Inclusion Strategies for Students with Autism Presented by MNPS Autism Team A voice from a person with autism: “There is nothing more frustrating than the lifelong accumulation of scars that result from trying to be like normal people and failing daily. It is especially hard when your disability is invisible like mine.” By: Jerry Newport Your Life Is Not a Label Welcome To The Training Hi, welcome to the Inclusion Strategies training. When you’re in this training today you will hear lots of information. When you hear lots of information it’s best that you don’t panic or feel overwhelmed. Your instructors are here to help you. If you start to feel panicked or overwhelmed, you should stand-up and stretch or walk in the hall or write down why you are frustrated on a piece of paper to share with your instructor later. We will take frequent breaks and we will have a lunch break at around 11:30. At the end of the day, you will get to go home – and that’s good. The rules for training are: 1. Have fun 2. Participate 3. Listen 4. Take a break when you need it. Primary Characteristics of Autism Impaired Social Relating and Reciprocity Disordered Language and Communication Development Restricted Interests and Repetitive Activities Autism Spectrum Disorder Autism Asperger’s Syndrome PDD-NOS (Pervasive Developmental Delay-Not Otherwise Specified) Non-Verbal Learning Disorder The Continuum of the Spectrum Severe autism Low cognitive Low verbal Mild autism High cognitive High verbal Why Diagnose Autism? Leads to appropriate treatment planning and intervention Facilitates communication among professionals and families Allows access to intervention services Provides a means for parents to become informed and to join support networks How can they be on the same spectrum? Student A Student B IQ 140 IQ 50 Fluent in 2 Nonverbal languages Group home Masters from Supported work Harvard Violinist Answer: They both have sensory, social and communication problems. Why Be Concerned? 1990..... 1 in 2,000 2000..... 1 in 600 2004..... 1 in 275 2007….. 1 in 150 70% of people with Autism are unemployed The higher the functioning, the higher the unemployment! http://modelmekids.com/autism-documentary.html Objectives 1. 2. 3. 4. To gain an understanding of Autism as it relates to our classrooms. To understand the social, sensory, and communication difficulties associated with autism and interventions used. To the importance of visuals as it relates to your classrooms. To gain ideas on modifying activities to include all students with ASD. Activity #1 On the paper, list your honest concerns or fears from your experience including children on the spectrum in your educational setting. •What were set backs? •What resources were available to you? •Other? •Get it out of your system! IDEIA Significant changes related to inclusion: 1997 Emphasis on process “Wait to fail” model Dual system Lack of validity Compliance LD- IQ discrepancy Mainstreaming 2004 Emphasis on results Early intervention Single system Scientifically based Student achievement LD- RTI Inclusion Mainstreaming VS Inclusion Mainstreaming Students must “earn” the opportunity to participate in a regular setting by demonstrating the ability to “keep up” with the regular classroom. Students travel to the services. Inclusion The commitment to educate each child in the regular classroom setting, to the maximum extent appropriate. Services are brought to the student. What is a modification? A change in what is being taught to the student or what is expected of the student. What is a accommodation? A change that helps a student overcome or work around their disability. Inclusion: What does it mean? Inclusion Means: 1. 2. 3. 4. 5. Educating all children with disabilities in regular classes regardless of their condition Supporting regular teachers and principals Involving students with disabilities in age-appropriate classes Taking parent’s concerns seriously Providing an appropriate educational program Inclusion: What does it mean? Inclusion does NOT mean: 1. 2. 3. 4. 5. “Dumping” students with disabilities into regular programs with no preparation or support Ignoring student’s individual needs Placing unreasonable demands on teachers and administrators Placing students with disabilities in schools or classes that are not age appropriate Requiring that students be “ready” and “earn” their way into regular classrooms based on cognitive or social skills Where do I find them? Modifications can be found at the bottom of the goal pages. Accommodations can be found at the bottom of the goal pages. BOTH can also be found on the modifications page of the IEP. Where do we begin? The IEP team needs to work together to promote success for the students in the classroom. ALL members of the IEP team need to help with modifications and accommodations. It is not a one- man job. Curriculum Modifications Steps for Modifying the Curriculum Can the student do the same activity at the same level as peers? . If not…. Can the student do the same activity with adapted expectations?? EXAMPLE: Less words on the spelling test Can the student do the same activity with adapted expectations and materials? EXAMPLE: Matching the words to the pictures Can the student do a similar activity but with adapted expectations? EXAMPLE: Words that are functional and in the student’s daily environment Can the student do a similar activity but with adapted materials? EXAMPLE: computer spelling program Can the student do a different, parallel activity? EXAMPLE: learn a computer typing program, write or put pictures in journal Can the student do a different activity in a different section of the room? EXAMPLE: Water the plants, file for the teacher Can the student do a functional activity in another part of the school? EXAMPLE: help the librarian, office staff, cafeteria workers, or a teacher in a younger grade perform duties. You have to get creative with modifications!! Taken from: David Gaston, Olympia School District Olympia Washington Mary A. Falvey, Ph. D. Professor-California State University, L.A. Reading Kindergarten Standard: Recognize words that have the same beginning and ending sounds. IEP goal: Identify all upper case and lowercase letters of the alphabet. Reading Accommodations: preferential seating and visual schedule How would you modify this goal in the classroom? Mathematics 2nd grade standard: use a variety of strategies and representations to add and subtract two-digit whole numbers IEP GOAL: The student will add and subtract two-digit whole numbers. Mathematics The accommodations are: visuals, token system, abbreviated assignments, extra grade opportunities. How would we modify this? Language 7th grade Language: Identify the correct use of prepositional phrases (place correctly according to the words they modify within the sentence) within context. IEP GOAL: The student will identify prepositions in pictures. Language The accommodations are: communication system, visuals, abbreviated assignments, small group instruction. How would we modify this? Visual Schedules and Supports What are they? How can I use them effectively? Visual Supports If I can't picture it. I can't understand it. -Albert Einstein I THINK IN PICTURES. Words are like a second language to me. I translate both spoken and written words into full-color movies, complete with sound, which run like a VCR tape in my head. -Temple Grandin Visual Supports are an effective instructional tool… “Visual supports organize a sequence of events, enhancing the student’s ability to understand, anticipate and participate in those events. Visual supports supplement verbal instruction, clarifying the information for the student and increasing comprehension. Visual supports can be used to cue communication, providing reminders of what to do and say in a situation.” Visual Schedule: What is it? A visual schedule is a set of objects, pictures, or words that communicates a series of activities or steps to the activity. A visual schedule fosters independence in the child with autism because it decreases the need for constant adult attention. Why do they work? Children with autism have strength in the ability to understand visual information. Schedules utilize this strength by communicating information that helps children predict and plan their environment. What can I use to make them? Objects Line drawings Photos Written lists Word cards How do they look? Supports can be used in any situation and are going to vary WIDELY depending on the child. Can be presented in binders, paper, file folders, schedule boards, etc. Where do I start? Decide the modality of the schedule. Choose what the child needs a schedule for. Write down the steps of your chosen routine on a piece of paper. Post the schedule up in a logical and easy-to-see place. TEACH THE SCHEDULE!!!!!!!!!!!!!!!! Visual Schedules Schedules should be arranged from a "top-to-bottom" or "left-to-right" format • Child should have a way to manipulate the schedule • Child should have a place to put the icon when they are finished with the activity • When First Introducing Schedules: 1. A “check schedule” card is kept right next to the schedule. When it is time for the student to transition to the next activity the card is handed to the student with the request to “check your schedule”. The student will bring the card back to the place where it belongs, thus bringing him to his schedule. NATHAN 2. Once the student is at their schedule they can be cued or physically assisted to take the next card on the schedule. Nathan 3. The picture in their hand tells them where they are going. A “receiver envelope” is kept at the site where the activity will occur. The student puts the picture in the envelope and then he is right there where the activity takes place—transition complete! Schedule Examples Individualized Circle Time Schedule FIRST/THEN VISUAL The first-then strategy allows the "first" expectation (whether a task, activity or assignment) to be modified, as needed. The modification is in terms of task completion and amount of prompting, in order to accommodate the student's daily fluctuations in his ability to process in-coming information. Then he can move on to his next visually scheduled task/activity . First Then Boards Improve meaning of abstract tasks with visuals Teaching NO!!!!! A red X or circle with a line through it placed on a picture gives the child a visual of what the word NO means. What if you are thinking…? I don’t think I should modify or make excuses for these kids. I know they can do it! Saying that they know how to do something is only DECLARATIVE KNOWLEDGE. I can teach mostly anyone the facts necessary to learn how drive a stick shift car. But, being able to Doing Thinking say how to do something does not mean you can do it. What often keeps a child from being successful are skills we often do not teach… It’s a continuum that requires PROCEDURAL KNOWLEDGE. Feeling Bellini/2007 Remember……. Being able to say how to do it doesn’t mean you can do it! Social Skills and Communication Why is it important? What will it look like? How am I involved? What are Social Interaction Skills? By definition (Gresham & Elliot, 1995): Socially acceptable learned behaviors that enable a person to interact with others in ways that elicit positive responses and assist in avoiding negative responses. Social Impairments may Include: Social Anxiety and withdrawal Difficulty recognizing the feelings and thoughts of others Poor eye contact Knowing how to start and maintain interactions Has difficulty maintaining personal space Lacks tact or appears rude Lack of spontaneous sharing Has difficulty making or keeping friends Repetitive and idiosyncratic use of language Restricted repertoire of activities/interests Is naïve Lack of joint attention (gestural and communicative) Less involved in group activities then same-age peers Difficulty understanding others’ non-verbal communication Difficulty understanding jokes Difficulty with understanding rules and losing at games "My teacher says I'm rude. I think I'm honest. I don't understand why I can't tell someone that they have bad breath, ugly hair, or to go away because I'm busy......" Social Skills and Communication Children with autism are: “Self-appointed revealers of the truth” (Atwood) Social Skills and Communication In the public school setting, children with autism are often integrated into the general education classroom with the hope that social skills will be absorbed through proximity to “normal” socialization. Instead, direct instruction of specific skills combined with an awareness of appropriate models is required. Stress in Persons’ with Asperger’s Aggression Verbal / physical Withdrawal / Shut down Increased Obsession Increased Stress / Anxiety Anxiety Triggers Atwood, 1999 What happens without direct instruction? Consequences of Poor Interventions: Poor Academic Performance Peer Failure Rejection Isolation Anxiety Depression Substance Abuse Suicidal Thoughts Violence Towards Self or others. Pathway of an ASD Child. Bellini/2007 How do you start planning and begin instruction? 5 Steps: Identify and assess areas of need Discern between skill acquisition deficits and performance deficits Select appropriate intervention strategies Implement intervention strategies Evaluate program and modify as needed *Source: Bellini, 2007 Goal Selection Most critical Skills that are commonly used Ensure goals are in the child’s Zone of Proximal Development Goals should be positive Goals should be realistic and represent a challenge Set criteria based on baseline data (e.g. if the student engaged with another child at recess for 2 % of the time then increase the percentage) Determine: Skill Acquisition Deficit or Performance Deficit Skill Acquisition Deficit: skill is absent (will need to teach) Performance Deficit: skill is in repertoire but the child does not use the skills (enhance performance) Can the student do the skill with different people in different settings? The eyes are the window to our inner most thoughts… So…what are they thinking? Activity!! Find a partner and stand across from each other. Activity!! WHICH CONVERSATION DID YOU FIND MORE COMFORTABLE? WHY? The Hidden Curriculum by Brenda Smith Myles, Melissa L. Trautman, and Ronda L. Schelvan Refers to the set of rules that everyone in the school knows, but that no one has been directly taught: How to dress What type of backpack to carry How to greet a peer Where to hang out between classes What games are acceptable to play Who to ignore Others? Teachers Hidden Curriculum Teacher Expectations What students should do when the bell rings How to travel from class to class in the most direct way. The administrative structure. Which teachers will tolerate lateness Which teachers give homework. Which teachers place value on final exams. Social Interaction Skills Intervention Strategies Classroom Interventions What will it look like in your setting? Picture Cues Social Scripts Social Narratives Power Cards 5 Point Scale Video Role Playing Relaxation Exercises Intervention Strategies Promote Skill Acquisition Teach perspective taking, social rules, problem solving, and mind reading Discrete trial Reciprocal strategies Social narratives Social Skills Picture Stories Role-playing Incidental Teaching Sabotage Power Cards Structured Teaching Self-Monitoring Prompting Video modeling Promote Social Performance Reinforcement/motivation Priming Modifications Game playing Increase opportunities (practice) Peer sensitivity training Peer Mentoring Self-Monitoring Relaxation plans Prompting Video modeling Social narratives Activities to teach perspective taking, social rules, problem solving, and mind reading Label and recognize emotions (How does he feel? What is he thinking?) Understand emotions (Why is he thinking that way….) Prediction of consequences (What will happen?) Selection of alternative behaviors Thought bubble activities Activities to teach perspective taking, social rules, problem solving, and mind reading Interest inventories (list of possible peer interest that could be used for conversation topics) Mind reading activities (Howlin) If-then statements to infer the thoughts and interests of others Software programs (Simon BaronCohen) Social scenarios ( what has happened) Reciprocal Strategies (learning back and forth exchanges) Conversation game (mechanical at first and then make it more natural) Eden Conversation program Newspaper Reporter Eden Asking Questions program (give child simple questions to ask peer in order to get your student asking questions and increasing interactions) How do you keep them motivated? should receive praise and social reinforcers, even when receiving a more tangible reinforcer. The type of reinforcer must be appropriate and natural to the activity the student is doing and to the level of student understanding. Reinforcement can include a variety of items or activities. Give the student CHOICES. The teacher needs to make sure the reinforcing consequence immediately follows the behavior or skill being learned or increased so that the relationship between the two is clear to the student. However, be careful to not interrupt a social interaction. Social Skill Picture Cues The depiction of various social skills – the correct way to act with accompanying text that explains what the children are doing. Social Scripts A rehearsed, predetermined script that the student with ASD follows during a communicative exchange. Scripts Social Narratives • • • Written in first person and describes how people feel and think in certain situations. Uses directive statements to show students how to act in those situations Read repeatedly until the child overlearns it and rereads before problematic situation. Power Cards Help change an unwanted or inappropriate behavior by capitalizing on the special interests that characterize children and youth with AS. A brief, motivational text related to a special interest or a highly admired person is combined with an illustration and made into a bookmarkor business card-sized POWER CARD that the student can refer to whenever necessary. For younger children the special interest or hero is worked into a brief story. Spongebob wants you to have friends. He wants you to: 1. Look at your friends when you talk to them 2. Wait your turn 3. Listen to your friends when they talk to you 5 Point Scale by Kari Dunn Buron and Mitzi Curtis 5 Point Scale Kari Buron and Mitzi Curtis • Provides a mutual definition of terms Simplifies language Breaks down unclear concepts Teaches recognition and cues for internal feelings Promotes self-managing behavior or emotional regulation Anxiety Curve 5 POINT SCALES Make small laminated scales for staff or parents to carry with them to prompt the person to remember the scale lesson. You can hold up the small scale and touch the number you think the person is at, then slide your finger down the scale to the 2 or 1 level Relaxation Ideas and Strategies Yoga Poses Relaxation Scripts When My Worries Get to Big! Quiet Break Area Teach child how to request a break Relaxation Script Relaxation Script Sensory Strategies The Senses 7 Senses Vision Hearing Taste Smell Touch (tactile) Vestibular (Movement and Balance) Proprioception (Body Position) Sensory Processing Most students are able to take all of this information, ignore things that don’t matter, and attend to what is important while remaining calm and organized in order to learn. This process is called sensory processing. Sensory and Autism Sensory processing problems are very prominent in children with autism A child’s sensory deficits can severely impact their level of functioning in the classroom Teachers need to be aware that a child with autism needs some sensory strategies in place to be successful in the classroom How is SPD related to problems with learning? Difficulty cutting, coloring or gluing. Difficulty with handwriting. Poor attention span. Difficulty focusing on speaker. Difficulty staying or sitting in one location ( e.g. sitting on rugs or chairs with poor back support). Difficulty walking in a line. Difficulty transitioning to the gym or cafeteria. Use Sensory Strategies to Support Positive Behavior Teach students to ask for needed sensory breaks or sensory input Teach students to provide the needed sensory input for themselves in appropriate ways Never use sensory activities as punishment (example: making the child do excessive amounts of activity or taking needed activities away) Sensory Strategies They should be proactive instead of reactive Make sure that your sensory strategy is not reinforcing the behavior that you are trying to get rid of. Support the Sensory Development of All Children. Behaviors are more likely to occur…. 1. In large spaces 2. During unstructured tasks 3. During poorly planned transitions 4. When there is not an established routine or schedule 5. When the child is in close proximity to others 6. When the child is bored or understimulated 7. During excessive wait times 8. When there is environmental clutter 9. When the child is unprepared for change Interventions Sensory Strategies for the classroom Strategies to increase alertness Carrying heavy objects (gallon jugs filled with sand, backpacks, heavy box, books to library) Crawling/Climbing: playground equipment provides a variety of climbing challenges Moving chairs from on top of table to floor Pushing heavy objects Drawing in clay Jumping on floor or trampoline, jumping rope, jumping jacks Hopscotch Wheelbarrow walking Pushing wall Crunches Monkey bars, teeter totter, walking uphill Push/pull toys and games: loaded boxes, wagons, wheelbarrows, furniture, vacuum, push broom. Animal walks: crabwalk, frog hop, duck walk, bear walk, monkey walk, seal walk Putting something in mouth e.g. strongly flavored hard candy, chewy candy (starburst, hot tamales, Mike and Ike) or gum Crunchy foods e.g. pretzels, Listening to up-beat music Push ups Moving chairs from floor to top of table/desk Calming Activities Keeping lights low and sitting “snuggled” in a small space. Scents such as lavender and vanilla may be calming. Use oral input: sweet tastes/sucking are relaxing. Drinking water out of a straw (sports bottle) Listen to slow, rhythmical music. Wrap child snugly in blanket or towel. (do not place over child’s head) Make a “quiet corner.” Have a tent with a beanbag chair and blanket inside. Use only for quiet things such as reading, or getting composure when upset. Other Strategies Use headphones for children that have problem in loud spaces to help block out noise Have the child squeeze a ball/fidget toy to help the child focus on tasks. Taking notes to the office or books to the library. Passing out or picking up worksheets or classroom materials. A balloon filled with flour or rice. Double the balloon to make it stronger. A seal-tight baggie containing a small amount of Play Doh, Theraputty, or modeling clay. Hard objects can be placed in the baggie with the dough for tactile feedback: pennies, pebbles, marbles, etc. Koosh balls Handling a fidget toy in the right hand stimulates the left side of the brain for improved language processing during language arts class Chewing firm gum, Gummy Bears, or licorice are great ways to give the child deep pressure. http://www.time.com/time/photoessays/2006/autismschool/ ISO-8859 partner-pu An important thing to remember… “People are always looking for the single magic bullet that will totally change everything. There is no single magic bullet.” By: Temple Grandin Websites www.speakingofspeech.com www.pyramidproducts.com (PECS) www.teacch.com www.mrsriley.com www.hubbardscupboard.org www.dltk-kids.com http://www.difflearn.com http://www.angelfire.com/pa5/as/astea chersites.html The End Questions? Ada.winford@mnps.org Becky.brewster-sain@mnps.org
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