Pick of the Week: Save 15% on ALL of our Emotions Flashcards!

Emotions language cards are great tools for teaching language and facial expressions in a variety of contexts to young learners. Promote discussion about a range of emotions, why people may feel a certain way, and possible responses to these feelings with our collection of emotions flash cards.

This week, you can also save 15% on any of these Emotions flashcards sets. Just enter our promo code EMOTIONS when you check out online.

>>> View our entire sale here. <<<

*Offer is valid for one-time use through February 2, 2016 at 11:59pm EST. Promotion does not apply to past purchases. Be sure there are no spaces or dashes in your code EMOTIONS at check-out. Call our friendly customer service team at (800) 853-1057 with any inquiries.

Tip of the Week: Keeping Up With the Science

A major tenet of Applied Behavior Analysis is that it is evidence-based. For decades, our field has conducted research about behaviors we can observe in the environment, and worked to create positive behavior change. But keeping up with research or determining what is actually evidence-based can be quite challenging.

One way that some organizations and schools address this is by having a “journal club” of sorts. An article is selected each month, staff read it, and then everyone comes together to discuss it. This is a great way to get people talking about evidence-based procedures, help introduce people to new concepts, and create an environment that relies on science rather than anecdotal information.

Here are a few tips to get you started:

  • Poll your participants. What topics might they be interested in? What dates and times work best for them? What is something they want to learn more about? You can use this information to get off on the right foot.
  • Sweeten the meeting. Make it fun with snacks or themes. It’s amazing how free food can draw people in.
  • Create questions for consideration. When you hand out the article, provide five or six questions for participants to consider as they read. This will help guide their reading and your conversation when you meet.
  • Make it applied. Think about how the information in the article can be used in your own setting. Have people discuss what it would look like if they tried out the interventions themselves.

Finally, take a look at Reading Groups: A Practical Means of Enhancing Professional Knowledge Among Human Service Practitioners by Parsons & Reid. This article demonstrates the utility of such groups, as well as important variables for implementing them successfully.

Good luck, and happy reading!

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: Save 30% on “A Work in Progress” Companion Booklets & DVDs!

Building on the popular guide and curriculum A Work In Progress, this companion series of booklets and DVDs synthesizes information on various teaching strategies with demonstrations of actual sessions with students on video. The Work in Progress Companion Series aims to blend a natural, child-friendly approach to teaching while remaining determinedly systematic. This series offers viewers the unique opportunity to see these approaches implemented in actual teaching environments.

This week, we’re offering the entire Set of 6 Work in Progress Companion Booklets & DVDs for only $99.00 (a $150 value)! Or get one (1) Companion Set for $24.95 only $17.50!  Just use our promo code AWIPSET at check-out to redeem these great savings. View our entire sale here.

AWIP_Companion_Booklets_and_DVDs

Parents and teachers will find this series to be a helpful companion and extension to A Work in Progress. All author proceeds from the Work in Progress Companion Series will go directly to the Autism Partnership Family Foundation which was developed to provide services to families with limited resources, fund research that will investigate new strategies and programs that truly make a difference in the lives of children and families, and disseminate information about evidence-based treatment and provide resources for training parents and professionals.

Volume 1: “Cool” versus “Not Cool” teaches students foundational as well as advanced social skills in the difference between behaviors that are socially appropriate (i.e. cool) and those that are inappropriate (i.e. not cool). In later stages, they go on to actually practice the appropriate form of the behavior and receive feedback on their efforts. Research confirms the clinical experience that “Cool” versus “Not Cool” is effective in teaching social skills and enabling students to monitor their own behavior.

Volume 2: Learning How to Learn teaches and demonstrates programs that researchers have found helpful in teaching students how to learn.

Volume 3: Teaching Interactions offers a conversation-style of teaching which adds the all important element of leading students to understand rationales for why they might want to change their behavior and learn new skills. This booklet and DVD teaches students how to develop understanding and insight that help form their internal motivation.

Volume 4: Token Economy provides step-by-step instructions on how to ensure there is a strong connection between the target behavior and the reward that follows. Token economies have a number of advantages and can be very flexible in adapting to the age of the student, the types of rewards used, and the skills and behavioral targets you are seeking to improve.

Volume 5: Developing Reinforcers shows parents and teachers how to be creative in developing new sources of reinforcement, which is especially useful for students who have limited interests.

Volume 6: Bullying & ASD – The Perfect Storm focuses on the tools needed to help children with autism combat bullying. Students with ASD are particularly at risk because of their behavior issues and their vulnerability. This volume provides practical suggestions that help prevent the devastation of bullying.

Buy one (1) volume for only $17.50* this week using promo code AWIPSET at check-out! View our entire sale here!

*Offer is valid for one-time use only through January 26, 2015. Promotion does not apply to past purchases. Be sure there are no spaces or dashes in your code AWIPSET at check-out!

 

“Underwater Basket Weaving Therapy for Autism: Don’t Laugh! It Could Happen…” by David Celiberti, PhD, BCBA-D & Denise Lorelli, MS

This month’s featured article from the Association for Science in Autism Treatment (ASAT) is by Executive Director David Celiberti, PhD, BCBA-D and Denise Lorelli, MS on the abundance of so-called “therapies” available for children with autism, why some fall trap to these “therapies,” and how to assess what therapy is right, and most importantly, effective in the long run. 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!


Underwater Basket Weaving Therapy for Autism: Don’t Laugh! It Could Happen…
by David Celiberti, PhD, BCBA-D and Denise Lorelli, MS

Yes, sadly it can happen. With 400+ purported treatments for autism, there is no shortage of such whose name begins with an activity, substance, or favorite pastime and ends in the word “therapy.” A cursory internet search would reveal such “therapies” as music therapy, art therapy, play therapy, sand therapy, dolphin therapy, horseback riding therapy, bleach therapy, vitamin therapy, chelation therapy, and helminth worm therapy joining the list of the more established habilitative therapies such as physical therapy, occupational therapy, and speech-language therapy (this is by no means an exhaustive list of the array of “therapies” that are marketed to consumers). Touted therapies can involve all sorts of things. I recall sitting on a panel at Nova University in the late ‘90s with another provider boasting the benefits of llamas and lizards as well.

What concerns us are the assumptions – made by consumers and providers alike – that promoted “therapies” have legitimate therapeutic value, when, in fact, there is often little-to-no scientific evidence to support them. Some might rightfully say that many of these touted methods are “quackery” without such evidence. The focus on such unproven methods or “therapies” may result in financial hardship and caregiver exhaustion, further exacerbating the stress levels of participating families. What is most alarming is that these “therapies” may be detrimental because they may separate individuals with autism from interventions that have a demonstrated efficacy, thus delaying the time of introduction of effective therapy.

This concern is echoed by the American Academy of Pediatrics. In their guidelines focusing on the management of autism spectrum disorders, they state: “Unfortunately, families are often exposed to unsubstantiated, pseudoscientific theories and related clinical practices that are, at best, ineffective and, at worst, compete with validated treatments or lead to physical, emotional, or financial harm. Time, effort, and financial re-sources expended on ineffective therapies can create an additional burden on families” (p. 1174).

If a child diagnosed with cancer were prescribed chemotherapy, there is a reasonable expectation that chemotherapy would treat or ameliorate the child’s cancer. Parents of individuals with autism have that hope as well when their children are provided with various therapies. While this hope is understandable, it is often placed in a “therapy” for which there is an absence of any legitimate therapeutic value. We hope the following will help both providers and consumers become more careful in how they discuss, present, and participate in various “therapies.”

SOME FAULTY ASSUMPTIONS REGARDING “THERAPIES”

1. Anything ending in the word “therapy” must have therapeutic value. The word “therapy” is a powerful word and clearly overused; therefore, it would be helpful to begin with a definition. Let’s take a moment and think about this definition:

Merriam-Webster
Therapy: noun \ˈther-ə-pē\ “a remedy, treatment, cure, healing, method of healing, or remedial treatment.”

When a “therapy” provider or proponent uses the word “therapy,” he/she is really saying: “Come to me…I will improve/treat/cure your child’s autism.” The onus is on the provider/proponent to be able to document that the “therapy” has therapeutic value, in that it treats autism in observable and measurable ways or builds valuable skills that replace core deficits.

2. Providers of said “therapy” are actually therapists. It is not unreasonable for a parent or consumer to assume that the providers of particular “therapies” are bona fide therapists. It is also reasonable for a parent to believe that someone referring to him/herself as a therapist will indeed help the child. However, simply put, if an experience is not a therapy, then the provider is not a therapist. He or she may be benevolent and caring, but not a therapist.

Some disciplines are well established and have codified certification or licensed requirements, ethical codes, and practice guidelines (e.g., psychology, speech-language pathology, occupational therapy). Consumers would know this, as “therapy” providers will hold licenses or certifications. Notwithstanding, consumers can look to see if the provider has the credentials to carry out a particular therapy, and these credentials can be independently verified (please see https://www.bacb.com/index.php?page=100155 as an example). A chief distinction is that licenses are mandatory and certifications are voluntary. In the case of licensure, state governments legislate and regulate the practice of that discipline. It cannot be over-stated that just because a discipline has certified or licensed providers it does not necessarily mean that those providers offer a therapy that works for individuals with autism. This segues into the third assumption.

3. All “therapies,” by definition, follow an established protocol grounded in research and collectively defined best practices. Let’s revisit our chemotherapy example. Chemotherapy protocols have a basis in published research in medical journals and are similarly applied across oncologists. In other words, two different oncologists are likely to follow similar protocols and precise treatments with a patient that presents with similar symptoms and blood work findings. This is not the case with many autism treatments. Most therapies lack scientific support altogether and are often carried out in widely disparate ways across providers often lacking “treatment integrity.”

4. If “XYZ therapy” is beneficial for a particular condition, it would benefit individuals with autism as well. Sadly, this kind of overgeneralization has been observed and parents of children with autism are often misled. Suppose underwater basket weaving was demonstrated through published research to improve lung capacity. Touting the benefits of this as a treatment for autism would clearly be a stretch. Therapeutic value in autism must focus on ameliorating core symptoms and deficits associated with autism such as social challenges, improving communication skills, and reducing or eliminating the behavioral challenges associated with autism.

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Tip of the Week: The Importance of Identifying the Function of a Behavior

As a BCBA, I am often asked to address problematic behaviors. One of the most common errors I see in addressing such behaviors is that the adults working with child have not identified the function (or purpose) of the problematic behavior. Decades of research have shown that there are only four functions for any behavior: attention, escape/avoidance, access to a tangible, and automatic reinforcement (or something that just feels good internally, but cannot be observed by outsiders).

The function of the behavior is whatever happens immediately after the behavior, and increases the likelihood that the behavior will occur again in the future. Here are a few examples of the functions, based on the same behavior:

  1. The therapist tells Lisa it’s time to practice tying shoes. Lisa starts biting her own hand. The therapist look shocked and calls in Lisa’s mother, who rubs her back lightly while Lisa ties her shoes then gives her a lot of verbal praise. This is likely an example of a behavior that functions for attention, because the mother comes in and provides both verbal and physical attention while she ties her shoes. Or it could be an example of a behavior that functions for escape or avoidance, since Lisa did not have to tie her shoes immediately once she began biting her hand.
  2. The therapist tells Lisa it’s time to practice tying shoes. Lisa starts biting her own hand. The therapist gently pushes Lisa’s hand down and then introduces a new task. This is an example of a behavior that functions as escape because Lisa does not have to tie her shoes once she begins biting her hand.
  3. The therapist tells Lisa it’s time to practice tying shoes. Lisa starts biting her own hand. The therapist says, “Oh, don’t stress, we’ll take a sensory break,” and gives Lisa a ball to squeeze. This is an example of a behavior maintained by tangible reinforcement. When Lisa began biting her hand she was immediately given access to a preferred item.

You’ll notice that I left out the automatic reinforcement. This is intentional because often, with a diagnosis of Autism Spectrum Disorder, people assume that a behavior is automatically reinforced instead of exploring these three potential functions described above. One way to recognize if a behavior is automatically reinforced is to note if the behavior happens when the child is alone and/or when no demands have been placed on the child. If it’s only happening around other people or when demands are placed, then it is highly unlikely that the behavior is automatically reinforced. For now, we’ll save automatic reinforcement for another blog post.

Identifying which of these functions is maintaining a problem behavior is essential to putting in an effective intervention. But how do you go about doing this?

The first thing you should do is assess! You can do an informal assessment, such as using the Functional Assessment Screening Tool (FAST) which is comprised of 16 questions that can help you quickly determine the function. If this does not provide conclusive results, you can have a BCBA do a formal functional assessment. Once you have identified the function of the behavior, you can change the environment so that not only does the child no longer receive that reinforcement for a problematic behavior, but there are appropriate replacement behaviors they can engage in to access that reinforcement. For more on that, you can look back at the Importance of Replacement Behaviors.

It may be difficult at first to think in terms of “function of behavior,” rather than assigning a reason for the behavior that is based on the child’s diagnosis or based on something happening internally inside the child’s brain that we can’t see (such as, “she’s just frustrated so she’s biting her hand,” or “she doesn’t know how to control herself”). However, once you try it out and experience some success with addressing the true function of behavior, you’ll likely see the beauty of a simple explanation for why we behave.

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: Self Management Planner, created by Daniel Sundberg, PhD

Created by Daniel Sundberg, PhD, the Self Management Planner offers a better way to organize your life and check things off your to-do lists, utilizing the concepts and principles of Applied Behavior Analysis (ABA) to help you to get more done!

The Self Management Planner is designed specifically for users who have busy and frequently changing schedules and want something that will do more than schedule time in the day. 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!).

This week, save 15% on the full-page Self Management Planner and the compact Self Management Planner and get a head start on keeping your New Year’s resolutions on track! Enter our promo code PLAN2016 at check-out to redeem your savings.

This is a perfect tool for those data collectors out there who are looking for an excellent organizational and record-keeping tool. The Self Management Planner includes:

  • Appointment book with full 18.5 hour days and 7 day weeks, to accommodate those who work on variable schedules
  • A tutorial on using the planner, appointment book, and measuring your success
  • A guide to setting long term goals, and figure out ways to accomplish those goals
  • A system for that allows you to select and track your 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 to help you see and track progress on your goals
  • Lined note paper
  • Blank date periods that allow you to start the planner on your own schedule to prevent page waste
  • Weekly and daily to-do lists
  • Space to make note of all day events

Don’t forget to use our promo code PLAN2016 this week to take 15% off your order of the Self Management Planner, now available in two different sizes!

Simplifying the Science: Choiceworks App – Increase Self-Monitoring and Autonomy in Students with ASD

Finding the appropriate educational setting for individuals with autism can be quite challenging. And in working to provide the least restrictive environment, sometimes students are placed in classrooms where they can do the work but requires additional supports. This makes teaching self-monitoring all the more important as we strive to help our students attain independence in all areas.

A recent study by Miller, Doughty, & Krockover (2015) used an iPad app as part of an intervention to increase self-monitoring for three students with moderate intellectual disabilities in their science class. The goal was to increase autonomy in problem-solving activities linked the science lesson for that day. The app they used was called Choiceworks, which the authors described as: “a daily routine board maker [that] contains prompting tools to assist users through daily tasks. Checklists, schedule boards, activity timers, and a communication board can be developed using this system” (p. 358).

Over the course of a two-week period, each student was provided with three training sessions for how to use the iPad based on a task analysis the authors had devised. Skills taught included swiping, changing the volume, and operating the Choiceworks app. Next, the authors introduced five steps of problem-solving and provided mini-lessons on each of the steps. The authors used stories that required problem-solving, then taught the students how to use the app to navigate through the five steps of problem solving. Finally, the intervention was introduced in the science classroom.

All three students in this study significantly increased their independence in problem-solving. Furthermore, the results were generalized to solving problems related to daily living and were maintained over time.

The results of this study are important for several reasons. First, it demonstrates one method for increasing independence in individuals with developmental disabilities. Second, this increase in independence provides opportunities for more natural peer interaction since the individual with the disability will not have an adult always standing next to them. Finally, using a tool such as an iPad mini (as these researchers did) or iPhone is beneficial because many people are walking around with such devices, allowing individuals with disabilities to use a device to promote independence without increasing the threat of social stigma. The authors clearly show that, when provided with proper instruction, students with developmental disabilities can use the iPad mini to become more independent with both academic and daily living skills.

REFERENCES

Miller, B., Doughty, T., & Krockover, G. (2015). Using science inquiry methods to promote self-determination and problem-solving skills for students with moderate intellectual disability. Education and Training in Autism and Developmental Disabilities, 50(3), 356-368.

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.

Tip of the Week: The Importance of Replacement Behaviors

Recently I’ve written several posts about the importance of reinforcement, but now I want to turn my attention to another important concept: replacement behaviors. It can be very easy to slip into the habit of telling kids what NOT to do. “Don’t touch that! Don’t pick your nose! Don’t run!” However, if we can turn it around and tell kids what to do instead we often see higher rates of compliance.

Cute little girl isolated, holding a stop sign

Here are a few examples of replacement behaviors you can teach:

  • A student refuses to speak when he/she does not understand a question. You can teach the student what to say, such as “I don’t understand” or “Can I get help?” Teach through modeling and role playing in one-to-one settings, then generalize it to the classroom or other environments in which the skill is necessary.
  • When you begin a math lesson, one student frequently attempts to run out of the room. Introduce a signal or symbol (such as a holding up a stop sign) to request a break. Initially, you might give the break each time the student uses the sign correctly, then begin to require more and more math work before a break is received. This allows for appropriate and safe breaks without disrupting the rest of the class.
  • When your learner is done with dinner, he pushes his plate into the middle of the table. Teach your learner to instead put items in the sink. You might start with just placing the fork in the sink, then add more and more items until he/she is clearing the table independently. Another replacement behavior may be to use a symbol or signal as in the previous example to request to leave the table, or to teach the learner to say “May I go?”

Replacement behaviors should be simple to implement, should be taught one-on-one with multiple opportunities to practice and be reinforced, and should, if possible, be functionally equivalent to the undesirable behavior. (For example, if a child is engaging in one behavior to escape, the replacement behavior should teach a more appropriate way to escape.)

Sometimes, simply instructing the learner on a replacement behavior makes a huge change, but often you need to combine teaching a replacement behavior with other strategies (such as differential reinforcement). What I do know is that identifying and teaching a replacement behavior is a necessary part of almost any intervention and should not be overlooked.

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.

“Guided Playdates” by Caitlin Reilly & Carole Deitchman

This week, we’re proud to partner with ASAT – Association for Science in Autism Treatment – to bring you this practical article on Guided Playdates. We will be periodically showcasing articles from our colleagues at the Association for Science in Autism Treatment (ASAT). 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!  In this piece, authors Caitlin Reilly, MA and Carole Deitchman, MA, BCBA discuss the importance of play dates while offering accessible information on planning an effective play date and selecting peers, as well as on data collection.

My child with autism is doing well in his academic programming, but I’d like to help him develop social skills with peers. He participates in play dates, but I often worry that we are not making the most of these opportunities. How can I help him learn to play with a friend?

Answered by Caitlin Reilly, MA, BCBA and Carole Deitchman, MA, BCBA

The importance of play dates

Fostering the development of play and social skills should be an essential component of any educational or home program for children with autism. Possessing these skills not only improves a child’s overall quality of life and ability to sustain relationships, but also enhances his or her ability to learn from others. Many children with autism often need direct and systematic instruction to learn these skills.
Girls Holding Hands

Parent-guided play dates can provide the structure and practice needed to help a child improve peer social skills and make friends (Koegel, Werner, Vismara, & Koegel, 2005). Play dates may be a more effective and rewarding social activity for your child if the following foundation skills are already in the child’s repertoire or are being currently targeted:

  • knowing how to tolerate, attend to, and imitate other children;
  • being able to communicate his or her wants and needs;
  • understanding simple directions;
  • taking turns; and
  • playing with a few age-appropriate toys and one or two simple games (Smith, 2001).

As you think about the types of activities that may occur during the play dates, make a list of the skills that your child will need to successfully play with a friend. It is often very helpful to teach these important skills with adults first (Leaf & McEachin, 1999), as an adult is more likely to reliably and favorably respond to your child than a peer might be. Many of the above listed skills are likely ones that your child is also working on in school, and your addition of practice opportunities at home will help your child generalize learning to other people and situations.

Planning an effective play date

In addition to empowering your child with an array of foundational skills, it is important to guide his play dates using evidence-based methods. These methods incorporate techniques that have been repeatedly shown to be effective through controlled, scientific research. For your child’s play dates, such methods include the use of motivational systems, the strategic use of reinforcement, and the use of systematically faded prompts. While the first few play dates may require a close adult shadow and contrived reinforcement for desired behavior (e.g. chips or candy), the goal is to systematically fade the adult’s proximity and prompts and foster the child’s contact with naturally occurring reinforcement (e.g. the enjoyment of playing a game or talking to a peer). Evidence-based methods also call for the collection of objective data to monitor progress.

In order to increase motivation during the play date, use toys and activities that are especially enjoyable for your child and his friend (Koegel et al., 2005). Motivation is essential for keeping both children engaged, and for maximizing your child’s learning. Your child will be more likely to ask his friend to play a game if he enjoys that game. Similarly, the peer may be less likely to engage with your child if he does not enjoy the play date activity. Taking turns in selecting activities or using a choice schedule of activities may help in this regard.

It is also important to identify specific skills that you want to teach your child during his play dates. These may include such skills as greeting friends, initiating an activity, or asking questions. For example, the first several play dates may focus on saying “Hi” and “Bye” to the peer and playing catch. As with other types of skill instruction, consider pre-teaching these play and social skills with adults or at home with a sibling. Your child may require significant prompting initially, so think about how you can fade those prompts as your child’s skills improve and how to provide plenty of practice opportunities across settings, activities and individuals. Once your child greets his friend with ease and independence, focus on teaching him more complex play skills such as asking questions (e.g. “How are you?” and “Do you want to play?”) and making comments while interacting with the peer (e.g. “This is fun!” or “This is my favorite game.”). Start with teaching simpler skills, and then build on those your child has already accomplished.

If your child has difficult behavior, make a plan for how to manage it and follow through during play dates. Your plan may include “preventative” strategies, such as limiting the duration of the play date, using visual supports (e.g., activity board), providing a break, or minimizing activities that are a source of obsession or possible angst. Do not be concerned so much about embarrassing your child as giving him the support and repeated practice opportunities that he needs to be successful (e.g., repeating an interaction in which eye contact was not exhibited). Consistent consequences are essential in order to decrease disruptive behaviors and to help your child successfully relate to his peers (Maurice, Green, & Luce, 1996).

Selecting peers

Potential play date peers should include boys and girls of different ages (Smith, 2001). The best peers for play dates are often open and responsive. That is, they provide ample opportunity for your child to learn; they ask questions, they respond with enthusiasm, and they exhibit patience as your child practices socializing. From a behavior analytic standpoint, we might view a peer’s response as reinforcement for your child’s response. So, if his peer is unresponsive, your child may be less likely to initiate with that peer again during future opportunities. Ask your child’s teacher or other school staff for peer suggestions, or ask the parents of neighborhood children whom you know. Peers that your child naturally comes into contact with on a regular basis, such as family members, are ideal for practicing social skills (Oppenheim-Leaf et al., 2012). It is important that your child’s peer and his or her parents know about your child’s unique behaviors and needs (Baker, 2003). Prepare them for what to expect, and ask the other parent for permission to give rewards during or after the play date. For example, the peer might be rewarded for asking your child a question or waiting patiently while your child responds. Reinforcing the peer for interacting with your child will motivate him to interact with your child more in the future.

Data collection

Taking data on your child’s progress is essential to ensuring effective teaching strategies. This process will help you set goals, monitor changes objectively, and alter your teaching methods if progress has stalled or declined. For example, if your child is not learning to say, “Hi” to his or her peer, you may need to increase motivation to learn, increase your level of assistance (such as providing a verbal model of the greeting), or consult with a qualified therapist for other suggestions.

The following is an example of a basic data sheet that can be created to track your child’s progress during each play date. The skills that you teach and the data you collect will vary depending upon your child’s individual needs and abilities.

Tommy’s Play Date Data Sheet

Date: 10/25/12
Peer: Kyle

  1. Says “Hi” to peer when prompted +
  2. Initiates activity with peer using photo prompt in activity schedule. – / + / + / + / +
  3. Instances of problem behavior (tally): 1
Tommy’s Play Date Data Sheet

Date: 11/2/12
Peer: Kyle

  1. Says “Hi” to peer when prompted +
  2. Initiates activity with peer using photo prompt in activity schedule – / + / + / + / +
  3. Instances of problem behavior (tally): 0

Conducting an effective play date

Set aside favorite snacks to use as rewards for your child during his play dates (Leaf & McEachin, 1999). It is best to save these special snacks for play dates only, as this will make your child more eager to earn them. During the play date, “shadow” your child by positioning yourself behind him in order to prompt initiations with and responses to his peer (Krantz & McClannahan, 1993). When your child demonstrates target behaviors (e.g., making eye contact with his peer) or is successful in relating to his peer (e.g., making eye contact and saying “Hi, Kyle.”), praise him (e.g., “Great job saying ‘Hi’ to Kyle!”), and give him a small piece of his favorite snack. As your child’s learning progresses and he demonstrates these skills independently, you should fade use of this shadowing technique, including use of your prompts and instruction, as well as reducing the delivery of snacks and social praise as rewards. Ultimately, your child’s behavior will be rewarded by playing and talking with his friend, rather than your delivery of verbal and edible praise. It may also be necessary to reinforce the efforts of the peer, particularly if your child is not cooperating.

Many children with autism learn new things by using activity schedules (Krantz & McClannahan, 1998). Therefore, it may be worthwhile to make a “play date schedule” that your child and his friend can follow. This might include pictures of the activities and/or peer. As your child learns, you can gradually fade out the schedule so that the play date becomes more natural. You might also arrange materials so that the children must work together to complete an activity (Koegel et al., 2005). For example, if making cookies, have one child hold the measuring cup while the other pours the ingredients.

When starting out, keep the play dates short rather than stretching them out as long as the child seems comfortable or until something goes awry (Smith, 2001). A five-minute-long successful peer interaction is better than a 30-minute one that ends in a disruptive outburst. It may take several play dates for your child to become comfortable with his peer, and it will take time for him to learn new skills. It may be helpful for your child to have play dates with one particular child until he demonstrates mastery (i.e., independence) of specific skills; then try teaching those play skills with another child.

Since the pioneering work of Dr. Ivar Lovaas (1981), who demonstrated how parents could teach important skills to their children with autism, we have learned many effective ways to teach social and play skills (Leaf & McEachin, 1999; Lydon, Healy, & Leader, 2011; Koegel, Werner, Vismara, & Koegel, 2005; Smith, 2001; Krantz & McClannahan, 1993; Krantz & McClannahan, 1998; Maurice, Green, & Luce, 1996). Consulting with a qualified specialist may be helpful for planning and implementing effective play dates, but remember, you are your child’s first teacher. By using these techniques during guided play dates you are not only teaching your child essential social and play skills, you are teaching him how to have more fun!

References

Baker, J. E. (2003). Social skills training for children and adolescents with Asperger Syndrome and social communication problems. Shawnee, MI, Kansas: Asperger Publishing Company.

Freeman, S., & Dake, L., (1997). Teach me language: A language manual for children with autism, Asperger’s syndrome and related disorders. Langley, BC: SKF Books.

Koegel, R. L., Werner, G. A., Vismara, L. A., & Koegel, L. K. (2005). The effectiveness of contextually supported play date interactions between children with autism and typically developing peers. Research & Practice with Severe Disabilities, 30, 93-102.

Krantz, P. J., & McClannahan, L. E. (1993). Teaching children with autism to initiate to peers: Effects of a script fading procedure. Journal of Applied Behavior Analysis, 26, 121-132.

Krantz, P. J., & McClannahan, L. E. (1998). Activity schedules for children: Teaching independent behavior. Bethesda, MD: Woodbine House.

Leaf, R., & McEachin, J. (1999). A work in progress: Behavior management strategies and a curriculum for intensive behavioral treatment of autism. New York: DRL Books.
Lovaas, O. I. (1981). Teaching developmentally disabled children: The me book. Austin, TX: Proed.

Lydon, H., Healy, O., & Leader, G. (2011). A comparison of video modeling and pivotal response training to teach pretend play skills to children with ASD. Research in Autism Spectrum Disorders, 5(2), 872-884.

Maurice, C. Green, G., & Luce, C. (1996). Behavioral intervention for young children with autism: A manual for parents and professionals. Austin, TX: Proed.

Oppenheim-Leaf, M. L., Leaf, J. B., Dozier, C., Sheldon, J. B., & Sherman, J. A. (2012). Teaching typically developing children to promote social play with their siblings with autism. Research in Autism Spectrum Disorders, 6(2), 777-791.

Smith, M. J. (2001). Teaching play skills to children with autism spectrum disorder: A practical guide. New York: DRL Books.

CITE THIS

Reilly, C., & Deltchman, C. (2013). Guided play dates. Science in Autism Treatment, 10(2), 18-20.

ABOUT THE AUTHORS

Caitlin Reilly, MA, BCBA currently works as a behaviorist for the Summit Public School District, and is concurrently working toward her PsyD in School Psychology at Fairleigh Dickinson University. She also serves as the Sponsorship Coordinator and is a media watch contributor for the Association for Science in Autism Treatment.

Carole Deitchman, MA, BCBA consults for families and school districts to help children with autism. She is completing her PhD research in applied behavior analysis by teaching children with interfering rituals and routines to self-manage their behavior.

ABOUT the Association for Science in Autism Treatment

We promote safe, effective, science-based treatments for people with autism by disseminating accurate, timely, and scientifically sound information; advocating for the use of scientific methods to guide treatment; and combating unsubstantiated, inaccurate and false information about autism and its treatment. Since autism was first identified, there has been a long history of failed treatment fads, levied on vulnerable individuals and their families. Many of these treatments have been too hastily adopted by professionals, sensationalized by the media, and embraced by consumers before evidence existed for their effectiveness or safety. Visit our website at www.asatonline.org and subscribe to our free quarterly newsletter at www.asatonline.org/newsletter/. Follow us on Facebook at www.facebook.com/ASATonline and on Twitter at @asatonline.

Tip of the Week: Using Differential Reinforcement of High Rates of Behavior to Increase Preferred Behaviors

Differential Reinforcement of High Rates of Behavior (DRH) is “reinforcing only after several responses occur at or above a pre-established rate” (Mayer, Sulzer-Azaroff, & Wallace, 2013). There are times when a behavior is already in a student’s repertoire, but you may want to increase the rate of the behavior.

Mother Waking SonFor example, let’s say Harold frequently won’t get up independently on weekdays before school. It’s driving his parents crazy, because they have to drag him out of bed several days a week. You may set up a DRH to increase the rate of him getting up independently. Since Harold currently gets up independently at least one time per week, you would set the goal for two times per week. (You don’t want to set the goal too high, because then Harold might not ever come into contact with reinforcement, and his behavior will likely remain unchanged.) Let Harold know that if he gets up independently two days in a row, you will make his favorite breakfast on the second day. Once Harold has met this goal a few time, increase the requirement for reinforcement. You would move from two days in a row to three days in a row in order to receive his favorite breakfast.

You would continue this until you had reached a pre-arranged goal. It’s important to be realistic in our expectations. You don’t want to change the goal to quickly or make it unreachable. You also don’t want to place higher demands on an individual with disabilities than you do the general population (as discussed in our previous Simplifying the Science article). Many people, for instance, hit the snooze button several times before they actually get up, so it may not be necessary to require an individual with disabilities to wake up the very first time the alarm clock rings 100% of the time.

You may discover that your intervention with Harold is working quite well for a couple weeks, then suddenly stops working. You may need to backtrack a bit, and require fewer consecutive days of independently waking up. Or, you may need to vary the reinforcement. It’s possible that having his favorite breakfast has lost some of its power as a reinforcer.

Finally, after the behavior has reached your goal rate, you should begin to fade the reinforcement entirely. Of course, Harold should still have access to his favorite breakfast, but you should not continue to give it to him on the fifth consecutive day of waking up independently for years to come!

DRH is yet another variation of differential reinforcement that can be very useful for you. It’s also provides an opportunity for a much more positive interaction than introducing punishment to Harold for not waking up independently, and can decrease everyone’s stress levels at the beginning of the day.

References

Mayer, G. Roy, Sulzer-Azaroff-B. & Wallace, M. (2013). Behavior Analysis for Lasting Change-3rd ed. Cornwall-on-Hudson, NY: Sloan Publishing.

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.