STRATEGIES FOR ENHANCING NON-VERBAL COMMUNICATION Provincial Integration Support Program Communication Skills • Social Interactions • Educational Performance • Behaviour What is Communication Anyway? What is Communication? • • • • Interactive: Involves at least 2 people Efficient Has a purpose or reason Gives independence & control Communication Involves • • • • • • Establishing or shifting attention Taking in information Processing information Storing information Retrieving information Sending information Baby smiles and coos • Parent imitates • Baby repeats Child With a Disability Baby with disability may smile or coo • Parent Imitates • Baby doesn’t imitate • Parent decreases speech output • Parent anticipates child’s needs • Child doesn’t have opportunity • Child becomes passive Our Challenge • Help students communicate as best as they can to : – have some control in their environment – be able to have social relationships – prevent loneliness and isolation – learn • “Every person, regardless of the severity of their disabilities, has the right and the ability to communicate with others, express every day preferences and exercise at least some control over his or her daily life. Each student, therefore, should be given the chance, training, technology, respect, and encouragement to do so.” (B. Williams) What is Non-Verbal Communication ? Non-Verbal Communication • • • • • • Body Movement, Posture and Tone Facial Expression and Eyes Gestures Signs and Signals Tangible Symbols Picture Boards and Systems that use Pictures such as PECS and PODD • Technical/Voice Output • Vocalizations How Do We Enhance Non-Verbal Communication? Some Guiding Principles Creating a Communication Goal • Build upon a student’s existing communication skills – With different people – In different contexts – More consistency – Greater frequency Common Communication Objectives • • • • • • • Attending to communication partner Initiating communication Requesting and choice making Greetings Responding to initiations from others Turn taking Asking and answering questions What are the Motivators? • Observe the student • Talk with others who know the student well • Look at what the student may be communicating informally for clues about what they may be interested in • For some students, a goal may be to facilitate the development of interests Integrating Communication Objectives • Ask yourself, “Does the student have a reason to communicate in this situation?” • Use routines – Predictable – Reliable – Create anticipation – Provide opportunities for choices Prompts • • • • • • • • • Pause Environmental cue Expectant delay Gesture/point Model Indirect Verbal Verbal feedback Partial Physical Full Physical Frequently Occurring Problems • Amount of time • Restricted message set • Difficulty initiating communication • Lack of Partner Training Strategies • Patience! • Respond to all communication attempts • Maximize use of already used communication modes • Use motivating natural contexts that have opportunities for interaction • Teach vocabulary that will have an effect on the student’s environment. **** Comprehension Skills • Understanding the communication of others • Interpreting cues and signals in the environment • Handling changes and transitions **** What Does the Student Understand? • • • • • • • Gestures Cues from the environment Object cues Signs, logos, pictures Manual signs Printed material Speech Sensory Challenges • Visual – Cortical Visual Impairment • Auditory – Hearing loss – Difficulty filtering background noise from foreground auditory information Specific Comprehension Skills • • • • • • Follow directions Object Labels Matching Sorting Functions of objects Answering yes-no questions Strategies to Facilitate Receptive Communication • • • • • Provide Visual/Auditory Supports Ask student to “show you” or “look at” Ask “what”, “who”, “where” questions Associate objects with functions Teach attributes in context Schedules – Use some type of symbol (object, picture, auditory cue) to represent each activity – Present the symbol to the student just prior to the beginning of each activity – Eventually student may learn to use the symbol to initiate a request for the activity **** Strategies to Develop Expressive Communication • Stepping Stones to Developing Communication Skills How Does Your Student Presently Communicate? • Personal Dictionary - Why does your student communicate? - How does your student communicate? Common Communicative Functions • • • • • • • Seeking attention Requesting objects/activities Protesting Greetings Asking and answering questions Labeling Commenting Common Communication Modes • • • • • • • Vocalizations Gestures Facial expressions Pointing Sign language Pictures Speech **** QuickTime™ and a Motion JPEG OpenDML decompressor are needed to see this picture. Choice Making • Important in developing personal autonomy • Gives power and control • Our job: create opportunities for choice making; coach others to do the same • Beginning choice makers: pair preferred object with non-preferred object and switch the position Sample Choice Making Opportunities • • • • • • • • Food (snacks, lunch) Music Musical Instruments Position (w/c; stander; bean bag, etc.) People (who to sit next to, push chair) Art (materials, colour, texture) Books Computer programs **** Physical Considerations • Positioning • Eye-hand coordination • Crossing Mid-Line Examples of Ways to Make Choices Augmentative and Alternative Communication (AAC) • Augments what a student is already using to communicate • Adds other ways of communicating to help a person be better understood or able to give more information Sign Language Considerations • Hand shape (finger position/isolation) • Movement (active ROM, sequential bilateral/unilateral) • Motor planning (affects speed & accuracy of sign production) Easier Signs • Movement toward body • Performed at, or toward, but not across, body • Within signer’s visual field • Performed with the forearm in neutral or pronated position Yes…No…Maybe So? • Questions serve many different functions • Acceptance/rejection: in the here & now • Confirmation/denial: in the past • Avoid rhetorical questions • If you do ask a question, show that you expect a response Using Picture Communication Systems • Your student might point to pictures on boards • Your student might use systems like Picture Communication Exchange (PECS) (PODD) Vocabulary • Not necessarily the same as for typically developing children • Needs to be functional • Needs: bathroom, food/bevs, TV, bed, go • Feelings: sick, tired • People: family, friends • Pets • Concepts: up/down, day/night, cold/hot Voice Output • Opens door to: – Participation – Inclusion – Independence – Fun Voice Output Ideas • • • • • • • Greeting classmates, staff, visitors Respond to attendance call List day’s activities or schedule Asking for a turn Giving an announcement - PA system Giving steps of a recipe Assign weekly or daily classroom jobs More Voice Output Ideas • • • • • • • Sharing a joke or riddle of the day Asking for a song during circle time Talking about item brought from home Cheering classmates during sports Complimenting others Asking for more of something enjoyed Commenting while reading a book •••• QuickTime™ and a Motion JPEG OpenDML decompressor are needed to see this picture. Arrival Time • Greeting peers and staff • Make a choice who the student helper will be for the day using photos to choose between • Use Voice Output to request removal of outdoor clothes; removal of items from back pack • “Forget” to do something that’s routine Reading Activity • • • • • • • Choosing between books Choosing a classmate to read with Requesting a page to be turned Requesting “more” Repeating a line using Voice Output Answering questions Making comments (picture board) Social Studies • Use Voice Output to call on peers to answer questions (Example: Identify capital cities) • Use switch activated spinner to ask questions • Use voice output to direct peers to move from location to location on a map Math • Use switch activated spinner to select numerals to create math calculation problems for peers to compute Circle or Sharing Time • Attach souvenir to top of Voice Output device that has a message about it to share with rest of class • Use Voice Output or picture communication board so that student can ask peers questions, or comment on topic Cooking • Use Voice Output or picture communication board to direct peers in multiple step recipe • Ask student to get one of the needed items, but have it in the wrong place (Example: Ask student to get the wooden spoon, but have it in a different drawer) Science • Use Voice Output or picture communication board to give directions for a science experiment • Present objects that are unexpected • Use a puzzle that relates to topic. Have some of the pieces missing so student needs to request them • Play a trivia game with spinner & switch Lunch • Use a place mat with picture symbols to make comments or requests • “Forget” to give student part of lunch • Give student a carton of juice instead of juice in a cup • Give part of lunch in a container that is tightly sealed so that student needs to request help Recess • Choice making between recess activities (swing, slide, etc.) • Have photo board to make choices of peers to hang out with • Use picture board to make comments • Indoor games (e.g., Simon Says) • Choices of where to go outside • Perform unexpected actions Art • Withhold one of the needed materials, such as a brush, in order to elicit a response P.E. • Engage student in turn taking activity such as a bean bag toss. Wait for the student to communicate ‘my turn’ Dismissal • Use voice output to relay a message about events of the school day to the home setting Personal Care • Violate object function or manipulation (Example: Pretend to brush teeth with comb; put shoe on hand), with goal of eliciting a protest When could you incorporate one of your student’s communication objectives into his/her school day? • What are your student’s objectives? • When could they be incorporated into the school day? Communication Development • Improves self-concept & self-esteem • Reduces frustration and behaviour problems • Increases active participation • Changes expectations about the student’s potential to learn