___________________________________ Slide 1 Building the Bridge for Children with
Autism Spectrum Disorders
___________________________________ Strategies from More Than Words®: The Hanen Program® for
Parents of Children with ASD and/or Social Communication
Disorders
___________________________________ Tricia Carter, MS, CCC-SLP
2016 Collaborative Conference
for Student Achievement
March 23, 2016
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 2 ___________________________________ Today’s Agenda……
•
An Introduction to The Hanen Centre® and
the More Than Words program
•
How Do Children Communicate?
•
Four Stages of Communication
•
Strategies to Promote Social
Communication: The Four “I”s
•
Wrap-Up
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 3 ___________________________________ What is The Hanen Centre?
—
Our Mission:To provide parents, caregivers, early
childhood educators and Speech-Language
Pathologists with knowledge and training to help
children develop the best possible language,
social, and literacy skills.
—
Parent –Facilitated Intervention
—
Based in Toronto, Ontario, CA ~ worldwide
reach!
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 4 ___________________________________ The Hanen Philosophy
___________________________________ Language is learned in
everyday situations
___________________________________ Naturalistic
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 5 ___________________________________ What does my child do now?
How does my child communicate?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 6 ___________________________________ To communicate with others,
we need...
___________________________________ Understanding
Person
(Interaction)
Way
Reason
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 7 ___________________________________ When Do You and Your Child
Have Fun Together?
___________________________________ ___________________________________ How do you know your child is
having fun with you?
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 8 ___________________________________ Which interaction is the most fun?
Shapes?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 9 ___________________________________ Which interaction is the most fun?
Wheels On The Bus?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 10 ___________________________________ Do you have a hobby?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 11 ___________________________________ Stages of Communication
Own Agenda
___________________________________ Requester
___________________________________ Early
Communicator
Partner
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 12 ___________________________________ Why does Talha communicate?
How does Mom know what he wants?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 13 ___________________________________ The Own Agenda Stage
Reasons
What he does….
___________________________________ Stays near me
Looks at me or at toys/objects
Want (request)
Don’t want
(protest)
Shows he likes something
___________________________________ Shows he wants something – does not send this message
to anyone
Shows he doesn’t want something – does not send this
message to anyone
___________________________________ Children at this stage have not yet learned
to send messages to others intentionally
___________________________________ ___________________________________ ___________________________________ Slide 14 ___________________________________ Why does Isaac communicate?
How does he do it?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 15 ___________________________________ The Requester Stage
Reasons
What he does…
___________________________________ Brings me to things/brings things to me to ask for them
Want (request)
Looks at me, then at something, then back to me to ask
for it
Don’t want
(protest)
Does something to tell me he wants something
Takes back and forth turns in games/activities
___________________________________ Does something to tell me he doesn’t want something
Children at this stage send messages to others
intentionally to ask for things
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 16 ___________________________________ Why does Caleb communicate?
How does he do it?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 17 ___________________________________ The Early Communicator Stage
Reasons
What he does…
Want (request)
Don’t want
(protest)
Share interests
Share
information
___________________________________ Looks where I am pointing including things in the distance
Looks at me, then at something, then back to me to share
his interests
Points or holds things up to show them to me
___________________________________ Uses words to share his interests with me
Answers simple questions
Children at this stage send messages
to share information and interests
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 18 ___________________________________ Why does Jacob communicate with his
Mom?
With his friend? How does he do this?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 19 ___________________________________ The Partner Stage
Reasons
What he does….
___________________________________ Interacts with other children
Combining
reasons for
early
conversations
Interacting with
other children
Looks where I am looking
Waits for me to respond before saying something
___________________________________ Makes a comment or asks a question about something I
just said
Talks about different things, not just his favourite topic
Children at this stage are starting to have
early conversations and are interested in
playing with other kids
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 20 ___________________________________ More Than Words Communication
Goals
1. Increase social Interaction and
joint attention
2. Increase ability to send messages
3. Increase imitation
4. Improve toy play
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 21 ___________________________________ Let’s Watch The Movie!
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 22 ___________________________________ ___________________________________ ___________________________________ Your child may
have difficulty
shifting his or her
attention
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 23 ___________________________________ What does Isaac focus on?
Does he shift his attention?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 24 ___________________________________ Why Follow Your Child’s Lead?
No demands to shift attention
___________________________________ Helps teach Joint Attention
___________________________________ Gets the interaction going
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 25 ___________________________________ Follow Your Child’s Lead
Two parts:
— Observe
Wait
Listen
___________________________________ ___________________________________ • Include Your Child’s Interests and Join In
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 26 ___________________________________ Following Your Child’s Lead
Begins with…
Observing
• what
___________________________________ your child does
Waiting
• before
starting – what your child likes
• after we do something – how your child
responds
Listening
• what
___________________________________ your child says/sounds he
makes
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 27 ___________________________________ Which parent OWLs?
What does he/she notice Mekhi doing?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 28 ___________________________________ Why is it easier for Mekhi’s Mom
to OWL?
Same
level
___________________________________ Face-toface
___________________________________ It would be ideal if she were sitting
across from him.
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 29 ___________________________________ Try to be Face-to-Face
___________________________________ — Important
to see your child’s interests
— Important for your child to see
your face
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 30 ___________________________________ Does Davis interact with Mom?
What should Mom do?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 31 ___________________________________ What changes has Mom made?
What is the effect on Davis?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 32 ___________________________________ What’s your favorite TV show?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 33 ___________________________________ When you Include Your Child’s
Interest, you are trying to…
—
—
—
___________________________________ Get involved in what your child is doing
Keep the interaction fun and playful
Keep it going as long as possible
•
•
•
•
___________________________________ You do something
Your child does something
You do something
Your child does something
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 34 ___________________________________ Include Your Child’s Interests
•
•
Observe what your child is doing (OWL)
Join in by:
___________________________________ • Doing the same thing
• Helping him do it
(e.g. hand him pieces)
• Commenting on what
he is doing and pointing to it
___________________________________ ___________________________________ …. then WAIT for him to respond!
Play Your Child’s Way
___________________________________ ___________________________________ ___________________________________ Slide 35 ___________________________________ How should Dad Include Mekhi’s Interests?
What are the benefits?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 36 ___________________________________ What is Kyle interested in?
What does Dad do to Include his Interest?
What are the benefits?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 37 ___________________________________ What does my body language
tell you?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 38 ___________________________________ How To Interpret
Say it as your child would, if he could
Say/do it at his level
— Say it from your child’s
point of view
—
___________________________________ —
___________________________________ A bird!
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 39 ___________________________________ Interpret for the Own Agenda and
Requester stage
Treat what your child does as if he is
sending messages on purpose
— Single words or short phrases
— Useful and fun words
— Words PLUS an action or gesture
—
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 40 ___________________________________ Practice: Interpret at the Own
Agenda/Requester stages
___________________________________ Cookie!
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 41 ___________________________________ Interpret for the
Early Communicator Stage
___________________________________ Correct, grammatical sentences
— Say it as they would if they could
— Add actions or gestures
— Keep using fun words
— Useful
—
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 42 ___________________________________ Delayed Echoes May Mean
Something Else
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 43 ___________________________________ How to Interpret for Echolalia
—
___________________________________ Say it as your child would if he or she
could
◦ Give your child an exact model to copy
◦ Model useful phrases
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 44 ___________________________________ Say It as Your Child Would
If He or She Could
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 45 ___________________________________ How does Dad Interpret?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 46 ___________________________________ Interpret for the Partner Stage
Difficult situations (e.g. have to explain
something)
— Communicate feelings
— Talking about past/future
— Telling a story/event
— Solving problems
—
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 47 ___________________________________ What is Jacob trying to say?
How does Mom Interpret?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 48 ___________________________________ Imitate Your Child
To Get Interaction Started
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 49 ___________________________________ When you Imitate your child, he learns…
Social interaction
___________________________________ – to pay attention to you
– to lead
– to take turns
– to shift focus from a toy or object to you
___________________________________ Social interaction is the
foundation of social communication
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 50 ___________________________________ How to Imitate Your Child
First… observe
Then… copy what you see and hear
— Comment on his actions or what he said
—
___________________________________ —
___________________________________ Then, WAIT
to see what he does next!
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 51 ___________________________________ Use Two Toys……
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 52 ___________________________________ What does Mom do?
What is the effect on Adrian?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 53 ___________________________________ When your child Imitates you,
he learns…
___________________________________ ◦ joint attention
◦ language
◦ use of gestures
◦ play skills
◦ peer play
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 54 ___________________________________ ___________________________________ Imitation within functional,
social, everyday experiences is
the way that all children learn.
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 55 ___________________________________ How to Imitate
Step 1: Imitate Your Child
—
—
—
___________________________________ First… observe
Then… copy what you see and hear
Comment on his actions or what he said
___________________________________ Step 2: Help Your Child Imitate You
—
Add something new to the game
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 56 ___________________________________ What’s New?
An action (on a toy or object)
Body movement
— A gesture
— A sound/word
— An idea in a conversation
—
___________________________________ —
___________________________________ It should be related to what your child
is already doing and
Include Your Child’s Interests
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 57 ___________________________________ MHH p 125
How does Dad help Mekhi Imitate
him?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 58 ___________________________________ Intrude: Playfully Insist on Joining In
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 59 ___________________________________ How to Intrude
•
Get next to your child
•
Include his Interests
•
Insist on joining in
___________________________________ ___________________________________ • Depends on child’s stage
and activity
•
Make it fun!
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 60 ___________________________________ How does Mom Intrude with cars?
How does Adrian respond?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 61 ___________________________________ Adrian responds by…
Mom Intrudes by…
— Looking at her and
— Being at his level/facesmiling - shared
to-face
enjoyment
— Including his interests
— Turning the game into a — Joining in the back and
forth game
hide and search
— Saying “gone”
___________________________________ ___________________________________ Playful and persistent
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 62 ___________________________________ How do Mom and Dad Intrude into the letters
game?
How does Elias respond?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 63 ___________________________________ Mom and Dad Intrude
by…
— Being at his level/faceto-face
— Including his interest –
letters
— Adding a new part to
the game – monkey
Playful and persistent
Elias responds by…
— Looking at what Dad is
doing
— Laughing at Dad –
shared enjoyment
— First trying to play the
‘old way’, then starts to
feed the monkey on his
own
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 64 ___________________________________ How does Mom Intrude?
Effects on Evan?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 65 ___________________________________ Mom Intrudes by…
— Being at his level/faceto-face
— Including his interest
— Expanding on the play
or topic
— Interrupting his
monologue
Playful and persistent
Evan responds by…
— Starting to talk about
the book in his own
words
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 66 ___________________________________ How To Intrude
OWL and be face-to-face
Include Your Child’s Interests
— Intrude by:
—
___________________________________ —
◦
◦
◦
◦
Getting in the way
Hide and search
Keeper of the pieces
Add a new toy or prop
___________________________________ ___________________________________ Playful and persistent
___________________________________ ___________________________________ ___________________________________ Slide 67 ___________________________________ How could I Intrude?
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 68 ___________________________________ When It Doesn’t Go The Way
I Had Hoped…
___________________________________ It might not work the first time
•Try a few more times
•Make it more playful and adjust
your pace (go faster or slower)
___________________________________ •Try to Intrude a different way
•Try to Intrude into a different
activity
___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 69 ___________________________________ Thanks for listening!
___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 70 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________