Regulating Sleep in Children with Autism

Posted on by

With the new school year in session, it’s especially important to regulate sleep in students. In this month’s ASAT feature, Lauren Schnell, MA, BCBA, offers insight on a variety of approaches parents can take to address sleep disturbances in their kids with autism. 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!

I am a home program coordinator who works with a six-year old child diagnosed with autism. The parents are concerned because their child struggles at bedtime and will often wake up in the middle of the night to come into their room. The parents want their child to stay asleep and have tried everything to get him to stay in bed all night. What can I suggest they do to treat their child’s sleep behavior?

Answered by Lauren Schnell, MA, BCBA

Sleep disturbances in children with autism are a common concern for many parents. It has been estimated that approximately 25% of typical children between the ages of one and four struggle with nighttime wakings (Lozoff, Wolf, & Davis, 1985). For children with special needs, the number increases dramatically with upwards of 80% experiencing some type of sleep problems (Lamberg, 1994). Of those who frequently wake at night, the majority end up sleeping in their parent’s bed and the sleep problems often persist over time.

 

The good news is there are a variety of behavior analytic approaches found to be effective in addressing sleep disturbances in children with autism. An underlying premise of these approaches is that poor sleep patterns are learned, and, as such, can be unlearned.

Prior to implementing a behavioral sleep program, it is important to first rule out any medical reasons for the sleep disturbance, such as physical discomfort related to an illness. Discussions with a pediatrician should help to determine if the sleep issues may be associated with an underlying medical issue and if further testing or evaluation is warranted.

If the sleep issues are thought to be behavioral, the first step is to complete a sleep log to determine the extent of the problem and potential environmental factors that may be adversely affecting the child’s sleep. A sleep log outlines the time the individual is put into bed, the actual time he/she falls asleep, frequency of night wakings, and the duration of those awakenings. Additional information may be collected on any other behaviors which are observed during bedtime, such as tantrums during the bedtime routine or disruptive behavior during the night. Baseline data collection should continue until a consistent pattern of sleep (or lack thereof) or challenging behavior is apparent. This information can later be used to assess the effectiveness of the sleep intervention.

Some questions which may be helpful for parents in completing the sleep log are:

  • What time does the child go to bed?
  • What does the child do leading up to bedtime?
  • What else is going on in the home while the child is in bed which could be influencing his/her sleep?
  • What activities does the child engage in prior to falling asleep?
  • What time does the child awaken during the night as well as in the morning?
  • Does the child take naps during the day?

Based upon the results of the baseline data collected in the sleep log, a number of interventions may be considered. Below are several practical strategies which may be helpful to improve the sleep behavior of the child with autism.

Bedtime Routines
A bedtime routine can be helpful for the child, as it creates predictability in the sequence of activities leading up to bedtime. A written or visual schedule may be helpful in ensuring the routine is consistently followed. The schedule should outline activities preceding bedtime; for example, brushing teeth, changing into pajamas, saying goodnight to loved ones, and reading a bedtime story. The routine should begin at least 30-60 minutes prior to bed time. It is also recommended that parents eliminate all foods and drinks containing caffeine at least six hours prior to bed, and avoid rigorous activities during the later evening hours.

Initially, the child may need a high rate of positive reinforcement for following the routine. Eventually, the parent may consider providing the child with positive reinforcement the following morning if he/she successfully follows the nighttime activity schedule and remains in bed throughout the night. Such reinforcement might include earning access to a favorite breakfast cereal, a toy, or getting a sticker to put on a special chart upon waking (Mindell & Durand, 1993). Continue reading →

Pick of the Week: Sensory Tools for Staying Calm And Focused

Posted on by

Maintaining calm and focus can be a challenge in a busy classroom. Our solution? Help reduce fidgeting and reward good behaviors with these sensory tools for staying calm and focused: the Fidgets Kit and Reinforcer Kit. For this week’s Pick Of The Week, save 20% on these items by using promo code FOCUS20 at checkout.

DRK_315_Fidgets_Kit

Fidget toys can be a great and socially acceptable management tool for stereotypical or repetitive behavior in the classroom or community that may be distracting to classmates. While there are many reasons for fidgeting, including sensory overload, boredom, frustration, or anything in between, the good thing is that it can be easily managed. Some students find the repetitive action of “fidgeting” to be calming; thus, they are then better able to focus on the task at hand. Created in conjunction with our behavioral consultant Stacy Asay, LMSW, our Fidgets Kit includes an array of tools that provide a variety of sensory experiences: stretchy, chewy, spiky, twisty, bumpy, twisty, clicky, bouncy and smooshy!

DRP_575_Reinforcer_Kit

Our Reinforcer Kit provides a selection of products that many children diagnosed with autism would not only want to play with but would be willing to “work for” during their one-on-one intervention. Although teachers can always use praise, food, candy and other toys, we think this bright and colorful kit of tools will help our families get a head-start on what to use for children wanting a favored object. The kit includes:

Spectra Spinner (battery operated)

Wooden Slide Whistle

Magic Mic (an Echo Microphone)

Magic Spring

Squishy Flashing Ball

Jelly Ring

Bubbles and more!

 

*Promotion is valid for one-time use through September 20,  2016. Offer cannot be applied to previous purchases, combined with any other others, transferred, refunded, or redeemed and/or exchanged or cash or credit. Different Roads to Learning reserves the right to change or cancel this promotion at any time. To redeem offer at differentroads.com, enter promo code FOCUS20 at checkout.

How To Have A Successful School Experience

Posted on by

Every parent wants their child to succeed in school. The definition of success may differ from parent to parent, but most would agree that they want their child to get good grades, demonstrate good behavior and make friends. These desires are no different for parents who have children with developmental disabilities. So, how do you know if your child is ready and are there ways to predict how well they will do? Tools like the Verbal Behavior Milestones Assessment and Placement Program (VB-MAPP), which is one of the primary assessment tools used at the Behavior Analysis Center for Autism (BACA), can assist parents and professionals alike in assessing their child’s skills and providing them with valuable information as to what areas they can support their child to increase the chances of them doing well in whatever educational setting they may enter.

How To Have A Successful School Experience

General skill deficits will likely determine the educational placement of your child, but may not be the biggest issue at hand.

Behavior problems and problems with instructional control can cause significant barriers to achievement with grades, developing friendships and avoiding expulsion. Learned prompt dependency may make developing independence and responsibility more difficult. Failure to generalize already existing knowledge across multiple examples, people and environments will require more teaching time and may manifest inconsistent performance on tests and classroom work. If your child likes very few things, seemingly peculiar things, or has strong motivation for some things, but is unwilling to work to attain them, it may make it more difficult to motivate them to learn material that is presented. If your child is reliant on getting something for responding every time in order for learning to occur, the teaching process will likely remain a tedious one and decrease the likelihood that they will be able to maintain those responses when those incentives are not provided as frequently. Many children with developmental disabilities will rely on providing themselves with reinforcement in the form of self-stimulation when such dense access to preferred items or activities is not provided.

Overall skill level will undoubtedly increase the odds that your child will be able to manage good grades. However, their ability to acquire new material quickly and then retain that information for later use may play a more critical role in their long term accomplishment. Adapting to change quickly or ‘going with the flow’ will be critical when faced with day to day schedule changes that occur in classrooms or other instructional environments. General independence with functional skills such as toileting, eating and managing their personal items such as backpacks, folders, etc., will decrease the amount of time their teachers may need to focus on teaching these skills and allow more time for teaching other critical skills.

All of these things taken together can seem daunting, even for parents of typically developing children. The good news is that there are things that every parent can do to help. Perfect parenting is unattainable, but valiant and consistent attempts with certain things can go a long way. Allowing your child to experience the consequences of their behavior can be tough, but is central to ensuring that they will behave well when it counts. Having your child try things on their own before helping them and then only helping them as much as needed to get the job done whenever possible will foster independence. Exposing your child to new or different things within fun activities can increase the things they are interested in. Those things can then be used to motivate them to learn. Setting up opportunities for them to experience even small changes, modeling a calm demeanor and praising them for doing the same when unexpected things happen can also help.

Your child’s teacher or other professionals like Board Certified Behavior Analysts can aid you in thinking of other ways to enhance what you are already doing and assist in developing an individualized treatment plan to support you and your child.

WRITTEN BY MELANY SHAMPO, MA, BCBA

Melany Shampo is a clinical director at the Behavior Analysis Center for Autism in Fishers, IN.

This post first appeared on Indy’s Special Child. 

Tip of the Week: Using Economy of Language in Your Teaching

Posted on by

Sometimes our learners don’t comply with instructions simply because they don’t fully understand what we are asking of them. At times, I find myself making the error of using too many words when I give directions, especially if I’m in a rush during a transition. For instance, I might say “Grab your shoes, put them on, and meet me by the door.” A few seconds later my learner meets me at the door, but with no shoes.

I may feel frustrated or irritated, but ultimately I realize my instructions are provided in a poor manner. I am at fault! It would have been more effective to point towards the shoes and say “Shoes on.” In his book Teach Like A Champion, Doug Lemov refers to this as Economy of Language, a phrase that essentially means the fewer words you use, the clearer your message. (It should be noted here that Teach Like A Champion is written for ALL teachers, not just special education teachers. This is a strategy that works across the board!) This is especially true when working with learners who struggle with listening comprehension, attention, or multi-step directions.

Here are a few suggestions to help you with economy of language:

Plan ahead. I actually write out instructions that I will be providing often and plan precisely how I will be giving them. I might plan a few variations, but, especially when working with young learners with autism, I want to provide lots of opportunities for success, then build to more complex instructions.
Consider hand signals. I often pair a hand signal with an instruction. For instance, one of my current students often sticks his fingers in his nose during instruction. I pair “Hands down” with a hand motion in which I move my hand from about shoulder-height to my lap (down). This is helpful because the learner also comprehends the signal, and I can begin providing the signal without the vocal statement. This allows me to provide instructions without interrupting the lesson.
One step at a time. Be aware of your learner’s listening comprehension and attending skills. If you notice that your learner is often only completing the first or the last thing you asked, this is a good indication that you provided too many instructions at the same time.
Avoid lengthy explanations. Sometimes I’ll hear an adult say something like “You need to hurry up and put your shoes on because your father is going to be here in a moment and we need to meet him outside and get in the car quickly so you’re not late for swim practice.” This is an easy trap to fall into, especially if vocalizing the explanation is helping you remember everything you need to do during a transition, but it may result in inaction from your learner.
Take a deep breath. If your learner is not responding correctly to instructions you’ve provided, step back, take a deep breath, and think about how to simplify the instruction.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-15 in NYC. Working in education for twelve years with students with Autism Spectrum Disorders and other developmental delays, Sam utilizes strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently a PhD candidate in Applied Behavior Analysis at Endicott College. She is also a lecturer in the ABA program at The Sage Colleges.

Pick of the Week: Self Management Planners – 20% OFF!

Posted on by

Find a better way to manage your time and check more things off your to-do list this school year!  Created with ABA principles by Dan Sundberg, PhD, the Self Management Planner is perfect for those who have busy and frequently changing schedules and want something that will do more than schedule time in the day. This week, you can save 20%* on the Self Management Planners and get a head start on organizing your schedule for the school year! (Use promo code MANAGE at check-out!)

Self Management Planners

Not only is this planner perfect for effective time management and organizing your activities, but it also allows to set and track your goals (it even includes graph paper so you can watch your progress!).

The Self Management Planner includes:

  • Full 18.5-hour days and 7-day weeks
  • Tutorial on using the planner, appointment book, and measuring your success
  • Guide to setting long term goals and figuring out ways to accomplish those goals
  • System of selecting and tracking daily activities. (People have used this section to track a huge variety of important things like spending, hours billed, driving mileage, activity goals, and more.)
  • Graphs for visualizing and tracking progress on goal
  • Lined note paper
  • Blank date periods
  • Weekly and daily to-do lists
  • Space to make note of all day events

Available in two sizes: Full (11.5″ x 8.5″) and Compact (8.5″ x 5.5″).

*Promotion is valid for one-time use through September 6, 2016. Offer cannot be applied to previous purchases, combined with any other offers, transferred, refunded, or redeemed and/or exchanged for cash or credit. Different Roads to Learning reserves the right to change or cancel this promotion at any time. To redeem offer at differentroads.com, enter promo code MANAGE at checkout.

Tip of the Week: Measure Group Behavior in the Classroom

Posted on by

Many classroom teachers are required to take data on the behavior of their students. However, this can feel like a daunting task given the many things teachers are trying to do simultaneously throughout the day! PLACHECK is a simple way to measure group behavior in the classroom for engagement or attention.

PLACHECK is short for Planned Activity Check. Let’s say that Ms. Esterman is using a partner activity for a math lesson for the first time in her fourth grade classroom. She wants to see if the kids remain engaged with the content during the partner activity. Here is how she can implement PLACHECK to collect data on engagement.

  1. Measure Group Behavior in the ClassroomSet a MotivAider for a predetermined interval (learn more about the MotivAider). The partner activity Ms. Esterman has organized will take a total of ten minutes. She decides to set the MotivAider for 2 minute intervals.
  2. At the start of the lesson, set the MotivAider to run and clip it to your waistband. For Ms. Esterman, the MotivAider will vibrate every two minutes to signal her to observe her students.
  3. When the MotivAider vibrates, collect tally data. Ms. Esterman feels the MotivAider vibrate, then quickly counts the number of students who are engaged in the partner activity.
  4. Continue to do this for each interval.
  5. Graph your data.

Ms. Esterman’s graph looks like this for her 24 students:

PLACHECK Graph 1

The next day, Ms. Esterman does a similar activity with her students, but uses an independent activity instead of a partner activity. She uses the same 5 steps to use PLACHECK to measure student engagement in the independent activity. Now she can easily compare engagement between the two types of activities. You can see both days graphed below:

PLACHECK Graph 2

When she compares the two days, she finds these results, and it allows her to make better decisions about what types of activities might work best for the individuals in her classroom. Here, it is clear that between these two activities, her students were more likely to be on task during partner work. However, Ms. Esterman would attain better results by taking more data.

PLACHECK is simple to implement. Ms. Esterman is able to collect this data in less than two minutes each day and can learn a lot from just that brief time.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-15 in NYC. Working in education for twelve years with students with Autism Spectrum Disorders and other developmental delays, Sam utilizes strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently a PhD candidate in Applied Behavior Analysis at Endicott College. She is also a lecturer in the ABA program at The Sage Colleges.

Pick of the Week: The NEW ABA Program Companion — Take 20% Off!

Posted on by

New ABA Program Companion Cover.inddJ. Tyler Fovel, MA, BCBA’s essential manual for creating professional and effective ABA programs blends clear explanations of scientifically-based concepts and methodology, clinical examples and advice, and suggested implementation strategies. This revised edition presents information on:

  • qualities of an effective ABA program
  • transdisciplinary teamwork
  • curriculum selection and development
  • program writing and revision
  • strategies for attention and engagement
  • prompts
  • error- correction
  • reinforcement
  • progress evaluation
  • data-based decision-making

TAKE 20% OFF The NEW ABA Program Companion this week with our promo code NEWABA at check-out, and get a head start on designing an efficient ABA program for your students this year.

The NEW ABA Program Companion also comes with training packages for implementers, forms, and a 6-month subscription to the online program development and management software, ABA Program Companion 3.0.

Back to School Savings on ALL Flashcards!

Posted on by
Gear up for the school year with our site-wide flashcards sale!

This week, you can take 15% off any set of flashcards from our website or catalog with promo code BTSCARDS at check-out!

Flashcards Collage

Products featured (left to right): Classifying with Seasons Fun Deck; Language Builder Picture Cards;
Story Prediction Fun Deck; Basic Vocabulary Photo Cards.

View our individual categories of flashcards below:

Promotion is valid on all flashcard products with item code ‘DRC’ until August 23, 2016 at 11:59pm ET. Not valid on VBATT (DRC 795), ALL PICS (DRC 110), ABLLS-R Data & Task Organizer Kit (DRC 710), and ABA Language Cards (DRC 790/DRC 791). Offer cannot be applied to previous purchases, combined with any other offers, transferred, refunded, or redeemed and/or exchanged for cash or credit. Different Roads to Learning reserves the right to change or cancel this promotion at any time. To redeem offer at differentroads.com, enter promo code BTSCARDS at checkout.

Productive Meetings in Home ABA Programs

Posted on by

Creating effective meetings with your child’s BCBA and other service providers can be difficult. In this month’s ASAT feature, Preeti Chojar, Board Member of the Association for Science in Autism Treatment (ASAT), shares some valuable tips about how parents can make the most out of these meetings. 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!

I am a parent who has a home-based ABA program.  We have monthly meetings with all of the providers that work with my child.  I am looking for some ideas on how to make the most of these meetings.  Any suggestions?
 

Answered by Preeti Chojar, Mother and ASAT Board Member

It is terrific that your team meets monthly! Collaboration and consistency amongst members of the professional team is the hallmark of a successful home program. I have found that a great way to build teamwork is to have regular meetings to keep the whole team on the same page. Here are some suggestions to help you use this time effectively and efficiently. In our particular case, we meet monthly, but keep in mind that some teams may need to meet more frequently (depending on the composition of the team, level of oversight required, and needs of the child).

Meeting composition
Ideally, a time should be scheduled when the entire team can be present. A supervisor like a behavior consultant (e.g., BCBA) or a family trainer should be present as well. It could also include any related service providers, such as the speech pathologist, occupational therapist, or physical therapist. Assembling the entire team can be difficult but try your best, as the benefits will make it worthwhile.

Develop the agenda
Always create an agenda well before a team meeting. Please note that this agenda should not side-step any other communication that should be occurring (e.g., the consultant may want to know right away if a new skill-acquisition program is not going well).

  • Start by writing down any new behaviors, both positive and negative. Also note if there is evidence of lost skills or discrepancies in skill levels across settings, situations or people.
  • Any data taken by instructors should be summarized and analyzed before the meeting.
  • Add anything that the supervisor or the collective wisdom of the group could help resolve.
  • One of the agenda items should always be to review last month’s meeting notes paying close attention to any open or unfinished items.
  • If the child is also receiving services in a school or center-based environment, it is beneficial to seek input from those providers as well. Any observations made by people in the community that highlight some skill or skill deficit which had gone unnoticed can be brought to the table too.
  • Finally, make sure the agenda is well balanced and addresses everyone’s concerns. Prioritize agenda items and if necessary suggest some time limits.

Circulate the agenda

  • Make sure to circulate the agenda to everyone attending the meeting, ideally a few days before the meeting.
  • Ask all team members to notify you ahead of time of any other agenda items they might have that were not added yet.

Continue reading →

Pick of the Week: 15% Off Handwriting Tools

Posted on by

Get a head start on helping your child improve their handwriting skills before the school year begins! This week, take 15% off our handwriting programs and tools with promo code WRITE15 at checkout!

Jumbo triangular pencils are just right for the student who is making the transition from using grips to regular pencils. These pencils are fatter and have a soft dot comfort zone for a non-slip grip. The box comes with 12 pencils, all in black lead.

Get your Jumbo Triangular Pencils here!

 

We’ve compiled the Writing & Art Kit to support students in their writing and arts & crafts skills. This kit contains: a pair of child-safe scissors, lined paper for upper- and lowercase writing, and a jumbo grip triangular pencil that improves a child’s grip directly on the pencil.

For the arts, we’ve included triangular crayons, triangular glue sticks, both for a better grip, and glossy colored paper for bright, shining artwork.

Sensible Pencil, by Linda C. Becht, is a handwriting program that contains 200 sequential worksheets to help new writers achieve success quickly and pain-free. Children start with simple horizontal and vertical lines that are presented as fun, and then go on to the other basic lines needed for handwriting skills. The program also includes a progress chart and a manual for teachers and parents. Notebook format.

 

 

View our entire sale here.

*Code is valid for one-time use through August 16, 2016 at 11:59pm. Offer cannot be applied to previous purchases, combined with any other offers, transferred, refunded, or redeemed and/or exchanged for cash or credit. Different Roads to Learning reserves the right to change or cancel this promotion at any time. To redeem offer at differentroads.com, enter promo code WRITE15 at checkout.