Pick of the Week: Assessing Language and Learning with Pictures (ALL PICS)

Assessing Language and Learning with Pictures (ALL PICS) is an assessment tool designed to be used in conjunction Dr. Mark Sundberg’s Verbal Behavior Milestones Assessment and Placement Program (VB-MAPP). ALL PICS was designed by behavior analysts who specialize in the application of Skinner’s analysis of verbal behavior and have extensive experience in assessing verbal behavior with assessments such as the VB-MAPP.

This week only, take 15%* off ($90 savings!) your order of the ALL PICS assessment program by using our special promo code ALLPICS at check-out!

ALL PICS was designed to make administration of the VB-MAPP more accurate, efficient, and cost-effective for schools, clinics, agencies, and private practitioners. ALL PICS contains all of the 2-D pictures necessary to administer the VB-MAPP Milestones.

ALL PICS consists of 3 spiral bound books, with pre-arranged fields of high-resolution images that correspond with the VB-MAPP specifications. While conducting a verbal behavior assessment, the evaluator using ALL PICS can quickly record responses on the corresponding downloadable data sheets and then turn from one page of the book to the next. For visual tasks, a corresponding box of labeled flashcards is included, permitting the tester to quickly obtain all cards needed for each milestone without the need to search for cards.

The unique benefits of using ALL PICS during verbal behavior assessment include:

  • Includes 275 labeled, high-resolution flashcards for visual performance assessment that correspond to each page of the visual performance book, saving time and increasing efficiency
  • Corresponding, free data sheets that can be downloaded for each learner
  • The opportunity to test generalization with novel pictures, as opposed to familiar flashcards that the learner has seen many times
  • Team members with limited training in behavior analysis can play an active role in the assessment process, reading from the scripts on the data sheets
  • Comprehensive image list of over 1,200 common items that can be used to assess the number of tacts or listener responses in a learner’s repertoire

Don’t forget to use our promo code ALLPICS this week only to save 15%* on your purchase of this comprehensive verbal behavior assessment tool!

*Offer is valid until 11:59pm EDT on March 17th, 2015. Not compatible with any other offers. Be sure there are no spaces or dashes in your code at check out!

Tip of the Week: Use Noncontingent Reinforcement – A Powerful Addition to Your Intervention

Noncontingent reinforcement (NCR) is the presentation of reinforcement independent of behavior, and there are many studies out there that demonstrate it can have a significant impact on behavior.

Before we get to how you can use it with children with autism or other developmental disabilities, it’s important to recognize that noncontingent reinforcement happens all the time with all of us. A few common examples:

  • You’re walking alongside your child. Your child reaches up and grabs your hand. This is a behavior you like, but it did not occur because of any one behavior you exhibited, such as reaching for their hand or requesting their hand. They just did it spontaneously. This probably changes your behavior: you may smile, initiate a conversation, or give their hand a special squeeze.
  • It’s snack time at your preschool. You realize the bag of popcorn you’re giving for snack is almost empty, so you give each student a few extra kernels of popcorn. They did not “earn” it for good behavior, it was just a little extra reinforcement. This may change your students’ behavior: they may sit still a little longer as they eat the additional snack, say thank you, or exclaim, “More popcorn! Yay!”
  • A common example in preschool is placing a child on your lap during story time. They didn’t earn it, but it may change their behavior. For example, instead of calling out to get your attention, they may sit quietly for the duration of the story.
  • You’ve come home from a stressful day at work. You want to just sit down and veg in front of the TV for a few minutes, but discover that your husband has cooked dinner. This may change your behavior: you may sit down at the dining room table or give him a hug. Again, you didn’t exhibit a specific behavior that “earned” you dinner; it was presented independent of your behavior.

Noncontingent reinforcement can be a powerful addition to your interventions. But it looks a bit different when you’re using it as part of your intervention. You want to provide continuous access to the reinforcer maintaining the problem behavior so that the problem behavior becomes unnecessary. The preschooler sitting on the teacher’s lap is an excellent example, because the child has continuous access to the teacher’s attention. This can be faded over time, but can be an effective starting point for reducing problem behaviors when used in conjunction with other strategies.

Research has shown that noncontingent attention can decrease destructive behavior, noncontingent juice can decrease rumination, noncontingent access to preferred items can decrease inappropriate mealtime behavior, and noncontingent social interaction can decrease vocal stereotypy (Hanley, Piazza, & Fisher, 1997; Kliebert & Tiger, 2011; Gonzalez, Rubio, & Taylor, 2014; Enloe & Rapp, 2013). There is much more research out there that demonstrates that noncontingent reinforcement can impact behavior. Here are a few tips for using it:

  1. Make sure it matches the function. If your student is engaging in destructive behavior in order to escape a task, then providing noncontingent attention is unlikely to produce the behavior change you are expecting.
  2. Decide on a method for providing noncontingent reinforcement. Will you provide it continuously (like the preschooler sitting in the teacher’s lap) or provide it on an interval schedule (such as providing verbal attention every 2 minutes)?
  3. Take data! You need to know if the noncontingent reinforcement is actually decreasing the problem behavior or increasing the desired behavior. Define the behavior you want to change and then take data on its frequency, rate, or duration.
  4. Account for other students’ needs. If you are only using noncontingent reinforcement for one student, you need to be prepared to address the needs of other students. For example, if just one preschooler gets to sit in the teacher’s lap every day at story time, you may see an increase in problem behaviors from the other preschoolers in the class.
  5. Plan ahead! Our ultimate goal is that our learners be as independent as possible. Plan for how to fade your intervention over time.
  6. Take a look at the research. There are a few studies cited at the end of this article, but you may be able to find research simply by searching for “noncontingent” and the name of your problem behavior.

Noncontingent reinforcement is much easier to implement than many interventions that are available and can have a huge impact on your learner’s behaviors.

References
Enloe, K., & Rapp, J. (2013). Effects of noncontingent social interaction on immediate and subsequent engagement in vocal and motor stereotypy in children with autism. Behavior Modification , 38(3), 374-391.

Gonzalez, M., Rubio, E., & Taylor, T. (2014). Inappropriate mealtime behavior: The effects of noncontingent access to preferred tangibles on responding in functional analyses. Research in Developmental Disabilities , 35(12), 3655-3664.

Hanley, G. P., Piazza, C. C., & Fisher, W. W. (1997). Noncontingent presentation of attention and alternative stimuli in the treatment of attention-maintained destructive behavior. Journal of Applied Behavior Analysis , 30(2), 229-237.

Kliebert, M. L., & Tiger, J. H. (2011). Direct and distal effects of noncontingent juice on rumination exhibitied by a child with autism. Journal of Applied Behavior Analysis , 44(4), 955-959.


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.

Guest Article: “Speech-Language Pathology and ABA – Can’t We All Just Get Along?” by Danielle McCormick, MA, CCC-SLP

We’re excited to share with you an exclusive article “Speech Language Pathology and Applied Behavior Analysis: Can’t We All Just Get Along?” by co-founder of Bridge Kids of New York, Danielle McCormick, MA, CCC-SLP, with contributions by Ashley Stahl, MSEd. In this article, Danielle shares with us her quirky and humorous opinions on the importance of combining traditional speech-language pathology practices and those of Applied Behavior Analysis.

SLP-ABA

I have vivid memories of a professor in graduate school essentially condemning the field of Applied Behavior Analysis (ABA) as the most “robotic” and “unnatural” way to help a child learn communication skills. As a passionate and dedicated Speech-Language Pathologist (SLP), I took these words to heart and kept them with me as I continued my career. That was until my first job as a Clinical Fellow at an Early Intervention center—that (insert gasp!) followed the principles of ABA. This center was also filled with the most diverse, beautiful children I have ever known, many of whom were diagnosed with Autism Spectrum Disorder—my passion. I had to take this job!

As if starting my first job in New York City was not daunting enough, here I was surrounded by the enemy—the big, bad ABA therapists! As a newbie who was still building confidence in my field, and having been trained to always respect other professionals (especially those who are above you in the pecking order), I took a backseat and opened my ears and eyes to the ABA that was happening all around me. The voice of my graduate professor was ringing still in my ears, so in my sessions, I made sure there was to be absolutely no ABA (at least I thought at the time!). If they wanted to “do ABA” in the classrooms, that was their business, but I wanted nothing to do with it!

Except—wait a minute—how did they teach that child to start pointing so quickly?

As time went on, I started to notice that some of my children were exhibiting extreme interfering behavior that I had not been trained to deal with. I was lost and did not know how to support these learners. Much to my relief, in came my super hero colleagues wearing ABA capes, telling me exactly what to do and why to do it.

 

21st Annual Eden Princeton Lecture Series: March 19–20, 2015

Mark your calendars! This terrific lecture series by Eden Autism Services is happening again on March 19–20, 2015 at Princeton University. Guest lecturers include Connie Kasari, PhD, Helen Tager-Flusberg, PhD, Matthew Goodwin, PhD, Ron Suskind, and more.

Attend the 21st Annual Princeton Lecture Series to learn more about current technologies in autism research, strategies for effective early intervention programs, and more. For more information about the event, please email Joni Truch or call (609) 987-0099 ext. 4010.

You can also download a copy of the event brochure here (Registration Form included inside)!

Tip of the Week: Stop Behavior Early in the Behavior Chain

Recently I was working with a family to toilet train their son Jonathan, a six-year-old with autism. (Names and identifying characteristics have been changed to protect confidentiality.) When he eliminated in the toilet, part of his reinforcement was getting to watch the water go down the toilet after flushing. At some point, he developed the behavior of putting his hands into the toilet water as it was flushing.

When I went in to observe the behavior, one of my goals was to identify the steps in the behavior chain. Pretty much everything we do can be viewed as part of a behavior chain, in which one action is a cue for the following action. For Jonathan, each time he placed his hands in the toilet water, the behavior chain looked like this:

Pulled up pants
Stepped towards toilet
Pressed button to flush toilet
Stepped back
Watched water as it flushed
Stepped forward again
Leaned down
Put hands in water

Behavior chains can be even more detailed than the one above, depending on the needs of your learner. Identifying the steps in the behavior chain for an undesirable behavior can have a huge impact on your interventions. For Jonathan, we were able to stop the behavior of putting his hands in the toilet water by interrupting the behavior early in the behavior chain. It’s too late and unsafe to stop him once he’s leaning forward to put his hands in the water. Through prompting, which we faded as quickly as possible, we changed his behavior chain to this:

Pulled up pants
Stepped towards toilet
Pressed button to flush toilet
Stepped back
Watched water as it flushed for 3-5 seconds
Stepped towards sink
Leaned forward
Turned on water
Put hands in water

Instead of waiting for him to engage in the inappropriate behavior, we redirected him several steps earlier in the chain, providing a gestural prompt toward the sink and had him start washing his hands 3-5 seconds after he had started watching the water flush. This was ideal for two reasons: first, it was the expected step in an appropriate toileting behavior chain and second, it provided an appropriate and similar replacement behavior since Jonathan was still able to put his hands in water.

This behavior chain was relatively easy to change. While it may not be as easy in some interventions you may try, it’s essential to remember to stop the behavior early in the behavior chain. It’s much easier to give a child an activity that requires use of their hands as soon as you see them lift their hands out of their lap than it is to remove their hand from their mouth if they’re biting it. And it’s much easier to redirect a child to put their feet back under their desk than it is to get them to stop once they’re sprinting out of the classroom. Looking at the behavior chain and considering when to intervene as a part of your intervention plan is quite possibly the extra step that will make your plan successful.


WRITTEN BY SAM BLANCO, MSED, BCBA

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

Pick of the Week: NEW! Socially Savvy – An Assessment and Curriculum Guide for Young Children

No child should be left to flounder in a confusing world of social nuances and expectations. Social competencies pave the way for a child to have fun at birthday parties, resolve conflicts with friends, feel heard, and stand up for oneself.

As our Pick this week, we’re thrilled to feature our newly printed assessment and curriculum guide Socially Savvy. Get your copy for an introductory price of only $39.95!

Socially Savvy: An Assessment and Curriculum Guide for Young Children helps educators and parents break down broad areas of social functioning into concrete skills. The included checklist pinpoints a child’s specific strengths and challenges—which in turn makes it possible to prioritize the skills most in need of intervention, develop strategies to address them, and track the effectiveness of those strategies.

This manual includes targeted, play-based activities that foster the development of social skills critical to a joyful childhood and future academic success. Socially Savvy is designed for all parties—from educator to the parent—working with children in planned and naturally occurring opportunities to help develop essential social skills. This manual serves as a resource to make both learning and teaching social skills a fun, rewarding experience. This guide:

  • Introduces the Socially Savvy Checklist and how to effectively integrate it
  • Describes the 7 areas of social development in detail
  • Provides skill-specific sample IEP objectives
  • Offers detailed step-by-step teaching plans
  • Includes 50 specific games and activities for teaching targeted social skills
  • Offers specific ideas on progress assessment and data collection
  • Shares two case studies to illustrate the process from initial assessment to intervention and data collection

DRB_277_View_Inside

Soft cover, 256 pages, by James T. Ellis, PhD, BCBA-D and Christine Almeida, MSEd, EdS, BCBA.

Don’t forget—you can get your copy of Socially Savvy: An Assessment and Curriculum Guide for Young Children for our introductory price of only $39.95 for a limited time. No promo code necessary.

Pick of the Week: Emotion-oes – Like dominoes, but for identifying emotions!

This newly added game will put a smile on any child’s face! With 56 domino-like cards, Emotion-oes for 2–6 players is especially useful for students who are nonreaders. Players will learn to recognize emotions and identify feelings in facial expressions. This week only, save 15%* on your set of Emotion-oes by using our promo code EMOTIONO at check-out!

To play the game, each player is dealt five Emotion-oes facedown and must match the face on one end of his/her Emotion-oe to one end of the Emotion-oe displayed in the center. An instruction sheet also includes variations on the game for even more fun!

Don’t forget to use our promo code EMOTIONO at check-out to save 15%* on your set of Emotion-oes this week!

*Offer is valid until 11:59pm EST on January 27th, 2015. Not compatible with any other offers. Be sure there are no spaces or dashes in your code at check out!

Pick of the Week: Sensory Tubes – Reinforcers filled with endless possibilities of stimuli!

We love these Sensory Tubes here at Different Roads to Learning! This set of 4 clear and sturdy Sensory Tubes is remarkably versatile.
What we love about them is that you can fill each one with assorted visual or auditory stimuli that a particular student finds reinforcing, completely individualizing them. This week, take 15% off* your order of the Sensory Tubes by applying promo code TUBES15 at checkout!

Each tube features dual openings with 2 solid lids along with four vented lids that let children explore their sense of smell or even observe little critters.

The lids easily twist off and on, and the solid lids hold liquid securely inside. The tubes measure 12 inches in height and 2.5 inches in diameter. These Sensory Tubes will make your student’s reinforcement possibilities endless!

Don’t forget to save 15%* this week on your set of Sensory Tubes by applying promo code TUBES15 at checkout!

 

*Offer is valid until 11:59pm EST on December 23rd, 2014. Not compatible with any other offers. Be sure there are no spaces or dashes in your code at check out!

5 Tips on Teaching Safety Skills to Children with Autism

This week, we’re thrilled to bring you a second guest article by Sarah Kupferschmidt, MA, BCBA. Sarah has written a very comprehensive article on teaching street safety skills in children with autism and other developmental disabilities. Learning to navigate the real world involves many complex skills that we may often take for granted. So how do we teach our children when to cross the street and what to watch out for? Read on for Sarah’s tips on how to teach and reinforce safety skills in children.


I am passionate about empowering children with special needs and their families with skills and knowledge that they can use to improve their quality of life. This is why I am super excited to be sharing tips and strategies that relate to keeping your child with autism safe on the street. Learning to navigate the real world involves a lot of complex skills that we sometimes take for granted. For example, learning to determine when it is safe to cross the street requires the ability to attend to your environment, the ability to identify moving cars from cars that are still, the ability to identify the signal at the cross walk that lets you know it is safe to cross, among many, many, more. In some cases even more advanced problem solving is required because if the sign says it is safe to cross and a motorist continues through the intersection we need to be able to identify the moving car is approaching and that we need to wait for it to pass before crossing the street. So where do we begin?

Tip #1: The Learner is Never Wrong

I love the saying “the learner is never wrong” because of what it implies. Whenever considering teaching a new skill to a child or student we need to focus on that unique child’s strengths and weaknesses. Where do we need to boost up their skills and what do they already know so that we can capitalize on those strengths. Before going out to teach your child with autism how to cross the street safely, they should have some imitation skills, be able to respond to instructions and attend to you or a teacher amidst a lot of distractions (e.g., cars, background noise and pedestrians, just to name a few). Once you have determined they are ready to learn this important skill you would want to use things that are of interest to them and that you know align with their learning style. For example, are they a visual learner and if so, how can you incorporate visuals to maximize their learning potential in how you go out and practice crossing the street safely?

Tip #2: Simplify the Complex Skills

As mentioned earlier in the post, many of the skills that we use actually have many components, something we take for granted. In this case, teaching how to cross the street might involve the following steps:

  1. Stop at the curb/crosswalk
  2. Look at the crosswalk signal
  3. Decide if it is safe to cross (e.g., does it say ‘walk,’ or does it say ‘stop’)
  4. If the sign says walk, then look both ways
  5. Decide if it is safe (e.g., is there a car moving or not)
  6. Walk safely across the street (e.g., this means walking not running, perhaps holding your hand)

It is important to remember that these steps are just an example of what you might teach. You would individualize this based on the environment in which you live (e.g., if there is a crosswalk sign or crossing guard, or not) and the expectations you have as a family (e.g., to hold the hand or not). Teach this using tools that you know are effective with your unique child. For example, you may decide to print out a visual depiction for each of the steps and show them as you talk about it and practice. This depends on your child’s unique learning style. As with every skill that that we teach, it is never enough to just tell someone or show someone how to do it. We need to actually go out and practice.

Tip #3: Practice, Practice, Practice

Use every opportunity that you have to go out and practice this very important skill. I would also recommend that you set up specific times to go out and practice. You can use the visuals that you printed and go through each of the steps while you are out. If you notice that your child is struggling on a particular step, then practice that particular step at home even more. For example, if your child is not identifying the walk signal when you are out on the street, set up times to go over that at home.

Tip #4: Monitor Progress

In order to see how your child is doing on each of the steps it is a good idea to record how they do on each of the steps. You might print off a checklist with each of the steps that looks something like this:

Street Safety Chart

You would calculate the number of times you recorded a Y over the total number of steps (e.g., in this case 6). For example, if I worked on this with my child and he did all of the steps he would get a 6/6. If he missed a step his overall score would be 5/6 or 83%. This score can then be used to monitor progress. I would also suggest that anytime you go out and practice you highlight whichever step(s) that they missed, if any. This will allow you to see if you need to work on something a little bit more before you go out and practice.

Tip #5: Notice the Good Stuff

Feedback is critical when you are teaching a new skill. Otherwise how is your child going to know how they are doing? This means that when they get it right we need to notice it and we need to be specific about what it is they did well. You can even use the visuals if you have them. You might say something like “I love the way you followed all of the steps of what to do when crossing the street safely! You stopped at the curb, looked at the signal…etc.” You may point to the visual as you tell them. If they missed a step remind them that next time they should try to remember what it is that they missed. Anytime they do one of the steps spontaneously, point it out to them and give lots of praise. Over time we can fade the praise out but it is really important when teaching a new skill, especially at the beginning.

If you have any questions about any of the tips listed here feel free to contact me or a local Board Certified Behavior Analyst (BCBA). I am passionate about keeping our kids safe! Sign up for my newsletter or follow me on Twitter for regular tips and strategies!

WRITTEN BY SARAH KUPFERSCHMIDT, MA, BCBA

Sarah Kupferschmidt is a Board Certified Behavior Analyst (BCBA) who has worked with hundreds of children with autism and their families across Ontario. She has had the privilege of supervising ABA programs and training clinical staff in those programs.  Currently Sarah offers parent coaching and workshops to teach parents but also educators on the most effective ways to teach children using the principles of ABA.  She is also a part-time faculty member at Mohawk College in the Autism Behavioral Science program, in the social sciences program at McMaster University, and an Adjunct Professor at Sage Graduate School.  Sarah is CEO and co-Founder of Special Appucations, Incwhich is a company that creates educational products that help maximize the learning potential for children with autism because they are designed using the principles of ABA.  Sarah has appeared as a guest on CP24, CHCH news, Hamilton Life and the Scott Thompson radio show as an authority on autism.

Tip of the Week: Consider Response Effort in Your Intervention

Several previous posts have discussed how important it is to have a multi-pronged approach to behavior interventions, including definitions for how caregivers will respond to undesirable behavior, the replacement behavior, and reinforcement. One thing I have not shared is considering response effort when choosing a replacement behavior.

Response effort describes how easy or difficult it is to engage in a behavior. For example, I frequently check my e-mail on my phone. Occasionally, I get an e-mail that requires a lengthy reply. The response effort for typing on the tiny touchpad is much greater than sitting down at my laptop and using the keyboard, so I wait until I can go to my computer to reply to that e-mail. Typing on the keyboard requires less response effort.

In general, when we make choices about how to behave, whether we are aware of it or not, we choose the behavior that gets the best results with the least response effort. But if a low response effort achieves poor results, we’re probably not going to engage in that behavior. Let’s look at an example of choosing a higher response effort. Let’s say I live down the street from a hair salon, and I go there once but hate my hair cut. I’ll engage in the higher response effort to drive 30 minutes to a salon that gives me a great cut. I want the lowest response effort, but not if it achieves poor results.

So how does this apply to interventions in your environment? When you’re choosing a replacement behavior, you should try to make it require less response effort than the undesirable behavior. Here are a couple of examples:

  • Every time you teach a math lesson, your learner breaks his pencil and throws it across the room. You’ve identified that the behavior of breaking the pencil functions as escape, meaning that in the past, when he broke his pencil, his consequence was a break, a walk to “calm down,” or a trip to see the dean. You’ve provided a replacement behavior of holding up a stop sign that stays on his desk. When he holds up the stop sign, he is provided with a break. Holding up the stop sign requires much less response effort than breaking a pencil.
  • You are the director of a center for learners with autism. Many of your students are being toilet trained during the day. It is important that the providers working with the students wear gloves during the toilet training process. The gloves are on the wall when you enter the bathroom, but you’ve noticed that several providers are still not wearing gloves. One provider tells you that if she forgets to grab the gloves as she’s coming in and the child is already in the stall, it’s too difficult to backtrack and keep an eye on the child. You decrease the response effort by placing a box of gloves inside each stall in the bathroom.

Decreasing the response effort for the desired behavior while simultaneously increasing the response effort for the undesirable behavior can produce even better results. There have been several studies related to increasing response effort for self-injurious behavior such as hand-biting while providing replacement behaviors with a lower response effort.

As you’re developing behavior intervention plans or thinking of ways to improve your teaching environment, you should think through the possibilities of using response effort to encourage appropriate behaviors.


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.