Tip of the Week: Teaching Money Skills to Students with Autism in Natural Social Situations

Recently I took a thirteen-year-old boy with autism grocery shopping for the first time. We had practiced all of the steps for paying: looking at the total on the register, taking out the necessary bills or coins, waiting for change, making sure we had correct change, returning the money to the wallet, etc. While I thought he was ready to do this in a natural environment, I did not expect what actually happened.

Standing at the counter with a line of people impatiently waiting behind us, my student dumped all the change from his wallet on the counter and slowly began counting out the exact amount. I could hear other store patrons grumbling behind us when my student finally finished paying, then dropped coins all over the floor, and swept his remaining money back into his wallet.

The concern here is that some of the behaviors associated with autism can place an individual in danger if misunderstood by a cashier or store patron. My student appeared to be oblivious to the frustration of the people around him, offering no apology or explanation. There are many resources out there for teaching children with autism about identifying coins, counting out exact change, etc. But it’s essential that we think beyond the fundamentals of managing money to the more complex skills of managing the social situations that arise during money transactions on a daily basis.

Here are some social skills related to money to practice with your students:

  • Keep your wallet in your hand, do not lay it on the counter.
  • Look for the total on the register. If there is not a place to see the total, ask for it after all the items have been rung up.
  • Put the money in the cashier’s hand.
  • Put your hand out to receive change.
  • Once you have completed payment, make sure your wallet is securely back in your pocket or bag.
  • Understand how to respond if a cashier asks “Do you have exact change?” or “Do you have a smaller bill?” or any variation of those questions.
  • Pay with speed.
  • Understand how to ask to put an item back if you do not have enough money.
  • Know basic scripts for what to say in challenging situations, such as if you accidentally bump into someone with your shopping basket or you are taking a long time and another patron says something rude about it.

My takeaway from this experience was that I needed to provide practice in the natural environment much sooner than I had thought. I must consider the fact that we simply can’t contrive the broad range of possible interactions with strangers in a home or classroom setting. My students require dozens, if not hundreds, of opportunities to practice a skill before mastering it, and generalization is frequently challenging, so presenting them with a variety of natural environment experiences is important. I also must recognize that a student’s behavior will often vary from one environment to another, so the sooner I know what he or she is doing in the natural environment, the sooner I can implement meaningful instruction and intervention to address any problems. Finally, because ABA providers and teachers have more limited access to the natural environment than parents and caregivers, we should provide specific goals and teaching strategies to help them practice with the learner when we’re not present.

Data Sheets Now Available for Hooray for Play!

I get pretty excited about pretend play and it isn’t unusual for me to engage colleagues at length in a conversation about how it can be incorporated into a learner’s home program using naturalistic behavioral methods. I can go on and on about all of the various play schemas that can be taught, my observations regarding which play schemas are of the greatest interest to the learner’s peer group at the moment, and regular items from around the house that can be incorporated as props.

The Hooray for Play! cards break down all of this information into a framework that is easy to reference and remember. Additionally, the simple illustrations provide visual stimuli to facilitate conversation about various schemas, to prime a student before play begins, or to help facilitate choice during pretend play. However, it isn’t long into our conversation when my colleagues ask, “What about the data?” Of course, this is where the conversation ends up because in an ABA program, all decisions are data-driven and based on observable and clearly defined target behaviors. However, with something as fluid as pretend play, it can sometimes feel a bit daunting to break the play down into smaller parts without scripting it completely.

The Hooray for Play! Data Sheets allow for the most salient elements of a play schema to be taught while still leaving room for variation and flexibility, which can be critical when generalizing to peers. Additionally, the targets are not predetermined so that they can be individualized for the learner. Below, you will find an example of the data sheet with some rows filled in to illustrate what it might look like. A blank version is also available in the set, so that it can be individualized for a specific learner.

HoorayForPlay_DataSheets_Example

There are a variety of techniques founded in the science of Applied Behavior Analysis that are effective in increasing and improving play skills. Research-based procedures can range from very structured to more naturalistic and should be chosen based on an approach best suited for the learner.

Some examples include:

  • Video Modeling
  • Play Scripts
  • Pivotal Response Training (PRT)
  • Peer Training

References:
Charlop-Christy, M. H., Le, L., & Freeman, K. A. (2000). A comparison of video modeling with in vivo modeling for teaching children with autism. Journal of Autism and Developmental Disorders, 30 (6), 537-552.

Goldstein, H. & Cisar, C.L. (1992). Promoting interaction during sociodramatic play: teaching scripts to typical preschoolers and classmates with disabilities. Journal of Applied Behavior Analysis, 25, 265–80.

Koegel, L.K., Koegel, R.L., Harrower, J.K. & Carter, C.M. (1999). Pivotal response intervention. I: Overview of approach. Journal of the Association for Persons with Severe Handicaps, 25, 174-85.

Stahmer, A.C. (1999). Using pivotal response training to facilitate appropriate play in children with autistic spectrum disorders. Child Language Teaching and Therapy, 15, 29–40.

Pierce, K. & Schreibman, L. (1997). Using peer trainers to promote social behavior in autism: Are they effective at enhancing multiple social modalities? Focus on Autism and Other Developmental Disabilities, 12, 207–18.

Guest Article: “Wandering and Autism” by Sarah Kupferschmidt, MA, BCBA

There are compelling statistics today that highlight the need to address the issue of our children wandering and going missing.  The safety of chidren with autism is an enormous concern for parents and caregivers alike.  Last month, we shared BCBA Sam Blanco’s interview with Gary Weitzen on safety, wandering, and emergency planning for individuals on the spectrum.  This week, we’re thrilled to bring you a guest article by Sarah Kupferschmidt, MA, BCBA. Sarah has written a wonderfully informative article on how to use the Behavior Skills Training framework to teach your child help-seeking behavior in cases of wandering.
Wandering and Autism
by Sarah Kupferschmidt, MA, BCBA

We seem to be hearing about more and more cases of children with autism wandering and going missing in the media.  In some of these cases the children were reunited safely with their families, but in many unfortunate instances, tragedy ensued.  There is evidence to suggest that this may be more common than most people realize.   The Interactive Autism Network (IAN) and the Kennedy Krieger Institute published a study in 2012, in the Journal of Pediatricson this very topic.  According to the study,  49% of the parents that were interviewed reported that their child with autism had wandered or bolted.  Moreover, more than half of those children that did wander actually went missing.  Compelling numbers aside, what I found even more important about the results of this study was that for obvious reasons parents reported that they were experiencing high levels of stress related to the prospect of their child wandering, but, they were also feeling helpless to a certain extent because they felt that they did not know what they could do about the wandering.

The good news in all of this is that there is hope for those families.  There are ways that we may be able to help prevent children with autism from going missing in the event that they do wander. Behavioral Skills Training (BST), which is a framework based on Applied Behavior Analysis, has been shown to be effective in teaching a variety of different skills to individuals with and/or without a disability.  Specifically, it has been shown to be effective in teaching help-seeking behavior in children with autism (Bergstrom, R., Najdowski, A.C., Tarbox, J., 2012).   This framework involves breaking a complex skill like “seeking help when lost” into its component parts and teaching the child to engage in those behaviors when relevant. For example,   in the article mentioned above, children with autism were taught what to do if they were lost in a store. The help-seeking behavior was broken down into the following steps:
  1. Shout out for the person you are with (e.g., “Mom” or “Dad”)
  2. Look for and walk over to store employee
  3. Tell the employee, “I’m lost”
These steps were taught using the BST framework which includes the following critical elements:
  1. Instructions: Explaining to the child what they should do
  2. Modeling:  Showing the child what they should do
  3. Rehearsal: Practicing with the child
  4. Feedback: Providing feedback to the child on how they did

Each of these steps are fairly self-explanatory.  The instructions step is simply telling the child in words what they should do.  Perhaps you could include some visuals when you are reviewing the steps of what they should do when they get lost.  The next step is showing them how it should be done.  I typically use video models but it is possible to demonstrate it live if you don’t have a recording device.  The next steps are critical in the development of this new skill.  Set up a safe situation with the child where you can go out in the community and practice the three steps.  You could bring the visuals along with you if your child needed that little bit of extra help.  If your child did all three steps correctly it is important to praise them immediately and to let them know what they did well.  If they missed one or more of the steps let them know what they did well and remind them of what they need to do differently next time.  For example, you might say “nice job shouting out for mom or dad, next time, don’t forget to tell the cashier you are lost”.  These steps would be practiced until your child was able to do it fluently.

While the BST framework has evidence to support its use, it is important to remember that every child is unique and has different strengths and weaknesses.  In my experience, the children that would do well in this type of program have certain pre-requisite skills.  Ideally, they would already be able to follow simple instructions, have the ability to imitate, and the ability to identify strangers and familiar people.  While children with autism may be at higher risk for wandering, there are things that we can teach parents/teachers to do to help reduce the risk for compromised safety and/or harm that are grounded in ABA.  If you are worried about your child’s risk for wandering, then I would recommend you contact a local Board Certified Behavior Analyst (BCBA) that can assist you in determining if a program such as the one described above would be suitable for you and your child.

About the Author

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

Teaching Functional Living Skills to Children with Autism at the Grocery Store

We hear over and over again how children with autism may need hundreds or even thousands of opportunities to practice a skill before acquiring it. It’s important to keep this fact in mind when it comes to functional living skills (e.g. making the bed, cooking a meal, etc.). Many of the parents I work with prefer to focus on academic skills rather than functional living skills. Some feel that by focusing on functional living skills, they’re giving up on larger goals for their child, such as being placed in a general education environment, having the opportunity to go to college, and/or having the opportunity to have a career.

I always encourage parents to focus on both academic and functional living skills. While it may seem unnecessary to start thinking about teaching a nine year old how to grocery shop, it’s really just providing them with many, many opportunities to practice the skill. Typically developing children “practice” grocery shopping from a young age by watching their parents and playing “store” with friends, but children with autism are unlikely to observe their parents while they’re shopping or to play such games as “store” without explicit instruction. By practicing the skill with your child early on, you’re promoting future independence.

You can practice these skills when you are in the grocery store with your child, and you may just find that your child enjoys shopping. (Grocery shopping is a favorite activity for two of my current students.) It may be beneficial for you to just start out with one skill, choosing the one you think your child is the most likely to experience success with or that your child will be the most motivated by.

 BEGINNER SKILLS
  • Choosing if you need a cart or a basket (Is our list long or short? Do we have big or small items?)
  • Using a grocery list (reading the list, crossing off items already placed in cart/basket)
  • Using supermarket signs to find items (understanding categories, knowing where to look for signs)
  • Greeting cashier
 INTERMEDIATE SKILLS
  • Choosing good fruit or vegetables (looking for bruises, identifying ripeness)
  • Giving money to cashier
  • Accepting change from cashier
  • Taking bags when it’s time to leave
 ADVANCED SKILLS
  • Comparison shopping (looking at unit price, comparing prices of two brands)
  • Making sure you received correct change
  • Returning an item that is damaged

You shouldn’t limit these skills to just the grocery store either. All of these skills are useful in department stores, pharmacies, book stores, and more. Your child may be more motivated to use these skills at the book store or a toy store. You can help your child learn the skills there, then generalize them to other types of stores.

If you need help getting started, you should ask your child’s teacher or therapist to accompany you on your first trip. They can help you identify the appropriate steps to put your child on the path to independence.

Here’s What Was in YOUR ABA Toolbox

Thank you to all who participated in our ABA Toolbox giveaway last week! We’ve received some wonderful responses and feedback from parents, teachers, and therapists on their favorite products from our catalog and how they are using it with a special child, and we are thrilled to be sharing them with you!

Our biggest goal in this endeavor was to share with you the unbelievable wealth of experience and knowledge our community of parents, teachers, and therapists have in using our products in innovative and creative ways for their ABA programs.

 

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Pick of the Week: A Step-by-Step ABA Curriculum for Young Learners with ASD (Age 3-10)

Ensure the appropriate ABA program for your young learner with A Step-By-Step ABA Curriculum for Young Learners with Autism Spectrum Disorders (Age 3-10).  This curriculum uses the proven principles of Applied Behavior Analysis (ABA) to monitor the progress of children on the autism spectrum and make sure they reach their full potential. And this week only, you can take 15% off* your copy by entering in our promo code STEPABA when you checkout online!

This curriculum gives a clear outline on what to teach and how to teach it in order to ensure your young learner is reaching his or her developmental goals at crucial stages. The book’s three sections – Assessment, Curriculum, and Mastered – each include built-in data collection, which can be reproduced on the accompanying CD.  All three sections cover 10 pivotal areas of progress for children ages 3-10, including reading, writing, math, conversation, and social skills.  The Assessment section records the child’s initial level of learning and then tracks their progress over time. The Curriculum section provides the lesson plans for the skills which need to be developed, and the Mastered section is a tool for checking that learned skills are being retained over time.  It is also possible to record whether the child has adapted to using the skills in a variety of social settings, such as in the home or in the classroom.

This curriculum provides a solid foundation for working with a child with an autism spectrum disorder to ensure an appropriate ABA program for young learners.  Don’t forget – you can save 15%* this week on your copy of A Step-By-Step ABA Curriculum for Young Learners with Autism Spectrum Disorder (Age 3-10) by entering our promo code STEPABA at checkout!

*Offer expires at 11:59pm ET on May 6, 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!

 

Best Kept Secret – An Award-winning Documentary About Students with Autism Transitioning Out of School

We excited to let you know about Best Kept Secret, a new award-winning documentary about special education students, opening in NYC September 5-12. Directed by Samantha Buck, the film follows Janet Mino, a spirited and dedicated teacher in Newark, NJ as she struggles to prepare her students with autism to transition from safe and protective environment of school to the daunting and sometimes harsh realities of independent adulthood. If you’re in NY, we hope you will attend. To learn more about their outreach campaign, visit https://bestkeptsecretfilm.com/

At JFK High School, located in the midst of a run-down area in Newark, New Jersey’s largest city, administrators answer the phone by saying, “You’ve reached John F. Kennedy High School, Newark’s Best Kept Secret.” And indeed, it is. JFK is a school for all types of students with special education needs, ranging from those on the autism spectrum to those with multiple disabilities. Janet Mino has taught her class of six young autistic men for 4 years. They must graduate from JFK in the spring of 2012. The clock is ticking to find them a place in the adult world – a job or rare placement in a recreational center – so they do not end up where their predecessors have, sitting at home, institutionalized, or on the streets.

Best Kept Secret is playing at the following locations in New York:

UPTOWN: At the New MIST Harlem Theater
46 W 116th St  New York, NY 10026
Premiere 9/5 7pm and Q&A with filmmakers
Screenings 9/7 4pm & 6pm with panel discussions
Facebook Event Page

DOWNTOWN: At the IFC Center
323 Avenue of the Americas, New York, NY 10014
Playing 9/6-9/12

The Success of Early Intervention!

The other day our wonderful consultant Stacy Asay came to chat. Stacy has been working with young children in early intervention for 15 years.  Whenever we look at new products or books, we always ask her to give us an opinion on its value to teaching children on the autism spectrum.

We were discussing the benefits of Early Intervention – what kids on the spectrum are like when they are two years old and the amazing skills and capabilities that they acquire through applied behavior analysis and verbal behavior teaching.  Children who can’t make words or eye contact at 2 are able to hold long discussions about their favorite topics at 4.

As Abigail and I started thinking about the astounding success that these children have been making over the years, it dawned on us that our mission here at Different Roads is being fulfilled by these kids!

Our mission is to make a difference in the lives of children diagnosed with autism, giving them tools needed to find success in gaining independence.  We just figured out that by the time our pre-school students get to a school age program, they know how to label, ask questions and do math.  What they need is guidance in social skills.

We are amazed by the progress of so many of our young students…..we know that our products have made a difference and we’re so happy to share in each child’s success. Many of you have stories of these successes. We hope that you will find the time to share stories of the new capabilities and skills that your child has acquired through early intervention.

Pick of the Week: MotivAider

It’s the best tool available for people of all ages to stay focused and change behavior and habits quickly, easily and privately. The MotivAider is one of our bestsellers for behavior modification of all sorts. 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. You can program it to vibrate on a variable or fixed schedule at different durations and intensity. There’s a wonderful article and review on the uses of the MotivAider by our friend Jenn over at Toys are Tools that explores how some students and teachers are using the MotivAider in their classrooms.

This week only, you can save 15% on the MotivAider by entering the Promo Code BLOGMTVT at checkout. If you’ve always wondered just what the MotivAider can accomplish, here’s your chance to try it at a great discount.

 


*Offer expires on July 17, 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: What Would You Take? Flip Book

It’s the fourth of July and summer is in full swing. Time for BBQ’s, trips to the beach, road trips and relaxation. Our pick this week is the What Would You Take? flip book so you can prepare your kids in a fun and playful way for what you need to bring on your summer adventures. Scenes depicted include the beach, a fishing trip, the playground and more. You can save 15% on the What Would You Take? book by entering the Promo Code BLOGWWT4 at checkout.

Wishing you all a safe and happy 4th!

*Offer expires on July 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.