Transcript Autism
Strategies to Support Students with Autism Kate Weingartner, Consultant, State Education Resource Center Jacqui Kelleher, Consultant, Bureau of Special Education, CT State Department SERC 2009 Web Resources • • • • • • www.autisminternetmodules.org www.dotolearn.com www.usevisualstrategies.com www.images.google.com www.tinsnips.org www.mayerjohnson.com SERC 2009 Major Strengths of People with ASD Can understand concrete concepts very well. Can memorize rote material easily and quickly. Can recall visual images and memories easily. Can think in a visual way. Can learn chunks of information quickly. Can learn to decode written language at an early age. Can have extraordinarily good long-term memory Can understand and use concrete rules and sequences. Can be perfectionistic in approach to tasks. Can be very precise and detail oriented. Can be depended upon to maintain schedules and to be on time. Can have average or even way above average intelligence. Can be honest even to a fault. Can be charming in their innocence. Can have difficulty being devious. Can have a strong sense of integrity. Can have an excellent sense of direction. Can be very compliant when expectations are clearly understood. Can be very genuine. (CT Autism Resource Center, 2007, pg. 7) SERC 2009 Learning Outcomes • Identify the major strengths of individuals with autism • Learn the characteristics of autism • Learn strategies to support students with autism in the classroom and school environment SERC 2009 Autism • • • • 1 in 150 diagnosed 3 to 4 times as many males as female. Fastest-growing developmental disability $90 billion annual cost, 90% costs are in adult services. • Cost of lifelong care can be reduced by 2/3 with early diagnosis & intervention. (Autism Society of America, 2009) SERC 2009 Autistic Spectrum Disorders • Currently, there is no consensus about the cause of ASD. • Theories regarding the causes of ASD include genetic components, environmental components, and some combination of genetics and the environment. • While no known cure for ASD exists, the general agreement is that early diagnosis followed by appropriate treatment can improve outcomes for later years for most children with ASD. SERC 2009 Autism Spectrum Disorders Child Disintegrative Disorder Rett’s Disorder Autism SERC 2009 Asperger’s Syndrome Pervasive Developmental Disorder-NOS Triad of Central Deficits Social Interaction Communication Repetitive Behavior Additional characteristics may include sensory issues, anxiety, resistance to environmental change or change in routine, and stereotyped movements. SERC 2009 Social Interactions • Personal Space • Hygiene • Relationships & perspective taking • Reciprocity • Play, leisure, recreation activities SERC 2009 Communication • Language skills-verbal & non-verbal • Expressing needs effectively • Ability to make choices • Understanding language • Conversational Skills • Delayed language & echolalia SERC 2009 Behavior • Interests • Communication: escape, attention, play, & self-regulation • Repetitive behaviors • Preoccupation with parts of objects • Poor organizational skills • Impulsivity • Time management SERC 2009 Autism vs. Asperger’s Syndrome Autism Asperger’s Syndrome Receptive language is higher than expressive Expressive language is higher than receptive Value sameness; may exhibit problem behavior with changes Rigid; may “meltdown” Perseverative, repetitive movements High stress level Majority of individuals do not relate to others Majority want social contact but do not have the skills 50 % of individuals have an IQ in the MR range .01 of 1% have an IQ in the MR range; most have average to above average intelligence 50 % are non-verbal, many have echolalia All are verbal SERC 2009 A practical definition . . .Asperger’s Syndrome • Awkwardness in communication, despite strong vocabulary • Difficulty in “reading” the behavior of others • A preference for predictability • A tendency toward specific and intense interests • (Sometimes) inefficient organization and productivity, despite strong intellectual abilities • (Sometimes) challenges in integrating sensory information • (Sometimes) problems in regulating anxiety or mood • (Often) clumsiness (Bolick, T. 2001). Asperger Syndrome and Adolescence: Helping Preteens and Teens Get Ready for the Real World. SERC 2009 People with autism experience the world differently from those without autism, because they process information differently SERC 2009 Classroom Management: Structure • • • • • • • Classroom schedule Work spaces Minimal distractions Visual cues Consistency Predictability Language usage SERC 2009 Visual Supports SERC 2009 Tips for Working with Students with ASD • Communication • • • • • • Teach language in context Limit amount of language Use visual supports Identify communicative intent Keep directions to 1-2 steps Emphasize communication, not speech • Establishing Routines • Create choices • Allow for sensory breaks • Incorporate child’s interest in lessons SERC 2009 The challenge: •Visual thinkers “think in pictures” Strategies: •Allow adequate time to process and retrieve information – it takes longer to process images than words •Limit verbal language •Use visual aids SERC 2009 SERC 2009 SERC 2009 The challenge: Understanding and interpreting social cues Strategies: •Social skills and social cognition must be explicitly taught •Avoid using sarcasm or metaphors •Pair gestures with other modalities •Use of exaggeration, repetition SERC 2009 Activity PROBLEM: Miguel loves the gym. Whenever he leaves the classroom, he assumes he’s going to the gym. If his paraprofessional directs him in a direction away from the gym, he lays down on the floor and cries. Think-Pair-Share What are some possible strategies for addressing his behavior? SERC 2009 The difficulty: Coping with changes in routines/schedules Strategies: Schedules – when events will happen Use an icon in a schedule to identify/alert the student to changes Teach coping skills through imagery, social stories, self talk, etc. Teach relaxation techniques SERC 2009 Strategies for the Classroom • Establish and use consistent classroom routines • Provide visual instructions, rules, schedules, menus for classroom situations, rubrics -show don’t tell • Build in transition time and have child practice routine • Provide models of finished products • Identify important part of the task • Capitalize on areas of interests SERC 2009 Strategies Continued… • Provide opportunities for movement • Use timers • Provide and encourage the use of keyboards for writing assignments • Explore and be flexible in writing materials • Create a menu of stress release activities including an escape plan • Minimize auditory and visual distractions • Consider the use of sensory input items- fidgets, water bottle SERC 2009 Power Cards Power Cards: Using Special Interests to Motivate Children and Youth With Asperger Syndrome and Autism by Elisa Gagnon Fireman Joe 1. Follow a bedtime routine. Fireman Joe takes a bath, brushes his teeth, and reads for 15 minutes before turning out the lights 2. Close your eyes and try to lay still. 3. Stay in bed after the lights are SERC 2009 out. Social Stories • Tool for teaching social skills to children with autism. It provides an individual with accurate information about those situations that he or she may find difficult or confusing. • The situation is described in detail with a focus on a few important points: social cues, events and reactions the individual might expect to occur in the situation, actions and reactions that might be expected of him, and why. SERC 2009 30 Going Back to School I will start school on Wednesday, August 30, 2003. I will be in in 5th grade. Some things at school will be the same. Mrs. Grazino is still my teacher. Mr. Friedman is still my teacher. Some things at school will be different. Mrs. Grazino’s class will be in a different room. Miss Mary will not be my teacher. Miss Ruth will be my new teacher. I will try to do my best in school. If I need help with something, I will try to use my words and ask my teacher. SERC 2009 Using Social Stories • Typically once a day, usually right before the targeted situation. • For some students, it may be helpful to read the story early in the day and then review it prior to the activity. • Monitor the effectiveness of the social story-may need to be reworked because elements are vague or confusing. Is the story truly addressing why the child may be confused or misreading a situation? SERC 2009 32 SKILLS THAT NEED TO BE TAUGHT • • • • • • • • Attending to teacher Following directions Putting materials away Independence in routines & transitions Independence in using a schedule Coping skills Communicating “help” Communicating “break” • • • • • • Greetings & Farewells Independent working Choice making Self-monitoring of behavior Problem solving Initiation of communication of needs • Social interaction skills • Generalization skills • Leisure & play skills SERC 2009 Bibliography Autism Society of America. (2009). About Autism. Retrieved August, 2009 from http://www.autism-society.org. Autism Spectrum Resource Center (2007). Autism Resource Guide: A Comprehensive Guide for People of All Ages with ASD. 3rd Ed. Wallingford, CT: Author. Bolick, T. (2001). Asperger Syndrome and Adolescence: Helping Preteens and Teens Get Ready for the Real World. Gloucester, MA: Fair Winds Press. SERC 2009