Join us TONIGHT for an ABA Q&A with Sam Blanco, BCBA

Join us for a live ABA Q&A with Sam Blanco, BCBA TONIGHT from 7:00 to 8:00pm ET! Our primary focus will be on Managing Difficult Behaviors. Here is a chance to get your specific questions answered in real time by a Board Certified Behavior Analyst. Just visit our Facebook page and post your question here. For details of the Q&A, visit the event page here.

If you can’t make the live Q&A with us on tonight, you can post your questions in advance, and we’ll make sure your questions are answered. Don’t forget to check back to the app for Sam’s answer!

Q&A with Sam_Revised 04.15.14

Different Roads to Learning reserves the right to remove or delete any questions and comments deemed to be of an inappropriate, offensive, and discriminatory nature. All answers are intended as suggestions only. Programming decisions and interventions should always be discussed with trained professionals prior to implementation. All programs should be individualized for a particular child or student and overseen by a qualified behavior analyst.

Safety, Wandering and Emergency Planning for Individuals with Autism: An Interview with Gary Weitzen of POAC and the Autism Shield Program

The safety of individuals with autism is an enormous concern for parents and caregivers across the country. POAC Autism Services consulted with Dennis Debbaudt to pioneer The Autism Shield Program providing safety training for police, fire fighters, and EMTs. More recently, POAC has developed a companion workshop designed for caregivers, teachers, and child study team members.

Sam had a chance to talk with Gary Weitzen, Executive Director of POAC Autism Services. Gary is an excellent source of information and has been incredibly generous and proactive in sharing his experiences and knowledge with the community. POAC has now trained more than 15,000 police officers and first responders on autism recognition and safety. We’re sure you will find Gary’s insight and suggestions exceedingly helpful and applicable to children and adults of all ages.

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Fifteen years ago, Gary Weitzen’s five-year-old son with autism went missing. The first place his parents looked was the lake, because like many children with autism, they knew he was drawn to water. Fortunate to find him in time to save him, this experience and many similar stories Gary would hear over the years, were the impetus for creating the Autism Shield Program. Gary is now the Executive Director at POAC, an organization in New Jersey that provides free resources for the autism community.

“The Autism Shield Program is a comprehensive program really designed to keep our children safe in their schools, homes, and communities,” Gary said. “It originally started training police officers. Multiple FBI studies have shown that if you have autism or any other developmental disability you’re seven times more likely to encounter police than if you don’t have autism.  We’ve expanded it to the current program which also includes firefighters, EMTs, emergency first responders, school nurses, prison guards, and parents.”

One thing that Gary stresses repeatedly is the need for children with autism to learn how to swim.

“I lived with the fact that my son almost drowned. [Fifteen years ago] it was just huge numbers of children with autism drowning. Like every week another child with autism died, another child with autism died. It was overwhelming,” Gary said. “We thought, we have to do something here. We have to let parents and police know exactly what’s going on here.”

Eight years ago, POAC started training police departments on how to respond to emergency situations that involved individuals with autism.

Wandering Child

“I always tell the first responders the same thing: individuals with autism are never lost. Ever. They’re always going somewhere. They didn’t wander out of the house like someone with Alzheimer’s would or even a small child would. Our guys are going somewhere so you want to try to get the information right away about where you think they might be going from the caregiver. If you get that information beforehand, you can try to search there. Always start a search with bodies of water. Always. If the child is missing from a specific location, start with concentric circles out and hit every body of water,” Gary said.

Two more suggestions have been extremely beneficial for law enforcement and first responders in dealing effectively with individuals with autism. The first is to speak in short, direct sentences telling the individual what TO DO instead of what NOT to do. The second is to provide a prompt if the individual is without identification and not giving contact information upon request.

“Let’s say, you ask Charlie his phone number, he doesn’t give you a phone number. Ask his phone number again, but this time prompt it with the area code for that area. ‘Charlie, what’s your phone number, 9-7-3…’ Ninety-nine times out of 100 our guys with autism will finish their phone number.”

Gary also suggests families complete an Emergency Planner and to register with 911 in order to assist with improving safety and emergency response efforts. He urges families to utilize services such as Project Lifesaver.

“[Project Lifesaver] has been in existence for over 15 years. It’s LoJack for our kids who wander off. It was designed for Alzheimer’s patients and expanded to individuals with autism. There are now more individuals with autism that are on it than people with Alzheimer’s,” Gary said. “The success rate in 15 years nationwide: 100%. There’s never been a case of an individual on the program not being found alive ever, ever, ever. Hundred percent success rate. And the average time it takes from the time mom calls up ‘My child is missing’ until the sheriff’s officer has their child in their hands: 14 minutes.”

For individuals who may not tolerate the Project Lifesaver bracelet, Gary recommends creating a rule about cell phones and using the cell phone to ensure the individual is safe.

“If the rule is I always have to have my smartphone with me, in my pants pocket, guess what, they will always have that smartphone with them in their pants pocket. And it doesn’t have to be turned on,” Gary said. “It just has to have power and with iPhones and Androids you can get free apps like the Find My iPhone. There’s also programs out there with Verizon, AT&T, and other providers for $10 a month to put a family locator on the phone, set up a location, so if the phone moves 50 feet away from wherever the location, work, school, home, mom or dad gets a text instantly. The phone is on the move. And you can track it in real time. So there are so many things that are out there that people need to take advantage of and could take advantage of. They just have to be told about them.”

Beyond wandering and encounters with police, POAC also works with fire departments and with parents to increase safety during house fires.

“Very often, individuals with Asperger’s will hide in a house fire. And look, regardless of their age—face it—our guys and girls will re-enter a burning building. This happens all the time. All the time, firefighters come, they save the child, the child’s with mom, with other kids, and in the confusion of the fire, especially if there’s somebody still in the house they’re trying to save, we’ve had so many individuals with autism walk right back into the burning house in front of the police, firefighters, and their family and burn alive and die in the house.”

Gary recommends running fire drills at home with clear rules, such as, “Stand by Mrs. Smith’s mailbox.” It’s also important to identify who will be responsible for the individual with autism during an emergency. But Gary cautions that even with supervision, an individual with autism may be dangerously insistent about re-entering a burning building.

“So, where’s the best place to put a child at the scene of a house fire? Locked in the back of a police car. They’ll potentially scream, bang their head, maybe hurt themselves, but they’re alive. They’re alive,” Gary said. “We have videos of a child wandering off and the firefighter actually trying to hold them and the kid just runs across the street back toward the building.”

POAC has also provided many trainings for both parents and professionals about sexual education for individuals with autism. Gary describes sexual abuse as a major problem for individuals with developmental disabilities that people are afraid to address.

“Unfortunately, the sexual abuse rate with our guys to sexual predators is through the roof. The numbers for females are, close to 70% of females with autism were sexually assaulted by predators. Seventy percent. Seven out of ten of our girls are sexually assaulted before age 18. And the number’s around 40% for males. And I go into why that is, they’re the perfect victim. They don’t understand intent, they don’t understand the social rules.”

“You have to start sexual education with our guys in preschool,” Gary said. “That shocks people when I say that, but Sex Ed in preschool is, ‘What a bathing suit covers no one’s allowed to touch.’ That’s Sex Ed in preschool. So it’s not as scary as people think. But you know when most Sex Ed is taught to individuals with developmental disabilities? After something happens. After someone gets assaulted or after someone masturbated in class or someone touched someone inappropriately. You know, we better do something! No, they’re fifteen! Start early.”

“A big problem for parents of children with autism, and I say this as a parent of a child with autism, is that you’re thinking it’s not your kid. Parents on the lower end of the scale always think, ‘Nothing’s ever going to happen to my child because somebody’s always with them—it’s them kids with Asperger’s who are running willy-nilly off by themselves all the time—those are the ones getting into trouble.’ And then right across the room, the parents with the higher functioning kids think, ‘Well nothing’s ever going to happen to my son because my son tells me everything, it’s those low-functioning kids who can’t speak that everything’s happening to.’ But, it’s happening to all of our kids equally, wherever they fall on the spectrum, and the problem is the parents always think ‘Well, not my kid, it’s somebody else’s.’  No, you’ve got to think, this definitely could be my child so what do I have to do to increase his safety?

POAC continues to provide free workshops and resources to residents in New Jersey. And Gary will continue with that effort for a long time yet. “I always joke that the Irish in me wants stuff to be meat and potatoes. I want it to be real. I want it to be real for the families. I want it to be real for the officers. Any one of our trainings, I want the person to walk away with something that they can use that day to make a child safer.”

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If this story has touched you or you feel you can use it, Gary asks that you please consider making a tax-deductible donation to POAC.

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5 Essential Resources for Your ABA Program

Our focus here at Different Roads to Learning is always on supporting the language and social skills in children on the spectrum through evidence-based interventions. We’re staunch believers in Applied Behavior Analysis and we’ve built our extensive product line around the tools that will best support these programs. As we continue to focus on Autism Awareness this month, we asked our BCBA Sam Blanco to choose five of her go-to resources and tell us a bit about why they’re integral components in her work. This week, we’re are also offering a 15% discount* on these five essential resources from our catalog. Be sure to use our promo code ESSABA5 when you check out online or mention it when you call us at (800) 853-1057.

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When you work with children with autism, you typically are focused on four goal areas: developing language and communication skills, improving social skills, increasing independence in both academic and daily living tasks, and addressing any maladaptive behaviors. While there are a wealth of resources available to help achieve goals in these areas, there are five resources I really can’t live without.

VB-MAPP: The Verbal Behavior Milestones Assessment and Placement Program by Mark L. Sundberg, Ph.D. is essential. It’s easy to use, provides a wealth of information in a relatively short period of time, and allows you to prioritize the unique needs of your particular learner. Beyond the milestones assessment, I love that the VB-MAPP provides a way to assess and measure barriers to learning such as aggressive behaviors, prompt dependence, and defective scanning skill. Finally, as a special educator, it can be difficult at times to know how your student is doing compared to his/her peers in a general education environment. The Transition Assessment portion of the VB-MAPP allows you to assess and measure progress towards specific skills necessary for transitioning to a less restrictive environment.

Language Builder Picture Cards: After the VB-MAPP, these cards are the first investment you should make if you’re working with learners with autism. They are designed to help you teach a wide range of skills including receptive language, expressive language, matching, sorting by category, and identifying feature, function, and class. I use these cards to play games with my learner to practice prepositions (such as hiding a card picturing a frog and having the learner find it by listening to directions like “the frog is under the pillow.”) I also use the cards as prompts for a “What am I thinking of” game. For this game I can look at the picture, then give the learner clues so he/she can guess what I’m describing (such as “I’m green. I have four legs. I hop.”) I then trade turns, and the learner has to look at a picture and provide clues for me to guess what is pictured. All in all, the Language Builder Picture Cards provide so many opportunities for language development you’ll never regret the investment.

Time Timer: I love the Time Timer so much that I actually own the 3-inch, 8-inch, and 12-inch models. For young learners, the clear visual indicator of the passage of time helps prepare them for transitions, complete transitions with greater levels of independence, and begin to understand the passage of time. Older learners use it to manage their time better during tasks, regulate their own behavior, and increase independence in both academic and daily living skill tasks. For all students, it helps facilitate a better understanding of the concept of time. When I taught in the classroom, I used the 12-inch model so that it was clearly visible for all students. I love the 3-inch model for older students who still need the visual tool.

A Work in Progress: When I first began teaching learners with autism, a colleague recommended A Work in Progress to me, and I have come back to it again and again over the years. It provides strategies and a curriculum for addressing the needs of learners with autism, including topics such as self-stimulatory behaviors, sleep problems, eating problems, toilet training, and social play. Most importantly, it describes how to meet the needs of learners with autism in language that is accessible. The curriculum portion of the book describes in detail what a teaching session should look like and how to run discrete trials. It also provides comprehensive instructions for dozens of programs.

Verbal Behavior Targets: Unlike A Work in Progress, this book is not a curriculum, but, as Luckevich states in the introduction, a guide to selecting targets “to meet the unique language goals of each individual child.” Verbal Behavior Targets provides hundreds of targets for each stage of language development (split into 6 chapters: words; multiple words; instructions and questions; sentences; category, feature, and function; and conversation topics. I know there have been many moments in the past, especially when I was first starting out, in which my learner would master a target skill and I would struggle to come up with additional targets. This book helps you continue to push your learner towards independence by providing a vast number of targets in developmentally appropriate sequence. And did I mention she also included data sheets?

As a therapist, finding quality teaching resources can be challenging. There are so many products to choose from and the choice and cost can be overwhelming. The items described above are not only high-quality, but are essential to providing the best possible learning environment. Investing in a few versatile, solid products saves you money over the long term, makes both teaching and prep time more efficient, and helps provide a vast range of possibilities for student learning.

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This week only, you can save 15%* on any of these products on Sam’s list of 5 essential ABA resources by using promo code ESSABA5 when you check out online.

*Offer expires at 11:59pm ET on April 22, 2014. Not valid on past orders or with any other promotions and offers. Be sure there are no spaces or dashes in your code at check out!

Ready Set Play! Strategies for Modifying Games

In continuing our celebration of Autism Awareness Month, we’d like to share with you another article from our very own Sam Blanco, BCBA on how to modify games for learners with autism.  Sam focuses on helping educators and parents understand how to thoughtfully integrate games, toys, and technology for students with autism and other developmental delays, and here she presents a few simple, yet effective, ways of adapting every day games and toys to meet the needs to students on the spectrum.

Ready Set Play! Strategies for Modifying Games
by Sam Blanco, BCBA

Choosing games for learners with autism can be quite challenging, especially when your goal is to provide social opportunities through playing games with peers or siblings. Sometimes you find a game that you think your learner will find highly motivated, only to discover there are aspects of the game that make your learner lose interest quickly. Here are a few tips to help modify games to meet the needs of your individual learner.

One of the easiest and best modifications you can make is to shorten the duration of an activity. Most of the games and activities you will find on this website take 10-15 minutes. For longer activities, I will set a timer and let the learner know that the game will last for 10 minutes (or less, depending on the learner) or allow the learner to choose the duration of the game. Also, though it may feel unnatural, (especially if your learner is engaging with you when he/she rarely does) I try to end the activity when the learner’s interest is at its peak. This will make the learner more likely to request or be interested in the activity in the future.

If the game is too difficult for the learner, you can do some of the steps for your learner. For example, for some of my early learners, I will complete one or more steps in the game Roll & Play. Some of my learners struggle with grasping the cards between their index finger and thumb. I can pick up the card for them, and then continue with the game. This allows us to maintain a quick pace in the game, maintain the learner’s interest, and continue the focus on the skills presented in the game. It’s important to remember that just because you are completing some of the steps, it does not make the game less valuable. Usually, I am practicing grasping objects in other activities and will eventually introduce it into the game, but I want to maintain focus on only 1 to 2 skills when I am teaching through games. Otherwise, the game can become very slow and less motivating for the learner.

Another easy modification is to simply remove some parts of the gameS’Match is a fantastic memory game that helps learners match items based on three components: shape, color, and number. For some learners, I remove the spinner so that I can introduce the game with just two components. I’ll either verbally tell the learner “This time, we’re matching by color,” or I’ll have a textual cue. This way, I can focus on the skills of matching, while making the game easier for learners who might struggle with the skill of remembering three different components of each picture in the memory game. Once my learner has mastered the game with matching by two components, I introduce the spinner and matching along all three components. (There are also games I play with my learners that just involve the spinner, which you can find here.)

Increase your expectations as quickly as possible. For each of my learners, I typically have two categories of games: Emerging and Mastered. With emerging games, the learner still requires modifications, but I am trying to fade those modifications and increase expectations as quickly as possible while still maintaining the learner’s interest and motivation to play the game. With mastered games, the learner is able to play the game as designed with peers or siblings and I can focus on social goals instead of game-related goals.

Games provide a wide array of opportunities to teach academic, non-cognitive, and social skills. Modifications such as those listed above can open up these opportunities for your learner in age-appropriate and fun ways.

Sam Blanco is a Board Certified Behavior Analyst and 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, by organizing resources in an easy-to-use way that also directly connects to data collection and increasing progress in learners with autism. She is the lead contractor for Theatre Development Fund’s Autism Theatre Initiative, working to modify Broadway shows such as The Lion King and Spiderman. She also provides workshops for professionals and parents about assessment, managing difficult behaviors, verbal behavior, and using games and technology effectively in teaching practices. You can follow Sam on Twitter: @SamBlancoBCBA.

NEW! Modified Instructions for Games & Toys, Created by Sam Blanco, BCBA

LetsPlay_WormThere are many great mainstream games available out there but it can sometimes be challenging to know if a particular game’s intended uses are feasible for a learner on the spectrum. With a few simple tips and modifications, many of these games can be altered to provide an excellent learning opportunity through play and most of all, fun.

We’ve worked with Sam to select some of our favorite games and toys. She’s field tested all of these with her students and figured out creative and innovative ways to adapt each game to meet the needs of her learners. Our Modified Instructions present 3-4 alternative ways to play the game, in addition to the regular intended uses suggested by the manufacturer. Sam’s Modified Instructions break down each adapted game by:

  • Age/Skill Level
  • Number of Players
  • Object
  • Skills Required
  • Materials Needed
  • Prep
  • Instructions
  • Considerations

This week, we’re introducing the first set of Modified Instructions for S’Match! Memory Game available as a free download at Different Roads to Learning. Just follow the link and click on “Modified Instructions” to download your free copy.

S’Match! is a favorite around here as it presents an exciting new SPIN on the classic game of Memory. This engaging multi-player game challenges players to find matches by the attributes of color, number or category. The game allows readers and pre-readers to learn and play together as the colorful cards feature both pictures and words. Download our Modified Instructions for Use for S’Match! for free today!

Hints for the Holidays: Christmas

Christmas has its own set of unique stresses that may affect your child and make it difficult to uphold holiday traditions with the whole family. Here are eight tips to help ease the stress for everyone.

Create a visual or textual schedule
A lot of anxiety and confusion can be avoided by creating a schedule of the week or the day of Christmas. The schedule can be created to meet your particular child’s needs and can utilize pictures, texts, or an actual calendar. When possible, have your child participate in creating the schedule, and try to ensure that highly preferred activities come directly after less preferred activities.

Provide choices
This is a huge part of assisting your child in achieving success in any endeavor. As described above, you may use visual, textual, or verbal cues to provide choices. Choices can be between large activities, such as “Do you want to go see Santa or do you want to go shop for this year’s ornament” or can be between smaller activities, such as “Do you want to listen to Christmas music with the family or watch a Christmas movie with the family?”

Make an accessible safe space away from lights, music, or crowds
You may need to do this in the home where you are celebrating the holiday or in public spaces as you prepare for the holiday. It is important that your child have a way to appropriately communicate his/her need for a break and that need is respected.

See if there is a Quiet Santa or Sensitive Santa event available in your area
In many places there are now days in which visiting Santa has been organized to be more accessible for children with autism and other developmental delays or sensory needs. This is a good option if your child struggles with tolerating long lines, loud noises or music, or flashing lights.

Give a job/task
Leading up to the holidays, try to find tasks that your learner will enjoy such as decorating cookies, stringing the lights on the tree, or putting stamps on the envelopes for this year’s card. Having a meaningful and enjoyable job will improve the holidays for both your child and the rest of the family.

Find Christmas-themed activities your child can enjoy with the whole family

While your family may have many traditions that are important for you, it may not be necessary for your child to participate in all of them. It can be beneficial to create new traditions that are of high-interest for your child, such as a Christmas puzzle, Christmas bingo, or a round of 20 questions with Christmas-related answers. You can include these as part of a schedule, with the highly-preferred activity placed after a less preferred activity.

Pair Christmas activities with things your child enjoys
There are likely activities most people enjoy that your child is unable to tolerate. Try to pair these difficult activities with activities/items that your child does enjoy. For example, if your child is unable to tolerate the sounds and energy level of the whole family unwrapping gifts, you can pair that activity with something highly desirable that is frequently unavailable such as a specific toy or listening to his/her favorite song on headphones. You can ensure greater success if you have a few pairing sessions before the big day. For this example, you might have family members unwrap one box while your child has the preferred item/activity, then have family members unwrap 3 or more boxes while your child has the preferred item/activity.

Acknowledge your child’s successes
Let your child know when they’re participating in activities in appropriate ways. This can be verbal praise, physical reinforcement such as high fives, or access to preferred items.

Finally, remember that while you may need to make modifications, over time you can change those modifications to meet the changing needs of your family and your child. Changing or removing one or more holiday traditions this year does not mean they are gone forever, and reducing the stress of Christmas this year will increase the likelihood of happier Christmases in the future.

Product Demo: Tiggly Shapes

We thought you might like to see a product demo of the Tiggly Shapes & Apps by BCBA Sam Blanco. She’s been happily using the Tiggly Shapes and Apps with her students and we thought you might be interested in some of the uses specifically for learners with autism. Check out our brief demos to get a closer look at Tiggly. And read Sam’s Review on the product here.



Product Review: Tiggly Shapes

First, let me go ahead and admit that I’ve played with Tiggly Shapes even when none of my students were around. This simple set of four geometric shapes that interacts with three free apps is one of my favorite additions to play time.

So many of my students are highly motivated by iPads, but I find them hard to integrate into lessons because it’s easy for the learner to avoid social interaction while the iPad is out. Tiggly Shapes provides opportunities for interaction with both peers and adults because it adds a physical component to the activity.

I tried this app out with two learners with autism, one five-year-old boy and one nine-year-old boy. For the five-year-old, Tiggly Shapes was a useful tool for practicing shape recognition (one of his current IEP goals), then receiving unique and powerful reinforcement when he touched that shape to the screen. Though he doesn’t have strong fine motor skills, the shapes are designed in such a way that he was easily able to grasp them. He especially loved to see the animals appear in the Tiggly Safari app.

The nine-year-old loves to draw on paper and on the iPad, so Tiggly Draw was an automatic hit for him. The shapes allowed me to participate in the drawing with him in a different way that encouraged more social interaction while still being highly reinforcing for him.

Although the Tiggly Shapes were initially designed for toddlers and preschoolers, the Tiggly Draw app can definitely be used for a variety of learners of all ages (and also happens to be the app I was playing with on my own.) It is the only app for this product that is easy to modify to meet your learner’s specific needs.

If you’re a teacher working with young learners or a parent looking for unique and interactive ways to use the iPad, I wouldn’t hesitate to snap up Tiggly Shapes. And I’m keeping my fingers crossed that we’ll see more apps to go along with this fantastic new product!

Tip of the Week: Scanning – Best Teaching Practices

Scanning is one of the first skills we teach learners with autism. This skill, (looking at each item presented and using that information to make decisions,) is essential for almost every other skill we teach children in early childhood. Historically, we have taught scanning skills through matching and listener responding activities by lining up 3 pictures or objects, then having the learner choose the correct match out of the three items or point to the item we have named. However, this is not representative of the way scanning skills are used in the natural environment.

Toddler boy reaching for carrots in grocery storeConsider how you use scanning in your own life: searching a row of books on a shelf to find a particular title, trying to find your favorite tomato soup in a supermarket aisle filled with soups, or looking through a box of Legos for one blue square Lego to complete a structure. None of the ways we scan in the natural environment present materials in a field of 3 neatly lined-up items.

There are steps you should take in order to help prepare your learner for scanning in the natural environment. When working on matching items or identifying items, you should quickly reduce prompts (as discussed in this previous post) and increase the difficulty of scanning. There are two ways to do this: (1) increase the number of items in the field and (2) make the array of items messy.

If we take a look at matching, here is a sample of the steps for a matching program you might use to help teach the skill:

  1. Match an object to 1 of 3 objects placed on the table
  2. Match an object to 1 of 5 objects placed on the table
  3. Match an object to 1 of 5 objects placed in a messy array on the table
  4. Match an object to 1 of 8 objects placed in a messy array on the table
  5. Match an object to 1 of 10 objects placed in a messy array on the table
  6. Match an object to 1 of 5 objects with similar but non-matching items in the messy array (example: you’re trying to match a red car, in the array there will be a red car as well as a blue car and a red truck.)
  7. Match an object to 1 of 8 objects with similar but non-matching items in the messy array

As the learner masters each step, he/she is getting closer to what that skill looks like in the natural environment. Lastly, here are a few examples of how children use scanning in the natural environment. These can be used to practice the skill in ways that are motivating to your individual learner:

  • searching for all the pieces to a costume for dress up play
  • finding a specific piece to complete a puzzle or block structure
  • looking for his/her favorite candy or snack at the supermarket
  • finding a specified item in a picture (for example, if I have a learner that loves Elmo, I’ll find many pictues with Elmo shown and have the learner point him out)
  • retrieving shoes from a shelf or closet
  • picking out a nail polish color
  • choosing their favorite tv show from a DVR or computer menu
  • playing “I Spy”
  • finding the right tool from a messy utensil drawer for a cooking activity
  • retreiving his/her favorite train from a bucket of trains

Tip of the Week: Using a MotivAider to Help Parents Give Positive Reinforcement

Several years ago I worked with an eight-year-old girl named Stella in her home. Gina, her mother, was at her wit’s end. She had Stella, a four-year-old daughter, and an 18-month-old son to care for plus household duties, balancing work and home life, and maintaining her marriage. She constantly felt stressed, which was compounded by the fact that Stella was not yet speaking or communicating any needs beyond what she wanted to eat, was still not toilet trained, and made a mess everywhere she went. Gina felt that she spent her days following Stella around the house, picking up after her, and yelling at her to stop. She frequently would find Stella dumping out a bin of toys or sweeping all the books off of a shelf, then try to distract her with a Youtube video or a snack.

At this point, Gina was feeling hopeless.

DRT_382_MotivAiderSo you can imagine that she was highly skeptical when I suggested that using the MotivAider, a simple device that vibrates at timed intervals, might make her life easier. And while she was prepared for me to try to change Stella’s behaviors, she was not expecting me to suggest she change some of her own behaviors. However, she decided to give it a try.

She set the MotivAider to vibrate every two minutes, then clipped it to her waistband. Her instructions? Every time she felt it vibrate, she should go find Stella. If Stella was engaging in appropriate behaviors (sitting calmly, looking at a book without damaging it, playing with a toy she enjoyed, or watching a video) Gina would give her some positive reinforcement. This included but was not limited to giving her hugs, presenting a snack, watching the video with her, or bringing up her favorite Youtube videos if she was doing something else. If Stella was engaging in an inappropriate behavior, Gina would ignore it (as long as Stella was not in any danger.)

To Gina’s surprise, Stella quickly stopped dumping out bins of toys and making a mess all over the house. All Gina needed was an easy reminder to catch Stella doing something good.

The MotivAider is one of my all-time favorite tools. You can program it to vibrate on a fixed or variable schedule at different duration and intensity levels. I use it for many things, but I’ve had great success in using it with parents. It’s easy for them to use independently, they can use it even when I am not present, and it fits into their busy lifestyles.

Many parents (and teachers) get stuck in the same cycle as Gina did, consistently reinforcing undesirable behaviors by providing attention whenever those behaviors are present. With the help of the MotivAider, Gina was able to change that contingency. (It should be noted that this intervention would not work as described above for a behavior that is not maintained by attention.)

While I was brought in to help change Stella’s behavior, we also changed Gina’s behavior. When we started, Gina provided reinforcement to Stella at every two minute interval in which she found her behaving appropriately. Over time we increased that interval, so that Stella wasn’t receiving such a high rate of reinforcement.

Gina reported that the house felt more calm now, and she had more energy during the day. It also gave her a confidence boost. Having success in this one area made her feel more hopeful and invested in creating success in other areas. Other families I’ve used it with have experienced similar results. One simple tool can lead to massive change for a family.

**Names and identifying characteristics have been changed to protect the identities of my clients.