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Social Skills Solutions: Setting Appropriate Goals and Teaching Social Skills for Children with Autism Spectrum Disorder Kelly McKinnon, MA, BCBA, www.kellymckinnonassociates.com Guests: Joan Hersh, MA, Preschool Teacher Elif Cagin, MA, New Vista School Kelly McKinnon & Associates, Inc. Why teach play skills In 2001 the book Educating Children with Autism, also ranked social skills and the teaching of developmentally appropriate play, as among the eight types of goals that should have priority in the design of effective educational programs for children with ASD. “Children with autism often gravitate to repetitive play activity, ranging from manipulating objects and enacting elaborate routines to pursuing obsessive and narrowly focused interests. Without specific guidance, they are less likely to engage in functionally appropriate play with objects similarly”. (Wolfberg, 1999) Kelly McKinnon & Associates, Inc. Module 3: Level 1: Social Play Developmental Milestones 7-12 months 12-18 months** 18-24 months 24-36 months 4 years old 5 years old Imitates familiar actions with caretaker Demonstrates functional use of objects Uses vocalizations and words during pretend play Uses most toys appropriately Associative Play common (engaged in same play, interacting, yet going own way) Acts out characters Plays pat a cake Shows symbolic use of objects Uses two toys together in pretend play Demonstrate parallel play Follows rules in simple games without being reminded More likely to agree with others on rules Participates in games with adults Plays with a toy in a different way Stacks and assembles toys and objects Performs longer sequences of play activities Plays “Mom” or “Dad” Sometimes demanding, sometimes cooperative with friends Explores environment with curiosity Imitates simple actions of others in play Engages in pretend and symbolic play Pretends to perform caregivers routines Cooperates with other children My visit friends independently Uses one object to represent many objects Has plan when using building items Plays ball with adults Imitates Emerging interactions and Associative Play shows interest Kelly McKinnon & Associates, Inc. with other children Independent Play~ Neurotypical child Neurotypical children often begin playing by playing alone Play involves children manipulating toys on their own Play is exploratory, yet purposefulfunctional- emerges into shared play with peers Kelly McKinnon & Associates, Inc. Play Skills: Play can be simple, or very intricate Common play steps- follow the milestones: • • • • • Basic play with closed ended toys (stacking cups) Open ended purposeful play (block building) Imitative play Symbolic/Pretend play Dramatic play Kelly McKinnon & Associates, Inc. What Do We See in Neurotypical Children’s Play? Children play alone, short or long periods of time, and using a variety of toys! They explore & access toys independently Children use toys functionally and appropriately They make comments while they play Children make references to others while playing Kelly McKinnon & Associates, Inc. Module 3 Social Play Sustains independent play for 15 min. w/close-ended toys i.e. puzzles 1. Plays with closed-ended toys (variety, up to 20) Shape sorter/stacking Nesting cups, pop up toys Lacing beads Insert puzzles Mr. Potato Head Build block towers (3-10 blocks) Simple matching games (match pictures, array of 4) Put together animal parts Sit to look at books 2.Plays alongside 2-3 peers- same space, same materials 3. Plays independently with open-ended toys-15 min.(variety up to 20) samples: Build with blocks- no defined end (pile of blocks) Build with blocks- make objects with blocks (house) Builds with Duplos/Legos- no defined end (pile of Legos) Builds with Duplos/Legos-make objects (robot, plane) Builds with train tracks- specific plan Build with Lincoln Logs Construction/building, dumping, crashing, re-building Safari Gears or Magz building 4.Plays alongside 1-2 peers- same space, same materials-comment on play 5.Plays alongside 3-5 peers- same space, same materials-comment on play 6. Is able to wait turn in simple games Kelly McKinnon & Associates, Inc. Play Stations Weiss & Harris (2001) described play stations as: “Activity centers set up at different physical locations scattered about a classroom” “Used to teach a number of skills including increasing play, parallel play skills and transfer imitations skills to a setting that resembles a typical preschool” Bonus skill: helps support length & duration of play Kelly McKinnon & Associates, Inc. Teaching Methods Use visual Prompt transition verbally and/or physically Kelly McKinnon & Associates, Inc. Next Steps Incorporate peers Referencing Join into existing play with peers Continue to increase sustainability Expand pretend play repertoire Kelly McKinnon & Associates, Inc. Station #1 Play 1:1 Teaching Puzzles Shape Sorters Blocks & Trains Dinosaurs Station #2 Independent Play Station # 3 Play with peer, adult Station #4 Play with peer, no Station #5 Play with more then 1 supported adult peer Programming considerations Teach: Independent play: access & play with toys on your own, functionally; give mom a break! Teach: Imitation in play: watching, copying & responding to others actions Teach: Initiating play ideas: generate new ideas in play Teach: Pretend play; acting out scenarios, characters Use data provided as your criteria aims for mastery Kelly McKinnon & Associates, Inc. Goals Kelly will expand her play skills, learning to play at least 3 simple, closed-ended play activities (i.e., puzzles, shape sorters, building tower with 8 blocks) independently, choosing and shifting to each play activity independently, 4 of 5 consecutive days Kelly will expand her play skills, learning to play at least 3 simple, open-ended play activities (i.e., simple games, a box of blocks, a magnetic board activity) independently choosing and shifting from the play activities independently, 4 of 5 consecutive days Kelly will expand her play-skill repertoire, to include the ability to build several items (at least three different objects) with three different types of building toys (blocks, K’nex, Lincoln logs), independently, 4 of 5 consecutive days Kelly will expand her play-skill repertoire, to include the ability to use objects for pretend play actions including several items (army men, cars, transformers) initiating at least a 10-action play scheme with each play item, independently Kelly will engage in functional, independent play, using 1-3 toy items (or a variety of toys), sustaining play for at least 10 minutes (Note: this goal may need to start with learning to independently choose and play 1 closed-ended task; add on a chain of known toys, to create an expanded play skill repertoire and increased engagement in functional play) Kelly McKinnon & Associates, Inc. Video Modeling Effectiveness: "Results from the video modeling metaanalysis indicate that both video modeling and VSM (Video SelfModeling) meet the Council for Exceptional Children's criteria for evidence-based practices." Bellini, S. & Akullian, J. (2007) Exceptional Children, 73, 261-284 Kelly McKinnon & Associates, Inc. Student: Date: Module 3: Social Play 1. Plays with age-appropriate toys functionally, 30 min. 2. Engages in non-physical play with peers 3. Follows basic playground rules 4. Joins group in their play, sustains for 20 min. 5. Asks peers to play with them 6. Switches choice of play between self and peer 7. Plays pretend with peers, shares common themes, coordinates ideas 8. Engages in coordinating ideas during play 9. Plays/builds/works on project with peers 10. C an play basic ball games/sports with peers 11. Accepts being called "out" 12. Accepts losing games 13. W ins gracefully 14. Accepts "No" to play ideas, switches peers' ideas Yes/No 1:1 Yes/No In Group Yes/No Natural Setting Cooperative Play Weiss & Harris “Children work together toward common goal or share a fantasy theme that requires mutual exchange to build a scenario” • Joint building items • Making an art project • Dramatic play scenarios Kelly McKinnon & Associates, Inc. Teaching methods Video Modeling • 6 year old playing Starter phrases (White board) • White board of starter phrases Token system • Adult provided tokens (points on white board) • Set criteria of 7 sharing of ideas • Moved to self-monitoring • White board off to side, in room Kelly McKinnon & Associates, Inc. Goals Kelly will join into play of others, sustaining and participating in the same activity at least 10 minutes, or until activity is over, at least one time daily, 4 of 5 consecutive days Kelly will invite another peer to play, sustaining activity at least 10 minutes, or until activity is over, at least 1 time daily, 4 of 5 consecutive days Kelly will develop cooperative play skills, by working together with at least 1 other peer to jointly participate/build an item (Legos, floor puzzle, make a sign), at least 15 minutes, with no more then 1 prompt, 4 of 5 opportunities, 4 consecutive days During structured turn-taking activities with peers, Kelly will attend to the game, aware/acting upon her turn, independently, 80% of opportunities, across 4 consecutive days Kelly will expand dramatic/pretend play skills with peers, by initiating at least 5 new pretend play ideas or comments, and observe and respond to at least 50% of a peer’ statements, in a 10 minute play period, 4 of 5 opportunities, across 4 consecutive days Kelly McKinnon & Associates, Inc. A review of the literature suggests that few studies have spent time addressing the effects of self-management as a technique to enable children with ASD to control and report on their progress toward increasing and decreasing target behaviors, enabling teachers to devote more time to teaching. Koegel, Hurley, Frea (1992) Demonstrated children with autism with severe deficits in social skills could learn to self-manage responsivity to others in multiple community settings Kelly McKinnon & Associates, Inc. Goal areas: Kelly will improve her conversation skills with peers by demonstrating the following skills in a 10 minute conversation period: o Demonstrate appropriate space (an arms length) o Use I statements to share information about self (at least 3) o Respond to others conversation statements directly (at least 70% of instances) o Ask questions about their statements (at least 50% of statements) o Tell stories in 1-3 sentence, with main idea and 1-2 supporting ideas o Use a “conversation ender” when finished speaking Kelly McKinnon & Associates, Inc. Teaching Method Phase One In the classroom Direct Instruction Whiteboard • Instructor writes and explicitly teaches goals for lunchtime conversation. Kelly McKinnon & Associates, Inc. Phase Two Behavior Rehearsal / Role Play • Goal for conversation remain on the whiteboard. • Tally marking frequency of exchange on the white board as a visual reminder. Kelly McKinnon & Associates, Inc. Phase Three Group Discussion • Checking off goals on checklist followed and constructive feedback on what to work on. Kelly McKinnon & Associates, Inc. Kelly McKinnon & Associates, Inc. Kelly McKinnon & Associates, Inc. Phase Four In the lunch area Group discussion Whiteboard and Pink “Lunchtime Goals” checklist. • Instructor asks for student participation to list rules on board. Kelly McKinnon & Associates, Inc. Self-Monitoring & Reinforcement Systems 1. Whiteboard Visual Reminder 2. “Lunchtime Goals” Checklist 3. Individual Goals 4. School wide points system Kelly McKinnon & Associates, Inc. Self-Monitoring & Reinforcement Systems 1. Whiteboard Visual Reminder 2. “Lunchtime Goals” Checklist 3. Individual Goals 4. School wide points system Kelly McKinnon & Associates, Inc. Video Modeling Effectiveness: "Results from the video modeling metaanalysis indicate that both video modeling and VSM(Video SelfModeling) meet the Council for Exceptional Children's criteria for evidence-based practices." Bellini, S. & Akullian, J. (2007) Exceptional Children, 73, 261-284 Kelly McKinnon & Associates, Inc. Phase Five Video Modeling & Vide Self-Feedback Group Discussion • Checking off goals met and pausing video for positive and constructive feedback on what to work on that day at lunchtime. Kelly McKinnon & Associates, Inc. Phase Six Wrap-up and priming Kelly McKinnon & Associates, Inc. Where we are headed Break time / recess / passing periods • Seeing on going generalization issues • “ Conversations are just for lunchtime when we’re eating.” • These periods of time are unstructured • Will use the same process Kelly McKinnon & Associates, Inc. Conclusions Play skills need to be taught, and should be a component of every child with ASD programming~ Teaching play needs to move from 1:1 setting to group settings~ Teaching play needs to more closely match developmental criteria~ Kelly McKinnon & Associates, Inc. Final Thoughts More specific data published on neurotypical play skills Goals based on peers Assessments should incorporate peer data Many different types of “ABA” procedures to teach play skills! Kelly McKinnon & Associates, Inc. Available at Special Needs Bookstore