COMPARING DIFFERENT APPROACHES
FOR SUPPORTING CHILDREN WITH AUTISM
Matching Best Practice with Needs
04 February 2014

Riy...
A little
about me…

2
A

L I T T L E
A B O U T
Introduction

M E

The Autism Bomb

Loss of
speech
&
tantrums

Environmental
withdrawal

Self-sti...
A CLOSER LOOK AT MY
PLACEMENT ON THE AUTISM SPECTRUM — 4

AGE
E
V

E
N
T

S

0

1.5

2.5

Typical
development
Turn over at...
S U C C E S S
W I T H
A U T I S AT
A CLOSER LOOK M MY
PLACEMENT ON THE AUTISM SPECTRUM — ADULT

AGE

E
V
E
N
T
S

0

1.5

...
Setting the Context

6
SETTING THE CONTEXT
Three Areas of Intervention
Educational/Behav
EducationalBehavioral

Sensory

Biomedical

•
•
•
•
•
•
...
SETTING THE CONTEXT
Three Areas of Intervention

EducationalBehavioral
Biomedical
Sensory

Stephen Edelson, personal commu...
Navigating the sea
of interventions
• Educational •
9
SOME PROMISING INTERVENTIONS
Lovaas (ABA):
http://www.youtube.com/wat
ch?v=iyCx-OLzgJw

TEACCH:
http://www.youtube.com/wat...
www.behavior.org/autism

11
Functional Behavior
Assessment
12
FUNCTIONAL BEHAVIOR ASSESSMENT
Conducting the FBA
Looks beyond the specific behavior by focusing on identifying…
•

Social...
Elements of Daily Life Therapy
Supported living
Continuing/New relationships

Life
experiences
Bonding
with others

MUSIC
...
Elements of Daily Life Therapy
SOME PROMISING INTERVENTIONS
Miller Method
S

Y

S

T

E

M

…an organized unit of behavior around an object, event, or pe...
www.millermethod.org

17
SOME PROMISING INTERVENTIONS
Miller Method
STEP SLIDE SYSTEM
http://www.youtube.com/w
atch?v=AUReFlvYRTg

1. Climb up the ...
DIFFERENT WAYS OF PROCESSING INFORMATION
Word Contrasted with Photo-Realistic Thinking

Algebraists

Geometrists

Think th...
Thanks for your participation!

Stephen Shore
www.autismasperger.net
20
www.autismasperger.net

21
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Stephen Shore, Ed.D. - COMPARING DIFFERENT APPROACHES FOR SUPPORTING CHILDREN WITH AUTISM Matching Best Practice with Needs - IEFE Forum 2014

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Stephen Shore, Ed.D.

COMPARING DIFFERENT APPROACHES FOR SUPPORTING CHILDREN WITH AUTISM Matching Best Practice with Needs

IEFE Forum 2014

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Stephen Shore, Ed.D. - COMPARING DIFFERENT APPROACHES FOR SUPPORTING CHILDREN WITH AUTISM Matching Best Practice with Needs - IEFE Forum 2014

  1. 1. COMPARING DIFFERENT APPROACHES FOR SUPPORTING CHILDREN WITH AUTISM Matching Best Practice with Needs 04 February 2014 Riyadh, Saudi Arabia PRESENTED BY Stephen Shore, Ed.D. Tumbalaika@AOL.COM www.AutismAsperger.net 1
  2. 2. A little about me… 2
  3. 3. A L I T T L E A B O U T Introduction M E The Autism Bomb Loss of speech & tantrums Environmental withdrawal Self-stims 3
  4. 4. A CLOSER LOOK AT MY PLACEMENT ON THE AUTISM SPECTRUM — 4 AGE E V E N T S 0 1.5 2.5 Typical development Turn over at 8 days Rapid physical and motor development Autism bomb hits Withdrawal from environment Tantrums Putnam evaluation of atypical development, strong autistic tendencies & psychotic Early intervention fromparents who refute recommendati ons for removal from home 4 6 8 10 13 19 Enter Putnam Condition improves to “neurotic” The wonderful world of watch motors Echolalia and return of speech Self Awareness Eating baby food 4
  5. 5. S U C C E S S W I T H A U T I S AT A CLOSER LOOK M MY PLACEMENT ON THE AUTISM SPECTRUM — ADULT AGE E V E N T S 0 1.5 2.5 4 6 8 10 13 19 Typical development Turn over at 8 days Rapid physical and motor development Autism bomb hits Withdrawal from environment Tantrums Putnam evaluation of atypical developme nt, strong autistic tendencies & psychotic Early intervention from parents who refute recommend ations for removal from home Enter Putnam Condition improves to “neurotic” The wonderful world of watch motors Echolalia and return of speech Eating baby food Kindergarten Social & academic difficulties Discovered making a mess of myself while eating BBQ chicken wings Loved cats but dogs… Yikes bikes! Cracking rocks Special interests in astronomy and weather Teacher concerns for reading and math difficulties Concern about dropping the letter “e.” My friend says “he feels like a pizza” and I argue with him that he does not look like a pizza and probably does not feel like one either Middle and high school Finally getting it together but still often in left field Discovering the band room Time to focus more on people and not their bicycles College More friends Dating Others really do think differen tly Utopia! Professor of Special Education at Adelphi University 5
  6. 6. Setting the Context 6
  7. 7. SETTING THE CONTEXT Three Areas of Intervention Educational/Behav EducationalBehavioral Sensory Biomedical • • • • • • • DTT/ABA Daily Life Therapy TEACCH Miller Method DIR (Floortime) RDI SCERTS Stephen Edelson, personal communication, December, 2004 Sensory Occupational Therapy to Treat Imbalances of the Outer and Inner Senses • Sight • Touch • Taste • Smell • Hearing • Vestibular • Proprioception Biomedical Treating chemical imbalances caused by internal and external factors • Digestion • Nutrition • Chelation • GFCF Diet • Vaccines • Dysbiosis • Immunology • Feingold Diet • Mercury and other heavy metal toxicities [metallothionein & glutathione] 7
  8. 8. SETTING THE CONTEXT Three Areas of Intervention EducationalBehavioral Biomedical Sensory Stephen Edelson, personal communication, December, 2004 8
  9. 9. Navigating the sea of interventions • Educational • 9
  10. 10. SOME PROMISING INTERVENTIONS Lovaas (ABA): http://www.youtube.com/wat ch?v=iyCx-OLzgJw TEACCH: http://www.youtube.com/wat ch?v=ddGLJ2r4rcw Daily Life Therapy: http://www.youtube.com/wat ch?v=Pn884qZS7t0 Miller Method: http://www.youtube.com/wat ch?v=AUReFlvYRTg DIR (Floortime): Watson, Skinner, Operant conditioning, Shaping behaviors, Antecedent-behavior-consequence Employs approaches based on the needs of a person’s needs and emerging capabilities (Trehin, 1999). Kito Kitihara, Platonic, Order of the physical, emotional and intellectual. Miller, Developmental-Cognitive Systems, Elevation, Piaget, Vygotsky, Luria, Werner, Bertalanffy. Greenspan, Developmental-Affective, Circles of communication. Relational Development Intervention: Gutstein, Experience sharing rather than instrumental relationships. SCERTS: Prizant, Social-Communication, Emotional-Regulation, Transactional Support. Biomedical: Medical-Chemical, Diet (GFCF), Adjusting chemical imbalances, Persistent measles, Heavy metal toxicities. Other: Sensory integration, PECS, Inclusion, Social stories, Power cards, CCT 10
  11. 11. www.behavior.org/autism 11
  12. 12. Functional Behavior Assessment 12
  13. 13. FUNCTIONAL BEHAVIOR ASSESSMENT Conducting the FBA Looks beyond the specific behavior by focusing on identifying… • Social • Affective • Cognitive • Environmental • Medical WHY? Factors associated with occurrence or non-occurrence of the specific behavior Adapted from the Center for Effective Collaboration and Practice http://cecp.air.org/fba/default.asp 13
  14. 14. Elements of Daily Life Therapy Supported living Continuing/New relationships Life experiences Bonding with others MUSIC VOC ED ART Intellectual Stimulation Confidence PE Emotional Regulation Structure Physical Activity Productivity and feeling of productivity Routines Self esteem Group dynamics Needed supports www.bostonhigashi.org INITIAL STAGE GUIDANCE
  15. 15. Elements of Daily Life Therapy
  16. 16. SOME PROMISING INTERVENTIONS Miller Method S Y S T E M …an organized unit of behavior around an object, event, or person. Miller, A. (2000). Chapter 15. The Miller Method©: A Cognitive-Developmental Systems Approach with Children Having Body Organization, Social and Communication Disorders. In Guide to Best Practices (Eds) Greenspan and Wieder, Interdisciplinary Council for Developmental Disorders, Unicorn Foundation. Miller, A. & Eller-Miller, E. (1989). From ritual to repertoire: A cognitive-developmental systems approach with behavior-disordered children. New York: Wiley-Interscience. 16
  17. 17. www.millermethod.org 17
  18. 18. SOME PROMISING INTERVENTIONS Miller Method STEP SLIDE SYSTEM http://www.youtube.com/w atch?v=AUReFlvYRTg 1. Climb up the stairs. 2. Turn 90 degrees to the left and Sit down. 3. Go down the slide. 4. Get up and walk back the to stairs and repeat. Stair and slide system. From page 226 of Ritual to Repertoire. Used with permission. Stair and slide system: A system used as part of the Umwelt assessment at the Language and Cognitive Development Center in Newton, Massachusetts. www.millermethod.org 18
  19. 19. DIFFERENT WAYS OF PROCESSING INFORMATION Word Contrasted with Photo-Realistic Thinking Algebraists Geometrists Think this formula Visualize this figure 2+b2=c2 a Why require algebra before geometry when geometry was invented first? 19
  20. 20. Thanks for your participation! Stephen Shore www.autismasperger.net 20
  21. 21. www.autismasperger.net 21

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