T. Rene Jamison, Ph.D. Presented at the “Beyond the Diagnosis: Autism Across the Lifespan” Conference October 14, 2010 Discuss construct of social competence Social skills training core components Example program to promote social competence in girls with ASD / DD “Girls Night Out” What is it? “Social, emotional, cognitive skills and behaviors that children need for successful social adaptation” -Welsh & Bieman “adequacy of a person’s social functioning” -Gresham, 1998- Improvements in social skills likely result in higher social competence. Social skills, awareness, self-confidence Who’s got it? Those who other’s believe have it….. And Probably those who believe they have it…. (Perceived social competence) How do you know you’ve got it? Social Status Awareness Friendships Perceived competence Social Adaptation Understanding of social skills Peer nominations Self Esteem When social skills result in peer acceptance and positive judgments from important others Change in target social behaviors should predict status on important social outcomes such as peer status In other words….someone has to notice!!!! Social Competence Well then how can I get it? Improved social skills Increased awareness Targeted self esteem and emotional wellness Change perceptions of others Build self confidence! An empirical consensus states that physical appearance contributes most to self-esteem during adolescence compared with other domains of perceived competence (Harter, 1990). The second domain is social acceptance. According to Renick and Harter (1989), 84% of adolescents in specialized classes want to compare themselves to typically developing peers because they want to be considered “normal” Modeling Assessment Coaching / Feedback Peer Mediated Reinforcement Cognitive – Behavioral Strategies Generalization component / plan!!!! Individual goals Evaluation of outcomes Gresham, Sugai, & Horner, 2001 A social skills and self care program…………… Visual Supports Social Narratives Scrapbook Conversation Key rings Peer Mediated (trained peers) Targeted specific social conversational skills Age appropriate activities in Live coaching/specific feedback role play / modeling Reinforcement of specific behaviors / skills GNO Bucks GNO Store Specific praise Support / Motivation community settings Personal goals and challenges Homework “Buddy” system Self monitoring through ‘What I Did This Week’ sheets Visual Schedule Scrapbooking Social Narratives Conversation Key Rings Task Analysis Remember….. 1. Get my body ready 2. Find out: where they go, what they do, and things in common 3. Take turns: Listen and Talk Salon Visit Task Analysis and Social Narrative Scrapbooks….Visual Supports! •What are you going to have the stylist do to your hair? “What kind of jewelry are you going to make?” “What is your favorite TV show?” “What do you like to do after school?” “I like their hair or that it “looks cute” today.” What colors do you think you look best in?” “What do you like to do on the weekends?” Examples: Personal Information Activity Related Information Emotional Support / Compliments Appropriate transitions • GNO Bucks •GNO Store •Specific Praise $$$ GNO BUCKS •Peer Mediated •Age appropriate activities in community settings •Personal goals and challenges •Homework •“Buddy” system •Self monitoring through ‘What I Did This Week’ sheets I called a friend A friend called me Went to a friend’s house Wednesday XXX XXXXX X Thursday XXXX XX Friday XXX XX X Saturday XXXXX XX X Sunday XXX XXXXX Monday XX XX Tuesday XX X A friend came to my house I participated in an after school activity I gave a compliment I talked to a friend over text or online X X X X X X X X X X X X X X X X X X X I called a friend Wednesday Thursday A friend called me Went to a friend’s house A friend came to my house I participated in an after school activity I gave a compliment X X Friday Saturday Sunday Monday Tuesday X I talked to a friend over text or online Girls Night Out: Take 3 Participants and Peers 4 girls, ages 14 to 17 with a diagnosis of AS 3rd grade reading level or above 4 typically developing peers, ages 15-18 Sessions Two baseline (no intervention) sessions Nine intervention sessions across 7 weeks One wrap up data collection session Teaching Session Reinforcing Session Skill taught through direct teaching Skill is reviewed from the previous week Social narratives used to identify key steps Skill is modeled by peers and/or involved in the skill and to reinforce the participants skill Participants and peer brainstorm ways in which to appropriate use the social skills in different contexts Group and partner activities used to practice the skill The skill is modeled by facilitators and/or peers Coaching/immediate feedback occurs during practice opportunities and throughout activities Participants role play the skill Participants use the skill in natural environments with other girls their age Is there a relationship between involvement in GNO and improvement in specific conversational social skill? Do the adolescents involved in GNO show an increase in general social skills according to the Social Responsiveness Scale upon completion of the GNO program? Primary Measures Girls Night Out Social Conversation Coding System (GNO SCCS) based on the Social Conversation Coding System (SCCS; Thiemann, 2009) Social Responsiveness Scale (SRS)-Parent Report Form (Constantino & Gruber, 2005) Anecdotal Measures Satisfaction Surveys – Parent, Participant, and Peer Forms Fun-O-Meters Videotaped 10-minute social interactions for each participant per session No intervention strategies were used with the target participant during this time GNO SCCS was used to code the social interactions Observers achieved 80% inter-rater agreement on practice tapes % of intervals skills were used were graphed for each of the target conversational skills Looking at three specific social conversational skills 1. 2. 3. initiations and responses related to personal information and activity related topics (ARI/PRI) encouragement, compliments or emotional support statements (EMOT) transitioning to a new and/or related topic (TRAN) For the following questions, please circle the number you feel best represents your answer. 1.Have you noticed positive changes in your daughter’s conversational or social skills, as a result of her participation in the Girls Night Out program? 1 Notice NO positive changes 2 Noticed barely any positive changes 3 4 Noticed a FEW positive changes Noticed SOME positive changes 5 Noticed LOTS of positive changes 2.Have you noticed positive changes in your daughter’s self-care skills (e.g., hygiene, clothes, make-up, etc.), as a result of her participation in the Girls Night Out program? 1 Notice NO positive changes 2 3 4 Noticed barely any positive changes Noticed a FEW positive changes Noticed SOME positive changes 5 Noticed LOTS of positive changes 1 Boring 2 OK 3 Not fun, but not boring 4 Fun 5 REALLY Fun Info Night One data point collected Coffee Shop Two data points collected Fun-o-meter: 4.43/5 Jazzy Jewels Fashion 101 Salon Teach session Reinforcing session Reinforcing session Fun-o-meter:4.25 Fun-o-meter: 4.43 Fun-o-meter: 3.67 Ceramic Café Fabulous Faces GNO-Literally Fitness Frenzy Teach session Reinforcing session Reinforcing session Reinforcing session Fun-o-meter: 4.57 Fun-o-meter: 4.5 Fun-o-meter: 5 Fun-o-meter: 4.63 Fabulous Faces, Take 2 Photo Finish Wrap-up Session Teach session Reinforcing session Reinforcing session Fun-o-meter: 4.5 Fun-o-meter: 4.86 Highlights Participant Data 1 Boring 2 OK 3 Not fun, but not boring 4.48 / 5.0 4 Fun 5 REALLY Fun Have you noticed positive changes in your daughter’s conversational or social skills, as a result of her participation in the Girls Night Out program? 4.33/5 • How satisfied were you with your daughter’s overall experience with Girls Night Out? • 5/5 Have you noticed any positive changes in your conversational or social skills, as a result of the Girls Night Out program? 3.66/5 How satisfied were you with your overall experience with the Girls Night Out program? 4.66/5 How satisfied were you with the training and information you received on individuals with developmental disabilities throughout the program? 4.5/5 How satisfied were you with your overall experience with the Girls Night Out program? 5/5 Is there a relationship between involvement in GNO and improvement in specific conversational social skill? Increase in initiations and responses related to ARI/PRI No increase in majority of participants in EMOT/TRAN behaviors Improvement in conversational social skills according to anecdotal observations and data Do the adolescents involved in GNO show an increase in general social skills according to the Social Responsiveness Scale upon completion of the GNO program? Participants’ general social skills stayed within the same range My daughter loved this-I almost did not sign her up as the cost was prohibitive to me-but it was the best money I’ve spent on her IN YEARS. She has grown socially, emotionally. We need GNO for 10 years at least! Thank You! GNO is a blessing! What a life-changing experience! I changed a lot. The part I liked was that it made me get more interaction with people and get out of my comfort zone. I enjoyed getting to know all of the girls and I’m now able to effectively communicate with people with disabilities because of GNO. I really enjoyed the program and had FUN! I’ve come to realize that almost all [girls with disabilities] are capable of holding conversations in the right environment and all teenage girls really want the same things. 18 16 14 12 10 8 6 4 2 0 social initiation response to initiation 35 30 25 20 15 10 5 0 social initiation response to initiation 30 25 20 15 10 5 0 social initiation response to initiation “One of my daughters is more social than the other, but I have noticed the "quiet" one is talking to her peers more and trying to interact with them.” “It was a very valuable experience for my daughters by giving them the opportunity to be with "typical" peers and learn "girly" info.” “Definitely a valuable experience and I wish she had a group program to go to regularly. I have seen an improvement with [our daughter ]and her attitude and ability to communicate with others.” “This was an incredible experience for [our daughter]. I wish it would continue forever.... I felt like you all really built a relationship with [her] and therefore, set goals that were designed specifically for her. She looked forward to it every week. Last week, she wanted to go to a another activity instead but I made her go to Girls Night Out. There were no regrets. Her quote on the way home that night was: "this girls night out is the most fun I've ever had." I saw an increase in her self esteem. Unfortunately, we live so far away that she can't really build friendships that can develop much but it was still worth it. My child does not seem happy often but on Wednesday nights she is and that's worth a lot. It was very well developed and well planned out. Each night had a purpose that was helpful. I wish we could have gone to the salon because I think that would have been very beneficial for [our daughter]. It is extremely difficult to find social skills groups and I was very pleased with the program. Thank you for making a difference in my child's life and mine. You are all incredible and extremely talented at what you do. You make a difference!” Texting Inviting girls from GNO over Karaoke—shy? No way! Decline in perseveration Friendships Experience of the girls without DD Breaking stereotypes Building community partners Sadness of group ending FUN! Small sample size Targeted conversational skills were not individualized Activities did not always incorporate participants’ interests Short duration of program Targeted low rate behaviors Scheduling of community partners Match social skills taught to areas of need Find participants and peers that are in the same community settings Incorporate activities that are of interest to the participants Allow more time for practicing of skills and use of skills in natural environments Focus Groups in Schools (what are girls doing, why are girls not included) Social “clubs” Themed afterschool or evening activities “lunch bunch” or “dinner bunch” Include social skills in IEP goals with generalization plan Increase “frequency” by generalization Personalized scrapbook Include in transition plan or PCP Be focused, start small, take data Mallory Smith Nicole Clark Bridget Cibulskis Emily Bellacera and Jessica Pangborn Amanda, Erin, Sam & Jordan: GNO-2 facilitators Karen Hinkle All who contributed to the GNO Store Our community partners Matthew Braun, Lisa Walsh, and Charles Coffey for technical assistance Center for Child Health and Development Women’s Foundation for Greater Kansas City KCART JavaNut Beauty Obsessions Salon Ceramic Café Nikki Bauer-Arbonne Consultant Mission Bowl Kirmayer Fitness Center Bare Ecsentuals Red Robin And of course the girls who participated and their families! 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