Running head: INCLUDING CHILDREN WITH AUTISM Successfully Including Children with Autism Spectrum Disorder in General Education Classroom Settings Amy Skatula Seattle Pacific University 1 Running head: INCLUDING CHILDREN WITH AUTISM 2 Successfully Including Children with Autism Spectrum Disorder in General Education Classroom Settings The United States Department of Education seeks to provide equal access to public education for all children. This includes students with disabilities. With the enactment of the Individuals with Disabilities Education Act (IDEA), students with disabilities are to have access to a free and appropriate education in the least restrictive environment (LRE) in a general education classroom. Though IDEA does not mandate that students with disabilities be included in general education classrooms, it is so often practiced that it has become a “de facto” law, especially regarding children with autism spectrum disorder (ASD). Crosland and Dunlap (2012) report, “schools have reported an average increase of more than 800% since 1992 in the number of children with ASD being served in the educational system (Individuals With Disabilities Education Act [IDEA], 1997)” (p. 252). Students with ASD struggle with social awareness, communication and are easily distracted because of hypersensitivity or hyposensitivity (Lee, Walter and Cleary, 2012), and therefore have a difficult time building and maintaining friendships. Lee, et al. (2012) say that children with autism are characterized by “Impaired social interaction, skills (Flynn & Healy, 2012), relationships and empathy, as well as poor self-awareness, egocentric social judgment, and short attention span (Dawson et al., 2004)” (p. 41). Additionally children with autism tend to be inflexible, struggle with language and communication, and have “greater and more complex health needs than many others in the general population (Delmolio & Harris, 2012; Krauss, Gulley, Sciegaj, & Wells, 2003)” (Lee et al., 2012, p. 41). These characteristics often make it difficult for children with autism to be included in the general education setting. Because it is increasingly common for children Running head: INCLUDING CHILDREN WITH AUTISM 3 with ASD to be placed in the general education setting, it is important to take a close look at the specific academic and behavioral needs of these children in order to allow them to learn with the fewest barriers. One of the most common characteristics of children with ASD is a difficulty in picking up on social cues. Some of these behaviors include, “lack of eye contact, limited affect, or nonexistent verbal communication (Volkmar & Tidmarsh, 2003)” (Olgivie, 2012, p. 20). Additionally, certain social behaviors are appropriate for different settings, making it all the more difficult for children with ASD to adapt. These challenges make it difficult for children with ASD to form friendships. As a result, they can become socially outcast in the highly social environment of public school. These repercussions often carry into adulthood. Calder, Hill and Pellicano (2012) say, “long-term studies show that the majority of adults with autism have few, if any, friends (e.g. Howlin et al., 2000, 2004; though see Farley et al., 2009)” (p. 297). Though children with ASD struggle with forming relationships, it could be because they may have a different concept of friendship. A typical child identifies characteristics of companionship, intimacy, and closeness (Calder, et al., 2012) when describing their relationships with friends. Children with autism have a less complete view of friendship, usually describing only characteristics of companionship, and rarely describe deeper levels of connection. Although relationships are difficult for children with ASD to form, certain interventions can help. Crosland and Dunlap (2012) suggest peer modeling to help students with ASD to learn appropriate social behavior. Using the natural interactions between students, “peermediated interventions have been found effective in providing social learning Running head: INCLUDING CHILDREN WITH AUTISM 4 opportunities through peer interaction, peer modeling, and peer reinforcing” (p. 256). Additionally, teachers may pair a student with ASD with a regularly functioning child who can help to keep the student with ASD to stay on task and facilitate appropriate social interactions (Crossland & Dunlap, 2012, p. 256). Another way to teach appropriate social behavior to children with ASD is to combine peer mentoring with video modeling. Video modeling “involves demonstrating desired behaviors and role-playing through video images. The student with ASD watches a video that demonstrates the desired behavior and then is asked to imitate the behavior” (Ogilvie, 2011, p. 20). Utilizing the unique characteristics of children with ASD, video modeling is an effective tool for teaching social skills. Children with autism tend to get preoccupied with activities, particularly reciting lines from movies and TV shows (Ogilvie, 2011, p. 21). Ogilvie (2011) says, “Video modeling also capitalizes on the power of observational learning (Delano, 2007) and incorporates the student with ASD’s ability to imitate behaviors (Ayres & Langone, 2005; Charlop-Christy & Daneshvar, 2003)” (p. 21). This makes video modeling an ideal tool to use to teach social skills to children with ASD. In addition to social deficits, some children with autism have performance deficits. These deficits are barriers to actually performing the appropriate social skills in inclusive settings (L. Koegel, Vernon, R. Koegel, B. Koegel, & Paullin, 2012). Since children with autism exhibit limited interests, some interventions focus on using their hobbies as the theme in everyday activities (L. Koegel et al., 2012). These activities “can improve the social engagement of the child with autism with his or her typically developing peers (Baker, Koegel, & Koegel, 1998)” (L. Koegel et al., 2012, p. 221). Rather than focusing on appropriate behavior for specific social settings to improve connections with other Running head: INCLUDING CHILDREN WITH AUTISM 5 students, research has shown that using the autistic child’s interests (e.g. specific TV shows, cooking, sports…) as the focus of an activity, the child naturally is able to connect with peers who are also drawn to the same interests (L. Koegel et al., 2012). A further intervention strategy designed to address disruptive behavior displayed by children with ASD is the Prevent-Teach-Reinforce (PTR) model. Strain, Wilson and Dunlap (2011) say, “PTR was designed as a standardized model based on the principles and literature of applied behavior analysis and on the practical process of positive behavior support” (p. 161). The effectiveness of PTA lies in its use of research-based assessment and intervention strategies. Additionally, increased levels of success are due to “antecedent manipulations (Prevent), instructional strategies (Teach), and arrangement of reinforcement contingencies (Reinforce)” (Strain et al., 2011, p. 161). The first step in this program is to form a school-based team that is responsible for implementing the plan for the student. Second, goals for the student are set based on the major challenges the child has. The goals are typically related to academics, social skills and behavior modification (Strain et al., 2011). Additionally, a strategy for the measurement of success is established. The third step requires participants in the child’s team to answer questions in a Functional Behavioral Assessment (FBA). The objective in the FBA is to, arrive at a team consensus regarding: (1) the antecedent events that are associated with a high probability of the target behavior occurring, as well as a low probability; (2) the purpose or function of the target behavior, and (3) the events that have typically followed the occurrence of the target behaviors, and preferred stimuli or events that might be used as positive reinforcers during intervention (Strain et al, 2011, p. 163). Running head: INCLUDING CHILDREN WITH AUTISM 6 The results of the questionnaire are used to create an intervention plan, which is the fourth step in the PTR model. Interventions are rooted in each component of PTR: Prevent, Teach and Reinforce (Strain et al., 2011). The last step in the PTR model is ongoing evaluation of the intervention plan. Using the measurement of success established in step two, the PTR team will evaluate whether or not goals are being met. Readjusting the intervention based on these goals should be a continual process. Teachers play a significant role in the successful inclusion of children with ASD in the classroom. As with any child with a disability, various classroom modifications can be in place to help children with autism succeed socially and academically. One such modification is posting classroom rules in a clear and visible place. Deris and Di Carlo (2013) emphasize that referring back to visible rules provides “multiple opportunities to understand the rules facilitate children’s comprehension of expectations” (p. 52). Labeling classroom centers is also particularly helpful for children with ASD. This helps children understand the purpose of a space, which can help them know the appropriate behavior and actions for it (Deris & Di Carlo, 2013, p. 53). Since transitions and unplanned changes are often a struggle for children with autism, it is helpful to create a schedule that is predictable. This will help reduce the level of anxiety children with ASD can experience. Deris and Di Carlo (2013) say, “The schedule needs to include a balance of both teacher-directed and student-initiated activities, yet be flexible enough to meet each child’s needs” (p. 53). The daily schedule needs to be posted in an area that is visible for the child, and make sure they refer to it to make sure they are aware of what comes next in the day (Deris & Di Carlo, 2013). If any changes to the schedule are to occur, the child should be alerted ahead of time so they can process the Running head: INCLUDING CHILDREN WITH AUTISM 7 information and mentally prepare themselves for the transition (Deris & Di Carlo, 2013). Additionally, providing a quiet or “safe” place in the classroom is often needed for children with ASD. Overstimulation resulting in overwhelming the child, and can be a common occurrence in highly social environments. It is therefore important to provide a place where the child knows they can “escape” for a time and calm down (Deris & Di Carlo, 2013, p. 53). It is also essential to maintain a gentle, calm and encouraging manner around children with autism (Lee, Walter & Cleary, 2012). Focusing on the child’s strengths, and reinforcing them rather than continually correcting weaknesses or misbehaviors will result in improvements. Children with ASD tend to get over-stimulated quickly. Lee et al. (2012) say, “the inability to filter foreground and background sensory stimuli may contribute to sensory overload” (p. 43). For a normally functioning child, a highly stimulating classroom is beneficial. However, for a child with autism, it can be a barrier to learning. Seating the child in a location in the room that is the least distracting can be helpful. Teachers should learn from observation and extra information from parents, what particularly distracting stimuli may be for the child (Lee et al, 2012). Deris & Di Carlo (2013) say, “Some distractions are not controllable (e.g., temperature changes from outside to inside) but others are (e.g., noise level in the reading center)” (p. 53). Those distractions that can be easily changed should be adjusted accordingly. When providing support for children with autism in the classroom, it is important to make sure their needs are put first, and that their academic and social goals are worked toward. The purpose of classroom modifications and behavioral interventions is to help remove barriers to learning for these students. It is not to make learning easier. Byrnes Running head: INCLUDING CHILDREN WITH AUTISM 8 (2000) says, “Does wearing glasses make driving easier? Not really—for a person with limited vision, wearing glasses makes driving accessible. With or without glasses, you need to be able to drive to pass the test” (p. 320). Every accommodation made for a student with ASD should be helping them make progress toward their academic and behavioral goals. Kauffman, McGee and Brigham (2004) say, “Every modification and every accommodation should be held to the same standard: whether it will help the student attain these goals— not whether it will make life easier for the student” (p. 331). Further, educators need to be careful not to assist children with ASD so much so that they become dependent on the adult to succeed. Causton-Theoharis (2009) says the actions of adults providing support “are frequently too intensive and invasive” (p. 37). The provision of support can become a barrier to learning itself when it is too heavy. Further, if support and classroom modifications become so supportive that the child is not ever performing on their own, the benefits of inclusion are often in question. Causton-Theoharis (2009) goes on to say, “When support becomes invasive, it undermines the purpose of inclusion” (p. 37). Educators need to be aware of the how their actions affect the students they are assisting, because it can take away some of the benefits of an inclusive classroom. Additionally, support from adults needs to be faded over time. Some of the consequences of unnecessarily heavy support from adults are dependence upon adult support, loss of natural peer interactions, and hindered creativity. Fading support means that over time, as students become more confident in performing assignments and activities independently, the assistance from adults is gradually removed (CaustonTheoharis, 2009). Running head: INCLUDING CHILDREN WITH AUTISM 9 Causton-Theoharis (2009) suggests four steps to fading adult support: “Plan to include, ask and listen, step back, plan to fade your support” (p. 39). An educator needs to first plan to allow the student with ASD to participate in regular classroom activities, with the modifications that have already been put in place. Next, rather that automatically assisting, teachers need to ask the student what would be most helpful to them during the assignment in a way that is respectful. As students become more independent in performing tasks, the teacher or paraprofessional should step back and allow the student to work on their own. Cues and support should only be given when the student is struggling to succeed. Lastly, educators need to always be working toward students’ academic and behavioral goals, and looking for ways that the student can be independent in the classroom (Causton-Theoharis, 2009, p. 39-41). Children with ASD have many barriers to learning, and it can be difficult for them to be included in regular education classrooms. However, research has shown that careful classroom modifications, behavior intervention plans, and healthy adult support can allow these students to participate and learn in a general education setting. While it is certainly possible for students with autism to be fully included, it is important to always keep their needs in mind. Lewis and Doorlag (2011) say, “Although we believe that all students should be participants in the general education process, we also believe that the nature and extent of their participation should be determined on an individual basis. No one program, placement, or service arrangement meets the needs of all students” (p. 4). Constant reevaluation of the students’ progress should be implemented so that the child is always making steps toward achieving their goals. Running head: INCLUDING CHILDREN WITH AUTISM 10 References Byrnes, M. (2000). Accommodations for students with disabilities: Removing barriers to learning. In D. Evans (Ed), Taking sides: Clashing views in teaching and educational practice (3rd ed.) (pp. 317-323). New York, NY: McGraw-Hill. Calder, L., Hill, V., & Pellicano, E. (2012). ‘Sometimes I want to play by myself’: Understanding what friendship means to children with autism in mainstream primary schools. Autism, 17(3), 296-316. Causton-Theoharis, J. N., (2009). The golden rule of providing support in inclusive classrooms: Support others as you would wish to be supported. Teaching Exceptional Children, 42(2), 36-43. Crosland, K., & Dunlap, G. (2012). Effective strategies for the inclusion of children with autism in general education classrooms. Behavior Modification, 36(3), 251-269. Deris, A. R., & Di Carlo, C. (2013). Back to basics: Working with young children with autism in inclusive classrooms. Support for Learning, 28(2), 52-56. Kauffman, J. M., McGee, K., & Brigham, M. (2004). Enabling or disabling? Observations on changes in special education. In D. Evans (Ed), Taking sides: Clashing views in teaching and educational practice (3rd ed.) (pp. 324-332). New York, NY: McGrawHill. Koegel, L. K., Vernon, T. W., Koegel, R. L., Koegel, L. B., & Paullin, A. W. (2012). Improving social engagement and initiations between children with autism spectrum disorder and their peers in inclusive settings. Journal of Positive Behavior Intervention, 14(4), 220-227. Running head: INCLUDING CHILDREN WITH AUTISM 11 Lee, C., Walter, G., & Cleary, M. (2012). Communicating with children with autism spectrum disorder and their families. Journal of Psychosocial Nursing, 50(8), 40-44. Lewis, R. B., & Doorlag, D. H. (2011). Teaching students with special needs in general education classrooms (8th ed.). Boston, MA: Pearson. Ogilvie, C. R. (2011). Step by step: Social skills instruction for students with autism spectrum disorder using video models and peer mentors. Teaching Exceptional Children, 43(6), 20-26. Strain, P. S., Wilson, K., & Dunlap, G. (2011). Prevent-teach-reinforce: Addressing problem behaviors of students with autism in general education classrooms. Behavioral Disorders, 36(3), 160-171.