Structured Teaching How to Who will benefit from A Structured Teaching Approach Students with Autism Asperser's Disorder High Functioning Autism ADHD adults with OCD and depression typically developing two and thirteen year olds Students who benefit from a predictable/structured environment Why will they benefit Deficits in Executive Function : impairment in the higher-order Theory of mind : impairment in the ability to recognize that Hidden Curriculum: Impairment in ability to learn and processes that enable us to plan, sequence, initiate, and sustain our behavior towards some goal, incorporating feedback and making adjustments along the way. other people have thoughts, feelings and intentions that are different from one's own, and an inability to intuitively guess what these thoughts, motives or reactions might be.* understand and demonstrate the implied, unspoken, often changing rules and routines of a situation, game, or event. * *Theory of Mind and Hidden curriculum are more unique to people on the Autism Spectrum Executive Function Executive function can be defined as the way in which people monitor and control their thoughts, actions emotions and behaviors. We need EF whenever we are presented with the unexpected, need to concentrate particularly hard, or need to adapt or change Core Deficits Inhibitory control Cognitive flexibility Major areas of impairment in Executive Function Working Memory Inhibitory Control What is Structured Teaching A specific approach to teaching students on the Autism Spectrum developed by the University of North Carolina T.E.A.C.C.H. Founded in the early 1970s by the late Eric Schopler, Ph.D., TEACCH developed the concept of the “Culture of Autism” as a way of thinking about the characteristic patterns of thinking and behavior seen in individuals with this diagnosis, Structured teaching addresses the “Culture of Autism” Strengths in Challenges with processing visual information auditory processing, particularly of language attention to details or selected areas of interest understanding the meaning of how details fit together Sensory perception (touch, smell, sight, taste) combining ideas or making inferences Simple memory organizing ideas, materials, and activities Rule learning Attention, becoming distracted, shifting attention Formal language Communication, especially the social and nonverbal use of language and Visuospatial processing concepts of time and being able to recognize where they are in a sequence or task Visual perceptual skills becoming attached to routines Routine learning Very strong interests sensory preferences and dislikes. Structured Teaching Antecedent based not reward or punishment based Uses competence motivation rather than consequence motivation Levels of Structured Teaching: Physical Structure Schedules Work Systems Routines and Strategies Task Physical Structure Physical structure refers to organizing the environment to give meaning and context to each area. Physical structure helps the child understand where different activities take place and where materials are kept. It can be set up in the home as well as the classroom. Physical Structure (Start with the room) Highly organized classroom with specific areas for specific activities Physical Structure A routine for cubby/back packs is attached to the shelf. Physical Structure Independent work area for younger child Sensory Area for younger child Physical Structure Task shelf organized to flow with a work system Physical Structure Use what is available to create specific spaces Physical Structure Group lesson: Table divided with tape FOLDERS AND FILES FOR OLDER STUDENT There are two key things to think about when setting up the physical structure Establish clear visual and physical boundaries: Divide up the environment so that each activity is associated with a particular physical space. Arrange furniture to establish clear physical boundaries between areas Young children may need repeated practice and teaching to learn the meaning and importance of the boundaries. Minimize visual and auditory distractions: Although this varies most children will benefit from the elimination of irrelevant details. Minimizing distractions also helps to avoid sensory overloading. Techniques include 1) covering up or only using materials that pertain to that particular area or activity, 2) minimizing the amount of materials, and/or 3) using screens or dividers to aid in cutting down on the distractions. Schedules A schedule visually, and in a concrete manner, shows a child the activities of the day and in what order they will occur. A schedule compensates for deficits in Executive Function and language. A student may learn and appear to not need a schedule. Don’t be fooled. It could be too much, too little, to low, to high. Types of Schedules Concrete object Functional (plate for snack) Representative (a puzzle piece for the fine-motor area) Photograph of an object Icon or drawing Word or sentence Combination of elements Left to Right or Top to Bottom Matching Picture to Picture Matching Picture to Word Schedules Continued One type of schedule is not better than another it’s not necessarily better for a child to use pictures instead of objects. The decision is based on where the child skills are, and what is the most meaningful. They can be combined Present visual schedules to help the individual what will happen during the day, or part of day Different Types of Schedules For the Month For the Morning Object Schedules Left to Right Top to bottom Picture Schedules Photographs can be of areas that the student will go to, pictures of objects that will be used once they get there or A teacher they will work with. Folder or Portable Schedules Icon Schedules Written Schedules It can be fancy, laminated, hand written, produced with Boardmaker or a word processing program Types of Schedules Continued Teacher directed Transition The schedule is placed in a particular area and the student is sent to check it. Portable The teacher hands a student the object, picture or icon. The student carries the schedule. (like your calendar or planner or PDA) It is important for the student to track movement through the schedule Tracking Progress through day Remove and match Mark progress Sequence of how to use Schedule Check Schedule Remove task Do Check Schedule Do Verses Check off Check schedule How to Use or Introduce a Schedule Start with 1-to-3 objects, photos, icons Use simple language “Check schedule” Guide the student to the schedule and then to the location the schedule is sending them. Sometimes it helps to have a matching object, picture or icon in the target location that the student carries and matches and places into a container. How to Use or Introduce a Schedule Teach the child how to use it. Add, change, expand as indicated. When the student is through with task say “Check schedule” to teach them how it works. The goal is confidence and competence Work Systems The schedule tells them where to go The work system tells them what to do when they get there. Almost anything can be taught using the work system. Remember to make it Concrete, Visual, and clear Work Systems What work? How much do I have to do? How do I know when I am finished? What comes next? Flow left to right or top to bottom Examples of work systems More Examples of work Systems What where finished More Work Systems Gym workout routine Work System for going to park More work systems Almost anything can be task analyzed and put into a task/work system. academic, self-help, leisure across settings Independent work area Cafeteria Place of employment) for individuals at all functioning levels systems can range from concrete to abstract More work systems Teaches the student to attend to visual cues (rather than verbal directives) Promotes independence as an essential outcome for students with ASD Students do not have to plan where to begin or how to proceed Tips for Implementing Work Systems Provide essential materials for the specific task/activity exclude things that are distracting. Use work systems in a variety of settings to increase generalization across location and adults. circle time social groups Playground Home doctor visits Tips for Implementing Work Systems Teach the work system with minimally invasive prompts so the adult/prompts do not become part of the work routine. prompt nonverbally direct students to visual cues prompt from behind so adult is not part of the student’s visual field fade prompts as quickly as possible to maximize independence Tips for Implementing Work Systems Create smaller, more portable work systems for students who travel to different settings throughout the school day in a notebook, file box, pencil box, clip board Incorporate student’s interests in the visual cues used in the works system SpongeBob, Thomas the Train, Pokémon on their work system). Routines and Strategies Strategies and work routines can be effective strategies for minimizing organizational difficulties. They address difficulty with distractibility They support difficulty with time management and sequencing They are presented visually to take advantage of a stronger processing skill. Why Use Routines? It’s a natural part and learning strength of students on the spectrum. They like the predictability of routines If we don’t teach them they will often establish their own rigid routines and become very upset if they are disrupted. By establishing a positive routine, and then disrupting it, we create an incentive for the child to communicate in order to reestablish the familiar routine. Activity Routines PLAY: social baby games play with toys motor games table games exercises music dressing eating bathing hair care selecting clothes greetings delivering messages serving refreshments Shopping COMMUNITY LIVING: eating out travel in the car Walking SELF-CARE: SOCIAL SETTINGS: DOMESTIC LIVING: putting away toys setting the table cooking (stirring, pouring, opening, cutting, etc.) Examples of Routines Boardmaker Routines Daily school Routines Home or life skill Routines Rare or infrequent routines A social story Fire Drills Followed by a routine Card/mini schedule. Sometimes our school has fire drills. A special bell will ring to tell us it is time to leave the building. Fire drills are practice in case there is a fire in our school. I will get in line when the fire drill bell rings. I will stay in line and walk outside with my class. I will stay in line and wait outside with my class. The teacher will tell us when we can go back into the school. I will stay in line and walk back to my classroom with my class. THE END all done The fire drill is over. Tasks Visual, hands on learning tools Structured to be self explanatory Designed to build independence Can be bought or made Can teach almost anything Types of Tasks Put ins Take offs Match Sort Written Assembly Disassembly Tasks Hierarchy of Prompts (from most independent to least) VISUAL CUES ‘SPEAK’ FOR THEMSELVES VERBAL/GESTURAL PROMPTS TO GET THE STUDENT TO LOOK AT AND USE VISUAL CUES VERBAL PROMPTS TO HELP STUDENT DO TASK GESTURES OR DEMONSTRATIONS TO SHOW STUDENT HOW TO DO A TASK PHYSICAL PROMPTS OR HAND OVER HAND Task Examples Animal Matching with word stem Put in with gathered material More Examples of Tasks Put in and Sorts More Tasks Assembly Matching object(s) to word(s) Purchased put in matching TASKS Cont. It could be a purchased toy that is structured Jigs Or something made with a shoe box For a Trip or Activity Getting reading for a field trip Building language around a cooking task Practical Tasks Sort Match Tasks for older students Counting money task Folder system and check list File Folder Tasks Use Velcro or library pockets, laminate file folder. Can make matching tasks focusing on colors, shapes, alphabet letters, common nouns, familiar people, categories, relations (e.g., shoes and socks) etc. File Folder Tasks Can be designed to be flexible and used for reading comprehension skills, math skills, generalization skills, etc. Highlighter tape Resources http://www.specialed.us/autism/assist/ass t11.htm http://www.icontalk.com/ http://store.mayerjohnson.com/us/boardmaker-softwarefamily.html http://www.highlightertapes.com/highlight er-price.html