Tip of the Week: Use Technology to Promote Social Interactions Between You and Your Child

Last month I had the privilege to speak in New Jersey at the 2014 Statewide Conference for Fathers of Children with Special Needs. I love the opportunity to speak with parents, and this conference allowed for lots of small group discussion that centered on the individual needs of each of the families represented there.

My focus was on utilizing technology, and one of the fathers said, “You know, I see what you’re saying about how I can use the iPad to increase social interaction, but my son won’t do that with me. When I try to work with him on the iPad, he just wants to go to Temple Run. He won’t play with it the same way he does with his teachers.” This question highlights the differences between the home environment and other environments. This is a common problem that parents face, not because they’re doing anything wrong, but because they have a different relationship with the child than the teachers do.

Go back to when you were in middle school. Imagine that you’re at home with your parents, you’re in your room engaged in one of your favorite activities, and your mother comes in and says, “Let’s watch a movie about how the solar system was created.” It is highly unlikely that you are going to leap at that opportunity. At home, you like to have your own space and free time, you have lots of choices for what you can do, and there are options that are more motivating than watching that movie.

Now think of the exact same situation, except you’re in your middle school science classroom and the teacher says, “Let’s watch a movie about how the solar system was created.” You never get to watch movies in that science class, you usually have to take notes and worry about when the teacher might call on you to answer a difficult question. It is much more likely that you are going to want to watch a movie in this scenario. Compared to the options you usually have during science class, watching this movie is highly motivating.

The same thing happens at home when you try to introduce an educational or challenging activity, and for learners with special needs, an activity we think of as fun may in fact be highly challenging. It’s important to acknowledge that parents are working with the child in a different environment so that we can create strategies that are feasible for creating success in the home. There are some things you can do to make it a bit easier on yourself when introducing iPad or tablet activities.

My biggest tip is to offer choices. For example, instead of saying “Let’s play on the iPad,” say, “Do you want to play Animal Race on the iPad or go outside and jump on the trampoline together?” This way, you’re labeling a specific app instead of providing free access and you’re creating an opportunity for interaction no matter what the child chooses.

My second tip is to utilize built-in accessibility tools. Use Guided Access to lock the app. This way, the choice really is to just play that app or select the other option presented. If the child selects the other option, that’s fine! You can let them know when they have free time on the iPad and when they only have the option of playing with a particular app. You can also limit the amount of time they play quite easily by going to your “Clock” app on the iPad or iPhone. Look at the menu of ringtones, scroll down to the bottom and select “Stop Playing.” Set the time, and when time is up, whatever app your child is playing with will automatically close. If you have a passcode set for your phone, then the passcode has to be typed in before access to the app is available again.

Some learners also respond very well to visual cues to signal when they have free time on the iPad versus structured time. This can be accomplished by changing the color of the iPad cover (my students know that the “orange iPad” is for structured time) or by placing a reusable sticker on the edge of the screen.

My final tip is to consider motivation. There are apps out there that I think are great, but I have to start with what my particular learner will be interested in and build from there. Find apps that have a characteristic that should appeal to your learner, such as specific cartoon characters, animals, or music.

Using these simple tips can provide some success in using technology to promote social interaction between you and your child, or between your child and his/her siblings and peers. If you’ve used other strategies successfully, please share them with us on Facebook.

Tip of the Week: Teaching Language—Focus on the Stage, Not the Age

Teaching language skills is one of the most frequent needs for children with autism, but also one of the most misunderstood skillsets amongst both parents and practitioners. The desire to hear your learner speak in full sentences can be overwhelming, making it especially difficult to take a step back and consider what it means to communicate and how communication skills develop in neurotypical children. Many times we get hung up on what a child should be capable of communicating at a certain age, rather than focusing on what they are capable of communicating at this stage of development.

Many practitioners and curricula utilize Brown’s Stages of Language Development.* Brown described the first five stages of language development in terms of the child’s “mean length of utterance” (or MLU) as well as the structure of their utterances.


From aacinstitute.org

Sometimes it is necessary to compare a child to his or her same-age peers in order to receive services or measure progress, but it can be detrimental to focus on what a child should be doing at a specific age instead of supporting them and reinforcing them for progress within their current stage.

Research has suggested that teaching beyond the child’s current stage results in errors, lack of comprehension, and difficulty with retention. Here are some common errors you may have witnessed:

  • The child learns the phrase “I want _____ please.” This phrase is fine for “I want juice, please” or “I want Brobee, please,” but it loses meaning when overgeneralized to “I want jump, please” or “I want play, please.” It’s better to allow your learner to acquire hundreds of 1-2 word mands (or requests) before expecting them to speak in simple noun+verb mands.
  • The child learns to imitate only when the word “say” is used. Then the child makes statements such as “say how are you today,” as a greeting or “say I’m sorry,” when they bump into someone accidentally. Here, the child clearly has some understanding of when the phrases should be used without understanding the meanings of the individual words within each phrase.
  • The child learns easily overgeneralized words such as “more.” This is useful at times, but the child can start using it for everything. Instead of saying “cookie” he’ll say “more.” Instead of saying “train,” he’ll say “more.” And he may say “more” when the desired item is not present, leaving the caregiver frustrated as he/she tries to guess what the child is requesting. Moreover, as language begins to develop, he may misuse it by saying things such as “more up, please.”
  • The child learns to say “Hello, how are you today?” upon seeing a person entering a room. A child comes into the classroom and the learner looks up, says “Hello, how are you today?” The child responds, “Great! Look at the cool sticker I got!” Your learner then doesn’t respond at all, or may say “fine,” as he has practiced conversations of greeting.

These are only a few of the common language errors you may see. While you may want your learner to speak in longer sentences, your goal should be to have them communicate effectively. With this goal in mind, it becomes essential to support them at their current stage, which means it’s essential to assess them and understand how to help them make progress.

This is why I always use the VB-MAPP to assess each child and make decisions about language instruction. I need to have a full understanding of how the learner is using language, and then move them through each stage in a clear progression. I may want the child to say “Hello, how are you today?” But when I teach them that, do they understand those individual words? Do they comprehend what today means as opposed to yesterday or tomorrow? Do they generalize the use of “how” to other questions?

As you make treatment decisions for your learner, think about their current stage and talk about how to support your child with both a Speech Language Pathologist and an ABA therapist.

*Brown, R. (1973). A first language: The early stages. London: George Allen & Unwin Ltd.

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.

Simplifying the Science: Using Evidenced-Based Practices to Increase Food Variety for Children with Autism

An essential part of ABA is providing evidence-based treatment. Research is consistently being done all around the world to determine best practices for working with learners with autism, as well as addressing many issues outside of the realm of special education. This week, we’re pleased to introduce the first in a new month series: Simplifying the Science. In this feature, BCBA Sam Blanco will highlight one paper from the world of research to help provide you with a deeper resource base. She’ll delve into the study and offer some strategies on how the findings apply to your programming needs. Our hope is that these monthly tips will shed a different light for you on the importance of looking to research for guidance.

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When faced with feeding issues, many parents or caregivers may not consider seeking out help from a BCBA or behavior analyst. There is a tendency to associate ABA with sitting at a table and completing discrete trials, but this is only one tool in a behavior analyst’s extensive toolkit. Whether you are providing intervention for feeding issues or seeking more information, it is essential to look to scientific research for help.

There are several studies available about feeding issues, and many of these studies are specific to feeding issues in individuals with autism. One such study was published in 2010 in the Journal of Applied Behavior Analysis (JABA) by Hildur Valdimarsdóttir, Lilja Ýr Halldórsdóttir, and Zuilma Gabriela SigurÐardóttir. “Increasing the Variety of Foods Consumed by a Picky Eater: Generalization of Effects Across Caregivers and Settings” provides one detailed case in which a five-year-old boy with autism refused to eat anything beyond meatballs, fishballs, fruits, and cereal. While his school had had some success with getting him to eat a few new items, the boy’s parents were unable to reproduce the same results at home.

The intervention the researchers used involved multiple steps that would require the assistance of a BCBA or skilled behavior analyst if you wanted to replicate it at home. In order to increase the number of foods this boy ate, the intervention included several behavioral techniques such as escape extinction (not allowing the child to escape mealtime upon refusing to eat or engaging in inappropriate behavior), stimulus fading (setting goals of increasing difficulty), and a schedule of reinforcement (frequency of reinforcement for appropriate behavior) that was systematically thinned as the child experienced success. By the end of the intervention, the boy was consuming 39 new, “non-preferred” foods, including 14 vegetables.

You can read the research study here, which I recommend you share with your child’s ABA provider. I also suggest taking a peek at the references listed at the end for insight into other resources. This particular study is of a five-year-old boy with autism, but you may find studies that are more relevant for your particular child.

In the end, when you’re feeling at a loss for strategies on improving your child’s eating, there is a lot of research out there. It takes time to go through it and set up a similar system for your own child, but the end result can have a huge impact on your child’s health as well as the stress-level in your home during mealtimes. It is definitely worth the effort to attain more information.

Written by Sam Blanco, 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.

Tip of the Week: Teaching Money Skills to Students with Autism in Natural Social Situations

Recently I took a thirteen-year-old boy with autism grocery shopping for the first time. We had practiced all of the steps for paying: looking at the total on the register, taking out the necessary bills or coins, waiting for change, making sure we had correct change, returning the money to the wallet, etc. While I thought he was ready to do this in a natural environment, I did not expect what actually happened.

Standing at the counter with a line of people impatiently waiting behind us, my student dumped all the change from his wallet on the counter and slowly began counting out the exact amount. I could hear other store patrons grumbling behind us when my student finally finished paying, then dropped coins all over the floor, and swept his remaining money back into his wallet.

The concern here is that some of the behaviors associated with autism can place an individual in danger if misunderstood by a cashier or store patron. My student appeared to be oblivious to the frustration of the people around him, offering no apology or explanation. There are many resources out there for teaching children with autism about identifying coins, counting out exact change, etc. But it’s essential that we think beyond the fundamentals of managing money to the more complex skills of managing the social situations that arise during money transactions on a daily basis.

Here are some social skills related to money to practice with your students:

  • Keep your wallet in your hand, do not lay it on the counter.
  • Look for the total on the register. If there is not a place to see the total, ask for it after all the items have been rung up.
  • Put the money in the cashier’s hand.
  • Put your hand out to receive change.
  • Once you have completed payment, make sure your wallet is securely back in your pocket or bag.
  • Understand how to respond if a cashier asks “Do you have exact change?” or “Do you have a smaller bill?” or any variation of those questions.
  • Pay with speed.
  • Understand how to ask to put an item back if you do not have enough money.
  • Know basic scripts for what to say in challenging situations, such as if you accidentally bump into someone with your shopping basket or you are taking a long time and another patron says something rude about it.

My takeaway from this experience was that I needed to provide practice in the natural environment much sooner than I had thought. I must consider the fact that we simply can’t contrive the broad range of possible interactions with strangers in a home or classroom setting. My students require dozens, if not hundreds, of opportunities to practice a skill before mastering it, and generalization is frequently challenging, so presenting them with a variety of natural environment experiences is important. I also must recognize that a student’s behavior will often vary from one environment to another, so the sooner I know what he or she is doing in the natural environment, the sooner I can implement meaningful instruction and intervention to address any problems. Finally, because ABA providers and teachers have more limited access to the natural environment than parents and caregivers, we should provide specific goals and teaching strategies to help them practice with the learner when we’re not present.

Tip of the Week: 5 Ways to Structure the Summer for Children with Autism

As the school year comes to a close, it can be quite challenging to figure out how to fill all those summer hours for any child. But if your child has autism, the challenge to provide structure can prove especially difficult. Below are a few tips to assist you in that endeavor.

Create and communicate a new routine. Introducing a new routine can be valuable in easing the transition from full days at school to full days at home. You can set the new routine to be as flexible as necessary to meet the needs of the entire family. It may start very similarly to the school day routine: getting up, eating breakfast, brushing teeth, etc. You may then include specific times of the day for outdoor play, eating lunch, going with a babysitter, or playing on the computer. Think about the activities and toys that your learner enjoys the most and provide access to them as part of the routine. Providing visual cues such as activity schedules or to-do lists can also be beneficial.

Provide social opportunities whenever possible.  In the summer months, it’s quite possible that your learner will have much less interaction with peers. You can ask the school if there are any students who might be a good play date match for your learner. You can also look into day camps, summer sports activities, or board game nights. Think about what is highly motivating for your learner and consider possibilities for related activities that could involve peer interaction.

Look at potential camps.  There are many camps available for learners with special needs. If you’re unsure about camps in your area, ask the professionals who work with your child if they are aware of camps. You can also click here to see camps for children with autism.

Provide a summer calendar.  This calendar can be created based on your learner’s current skill level. For example, with some learners, you may just have pictures showing different activities (such as a picture of a nearby water park you’re visiting in July or a picture of your learner’s grandparents if they’re visiting one weekend). With other learners, you can have a written calendar, or even have them help create the summer calendar. Each day, the learner can refer to it and anticipate what activities and events are coming up.

Set one or two goals.  Summer may prove to be the perfect time to set goals around daily living skills that can be practiced without the rush of trying to meet the school bus. Chores such as making the bed or packing a school lunch can be taught with the goal of promoting independence and continuing those skills once the new school year begins.

Remember to consider what works best for your entire family as you plan for the summer. The goal is to create opportunities for a more relaxing home environment for everybody.

Tips for Traveling with Kids with Autism

Taking any long trip when you have a child with autism can be daunting, especially when it involves long periods of time in the car or on an airplane. Below are a few tips for reducing stress during travel time.

  • Create a visual or textual schedule for your child.  Because trips don’t always go as planned (e.g. planes are delayed, you get caught in traffic), it’s probably not a good idea to list specific times that activities will be occurring. But it is helpful to show the order in which they will be happening.
  • Prepare your child for potential problems.  If possible, talk about coping methods ahead of time and practice them if possible. What can you do if you’re stuck in traffic that isn’t moving? What are your choices if we experience turbulence on the plane?
  • Provide information for your child.  Show photos, books, maps, etc. of the locations you’ll be traveling to. You can also read books or show photos of activities you’ll be participating in, such as swimming or skiing.
  • If possible, pack more than one activity bag.  Bags filled with a few favorite activites or small toys can be useful for keeping kids entertained on trips. For long trips, your child may get bored with items in an activity bag. It’s useful to keep a second one stashed in a suitcase or other bag if you’ll be on a very long flight or car ride. It can also be useful to have a separate activity bag for the return trip if you know your child may lose interest in the first one.
  • Provide options when possible.  Access to choices can go a long way in keeping kids calm. Choices can include what videos to watch, snacks to eat, etc.
  • Check in advance with guest services at hotels, resorts, or theme parks.  Ask what modifications and accessibility options they may offer. Many places offer special accommodations and are open to any unique requests you may have.
  • Prepare in advance for any sensory concerns.  Bring noise-cancelling headphones, ear plugs, fidgets, etc. to have available, as needed.

Remember that long trips are difficult for all children, and many of the tips listed above are beneficial for siblings who do not have special needs.

Teaching Functional Living Skills to Children with Autism at the Grocery Store

We hear over and over again how children with autism may need hundreds or even thousands of opportunities to practice a skill before acquiring it. It’s important to keep this fact in mind when it comes to functional living skills (e.g. making the bed, cooking a meal, etc.). Many of the parents I work with prefer to focus on academic skills rather than functional living skills. Some feel that by focusing on functional living skills, they’re giving up on larger goals for their child, such as being placed in a general education environment, having the opportunity to go to college, and/or having the opportunity to have a career.

I always encourage parents to focus on both academic and functional living skills. While it may seem unnecessary to start thinking about teaching a nine year old how to grocery shop, it’s really just providing them with many, many opportunities to practice the skill. Typically developing children “practice” grocery shopping from a young age by watching their parents and playing “store” with friends, but children with autism are unlikely to observe their parents while they’re shopping or to play such games as “store” without explicit instruction. By practicing the skill with your child early on, you’re promoting future independence.

You can practice these skills when you are in the grocery store with your child, and you may just find that your child enjoys shopping. (Grocery shopping is a favorite activity for two of my current students.) It may be beneficial for you to just start out with one skill, choosing the one you think your child is the most likely to experience success with or that your child will be the most motivated by.

 BEGINNER SKILLS
  • Choosing if you need a cart or a basket (Is our list long or short? Do we have big or small items?)
  • Using a grocery list (reading the list, crossing off items already placed in cart/basket)
  • Using supermarket signs to find items (understanding categories, knowing where to look for signs)
  • Greeting cashier
 INTERMEDIATE SKILLS
  • Choosing good fruit or vegetables (looking for bruises, identifying ripeness)
  • Giving money to cashier
  • Accepting change from cashier
  • Taking bags when it’s time to leave
 ADVANCED SKILLS
  • Comparison shopping (looking at unit price, comparing prices of two brands)
  • Making sure you received correct change
  • Returning an item that is damaged

You shouldn’t limit these skills to just the grocery store either. All of these skills are useful in department stores, pharmacies, book stores, and more. Your child may be more motivated to use these skills at the book store or a toy store. You can help your child learn the skills there, then generalize them to other types of stores.

If you need help getting started, you should ask your child’s teacher or therapist to accompany you on your first trip. They can help you identify the appropriate steps to put your child on the path to independence.

Tip of the Week: School Placement Checklist for Students with Autism

This time of year many parents are researching and visiting schools, trying to find a school placement that makes sense for their child. Here in New York City, parents have many options, while parents living in other places may be presented with very few options. In both situations, finding the right school placement to meet your child’s unique needs can feel impossible.

Over the years, I have visited many potential school placements with the families I’ve worked with. I’ve generated the list of questions below to help those families have more productive, focused, and useful school visits. I recommend that you read through the questions, then prioritize them before making school visits.

Teacher and children sitting on floors with hands raised

The Classroom Environment

  1. How many children are in the classroom?
  2. How many staff are in the classroom? Will your child have enough support as mandated by his/her IEP?
  3. Where is the classroom located? Does it require your child to walk up and down many stairs? Is it too close or too far from an exit? Is it isolated from the rest of the building?
  4. Is the classroom large enough for all students and staff to move safely and comfortably? Is the furniture appropriate for your child’s size?
  5. Does the classroom environment and structure fit the needs of your child?
  6. Are all students engaged in productive work?
  7. Are maladaptive behaviors appropriately addressed?
  8. If your child will be in a Collaborative Team Teaching class, what is the ratio of general education students to special education students?
  9. What academic supports are available in the classroom? Computers? Class library? Centers?
  10. What is the age range of students in the class? Does is span more than three years?
  11. Does the level of academic functioning within the classroom match your child’s needs?
  12. Does the level of language functioning within the classroom match your child’s needs?
  13. Do the behavior management needs of the classroom match your child’s needs?
  14. Do any students have 1:1 paraprofessionals to meet their needs as mandated by an IEP?

Academics

  1. What curriculum does the school use?
  2. Is there a specific teaching methodology used within the classroom? If so, what type of training do the teachers receive in that methodology?
  3. Will the teacher need to modify the curriculum in order to meet your child’s needs? If so, what supports will be in place to help him/her modify it appropriately?
  4. How often are student “mainstreamed” into the general education population? What is the school’s typical process for this?
  5. What typically happens to special education students after aging out of the school? What high schools or colleges do they go to? Do they secure jobs?

Related Services (Speech, OT, PT, Counseling)

  1. Are related services provided through pull out, push in, or a combination of both?
  2. Are related service providers assigned to the class on a regular basis?
  3. Do related service providers have enough time in their schedule to meet your child’s mandate?
  4. How are parents notified if sessions are missed or if special concerns arise during sessions?
  5. Are missed sessions made up?
  6. Does the school apply a set level of mandated services for each class?

Transportation

  1. How close is the school to my home?
  2. Is bus service available? If so, will it be provided by a mini-bus or a large yellow school bus? How long will my child have to spend on the bus? How many students will be on the bus? Is my child the first or last to be picked up or dropped of? Does the bus schedule interfere with my child’s medication schedule? Who will be responsible for taking my child off the bus in the morning and putting him/her on the bus in the afternoon?
  3. Where will my child line up at school in the morning and at dismissal? What is the staff/student ratio for supervision during those transitions?

Preschool children working together on puzzle. Image shot 2009. Exact date unknown.

Interaction with Peers in General Education/Shared Spaces

  1. What age range is represented within the entire school? Is it appropriate for your child?
  2. What opportunities are there for your child to interact with the general education population within the school (field trips, field day, extracurricular activities, etc.)? How often do these opportunities occur?
  3. Are there any social skills or extracurricular programs in which general education students come into your child’s classroom or special education students go into a general education classroom?
  4. How many children will be in the cafeteria while my child is eating there? What is the staff/student ratio of the cafeteria during that time? What age range will be sharing the cafeteria with my child?
  5. What extracurricular subjects will your child receive? Will these be offered in his/her classroom? Will your child need to travel to a separate classroom? Will extracurricular subjects be provided within the same class, or will my child be included with general education peers?
  6. Do students go on field trips? What class field trips have the students recently been on? Do students travel by bus? Are parents able to attend field trips? What is the child/teacher ratio on field trips? Will field trips be provided within the same class, or will my child be included with general education peers? How often do field trips occur?

Communication with the School

  1. What is the application process like? Any important deadlines? Online or paper application?
  2. How will the school stay in contact with me? Daily notebook? Emails?

Ready Set Play! Strategies for Modifying Games

In continuing our celebration of Autism Awareness Month, we’d like to share with you another article from our very own Sam Blanco, BCBA on how to modify games for learners with autism.  Sam focuses on helping educators and parents understand how to thoughtfully integrate games, toys, and technology for students with autism and other developmental delays, and here she presents a few simple, yet effective, ways of adapting every day games and toys to meet the needs to students on the spectrum.

Ready Set Play! Strategies for Modifying Games
by Sam Blanco, BCBA

Choosing games for learners with autism can be quite challenging, especially when your goal is to provide social opportunities through playing games with peers or siblings. Sometimes you find a game that you think your learner will find highly motivated, only to discover there are aspects of the game that make your learner lose interest quickly. Here are a few tips to help modify games to meet the needs of your individual learner.

One of the easiest and best modifications you can make is to shorten the duration of an activity. Most of the games and activities you will find on this website take 10-15 minutes. For longer activities, I will set a timer and let the learner know that the game will last for 10 minutes (or less, depending on the learner) or allow the learner to choose the duration of the game. Also, though it may feel unnatural, (especially if your learner is engaging with you when he/she rarely does) I try to end the activity when the learner’s interest is at its peak. This will make the learner more likely to request or be interested in the activity in the future.

If the game is too difficult for the learner, you can do some of the steps for your learner. For example, for some of my early learners, I will complete one or more steps in the game Roll & Play. Some of my learners struggle with grasping the cards between their index finger and thumb. I can pick up the card for them, and then continue with the game. This allows us to maintain a quick pace in the game, maintain the learner’s interest, and continue the focus on the skills presented in the game. It’s important to remember that just because you are completing some of the steps, it does not make the game less valuable. Usually, I am practicing grasping objects in other activities and will eventually introduce it into the game, but I want to maintain focus on only 1 to 2 skills when I am teaching through games. Otherwise, the game can become very slow and less motivating for the learner.

Another easy modification is to simply remove some parts of the gameS’Match is a fantastic memory game that helps learners match items based on three components: shape, color, and number. For some learners, I remove the spinner so that I can introduce the game with just two components. I’ll either verbally tell the learner “This time, we’re matching by color,” or I’ll have a textual cue. This way, I can focus on the skills of matching, while making the game easier for learners who might struggle with the skill of remembering three different components of each picture in the memory game. Once my learner has mastered the game with matching by two components, I introduce the spinner and matching along all three components. (There are also games I play with my learners that just involve the spinner, which you can find here.)

Increase your expectations as quickly as possible. For each of my learners, I typically have two categories of games: Emerging and Mastered. With emerging games, the learner still requires modifications, but I am trying to fade those modifications and increase expectations as quickly as possible while still maintaining the learner’s interest and motivation to play the game. With mastered games, the learner is able to play the game as designed with peers or siblings and I can focus on social goals instead of game-related goals.

Games provide a wide array of opportunities to teach academic, non-cognitive, and social skills. Modifications such as those listed above can open up these opportunities for your learner in age-appropriate and fun ways.

Sam Blanco is a Board Certified Behavior Analyst and 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, by organizing resources in an easy-to-use way that also directly connects to data collection and increasing progress in learners with autism. She is the lead contractor for Theatre Development Fund’s Autism Theatre Initiative, working to modify Broadway shows such as The Lion King and Spiderman. She also provides workshops for professionals and parents about assessment, managing difficult behaviors, verbal behavior, and using games and technology effectively in teaching practices. You can follow Sam on Twitter: @SamBlancoBCBA.

Tip of the Week: Choose When to Battle

Instead of choosing your battles, choose when to battle.

Recently at a workshop I was providing, a parent shared a difficult behavior that her 8 year old son with autism was exhibiting. When it was time to play with trains, he wanted a specific train. He would scream and cry until his mom found the specific train he wanted, and sometimes she was unable to find it at all. The screaming often lasted 30-60 minutes. She said this frequent behavior was stressful for both her, her son, and her other two children.

My suggestion to her was to tell her son “wait quietly,” and that she not search for the train while he was screaming or crying. As long as he was quiet, she would search, but when he started screaming or crying she would stop searching. We talked about the importance of just asking one time to “wait quietly,” and whether or not her son would benefit from a textual prompt (such as a paper that said “Wait quietly. I’m looking.”) As we discussed this, the parent said, “I just know I can’t do that all the time. I have to pick my battles.”

It’s important to note here that I have very different expectations for teachers and parents when it comes to implementing interventions. A teacher’s sole purpose when they’re with your child is to teach in a way to meet their unique needs. Teachers should be implementing an intervention 100% of the time.

Parents, on the other hand, are in a very different situation. Parents are frequently trying to implement the intervention while also cooking dinner, answering the phone, taking care of other children, etc. Unless the intervention is addressing a dangerous behavior, I don’t expect parents to be implementing the intervention 100% of the time. It’s unrealistic given the different environment the parent is working within.

But I’m not letting parents off the hook! Let’s go back to the example from the workshop.

My response to this parent was that picking your battles doesn’t necessarily mean choosing to address other, less stressful behaviors instead of this behavior. Instead of picking your battles, think of it as picking when to battle. For this parent, she would direct her son to “Wait quietly” when she knew she was ready to implement the intervention. When she knew she wouldn’t be able to implement the intervention (because she was excessively tired or she had the other two siblings with her and no other adult support) she would not say “Wait quietly.”

This may seem a bit silly at first, but over time, the child learns that when mom says “Wait quietly,” she means it. I also suggested that the first time she tries it, she should set herself up for success. Have her mother babysit the other two children, have a therapist or teacher come provide support or coaching if possible, and make sure she has enough time to follow through on implementing the intervention successfully the first time. While it takes some time and planning, the long term benefits can be powerful for the whole family.

I do not know if this particular parent tried out any of my suggestions after the workshop, but I have used this strategy with many other parents over the years. Two things tend to happen. One: the child figures out the parent means what he/she says. Two: As the child learns this and the parent experiences success, the parent uses the intervention more frequently creating a calmer, less stressful environment for both parents and children.


Sam Blanco, PhD, LBA, BCBA is an ABA provider for students ages 3-15 in NYC. Working in education for sixteen years with students with Autism Spectrum Disorders and other developmental delays, Sam utilizes strategies for achieving a multitude of academic, behavior, and social goals. She is also an assistant professor in the ABA program at The Sage Colleges, and she is the Senior Clinical Strategist at Chorus Software Solutions.