. The conversation might look like this:

Parent: 2 + 4
Son: 6
Parent: 3 + 5
Son: 8
Parent: 4 + 3
Son: 7
Parent: Spell “apple.”
Son: A-P-P-L-E

Behavioral momentum is a quite broad topic. The conversation above is an example of just one element of behavioral momentum: a high-probability (or high-p) request sequence. This is “an antecedent intervention in which two to five easy tasks with a known history of learner compliance (high-p request) are presented in quick succession immediately before requesting the target task, the low-p request” (Cooper, Heron, & Heward, 2007, p. 492).

By providing several sequences such as the one above, you can practice all of the spelling words without fighting him to sit down at the table and practice only spelling for ten to fifteen minutes.

With the example of the young girl who likes to hand out papers but doesn’t like lining up before lunch, it might look something like this:

Teacher: Can you take this paper to Lucy?
Student takes paper to Lucy.
Teacher: Can you give this one to Marcos?
Student takes paper to Marcos.
Teacher: Nice work. Can you stand behind Henry?
Student gets in line behind Henry.

It should be noted that the goal is to move the low-p tasks to high-p tasks. We don’t want the learner to always require two to five high-p tasks before they engage in the low-p task! You can do this by decreasing the number of high-p tasks before giving a low-p task, or by increasing the number of low-p tasks. For instance, maybe the first learner is responding quickly each time his parent gives him a spelling word, so the parent can start giving two spelling words after the series of high-p tasks, then systematically increase the number of spelling words over time.

Overall, the high-p request sequence is an easy-to-implement strategy that can improve compliance and reduce stress for all parties involved.

REFERENCES

Cooper J.O, Heron T.E, & Heward W.L. Applied behavior analysis (2nd ed.) Upper Saddle River, NJ: Pearson, 2007.

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: Inchimals Animal Blocks – Teach measurement, number concepts, and more

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Inchimals Animal Blocks are a fun and effective way to teach measurement, number concept, addition, subtraction, and pre-algebra to children of many ages. Beautifully crafted, Inchimals contains 12 wooden animal blocks measuring anywhere from 1 inch (the tiny ladybug) to 12 inches (the towering giraffe). This week, take 15% off your order of the Inchimals by entering in our promo code INCHIMALS at check-out.

DRG_165_Inchimals

With exact inch segments, written numerals, representative dots, and cute animals, Inchimals is a multi-purpose toy that encourages creativity, interaction, logic and mathematics mastery.

*Offer is valid for one-time use through March 8, 2016 at 11:59pm EST. Promotion does not apply to past purchases. Be sure there are no spaces or dashes in your code INCHIMALS at check-out. Call our friendly customer service team at (800) 853-1057 with any inquiries.

Tip of the Week: How to Avoid Prompt Dependence in Teaching Students with Autism

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“She won’t say hi unless I say ‘Say Hello.’” “He will only wash his hands if I put his hand on the knob to turn on the water.” “He won’t use his fork until I put it in his hand.”

I hear statements like this all the time from both parents and providers working with learners what autism. What they are describing is “prompt dependence,” which is when a learner requires a prompt from a teacher or parent in order to complete a task. So how do you avoid prompt dependence with your own learners?

Let’s start with the prompt itself. There are many different ways to prompt which can be divided into levels by how intrusive the prompt is. Below is a sample of a prompt hierarchy, with the least intrusive prompt at the top and the most intrusive prompt at the bottom. Your goal is to quickly move through the prompt levels to move your learner to independence.

Now let’s look at two different examples to show these prompt levels. In the first example, the goal is for the learner to greet a person who walks into the room. In the second example, the goal is for the learner to pull up his/her pants after using the bathroom as a part of a toileting routine.

Research shows that least-to-most prompting increases potential for errors and slows down rate of acquisition for new skills. Therefore, most-to-least prompting is preferred for teaching new skills. This means that you would start at a full physical prompt and then move your way up the prompt hierarchy until your learner achieves independence with the task.

In the past, when working with discrete trials, it has been common practice to have a learner master a skill at a certain prompt level, then move to a less intrusive prompt and have the learner master the skill at that prompt level, steadily moving towards independence. This can actually encourage prompt dependence because the learner remains on the same prompt level for too long.

Instead, you should try to quickly move up the prompt hierarchy in a way that makes sense for the skill you are trying to teach. Below are some tips to help you help your learners achieve independence.

  • Follow the rule of three: Whether you are teaching with discrete trials or in the natural environment, once your learner has successfully responded to a demand three times consecutively, move to a less intrusive prompt.
  • If you are taking data, make a notation of what prompt level you are using at each step. (And remember, that only independent responses should be counted towards the learner’s percentage of correct responses.)
  • At the end of a session or group of trials, note what prompt level you were at by the end of the session. Then start at that level during the next session.
  • If your learner does not respond correctly when you move to a less intrusive prompt, then move back to the most recent prompt level. Once they respond again correctly at that prompt level three times consecutively, move again to a less restrictive prompt.
  • Remember that verbal prompts are very difficult to fade. Though they are less intrusive, you should avoid using them when possible.
  • You can pair prompts and then fade out the more intrusive prompts. For example, with the sample of pulling up pants described above, you can pair a visual prompt with a gestural prompt by showing the symbol for pulling up pants while pointing at the pants. Over time, you stop using the symbol and just use the gestural prompt. The gestural prompt can be faded by moving your point further and further away from the pants.
  • Write down what the prompt levels will look like for the specific task you are teaching. This way you will be fully prepared to quickly move your learner towards independence.
  • Differentiate your reinforcement! If you move to a less intrusive prompt and the learner responds correctly, then you should immediately provide a stronger reinforcer than you did for previous responses. If a learner spontaneously responds without a prompt, you should do what I call “throwing them a party” by combining reinforcers (such as tickles and high fives) or providing a highly desirable reinforcer.

Prompting can be very difficult to do well, but following these tips should help set your learner on the path to independence.

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: Clue Cards – 5 games in one to teach socioemotional skills

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Clue Cards teaches students how to interpret social situations, read facial expressions, and understand metaphorical forms of speech. This week, you can save 15%* on Clue Cards – just enter promo code CLUECARDS when you check out online! Play 5 different games to teach inferencing, faces and feelings, body language, exploring Wh- questions, and a variety of common idioms!

Therapists, teachers and parents can uses the cards and games included in this set to help students perceive and understand the details of social presentation. Because the cards are flexible and adaptable, they can be used with both younger and older children, with mild or sever socioemotional difficulties. There are instructions for 5 different games along with 100 reward chips, targeted for players ages 6–16.

  1. Get a Clue: Players find “clues” in social situations and make inferences based on those clues (15 Social Situation Cards).
  2. Faces and Feelings: Link expressions with associated emotions (20 Feeling Cards, 20 Faces Cards).
  3. Body Language: Matching photos and captions, children explore body language for clues about thoughts and feelings (24 Photo Cards, 24 Caption Cards).
  4. The 5 W’s: Analyze 10 social scenes by asking “who-what-where-when-why” questions (10 Social Scene Cards, 1 Spinner).
  5. In Other Words: Learn the idioms and proverbs that often pop up in social conversation (30 Idiom Cards, 30 Idiom Definition Cards, 26 Proverb Cards, 26 Proverb Definition Cards).

*Offer lasts through March 1, 2016 at 11:59 PM EST. Be sure there are no spaces or dashes in your code CLUECARDS at check-out! Not valid on past purchases.

Pick of the Week: ABA Curriculum for the Common Core Books for Kindergarten & 1st Grade

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Use the principles of Applied Behavior Analysis in this groundbreaking curriculum to teach the Common Core state standards in special education classrooms. Available in Kindergarten and First Grade, the ABA Curriculum for the Common Core drills down into each standard and breaks it into teachable steps. This week, SAVE 15% on the ABA Curriculum for the Common Core books for Kindergarten and First Grade. Use promo code KINDERFIRST when you check-out online or over the phone: (800) 853-1057.

Programs are presented in a format that supports data collection and ease of use. Clear teaching instructions detail the Teaching Procedure, Discriminative Stimulus, and the Materials needed for each lesson or activity. Each standard also list several targets that demonstrate the steps and goalposts needed for mastery.

What professionals have said…

“This highly organized and comprehensive curriculum is a must for all special education teachers working to implement the Common Core standards in the classroom. Every teacher and student need is anticipated and planned for. With this curriculum as a resource, the Common Core standards are no longer an obstacle, but instead an accessible program of study for all students.” — Linda McSorley, Special Education Teacher

“ABA Curriculum for the Common Core is bound to be the type of reference book every special educator will be reaching for. With its comprehensive, accessible, and task-analyzed programs, ABA strategies, and data collection sheets, Sam Blanco has created a compilation dream for all educators working with children who have special needs.” — Val Demiri, PhD, BCBA-D, Adjunct Professor, Endicott College

“Different Roads to Learning and Sam Blanco have developed the first of its kind: a user-friendly manual and kit of appropriate curriculum with materials for special needs students that aligns with the Common Core. The manual includes prepared data sheets and easy-to-read curriculum sheets. …  In addition, the focus of the skills targeted are prerequisites for lifelong skills the student will need throughout their education and beyond. Utilizing the principles of applied behavior analysis, teachers will be able to use motivation and reinforcement techniques to enhance student learning.” — Cheryl Davis, Educational and Behavioral Consultant, MSEd, BCBA

Don’t forget to use our promo code KINDERFIRST to redeem your savings this week only on the ABA Curriculum for the Common Core books!

*Offer expires at 11:59pm EST on February 23, 2016. Promotion does not apply to past purchases. Be sure there are no spaces or dashes in your code KINDERFIRST at checkout! Call our friendly customer service team at (800) 853-1057 with any inquiries.

Pick of the Week: Wh- Question ConversaCards

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Encourage discussion and critical thinking in students with these decks of Wh- Question ConversaCards. This week, you can also save 15%* on your order of any or all of these sets. Just use promo code WHCARDS when you check out online or over the phone!

Covering 6 different topics – Where Does It Go, What Happened, What Comes Next, What Do You Do With It, What Do You Need, and What Do You Like – each set comes with 54 cards and a Resource Guide containing helpful strategies and suggestions for prompts. Learning to respond to “what” and “where” questions is the foundation of conversation and expressive language. These flashcards can be used to teach sequencing, storytelling and logical thinking for a wide range of ability levels!

Don’t forget to use our promo code WHCARDS to take 15% off* when you order your set(s) of Wh- Question ConversaCards this week!

*Offer is valid through February 16, 2016. Be sure there are no spaces or dashes in your code WHCARDS at check-out! Call our customer service team at (800) 853-1057 with inquiries.