Tag Archives: reinforcement

iPad and Autism?

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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?

How Do I Get My Kid To Eat?!

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I couldn’t even begin to count how many times I’ve been asked this question. It is an issue that I love to tackle in collaboration with the families that I work with mostly because when progress is made, it makes such a dramatic difference in the well-being of the entire family.

Behavioral and sensory issues of a child with special needs can further complicate the ordinary mealtime struggles of a parent of a small child. Parents are often torn between the interventions outlined for them by therapists and the reality of everyday life. This usually means that at the end of the day, just getting the child to eat anything and by any means necessary. No one is happy when mealtime becomes a battle zone. Use of a token economy or escape extinction is most common and can work if implemented consistently. However, I am always impressed when I come across new and creative approaches to food and feeding issues.

One such example of creativity comes from my experience with a great family and their two young boys that I worked with for several years. Their mother was a force to be reckoned with when it came to approaching the introduction of new foods and organizing play dates. I don’t remember how it started, or if it was a conscious plan but the weekly play dates she organized for socialization quickly evolved into preschool foodie events. The children were much more likely to try new foods and like them when their peers were trying them too. It was also a great opportunity to work through sensory aversions and begin to enjoy getting messy. I was recently reminded about these special food play dates when I came across a post on https://special-needs.families.com about a food centric play group started by some parents in Texas.
Currently I am experimenting with new ways to expand the diets of the children on my caseload as well as improving my own health through my food choices. My own mantra for health is to “Eat the Rainbow” so that I make sure I get a nice mix of fruits and vegetables. In my research I came across a great book for one child who has a strong interest in letters. The book is “Eating the Alphabet” by Lois Ehlert and it has inspired a new token economy type system for him and his siblings. Check out the template for the chart in the DRL Downloads! All you have to do is add your child’s picture and a picture of anyone else in the family wanting to participate, laminate, start checking off new foods with a dry erase marker and let the eating begin!
What have you tried?