Chapter 9 Flashcards

1
Q

Beginning Communicators

Refers to any individual (regardless of age) who has one or more of the following characteristics

A

o Relies primarily on nonsymbolic modes (gestures, vocalizations, facial expressions, body language)
o Is learning to use aided or unaided symbols to represent basic messages for requesting, rejecting, sharing info, and engaging in social interactions
o Uses nonelectronic communication displays and/or simple switches or SGDs

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2
Q

Behavior is Communication!!

A

• Behaviors may include tantrums, hitting, screaming, pushing, self-injurious, climbing tables, dumping out toys, and the list goes on…..

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3
Q

3 Principles – Interventions for Problem Behaviors

A
  1. Principle of functional equivalence
  2. Principle of efficiency and response effectiveness
  3. Principle of goodness-of-fit
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4
Q
  1. Principle of functional equivalence
A
  • Teaching an alternative behavior that serves the same function
  • FBA to determine functions of the behaviors
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5
Q
  1. Principle of efficiency and response effectiveness
A
  • People communicate in the most effective manner available to them at any given point in time
  • Alternative behavior must be at least as easy and effective
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6
Q
  1. Principle of goodness-of-fit
A

• Sometimes the most appropriate response is to create a better fit between the person and his or her environment
• Usually requires altering relevant aspects of the environment based on the FBA
o Focus on changing the environment/sequence of events NOT the person

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7
Q

Participation Model

A

Intervention in natural contexts
• Kids- home, community
• School-age- classroom, playground
• Adults- home, work, community

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8
Q

Resolving Opportunity Barriers – “Young Children”

A
  • 1st Norm-referenced assessments: not best practice for measuring abilities of people with CCN
  • 2nd Build on “young children’s” strengths
  • 3rd Believe least dangerous assumption
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9
Q

Intervention Goals – “Young Children”

A

• Development of natural speech should always be included in intervention
• Support development of literacy skills
• Assume general-education kindergarten placement is the goal
• Increase communication opportunities
o Teach specific communication and social interaction skills
• Create opportunities for them to communicate and capitalize on their abilities and opportunities

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10
Q

Early Intervention Services

A

• In Oklahoma our program is SoonerStart
o Collaboration between Oklahoma State Department of Education and Oklahoma Department of Health
• Services typically occur in the home
• Training parents/caregivers who then provide inputs and supports.
• At 3 children transition into the Local Education Agencies (LEAs) services
o Maybe Head Start or another preschool program
• Focus on inclusion
o Natural environment for therapy when they are 3

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11
Q

Communication Opportunities

A

• Increase meaningful participation in natural contexts that are conducive to communication
o Highly motivating
o Familiar
o Valued by child/family
o Should provide meaningful, sustained social and communicative interactions

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12
Q

Create Predictable Routines

A
Daily living routines
•	Dressing
•	Bathing
•	Eating
•	Toileting
o	Child can start to anticipate occurrence of steps.
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13
Q

Adaptive Play

A
•	Increase participation
•	Remain play not work
•	Select toys and play materials with interaction goals
o	Blocks
o	Balls
o	Vehicles
o	Puppets 
o	Switch toys
o	Modify toys (easier to hold, carry, manipulate)
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14
Q

Resolving Opportunity Barriers – School-Age Individuals

A

• Inclusive education with appropriate supports greatly increases the likelihood that students with CCN will have more opportunities for natural communication with a variety of partners
o BUT we can’t stop here!
• We still have to create/capitalize on communication opportunities
• Inclusive education presents considerable challenges to those who provide classroom support.

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15
Q

Person-Centered Planning

A

• Process that enables people with disabilities and facilitators to
o Develop personal relationships
o Have positive roles in community life
o Increase control of their own lives
o Develop skills and abilities to achieve these goals

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16
Q

Vision Plan

A
  • Gather information to develop a collective vision of the future
  • Develop short and long term goals
  • Make commitments of various types and levels to help execute the plan
17
Q

PATH and Social Networks

A

• PATH – Planning Alternative Tomorrows with Hope
o 8-step planning process that brings people with CCN together with individuals in their social network
• Social Networks – help teams collect and interpret information to plan AAC interventions in inclusive settings (concentric circles on page 236)

18
Q

Resolving Opportunity Barriers – Adolescents and Adults

A
•	Teach skills in appropriate environments
•	May use Person-Centered Planning
•	Use “Ecological Inventory” process
o	Observe peers participating
o	List skills required
o	Compare
o	Design communication supports
19
Q

The Bottom Line

A

• Availability of genuine and motivating communication opportunities in inclusive settings is at least as important to the success of intervention as is the availability of an appropriate access system.

20
Q

Sensitizing and Training Facilitators

A

• Teaching them to identify and respond to nonsymbolic communication signals is important:
o 1st teaches individuals that their behavior is powerful
o 2nd prevents problem behaviors

21
Q

Shaping

A
  • Nonsymbolic communication may begin unintentionally
  • Someone acknowledges behavior and assigns meaning to it
  • Communication partners help shape behaviors to be acceptable/efficient forms of communication
22
Q

See indicators of Intentional Communicative Behaviors

A

Table 9.3

23
Q

Strategies for Responding to and Expanding Nonsymbolic Communication

A

• Getting Attention
o Initiate social interactions
• Accepting
o Communicating tolerance, okay, enjoyable
• Rejecting
o Communicating intolerance, unacceptable, not enjoyable
• May be idiosyncratic: “peculiar/unique” to others

24
Q

Teaching Attention-Seeking, Acceptance, and Rejection

A
  • Respond to culturally/socially acceptable behaviors
  • Determine intent
  • Establish acceptable behaviors
  • Start responding to new behaviors
  • May include low-tech options
25
Q

Relationship to Problem Behavior

A

• Functional Communication Training (FCT)
• Look for precursors to problem behaviors
• Teach functionally equivalent communication skills
o Use prompting and fading

26
Q

Scripted Routines

A
•	Provide structured opportunities to practice using signals
1.	Touch cue
2.	Verbal cue
3.	Pause
4.	Verbal feedback
5.	Action
o	Try not to make this too hard.
27
Q

Gesture Dictionaries

A
  • Beginning communicators gradually develop a repertoire of vocalizations and gestures for communication
  • Many are idiosyncratic
  • A gesture dictionary would describe the person’s gestures, along with meanings and maybe suggestions for appropriate responses.
  • May need to be alphabetized
28
Q

Joint Attention

A
  • Ability to shift one’s attention between a communication partner and an object or another person
  • When using an AAC system, hold in alignment with the direction of their eye gaze
29
Q

Visual Schedules

A

• Also known as calendar system, schedule system, or activity schedule
• Represents main activities in a person’s day with symbols and may serve
o To introduce an individual to the idea that one thing can represent another
o To provide an overview of the sequence of activities across a day (time span)
o To facilitate smooth transitions
• Talking visual schedule available

30
Q

Visual Schedules

A
  • Can incorporate real objects, tangible symbols, photos, line drawings, and/or written words
  • Can use PPT or other software
  • Can use apps on tablets
  • Talking photo album
  • Use a hierarchy of prompts
31
Q

Talking Switch Techniques

A
  • Can introduce the use of symbols
  • Provide limited-context communication using voice output
  • Ideally voice should be the same age/gender as person using it
  • Activate either direct or remote (switch)
  • Single symbol (with text) attached and a relevant message should be recorded prior to use
  • May employ step switches
  • See Page 252 for examples of use