The Challenge of Challenging Behaviors! Understanding and Effectively Addressing Behavioral Challenges of Students with ASD Susan K. Lewis Stokes, M.A., CCC-SLP SLP / Educational Autism Consultant sstokes.autismconsult@gmail.com www.susanlewisstokes.com Understanding ASD from a Behavioral Perspective To change your student’s behavior, you need to be able to make sense of that behavior, and making sense of your student’s behavior means making sense of his / her autism. Author unknown Susan K. Lewis Stokes, 2015 1 How to Make Sense of ASD???? #1 Intervention Strategy for Educational Programming! ASD is a Neurological Developmental Disability! Susan L. Stokes, 2001 ASD Iceberg Water line “Behaviors” of ASD Features/Characteristics of ASD Learning/Thinking/Processing differences Social Relation differences Communication differences Sensory Processing / Self-Regulation differences Restricted/repetitive patterns /behaviors Rigid / Inflexible Thinking Adapted from Susan Boswell Division TEACCH, 2000 Susan K. Lewis Stokes, 2015 2 The Hidden Disability Neurological Features and Characteristics of ASD • Learning / Thinking / Processing Differences: – Strength in processing static information (visual) / weakness in processing transient information ( auditory) – Variable attending skills – Concrete / literal thinking – Rote skills = strength – Difficulty with generalizing Neurological Features and Characteristics of ASD • Communication Differences – Receptive: Difficulty comprehending and understanding expectations, directions, questions, tasks / activities – particularly if requiring auditory processing. • Non-compliance versus noncomprehension??? – Expressive: Difficulty functionally communicating to others (even if verbal) • Sensory Processing / Self-regulation – Accurately processing sensory information from 7 sensory areas – Recognizing and implementing self-regulation strategies Susan K. Lewis Stokes, 2015 3 Neurological Features and Characteristics of ASD • Restricted / Repetitive Patterns of Behavior – High interests / passions – Motor patterns – Adherence to rituals / routines • Rigid / Inflexible Thinking – – – – Insistence on sameness / difficulty with change Rigid / egocentric perceptions Need for closure / completion Perfectionism / fear of failure Neurological Features and Characteristics of ASD • Social Relation Differences – Social attention / awareness – Social reciprocity – Social rules / codes of conduct – Social emotional understanding / expression – Social cognition/ perspective-taking Circumstances that can also contribute to “Tip” of the Iceberg Behaviors • Physiological factors • Classroom / environmental • Curriculum and Instructions Susan K. Lewis Stokes, 2015 4 Physiological Circumstances • Medical reason for behavior? – Co-morbid disorders (e.g., seizure disorder, anxiety; depression; mental health issues) • Medication related? • Adolescence (puberty) related? • Seasonal changes? • Developmental level? • Sickness / allergies? • Fatigue / hunger / thirst? Classroom / Environmental Circumstances • Sensory over-stimulation. – Too much auditory / visual stimulation • Undesirable seating arrangement. • Frequent disruptions / transitions. • Unpredictable contexts - decreased environmental physical structure. Curriculum and Instruction Circumstances • Too much talking / auditory information! • Tasks / activities that are vague or unclear. – Task expectations – Length of task / activity (when “all done”?) • Visual support strategies that are used inconsistently. • Quick attentional shifts – usually auditory. • Change in routine or lack of predictability. • Tasks requiring multi-tasking. • Tasks that are too difficult – or perceived as too difficult. Susan K. Lewis Stokes, 2015 5 Critical to ALWAYS Consider… • What is the TRIGGER or FUNCTION of the behavior? – Neurological features and characteristics of ASD (Beneath the water line!) – Physiological circumstances – Environmental circumstances – Curriculum and instruction circumstance Understanding versus Excuse! What’s an FBA? • Functional Behavioral Assessment – Problem solving process for addressing student problem behavior. – Utilizes varied techniques and strategies to identify the purpose or function of specific behavior. – Helps problem solving teams select interventions to address the problem behavior - to develop a Behavior Intervention Plan (BIP) – CANNOT develop a BIP without first having conducted an FBA!! Common Error in Conducting FBAs for Students with ASD • Determining a function of the behavior such as “avoidance / escape”, “attention”, “sensory”, or “tangible” but NOT taking into consideration how the neurological features and characteristics of ASD are contributing to the appearance and function of the behavior!! Susan K. Lewis Stokes, 2015 6 CRITICAL to consider WHY is the student engaging in the behavior?? • Why are they “avoiding” a task? – Fear of failure? – Novel? – Expectations / when “all done” unclear? • Why are they “escaping” a situation? – Over-stimulating environment? – Change / unpredictable? – Lack social skills to handle situation? PBIS: Positive Behavioral Interventions and Supports Prevent Behaviors from Occurring! • Positive (proactive) behavior support systems: – Best practice for truly changing a behavior. • Reactive behavior management systems: – Used for managing a behavior / situation at the moment. Proactive, Positive Behavioral Interventions and Supports for Students with ASD • Visual support strategies • Environmental modifications / accommodations • Expressive communication systems • Sensory-based interventions • Self-regulation strategies & instruction • Direct social skills instruction Susan K. Lewis Stokes, 2015 7 The Problem with Reaction / Consequences… for Students with ASD… Consequences are often not effective for changing behaviors exhibited by students with ASD Why not? Because students with ASD do not readily neurologically draw relationships between events, actions, and behaviors Do Not Assume….. that a consequence alone will teach an appropriate skill. Consider… You are in a foreign county and you do not speak the language? Should you be punished for not following directions appropriately? Reasons for a Consequence? • Suspension: – For team to re-group / come up with a better preventive / proactive plan!!! • SOMETIMES…because it makes the adults feel better! Susan K. Lewis Stokes, 2015 8 If you keep doing the same thing and the behavior doesn’t change…it’s not the child who is a slow learner! We must…. • FRONTLOAD!!! Focus our time and energy at the “front end” to prevent behaviors from occurring. Preparation versus reaction. The time you invest here - will save you an enormous amount of time in the long haul. • SET STUDENTS UP FOR SUCCESS!!! • TEACH THEM SKILLS!!! How can we punish students for not having skills that WE have failed to teach them? And Always Remember… Inconsistency is the MOST Consistent Characteristic of ASD! Susan K. Lewis Stokes, 2015 9 Therefore…OUR Consistency in Programming is Critical! Social Relation Differences CAN Present as Challenging Behaviors in Students with ASD – Particularly for Highly Verbal / Cognitively Intact Students A BIG Mystery to Many….. Why is someone with an average to above average IQ: • Making rude, inappropriate comments to both teachers and peers? • Having a meltdown in a cooperative learning group? • Bringing Barbie dolls to school - at age 15? • Talking incessantly about Great Lakes maritime disasters? • Swearing in front of EVERYONE - including grandma, principal, teachers? • Having difficulty accepting loosing, not being picked first, making mistakes? Susan K. Lewis Stokes, 2015 10 FIRST KEY for Intervention and Programming: Understanding the Social Relation Differences in ASD Social Relation and Social Language Skills are: Dynamic and Interdependent! Social Relation Differences in Students with ASD • Socially Related / Socially Unrelated: NTD child by 12 months: – Joint attention (see video) – Social orientation – Social Attachment – Imitation • Social Awareness / Social Attention • Social / Emotional Reciprocity • Social “Rules” / Codes of Conduct (see video) • Social Emotional understanding / expression Susan K. Lewis Stokes, 2015 11 Greatest Social Area of Difficulty Social Cognition Skills! Social Cognition • The ability to understand that other people have thoughts, ideas, interests, feelings and beliefs different from our own. • The ability to think about what other people are thinking. • The ability to know how other people are feeling and their feelings about you. • The ability to deduce what other people know – and what they don’t know. • The ability to make sense of others’ actions and behaviors Social Cognition Skills Development in NTD Children • Joint attention / social referencing: 6 mos. - 18 months. • By ~ 4 years old - able to pass First Order False Belief Tests (Sally - Anne Test / Unexpected Contents Test). • By ~ 4 ½ years old - able to take their listener’s perspective and make adjustments to their communication style. • By ~ 6 ½ years old - able to think about what others might be thinking and feeling, and what others might be thinking or feeling about them based on their actions and behaviors. Feeling embarrassed. Susan K. Lewis Stokes, 2015 12 Social Cognition Differences • Can appear very controlling: “Their way or the highway!” • May think that everyone thinks the same as them. • Can present as extreme ego-centrical thinking. • May verbalize thoughts aloud without considering the impact on others (“Honesty out of the mouths of babes syndrome”) Social Cognition Differences • Presents along a continuum of development. • Some students can readily pass “Sally-Anne” test and tests of pragmatic language, however… – Weaknesses in ability to perceive and interpret minds of others while in the moment of the social interaction. – Intellectual responses but no functional use in social situations. – At greatest risk for social cognition skills to be misunderstood by others! Social Cognition Difficulties in School • Rude, disrespectful behavior, may appear to lack empathy. • Difficulty with cooperative learning groups or shared social /partner activities. • Prone to be “perfect victims”. • Difficulty asking for help. Susan K. Lewis Stokes, 2015 13 Social Cognition Difficulties in School • Difficulty taking the listener’s perspective to provide them with enough background information, use of referents, etc. • Difficulty reading the non-verbal social communication cues given by others. – Difficulty recognizing / repairing communication breakdowns • Difficulty exhibiting appropriate nonverbal social communication behaviors. Social Cognition Difficulties in School • • • • Reading comprehension difficulties. Generative writing difficulties. “Blurter outers” / “interrupters”. Seem to lack an intuitive desire to learn about others’ interests and personal histories – as well as formulate language to inquire about another person’s interests. SECOND KEY for Social Relations / Social Communication Skills Intervention and Programming: Assessment A thorough social skills assessment must precede intervention!! Susan K. Lewis Stokes, 2015 14 My Favorites for Standardized Assessments of Social Relation / Social Communication Skills Standardized Tests for Social Interaction / Social Language Skills • Social Language Development Test: LinguiSystems – Ages 6.0 - 11.11 / 12.0 – 17.11 • Test of Problem Solving: – TOPS 3: Ages 6:0 - 11:11 – TOPS 2 Adolescent: ages 12:0 - 17:11 • Test of Language Competence-E: – Ages 5:0 - 18:11 – Assesses the abstract elements of language (e.g., inferences, ambiguous sentences, figurative language, etc.) Standardized Tests for Social Interaction / Social Language Skills • Children’s Communication Checklist - 2™ – Ages 4:0 - 16:11 – Purpose: to identify children with a pragmatic language impairment; to assist in identifying children who may require further assessment for ASD. • Comprehensive Assessment of Spoken Language (CASL)™: – Ages 3:0 - 21:11 – Pragmatic Judgement subtest – Supralinguistic subtest (abstract lang.) Susan K. Lewis Stokes, 2015 15 CELF® (Clinical Evaluation of Language Fundamentals) • CELF – 5® – Pragmatic Profile: Scaled scores – Pragmatic Activities Checklist: – Ages 5-21 • CELF Preschool 2® – Descriptive Pragmatics Profile (criterion score) – Ages 3- -6.11 Informal Social Relation / Social Language Assessment Tasks and Rating Scales (My Favorites) Informal Assessment • Observations in various contexts – critical! • Report from parents, teachers, aides regarding communicative challenges. • See informal assessment tools. Susan K. Lewis Stokes, 2015 16 • Social Thinking Dynamic Assessment Protocol: Thinking About You Thinking About Me - 2nd Edition, by Michelle Garcia Winner, 2008 – 1:1 Assessment of higher level social thinking skills – Evaluator tools for recording and analyzing findings per section – Sample social assessment reports / template – IEP goals / objectives / benchmarks – Ages 8 and above www.socialthinking.com • Building Social Relationships: A Systematic Approach to Teaching Social Interaction Skills to Children and Adolescents With Autism Spectrum Disorders and Other Social Difficulties, by Scott Bellini, 2006 (children and adolescents). – Parent / teacher / child interview forms – Autism Social Skills Profile Rating Scale (ages 6 - 17) – Setting goals and objectives (samples) – Selecting intervention strategies – Implementing the intervention strategies: individual / group • Sample lesson plans – Evaluating and monitoring progress • Social Skills Training for Children and Adolescents with Asperger’s Syndrome, by Jed Baker, 2003 (children and adolescents). – Social Skills Menu – Skills Rating Form – Strategies for Teaching Social Skills – Where to Provide Skills Training – Skill Lesson and Activities • Indices of Friendship Observation Schedule, by Tony Attwood: – Rating scale for friendship skills – http://www.tonyattwood.com.au/pdfs/ fos.pdf Susan K. Lewis Stokes, 2015 17 • Kathleen Quill: DO-WATCH-LISTENSAY, 2000 – Social and communication skills checklist for younger (or cognitively younger) children with ASD. Social Relation Skills Intervention: • NOT a quick fix!! • Student with ASD will have challenges in this area; generally long-term. • Putting students with ASD in social environments does NOT guarantee acquisition of social interaction skills! • They will need direct instruction when calm, to learn social interaction skills – just like learning math or science. • Will need instruction at ALL grade levels! Social Skills Intervention Programs for Less Verbal / Cognitively Younger Students Susan K. Lewis Stokes, 2015 18 • DO-WATCH-LISTEN-SAY: Social Communication Intervention for Children with Autism by Kathleen Quill, 2000. Focuses on early developing social skills, that are present at birth, and additional developmental social skills. • Improving Social Behaviors in the Classroom by Freeman, et al., 2011 . Focuses on social skills developed between 18 – 72 months. Appropriate for all any students who have social skills needs within this age range. Social Cognition Intervention for Verbal / Cognitively Intact Students www.socialthinking.com Social Cognition Curriculums www.socialthinking.com • The Incredible Flexible You: ages 4 – 7 • SuperFlex…A Superhero Social Thinking® Curriculum: ages 5 -11 • Think Social! A Social Thinking® Curriculum: ages 8 through adult • We Can Make It Better!: ages 4 – 9 • Social Thinking® Worksheets for Tweens and Teens: ages 10 – 14 • Thinksheets for Teaching Social Thinking® and Related Skills: ages 8 to adult Susan K. Lewis Stokes, 2015 19 Social Skills Intervention Strategies that are Identified as Evidence-based Practice! The National Professional Development Center on ASD http://autismpdc.fpg.unc.edu/ • Video Modeling / Self-modeling • Computer-Assisted Instruction • Social Narratives – Social Stories™ • Visual Supports / rules – Cartooning • Comic Strip Stories™ – Incredible 5-Point Scale – iOS Apps Video Modeling / Video Self-Modeling • The student watches a video of others (adults / children) modeling target behaviors (e.g., joining in a 4-Sqaure game; greetings; recognizing a communication breakdown). • Video Self-Modeling: Student watches self successfully exhibiting the target behavior. • Goal is for the student with ASD to model the behavior from repeated viewing of the video. PROOF: Research to support positive effects of video-modeling / self-modeling (Bellini, 2006, 2007; D’Ateno, et al, 2003; CharlopChristy et al, 2003). BENEFITS of Video Modeling • • • • Visual medium Motivating Repetitive Alleviates discomfort / anxiety of “live” social interactions • Reduces speed and distractions of “reallife” social interactions (can replay / pause) • Increases attention to relevant stimuli in the video - which is extremely difficult for them in “real-life” situations • Increases self-awareness: allows student to monitor and evaluate their own behavior Susan K. Lewis Stokes, 2015 20 BENEFITS of Video Modeling • All ages!! • Generalization of skills! Video-Modeling / VSM • Individualized: Make your own 1 - 2 minute videos to teach various skills and increase understanding, attention, and independent functioning. • Any skills can be taught via VM / VSM – Self-help skills – Fine / gross motor skills – Transitions (e.g., getting on / off the bus; going to the library) – Social skills – Communication Most Important Key to VM / VSM Illustrate only positive skills / behaviors Susan K. Lewis Stokes, 2015 21 Video-Editing Apps • iPad Camera app: Basic video editing – comes with device • iMovie: by Apple Additional Uses of Videos for Social Skills Intervention • Video-clips from TV shows / movies (e.g. Rugrats - Angelica; Seinfeld; Mean Girls movie; Pixars Short Films Collection DVD, Wallace and Gromit Dreamworks 2005; Big Bang Theory; etc.). • Commercially produced videos. 9th Planet www.9thplanet.org • Uses video-modeling to teach various social skills to teens and young adults. • Each CD Social Skills set includes a users guide with lesson plans. • Can also choose optional purchase to download to your computer – and videos can then be copied to iTechnology • Teens / Young adults Susan K. Lewis Stokes, 2015 22 Commercially Produced Videos for Social/Communication Skills Intervention TM • Storymovies by Carol Gray & Mark Shelley (ages 8 – 12) • Joining In!, by Linda Murdock and G.S. Khalsa. Autism Asperger Publishing Company (AAPC). www.asperger.net (Elementary) • Fitting In and Having Fun, Volumes 1-4, by TD Social Skills. http://tdsocialskills.com (Elementary – High School) • Model Me Kids (Ages 2 - 17) www.modelmekids.com Commercially Produced DVDs for Social/Communication Skills Intervention • Watch Me Learn (preschool – elementary) www.watchmelearn.com • Activity Trainer, by Accelerations Educational Software • Youtube!! A FEW Social Skills Intervention Apps Using Video-Modeling • Model Me Going Places 2(free) • Conover Company Apps: – Social Skills Sampler (free) – Manners ($1.99) – Communication Skills ($1.99) – Everyday Social Skills ($.99) • Stories2Learn ($13.99) Susan K. Lewis Stokes, 2015 23 Evidence-based Practice: Computer-Aided Instruction for Social Skills Intervention Mind Reading, by University of Cambridge / Simon Baron-Cohen, 2007. • Designed to help the student study emotions and improve skills at recognizing the expression of emotions in the faces and voices of others. Ages 4 – through adult Computer-Aided Instruction for Social Skills Intervention • Preschool Play Time Volumes 1 & 2, by Social Skill Builder (ages 3-7) www.socialskillbuilder.com • My Community, by Social Skill Builder (ages 5-15) www.socialskillbuilder.com • School Rules Volumes 1 & 2, by Social Skill Builder (ages 8-18) www.socialskillbuilder.com • My School Day, by Social Skill Builder (ages 6-12) www.socialskillbuilder.com • You Are a Social Detective, by Social Skill Builder (ages 8 – 18) www.socialskillbuilder.com Evidence-based Practice: Social Narratives • Follow the principles defined for writing Social Stories™ – Written in first person – Avoid “absolute” language • Can be visually depicted in many ways specific to the student’s learning style. • Repetitious “reading” when calm. Susan K. Lewis Stokes, 2015 24 Asking a Question in Class Sometimes in class I have a question. When I want to ask a question, I raise my hand and wait until the teacher calls my name. When the teacher calls my name, that means it is my turn to ask my question. I will put my hand down and ask the teacher my question. The teacher will do her best to answer my question. I will try to listen carefully to her answer. Sometimes the teacher will not have an answer. That is okay too. I will try to wait patiently and quietly until my teacher calls on me to ask my question. Social Narrative: Memo To: Re: Jonathan Marks Voice volume Our voices have different volume levels. We adjust the volume on our voices depending on the environment or situation. This memo is to inform you of the voice volume that is appropriate for different situations at school. We have a scale from 1-5 to help keep track of our voice volume. 1 = no talking (e.g., teacher talking) 2 = whisper (e.g., in the library) 3 = regular talking (e.g., classroom; phone) 4 = slightly loud (e.g., outside) 5 = screaming (emergencies only) Use high interest Susan K. Lewis Stokes, 2015 25 Interactive PowerPoint Social Narratives: Computer-Aided Instruction • Teacher made PowerPoint modules that teach and reinforce specific social skills burned to a CD. • Can be used for: – Independent work at school – Take-home CD “funwork” • Interactive White Board (e.g. SmartBoards) instruction for social skills groups PowerPoint Websites • http://www.slideshare.net/ • http://www.kansasasd.com (link to “Classroom Materials”) Susan K. Lewis Stokes, 2015 26 A Few Apps for Creating Social Narratives • Kid in Story Book Maker: by Locomotive Labs • Social Stories: by Proteon Software • Pictello: by Assistiveware • Story Creator: by Innovative Mobile Apps • Stories2Learn: by MDR • My Pictures Talk: by Grembe Inc • Stories About Me: by Limited Cue LLC Evidence-based Practice: Visual Supports for Teaching Social Skills • Cartooning – Comic Strip Stories™ • Incredible 5-Point Scale • Social Behavior Mapping • Visual Social Rule Cards • iPad Apps! Cartooning • Comic Strip Conversations™ by Carol Gray • Anyone can draw stick figures. • Can use different colors to denote different emotional states. Susan K. Lewis Stokes, 2015 27 She’s fat You’re fat I feel sad Lori Michael Check Out…. Cartooning by Comic Life For Mac or PC Standard = $24.95 Deluxe = $29.95 Susan K. Lewis Stokes, 2015 28 A Fun App for Cartooning • Strip Designer: by Vivid Apps The Incredible 5-Point Scale • Developed by Kari Dunn Buron. • Designed to utilize a simple 5-point scale to support a program for teaching social understanding. • Writing a story to go along with the scale helps to define the scale. CRITICAL EQUIPMENT! Susan K. Lewis Stokes, 2015 29 5-Point Scale App • Autism 5-Point Scale EP: by the Autism Society of Minnesota Social Behavior Map www.socialthinking.com • Developed by Michelle Garcia Winner • Designed to teach students that the “expected” versus “unexpected” production of behavioral skills impacts directly how people feel, which alters their course of action toward us. How people treat us directly impacts how we feel about ourselves, and the people around us. • Can be done as part of a group or designed individually. • Helps students see the “gestalt” by focusing on “behavioral sets” versus each singular inappropriate behavior. Behaviors for Learning Expected Behaviors Feelings of other people Consequences How you feel about consequences Sitting up at desk Pleased Say nice things Staying in Chair Gratified Keeping voice Appreciative quiet Extra computer time Susan K. Lewis Stokes, 2015 Happy Proud 30 Behaviors for Learning Unexpected Behaviors Feelings of other people Falling out of Frustrated Chair Wandering around room Distracting Making noises Annoying Consequences How you feel about consequences Loose recess Angry Told to sit down in strict tone Asked to leave the room Frustrated Confused Visual Social Rule Cards Visual Social Rule Card for Swearing 1. Do not swear in front of: 1. Principal 2. Teachers 3. Grandparents 4. Unfamiliar adults 5. Priest / nuns 2. O.K. to swear in front of: 1. Close friends - unless they ask you not to. Susan K. Lewis Stokes, 2015 31 A Cool App for Social Skills Intervention “Let’s Be Social” by Everyday Speech • 40 lessons covering 5 skill sets: – Personal Interactions; Navigating the Community; Social Behavior; Handling Change; Social Relationships • 5 video lessons • Interactive Q & A for every lesson • Create own lessons A Few Apps for Social Relation Skills • Hidden Curriculum for Adolescents and Adults: by AAPC • Hidden Curriculum for Kids: by AAPC • QuickCues: by Fraser • Quizzler Family: by Perkel Communications • What’s the Expression: by ColorSkit • Body Language: Discover Body Language and How it Can Benefit You! By WebLantis A Few Apps for Social Relation Skills • Conover Company ~ 40 apps – Social Skills Sampler – Manners HD – Everyday Social Skills HD – Communication Skills HD • Middle School Confidential 1 - 2: by Electric Eggplant • Social Talks: by WebTeam Corporation • Social Quest: by Smarty Ears Susan K. Lewis Stokes, 2015 32 A Few Apps for Social Relation Skills • Super Duper “What Are They Thinking”: by Super Duper Publications • Take Turns: by Kringelbach IT • Social Skill Builder: by Social Skill Builder, Inc. • I Get…My Classmates Photo Book: by I Get It, LLC • The Social Navigator: by Seven Minds • The Social Express: by The Language Express, Inc A Few Apps for Emotions – Social Relation Skills • Touch and Learn – Emotions: by Innovative Mobile Apps • ABA Flash Cards and Games Emotions: by Innovative Mobile Apps • Emotions: by kindergarten.com • Autism Emotion™: by Model Me Kids • Emotions from I Can Do Apps: by I Can Do Apps, LLC • Emotionx: by Dunedin Multimedia Limited • Expressions for Autism: by Club LIA The Puzzle The puzzle is incomplete, but I do not fit. My edges are rough, my curves don’t match the indentations, my colors are muted (compared to the other pieces), and my “picture” is not quite right. The puzzle is incomplete. But how do I fit? I have searched for other pieces only to find them illfitting. Until… Susan K. Lewis Stokes, 2015 33 One day, the puzzle-solver found me and smoothed my edges, enhanced my colors, rounded my curves, and put my “picture” into focus. I still don’t fit every piece, but each day more and more come together for me. I may never fit every puzzle, but thanks to you, I have found my place in many. May we all be “puzzle-solvers” Author: unknown ASA 2003 Susan K. Lewis Stokes, 2015 34