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Using Contingency Contracts in the Classroom

As adults, we’re fairly accustomed to contracts for car loans, new employment, or updates to our smartphones. But contracts can also be beneficial in the classroom setting.

What is a contingency contract? A contingency contract is defined as “a mutually agreed upon document between parties (e.g., parent and child) that specifies a contingent relationship between the completion of specified behavior(s) and access to specified reinforcer(s)” (Cooper, Heron, & Heward, 2007). There are several studies that indicate using a contingency contract in the classroom can be beneficial in the classroom setting.

Cantrell, Cantrell, Huddleston, & Wooldridge (1969) identified steps in creating contingency contracts:
(1) Interview the parent or guardian of the student. This allows you to work together to identify problem behaviors to be addressed, identify the contingencies currently maintaining these behaviors, determine the child’s current reinforcers, and establish what reinforcement or punishment procedures will be used.
(2) Use this information to create a clear, complete, and simple contract. The authors provide examples of how these contracts might look. You can vary the contract based upon the behaviors you are addressing with your student and the student’s ability to comprehend such contracts.
(3) Build data collection into the contract itself. You can see an example from the article below. For this example, it is clear how points are earned and how the child can utilize those points, and the contract itself is a record of both the points and the child’s behaviors.

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There are clear benefits to utilizing such contingency contracting: building relationships across different environments in which the student lives and works, addressing one or more challenging behaviors simultaneously, and providing opportunities for students to come into contact with reinforcement. You can read the entire article here:

Cantrell, R. P., Cantrell, M. L., Huddleston, C. M., & Wooldridge, R. L. (1969). Contingency contracting with school problems. Journal of Applied Behavior Analysis, 2(3), 215-220.

And much more has been written about contingency contracting. If you’d like to learn more, we suggest taking a look at one or more of the following:

Bailey, J. S., Wolf, M. M., & Phillips, E. L. (1970). Home-based reinforcement and the modification of pre-delinquent’s classroom behavior. Journal of Applied Behavior Analysis, 3(3), 223-233.

Barth, R. (1979). Home-based reinforcement of school behavior: A review and analysis. Review of Educational Research, 49(3), 436-458.

Broughton, S. F., Barton, E. S., & Owen, P. R. (1981). Home based contingency systems for school problems. School Psychology Review, 10(1), 26-36.

Miller, D. L., & Kelley, M. L. (1991). Interventions for improving homework performance: A critical review. School Psychology Quarterly, 6(3), 174.


WRITTEN BY SAM BLANCO, PhD, LBA, BCBA

Sam is an ABA provider for students ages 3-15 in NYC. Working in education for twelve years with students with Autism Spectrum Disorders and other developmental delays, Sam utilizes strategies for achieving a multitude of academic, behavior, and social goals. She is also an assistant professor in the ABA program at The Sage Colleges.

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ABA Journal Club: A response from Dr. Bryan J. Blair

This month’s response comes from Dr. Bryan J. Blair. The original discussion questions can be found in last week’s post. Don’t forget to let us know your thoughts on our Facebook page!

One of my early applied behavior analysis (ABA) supervisors used to say that the hardest part of his job was changing direct care staff behavior so that the staff would comply with administrative policies and to ensure the consistent implementation of treatment plans.  He certainly did not mean to imply that developing effective interventions for severely challenging and dangerous behavior, such as aggression and self-injury, was easy or formulaic.  But he rightly noted how challenging it can be to train and supervise staff using the same behavior analytic principles that we use directly with clients in clinical settings.  The article for the ABA Journal Club, An Assessment-Based Solution to a Human-Service Employee Performance Problem (Carr, Wilder, Majdalany, Mathisen, & Strain, 2013), tackles this supremely relevant issue by providing us with an empirical analysis of a tool that can be used in the process of improving staff performance.

One of the defining features of interventions based on applied behavior analysis is that the procedures and protocols rely on objective operational definitions of the world around us and that the natural world is continually empirically analyzed to ensure that treatments are relevant and effective.  As ABA practitioners, we have realized great success in this approach for developing and implementing treatments and interventions for a vast array of skill deficits and challenging behaviors.  However, far too often we fail to use these same guiding and controlling principles when training and supervising the professionals who directly implement ABA technologies.  As Dr. Blanco noted, the vast majority of trained Board Certified Behavior Analysts (BCBAs) have received little formal training in the management and supervision of direct care professionals, so it is ultimately not overly surprising that many BCBAs struggle with using the principles of ABA to develop staff skillsets.

However, that will soon change!  As of January 2022, the Behavior Analyst Certification Board’s (BACB) 5th Edition Task List (BACB, 2017b) and Verified Course Sequence Coursework Requirements (BACB, 2017b) will include content related to staff supervision and training.  Graduate programs will be required to develop academic content that targets supervisory skills and strategies associated with training direct care professionals and BCBA supervisors will need to address these areas in supervised fieldwork settings.  This is certainly a welcome development and I am optimistic that these new requirements will lead to practicing behavior analysts who are better equipped with skills that can be applied to staff supervision and performance management.

Early in my career, along with several colleagues, I developed a new direct staff observation and feedback protocol using a partial-interval observation and data collection system that allowed for empirical analysis of the performance of an individual staff person over time.  Prior to the development of the system, we relied on more subjective and anecdotal observational strategies that limited our ability to provide meaningful, timely, accurate, valid, and relevant feedback to staff in order to develop their clinical and administrative skills.  The new tool allowed us to graph staff performance data over time and visually analyze the data to determine objective performance levels across a variety of defined skills, and this visual presentation of behavior was shared with the staff themselves so that they could see their own behavioral changes over time as well.  The summarized data were included in staff evaluations and referenced during supervision and mentoring meetings.  The PDC-HS provides behavior analysts with an opportunity to screen for deficits in strategic and systemic supervision practices (as opposed to more tactical procedures such as directly observing the implementation of a discrete trial training protocol) and I feel that such a tool is essential when developing staff observation and feedback systems.  Had we used such a tool in conjunction with our more direct observation tool, we may have identified agency-level holes in training, mentoring, and supervisory practices that resulted in staff performance that didn’t meet the expected clinical standards.  In essence, by using the PDC-HS, we might have identified other contributing factors to poor performance that might not have been easily identified by direct in-vivo observations.

In addition, the PDC-HS provides behavior analysts who supervise staff with directly applicable empirical references that can be used to further support the development of staff supervision and feedback systems.  BCBAs are well aware of the fact that we must always use evidence-based interventions for clients of ABA interventions and services (BACB, 2014); however, given the fact that many practicing behavior analysts have received little formal training on staff supervision, it is imperative to provide the field of ABA with tools to help facilitate the process of staff performance management.

Coincidentally (or perhaps because of the pervasiveness of this skill deficit), when I supervised a team of ABA therapists who shared an office space, I too needed to address cleanliness and orderliness of the shared space with a simple behavior analytic intervention (i.e., a gamified group reinforcement system).  Again, however, had I used the PDC-HS tool, the intervention would most likely have better reflected the setting events, training and supervision deficits, and functions of the skill deficit (or motivative deficit).  Given the rapid expansion of direct ABA therapy in a variety of unstructured settings where supervision from a BCBA might occur less frequently than in a clinic (e.g., in a general education classroom or in the client’s home), I agree that systematic replications can and should address the fidelity of the implementation of teaching protocols and behavioral interventions.  Such replications would provide supervisors with much-needed clarification regarding the conditions and systems that control certain behaviors that interfere with the effective implementation of behavior analytic interventions.

As Dr. Blanco noted in her remarks about the article and the PDC-HS, BCBAs must be well-versed in effective and individualized staff supervision and performance management strategies and tactics.  BCBAs are highly encouraged to develop their own tools to facilitate the consistent application of principles of ABA to such supervision, and tools like the PDC-HS can be used to help frame staff skill and performance deficits that might otherwise be difficult to analyze.

References

Behavior Analyst Certification Board. (2017a).  BCBA/BCaBA coursework requirements based on the BCBA/BCaBA Task List (5th ed.). Retrieved from: https://www.bacb.com/wp-content/uploads/2017/09/170113-BCBA-BCaBA-coursework-requirements-5th-ed.pdf

Behavior Analyst Certification Board. (2017b).  BCBA/BCaBA task list (5th ed.). Littleton, CO: Author. Retrieved from:  https://www.bacb.com/wp-content/uploads/2017/09/170113-BCBA-BCaBA-task-list-5th-ed-.pdf

Behavior Analyst Certification Board. (2014). Professional and ethical compliance code for behavior analysts. Littleton, CO: Author.  Retrieved from: https://www.bacb.com/wp-content/uploads/BACB-Compliance-Code-english_190318.pdf

Carr, J. E., Wilder, D. A., Majdalany, L., Mathisen, D., & Strain, L. A. (2013). An assessment-based solution to a human-service employee performance problem. Behavior Analysis in Practice, 6(1), 16-32.  doi: 10.1007/BF03391789

About The Author

Dr. Bryan J. Blair is a licensed behavior analyst (MA), Board Certified Behavior Analyst, and is currently an Assistant Professor at Long Island University – Brooklyn where he is also the coordinator of the Applied Behavior Analysis graduate certificate and supervised fieldwork programs.  He has worked with children and adults with developmental disabilities and other clinical disorders for over 15 years in a variety of settings.  For more information or to contact Dr. Blair please see his website:  https://ww.bryanjblair.com.

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Problem Behavior Triggered by Specific Words

Problem Behavior Triggered by Specific Words

This month’s ASAT feature comes to us from Mary E. McDonald, PhD, BCBA-D, LBA. To learn more about ASAT, please visit their website atwww.asatonline.org. You can also sign up for ASAT’s free newsletter, Science in Autism Treatment, and like them on Facebook!

I have an adolescent with autism in my class who responds negatively when people say certain words. He seems to have a sensitivity to them and may respond with a behavioral outburst. Have you heard of this happening with other students with autism and do you have any thoughts on intervention?

Answered by Mary E. McDonald, PhD, BCBA-D, LBA
Hofstra University/Eden II Genesis Programs

This negative response to certain words, or “trigger words,” that you describe can be a real problem for individuals with autism and their families. Individuals with autism may react to a particular word or set of words when they are said by familiar and unfamiliar people in their environment. The way in which they react may vary and can range from verbal protesting or body tensing to an extreme behavioral outburst including aggression, self-injury or destructive behavior. This response to trigger words can have a great impact on the person’s ability to interact with others, participate in social situations, and be involved in the community or at a job site.

Some examples are:

  • A student is with his class shopping at the supermarket and the cashier says, “Thank you.” The student stomps his feet in reaction to hearing “thank you” and the staff quickly escorts him from the store before the behavior escalates.
  • A family is at a restaurant and someone at another table says “Wow, that’s beautiful” in conversation. The child starts to yell in response to the word “wow” and the parents attempt to distract the child from the conversation at the other table.

Assessment

As with any behavior, it is important to assess the situation to be better able to provide an appropriate intervention. The function of the problem behavior can be assessed through a functional behavior assessment (FBA) (Alter, Conroy, Mancil, & Haydon, 2008). Function of behavior can be determined through interviews, structured observations and the collection and analysis of data to identify patterns in the behavior. Data can also be recorded on possible trigger words to determine the frequency, intensity and latency of behavior in response to various words (data collection considerations will be shared later).

If you have already conducted an FBA and determined that the trigger words have frequently been the antecedent to the behavior of concern, the question then becomes why do these words serve as an antecedent to this behavior? While it is true that there may be a reason, it is not always apparent what the reason is. For example, it may be that the student had a history with denial of a reinforcer paired with a specific word such as “later,” or demands were consistently paired with words such as “Let’s go.” In these cases, the words could have become aversive to the student through frequent pairings. However, you may not be able to determine what caused the word to become a “trigger word.” While knowing the history can be helpful for preventing future trigger words from developing, it is still possible to treat the behavior without knowing the initial reason the word became an antecedent for challenging behavior.

To further assess, you may want to observe how the student responds to the trigger word in various conditions. For example, you can analyze the occurrence of behavior based on who says the word (familiar or unfamiliar person), if it is spoken directly to the student or overheard, the setting in which the student reacts to a trigger word, and the ongoing activity (preferred or non-preferred). You can also assess the student’s reaction to various forms of the word (written word, spoken word, word in a sentence) to help plan for desensitization training. One can also assess whether a cumulative effect is observed (i.e., the first instance of the trigger word does not occasion the behavior; however, multiple instances of the trigger word cause the student to react). All of these factors can be reflected as columns on your ABC data sheet.

Comorbidity. 

The complexity of this behavior requires us to look at other factors that may affect its occurrence. Considerable evidence suggests that children and adolescents with autism spectrum disorders (ASD) are at increased risk of anxiety and anxiety disorders (Ghaziuddin, 2002) and this may worsen during adolescence. Children with autism may display problematic emotional reactions and behaviors when faced with social situations (Lainhart, 1999). It is important to consider the possibility that the trigger words function as stimuli that increase the student’s anxiety. Behaviors associated with anxiety can appear on your ABC data sheet.

Researchers are attempting to study co-morbidity in individuals with autism. Leyfer et al. (2006) studied various disorders associated with autism. They found that specific phobia was the most common disorder (in 44% of participants) found in individuals with ASD, and even higher prevalence rates have been reported in other studies (Muris et al., 1998). There are a number of specific phobias that relate to words, including nomotophobia (fear of names) and verbophobia (fear of words). Onomatophobia is an irrational or compulsive fear of hearing certain words. However, there is little research on this phobia and no research in relation to individuals with autism to date.

The second most frequent disorder found in the study was obsessive compulsive disorder (OCD), diagnosed in 37% of the children with autism (Leyfer et al., 2006). The most common type of compulsion was a ritual involving others. About 50% of the children diagnosed with OCD had compulsions that involved others having to do things a certain way. Examples included:

  • Parents having to perform certain daily routines
  • An adult having to act or respond in a certain way
  • An adult having to respond to repeated questions

What was most interesting about the findings is that the two most frequent compulsions involved attempts to control the behavior of others. Given this, it is plausible that for some children with autism and OCD, the problem behavior that occurs in response to the trigger words may be attempts to control what is said by others. However, again, no research specifically addresses trigger words as an antecedent to behavior in children with OCD or autism.

Data Collection

When collecting data on behavior in reaction to trigger words, a frequency measure can be used but it may not provide you with the most accurate data. These data may be misleading as it can depend on how often the trigger word is heard by the student. Instead, it may be more accurate to record occurrence as a percent per opportunity, where an opportunity is when the trigger word is heard by the student. With this data, one can see the percentage of the time the student responds to the trigger word. It may also be helpful to note the time that the student hears each instance of the trigger word to determine if the student’s reaction occurs after the first occurrence or after a number of occurrences indicating a more cumulative effect of the words on behavior.

Treatment Considerations

Prevention. Often the first reaction to increased problem behavior in response to trigger words is to prevent the behavior from occurring by avoiding the antecedent entirely. Therefore, adults may refrain from saying trigger words or reacting negatively to trigger words when they are spoken. However, the issue in this case is that it is not so easy to simply remove the antecedent from the environment. First, it is unlikely that someone can truly remove a word from their vocabulary consistently. Second, outside of the small circle of family and therapists, there are many people the individual will come in contact with whose behavior is not easily controlled.

Predictability and preparation. Predictability and preparation may be more viable options in reducing behavior. Predictability can be used by letting the individual know that the word is going to be used, similar to how you would warn a student with autism that the fire alarm is going to ring if preparing him for the aversive stimulus. This can be done verbally or with a non-verbal signal or visual cue. This warning may be one part of an intervention package. Preparation can also be used to prepare the student for when he/she is going to be in a community location where it may be likely that the student will hear a trigger word. For example, a student may choose to wear headphones while in the community.

Generalization. We know that newly acquired responses may be controlled not only by the original stimulus but also by others resembling those stimuli (Stokes & Baer, 1977). Therefore, it is possible that the problem behavior may generalize from the original trigger word to new but similar words. As a result, assessing responses to similar words could also be important so that generalized words can also be included in treatment from the onset. Generalization can also occur from one person to another and to novel settings, which could be considered during assessment.

Interventions

Systematic desensitization/exposure. The student may be able to learn to better tolerate the trigger words through systematic desensitization (Grös & Antony, 2006). In this behavioral intervention, the student is gradually exposed to the stimulus through a hierarchy of antecedents that increase in aversiveness based on the individual’s behavioral response to the various steps. For example, desensitization may begin with the use of technology in the form of video or a virtual environment in cases where this presentation is more tolerable for the individual (Mager, Bullinger, Mueller-Spahn, Kuntze, & Stoermer, 2001). Providing reinforcement for successfully tolerating aversive stimuli is a key component of this procedure.

Sample desensitization steps for a student:

  • Student hears audio recording of trigger word by unfamiliar person
  • Student hears an app label the trigger word paired with a sight word presentation
  • Student reads trigger word presented on a flashcard
  • Student hears the trigger word stated aloud by a familiar staff person

Stimulus pairing and reconditioning. Another approach is to recondition the trigger words so that they do not evoke a negative behavioral response. One can attempt to do this by pairing the trigger words with a preferred stimulus. For example, a slideshow in which videos of someone saying trigger words are interspersed with preferred videos (music, movie clips) could be used to pair the aversive stimulus with more preferred stimuli. Alternatively, the student could be engaged in a preferred activity when the trigger word is used (e.g., student is playing on the iPad) or the trigger word can be said while presenting a preferred item to the student (e.g., “Wow, I love chocolate, too”).

Functional communication training. Functional communication training (FCT) has been a highly successful approach for replacing challenging behavior with communication in students with ASD. As an example, Rispoli, Camargo, Machalicek, Lang, and Sigafoos (2014) demonstrated the effectiveness of FCT with students with ASD for behavior that was ritualistic in nature. It may be possible to teach the student some form of communication that may help him or her to communicate rather than engage in challenging behavior when a trigger word is heard. The individual may not be able to completely avoid hearing trigger words, but may be able to ask to leave a particular area, such as a crowded area with high probability of trigger words.

Summary

When working with a student with ASD who engages in behavior related to trigger words, it will be important to acknowledge the complexity of this behavior. Consider conducting a thorough and ongoing assessment to determine the most appropriate interventions to best meet the needs of the individual, while always remembering the importance of data collection and data analysis to help guide decision making.

References

Alter, P. J., Conroy, M. A., Mancil, G. R., & Haydon, T. (2008). A comparison of functional behavior assessment methodologies with young children: Descriptive methods and functional analysis. Journal of Behavioral Education, 17(2), 200-219.

Ghaziuddin, M. (2002). Asperger syndrome: Associated psychiatric and medical conditions. Focus on Autism and Other Developmental Disabilities, 17(3), 138-144.

Grös, D. F., & Antony, M. M. (2006). The assessment and treatment of specific phobias: A review. Current psychiatry reports, 8(4), 298-303.

Lainhart, J. E. (1999). Psychiatric problems in individuals with autism, their parents and siblings. International Review of Psychiatry, 11(4), 278 -298.

Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., … & Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36(7), 849-861. Mager, R., Bullinger, A., H., Mueller-Spahn, F., Kuntze, M. F., & Stoermer, R. (2001). Real-time monitoring of brain activity in patients with Specific Phobia during

exposure therapy, Employing a stereoscopic virtual environment. CyberPsychology and Behavior 4(4), 465–469.

Muris, P., Steerneman, P., Merckelbach, H., Holdrinet, I., & Meesters, C. (1998). Comorbid anxiety symptoms in children with pervasive developmental disorders. Journal of Anxiety Disorders, 12(4), 387-393.

Rispoli, M., Camargo, S., Machalicek, W., Lang, R., & Sigafoos, J. (2014). Functional communication training in the treatment of problem behavior maintained by access to rituals. Journal of Applied Behavior Analysis, 47(3), 580-593.

Stokes, T. F., & Baer, D. M. (1977). An implicit technology of generalization. Journal of Applied Behavior Analysis, 10(2), 349-367.

Citation for this article:

McDonald, M. (2018). Clinical corner: Problem behavior triggered by specific words. Science in Autism Treatment, 15(1), 5-8.


About The Author

Dr. McDonald is a Professor in the Special Education Department at Hofstra University. She directs the Advanced Certificate Programs including the advanced certificate in ABA and the Advanced Certificate in Severe and Multiple Disabilities. She currently teaches courses related to autism spectrum disorders, applied behavior analysis and single subject research. Dr. McDonald serves as the Associate Executive Director of Long Island Programs for Eden II/Genesis Programs. She has over 25 years experience directing programs for students with autism from early intervention through adulthood. Dr. McDonald completed her PhD in Learning Theory at the CUNY Graduate Center and is a Board Certified Behavior Analyst – Doctoral Level and a licensed behavior analyst. Dr. McDonald serves on a number of advisory boards and presents at local, national and international conferences on the topic of autism.  She has published a book on including students with ASD and book chapters on technology and evidence-based interventions.  She has published both peer-reviewed and popular articles.  Some areas of publication include: self-management, social reciprocity, PECS, scripts and semantic webs, creativity and including students with ASD.

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How Siblings Of Children With Autism Can Help Improve Behaviors

How Siblings Of Children With Autism Can Help Improve Behaviors

When I first came across this study, “Behavioral Training for Siblings of Autistic Children,” I was immediately hesitant. There’s something about the idea of sibling-as-therapist that makes me cringe a little bit. When I work with the families of children with autism, the hope is that the siblings of the child with autism still have a childhood without being pushed into the role of caregiver. And I also want the child with autism to have independence and feel like an individual who is heard, which may be more challenging if their siblings are issuing demands just as a parent or teacher would. But as I read the study, I realized that the work they completed had incredible social significance.

In the study, there were three pairs of siblings. The ages of the children with autism ranged from 5 years old to 8 years old. The ages of the siblings ranged from 8 years old to 13 years old. The researchers trained each sibling of a child with autism how to teach basic skills, such as discriminating between different coins, identifying common objects, and spelling short words. As part of this training, the researchers showed videos of one-on-one sessions in which these skills were taught, utilizing techniques such as reinforcement, shaping, and chaining. What the researchers did next was the part that really stood out to me: they discussed with the siblings how to use these techniques in other environments. Finally, the researchers observed the sibling working with their brother/sister with autism and provided coaching on the techniques.

It should be noted here that the goal of the study was not to have the siblings become the teacher of basic skills. Instead, it was to provide a foundation of skills in behavioral techniques for the sibling to use in other settings with the hope of overall improvement in the behaviors of the child with autism. The researchers demonstrated that, after training, the siblings were able to effectively use prompts, reinforcement, and discrete trials to effectively teach new skills. But, perhaps the most meaningful aspects of the study were the changes reported by both siblings and parents. The researchers provide a table showing comments about the sibling with autism before and after the training. One of the most striking comments after the training was, “He gets along better if I know how to ask him” (p. 136). Parents reported that they were pleased with the results and found the training beneficial.

This study provides excellent evidence that structured training for siblings has real potential for making life a little easier for the whole family. The idea isn’t that they become the therapist, but instead that knowledge truly is power.

REFERENCES

Schriebman, L., O’Neill, R.E. & Koegel, R.L. (1983). Behavioral training for siblings of autistic children. Journal of Applied Behavior Analysis. 16(2), 129-138.


WRITTEN BY SAM BLANCO, PhD, LBA, BCBA

Sam is an ABA provider for students ages 3-15 in NYC. Working in education for twelve years with students with Autism Spectrum Disorders and other developmental delays, Sam utilizes strategies for achieving a multitude of academic, behavior, and social goals. She is also an assistant professor in the ABA program at The Sage Colleges

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ABA Journal Club #2: Ethics and Social Media

One of the tenets of ABA is to provide evidence-based practice. The best way to help us do this is to keep up with the literature! Each month, Sam Blanco, PhD, LBA, BCBA will select one journal article and provide discussion questions for professionals working within the ABA community. The following week another ABA professional will respond to Sam’s questions and provide further insight and a different perspective on the piece.
It is important in our field to maintain an open conversation about ethics. The Professional and Ethical Compliance Code outlines how behavior analysts are expected to conduct themselves, but sometimes situations are not so black and white. And as the world changes, so do the expectations for ethical conduct. In recent years, issues related to social media have been especially relevant. This month, I’ve selected the following article which addresses the special concerns that come up with the use of social media.
O’Leary, P. N., Miller, M. M., Olive, M. L., & Kelly, A. N. (2017). Blurred lines: Ethical implications of social media for behavior analysts. Behavior Analysis in Practice, 10(1), 45-51
  1. The article reviews the codes of ethics for other professions. Why is this valuable for us to do as a profession? Did you learn anything surprising or interesting form this portion of the article?
  1. Since this article was written, our field has a new Professional and Ethical Compliance Code. How does this code differ from the previously used Guidelines for Responsible Conduct? What aspects of the code directly apply to ethical situations related to social media?
  1. “A search on an internet search engine for information related to a procedure or scientific concept may yield results as to what that procedure or concept is. The same search on a social media outlet may yield results as to whether or not that procedure or concept should be used (p. 47.) Discuss this difference.
  1. Behavior analysts and others interested in the topic may turn to social media to get answers to their questions due to the low response effort involved and the speed of reinforcement. How can we decrease response effort and increase reinforcement for referring to the scientific literature to answer our questions?
  1. The authors provide suggestions for how behavior analysts should behave on social media. Are there any suggestions you might add? Are there ways you can increase the likelihood of other behavior analysts following these suggestions?
  1. Consider your own behavior on social media. Based on recommendations from the article, what is one change you can make to increase your own ethical behavior in this context?

 

WRITTEN BY SAM BLANCO, PhD, LBA, BCBA

Sam is an ABA provider for students ages 3-15 in NYC. Working in education for twelve years with students with Autism Spectrum Disorders and other developmental delays, Sam utilizes strategies for achieving a multitude of academic, behavior, and social goals. She is also an assistant professor in the ABA program at The Sage Colleges.

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Resources For Parents

Resources For Parents

This month’s ASAT feature comes to us from Peggy Halliday, MEd, BCBA. To learn more about ASAT, please visit their website at www.asatonline.org. You can also sign up for ASAT’s free newsletter, Science in Autism Treatment, and like them on Facebook!

The following websites include milestones’ checklists, booklets, and a wealth of information to help parents become savvy consumers of autism treatment. The contributors are parent groups well as professional, medical, scientific, and legal and/or advocacy organizations which are available to meet the needs of families.

American Academy of Pediatrics (AAP) 

The AAP is an organization of 67,000 pediatricians committed to the well-being of infants, children, adolescents, and young adults. The AAP website contains recent information about autism prevalence, links to many external resources and training websites, information about pediatrician surveillance and screening, and early intervention guidelines. This site offers great tools and resources for both pediatricians and families. 

Association for Behavior Analysis International (ABAI) 

The ABAI is a nonprofit professional membership organization whose objective for education is to develop, improve, and disseminate best practices in the recruitment, training, and professional development of behavior analysts. ABAI offers membership to professionals and consumers, which entitles them to a newsletter and other benefits, including event registration discounts, and continuing education opportunities. 

Association of Professional Behavior Analysts (APBA) 

The APBA is a nonprofit professional membership organization that is focused on serving professional practitioners of behavior analysis by promoting and advancing the science-based practice of applied behavior analysis. Membership is open to professional behavior analysts and others who are interested in the practice of ABA, including professionals from various disciplines, consumers, and students. 

Association for Science in Autism Treatment (ASAT)  

The ASAT is a non-profit organization founded in 1998 “to promote safe, effective, science-based treatments for people with autism by disseminating accurate, timely, and scientifically sound information, advocating for the use of scientific methods to guide treatment, and combating unsubstantiated, inaccurate and false information about autism and its treatment.” To serve its mission ASAT provides a comprehensive website which includes Research Synopses of a vast array of autism treatments to help families and organizations make informed choices, as well as specific resources for journalists, medical providers, and parents of newly diagnosed children. ASAT also publishes a monthly online publication, Science in Autism Treatment,with over 12,000 subscribers from all 50 states and over 100 countries. ASAT has Media Watch Initiative that responds quickly to both accurate and inaccurate portrayals of autism treatment in the media, and an Externship Program which includes students, professionals, and family members.

Autism New Jersey (Autism NJ) 

Autism NJ is now the largest statewide network of parents and professionals dedicated to improving the lives of individuals with autism and their families. Since its establishment in 1965, Autism New Jersey’s mission has been to ensure that all individuals with autism receive appropriate services. Autism New Jersey is a nonprofit agency committed to ensuring safe and fulfilling lives for individuals with autism, their families and the professionals who support them through awareness, credible information grounded in science, education, and public policy initiatives. 

The Autism Science Foundation (ASF) 

As well as providing information about autism to the general public and promoting awareness of the needs of individuals and families affected by autism, the Autism Science Foundation’s mission is to support and fund scientists and organizations conducting research into Autism Spectrum Disorder. 

Autism Speaks 

Autism Speaks supports global research into the causes, prevention, treatments, and cure for autism and raises public awareness. The website contains information on resources by state, resources for families, advocacy news, and suggested apps for learners with autism. The Autism Speaks 100 Day Kit for Newly Diagnosed Families of Young Children was created specifically for families of children ages 4 and younger to make the best possible use of the 100 days following their child’s diagnosis of autism.  

Autism Wandering Awareness Alerts Response Education (AWAARE).

This organization has developed three “Big Red Safety Toolkits” to respond to wandering incidents: one for caregivers, one for First Responders, and one for teachers. They are free and downloadable from their website.

Behavior Analyst Certification Board (BACB) 

The BACB is a nonprofit corporation established as a result of credentialing needs identified by behavior analysts, state governments, and consumers of behavior analysis services. Their mission is to develop, promote and implement an international certification program for behavior analysis practitioners. The BACB website contains information for consumers (including a description of behavior analysis), conduct guidelines, requirements for becoming certified and maintaining certification, and a registry of certificants that can be searched by name or state. 

Cambridge Center for Behavioral Studies 

The Cambridge Center for Behavioral Studies website seeks to bring together knowledge and behavior analysis resources, a glossary of behavioral terms, online tutorials and suggestions for effective parenting. A continuing education course series is offered through collaboration with the University of West Florida and is designed to provide instruction in a variety of areas of behavior analysis. To utilize all of the features of the website, you must register.

Centers for Disease Control and Prevention (CDC) 

The Act Early website from the CDC contains an interactive and easy-to-use milestones’ checklist you can use to track how your child plays, learns, speaks, acts, and moves ages 3 months through 5 years. The milestones checklist is now available as a free downloadable tracker that follows your child’s progress. There are tips on how to share your concerns with your child’s doctor and free materials that you can order, including fact sheets, resource kits, and growth charts. 

Council of Parent Attorneys and Advocates, Inc. (COPAA) 

The Council of Parent Attorneys and Advocates is a national American advocacy association of parents of children with disabilities, their attorneys, advocates, and others who support the educational and civil rights of children with disabilities. The website provides important information about entitlements under federal law and is divided into resources for students and families, attorneys, advocates, and related professionals, and a peer to peer connection site. 

Council for Exceptional Children (CEC) 

The CEC is an international professional organization dedicated to improving the educational outcomes and quality of life for individuals with exceptionalities. The focus is on helping educators obtain the resources necessary for effective professional practice. Autism is one of many disabilities discussed. 

Education Resources Information Center (ERIC) 

Sponsored by the Institute of Education Services (IES) of the U.S. Dept. of Education, ERIC provides ready access to education literature to support the use of educational research and information to improve practice in learning, teaching, educational decision-making, and research. 

First Signs 

The First Signs website contains a variety of helpful resources related to identifying and recognizing the first signs of autism spectrum disorder, and the screening and referral process. A video glossary is useful in demonstrating how you can spot the early red flags for autism by viewing side-by-side video clips of children with typical behaviors in comparison with children with autism. First Signs aims to lower the age at which children are identified with developmental delays and disorders through improved screening and referral practices. 

Individuals with Disabilities Act (IDEA) 

IDEA is a law that ensures services to children with disabilities throughout the nation. IDEA governs how states and public agencies provide early intervention, special education, and related services to more than 6.5 million eligible infants, toddlers, children, and youth with disabilities. The IDEA website contains information on early intervention services, local and state funding, and Individualized Educational Plan (IEP) issues including evaluation, reevaluation, and procedural safeguards. 

The Interagency Autism Coordinating Committee (IACC)

IACC coordinates ASD related activities across the United States Health and Human Services Department and the Office of Autism Research. The IACC publishes yearly summary advance updates from the field of autism spectrum disorder.

National Autism Center (NAC) 

The NAC is a nonprofit organization dedicated to disseminating evidence-based information about the treatment of autism spectrum disorder and promoting best practices. Through the multi-year National Standards Project, the NAC established a set of standards for effective, research-validated educational and behavioral interventions. The resulting National Standards Report offers comprehensive and reliable resources for families and practitioners. 

National Professional Development Center on Autism Spectrum Disorders (NPDC) 

In 2014 the NPDC, using rigorous criteria, classified 27 focused interventions as evidence- practices for teaching individuals with autism. This website allows you to access online modules for many of these practices as well as an overview and general description, step-by-step instructions, and an implementation checklist for each of the practices. NPDC is currently in the process of updating the systematic review through 2017 as part of the Clearinghouse on Autism Evidence and Practice. It also has a multi-university center dedicated to the promotion of evidence-based practices for ASD. The Center operates three sites at UC Davis MIND Institute, Waisman Center, and the Franklin Porter Graham Child Development Institute at the University of North Caroline Chapel Hill. Each of these websites delivers a wealth of information including online training modules, resources, factsheets, and more.

NIH National Institutes of Health (NIH) 

The NIH, a part of the U.S. Department of Health and Human Services, is the primary federal agency for conducting and supporting medical research. Helping to lead the way toward important medical discoveries that improve people’s health and save lives, NIH scientists investigate ways to prevent disease as well as researching the causes, treatments, and even cures for common and rare diseases. 

The Ohio Center for Autism and Low Incidence (OCALI)

OCALI working in collaboration with the Ohio Department of Education, is a clearinghouse of information on autism research, resources, and trends. The OCALI website contains training and technical assistance including assessment resources and ASD service guidelines.

Organization for Autism Research (OAR) 

OAR is a nonprofit organization dedicated to applying research to the daily challenges of those living with autism. OAR funds new research and disseminates evidence-based information in a form clearly understandable to the non-scientific consumer. The OAR website contains downloadable comprehensive guidebooks, manuals, and booklets for families, professionals, and first responders.  OAR offers recommendations and worksheets for educators and service providers to assist in classroom planning, and a newsletter, “The OARacle.” In conjunction with the American Legion Child Welfare Foundation, OAR also offers Operation Autism for Military Families, a web-based resource specifically designed and created to support military families that have children with autism. 

Rethinkfirst 

Rethink is a global health technology company which provides cloud-based treatment too for individuals with developmental disabilities and their caregivers. Their web-based platform includes a comprehensive curriculum, hundreds of dynamic instructional videos of teaching interactions, step-by-step training modules, and progress tracking features.

Virginia Commonwealth University Autism Center for Excellence 

VCU-ACE is a university-based technical assistance, professional development, and educational research center for autism spectrum disorder in the state of Virginia. VCU-ACE offers a wide variety of online training opportunities for professionals, families, individuals with ASD, and the community at large. The website contains many useful resources, including a series of short how- to videos demonstrating particular evidence-based strategies, webcasts, and online courses. 

Wrights Law 

Wrights Law is an organization which provides helpful information about special education law, education law, and advocacy for children with disabilities in the USA. The Wrights Law website contains an advocacy and law library including articles, cases, FAQs and success stories, and information on IDEA. 

Zero to Three: National Center for Infants, Toddlers, and Families

This is a national, nonprofit organization which seeks to inform, educate, and support professionals who influence the lives of infants and toddlers. The organization supports the healthy development and well-being of infants, toddlers, and their families by supplying parents with practical resources that help them connect positively with their babies. They also share information about the Military Families Project, which supplies trainings, information, and resources for military families with young children. 

Please use the following format to cite this article:

Halliday, P. (2016 revised 2019). Consumer Corner: Some resources for parents. Science in Autism Treatment, 13(2), 27-31.


Peggy Halliday, MEd, BCBA, has served as a member of the Board of Directors of ASAT since 2010. She has been a practitioner at the Virginia Institute of Autism (VIA) in Charlottesville, Virginia since 1998. She oversees trainings for parents and professionals and provides consultation to public school divisions throughout Virginia.

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Preparing For The Holidays

Preparing For The Holidays

While the holidays can be a very fun and exciting time, they often tend to disrupt regular routines. A disruption in routines can frequently lead to added stress, anxiety, and behavioral difficulties for individuals with autism and their families. So how can you maintain the fun in holidays but also manage the major changes in routine? Here are a few ideas that may be helpful:

• Use and/or modify tools your child already utilizes well. If your child uses an activity schedule, calendar, or some kind of app to prepare for transitions and upcoming events; be sure to include new icons, symbols, or preparation for the events related to holidays.
• Practice the event. It may be possible for you to role play an event such as a larger family dinner, loud music, or the arrival of a someone dressed up as a character (such as Santa Claus.)
• Take the time to list out what may be unique or new. While you cannot prepare for everything, it’s valuable to consider what your child may not have encountered in the past. For example, will there be lit candles within reach? Will there be appealing items your child is required to leave alone? Once you’ve brainstormed a bit, you’ll be better able to respond appropriately.
• Enlist some help. If there is a family member or friend who will be present and can help if you need it, ask for their help beforehand and be specific. This might be asking them to engage your child in an activity for a short period of time, or running interference for you when your distant aunt approaches with a litany of rude questions about autism.
• Make sure your child has an appropriate way to request a break. Whether your child is verbal or nonverbal, it’s helpful to teach them an appropriate way to exit a situation that is uncomfortable. This is a skill you can practice at home and use in other environments as well.
• Recognize your successes. The holidays can be a stressful time, but they can also be a great indicator of just how far your child has come. Relatives you haven’t seen in a year are far more likely to see the difference in your child’s growth than you are, since you’ve seen that steady growth from day to day. It can be a wonderful time to step back and acknowledge just how hard you have all worked in previous months.

These are simple steps that may be helpful in reducing stress during the holidays. Do you have special tips for how you prepare?


WRITTEN BY SAM BLANCO, PhD, LBA, BCBA

Sam is an ABA provider for students ages 3-15 in NYC. Working in education for twelve years with students with Autism Spectrum Disorders and other developmental delays, Sam utilizes strategies for achieving a multitude of academic, behavior, and social goals. She is also an assistant professor in the ABA program at The Sage Colleges.

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Double Up!

Double Up!

Learn all about our newest game Double Up from creator Rosemarie Griffin, CCC/SLP, BCBA! 

If you are working with older students, I know that you have probably struggled with finding materials that were age appropriate. I am a school based speech language pathologist and board certified analyst. I created Double Up to help my students strengthen their vocabulary and leisure skills.  

If you are a special education teacher, speech language pathologist, board certified behavior analyst or parent – you will love Double Up. This product can be used with students who are non-verbal and by students who are conversational. A no prep social skills activity for mixed groups!!

Double Up includes 4 different games and 144 vocabulary cards. It can be played with as few as one person or as many as 4 people. Vocabulary terms focus on the areas of leisure and hygiene. The first person to fill up their board- yells “Double Up” and they are the winner.  Read below for skills that you can work on when playing Double Up.

Matching - If you have students who would benefit from matching identical pictures, you can do that easily with double up! Just pass out the game boards of the same color. Get the matching vocabulary cards and you are ready to go. Each student picks a card and matches to their board. If they don’t have the card they pick – they can pass it to the person who does have it. If students are able to ask they can ask who has the card. For example, “who has the picture of reading?”

Associations - Students can work on matching items by association. If you pass out the purple leisure noun boards, get out the red leisure action vocabulary cards. You will turn over a leisure action ( i.e. reading), if you have the picture of the book on your board – you match it! If someone else has the book – you can pass it to them or ask “who has the book?” A great way to play for students who understand word associations.

Turn Taking - Double Up allows for practice with turn taking. Picking a card and taking your card is a functional leisure skill. The format of this game, allows for many opportunities to take your turn and wait while others take their turn.

Waiting - If you play Double Up as a 4 person game- your students will have to wait for their peers to take a turn. This is a natural way to work on the skill of waiting. Waiting can be so very difficult for our students and this is a great way to embed work on this skill. 

Independent Work. Double Up also makes a functional independent work task. A student could take one board from the double up game and the matching cards. They would match the identical cards for an independent work task. The pictures are functional and age appropriate, so not only are students work on increasing their duration with an independent task, they are being exposed to words that are important to them!

Conversation Skills – The pictures in double up lend themselves to conversation. You can discuss the vocabulary terms with the students. “Have you lifted weights before?” “Have you been camping?” The conversation opportunities are endless! 


About the Author

Rosemarie Griffin, MA, CCC/SLP BCBA, is an ASHA certified Speech-Language Pathologist and a Board Certified Behavior Analyst. She divides her time between a public school and a private school for students with autism in Ohio. She’s presented at the national, state and local level about systematic and collaborative language instruction for students with autism. Her professional mission is to help all students expand their communication step by step. She can be reached at www.abaspeech.org, on Facebook or Instagram. 

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3 Ways To Fade Prompts

3 Ways To Fade Prompts

Prompts are ways we help our learners demonstrate new skills. We use prompts to get our students to greet a peer, flush the toilet, name the color blue, and clap their hands. Prompts are something we add to the situation because the natural or teaching cue was not enough to cause the student to respond. The natural cue of being finished using the toilet was not a strong enough reminder to flush the toilet so we added the verbal prompt, “flush the toilet” and the student now responds. Prompts are important but fading them is just as important.  Prompt fading in ABA needs to be planned from the start and is an integral and essential component to the plan. Unless you are committing to following that child around for the rest of his life and tell him to flush the toilet – prompt fading is essential.

Some rules for prompt fading in ABA:

* Plan it out from the start.
* Train your staff.
* Do it gradually.
* If incorrect responding begins, return to last prompt level.

1. Least to Most Prompt Fading

Like we discussed in Monday’s post, least to most prompting involves starting with the least intrusive prompts and moving up in the prompting hierarchy. This can be beneficial because it gives students to the opportunity to be independent and you are only providing as much prompting as needed. This is a strategy we tend to use naturally. When you meet a your friend’s toddler you put out your hand to give a high five. If she doesn’t respond you say, “give high five.” If she still doesn’t respond you move her hand to your hand to give a high five. This is a natural method of prompting. When using this prompt fading technique, ideally the prompts will be somewhat self fading. If you are always starting at the least intrusive prompt, your students will have the opportunity to demonstrate independence. As the student begins to learn the task, he will need less and less prompts to perform it correctly.

Some key tips for using this prompt fading in ABA procedure:

  • allow wait time; if you do not provide wait time you may be providing more prompts than needed and taking away the opportunity for the student to respond correctly
  • take data; data is key to track progress. Every time you utilize this prompting method – note the level of prompt you used. You want to see that your student is requiring less intrusive prompts as time goes on. This will help avoid prompt dependence.
  • use high powered reinforcers; use an item that is actually a reinforcer that your student wants to work for. The sooner he demonstrates the skills, the sooner he gets the reinforcer.

2. Most to Least Prompt Fading

 

Most to Least prompt fading is another effective method of using prompts. With this method you start the most intrusive prompts and gradually fade to less intrusive prompts. The prompt fading is build right in. However, sometimes people forget that and in their head rename this most to most prompting. The key to errorless learning and using the most intrusive prompts first is that you fade the prompts out. The idea behind most to least prompting is that students will contact reinforcement right away and you will avoid errors and the students developing any incorrect habits.

How to fade prompts in Most to Least Prompting:

  • set criteria for changing prompts; once your student hits a particular number of days or sessions or trials at a particular prompt level, fade to the next level; take data to track progress
  • once you hit the criteria move to the next type of prompt; refer to our prompt hierarchy or order that is in Monday’s post. Move up the list to less and less intrusive prompts.
  • fade magnitude than switch prompt type; before you switch from a gestural to a verbal prompt adjust the magnitude of the prompt. A dramatic point to an object is different that a nod of your head.

Data is critically important for avoiding prompt dependence. You want to set a criteria ahead of time and take data to make sure you are sticking with the criteria. The criteria you set will depend on the student and the task. Maybe you want 3 consecutive days with each prompt level. If you are taking data you can ensure that you are sticking to that schedule. If errors begin occurring, go back a prompt level. The data will guide your implementation of this procedure. If you are fading too quickly, your data will tell you!

Prompt fading in ABA isn’t scary. Plan ahead and make sure you train your staff. This is a group endeavor! 

3. Time Delay

 

One effective way we can fade prompts is using a time delay. A time delay inserts a set amount of time between the natural or teaching cue and our prompt. When utilizing a time delay, start with a zero second (i.e. no) time delay – so it will basically be like errorless teaching. For the first few trials, give the prompt right away so the student knows how to respond. Then after several trials, increase the time delay. For example, you may start with 2 seconds. If the student does not respond within 2 seconds – provide the prompt. If the student responds before the 2 seconds, provide loads of reinforcement. Once the student is successful and responding under the 2 seconds for several trials, increase the time delay. Now wait until 4 seconds to provide the prompt. Continue on. If the student does not respond with the 4 second time delay, move back to the 2 second time delay.

The key to time delay is planning and data. Set the criterion ahead of time. Plan how many sessions you will do at 0 seconds before moving to the first time delay. Determine what the mastery criteria is – how many times do you want the student to respond within the time delay before increasing the time delay length? Take data on this. It can easily and quickly get confusing if you don’t have a data sheet to track what you are doing. Write the plan in simple terms at the top of your data sheet. I like to track prompted correct (PC), prompted incorrect (PI), unprompted correct (UC), and unprompted incorrect (UI) using those abbreviations on my data sheet. If the student responds before the prompt it is counted as unprompted and if it’s after the prompt it is prompted!

There is no magic number of trials or days you should stay within the 0 second or 2 second time delay. It depends on the student’s level of functioning and the difficulty of the task. This is where data majorly comes in to play. If you’ve moved along too quickly, you will know and you can scale back.

Time delay works really well with verbal prompts. Another key component to time delay working successfully is making sure the reinforcement you give for the unprompted responses is better than the reinforcement for prompted responses. So if Johnny responds before the time delay and says the color blue on his own – give him 3 m&ms and praise but if you are using a 2 second time delay and he doesn’t respond and you provide the verbal prompt “bl…” and then he says blue only provide praise. You want the independent responses to be getting more reinforcement so your student is motivated to engage in those responses more!


About The Author 

Sasha Long, BCBA, M.A., is the founder and president of The Autism Helper, Inc. She is a board certified behavior analyst and certified special education teacher. After ten years of teaching in a self-contained special education classroom, Sasha now works full time as a consultant, writer, and behavior analyst. Sasha manages and writes The Autism Helper Blog, as a way to share easy to use and ready to implement strategies and ideas. Sasha also travels internationally as a speaker and consultant providing individualized training and feedback to parents, educators, therapists and administrators in the world of autism. She is currently an adjunct professor in the school of Applied Behavior Analysis at The Chicago School of Professional Psychology. Sasha received her undergraduate degree in Special Education from Miami University and has a Masters Degree in Applied Behavior Analysis from The Chicago School of Professional Psychology. Contact Sasha at sasha.theautismhelper@gmail.com.

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Normalization

Normalization

So much to say on this topic, far more than anyone would actually want to read.

Does ABA therapy require/demand/force individuals into a narrow and specific box titled "NORMAL"? No.

(Well, it shouldn't anyway)

But the myth persists.

I mean this in the best way, but many of the children I work with just are not going to fit into that "normal" box, no matter how much someone tries to push or squeeze them into it... it ain't happening.

And that's a cause for celebration!

The very thing I love about working with such a diverse group of kids, is that they are all different, yet all interesting. I work with some super fascinating small people, who constantly show me how dumb I am. And I thank them for it, because how can you grow if you already think you know everything? You can't.

As a provider, of course I know the research on the effectiveness of ABA therapy. I also know the many success stories I have seen with my own eyes, of children I directly worked with. But success story does not equal "...and then the child was totally normal!".

A couple of reasons why my job is not to drive families in my car to a fantasy location called "normal":

1) Each client/family I work with usually has their own idea of what "normal" means. If you have been in this field more than 10 minutes, you know this to be true. This client over here may live in a home where no one really cares what time they go to bed, as long as they stay in their room and are quiet. But that client over there, may live in a home where all the parents want most in the world is for that child to get their 7.5 hours of sleep every night.

2) Even when a family can explain to me what "normal" means for them, it quickly changes! Again, if you have been in this field more than 10 minutes you know this is true. Sometimes parents tell me they want desperately for their child to talk, but what they really mean is they want their child to communicate. Or, a parent may tell me they want desperately for their child to go to "normal" school with their big sister, but next thing you know that parent has decided to homeschool. Expectations change, as perspective changes.

 

So if ABA therapy is not about hitting a child over the head with your magical "normal" baseball bat, then how exactly is it decided what the goals of treatment will be? I'm so glad you asked.

If you are working with a quality ABA provider, the goal selection process will look something like this:

"I need to evaluate/assess your child to collect baseline data" – This just means data is collected at the onset of services to create a starting point. Over time, that starting point data will be reviewed again and again to make sure the child is progressing. If therapy has been happening week after week after week, but the child has not progressed past that starting point, then something is seriously wrong. This is why it’s important to collect that initial data, so over time you can compare the child’s current learning to their previous learning."

"What are your goals for therapy? Tell me the reasons why you initiated services." – The people who asked the ABA team to show up clearly had reasons for doing so, and we need to know what those reasons are. We cannot fully help if we don’t know what issues are happening. Treatment planning should always be a team effort, with the family/client working together with the BCBA to create goals."

"What are the highest priority areas of concern in the home? At school? In the community?" – What this question is really getting at is “where do you want to start?”. It isn’t unusual that families want to work on…oh, 85 behaviors or so when you first meet them. Unless I can get a good idea of the priority level of those 85 things, the treatment plan will be a chaotic mess. Prioritizing treatment helps focus in on the areas of deficit that are impacting the client the most.

"Describe your household: rules, routine, disciplinary procedures commonly used, etc." – This question gets at Culture. Households form a sort of culture, or a way things are done. Stepping into a household/family dynamic and imposing completely opposing culture onto it, is not a great idea. It will likely lead to aggressive resistance. What is more helpful, is to teach the family strategies and techniques that line up with the way their household functions.

"Can you finish this sentence: In 5 years, I want my child to be able to....." – This question is really getting at long-term goals. Professionals need to know long-term goals, because every long-term goal is really made up of hundreds of baby steps. Gradually introducing those baby steps leaves less work to do down the road and increases the likelihood of successful skill acquisition.

"Your child scored low on (insert skill domain here). Do you care about that??" – One of my fave questions to ask. I have learned to ask this, because I used to do quite a bit of assuming. Things like “Of course, you guys want him to write his name, right?” or “Of course, you guys want her to stop eating with her hands, right?”. Maybe not. If I see an area of concern, I will bring it up. If the parent isn’t as concerned as I am or wants to stick a pin in that issue until a later time, then it’s really important that I know that.

My normal is not your normal, and vice versa. What's considered "normal" in your household might not fly in my household, and what's "normal" in your marriage could be unbearable for another couple. That's why normal is such a useless word to throw around, because it has too many meanings to actually mean anything significant.

One of my pet peeves is when a parent says to me during an intake, "I just want him/her to be normal!". Ummm, and that means what?? :-) Seriously, I need details over here. I do not have an intervention for "normal" behavior, nor do I know how to program for that.

Does ABA therapy seek to change individuals? Yes! Behavior change is the entire point of this therapy, either increasing appropriate behaviors or decreasing inappropriate behaviors. But if you think that the only change ABA therapy values is when a child can be fully "normal", you are:
100%,
absolutely,
wrong.


About The Author: Tameika Meadows, BCBA

“I’ve been providing ABA therapy services to young children with Autism since early 2003. My career in ABA began when I stumbled upon a flyer on my college campus for what I assumed was a babysitting job. The job turned out to be an entry level ABA therapy position working with an adorable little boy with Autism. This would prove to be the unplanned beginning of a passionate career for me.

From those early days in the field, I am now an author, blogger, Consultant/Supervisor, and I regularly lead intensive training sessions for ABA staff and parents. If you are interested in my consultation services, or just have questions about the blog: contact me here.”

This piece originally appeared at www.iloveaba.com. 

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Implementing the Intervention…Even When Things are Going Well

Implementing the Intervention…Even When Things are Going Well

Recently I was working with a parent who was using a TimeTimer with her son to help him recognize when it was time to get ready for bed. Our plan was to start the timer every night while he was engaged in an activity, show him the timer and have him repeat how many minutes left, then have him tell his mom when the timer went off. For the first couple of weeks, this plan worked beautifully. The boy could see the time elapsing, brought the timer to his mother when it went off, and then started the process to get ready for bed without engaging in tantrum behaviors.

I went in for a parent training session after a month of the intervention and the boy’s mother informed me the timer just wasn’t working any more. As we started talking, I realized that the mother had drifted from our original plan in a way that is quite common. As her son experienced success, she used the timer less frequently. Then, if he was struggling, she would introduce the timer. In effect, she started only using the timer when he was misbehaving, instead of using it as a consistent tool to help him with the bedtime routine.

This type of procedural drift (when there is an unintentional or unplanned change in the procedure outlined for the intervention) is very common for parents, teachers, and ABA therapists. It’s important to understand this type of drift so it can be corrected when it occurs.

Here are a few things to remember when implementing an intervention:

• First, any intervention should include a clear plan for fading the intervention. In the example above, the TimeTimer was an appropriate tool for this particular child, who was only four years old. But we don’t want him to rely on the timer for the duration of childhood! A plan should include how to fade the intervention with specific steps and specific requirements for mastery.

• The use of the TimeTimer is considered an antecedent intervention. This means that we are implementing a change in the environment prior to any problem behaviors to help the child contact reinforcement and experience success. Antecedent interventions should be implemented consistently as part of a routine, not ONLY when a problem behavior occurs. If it is only implemented when the problem behavior occurs, it is no longer an antecedent intervention.

• If we implement a tool (like the TimeTimer) only when problem behavior occurs, it’s possible the tool will become aversive to the child and possibly result in an increased magnitude of the problem behavior.

• Consider using tools for the people implementing to intervention to remind them of the specific steps. For example, you might create a video model and instruct the parent (or other adult implementing the intervention) to watch it every couple days. Or you might post the steps in a clear space to be reviewed regularly.

• Finally, we have to remember that a couple of good days in a row without any instances of problem behavior does not mean that the problem is solved. This is why the first step outlined above is so important. We want to teach the child replacement behaviors and give them lots of opportunities to be successful with it.

 

Ultimately, we were able to re-implement the procedure with this parent and see more continued success with this particular case. We also decided to post the steps to the intervention on the back of the TimeTimer for easy review on a daily basis.

However, in some cases, you might have to create an entirely new intervention using different tools. The goal is to be clear about the steps of the intervention, and to maintain those steps when implementing the intervention.


WRITTEN BY SAM BLANCO, PhD, LBA, BCBA

Sam is an ABA provider for students ages 3-15 in NYC. Working in education for twelve years with students with Autism Spectrum Disorders and other developmental delays, Sam utilizes strategies for achieving a multitude of academic, behavior, and social goals. She is also an assistant professor in the ABA program at The Sage Colleges.

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How Parents Can Fit ABA Into Their Busy Schedules

How Parents Can Fit ABA Into Their Busy Schedules

“Dear Behavior BFF, I have followed your posts for a while now. The problem I see is that in order for me to be successful as a parent, I have to follow ABA 100% of the time. In order to be effective, do I need to enroll in graduate classes and learn everything I can about ABA? Do I need to become a BCBA to manage my own kids’ behavior better? Feeling overwhelmed over here…”

Thank you for learning about ABA as a parent. The science of behavior can help us SO much with our own kids. But does that mean you need to know every technical definition and fact before you can use some behavior strategies in your own home? NO! Heck no!

You are a busy parent. I am a busy parent. Most people reading this are busy parents (at least that’s the intended audience).  Do you have time to complete a master’s degree in behavior analysis just to help you be a more efficient parent who capitalizes on the science of behavior? Ummm…no. You don’t have that kind of time. So does that mean you should give up on using behavior analysis as a parent? Also no.

Behavior analysis teaches us to focus on the behavior itself. It teaches us to manipulate the environment to help our kids engage in desired and proactive behaviors. It helps us find ways to increase positive reinforcement, increase positive interactions, and teach our kids to effectively communicate their wants and needs.

The good news is we can do all of those things within the constraints of our busy family schedules! You can use positive reinforcement effectively without knowing the difference between differential reinforcement of incompatible or alternative behaviors.

And more good news: when you need to get technical, there are Board Certified Behavior Analysts (BCBAs) to do that with you! We like talking behavior science. We are ABA nerds. Let us do that part for you. If you want to join us, then enroll in that ABA graduate program. If you don’t want a new career- then learn what you can as a parent in the time that you have.

So where do you start in order to not be overwhelmed and get the benefit of decades of behavioral research? You’re in the right place. Peruse these non-academic articles offered at bSci21 that help make the science easier to digest. Learn about positive reinforcement and how to use it effectively.

Start by providing positive reinforcement for desired behaviors. Decide what you want your child to do more of, then reward them for doing it! Start small with one behavior strategy at a time, then continue to learn and add another positive behavior support as you go.

You don’t have to become a behavior expert in order to effectively use behavior analysis to save your sanity as a parent. Start small, build a little at a time. Celebrate your successes. Reward your child(ren) for their successes. Shape your own behavior by building on with baby steps. Every step in the right direction is a success. Make it work for you and your family in the time that you have. You CAN do this!


About The Author 

Leanne Page, MEd, BCBA, is the author of Parenting with Science: Behavior Analysis Saves Mom’s Sanity. As a Behavior Analyst and a mom of two little girls, she wanted to share behavior analysis with a population who could really use it- parents!

Leanne’s writing can be found in Parenting with Science and Parenting with ABA as well as a few other sites. She is a monthly contributor to bSci21.com , guest host for the Dr. Kim Live show, and has contributed to other websites as well.

Leanne has worked with children with disabilities for over 10 years. She earned both her Bachelor’s and Master’s degrees from Texas A&M University.  She also completed ABA coursework through the University of North Texas before earning her BCBA certification in 2011. Leanne has worked as a special educator of both elementary and high school self-contained, inclusion, general education, and resource settings.

Leanne also has managed a center providing ABA services to children in 1:1 and small group settings. She has  extensive experience in school and teacher training, therapist training, parent training, and providing direct services to children and families in a center-based or in-home therapy setting.

Leanne is now located in Dallas, Texas and is available for: distance BCBA and BCaBA supervision, parent training, speaking opportunities, and consultation. She can be reached via Facebook or at Lpagebcba@gmail.com.

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