Celebrating our Bookstore as Part of Autism Awareness Month

This blog post was written by Dawn Eberwein, Bookstore Manager for the Autism Society of North Carolina.

The ASNC bookstore is a unique place that provides information, resources, employment, and support for the ASD community.  We are a place for parents, self-advocates, teachers, practitioners, or anyone in a relationship with someone on the spectrum to who wants to find out more about autism.

Many parents come to the bookstore for the first time just after their child has been diagnosed to look for information to help them, their family, their child, and their child’s teachers understand the diagnosis. Every transition in a child’s life brings new adventures and challenges, so parents return looking for information on topics such as social skills, behavior, communication, bullying, and friendships. Parents often let us know about new resources that they’ve found so that we can share them with others. We are thrilled when parents who stop by or call us to tell us about a milestone that their child has met. They know we feel a personal connection to their child’s success.

Often, we think of a child when we hear of someone being diagnosed with autism, but adults are diagnosed every day, too. Spouses stop by the bookstore looking for resources to help with their relationship with their husband or wife and for information to help their children understand their parent’s diagnosis. Recently, a spouse came by looking for information for her and her newly diagnosed husband on understanding and managing their relationship.  We found a couple of books for her and one for her husband. She has been back several times to let us know which books were most helpful for her and to look for information on different topics as she and her spouse navigate their relationship.

Self-advocates contact us for resources, too. College students getting close to graduation want to learn more about navigating socially in the work place. Adults often want information to help their spouse better understand ASD and how it affects their relationship.

Three-fourths of our bookstore staff is on the spectrum. Our amazing staff members pack and ship our orders to families and schools all over the world and help us manage the daily operations of the bookstore. We also provide volunteer opportunities and summer internships for individuals on the spectrum. High school and college students on the spectrum volunteer and work summer internships to gain skills, experience, and a sense of confidence in the work place.

We are an important source of information for physicians, practitioners, and teachers. We supply pediatricians with resources for their patients’ parents. Recently, a group of teachers met with us to brainstorm about the most appropriate resources to meet their needs and the needs of their co-workers who work in self-contained and inclusive classrooms. We reviewed the latest materials on inclusion, social challenges, behavior, and reading comprehension. We scoured the websites of our suppliers to make sure that they got exactly what they were looking for.

All of our books, DVDs, and assessment kits are available online, and we provide personalized service and book recommendations via email, over the phone, or in person. We look forward to helping you during Autism Awareness Month!

You can reach Dawn Eberwein at 919-865-5087 or deberwein@autismsociety-nc.org.

Extinction Bursts and the Importance of Full Disclosure

This blog post was written by Dr. Aleck Myers, Clinical Director for the Autism Society of North Carolina.

Recently, I wrote a behavior support plan for an individual who frequently tantrums. Great methodology, if I do say so myself! It was well written and explained the rationale of the program to family and staff, stressing the importance of strengthening functional communication (the individual was communicating beautifully, just not the way we wanted him to! There’s nothing like a good sit-down-and scream-bloody-murder to let us know when he wants something or wants to quit something!).

We need to give people acceptable tools to express their wants and needs. So the program offered ways to do that. And the program stressed the importance of not paying any more attention to the tantrum behaviors than absolutely necessary. In other words, tantrums were to be placed on “extinction” (removing all attention to the behavior. Note though: not the person; the behavior). So this psychologist left the training feeling good about the program and the willingness of family members and staff to implement the program correctly and collect all of the necessary data.

Two and a half days later, I received a distressed email from Mom. Tantrums were through the roof in frequency, she was exhausted, and she felt that the program was making the individual’s behavior worse. It was then I realized, with great chagrin, that I had failed an important part of my training…I hadn’t described the “extinction burst.”

When you begin to ignore behaviors that are socially reinforced, the behaviors will increase in frequency and intensity almost immediately. This is the extinction burst. You can think of it as, hey, this used to get me what I wanted, now it doesn’t…that makes me mad, so let’s try harder! As a professional, when I see this burst in behavior, I feel assured that the program is going to work. From this parent’s point of view, though, not having been warned, things were getting much worse. Luckily, I was able to reassure the mother that this was not a bad sign, and if she and the staff hung in there, things would improve soon. Mom is a real trooper, and she, Dad, and the staff persisted.

I called the mother a couple of days later and was greatly relieved that a) she was still talking to me, and b) the afternoon after she had emailed me, the unwanted behaviors decreased, and that things were definitely improving now. This was further enhanced by an email two days later, indicating considerable improvement. And that the emphasis on strengthening communication was continuing.

Now if I can just improve my own functional communication!  I think I learned my lesson…

You can reach Dr. Aleck Myers at amyers@autismsociety-nc.org.

College Admissions Testing and Autism

This contribution is from Parent Advocate/Trainer Nancy Popkin.

Back when my son was diagnosed with autism, I couldn’t imagine him going to college, let alone surviving his school years. But here we are, sixteen years post diagnosis, with a high school graduate who is now a college freshman. If college is in your child’s future, now is a good time to start planning. There are so many steps along the road to college for anyone and the path is more circuitous for someone with an autism spectrum disorder, but here I want to address one step along the way, college admissions testing.

Possible Standardized Tests
Most colleges today require students to submit scores for the SAT or ACT as part of the application process. These tests are administered by the College Board and the ACT (formerly American College Testing Program), respectively. In addition, some students with autism diagnoses may be taking AP (Advanced Placement) Exams, also administered by the College Board. But even before your child takes his/her first SAT or ACT, there is the PSAT/NMSQT. If your child is following the standard course of study and working toward a Future-Ready Core Diploma Track, they will most likely have their first exposure to college testing with the PSAT in October of the tenth grade year.

Accommodations
The test will be administered by your child’s high school, but here’s the catch: your child’s testing accommodations, as outlined by the IEP, do not automatically apply to the PSAT or subsequent standardized tests. There are steps you must take, beyond the IEP to assure that your child has testing accommodations for the PSAT and any other College Board tests that will follow. The same is true for the ACT. To learn more about the testing accommodation process, what documentation is required, and the timing for applying, check here for the PSAT, SAT, and AP exams,  and here for the ACT.

For the most part, there is someone, either a school counselor or testing coordinator, who applies for the testing accommodations for your child. Your child’s EC teacher should be able to tell you who this is at your school. I would encourage parents to be proactive and contact this person in 9th grade to get this process started rather than waiting for them to contact you. The accommodation application needs to be submitted seven weeks or more before the test your child will take. So if you are planning for the PSAT administration in tenth grade, the end of August is the latest you should be filing for testing accommodations. Even earlier is better as sometimes the College Board will request more documentation before granting some of the accommodations, so time for this further submission should be provided.

Some more unusual accommodations may not be approved. One accommodation my son had on his IEP was to take all tests in pencil (some of his teachers required essays in pen). We applied for this accommodation well in advance of the AP US History exam (also administered by College Board) but it was denied. This gave us time to demo tons of different types of pens and have him practice writing with the best one so he could pull off the essay (he did great).

Once the accommodations are set, you will not need to reapply for each test. You will just need to bring the accommodations confirmation letter your son/daughter receives to each test he/she takes.

Preparing for Test Day
With the exception of the PSAT, you will need to register for testing days on your own if your son/daughter is taking the SAT or ACT. Go to the respective links provided earlier to find out possible test dates for the respective tests. To determine which tests you need to take, you will need to begin a college search and find out which tests are required by the colleges to which your son or daughter is hoping to apply. Don’t leave testing to the last minute in case a retest is desired to get a better score. For some students taking the test twice is a good idea. The first time is for getting used to taking the test as there will be some new experiences when taking the test. The second time things will be more familiar.

Once you have registered for the test, put it on a calendar and come up with a plan for preparing. There are tons of study guides out there. College Board will email a single practice question every day if you want. We actually did not have our son do too much preparing for the PSAT or SAT. We didn’t want him to get anxious about it and we weren’t sure if he would generalize the practice to the actual test. For other students, it may be appropriate to review the different sorts of math problems and verbal reasoning questions to expect, as well as the expectations for the writing section.

Closer to test day, make a schedule for your son or daughter to know how the day will proceed. The College Board tells you exactly what you are allowed to bring into the testing location. They are very strict about this, so discuss this in advance as well. Get these things ready the night before the test. There is lots of good information about what to expect on the College Board website.

On Test Day
On test day, you will not be allowed to escort your son or daughter to the proper room or talk to the proctor, so make sure they know how to self-advocate if they need to. This is especially important if they are taking the test in a school other than their own high school, where things are familiar.

My son took the SAT at an unfamiliar high school, so I went ahead and prepared a page for him to give to the proctor in his testing room. He and I discussed this in advance and he helped me write the page. We provided his name and contact information and my contact information at the top. If you choose to do this, keep it brief and simple. We also provided the following information on this page:

Gray has a diagnosis of autism. Things he might do that are due to his autism:

Make audible silly sounds.
Pop out of his seat and flap his arms or hands.
Sit on his knees and hang his head below the seat of the chair.
Make grunting sounds if he is frustrated.
When frustrated or scolded, he may hit his head with his fists.

Please redirect Gray by telling him what he should be doing instead.

Gray may need help when using a telephone, finding a restroom, or knowing when he can have a break.

On test day, I did take my son into the testing location front door and immediately found an adult to help him figure out where he was to go. I had my phone on and hung out at a coffee shop near by. If your child has extended time, the testing session will last 50% longer than other students. So expect to pick up your child five and a half hours later.

When Gray came out of the testing center, he was accompanied by someone who clearly was making sure he got out of the building safely. She even reported that he did great! He looked at me and said, “You owe me!” I do find it so ironic that the kids who need to get up and move around the most, have to stay the longest to take these tests, so I agreed with him. I did owe him and told him how proud I was that he handled the stress of the test and a strange location so well! I offered to do whatever he wanted for the rest of the day! But all he wanted was a Hershey Bar! Wish granted.

These standardized tests are just one step of many in preparing for a college experience. With careful planning, our kids can have a positive testing experience and do their best. Then it is on to the application, college visits, deciding where to go and moving on!!

A great resource is the book, Realizing the College Dream with Autism and Asperger Syndrome by Ann Palmer, available at the Autism Society of North Carolina Bookstore.

Written by Nancy Popkin, Parent Advocate/Trainer. To contact Nancy, please send an email to: npopkin@autismsociety-nc.org.

 

Seeing is Believing

Editor’s Note – The following article was written by Amy F. Hobbs, Training Coordinator with the Autism Society of North Carolina.

Research shows that video modeling is an effective strategy to use with individuals with Autism Spectrum Disorder to improve social and communication skills. As a trainer, I frequently emphasize the importance of showing children with autism what you want them to do as opposed to just telling them. Verbal directions are typically difficult for individuals with autism to process as their visual processing skills are more advanced than their auditory processing skills. Video modeling or the process of instructing through watching a model therefore provides an excellent opportunity for students to actually see the behavior or the skill that is requested and therefore better understand it.

Not only is video modeling time and cost effective, but it can be rehearsed and rerecorded until the exact skill or behavior desired is captured. This is a much cleaner method than live modeling and can be watched repeatedly until the skill is learned as well as used as a tool for maintaining the skill. In fact, video modeling is a practical method of instruction for teachers that can be used with multiple individuals needing practice on the same skill.

As with computer screens, video modeling takes away the interpersonal component present in 1:1 teaching that makes learning more challenging for individuals with autism. It offers instead a mode of instruction that is highly motivating and fosters independence.

Video modeling has been used to teach many different social, academic, behavioral or functional skills from iPod use to how to give a compliment. Many studies show the success of video modeling in teaching challenging social skills such as recognition of emotions, perspective taking, social initiations, eye contact, social greeting, sharing and engagement in social conversation. My goal here is to demonstrate the simplicity of the video modeling process by giving some basic steps to follow.

1. Determine if the child has the perquisite skills needed to ensure success. These include basic imitation skills, normal visual and hearing acuity, and the ability to attend to a video for at least one minute.
2. Teach a skill that can be easily modeled and observed. An ideal target skill is one that the child is able to do with prompting.
3. Decide who to use as models in the video. Peers, siblings or other children of a similar age are good choices. Once the skill or behavior is learned, videotape the child with autism displaying the target skill or behavior (video self-modeling). This can be a powerful tool for increasing the child’s self-efficacy (Bray & Kehle, 1996) as well as reinforcing the maintenance of the skill.
4. Write the script for the models and keep it short. Three to five minutes is recommended, but it can be shorter.
5. Video the models making sure that the important actions are clearly visible and that the audio is clear and free of distracting sounds. Keep it simple.
6. Intervention includes:
   a. Showing the video model to the child with autism several times and then
   b. Providing a time and place to practice the skill.
   c. Monitoring and keeping data on the child’s progress.
   d. Testing to see if skills generalize to other settings and people.

Often video modeling instruction is paired with another method of teaching such as peer mentoring, social skills groups, self-management, reinforcement, role modeling and other applied behavior analysis techniques to ensure success. Below is a list of research articles that demonstrate success using video modeling.

References:

• Bray, M., & Kehle, T. (1996). Self-modeling as an intervention for stuttering. School Psychology Review, 25, 358-369.
• Other research:
• Bellini, S., Akullian, J., & Hopf, A. (2007). Increasing Social Engagement in Young Children with Autism Spectrum Disorders Using Video Self-Modeling. School Psychology Review: Volume 36, Issue No. 1.
• Charlop-Christy, M.H., & Daneshvar, S. (2003). Using Video Modeling to Teach Perspective Taking to Children with Autism. Journal of Positive Behavior Interventions: Volume 5, Issue No. 1, pp. 12-21.
• Charlop-Christy, M.H., Le, L., & Freeman, K.A. (2000). A Comparison of Video Modeling with In Vivo Modeling for Teaching Children with Autism. Journal of Autism and Developmental Disorders: Volume 30, Issue No. 6, pp. 537-552.
• Corbett, B.A. (2003). Video Modeling: A Window into the World of Autism. The Behavior Analyst Today: Volume 4, Issue No. 3.
• Corbett, B.A. & Abdullah, M. (2005) Video Modeling: Why Does It Work for Children with Autism? Journal of Early and Intensive Behavior Intervention: Volume 2, Issue No. 1, pp. 2-8.
• D’Ateno, P., Mangiapanello, K., & Taylor, B. A. (2003). Using Video Modeling to Teach Complex Play Sequences to a Preschooler with Autism. Journal of Positive Behavior Interventions: Volume 5, Issue No. 1, pp. 5-11.
• Goldsmith, T.R. & LeBlanc, L.A. (2004) Use of Technology in Interventions for Children with Autism. Journal of Early and Intensive Behavioral Intervention:Volume 1, Issue No. 2, pp. 166-178.
• Hine, J.F. & Wolery, M. (2006). Using Point-of-View Video Modeling to Teach Play to Preschoolers with Autism. Topics in Early Childhood Special Education: Volume 26, Issue No. 2, pp. 83–93.
• Hine, J.F. & Wolery, M. (2006). Using Point-of-View Video Modeling to Teach Play to Preschoolers with Autism. Topics in Early Childhood Special Education: Volume 26, Issue No. 2, pp. 83–93.
• Smith, C., Williamson, R. & Siegel-Robertson, J. (2005). Implementing Technology to Teach Social Skills to Students with Multiple High-Incidence Disabilities. Unpublished University of Memphis research study, 11 pp.
• Wert, B. Y., & Neisworth, J. T. (2003). Effects of Video Self-Modeling on Spontaneous Requesting in Children with Autism. Journal of Positive Behavior Interventions: Volume 5, Issue No. 1, pp. 30-34.
• Williams, C., Wright, B., Callaghan, G., & Coughlan, B. (2002). Do Children with Autism Learn to Read More Readily by Computer Assisted Instruction or Traditional Book Methods? Journal of Autism and Developmental Disabilities, Volume 6, pp. 71-91

Amy can be reached via email at ahobbs@autismsociety-nc.org or by phone at 828-236-1547.

Planning for the Future

by Linda Griffin, Parent Advocate Director

Parents of children with autism are often so busy just getting through the day that they forget to plan for the future.  And that future arrives sooner than you expect.  One day you are struggling with toilet training and IEPs and the next day you look up and your toddler is 6 feet tall and the school bus has stopped coming.  The time to plan for the future is NOW!

If your child is 5 or 10 years old, it may be hard to imagine what life might be like for them as an adult.  No one can predict what is or is not possible.  Begin by thinking and asking questions:

• Where will my child live, work and play as an adult?
• How independent will they be?
• Will they live/work independently or with support?
• Will they attend vocational school or college?
• How will they get from where they are now to where they need to be?
• Who can help us with this transition?

The one thing we parents know about our children with autism is that transitions are difficult.  Planning for transitions is extremely important.  If your child is in public school, a transition plan (also known as an ITP – Individualized Transition Plan) will be developed by the IEP Team (Individualized Education Plan) when your child becomes 14 years old.  The team may include the parents, teachers, guidance counselor, transition counselor, vocational counselor, friends, relatives, and other professionals. The team should also include your child.

This is a perfect time for parents to take advantage of the creative minds and the connections of this team of professionals, friends and relatives.  They can look at your child’s strengths and interests and then help to design a set of activities that can successfully move your child from school to adulthood. The plan should outline the training and support that will be needed.

The destination will be different for each student. Some will:

• Work independently
• Work with support
• Live on their own or in a supported apartment
• Go to vocational or technical school
• Go to college

But EVERY child should be taught, supported and encouraged to be as independent as possible. As I have said, planning is important.  Begin now.  Another way to plan is to attend the 2013 ASNC Annual Conference this February.  The theme this year is “Autism Grows Up” and will focus on preparing for adulthood.  Planners recognize that children with autism become adults with autism.  Take this opportunity to meet other families, learn from professionals, listen to the experiences of other individuals and think about the future.

Linda Griffin can be reached at lgriffin@autismsociety-nc.org or 919-865-5090.