Individualized Token Economy Systems – Strategies for Teaching Students with ASD by Autism Partnership

Individualized Token Economy Systems

 At Autism Partnership we have found the development and implementation of individualized token economy systems to be a powerful tool in accelerating progress for our students. Token economies have been shown to be an extremely effective contingency management system for a variety of populations. Initially, Ted Allyon used token economies to provide consequences to hospitalized mentally ill residents. The procedure proved to be extremely effective and quickly token systems were utilized with other populations exhibiting challenging behavior problems, including “delinquent” adolescents (Montrose Wolf) and mentally retarded adults (Nathrin Azrin).

Today, token economies are used to address a variety of behavioral concerns including those of children with Attention Deficit Disorder and Autism Spectrum Disorder as well as typically developing children. Token economies have been so widely recognized as effective and efficient behavior management strategies to such a degree that they are routinely being employed in general education classrooms throughout the world. (Star Charts, Table Points, Marble Jar).

Tokens are symbols (e.g., points, coins, stickers, ticks or check marks, toy parts, etc), which are delivered immediately after a target response and are exchanged later for an item or activity of preference. Tokens therefore symbolize access to other preferred items or experiences, technically referred to as “generalized reinforcement”. Initially the tokens in and of themselves are not rewarding but once the student understands that tokens can be “exchanged” for preferred activities, their value is established. A daily life example of this process would be our use of money which allows us to purchase desired items or experiences. Creative systems often use motivating tokens such as pictures of favorite cartoon characters, athletes or musicians. Pictures of the target behavior can be used as the symbol as well. The tokens are clearly displayed, allowing the student to always see how many they have earned, and how many more they need to earn until reinforcement will be delivered.

This is part of a guest series by Autism Partnership founders Ron Leaf, John McEachin and Mitchell Taubmann. Established in 1994, Autism Partnership is one of the nation’s premier agencies dedicated to providing intensive behavior intervention for children with autism and their families. They offer a comprehensive program and a variety of proven services, including in-home, in-classroom and one-on-one, as well as lectures and workshops. All programs are handled by expert staff and tailored to each individual child, family and caregiver, with the goal of helping that child achieve their best life. For more information, visit www.autismpartnership.com.

Reinforcement Development – Strategies for Teaching Students with ASD by Autism Partnership

Reinforcement Development

 When discussing the importance of reinforcement often parents and teachers alike will comment that reinforcement doesn’t work because there is nothing that the child finds to be reinforcing.   Often this is not accurate: there are lots of potential reinforcers but they are receiving them for “free.”  That is they are not earned or technically they are not contingent.  They watch TV, play on the computer or go on an outing without them being earned.  If they were made to be contingent upon behavior they would indeed change behaviors.  Moreover, there are often many things that could be reinforcers but if the student doesn’t know how to play with, say, the toy, therefore it too is not a reinforcer. 

Identifying reinforcers often requires creativity.  By “definition” children with ASD enjoy self-stimulation.  Perhaps their self-stimulation can be used as a reinforcer.  For example, you may provide them the opportunity to line up objects, sift sand or perseverate on a topic as a reinforcer.  As another potential reinforcer you can bother them by making demands and intruding upon their space and then leaving them alone can serve as the reinforcer.

Naturally, if you were to use self-stimulation or escape as a reinforcer, you would want to use this as a means to develop other reinforcers.  For example, when engaging in self-stimulation you may associate it with music so that music eventually becomes a reinforcer.  Association can also be used with escape.  For example,  when they escape a demand,  direct them to play on the computer thereby making the computer a reinforcer.

Whether a student has established reinforcers or if truly there is nothing that is reinforcing, it is necessary to develop reinforcers.  But it takes creativity and being highly systematic!  The following are a few ideas on how to develop reinforcers:

 

  •  Sometimes reinforcement development can be as simple as exposing the child to potential reinforcers. 
  •  Giving free access to potential reinforcers can also create new reinforcers. 
  • An effective way to develop reinforcers is to associate potential reinforcers with established reinforcers.
  •  The “packaging” of the reinforcer can is another strategy to develop reinforcers.  Often you can “sell” the reinforcer by being enthusiastic and playful. 
  • Assessing what the student likes and then creating reinforcers based upon interests can create reinforcers. 

Giving students choices can be effective in the development of the reinforcement.  Simply giving a student a choice of which of two toys he would like to play with can have the effect of making the selected toy as a reinforcer. 

This is part of a guest series by Autism Partnership founders Ron Leaf, John McEachin and Mitchell Taubmann. Established in 1994, Autism Partnership is one of the nation’s premier agencies dedicated to providing intensive behavior intervention for children with autism and their families. They offer a comprehensive program and a variety of proven services, including in-home, in-classroom and one-on-one, as well as lectures and workshops. All programs are handled by expert staff and tailored to each individual child, family and caregiver, with the goal of helping that child achieve their best life. For more information, visit www.autismpartnership.com.

Teaching Interactions – Strategies for Teaching Students with ASD by Autism Partnership

Teaching Interactions

 Teaching Interactions (TI’s) are another instructional format that can be invaluable in teaching children skills.  This instructional technique was developed at the University of Kansas as part of the Teaching Family Model for delinquent youth.  TI’s have several benefits as it allows for structured training of more complex, often sophisticated skills in a highly natural, interpersonal, expanded conversational format.  TI’s are designed to teach complex skills (e.g., social skills, problem solving, etc.).  They utilize shaping and reinforcement to teach a skill and rely on a task analysis format.  The teaching style is typically conversational and flexible in nature, providing the student multiple opportunities to participate in the teaching process.  Although flexible, the technique approaches teaching skills systematically, and requires planning for generalization.  Following are the 6 steps of a TI and both guidelines and considerations when utilizing this teaching technique.

 

  • Initiation & Labeling
  • Rationale
  • Demonstration
  • Practice
  • Feedback
  • Consequences

This is part of a guest series by Autism Partnership founders Ron Leaf, John McEachin and Mitchell Taubmann. Established in 1994, Autism Partnership is one of the nation’s premier agencies dedicated to providing intensive behavior intervention for children with autism and their families. They offer a comprehensive program and a variety of proven services, including in-home, in-classroom and one-on-one, as well as lectures and workshops. All programs are handled by expert staff and tailored to each individual child, family and caregiver, with the goal of helping that child achieve their best life. For more information, visit www.autismpartnership.com.

Learning How to Learn – Strategies for Teaching Students with ASD by Autism Partnership

“Learning How to Learn”    

Teachers and parents are often eager to teacher children language, social and academic skills.  Clearly, these are important objectives that are essential for children’s well being.  It is generally recognized, that in order for children to be successful in learning these skills that their disruptive behaviors must not interfere in the learning processes.  Therefore behaviors such as aggression, non-compliance and self stimulation must be targeted prior to teaching more formal skills.  However, there is another critical perquisite skill that is essential in order to maximize learning success.  Acquiring “learning to learn” skills is absolutely pivotal in a child’s success.  It is really teaching children the process of learning.  It is the foundation, perhaps the pivotal skill necessary for them to acquire all other skills. Often when a child is struggling in learning beginning or even advanced skills it is often because the child is deficient in this area.  “Learning to learn skills” include some of the following skills:

    • Attending
    • Returning Reinforcers
    • Hands Still
    • Waiting
    • Responding to Instruction
    • Changing Behavior Based Upon Feedback
    • Learning From Prompts
    • Remaining Calm

 

    “Learning to learn” skills often are not directly targeted.  Typically by the time children participate in more formal instruction they have learned these behaviors.  However, the majority of children with ASD require direct teaching to understand these critical skills.  Therefore, systematic programs designed to teach these critical skills are essential.

This is part of a guest series by Autism Partnership founders Ron Leaf, John McEachin and Mitchell Taubmann. Established in 1994, Autism Partnership is one of the nation’s premier agencies dedicated to providing intensive behavior intervention for children with autism and their families. They offer a comprehensive program and a variety of proven services, including in-home, in-classroom and one-on-one, as well as lectures and workshops. All programs are handled by expert staff and tailored to each individual child, family and caregiver, with the goal of helping that child achieve their best life. For more information, visit www.autismpartnership.com.

Pick of the Week: Timers, Counters & Clocks

The new year offers us a chance to take stock and approach things with a newfound zeal. It’s a time to feel energized and motivated. To help you stay on task, this week’s pick is our full selection of Timers, Counters & Clocks as even the most determined of us could use a bit of a reminding. The MotivAider is a great tool for behavioral modification of any kind, and the Vibralite Watch offers a private reminder to engage in any situation. Whatever your goals and resolutions may be, all of us at Different Roads to Learning wish you a happy and healthy 2012!

To save 15% on all Timers, Counters and Clocks, this week only, enter the Promo Code BLOGTC2012 at checkout.

*Offer expires on January 10, 2012 at 11:59 pm EST. Not compatible with any other offer. Be sure there are no spaces after the Promo Code when you enter it at checkout.

Pick of the Week: MotivAider

Save 15% this week only on the invaluable MotivAider. The MotivAider is a simple electronic device that vibrates at timed intervals to provide an individual with a private prompt to engage in a specific behavior. It can be programmed to vibrate on a fixed or variable schedule at different duration and intensity levels. The MotivAider is a fantastic tool that can be used to manage a wide variety of behaviors and scheduling issues for individuals of all ages.

Save 15% on the MotivAider today through March 29 by entering the promo code BLOGMVR at checkout.

*Offer expires on March 29, 2011 at 11:59 pm EST. Not compatible with any other offer.



How and When to Help?

So, I’ve been falling a little behind lately with my blog posts.  The main reason is that I’ve been feeling overwhelmed.

My current caseload is four very different children and their even more dramatically different families.  I’ve been doing this work a long time and can easily move from case to case implementing programs ranging from simple gross motor imitation to reciprocal conversation to complicated play schemas involving a peer.  In fact, I’m feeling invigorated by the current challenge of having children who are in such different places developmentally.  When it comes to the kids, right now I’m bringing my ‘A’ game.

The thing that is leaving me feeling a bit discouraged is how difficult it can be to present the same information to different parents and caregivers especially when it comes to family training sessions.   One parent wants me to be a straight talking express with no holds barred.  Another needs me to tip toe around sensitive issues while modeling techniques and strategies.  This discrepancy has left me feeling confused and frustrated.  I haven’t felt that it was an appropriate blog topic because  quite frankly, the last thing parents need is to listen to me complain about not always knowing when and how to help them.

But then I started thinking… who better to ask than the great group of people we have reading the Different Roads to Learning blog?  I would love to hear from parents and professionals alike about their successes and failures regarding communication with each other.  Tell us your stories!

Special Education Apps for Ipad

We’ve been talking so much about using the Ipad to teach individuals with autism and other special needs and it looks like Apple has been paying attention. There is now a Special Education category in the AppStore. The section titled “Special Education” launched recently and includes 72 applications for the iPhone and 13 applications for the iPad in 10 categories ranging from communication to emotional development and life skills. Have any of you tried these apps? What do you think of them?

Back to School Basics

You know it is officially back to school season when the grill in my backyard has been cool to the touch for days and I’ve had my yearly medical exam (PPD titer and all!). I hope it has been smooth sailing for you and your little ones as classes begin. If it hasn’t been, this is what I always try to keep in mind, for all people, big and small:

PREPARE!

It is best to join forces with your child and prepare for the year by making sure you cover what I like to call the 3 S’s.

SPACE

Make sure everything in your child’s work/play space at home is organized and equipped. Play continues to be an important part of learning even when school is in session so take this time to go through toys and arts and crafts supplies and weed out things that are broken or no longer developmentally appropriate for your child. Make sure there is a spacious and uncluttered work space stocked with all of the supplies your child will need to complete homework and school projects. It is also a good idea to keep a space near the work area for a visual schedule to help foster independence during homework time. Lastly, designate a spot near the entrance of your home where your child’s backpack, important papers and your keys can go each afternoon. The last thing you want is to add undue stress to your morning routine and risk missing the beginning of class.

SCHEDULE

We all know that with this population transitions can be especially difficult.  First, take care of as much as you can the night before. Pack bags, sign paperwork, pack lunches, and pick out clothing.  Also, don’t think that a a parent you are the only one responsible for this prep work. Incorporate as many of these things into your child’s evening routine as you can. Having your child participate will foster independence and build confidence. Again, visual schedules and token economies help facilitate independence and provide motivation respectively.  Structure benefits children so it is good to develop a general school year routine and stick to it as much as possible.  Predictability is helpful when it comes to transitions but also remember to build in components that have some element of change to them so that you can facilitate flexibility.  One part of the schedule that shouldn’t change is the sleep schedule.  Keep it as consistent as possible, even on the weekends.  I suggest building a calming activity into the schedule before bedtime and using a timer to help with the transition to bed.

SOCIAL

Sometimes, people find it surprising when I suggest preparation for social interactions but there are a lot of creative ways to help children familiarize themselves with conversational topics, common games and salient information about their peers and teachers.  I encourage all of the families I work with to print photographs of family outings or events that can be used as visual prompts for conversational topics.  Especially good are things that happened over the weekend.  If the picture book is reviewed Sunday evening they will be fully prepared to talk about what they did over the weekend. Additionally, you can find out what schoolyard games are popular with your child’s peer group and practice them at home with siblings or playdates.  If it is an athletic game you might also spend time with your child making a book about the rules that can be reviewed periodically. Lastly, I like to construct a “friend journal” with a child at the beginning of each school year.  You might need to enlist teachers or other parents to help with this but it is such a useful tool that it is worth the extra effort.  Start by obtaining photos of each classmate and pasting them individually into different sections of the journal.  On a daily basis you can help your child fill in something they have learned about their peers.  This could range anywhere from favorite cartoon or tv show to their age or their family members names.

Going back to school can be a fun and exciting time.  With a little preparation and creativity maybe it will be the best school year yet!

iPad and Autism?

As a home-based Early Intervention provider traveling to various locations throughout New York City each day, I find my iPhone to be invaluable. It is quite possibly the best “business” expense of my career. It lurks in my bag as a secret weapon of motivation and reinforcement where once a gaggle of heavy and semi-effective toys resided.

With the huge presence that technology has in our lives today it is only inevitable that some gadgets make their way into therapeutic endeavors. While there are negative effects to being plugged in all of the time, it’s hard for me to ignore those moments where technology allows a child to learn something that had been previously difficult or the amazing instances of joint attention that can be facilitated by using these apps. Without a doubt, I’m sold on the fact that the new gadgets with touch screens will continue to be an invaluable tool moving forward in my work with children. However, I can’t silence the little contradictory voice in my head telling me that teaching happens in real life, not on a screen.

Therefore, I use my iPhone in therapy sessions with children sparingly. I am the one setting limits on usage and modeling durations of time that are reasonable and appropriate. Approximately 90% of the apps I use are educational and present great opportunities for the generalization of skills taught using DTT or NET methods. I have also downloaded social skills training videos that have facilitated preparation for things like going to get a haircut. Even though that tiny voice still lurks in the back of my head, the more I read and hear, I am beginning to think that the consensus of people in this community is mainly positive.

I am most excited about programs such as Proloquo2Go, which use the iPad as a more portable and user-friendly augmentative communication device. Not unlike the endless list of apps, the uses are never-ending as well, as outlined in a great article in the SF weekly from August 11, 2010. The iPad and various apps are helping therapists and parents teach children how to draw, write, communicate, read, spell, count, and increase independence through visual schedules.

Using technology hasn’t compromised what or how much I am able to teach. It has enhanced my sessions. How do you feel about it?