Running Header: IMPROVE OUTCOMES OF STUDENTS WITH AUTISM Working to Improve Academic and Social Outcomes of Students with Autism Elise Phillips Seattle Pacific University 1 IMPROVE OUTCOMES OF STUDENTS WITH AUTISM 2 Working to Improve Academic and Social Outcomes of Students with Autism Autism is a category of developmental disorders including five classifications. These classifications include autism disorder, pervasive developmental disorder not otherwise specified (PDD-NOS), Asperger’s syndrome, Rett syndrome, and child disintegrative disorder. The cause remains unknown, but family and twin studies seem to point to some kind of genetic connection. It has also been found that people with autism have neurobiological differences in anatomy and function of the brain. There is no cure and it is not possible to outgrow this developmental disorder; however, it is possible to overcome many symptoms. 1/110 of people between the ages of 0 and 21 has been diagnosed with autism; however half of these cases are mild forms of the disability (Isbell, 2011). The topic of autism is relevant to special education because students with this disability are served by special education services in our schools. Also this is a current topic of debate as a new definition for the disability may exclude many from services that are available to them at this time. This is due to the overbearing financial pressure on schools and the explosion of diagnoses in the past decade (Carey, 2012). This particular disability is of interest to me because I have worked with several students with autism so far during my career. Through research on the topic of autism, I hope that I will be able to better serve and support my students with autism in my classroom as well as gain an understanding of what it feels like to walk in their shoes. I hope that through a better understanding of this disorder, I will be able to work to improve the social and academic outcomes for students with autism. IMPROVE OUTCOMES OF STUDENTS WITH AUTISM 3 As this disability continues to rise in prevalence, more and more research is being done around what teachers, parents, care givers, and specialists can do to help improve academic and social outcomes of students with autism. Through my literature review, I was able to learn about many studies that have been done to test hypotheses about interventions and support for students with autism. Von der Embse (2011) says that there has been a recent push for inclusion of special education students in general education classrooms. While this can be very beneficial for both the student with the disability and the rest of the class, it can also be very challenging. It is important that general education teachers who work with students with disabilities have training and know strategies and techniques to make the situation beneficial for everyone involved. In my literature review on autism I found several themes of intervention. These include teaching self-coping strategies, social skills training, and the effects of teacher training on students’ problem behaviors. I also found that in the studies that I read about interventions, the researchers reported generally positive results. A few interventions, which are summarized below, stuck out specifically. In “Case Studies on Using Strengths and Interests to Address the Needs of Students With Autism Spectrum Disorders,” Lanou, Hough, and Powell (2012) explain the importance of taping into students’ strengths and interests to promote success. “Educators can embrace students’ unique humor, idiosyncratic interests, and seemingly “nonfunctional” behaviors to motivate them in meeting challenging social and academic expectations while also increasing their confidence and independence” (p. 176). This team collaborated to develop a toolbox of strategies based on best practices. The strategies include an academic strategy to specifically encourage self-monitoring during IMPROVE OUTCOMES OF STUDENTS WITH AUTISM 4 writing activities, an emotional self-regulation strategy, a social strategy, and a behavioral strategy. The authors took things that the students in their study liked and identified with and incorporated them into the strategies. For example, they took the doodles that one student often created in his notebook to create a system of messages so that the teacher could know if the student was frustrated and to what extent. Another example is that a different student loved the Titanic and was always searching for more information on this disaster. He would often get too close to other students so they developed a cue card to tell him to watch out for icebergs when he got too close to other students. This made perfect sense to him. I can see using this toolbox of strategies in my classroom with my students with autism. I find that tapping into students’ interests almost always promotes buy-in. When students can make a connection to their own lives and what they like, they are much more likely to enjoy the class and be interested in the work or the goals that you are trying to accomplish. In the article, “Stop, Think, Proceed,” Isbell (2011) reminds the reader that half of children diagnosed with autism have a mild form such as Asperger’s syndrome or pervasive developmental disorder not otherwise specified. Strategy teaching is a promising intervention to help students develop skills to become effective problem solvers. Students with autism have difficulty coping with unexpected problems in the daily routine. Stop, Think, Proceed is a protocol that teaches essential skills for social problem solving. It is designed to be visually stimulating and each skill has a visual IMPROVE OUTCOMES OF STUDENTS WITH AUTISM 5 symbol associated with it. Teaching and reinforcing these strategies help students monitor their own behavior and be able to generalize them for other situations. I like the idea of the visual aspect of this intervention. Because students with autism are very visually driven, it is an effective tool to use with this population. Also the protocol creates a routine for the students so that they know exactly what to expect. It also leads to ownership and self-monitoring for the students, which is very important to build on. In the article “Step by Step,” Ogilvie (2012) suggests that social and academic improvements for students with autism can be fostered through video modeling and peer mentoring. Students with autism have difficulty interacting with peers because they do not pick up on social cues. Examples of social characteristics of a person with autism include lack of eye contact, limited affect, and partial or nonexistent verbal communication. The goal of a teacher of a student with autism is to teach the “hidden curriculum” of social rules that vary depending on setting. Peer mentoring is a strategy that can work in conjunction with video modeling where a student who does not have a disability will help a student with a disability academically and socially. Some examples of this partnership include working with a peer during class on an assignment, participating with the peer in a social group, or roleplaying social situations. Through these interactions, the peer mentor will model appropriate behavior without explicit instruction and the student with autism will be given an opportunity for social interaction. Teachers can combine these strategies by creating videos using peer mentors. It is suggested that the videos should focus on the ABCs of a behavior, which include the antecedent, the behavior, and the consequence. IMPROVE OUTCOMES OF STUDENTS WITH AUTISM 6 It is important to be thoughtful as you implement these interventions so that both the peer mentor and the student with the disability feel comfortable with the arrangement. As they begin to work to master specific social skills, the teacher should begin by introducing the skill to the student and the peer mentor. Then the teacher should review the steps of the skill. Next, he or she should show the video to the student and the peer mentor and have the student practice with the mentor. Lastly, the teacher should review the steps of the skill. Peer mentoring has been used very effectively in my school. It is clear that both the student with the disability and the peer mentor gain a lot from the experience. As I picture using this intervention in my classroom, I envision working with my student’s special education teacher to make this possible. In my classroom, peer mentoring would be an excellent experience for both the mentor and the student with autism. I can see a student with autism being paired with a peer to work on assignments or guide during group projects. However, while I love the idea of the video modeling, I do not think that I would have time to incorporate this into my classroom. Through collaboration with my student’s special education teacher, perhaps we could work with peers in my class to create these videos and practice the behaviors. In another article, Suhrheinrich (2011) described a study about the effects of Pivotal Response Training. In this article, PRT was described as “a behavioral intervention that was developed to facilitate generalization, increase spontaneity, reduce prompt dependency, and increase motivation of children with autism.” The goal of this intervention is to increase verbal and non-verbal communication skills. The study addressed the effects of a 6-hour group workshop for teachers on PRT and the effects of IMPROVE OUTCOMES OF STUDENTS WITH AUTISM 7 additional coaching on teacher implementation of PRT. The study was comprised of 20 teachers who participated in the workshop, classroom videotaping, and direct feedback from the trainer. The results indicated that the training and continued coaching was effective in improving teachers’ use of PRT. I would be very interested in receiving more training on specific disabilities and working with students with disabilities. As a general education teacher, I do not work with classroom full of these students but I have a few students with special needs in each of my classes. I feel that professional development is a very important piece to the puzzle. I found that while more and more research is continuing to come out best practices for teaching students with autism, I would be interested to see more studies with use of inclusion as the independent variable to determine what is the best setting for students with autism and what needs to happen to close the gap of success. I think that in the inclusion model, general education teachers need more training to know best practices strategies for working with students with disabilities. The articles that I read in my literature review gave practical examples of how to use specific interventions and strategies in the classroom. As I read these articles, I was reminded of the theme of collaboration that we have talked about in this class. As I pictured using many of these interventions in my classroom, I envisioned collaborating with my student’s special education teacher to make them possible. I believe that this would help students generalize the behaviors that they had learned and help consistency throughout the day. Also I have found that the more I learn, the more I want to learn. I IMPROVE OUTCOMES OF STUDENTS WITH AUTISM hope that I can become better equipped to help student with autism and other disabilities in the future. 8 IMPROVE OUTCOMES OF STUDENTS WITH AUTISM References Carey, B. (2012, Jan 20). New autism rule will trim many, a study suggests. New York Times, p. A1. Isbell, J. S., & Jolivette, K. (2011). Stop, think, proceed: Solving problems in the real world. Intervention In School And Clinic, 47(1), 31-38. Lanou, A., Hough, L., & Powell, E. (2012). Case studies on using strengths and interests to address the needs of students with autism spectrum disorders. Intervention In School And Clinic, 47(3), 175-182. Ogilvie, C. R. (2011). Step by step. Teaching Exceptional Children, 43(6), 20-26. SARRC (Southwest Autism Research & Resource Center) “Autism FAQ” http://www.autismcenter.org/autism_faq.aspx Suhrheinrich, J. (2011). Training teachers to use pivotal response training with children with autism: Coaching as a critical component. Teacher Education And Special Education, 34(4), 339-349. Von der Embse, N., Brown, A., & Fortain, J. (2011). Facilitating inclusion by reducing problem behaviors for students with autism spectrum disorders. Intervention In School And Clinic, 47(1), 22-30. 9